Articles and patient education
Answers to the questions patients actually ask.
Evidence-based writing on evaluation, medication, and what to expect from care, written and reviewed by our clinicians.
Evidence-based writing on evaluation, medication, and what to expect from care, written and reviewed by our clinicians.
A clinical answer to the most common question patients ask before booking, including what's actually in the 60 minutes, when it takes more than one visit, and when neuropsych testing genuinely changes the picture.
Read article → ADHD · controlled substancesHow stimulant prescribing by telehealth works in Oregon right now, current DEA rules, Oregon PMP requirements, and when an in-person visit is still needed.
Read article → Depression · medicationAn honest week-by-week timeline of what to expect from an SSRI, early side effects, when mood actually shifts, and what to do if it isn't working at week 6.
Read article → ADHD · differentialThe symptoms that overlap, the ones that point one way or the other, and why so many adults turn out to have both, with treatment implications for each.
Read article → Patient guideA clinician's walkthrough of what an adult psychiatric intake actually looks like, the structure of the conversation, the rating scales, what's in the treatment plan, and common worries patients bring in.
Read article → ADHD · medicationAtomoxetine, viloxazine, bupropion, guanfacine, when non-stimulants are the right first choice for adult ADHD, and how they compare to stimulants.
Read article → Depression · screeningWhat each score range actually means clinically, how it's used in measurement-based care, and the important things a number can’t tell you.
Read article → Patient guideA clear framework for deciding when your PCP is the right person to manage your psychiatric care, and when adding a psychiatric clinician makes a meaningful clinical difference.
Read article → TelehealthA practical, honest guide to telehealth psychiatry in Oregon and Washington, what makes it work well, what makes it fail, and when in-person is still the right call.
Read article → Perinatal · depressionWhat postpartum depression actually looks like, how it differs from baby blues, when to seek psychiatric care, and what treatment looks like during and after pregnancy.
Read article → ADHD · evaluationThere is no blood test and no brain scan for ADHD. What a proper adult evaluation actually covers, what "ADHD testing" really means, and what we rule out before saying yes.
Read article → ADHD · medicationOff-label, but genuinely evidence-backed. Where bupropion fits for adult ADHD, how large the effect really is, dosing, and why it is the wrong choice when anxiety is prominent.
Read article → ADHD · medicationThe FDA-approved non-stimulant, and still the most useful one when ADHD comes bundled with anxiety. Dosing, the six-week timeline, side effects, and the CYP2D6 catch.
Read article → ADHD · medicationThe quiet non-stimulant: less for pure attention, more than expected for impulsivity, emotional reactivity, and winding down. Adult dosing, monitoring, and why you never stop it abruptly.
Read article → PTSD · diagnosisThe four symptom clusters translated out of diagnostic shorthand, plus the duration rule, how PTSD differs from acute stress disorder, and where complex PTSD fits.
Read article → Perinatal · anxietyAs common as postpartum depression and far less often named. Intrusive thoughts, panic attacks, medication that is compatible with breastfeeding, and when it is an emergency.
Read article → Patient guideA straight answer on training, scope of practice in Oregon and Washington, what a PMHNP can prescribe, and the situations where a psychiatrist is genuinely the better fit.
Read article → ADHD · getting careCan a GP, therapist, neurologist, or pediatrician do it? A profession-by-profession breakdown of who can diagnose ADHD, who can prescribe for it, and how to choose.
Read article → ADHD · cost & insuranceThe honest numbers, evaluation cost with and without insurance, why neuropsych testing quotes run into four figures, and what medication costs each month.
Read article → ADHD · work & schoolThree different questions hide inside this one. What the ADA actually protects, how workplace and school accommodations work, and why SSDI for ADHD alone is rarely granted.
Read article → ADHD · medicationNo, and here is why. Which supplements have real evidence, which do not, and the non-stimulant prescription options people searching for this are usually looking for.
Read article → ADHD · treatmentA prescriber’s fair reading of the evidence. CBT adapted for ADHD, coaching, exercise, sleep, and external systems, with honest limits on each.
Read article → ADHD · adultsUsually the condition is stable and the demands changed. What actually shifts in adulthood, the life stages that unmask ADHD, and why perimenopause is so often missed.
Read article → ADHD · medicationWhat a correct dose actually feels like, the signs it is too low or too high, how to measure response properly, and what to do when a stimulant stops working.
Read article → ADHD · medicationQelbree, Azstarys, Xelstrym, Onyda XR, which are new drugs, which are new delivery of old molecules, and why newer rarely means better.
Read article →New-patient telehealth appointments typically available within a few days.