We don’t talk enough about what actually happens to a man when he has a kid. It’s not just about “getting used to it.” It’s patrescence—the distinct, biological process of becoming a father. From remodeling neural pathways to shifts in stress hormones, a dad’s transformation is real, measurable, and essential to his child’s development. Let’s dive into the science behind the paternal identity shift and look at why treating fathers like backup caregivers is costing everyone.

When a patient with ADHD says “I know I’m overreacting, but I can’t stop,” they are not being dramatic. They are describing something neurobiologically real — a predictable consequence of dopaminergic prefrontal dysfunction interacting with the brain’s social pain circuitry. Rejection sensitivity is one of the most impactful features of ADHD and, in my experience, one of the most underaddressed in clinical training. This post on RSD covers what the research tells us about the underlying neuroscience, what it looks like when it walks into your office, and how to think about treatment when screening tools and symptom checklists have only told part of the story.

There is a word for what happens to a woman when she becomes a mother—and it is not postpartum depression, not baby blues, not “the adjustment period.” It is matrescence: a developmental process as profound, disorienting, and biologically driven as adolescence, except that nobody talks about it the way they should. This post explores what the science now tells us about the maternal brain, the maternal body, and the maternal identity—and why having a name for this might be one of the most useful things we can offer the people living through it.

Every week, therapists sit with clients who are on psychiatric medication — holding the most detailed, continuous picture of how that medication is actually going. They hear about the side effect that showed up in week two. They notice when the affect has gone flat in a way that feels different from the depression. They know about the ibuprofen for the back pain, the supplement someone started taking, the doses that got skipped during the work trip. And most of them have no idea what to do with any of it — not because they don’t care, but because nobody ever taught them that this information was clinically urgent, or how to move it across the treatment team in a way that actually changes care. This post is about that gap.

This article explores the Praxis Signature Framework, our model of elevated mental health care that integrates advanced psychiatric expertise with depth-oriented psychotherapy to deliver highly personalized, evidence-based treatment. Moving beyond routine medication management, we emphasize continuous reassessment, patient education, and shared decision-making to foster meaningful therapeutic progress. This journal entry highlights, through a case reflection, the importance of evaluating treatment effectiveness and discussing milestones in care. This entry underscores the need for clinicians to remain actively engaged in their patients’ mental health journeys. The Praxis Mental Health approach combines individualized, data-informed treatment plans with clear patient education and responsive support from the multidisciplinary team, including registered nurses. Our model exemplifies a higher standard of psychiatric and therapeutic care, aiming to empower patients and improve long-term outcomes through collaboration, curiosity, and compassionate care.