Dr. G
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shrinksinsneakers.bsky.social
Dr. G
@shrinksinsneakers.bsky.social
I’m on a mission to make psychiatry accessible and understandable for everyone. Through this website I will be translating the complex science of psychiatry into actionable insights.
Big 2025 Lancet Psychiatry meta-analysis (76 trials, 17k+ pts):
• Slow taper + therapy = same relapse risk as staying on antidepressants
• Fast taper w/o support = relapse rates ≈ cold turkey
How you stop matters
#psychiatry #mentalhealth #antidepressants #depression #treatment
December 18, 2025 at 6:12 PM
Every year I step back and reconnect with life not work, not metrics, not productivity
For me, that’s live music
Years ago, I found my tribe at shows like #TakingBackSunday
Strangers. Shared emotion. No titles. Just #connection
#mentalhealth #psychiatry #musictherapy #burnoutprevention
December 17, 2025 at 4:14 PM
MAOIs aren’t “last resort” meds they’re under-used power tools.
Avoiding MAOIs isn’t caution
It's lost opportunity for patients who deserve better.
This is psychiatry unfiltered
#MAOI #Psychopharm #PsychiatryUnfiltered #ShrinksInSneakers 👟🧠 #antidepressants #psychiatry #mentalhealth
December 16, 2025 at 9:06 PM
I heard that all through med school.
Then I did my psych rotation… and realized how wrong that was
Psychiatry is where people finally understand their own mind
It’s where suffering meets science, story, and healing
Is it time we retire the stigma?
#Psychiatry #mentalhelth #EndStigma #Medicalschool
December 15, 2025 at 3:13 PM
Why Public Psychiatry Is Failing youtu.be/Kx30MoQJEKU?... via @YouTube

A resident asked what I’m passionate about in psychiatry.
Easy — the work.
Hard — the system.

#MentalHealthAwareness
#Psychiatry
#SocialDeterminantsOfHealth
#PublicPsychiatry
#CommunityMentalHealth
Why Public Psychiatry Is Failing
YouTube video by Shrinks In Sneakers
youtu.be
December 13, 2025 at 3:54 PM
The month after psychiatric hospitalization is the danger zone.
The first 30 days = life or death for many
Follow up. Pick up meds. Use your safety plan
Hospitalization is the start of the work, not the cure
#PsychiatryUnfiltered 👟🧠 #ShrinksInSneakers #mentalhealth #healthcare #psychiatry
December 12, 2025 at 3:39 PM
Inflammatory depression is real and it changes how antidepressants work

