Journal
Notes from practice
Writing on the questions that come up most in my office — sleep, attention, medication, trauma, and the ordinary business of getting better.
Foundations · July 2026
Sleep is not a side issue
Poor sleep is often treated as a symptom to mention at the end of a visit. In practice, it is one of the strongest levers we have.
Read this note · 2 min read
Attention · July 2026
The adults who were never diagnosed
A quiet, capable kid who daydreamed through class rarely got flagged. Twenty years later, the same brain is drowning in email.
2 min read
Veterans · June 2026
What I learned about PTSD in uniform
The hardest part is rarely the trauma itself. It is the belief that needing help is a failure of discipline.
1 min read
Medication · June 2026
The questions people are afraid to ask about medication
Most people arrive with the same handful of worries and apologize for asking. They are good questions and they deserve direct answers.
1 min read
Getting started · May 2026
What happens in a first psychiatric appointment
Nobody teaches you how to do this. Here is exactly what the first hour looks like, so it is one less unknown.
1 min read
Children & teens · May 2026
When a child's worry is more than a phase
Stomachaches before school, endless bedtime questions, meltdowns over small changes. Some worry is normal. Some is treatable.
1 min read
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Drug misuse, abuse, and addiction are not the same thingClinical guideQuestions this raised for you?
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