The PracticeRx Journal
Clinical insights,
plainly spoken.
Adult ADHD Treatment in Kansas: Closing the Gap With Telehealth
Much of Kansas has few or no psychiatric clinicians. Here's what that means for adults with ADHD in Wichita, Topeka, Kansas City, and rural Kansas.
Read Article →Adult ADHD Treatment in Phoenix and Scottsdale: In-Person and Online
Looking for an adult ADHD specialist in the Phoenix area? Here's what to know about access, wait times, and how PracticeRx serves the Valley in person and online.
Read Article →OCD vs Anxiety: What's the Difference?
OCD involves anxiety, but it isn't the same as generalized anxiety. The difference matters, because OCD needs a specific kind of treatment.
Read Article →ADHD in Women: Why It's Missed and What It Really Looks Like
Women with ADHD are often diagnosed decades late, or labeled anxious or depressed instead. Here are the signs that get overlooked and how hormones change the picture.
Read Article →Adult ADHD Care in Minnesota: Why It's Hard to Find and How Telehealth Helps
From the Twin Cities to Duluth and Rochester, adults in Minnesota often wait months for an ADHD evaluation. Here's why, and how telehealth closes the gap.
Read Article →How Much Does an Adult ADHD Evaluation Cost?
The cost of an adult ADHD evaluation depends on who does it, what it includes, and whether insurance is used. Here's what drives the price and what to ask before booking.
Read Article →Does Insurance Cover ADHD Testing and Treatment for Adults?
Most commercial insurance plans cover adult ADHD evaluation and treatment by a psychiatric clinician. Here's what's usually covered, what often isn't, and how to check.
Read Article →Anxiety Treatment Without Medication: What Actually Works
Medication can help, but it isn't the only option. These evidence-based, non-medication treatments for anxiety have strong research behind them.
Read Article →What Is ERP Therapy for OCD? How Exposure and Response Prevention Works
Exposure and response prevention is the gold-standard therapy for OCD. Here's what happens in ERP, why it works, and what to expect.
Read Article →ADHD or Anxiety? How to Tell the Difference (and What to Do When It's Both)
Restlessness, poor focus, and racing thoughts show up in both ADHD and anxiety. Here's how clinicians tell them apart, and why roughly half of adults with ADHD have both.
Read Article →Concierge Psychiatry vs Traditional Psychiatry: What's the Difference?
Concierge psychiatry offers longer visits, direct access to your clinician, and care that looks at the whole person. Here's how it compares to the traditional model.
Read Article →Why Do I Procrastinate? The ADHD Explanation Nobody Gave You
Procrastination in ADHD isn't laziness or bad time management. It's an emotion and activation problem, and it responds to very specific strategies.
Read Article →Why Adderall May Not Be the Right Medication for Your Type of ADHD
Adderall is the most recognized ADHD medication, but adult ADHD isn't one condition with one fix. Here's why your presentation, your biology, and what travels with your ADHD should drive the choice.
Read Article →Why Dopamine Is the Most Important Factor in Adult ADHD
Adult ADHD isn't a willpower problem. It's largely a dopamine signaling problem. Understanding that changes how you see your brain and how you treat it.
Read Article →The Single Best Non-Medication Tool for Adult ADHD — and Why It Works
Medication isn't the only lever that moves adult ADHD. Cognitive behavioral therapy adapted for ADHD is the most evidence-backed non-medication intervention — and it works by rebuilding the executive function systems medication alone can't reach.
Read Article →Testosterone and Mood: The Hormone Nobody Screens in Depressed Men
Low testosterone can look exactly like depression — and most clinics never test for it. Here's what proper evaluation looks like.
Read Article →Adult ADHD Goes Missed for Decades — Here's What It Looks Like in High Performers
Adult ADHD is one of the most under-diagnosed conditions in medicine. Here's what it actually looks like in capable, outwardly successful adults — why it hides for so long, what it costs, and what a proper evaluation involves.
