In psychiatry, the field is recognizing the limitations of psychiatric medications and targeting of neurotransmitters. There is an expansion from the neurotransmitter focus into a circuit based understanding of both psychiatric and neurologic disorders.   This is (in my humble opinion) a truly an exciting time in psychiatry. Neuromodulation is one approach that targets network level dysfunction, at both the circuit and neurotransmitter level, but primarily impacts circuits in

In the United States, we have traditionally look at insurance-based healthcare as the gold standard for receiving healthcare, relying on using our insurance to pay for outpatient visits with specialists and primary care providers. This has been evolving as insurance premiums continue to rise along with deductibles, where individuals and families are finding themselves having to spend more out of pocket for routine, essential care. But even with these changes, many people c

While attending this year’s annual Neuropsychiatric Association meeting, I decided to attend the neuromodulation special interest group. At clinical conferences, there are usually opportunities to get involved with colleagues who share more niche interests—things like TBI, early career neuropsychiatry, or neuromodulation. When I walked into the room there were about 20 men and 3 women. As we went around introducing ourselves, I realized that everyone except me was affiliated

Something people often don't realize is that psychological trauma and PTSD have both emotional and physiological effects and therefore, symptoms. In the psychiatric diagnostic book, the DSM, criteria includes both aspects but unfortunately doesn't give much more than a surface level checklist of symptoms. An Integrative Psychiatry Approach to PTSD Integrative psychiatry offers a different lens than the conventional psychiatric approach to PTSD, which focuses on thoughts, em

I've been following healthcare policy and trends for years now and have been watching private equity quietly reshape healthcare - including mental healthcare. What’s striking isn’t just the scale of this shift, but how little most clinicians and patients realize it’s happening. The private sector has lots of upsides including bringing much needed innovation into healthcare and having more flexibility to practice outside of the box. And a full disclosure: I work part-time in

A lot of people find their way to my practice because they’ve tried lots of different approaches - meds, supplements, therapy, special...

1 | Why this matters more than you might think Recent studies have moved the “infection‐psychiatry” link from interesting footnote to...

In mental health care today, there’s often pressure to pick a side. On one end, conventional psychiatry offers structure: diagnosis,...

Traditional teaching: think benzodiazepines, think ECT. Emerging science: also think immune system.