When Getting Better Looks a Lot Like a Manic Switch
When an antidepressant seems to work almost too well, less sleep, more energy, new projects, it can be genuine recovery or an early manic/hypomanic switch. Here’s how to tell which, and what to document.
Which Antidepressant Has the Highest Manic-Switch Risk? What the Evidence Actually Shows
A psychiatrist breaks down what the strongest studies show about antidepressant-associated manic switching, and where medication rankings can mislead.
Do Antidepressants Cause Mania, or Reveal Bipolar Disorder? What the Evidence Can and Can’t Settle
Two major studies seem to disagree on antidepressant-induced mania. A psychiatrist explains why both can be right, and what actually matters clinically.
Stopping Antidepressants Safely: What Is Deprescribing and How Is It Done?
Up to 70% of patients with depression and anxiety in India are co-prescribed a benzodiazepine. Yet very little clinical attention goes to how and when to stop psychiatric medications. A psychiatrist explains what deprescribing is, why stopping antidepressants like venlafaxine is genuinely difficult, and how hyperbolic tapering changes outcomes.
Serotonergic Psychedelics as Antidepressants: What the Evidence Actually Shows
Psilocybin has re-entered psychiatric research with serious RCT data behind it. A psychiatrist reviews what the evidence actually shows — the neurobiology, the clinical trials, why some effect sizes are inflated, and why this is neither a miracle treatment nor a fringe idea.