Read Article →Stimulant Tolerance, Rebound, and the ADHD Medication Conversation Nobody Has
The dose that worked in month one doesn't feel the same in month six. Here's what's actually going on with stimulant tolerance and rebound — and the conversation your prescriber should be having.
Read Article →Why Your Anxiety Spikes at 3 AM — and How to Break the Loop
There's a specific kind of anxiety that waits until 3 a.m. It's not a character flaw — it's a physiology problem, and it's more fixable than it feels.
Read Article →The Cortisol-Insulin Axis: Why Stress Sabotages Your Weight Loss
If you're doing everything right and the scale won't move, stress is a likely suspect — and the mechanism is specific, not vague.
Read Article →Trauma Lives in the Body: A Primer on Nervous-System Regulation
Trauma is often described as something that happened to you. The part that persists is what the event did to your nervous system — and that changes how recovery works.
Read Article →GLP-1 Receptors Aren't Just in Your Gut: The Brain-Weight Connection
GLP-1 medications started as diabetes drugs, became weight-loss drugs, and are now a window into how metabolism and the brain are connected.
Read Article →Centanafadine: What the Next Generation of ADHD Treatment Could Look Like
Centanafadine is an investigational, first-in-class triple reuptake inhibitor targeting norepinephrine, dopamine, and serotonin. Here's what the mechanism means for the future of ADHD treatment — and why it's not available yet.
Read Article →Switching ADHD Providers in Arizona: How to Do It Without a Gap in Care
Clinic closed, provider left, or just not getting the care you need? Here's how to switch ADHD providers in Arizona while keeping your treatment on track.
Read Article →MOTS-C: The Mitochondrial Peptide That's Changing GLP Plateau Management
MOTS-C is re-emerging from FDA research status as a legitimate tool for GLP-1 weight loss plateaus. Here's what the mechanism is, why it works where GLP-1 alone stalls, and what to expect.
Read Article →Why Your TSH Is 'Normal' But You Still Feel Like Garbage
Your doctor ran labs, told you everything looks fine, and sent you home. But you're exhausted, gaining weight, cold all the time, and can't think straight. Here's what they missed.
Read Article →Peptide Sourcing: Why Your Peptides Might Not Be What You Think They Are
The peptide industry is rife with mislabeled, impure, and contaminated compounds. Here's how to identify pharmaceutical-grade peptides from sketchy research chemicals.
Read Article →Perimenopause Isn't a Hormone Deficiency – It's a Hormone Timing Problem
Most perimenopause is treated as estrogen deficiency. It's not. It's chaotic hormone fluctuation. Here's why that distinction changes everything about treatment.
Read Article →Cortisol Baseline Matters More Than Cortisol Spikes – Here's Why
Everyone talks about cortisol spikes. Nobody talks about baseline cortisol – which is actually what determines your metabolic fate.
Read Article →Sleep Isn't Recovery Time. It's When Your Hormones Do Their Best Work.
Poor sleep isn't just exhausting. It systematically dismantles your hormonal architecture — suppressing growth hormone, elevating cortisol, tanking testosterone, and blunting insulin sensitivity. You can't optimize your biology while treating sleep as optional.
Read Article →Depression Isn't Just Serotonin – It's a Metabolic and Hormonal Problem
SSRIs work for some people and fail for others. The reason is often metabolic or hormonal – not neurochemical. Here's what labs actually reveal.
Read Article →Anxiety as a Metabolic Disorder – And Why Your Doctor Missed It
Chronic anxiety is often not a psychological issue – it's your metabolism telling you something is broken. Here's what labs reveal.
Read Article →Cardiac Calcium Scoring: The Heart Test Most People Have Never Had
A cardiac calcium score is a 10-minute, low-radiation CT scan that quantifies your actual cardiovascular risk — far more precisely than cholesterol numbers alone.
