The archive
Writing that refuses to look away.
Search the latest PsychiatRick essays by subject, title, or the idea you cannot stop thinking about.
20 essays
Trauma Has More Than One Battlefield
Childhood abuse, sexual violence, generational wounds, and combat leave different injuries. But all of them can teach the mind and body to keep surviving long after the danger ends.
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Your AI Therapist Doesn’t Know When You’re in Danger
It can sound compassionate, remember what you said, and answer at 2 a.m. None of that means it can recognize a psychiatric emergency.
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The Giver Was Supposed to Be a Warning, Linda
A seven-year-old needs a bigger world, not a workforce pathway
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ADHD Isn’t Quirky. It’s Exhausting.
Success hid it. Medication changed it. Writing finally helped me explain it.
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Live with MS Kohut
A recording from PsychiatRick and MS Kohut's live video
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What Does Ethnicity Have to Do With Wound Care?
Race and ethnicity data can expose unequal care. Asking for it can also bring every reason Black and Brown patients distrust American healthcare into the room.
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America Is Number One
We lead the world in substance use disorders and overdose deaths. We lead our closest peers in mental health need and suicide. What pain are we trying to bury?
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Trump Took This Soldier’s Wife.
Someone made the call. But what about the others
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META KNEW IT WAS RECOMMENDING KIDS TO GROOMERS
Its own testing exposed the danger. A New Mexico court just ordered the company to pay $942 million.
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The Army Made Tech Executives Lieutenant Colonels. You Probably Didn't Know About It.
What their new rank could mean for military authority, national-security access, and corporate influence
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The New CDC Director Wants to Talk About Abortion Surveillance. Women Should Be Paying Attention.
I already watched politics infect public health during COVID. I’m not interested in watching Dr. Erica Schwartz help do it again, this time with reproductive healthcare.
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RFK Jr. Is Destroying HHS, and People Are Getting Sick
Measles is surging, Cyclospora is making Americans explosively shit themselves, and the nation’s top health official is still lying about antidepressants
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How Do You Treat Trauma When Survival Is Still in Question?
Palestinians don’t need another lesson in resilience. They need food, water, shelter, safety, and an end to the ongoing genocide.
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Sunday Diagnosis: Inside the Mind of a Mass Shooter
How grievance, violent fantasy, suicidality, and access to guns can turn personal collapse into public slaughter
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Are We Preparing to Send Troops Into Iran
I entered Iraq at twenty with one liter of water a day, no showers for three months, and soldiers without flak vests. I’m afraid the next war could be worse.
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Selective Grief
Why some lives are mourned completely and others only conditionally
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Sunday Diagnosis: Before We Send Them to War, Understand What Comes Home
We are creating another generation of combat veterans. Most Americans still do not understand what PTSD actually looks like.
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They Sent My Battle Buddies To Die
I want you to stop for a moment and look at these three soldiers.
Read on Substack ↗Establishment Dems need to understand that Progressives are not in the way; THEY ARE THE WAY.
Establishment Democrats mistake progressive urgency for extremism. Bernie, AOC, and Mamdani connect because voters want honesty, action, and real change.
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While Troops Were Dying, Trump Tried to Get in the Team Photo
Spain earned the moment. Trump saw a camera.
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