Latest posts tagged with #ShrinksInSneakers on Bluesky
FDA update on leucovorin
It was approved for a rare genetic disorder that impairs folate delivery to the brain not autism
Important reminder:
Evidence > hype
👟🧠 #Psychiatry #ShrinksInSneakers #Autism #mentalhealth #ASD #psychiatrist
What we shouldn’t do:
❌ Say antidepressants have no role
❌ Ignore decades of data
That’s not science it’s ideology
#PsychiatryUnfiltered
#ShrinksInSneakers
#MentalHealth
#Antidepressants #depression #psychiatry #doctor
The headline is coming:
“Exercise is as effective as antidepressants.”
Depression isn’t one disease.
Treatment isn’t a zero-sum game.
Personalized care > ideology.
#PsychiatryUnfiltered #ShrinksInSneakers #depression #depressiontreatment #therapy #exercise #lifestylemedicine #medical #psychiatry
First-line antidepressants should evolve
In this video, I explain why mirtazapine is often a better first move when MDD comes with:
• Insomnia
• Weight loss
• Stimulant use
• Sexual side-effect concerns
Watch 👇
#PsychiatryUnfiltered #ShrinksInSneakers #Psychopharm #psychiatry #mentalhealth
Semaglutide… for alcohol use disorder? 👀
A major 2025 randomized trial showed:
⬇️ Heavy drinking days
⬇️ Cravings
⬇️ Alcohol consumption
This challenges how we think about addiction and who might benefit from GLP-1 meds
👟🧠 #Psychiatryunfiltered
#ShrinksInSneakers #Psychiatry #Addiction #MentalHealth
MAOIs aren’t “last resort” meds they’re under-used power tools.
Avoiding MAOIs isn’t caution
It's lost opportunity for patients who deserve better.
This is psychiatry unfiltered
#MAOI #Psychopharm #PsychiatryUnfiltered #ShrinksInSneakers 👟🧠 #antidepressants #psychiatry #mentalhealth
The month after psychiatric hospitalization is the danger zone.
The first 30 days = life or death for many
Follow up. Pick up meds. Use your safety plan
Hospitalization is the start of the work, not the cure
#PsychiatryUnfiltered 👟🧠 #ShrinksInSneakers #mentalhealth #healthcare #psychiatry
My book pick this month is a classic I still recommend to patients:
It’s old-school CBT, but the skills are timeless: challenging distortions, building healthier habits
Not for everyone but extremely practical for many
#PsychiatryUnfiltered #ShrinksInSneakers #CBT #therapy #psychiatry #mentalhealth
Stop calling it anxiety
Start asking what’s driving it
Anxiety isn’t a defect it’s a check engine light
When it spikes, ask:
• What did my alarm system detect?
• Is this real danger or an old fear?
#ShrinksInSneakers #Anxiety #Psychiatry #Neuroscience #MentalHealth #anxietytreatment
We all carry scars life guarantees that.
Here’s a hard truth about anger:
👉 The things that trigger us most are usually reflections
If someone calls you incompetent and it enrages you, part of you fears they might be right
#ShrinksInSneakers 👟🧠
#therapy #mentalhealth #emotion #mentalhealthmatters
A resident asked what I’m passionate about in psychiatry.
Easy the work.
Hard the system.
You can’t medicate someone out of:
🏚️ homelessness
🥫 hunger
🧊 no heat
🚫 no safety
💸 no stability
#MentalHealth #Psychiatry #PublicHealth #SDoH #HealthEquity
#ShrinksInSneakers #mentalhealthmatters
Is TRD just undertreatment?
Sometimes
But some patients fail every modality we have
Because our tools treat symptoms not causes
Not all failure is effort
Sometimes it’s biology we don’t understand
#Psychiatry #MentalHealth #ShrinksInSneakers #mentalhealthtreatment #mentalhealthawareness
Psilocybin will help some patients.
But a miracle cure?
Still this is a massive shift in the future of psychiatric care
New Jersey just stepped onto the psychedelic stage
#ShrinksInSneakers #Psilocybin #Psychiatry #Medical #mentalhealth #mentalhealthishealth #mentalhealthmatters
🚨 NEW ARTICLE DROP: Psychiatric Times 🚨
The Truth About Insomnia and Melatonin: Natural ≠ Harmless
Read the full breakdown 👇
www.psychiatrictimes.com/view/the-tru...
#Insomnia #Psychiatry #Melatonin #SleepHealth #CBTi #ShrinksInSneakers #sleep #depression #sleepmedicine
A new JAMA Psychiatry study just linked soft drink consumption to major depression and the gut microbiome is the middleman
👇
Takeaway:
Skip the probiotic hype.
