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Dive into a collection of past posts and rediscover timeless content.

Clinical Evidence

A Short-Term Sleep Prescription Is Not a Short-Term Treatment Plan

Sep 4, 2026

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4 min read

A Short-Term Sleep Prescription Is Not a Short-Term Treatment Plan

The first Z-drug prescription needs a treatment target, a review date, and a next step.

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

Psychotherapy Dropout Is Not Treatment Refusal

Sep 3, 2026

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5 min read

Psychotherapy Dropout Is Not Treatment Refusal

What one to three visits can tell a psychiatric clinician, and what they cannot

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

State Regulation Is Not an Efficacy Verdict

Sep 2, 2026

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5 min read

State Regulation Is Not an Efficacy Verdict

What Oregon's new psilocybin data can and cannot tell psychiatric clinicians

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

Reduced Stimulant Use Is Not Treatment Failure

Sep 1, 2026

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6 min read

Reduced Stimulant Use Is Not Treatment Failure

A nonabstinent outcome can be clinically meaningful without becoming a verdict on safety or causation

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

Stopping the SSRI Is Not Removing the Risk

Aug 31, 2026

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5 min read

Stopping the SSRI Is Not Removing the Risk

Pregnancy changes the counseling question. It does not turn untreated illness, a medication change, or fragmented follow-up into a zero-exposure option.

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

“The Gene Test Chose This Medication” Is Not a Prescribing Decision

Aug 30, 2026

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7 min read

“The Gene Test Chose This Medication” Is Not a Prescribing Decision

A pharmacogenomic report may identify a meaningful gene-drug relationship. It does not diagnose the patient, rank every reasonable treatment, or replace a prescribing decision.

The Psychiatric Record
The Psychiatric Record

Practice Operations

“The Patient Has a Psychiatrist” Is Not a Treatment Plan

Aug 29, 2026

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7 min read

“The Patient Has a Psychiatrist” Is Not a Treatment Plan

A name in the chart establishes contact. It does not establish care.

The Psychiatric Record
The Psychiatric Record

Clinical Evidence

“Neurology Cleared the Patient” Is Not a Psychiatric Diagnosis

Aug 28, 2026

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8 min read

“Neurology Cleared the Patient” Is Not a Psychiatric Diagnosis

A negative neurologic evaluation may narrow the differential. It does not establish anxiety, depression, somatic symptom disorder, or functional neurological disorder.

The Psychiatric Record
The Psychiatric Record

Practice Technology

The Psychiatry Note Is Not a Transcript

Aug 27, 2026

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8 min read

The Psychiatry Note Is Not a Transcript

Four things to verify before you attest

The Psychiatric Record
The Psychiatric Record
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