# Lorien Psychiatry — complete archive in chronological order

Source: https://lorienpsych.com/
Essays: 19 · Span: 2020-10-25 to 2021-11-02 · Total reading time: ~6 hours

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## Essays

1. [SSRIs](https://lorienpsych.com/2020/10/25/ssris/) (2020-10-25) — 23 min
  Dr. Scott Siskind dives into the world of SSRIs in this informative article. Gain a deeper understanding of how these medications work, their effectiveness, side effects, and the process of coming off them. Siskind breaks down the common misconceptions surrounding SSRIs and provides insights into their impact on emotional processing. If you've ever wondered about the nuances of these medications or are considering them for yourself, this article offers valuable information to help guide your decision-making process.
2. [Wellbutrin](https://lorienpsych.com/2020/10/25/wellbutrin/) (2020-10-25) — 17 min
  Dr. Scott Siskind dives into the mechanism and usage of Wellbutrin (bupropion) as an antidepressant and stop-smoking aid. Although commonly known as an NDRI (norepinephrine and dopamine reuptake inhibitor), Wellbutrin’s effectiveness in treating depression seems to surpass this classification. Dr. Siskind explores the nuances surrounding the drug's action, comparing it to other NDRIs and highlighting patients who found relief from depression only when Wellbutrin was added to their treatment. If you’re curious about the science behind Wellbutrin's unique effects, this article will provide valuable insights.
3. [Adderall](https://lorienpsych.com/2020/10/30/adderall/) (2020-10-30) — 21 min
  Dr. Scott Siskind dives into the world of ADHD medication and explores the effectiveness of Adderall compared to other stimulants. He discusses typical dosages, the advantages and disadvantages of different medications in the Adderall family, potential side effects, and long-term risks. Dr. Siskind sheds light on questions like addiction, withdrawal, tolerance, and offers practical solutions for managing the infamous "crash." If you've ever wondered about the ins and outs of Adderall and its alternatives, this comprehensive article provides valuable insights for individuals seeking treatment for ADHD.
4. [Ontology Of Psychiatric Conditions: Taxometrics](https://lorienpsych.com/2020/10/30/ontology-of-psychiatric-conditions-taxometrics/) (2020-10-30) — 17 min
  Join Scott Siskind, MD as he delves into the fascinating world of taxometrics in psychiatry. In this thought-provoking essay, Siskind challenges the binary nature of psychiatric conditions by highlighting their continuum-like structure. He explores how this paradigm shift affects the diagnosis and understanding of mental health disorders. Discover the implications of viewing psychiatric conditions as spectra rather than distinct categories, and gain a new perspective on how symptoms can impact individual functioning. Prepare yourself for a compelling exploration of the ontology of psychiatric conditions that will challenge your preconceived notions.
5. [Ontology Of Psychiatric Conditions: Dynamical Systems](https://lorienpsych.com/2020/11/11/ontology-of-psychiatric-conditions-dynamic-systems/) (2020-11-11) — 19 min
  Scott Siskind, MD delves into the concept of dynamical systems in the context of psychiatric conditions. He explores how these systems, which involve complex interactions between multiple variables, may provide valuable insights into understanding psychiatric disorders. Siskind discusses the idea of "attractor basins" where variables converge into unusual and persistent states without a single identifiable cause. This thought-provoking essay sheds light on a new perspective that challenges traditional approaches to mental health.
6. [Panic Disorder](https://lorienpsych.com/2020/11/29/panic-disorder/) (2020-11-29) — 15 min
  Dr. Scott Siskind delves into the mysterious realm of panic disorder, shedding light on its underlying causes and effective treatments. Discover why panic attacks may be triggered by false alarms in the brain's oxygen management system and how this knowledge can empower patients in their recovery. Explore the pharmacological and psychotherapeutic interventions that have proven successful in managing panic disorder. Gain practical tips for coping with panic attacks and find out what steps you can take to improve your overall well-being. Join Dr. Siskind on this enlightening journey towards understanding and overcoming panic disorder.
