My Family Psychiatrist

03/28/2026

For patients with chronic insomnia who haven't responded to trazodone or doxepin — and aren't candidates for CBT-I — new research in the Primary Care Companion for CNS Disorders suggests ultra-low-dose mirtazapine (3.75 mg) may be worth considering.

Abstract ----->

Objective: To evaluate if ultra–low-dose mirtazapine (3.75 mg) improves insomnia without next-day effects.

Methods: This retrospective study evaluated data collected from September 5, 2024, to March 7, 2025, from an outpatient setting consisting of veterans with insomnia who were treated with ultra–low-dose mirtazapine. The Insomnia Severity Index (ISI) was administered during the first appointment and at each subsequent visit with the respective psychiatrist to monitor insomnia symptoms. Summary statistics were used to compare ISI scores at baseline and 1–3 months after starting treatment.

Results: Considering all veterans evaluated (N = 53), 47% showed a meaningful decrease in ISI value (greater than 7 points). Patients who completed treatment showed a constant or decreased ISI score (mean [SD] change: 11.3 [6.46]).

Conclusion: Ultra–low-dose mirtazapine may improve symptoms and ISI values for chronic insomnia.

03/26/2026

In light of recent heinous and disturbing comments by Senator Markwayne Mullin about spanking his daughters, it’s important we pause and reflect on what this actually means for children.

In many countries around the world, physically hitting a child is not considered discipline — it is recognised as harm. In those places, such actions would likely lead to safeguarding referrals, and in some cases, criminal proceedings. That’s because the evidence is clear: pain does not teach understanding. Fear does not build respect.

When we normalise physical punishment, we move further away from what children truly need — safety, connection, and guidance. We cannot expect children to learn emotional regulation through experiences that overwhelm their nervous system.

This isn’t about judgement. It’s about awareness. It’s about evolving what we know, and doing better because we know better.

Children deserve adults who lead with regulation, not reaction. With teaching, not hurting. With connection, not control.

Be the change in the world.

To SAVE, click on the image, tap the three dots, and choose Save.

03/26/2026

Among adults with , single-day inhaled GH001 resulted in rapid, significant symptom reduction and remission vs placebo, with no severe adverse events and sustained effects over 6 months.

https://ja.ma/4d4ucpW

03/25/2026

The more you understand what influences your brain, the better you can take steps to protect it and support your overall health.
Take a closer look at the conditions that can affect your brain: https://wb.md/3PUcnA9

03/25/2026

everyone you meet is carrying something you can’t see…

some people are healing, some are hurting, some are starting over, and others are just trying to make it through the day…

we only ever see a small glimpse of someone’s life

Everyone is going through something…. whether it’s good, bad, or somewhere in between.

That’s why kindness is so important.

The way you speak, the way you treat people, and even the smallest actions can have a bigger impact than you realize.

So be gentle. Be patient. Be understanding. Be kind.

Because you never truly know what someone is going through, and your kindness might be exactly what they needed that day. ❤️

03/24/2026

03/24/2026

Some days parenting feels calm and connected. Other days it feels loud, messy, and overwhelming. If you’ve ever felt your frustration rising, you are not a bad parent — you are a human one.

Children don’t need perfect adults. They need adults who notice their feelings, take responsibility for their reactions, and show that big emotions can be handled safely. That’s how regulation is really taught.

The goal isn’t to never feel frustrated. The goal is to model what to do when we are. Pause. Breathe. Name it. Repair if needed. These moments quietly shape how a child learns to handle their own storms.

What helps you calm yourself in hard parenting moments? Your ideas might support another parent reading.

For practical tools, scripts, and visuals that build emotional regulation step-by-step, my parent resources go deeper — link in comments below ⬇️ or via Linktree Shop in Bio.

03/23/2026

20 minutes of daily physical activity is linked to lower risk of disease, improved mental health, and lower rates of depression. Head outside for a walk and step into better health.

03/23/2026

Transformation may be possible using an automated device.

03/22/2026

Worries can feel big… but here’s something reassuring:

Many worries are actually developmental.
They’re part of a growing brain learning what feels safe, what’s new, and what matters.

So if your child is anxious, this message can help them hear:
“I’m not broken. My brain is learning.”

This visual is a gentle way to normalise worry, reduce shame, and open up calm, curious conversations at home or in the classroom.

To save, click on the image, tap the three dots, and choose Save.
If you’d like the boy version, comment BOY below.

When Worries Take Over, the Toolkit for Parents & Educators - Link in comments below ⬇️ or via Linktree Shop in Bio.

03/22/2026

Among sexually active adolescents in a large pediatric network, 12% had not received any vaccine before sexual debut, with higher rates among non-Hispanic White and commercially insured patients.

https://ja.ma/419O0kn

03/20/2026

👇 Type NATURE to get our FREE GUIDE on Encouraging Outdoor Play in Children 👇

🌿 Something simple can have a powerful impact on a child’s brain: time outside.

Research shows that even a 20-minute walk outdoors can increase activity in brain areas linked to attention, learning, and emotional regulation 🧠.

When children move, explore, and take in natural environments, their brains often shift into a state that is more alert, more focused, and more ready to learn.

Nature does something screens and structured environments often can’t:

🌱 It gently engages the senses
🌬️ It regulates the nervous system
🧠 It supports attention and cognitive function

For many children, time outside isn’t just recreation — it’s brain support.

Sometimes the most helpful thing for a child who is restless, overwhelmed, or struggling to focus is surprisingly simple:

☀️ Go for a walk
☀️ Play outside
☀️ let their brain reset in nature