If your patient has a CRP > 3, here’s what the evidence actually says
December 11, 2025 at 7:56 PM
My book pick this month is a classic I still recommend to patients:
It’s old-school CBT, but the skills are timeless: challenging distortions, building healthier habits
Not for everyone but extremely practical for many
#PsychiatryUnfiltered #ShrinksInSneakers #CBT #therapy #psychiatry #mentalhealth
December 10, 2025 at 10:53 PM
Here’s a hard truth about anger:
👉 The things that trigger us most are usually reflections of something unresolved within us.
If someone calls you incompetent and it enrages you, part of you fears they might be right.
#mentalhealth #psychiatry #anger #therapy #SelfAwareness #Healing
December 9, 2025 at 6:12 PM
Stop calling it anxiety
Start asking what’s driving it
Anxiety isn’t a defect it’s a check engine light
When it spikes, ask:
• What did my alarm system detect?
• Is this real danger or an old fear?
#ShrinksInSneakers #Anxiety #Psychiatry #Neuroscience #MentalHealth #anxietytreatment
December 8, 2025 at 4:01 PM
We all carry scars life guarantees that.
Here’s a hard truth about anger:
👉 The things that trigger us most are usually reflections
If someone calls you incompetent and it enrages you, part of you fears they might be right
#ShrinksInSneakers 👟🧠
#therapy #mentalhealth #emotion #mentalhealthmatters
December 6, 2025 at 5:31 PM
Not chasing letters these days
Chasing alignment
AACP certification in Community & Public Psychiatry felt right it matches the work I live every day
Next up: Lifestyle Medicine
Because lifestyle change is medicine
Happy Friday 👟🧠
#psychiatry #doctor #lifestyle #medicine #mentalhealth
December 5, 2025 at 10:37 PM
A resident asked what I’m passionate about in psychiatry.
Easy the work.
Hard the system.
You can’t medicate someone out of:
🏚️ homelessness
🥫 hunger
🧊 no heat
🚫 no safety
💸 no stability
#MentalHealth #Psychiatry #PublicHealth #SDoH #HealthEquity
#ShrinksInSneakers #mentalhealthmatters
December 4, 2025 at 4:06 PM
Is TRD just undertreatment?
Sometimes
But some patients fail every modality we have
Because our tools treat symptoms not causes
Not all failure is effort
Sometimes it’s biology we don’t understand
#Psychiatry #MentalHealth #ShrinksInSneakers #mentalhealthtreatment #mentalhealthawareness
December 3, 2025 at 7:18 PM
We’re eroding the physician–patient relationship.
Stable ADHD patient. No early refills. No red flags.
But someone assumes: “drug-seeking.”
Result: delayed care, unnecessary testing, and a patient who feels judged.
#psychiatry #mentalhealth #patients #doctor #doctorlife #mentalhealthmatters
December 2, 2025 at 3:02 PM
Most people don’t realize this:
If you’re in weekly therapy + monthly psychiatry, you spend 0.7% of your entire year in direct mental health care.
The other 99.3% is where the real work happens.
#Therapy and #Psychiatry gives you the plan
Your daily habits create the change.
#MentalHealth #habits
December 1, 2025 at 9:54 PM
Psilocybin will help some patients.
But a miracle cure?

Still this is a massive shift in the future of psychiatric care

New Jersey just stepped onto the psychedelic stage

#ShrinksInSneakers #Psilocybin #Psychiatry #Medical #mentalhealth #mentalhealthishealth #mentalhealthmatters
November 29, 2025 at 9:53 PM
We don’t choose our parents and we don’t choose our genetics. Some people hit the biological jackpot. Most don’t.
If you didn’t win the genetic lottery, your habits matter even more.
🥗 Eat real food
🧠 Go to therapy
💊 Take the meds that keep you stable
🏋️ Move your body

#psychiatry #mentalhealth
November 28, 2025 at 6:24 PM
I’m grateful for:
🧠 Patients who show up with courage
🥾 Clinicians doing the impossible
🏥 #Community #mentalhealth holding the line

If today is hard, you’re not alone.
If you’re working, thank you.
If you’re surviving, I’m grateful for you.

Happy #Thanksgiving. 🦃

#psychiatry #doctorlife #meded
November 27, 2025 at 5:10 PM
A new JAMA Psychiatry study just linked soft drink consumption to major depression and the gut microbiome is the middleman
👇
Takeaway:
Skip the probiotic hype.
Fix the diet.
Your gut talks to your brain loudly.
#GutBrainAxis #Depression #Psychiatry #UltraprocessedFoods #ShrinksInSneakers
November 25, 2025 at 10:36 PM
Everyone’s anxious. But anxiety isn’t just a mental-health issue it’s a biological, financial, and social crisis rolled into one
youtu.be/NrAo0W2vTxM
Why Everyone’s Anxious: The Truth About Chronic Anxiety in Modern Life
YouTube video by Shrinks In Sneakers
youtu.be
November 24, 2025 at 4:22 PM
Families sometimes tell me I’m a “bad doctor” because a commercial pharmacogenomic panel said their loved one’s meds are “wrong.”
November 21, 2025 at 4:14 PM
Lithium blood levels: evidence or tradition?
We talk about lithium like it has one “magic number”… but the data tells a different story.
Here’s what the evidence actually supports 👇
November 21, 2025 at 1:18 AM
Depakote Levels: Science or Just Vibes?
We quote valproate “therapeutic ranges” (50–100 or 50–125) like they’re sacred.
But the evidence is very different depending on what you’re treating.
November 19, 2025 at 4:20 PM