Psychiatry at the Margins
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What Do We Owe the Insufferable?
When mental illness exhausts our emotional capacities
Jan 30
•
Awais Aftab
283
9
61
ADHD Beyond Stimulants, and Stimulants Beyond ADHD
Your brain on stimulants vs your brain on ADHD
Jan 24
•
Awais Aftab
220
9
29
Reconsidering Lithium as the Gold Standard for Bipolar Disorder: A Personal History
“Lithium is one of our tools but has no special status.”
Jan 17
•
Haim Belmaker
49
24
13
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DSM Disorders Disappear in Statistical Clustering of Psychiatric Symptoms
Mar 9, 2024
•
Awais Aftab
373
6
58
Autism’s Confusing Cousins
Dec 5, 2025
•
Awais Aftab
246
19
40
Confessions of an Ambivalent Psychiatrist
Feb 1, 2025
•
Susan T. Mahler, MD
334
15
58
Schizophrenia Is the Price We Pay for Minds Poised Near the Edge of a Cliff
May 10, 2025
•
Awais Aftab
122
5
33
How Antidepressants Work
Oct 19, 2024
•
Awais Aftab
190
10
43
How the Citrus Cure for Scurvy Was Lost, and Lessons for the Science of Psychopathology
Dec 26, 2025
•
Awais Aftab
80
9
21
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Can a Psychiatric Crisis Save Your Life?
Madness as breakdown and breakthrough
Jan 10
•
Awais Aftab
126
26
26
Notable Links (Substack Edition) - Jan 3, 2026
And some personal media favorites from 2025
Jan 3
•
Awais Aftab
61
7
13
The All of Thine That Cannot Die: Farewell to Two Friends
In memory of Dan J. Stein and Lisa Wallace
Dec 29, 2025
•
Awais Aftab
53
17
8
How the Citrus Cure for Scurvy Was Lost, and Lessons for the Science of Psychopathology
The copper-lined containers and the contexts that neutralize treatment
Dec 26, 2025
•
Awais Aftab
80
9
21
Antipsychotic tapering appears to help long-term in a new trial but not for the obvious reason
And considerable uncertainty remains
Dec 18, 2025
•
Awais Aftab
47
17
7
Mixed Bag #25: Kinnon MacKinnon on Trans Identity and Medicine
a book, a concept, a person, an article, and a surprise item
Dec 13, 2025
•
Kinnon Ross MacKinnon
39
2
11
What Other Diagnoses Could Learn From Autism’s Diagnostic Appeal
The role of cognitive-perceptual mechanistic explanations
Dec 11, 2025
•
Riva Stoudt
101
35
18
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Psychiatry at the Margins
Exploring critical, philosophical, and scientific debates in psychiatric practice and the psy-sciences
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