#psychopharmacology
66 episodes
#4365: When ADHD Meds Cause Evening Depression
How to tell if your evening despair is a stimulant crash or actual depression — and what to do about it.
#4306: Bowen Family Systems & Narcissism
How Murray Bowen’s eight concepts explain narcissistic family dynamics beyond pop-psychology labels.
#4133: Can a Narcissistic CEO Be Diagnosed?
When Wall Street rewards what the DSM calls pathological, what are we actually diagnosing?
#4119: Guilt as a Feature: How Judaism Processes Failure
Is guilt a feature or a bug in religious systems? One tradition has a built-in protocol for processing failure.
#4118: When Thoughts Feel Like Facts: Ego-Syntonic Thinking Explained
Why some people can't see their own catastrophic thoughts as distortions — and what that means for therapy.
#4117: Understanding Egosyntonic: Why Explanations Fail with Personality Disorders
What if the person you're trying to reach literally can't see their own behavior? One word explains why.
#3759: Drug Interaction Alerts: Why Doctors Ignore 90% of Warnings
Why do doctors override 90% of drug interaction alerts? The gap between database warnings and clinical judgment, explained.
#3705: What Your Sexual Fantasies Actually Mean
The data on common fantasies is genuinely surprising — and reveals how fantasy functions as an amplifier, not a substitute.
#3702: The Silent Side Effect of SSRIs
60% of patients on SSRIs experience sexual dysfunction. We break down the why and what to do.
#3700: Splitting Vyvanse for a Smoother Curve
Can you split a Vyvanse dose for better focus? We break down the pharmacokinetics of lisdexamfetamine and water titration.
#3687: How Curiosity Shapes Specialists and Generalists
Why some brains crave novelty while others seek depth—and how both types fit together in society.
#3600: How Do We Heal Trauma at Societal Scale?
Exploring complex PTSD, treatment options from EMDR to MDMA, and how to scale healing beyond the therapist's office.
#3527: When SNRIs Beat SSRIs: Pain, Energy & ADHD
Why pick an SNRI when withdrawal is worse? The answer depends on pain, energy, attention, and which molecule we're talking about.
#3524: The Glutamate Trap: Hangovers, Panic, and the Brain
Why alcohol, caffeine, and poor sleep create a perfect neurochemical storm — and what it reveals about anxiety.
#3521: SSRIs: How Different Are They Really?
Prozac, Lexapro, and beyond — how similar are SSRIs? A deep dive into selectivity, side effects, and what comes next.
#3519: ADHD, Depression, and the Red Pill Blue Pill Moment
Can you treat ADHD first and then stop antidepressants? A deep dive into secondary depression, tapering, and long-term treatment.
#3518: What Irritability Actually Is (And Why It Feels Like Your Nerves Are At You)
Irritability isn't anger without a press release. Here's what's happening in your brain when everything feels like an intrusion.
#3517: Why Most Depression Is Unipolar
Unipolar depression is 10x more common than bipolar, yet gets far less attention. Here’s what makes them biologically different.
#3516: What Actually Happens When You Say Yes to the Suicide Question
60% of depressed people experience suicidal thoughts. Here's what really happens when you tell a therapist.
#3506: When Depression Looks Like Anger
One in three depressed patients experiences anger as a primary symptom. Why aren't we screening for it?
#3467: How to Actually Read People (It’s Not What You Think)
Thin-slice judgment, microexpressions, and why introverts may have an edge in spotting lies.
#3449: Can Therapy Replace Your Antidepressants?
Can psychotherapy reduce or eliminate the need for antidepressants? The evidence is more specific than you think.
#3448: How ACT Therapy Breaks Fusion with Your Thoughts
Cognitive fusion explained: when beliefs consume identity, and how defusion techniques create space between you and your thoughts.
#3441: How to Unpack Your Inherited Life Script
Practical heuristics for separating authentic desires from borrowed life paths, grounded in decades of clinical research.