Online Psychiatry vs. In-Person: The False Dichotomy and the Future of Care

The Controversy: Why “Choosing a Side” is Hurting Patients For decades, the psychiatric establishment has clung to the “sacred space” of a couch in a wood-paneled office as a prerequisite for healing. The prevailing status quo suggests that without physical presence, the “therapeutic alliance” is somehow diluted into a digital facsimile of a real connection. […]

How Psychiatrists Switch Antidepressants: Clinical Strategies Beyond the Algorithm

Clinical Strategies Beyond the Algorithm

How do psychiatrists actually switch patients between antidepressants? A recent discussion among practicing clinicians reveals a surprising consensus: there’s no universal algorithm. From cross-tapering strategies to the MAOI washout rule, here’s what experienced psychiatrists actually do—and why individualized approaches consistently outperform rigid protocols. KEY TAKEAWAYS One of the most common questions in psychiatric practice—and one […]