Rationalist-adjacent musings on psychiatry
| Platform |  | Pricing | Only free issues | Publishes | Weekly |
|---|---|---|---|---|---|
| Issues | 47 | Founded | 3 years ago | Last Issue | 12 days ago |
| Active | |||||
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Concerns about the Marketing of TMS for Depression
This piece comes from several months reading TMS clinic websites. My critique is not of TMS, but of marketing that has gone too far. While I would prefer to write about clinical trials, I am convinced that this issue requires greater attent...
How Quickly Do Antipsychotics Work?
Using antipsychotics well is a tricky business. We certainly know that they work, but questions beyond that linger. Is the response that we see within the first handful of days of starting an antipsychotic because of improvements in psychot...
Why I Am Critical of TMS for Depression
This is the first in a series of essays on two major concerns I have with the growing use of transcranial magnetic stimulation (TMS) for depression. The first concern is with TMS research. The second concern is the marketing of TMS. I think...
Benzodiazepines for PTSD: How Weak Evidence Became Conventional Wisdom
Unless you live under a rock, the consensus in psychiatry is that benzodiazepines are harmful in PTSD and should be avoided at all costs. Beyond the known risks of benzodiazepines, we are told that they are ineffective for core PTSD symptom...
Is There Any Merit to Antipsychotic Polypharmacy?
Work in psychiatry for ~~long enough~~ any amount of time, really, and you will see patients with schizophrenia on some pretty heavy antipsychotic regimens. Here are a few recent med lists that I’ve seen:
Patient A:
- Lurasidone 160mg...
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Authors
The writers behind this newsletter.
Psychiatrist, independently minded to a troublesome degree. Occasionally produces original thoughts worth sharing.
An academic psychiatrist trying to improve the quality of evidence in psychiatry. I’m pro humility and against hype and bad science. All views my own. “A cynic is a man who knows the price of everything, and the value of nothing.”
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