Desert Wellness Psychiatry

Desert Wellness Psychiatry Grow your career, create healthier relationships, or become a more balanced person. At DWP we’ll h

04/28/2026

The question I get more than any other:
“Which one is actually the best?”

Here’s the honest answer… none of them. It depends on you.

When I pulled my CMS data, these 3 came up the most:
Trazodone. Wellbutrin. Abilify.

What the video didn’t have time to tell you:

🟣 Trazodone — timing matters.
Groggy the next day? You probably took it too late.
(Also: can drop blood pressure → fall risk, especially in older adults.)

🔵 Wellbutrin — not for everyone.
It can increase seizure risk—especially with heavy alcohol use or eating disorder history. Some feel wired with it.

🟢 Abilify — that “can’t sit still” feeling?
It’s called akathisia. It’s the med—not just anxiety.

🧠 The key insight:
These three medications tell a story — sleepless nights, unwanted side effects, and treatments that needed help getting there.

The right medication isn’t the strongest—
it’s the one that fits your full picture.

I do read every comment—curious which one surprised you most? 👇

Save this so you can come back to it later, and share it with someone who’s trying to make sense of their options.

04/26/2026

“Certainty is for the dead.
Courage is for the rest of us.”

Most people think anxiety is the problem.

It’s not.

After 15 years in psychiatry, here’s what I’ve learned—
and what I tell my daughters:

Anxiety is a signal.

It shows up when life feels unpredictable.
Because your brain is wired to crave stability, routine, and control.

It only becomes a disorder when it gets so loud
it starts running your life.
That’s when we treat it.

But everyday anxiety?

That’s a clue.

So instead of fighting it, ask:
What feels uncertain right now?
What’s the story?
What’s the need?
What can I stabilize?
What do I need to accept?

Start simple:
• Small routines. Rituals, meditate, pray…whatever it is.
• Consistent sleep
• Move your body
• Build predictability where you can

That’s what I tell my girls—
and the one I come back to myself.

Medication can help quiet the noise.
That’s the easy part.
The real work is what you build around it.

Courage.

⭐️ As a psychiatrist and a father, I wrote a book for my daughters — lessons about life and mental health I don’t want them to have to learn the hard way.

I’ll be sharing those insights here first.

👉 Follow if you want to learn them too

04/25/2026

Oh boy. Big medicine might win this one. The struggle is real.

04/24/2026

Dustin’ them boots. Closing up shop. Ready for a 3 day long date where are you coming from?

04/23/2026

Triggers aren’t the problem.
Automatic reactions are.

That pause between what happens to you and what you do next?
That’s where your power is.

Reacting quickly is understandable—
your brain was wired for survival, not reflection.

🧠 Key Insight:
Your first reaction is automatic.
Your second is a choice.

Use this when you feel triggered:

1. What am I feeling?
(Name the emotion.)
2. What story am I telling myself?
(Assumptions ≠ facts.)
3. What do I actually need right now?
(Respond, don’t react.)

Most people skip this—and go straight to reaction.

👉 Follow for practical psychiatry you can use.
💾 Save this to build your toolbox

04/21/2026

Most people think the “strongest” anxiety med is the best one.

That’s usually not how it works.

In psychiatry, we’re thinking about:
• how fast it kicks in
• how long it lasts
• how your brain responds over time

That’s why two meds that both “help anxiety” can feel completely different—and carry very different risks.

A few things people don’t realize:
– Fast relief can sometimes mean stronger rebound
– Short-acting meds can feel like they “stop working” (they’re not—you’re feeling the drop-off)
– Longer-acting options may feel smoother, but can build up in your system

🧠 The key principle:
The faster it hits… the harder it is to come off.

This isn’t about which med is “best”—it’s about what’s appropriate for you, your symptoms, and your medical history.

🟣 S-Tier for (Most clinically versatile / specific strengths)
🔵 A-TIER – (Common, effective, but situational). This includes Serax (oxazepam) — underrated + lower abuse potential. Safer with liver issues.
🟢 B-TIER –(Niche or less ideal for certain uses)

👉Save this so you can come back to it later, and share it with someone who’s trying to make sense of their options.

04/19/2026

POV: You’re a high-performing adult... until you get home 😅 True story.
Forgot my kid at Disneyland and suddenly it all makes sense.
Adult ADHD diagnosis hits DIFFERENT.
Anyone else living this double life? 👀
Follow for more 🤝

04/18/2026

Stop using THIS if you actually want connection.

That one word?
“Why.”

It sounds harmless but it instantly puts your partner on the defensive. Especially in salty relationships.

Now it s not a conversation—it s a courtroom.

Instead of opening up, they shut down. Instead of understanding, you get distance.

Try this instead:
→ What happened?
→ I d love to hear from you more.
→ I really want to understand. Tell me more

Same message. Completely different energy.

Remember: when you re not cooperating, you re competing.

💬 Comment if you sometimes spice it up with WHY. Me first 🙋🏻
🔁 Share this with someone who needs this reminder
❤ Follow for communication insights and psych tools.

04/16/2026

Are you taking melatonin every night like it’s no big deal?
It usually isn’t…�Until it is.
If you’re on antidepressant Luvox, here’s what happens:
It strongly blocks CYP1A2 — the main enzyme that breaks down melatonin.
⚠️ Result:�Your melatonin levels can spike 12–17x higher than expected.
💭 That can look like:�• Waking up exhausted�• Brain fog all day�• Intense, vivid dreams
💡 Translation:�Your “normal” dose might not be normal anymore.
📌 This is the kind of thing people don’t realize until it affects them. Luvox is only one interaction. Make sure you share with your physician all medications and supplements you are taking.
👉 Send this to someone who takes melatonin�💾 Save this so you remember.

04/15/2026

Step up to the plate. Take the swing. Then show up again. And again. Courage, my friends. Original creator username on video. Follow for more.

04/14/2026

POV: you stopped your antidepressant “cold turkey” and your brain said… absolutely not 😅

Antidepressant discontinuation syndrome can show up 2–4 days after stopping (or tapering too fast) and peak around 1–2 weeks.

Think: 🤧 flu-ish vibes + dizziness (most common!) + ⚡️ “brain zaps” + insomnia + anxiety

Higher risk meds? Paroxetine, venlafaxine, desvenlafaxine, duloxetine
Lower risk? Fluoxetine (long half-life = smoother exit)

Good news: symptoms are usually mild + preventable 👇
Slow taper = key (think weeks to months, not days)

PSA: This isn’t relapse —>that comes later. This is your nervous system adjusting.

Bottom line: don’t ghost your meds… taper with guidance 🧠💊
👍Follow for more.

Address

35800 Bob Hope Drive Suite 210
Rancho Mirage, CA
92270

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