Estrogen shapes nearly every neurotransmitter system in the brain, and when it starts to fall, psychiatric disorders often follow. This episode walks through what psychiatrists need to know about the perimenopause: which conditions worsen, which treatments help, and when to call the OB-GYN about hormone replacement therapy.

Premenstrual hormones can destabilize mood, worsen ADHD, trigger psychosis, and drive binge eating. This episode walks through the tools to manage hormonal fluctuations in female patients, from SSRIs to overlooked supplements to the lamotrigine-contraceptive drug interaction.

Patients are arriving with scripts from TikTok and Reddit coaching them to obtain controlled substances. Structured assessments and firm but compassionate boundaries are your best defense.

Dr. Giordano helps clients harness strengths, build structure, and transform procrastination and distraction into momentum.

In the latest issue of TCPR, we give a lot of real estate to ADHD.
And for good reason. It’s a diagnosis that’s everywhere—expanding across age groups, personality types, and practice settings.

For years, autism care has centered on one model, but that’s changing. The American Academy of Child and Adolescent Psychiatry just redefined what evidence-based care really means. This shift could transform how we support children and families.

How did we get from “math pills” in 1937 to today’s “ADHD boom”? Dr. Gualtieri traces the surprising history—and overreach—of stimulant use. 

Stimulants boost energy, but often mislead. Dr. Gualtieri unpacks misdiagnosis, anxiety, and why careful differential diagnosis matters more than ever.