Psychiatry at the Margins

Psychiatric Home Hospitalization Through the Logic of Scarcity vs Abundance

Scarcity frames home hospitalization as a response to limited resources; abundance frames it as an expansion of patient-centered care.

Apr 10 • Awais Aftab

33

2

Making Sense of a World Where Most Psychiatric Diagnoses Are False

And why isn’t clinical practice even more chaotic than it currently is?

Apr 4 • Awais Aftab

129

8

26

March 2026

What Do We Owe the Mystics?

Mysterium tremendum fascinans

Mar 28 • Awais Aftab

142

10

30

Milestone/Open Thread/Updates

AMA

Mar 19 • Awais Aftab

37

34

2

The Philosophical Foundations of HiTOP

A new paper examines the assumptions behind a new way of classifying mental illness

Mar 13 • Awais Aftab

110

2

17

Examining APA’s Proposed Redesign of the DSM

Can the future DSM overcome the epistemic arrogance of its predecessors?

Mar 6 • Awais Aftab

84

3

19

February 2026

What Do We Owe the Overburdened?

Doing justice to trait-demand mismatches

Feb 27 • Awais Aftab

171

12

32

Assisted Outpatient Treatment: A Summary of the Evidence

No study has demonstrated that involuntary outpatient treatment adds value beyond the enhanced services and system accountability that accompany it.

Feb 22 • Nev Jones

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33

13

Clinical Staging, Early Intervention, and Youth Mental Health: An Interview with Patrick McGorry

How do we intelligently connect multifactorial, pluripotential syndromes to treatment decisions?

Feb 13 • Awais Aftab

50

7

10

January 2026

What Do We Owe the Insufferable?

When mental illness exhausts our emotional capacities

Jan 30 • Awais Aftab

391

10

85

ADHD Beyond Stimulants, and Stimulants Beyond ADHD

Your brain on stimulants vs your brain on ADHD

Jan 24 • Awais Aftab

346

13

46

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

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26

13