Vera Hart MD PhD
U.S. board-certified psychiatrist. Neuroscientist. Survivor. Truth-teller. I write about the anatomy of power—how systems groom, silence, and erase those who speak the truth. Writing under a pseudonym to protect my clinical work.
| Platform |  | Pricing | Only free issues | Publishes | Weekly |
|---|---|---|---|---|---|
| Issues | 80 | Founded | a year ago | Last Issue | 11 days ago |
| Active | |||||
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verahartmdphd.substack.comLatest Issues
When the Survivor Looks Like the Crazy One
A man, let’s call him Daniel, sat across from me in the emergency department because his children believed he had become psychotic.
At first glance, I could understand why they were frightened. He was visibly distraught: crying, speaking q...
The Body Knows Before the Mind Has Words
I recently had an experience with a shaman from the mountains of Peru that made me return to something I have been thinking about for much longer than I have had any interest in shamans.
I trained in neuroscience and neurology before becom...
When Trauma Looks Psychotic
Author’s Note
I have always preferred acute psychiatry, especially inpatient units and emergency rooms. By the time people reach those places, whatever usually keeps them organized may already be failing, and I learned early not to as...
Why Trauma Returns Through Sex
I remember very vividly a young woman who came to my psychiatric unit after her first psychotic break and spent much of the admission trying to punish herself for what her body had done during a rape.
She had been assaulted by a college cl...
How to Leave a Love That Never Fully Let You Go
He came to see me for medication management of what had been described as “ruminations.” He could not stop thinking about a woman.
They had met on a dating app and gone out three times. He had dated before and was not someone who became at...
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Authors
The writers behind this newsletter.
U.S. board-certified psychiatrist. Neuroscientist. Survivor. Truth-teller. I write on power, trauma, and systems. Pseudonym used to preserve clinical separation. Clinical reflections are fictionalized, altered, or composite.
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