Her business was failing and her marriage was falling apart. She wanted to OD on her insulin.

We reviewed Psymatik in The Carlat Psychiatry Report this month, as part of our occasional coverage on how AI and digital tools are changing the way we prescribe.

We use medications for reasons that don’t match their names. That’s why some clinicians are turning to Neuroscience-Based Nomenclature (NbN)—a system that classifies meds by mechanism instead of indication.

Before you cook, oil the pan; before you plant that spring lawn, aerate the soil. Before you start a psych med, these are six things you need to have in place.

You start a medication. The patient feels better in two weeks. You think: “Finally. This one works.” But six weeks later, the magic’s gone.

It’s gaining popularity as a “natural” form of lithium, but this over-the-counter form has hidden risks.