Fix the diet.
Your gut talks to your brain loudly.
#GutBrainAxis #Depression #Psychiatry #UltraprocessedFoods #ShrinksInSneakers
We don’t just need coping skills we need a cultural reboot.
Anxiety is information.
Listen to it.
#ShrinksInSneakers #Anxiety #Psychiatry #MentalHealth #mentalhealthawareness #anxietytips #anxietydisorder #psychiatrist #doctor #medical
#ShrinksInSneakers
#Psychiatry
#MentalHealthEducation
#EvidenceBasedMedicine
#Psychopharmacology
#PsychiatristLife
#ClinicalPearls
#Pharmacogenomics
#GeneticTesting
#PrecisionMedicine
#MedicationManagement
#TreatmentResistance
#DepressionTreatment
#Antidepressants
#Psychiatry #Lithium #BipolarDisorder #MoodStabilizer #Psychopharmacology #MentalHealth #EMB #ShrinksInSneakers #ResidentEducation #InpatientPsychiatry #MentalHealthAwareness
#MentalHealth #Psychiatry #SuicidePrevention #BorderlinePersonalityDisorder #ClinicalWisdom #ShrinksinSneakers #HealthcareLeadership #PatientCenteredCare
Not everyone who talks about suicide needs to be hospitalized.
Creating space for honest conversations can save lives.
#ShrinksinSneakers
Where did “mood stabilizer” come from?
It wasn’t always part of psychiatry’s language
But the term was never clearly defined just catchy
#Psychiatry #BipolarDisorder #Lithium #ShrinksInSneakers #bipolar #psychiatrist
Melatonin isn’t the harmless “natural sleep aid” we’ve been sold.
A new analysis (130K+ patients) found long-term users had:
⚠️ 90% ↑ risk of heart failure
⚠️ 3.5× ↑ hospitalizations
⚠️ Nearly 2× ↑ mortality
youtu.be/IhpV5zD7TL4
#Melatonin #Insomnia #Sleep #Psychiatry #CBTI #ShrinksInSneakers #sleepmed
Until more research is published, address sleep problems at their root:
🧘♀️ CBT-I
🌅 Consistent sleep schedule
🚫 Limit stimulants
💭 Treat underlying mood disorders
Your body makes melatonin naturally. Maybe it’s telling us something.
#Cardiology #SleepMedicine #Psychiatry #ShrinksInSneakers #Insomnia
Doing the right thing when it’s risky that’s being a doctor
It’s easy to avoid clozapine or lithium when things look complicated. But medicine isn’t about doing what’s easy it’s about doing what’s right
That’s clinical courage
#Psychiatry #DoctorLife #ShrinksInSneakers #mentalhealth #clinical
GLP-1 meds are being hyped as the next big thing even in psychiatry
But are we repeating the same mistakes
Each promised a cure. Each had a cost we learned about too late
In medicine, when something seems too good to be true… it usually is
#GLP1 #Psychiatry #Medicine #ShrinksInSneakers #weightloss
Daylight Savings Time can actually improve depression. ☀️
That extra morning light helps regulate circadian rhythm, boost serotonin, and lift mood.
I try to start my day with sunlight and a walk 😅
#ShrinksInSneakers #Depression #MentalHealth
Psychiatry is full of ghosts 👻
• The trauma we pretend isn’t there
• The memories that replay like cursed loops
• The defenses we build to survive
On Halloween, remember: not every haunting is supernatural🧠💀
#ShrinksInSneakers #Psychiatry #Halloween #MentalHealth
New RCT (KARMA-Dep 2) found no benefit of serial IV ketamine vs midazolam for inpatients w/ moderate–severe depression.
Maybe it’s not “does ketamine work?”
It’s “for whom and where?”
#ShrinksInSneakers #Psychiatry #Ketamine #ECT #Depression
What people get wrong about using prazosin 🧠💊
Prazosin is one of the few medications that consistently helps with PTSD-related nightmares and autonomic arousal from trauma but it’s also one of the most misused.
#Psychiatry #ShrinksInSneakers #PTSD #Sleep #Psychopharmacology #MentalHealth #Prazosin
Elvin Semrad taught generations of psychiatrists that our job isn’t to remove pain, but to help people bear it.
He worked with the most psychotic patients and saw humanity where others saw illness.
That message still matters.
#Psychiatry #ShrinksInSneakers #therapy #mentalhealth #mentalhealthmatters