Read Article →Testosterone Replacement for Women: What No One Is Telling You
Testosterone isn't a male hormone that women happen to produce. It's a critical driver of energy, libido, lean muscle, bone density, and cognitive function in women — and its decline often goes completely unaddressed.
Read Article →The 7-Day Provider: Why Healthcare That Stops at 5pm Isn't Healthcare
The most common medical events don't check your provider's office hours. Why same-day, 7-day access isn't a luxury — it's the minimum standard of competent care.
Read Article →Semaglutide Works. Here's Why It Stops Working — And What to Do About It
The 6-month plateau on GLP-1 therapy isn't a medication failure. It's the body adapting — which means the solution isn't more drug. It's understanding what's underneath it.
Read Article →The Gut-Brain Connection: Why Your Mental Health Lives in Your Microbiome
90% of serotonin is made in your gut. The microbiome isn't just about digestion — it's a primary driver of mood, anxiety, and cognitive function.
Read Article →ADHD in College Students: Getting Evaluated in Phoenix and Scottsdale
College is often when ADHD finally becomes impossible to ignore. Here's what an adult ADHD evaluation looks like for students in the Phoenix area, and how to get one without a months-long wait.
Read Article →What Your Annual Physical Isn't Measuring (And Probably Should Be)
The standard annual physical hasn't changed much in 30 years. It was designed for a population dying of acute infectious disease — not for people trying to prevent the chronic conditions that are actually killing us. Here's what's missing.
Read Article →Hashimoto's Thyroiditis: Why Standard Treatment Leaves So Many People Still Symptomatic
Millions of people with Hashimoto's are on levothyroxine with 'normal' TSH levels — and still exhausted, foggy, and gaining weight. Here's what's being missed.
Read Article →The Case for Full-Body MRI Screening Before You Have Symptoms
The most treatable version of almost any serious disease is the one you catch before you feel it. Full-body MRI screening is the most powerful tool available for identifying what's developing before it declares itself. Here's who it's for and what it actually shows.
Read Article →NAD+: The Most Overhyped and Underunderstood Molecule in Longevity Medicine
NAD+ has become the darling of the longevity world. It's also one of the most misrepresented. Here's a clear-eyed look at what it actually does, what the research supports, and why the delivery method matters more than most people realize.
Read Article →Anxiety Isn't Always What You Think It Is
Anxiety is often treated as a psychological problem that happens to have physical symptoms. The evidence points in a different direction — and it changes what treatment actually looks like.
Read Article →Direct Primary Care vs. Concierge Medicine: What's the Actual Difference?
The terms get used interchangeably. They're not the same thing. Understanding the distinction matters — because the model determines what level of care you're actually getting access to.
Read Article →The Galleri Test: Multi-Cancer Early Detection and What It Actually Detects
The Galleri blood test screens for more than 50 cancer types simultaneously — most of which have no recommended conventional screening. Here's what the science shows.
Read Article →ADHD in Adults: What's Being Missed in Diagnosis and Management
Adult ADHD is dramatically underdiagnosed — and when it is diagnosed, it's often undertreated. Here's what a more complete clinical approach looks like.
Read Article →What to Expect in Your First Year as a PracticeRx Concierge Member
Most new members come in expecting a better version of their last doctor's office. What they get is fundamentally different. Here's what the first year actually looks like.
Read Article →Insulin Resistance: The Silent Driver Behind Most Metabolic Disease
Insulin resistance often develops a decade before type 2 diabetes appears — and it's driving weight gain, fatigue, brain fog, and hormonal dysfunction the entire time.
Read Article →The Neuroscience of Anxiety: Why Willpower Alone Won't Fix It
Anxiety isn't a character flaw or a thinking problem. It's a neurobiological state — and understanding it that way changes everything about how you treat it.
Read Article →What Concierge Medicine Actually Costs You — and What It Saves
The upfront cost of concierge medicine is visible. The cost of not having it — in wasted time, delayed care, and compounding health problems — is hidden. Let's make it visible.
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