Mental health · Politics · War · Accountability
The psychology beneath power.
PsychiatRick examines the psychology beneath politics, culture, power, masculinity, and the daily chaos of American life.
PsychiatRick
Mental health · Politics · War
Clear-eyed writing for complicated times.
Independent. Personal. Clinically informed.
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Choose what you need.
Writing, audio, and self-guided tools from one independent PsychiatRick project.
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Start with the newest essay on power, mental health, politics, or culture.
Read now ↗02Explore the archive
Search essays by subject, title, or the question that brought you here.
Browse writing →03Listen
Hear narrated writing or play a guided or music-only meditation.
Enter the listening room →04Use a tool
Open a check-in, coping exercise, or meditation for right now.
Open Between Visits →05Start a transformation
Use psychology-based small changes to build healthier habits, a stronger body, and a more connected marriage.
Open Project PsychiatRick →Latest writing
Ideas with a pulse.

Trump Took This Soldier's Wife
Someone made the call. But what about the others? A story about policy, power, and the human cost left behind.
Read on Substack
Men Need to Start Helping Men
Women are exhausted, male loneliness is becoming dangerous, and a girlfriend is not a psychiatric treatment plan.
Read on SubstackA PsychiatRick project
Between Visits
Self-guided coping tools, daily check-ins, and meditation for the space between appointments.
Between VisitsBetween Visits is mental health support software, not therapy, diagnosis, medication management, or emergency monitoring. Human follow-up is highly recommended when symptoms persist, worsen, or impair functioning. If you may be in immediate danger, call 911 or 988 in the U.S.
How it fits
Support between appointments.
PsychiatRick does not provide in-person treatment. Between Visits is self-guided mental health support software for check-ins, coping tools, and meditation. Follow-up with your own human clinician is highly recommended when symptoms persist, worsen, or interfere with daily life.
Between VisitsWhat would feel most useful right now?


Illustrative images. The people shown are not actual patients or clinicians.
About the author
Rick Leach, MSN,
APRN, PMHNP-BC
Psychiatric mental health nurse practitioner. Combat infantry veteran. Writer willing to follow the evidence where it leads.
Rick's work connects clinical knowledge with lived experience of war, trauma, masculinity, politics, and moral injury. PsychiatRick is where those threads meet without euphemism or easy answers.
Writing on this site is commentary and education, not individual medical advice. Public behavior can be analyzed, but public figures are not diagnosed from afar.