7. [Body-Focused Repetitive Behaviors](https://lorienpsych.com/2020/11/29/body-focused-repetitive-behaviors/) (2020-11-29) — 8 min
  Dr. Scott Siskind delves into the world of Body-Focused Repetitive Behaviors (BFRBs) such as hair-pulling and skin-picking, shedding light on their complex nature and potential treatments. Drawing connections to anxiety and OCD, this intriguing article explores the genetic and primitive brain factors that contribute to BFRBs. Dr. Siskind outlines various approaches to managing these behaviors, including treating underlying anxiety, implementing practical measures to prevent the behavior, engaging in psychotherapy, and considering medication options. Discover how these insights may offer relief and a deeper understanding of BFRBs' mysterious nature.
8. [General Notes On Supplements](https://lorienpsych.com/2020/12/03/general-notes-on-supplements/) (2020-12-03) — 12 min
  Dr. Scott Siskind dives into the world of supplements, exploring their similarities to medications and the importance of understanding their potential effects. He demystifies the supplement industry and provides insights on how to find the right supplements for your individual needs. Learn about the differences between various extracts of the same supplement and gain guidance on supplements for mental health conditions such as anxiety and depression. Discover the intricacies of the supplement and medication distinction, and unravel the truth behind the supplement industry's approach to FDA regulations.
9. [Kanna / Zembrin](https://lorienpsych.com/2020/12/08/kanna-zembrin/) (2020-12-08) — 7 min
  Discover the ancient South African herbal medication, Kanna, and its modern extract, Zembrin, designed to alleviate depression and anxiety. Although the exact pharmacology of Kanna remains a mystery, anecdotal evidence from enthusiasts supports its mood-enhancing effects. Scott Siskind, MD, dives into the history and traditional use of Kanna, shedding light on its various applications, from sedative to stimulant. Learn about the limited scientific research surrounding Zembrin and how it can potentially improve your well-being. If you're seeking relief from depression and anxiety, with no contra-indications, this thought-provoking article may offer valuable insights.
10. [Light Therapy](https://lorienpsych.com/2020/12/19/light-therapy/) (2020-12-19) — 17 min
  Discover how light therapy can effectively treat seasonal affective disorder and regular depression in this comprehensive article by Scott Siskind, MD. Learn about different types of light therapy, when and how to implement it using a light box, and the benefits of dawn simulators. Find answers to common questions like safety concerns and comparisons to natural sunlight. Whether you're looking to manage your own symptoms or seeking guidance from a medical professional, this article provides valuable insights into the potential of light therapy for improving mental health and regulating circadian rhythms.
11. [Melatonin](https://lorienpsych.com/2020/12/20/melatonin/) (2020-12-20) — 19 min
  Dr. Scott Siskind dives into the fascinating world of melatonin and how it can help regulate sleep and correct circadian rhythm disorders. Discover the optimal doses for different purposes, whether it's getting a good night's sleep, fighting jet lag, or improving sleep quality. Uncover the science behind melatonin's effects on both the circadian cycle and "Process S," and learn how to harness its power effectively. With its wide-ranging benefits and proven effectiveness, this article is essential reading for anyone looking to optimize their sleep and wakefulness patterns.
12. [Insomnia](https://lorienpsych.com/2021/01/02/insomnia/) (2021-01-02) — 24 min
  Scott Siskind, MD, dives into the world of insomnia, exploring various causes and potential solutions for those struggling to get a good night's sleep. He breaks down common triggers such as anxiety disorders, circadian rhythm issues, medication usage, and lifestyle habits. From sleep hygiene tips to therapy options and even supplements like melatonin, l-theanine, or cannabis, Siskind offers a comprehensive guide to address insomnia and improve sleep quality. Whether you're a fellow insomniac or simply interested in the science of sleep, this article is a must-read for those seeking a restful night.
13. [Borderline Personality](https://lorienpsych.com/2021/01/16/borderline/) (2021-01-16) — 26 min
  Scott Siskind, MD, delves into the complexities of borderline personality in this enlightening essay. He explains the extreme fluctuations in emotions, self-perception, and assessments that individuals with borderline personality experience. Siskind offers insights on diagnosis, distinguishing borderline from other conditions, and the most effective treatment options, including dialectical behavioral therapy (DBT) and medication. He also addresses common stigmas attached to borderline personality and provides strategies for supporting loved ones with the disorder. Gain a deeper understanding of this condition and discover a pathway to a better prognosis by diving into Siskind's comprehensive exploration.
