Evidence-based writing on psychiatric conditions, medications, and treatment approaches — drawn from 35+ years of practice in Cincinnati and Northern Kentucky.
What twin studies, adoption records, and brain scans reveal about why some people feel nothing — and whether it is born or made
Are psychopaths born or made? What twin studies, the Danish adoption data, MAOA research, and brain imaging actually reveal about the genetics and neuroscience of the conscienceless mind.
The everyday playbook of the hidden, high-functioning psychopath — the many ways they control people without ever breaking a law, and a look inside the mind that runs it
The most dangerous psychopath in everyday life often has a clean record. A clinical look at the covert manipulation tactics — and the 'tells' that give each one away — so you can recognize the pattern and protect yourself.
A Clinical Review of the March 2026 Lancet Psychiatry Meta-Analysis
A comprehensive clinical review based on the March 2026 Lancet Psychiatry meta-analysis examining cannabis, THC, and CBD for psychiatric conditions including anxiety, depression, PTSD, psychosis, and insomnia.
The Case for Comprehensive, Multi-Session Assessments
A 15-minute evaluation cannot capture the complexity of your mental health. Learn why thorough, multi-session assessments lead to better diagnoses and life-changing treatment.
Understanding the Differences Between Severe Irritability, Mood Disorders, and Normal Development
When your child has explosive outbursts, it can be terrifying and confusing. Here's how to tell the difference between DMDD, bipolar disorder, and normal childhood behavior.
A Psychiatrist Separates Fact from Fiction After 35+ Years of Practice
From 'stimulants are addictive' to 'medication changes your personality,' these persistent myths prevent families from getting effective treatment. Here's the truth.
When Overwhelm Mimics a Neurodevelopmental Disorder
Trouble concentrating, forgetfulness, and feeling scattered can be caused by chronic stress or ADHD. Here's how a psychiatrist tells them apart and why it matters for treatment.
Long-Term Strategies for Stability, Fulfillment, and Hope
Bipolar disorder is a lifelong condition, but it does not have to define your life. After 35+ years of treating patients, here are the strategies that lead to lasting stability.
Common Reasons Antidepressants Fail and What Your Next Steps Should Be
If your antidepressant isn't helping enough, you are not alone. Here are the most common reasons and what an experienced psychiatrist recommends.
A Practical, Week-by-Week Guide for Families
Your child just received an ADHD diagnosis. The emotions are overwhelming, but you have a clear path forward. Here's what to focus on in the first 30 days.
When Your Body Sends Terrifying Signals, Here's How to Tell What's Happening
Chest pain, racing heart, difficulty breathing. Is it a cardiac emergency or a panic attack? A psychiatrist explains how to tell them apart and when to call 911.
Understanding the Diagnostic Delay and How to Avoid It
Studies show bipolar disorder takes an average of 5 to 7 years to diagnose correctly. Here's why this happens and what you can do to get an accurate diagnosis sooner.
Why These Three Conditions Travel Together and What That Means for Treatment
ADHD, anxiety, and depression frequently co-occur. Treating one while ignoring the others is a recipe for frustration. Here's how they connect and what comprehensive treatment looks like.
If you're experiencing a psychiatric emergency, call 911 or go to your nearest emergency room.
