
Essays, reflections, and elaborations by a psychiatrist and psychiatric educator. Interests: psychotherapy, psychiatric controversies, ethics, AI, Aikido...
| Platform | Pricing | Only free issues | Publishes | Weekly | |
|---|---|---|---|---|---|
| Issues | 17 | Founded | 7 months ago | Last Issue | 10 days ago |
| Active | |||||

Photo by Ham Kris on Unsplash
Well, goodness. I was beginning to draft a post about the New York Times Magazine article by Daniel Bergner, “The Strange Alliance Trying to Remake American Psychiatry,” when I saw that not only read my mind,...
My two-year-old YouTube channel, as well as this Substack I launched in January, have so far exclusively focused on psychotherapy and “psychologically informed psychiatry.” My day job, so to speak. Bu...
Photo by Maciej Karoń on Unsplash
Psychiatric training is generalist training.
First we’re physicians. This is an incredible starting point for anyone evaluating and treating individual humans for nearly anything. Many cognitive and emoti...
Photo by Vitaly Gariev on Unsplash
Recently a psychotherapist on LinkedIn wrote that after working online most of her (short) career, she has once again started seeing patients in person. Apparently she’d been typing verbatim notes, i.e.,...
Photo by BoliviaInteligente on Unsplash
I join most mental health clinicians in decrying “AI therapy.” There are many reasons why. General-purpose chatbots, ChatGPT and the like, lack confidentiality. Tuned to be agreeable, even sycophanti...
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