14. [L-theanine](https://lorienpsych.com/2021/01/31/l-theanine/) (2021-01-31) — 7 min
  Medical expert Scott Siskind delves into the fascinating world of L-theanine, a compound found in tea that has garnered attention for its potential to diminish anxiety and enhance the effects of caffeine. Siskind provides an overview of the evidence supporting the use of L-theanine, exploring its benefits in reducing stress and anxiety in acute situations. He also highlights its potential in promoting better sleep and its combination with caffeine for improved focus and reduced jitters. If you're curious about this intriguing tea-derived chemical and its potential applications, this article is a must-read.
15. [Ontology Of Psychiatric Conditions: Tradeoffs Vs. Failures](https://lorienpsych.com/2021/02/10/ontology-of-psychiatric-conditions-tradeoffs-vs-failures/) (2021-02-10) — 16 min
  Scott Siskind, MD, delves into the fascinating debate surrounding the genetic basis of psychiatric disorders. Exploring the hypotheses of failures and tradeoffs, he examines why certain harmful genes associated with disorders like ADHD and schizophrenia persist in the population. Siskind presents compelling evidence supporting the failure hypothesis, suggesting that these genes are simply evolutionary mishaps rather than advantageous traits. He also highlights intriguing connections between different psychiatric disorders and emphasizes the impact of environmental factors on their development. Prepare to question our understanding of mental health in this thought-provoking essay.
16. [Alcoholism](https://lorienpsych.com/2021/02/23/alcoholism/) (2021-02-23) — 28 min
  Scott Siskind, MD, delves into the world of alcoholism, providing valuable insights and practical advice for those struggling with their relationship with alcohol. From understanding safe drinking limits to recognizing signs of alcohol dependency, Siskind covers it all. Whether you're contemplating quitting or looking for medication and support options, this comprehensive guide has you covered. With a focus on evidence-based treatment options and the realities of quitting, Siskind aims to empower individuals on their journey towards sobriety. Discover the secrets to better control and achieve a healthier, alcohol-free life.
17. [Guide To Navigating Psychiatric Inpatient Care](https://lorienpsych.com/2021/03/30/guide-to-navigating-psychiatric-inpatient-care/) (2021-03-30) — 38 min
  Dr. Scott Siskind delves into the complex world of psychiatric inpatient care, examining the advantages and disadvantages of voluntary admission. He provides a comprehensive guide, discussing the process of admission, decision-making regarding psychiatric hospitals, and strategies to avoid involuntary commitment. Dr. Siskind also addresses concerns about mistreatment, ways to expedite discharge, and how to support loved ones in need of psychiatric treatment. This insightful article offers a valuable resource for anyone navigating the intricacies of psychiatric inpatient care, providing clarity and understanding in a challenging medical field.
18. [Depression](https://lorienpsych.com/2021/06/05/depression/) (2021-06-05) — 51 min
  In this comprehensive article, Dr. Scott Siskind dives into the complex topic of depression. He explores the various causes of depression, ranging from biological factors to life events. Siskind also provides a thorough examination of different treatment options, including lifestyle changes, therapy, medications, and supplements. With insights on the prognosis of depression and advice on navigating through the trial-and-error process, this article serves as a valuable resource for anyone seeking a better understanding of depression and its treatment.
19. [Ketamine](https://lorienpsych.com/2021/11/02/ketamine/) (2021-11-02) — 28 min
  Dr. Scott Siskind delves into the fascinating world of ketamine as a revolutionary treatment for depression. In this comprehensive article, Dr. Siskind explores the mechanisms of ketamine, its efficacy compared to traditional antidepressants, and various methods of administration. He also offers valuable insights on finding a doctor willing to prescribe ketamine and addresses concerns about safety. Whether you're curious about ketamine as a potential treatment option or simply interested in expanding your knowledge, this in-depth exploration of ketamine's uses and effectiveness is a must-read for anyone seeking alternative approaches to mental health.