Writing

Clinical Writing on Psychiatry, Hormones, and Metabolism

I write plain, evidence-grounded explanations of the questions patients bring to my practice.

Gabapentin Withdrawal: Symptoms, Timeline, and How to Taper Safely

Coming Off Gabapentin: What to Expect Updated October 2026. Label facts are from the Neurontin, Gralise, Horizant, Lyrica and Lyrica CR prescribing information. Gabapentin withdrawal is a group of symptoms, such as anxiety, trouble sleeping, sweating and pain,…

Read

Esketamine vs Ketamine: How IV Ketamine and Spravato Compare

Esketamine vs Ketamine: What’s the Difference? If you’re weighing esketamine vs ketamine, you’re comparing two forms of the same medicine. IV ketamine is racemic ketamine, a 50/50 mix of two mirror-image forms of the molecule, given slowly through…

Read

Zurzuvae (Zuranolone) for Postpartum Depression: How It Works, Side Effects, and Breastfeeding

What Zurzuvae Is Updated October 2026. Label facts are from the Zurzuvae prescribing information, DailyMed version 18 (June 2026). Written and reviewed by Shantanu Baghel, DO. Zurzuvae is a pill for postpartum depression that you take once a…

Read

PT-141 (Bremelanotide): What It Is, How Well It Works, and Whether It’s Legal

What Is PT-141 (Bremelanotide)? Updated October 2026. Label facts are from the Vyleesi prescribing information revised March 2024. PT-141 is the research name for bremelanotide, a peptide drug that acts on melanocortin receptors in the brain. The FDA…

Read

How Many Ketamine Treatments for Depression? What the Trials Show

How Many Ketamine Treatments for Depression? Updated October 2026. Spravato schedule facts are from the Spravato prescribing information revised March 2026. Many of the best-known studies of IV ketamine for depression gave 6 infusions over 2 to 3…

Read

Klonopin Withdrawal: Symptoms, Timeline, and How to Taper Safely

Coming Off Klonopin: What to Expect Updated October 2026. Label facts are from the Klonopin prescribing information revised January 2023. Klonopin withdrawal is a group of symptoms, such as anxiety, trouble sleeping, irritability and tremor, that can appear…

Read

Pristiq Withdrawal: Symptoms, Timeline, and How to Taper

Coming Off Pristiq: What to Expect Updated October 2026. Label facts are from the Pristiq prescribing information dated April 2026. Pristiq withdrawal is a group of symptoms, most often dizziness, nausea, headache and irritability, that can start within…

Read

How to Taper Off Lexapro: Withdrawal, Timeline, and Plan

Coming Off Lexapro: What to Expect I’m a board-certified psychiatrist practicing in North Carolina, and I supervise antidepressant tapers, including Lexapro. Most people who stop an antidepressant have no withdrawal symptoms or mild ones. In a 2024 meta-analysis…

Read

Supplements for ADHD: What a Psychiatrist Says the Evidence Supports

A psychiatrist goes through supplements for ADHD one by one: iron, vitamin D, saffron, omega-3, melatonin, herbs, and nootropics, with doses and adult trials.

Read

Brain Zaps: Why They Happen and What Actually Helps

Brain zaps are a real antidepressant withdrawal symptom. A psychiatrist explains why they happen, how long they last, and why no supplement has ever fixed them.

Read