Dr. G
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shrinksinsneakers.bsky.social
Dr. G
@shrinksinsneakers.bsky.social
I’m on a mission to make psychiatry accessible and understandable for everyone. Through this website I will be translating the complex science of psychiatry into actionable insights.
Here’s a hard truth about anger:
👉 The things that trigger us most are usually reflections of something unresolved within us.
If someone calls you incompetent and it enrages you, part of you fears they might be right.
#mentalhealth #psychiatry #anger #therapy #SelfAwareness #Healing
December 9, 2025 at 6:12 PM
Stop calling it anxiety
Start asking what’s driving it
Anxiety isn’t a defect it’s a check engine light
When it spikes, ask:
• What did my alarm system detect?
• Is this real danger or an old fear?
#ShrinksInSneakers #Anxiety #Psychiatry #Neuroscience #MentalHealth #anxietytreatment
December 8, 2025 at 4:01 PM
We all carry scars life guarantees that.
Here’s a hard truth about anger:
👉 The things that trigger us most are usually reflections
If someone calls you incompetent and it enrages you, part of you fears they might be right
#ShrinksInSneakers 👟🧠
#therapy #mentalhealth #emotion #mentalhealthmatters
December 6, 2025 at 5:31 PM
Not chasing letters these days
Chasing alignment
AACP certification in Community & Public Psychiatry felt right it matches the work I live every day
Next up: Lifestyle Medicine
Because lifestyle change is medicine
Happy Friday 👟🧠
#psychiatry #doctor #lifestyle #medicine #mentalhealth
December 5, 2025 at 10:37 PM
A resident asked what I’m passionate about in psychiatry.
Easy the work.
Hard the system.
You can’t medicate someone out of:
🏚️ homelessness
🥫 hunger
🧊 no heat
🚫 no safety
💸 no stability
#MentalHealth #Psychiatry #PublicHealth #SDoH #HealthEquity
#ShrinksInSneakers #mentalhealthmatters
December 4, 2025 at 4:06 PM
Is TRD just undertreatment?
Sometimes
But some patients fail every modality we have
Because our tools treat symptoms not causes
Not all failure is effort
Sometimes it’s biology we don’t understand
#Psychiatry #MentalHealth #ShrinksInSneakers #mentalhealthtreatment #mentalhealthawareness
December 3, 2025 at 7:18 PM
We’re eroding the physician–patient relationship.
Stable ADHD patient. No early refills. No red flags.
But someone assumes: “drug-seeking.”
Result: delayed care, unnecessary testing, and a patient who feels judged.
#psychiatry #mentalhealth #patients #doctor #doctorlife #mentalhealthmatters
December 2, 2025 at 3:02 PM
Most people don’t realize this:
If you’re in weekly therapy + monthly psychiatry, you spend 0.7% of your entire year in direct mental health care.
The other 99.3% is where the real work happens.
#Therapy and #Psychiatry gives you the plan
Your daily habits create the change.
#MentalHealth #habits
December 1, 2025 at 9:54 PM
Psilocybin will help some patients.
But a miracle cure?

Still this is a massive shift in the future of psychiatric care

New Jersey just stepped onto the psychedelic stage

#ShrinksInSneakers #Psilocybin #Psychiatry #Medical #mentalhealth #mentalhealthishealth #mentalhealthmatters
November 29, 2025 at 9:53 PM
We don’t choose our parents and we don’t choose our genetics. Some people hit the biological jackpot. Most don’t.
If you didn’t win the genetic lottery, your habits matter even more.
🥗 Eat real food
🧠 Go to therapy
💊 Take the meds that keep you stable
🏋️ Move your body

#psychiatry #mentalhealth
November 28, 2025 at 6:24 PM
I’m grateful for:
🧠 Patients who show up with courage
🥾 Clinicians doing the impossible
🏥 #Community #mentalhealth holding the line

If today is hard, you’re not alone.
If you’re working, thank you.
If you’re surviving, I’m grateful for you.

Happy #Thanksgiving. 🦃

#psychiatry #doctorlife #meded
November 27, 2025 at 5:10 PM
A new JAMA Psychiatry study just linked soft drink consumption to major depression and the gut microbiome is the middleman
👇
Takeaway:
Skip the probiotic hype.
Fix the diet.
Your gut talks to your brain loudly.
#GutBrainAxis #Depression #Psychiatry #UltraprocessedFoods #ShrinksInSneakers
November 25, 2025 at 10:36 PM
Everyone’s anxious. But anxiety isn’t just a mental-health issue it’s a biological, financial, and social crisis rolled into one
youtu.be/NrAo0W2vTxM
Why Everyone’s Anxious: The Truth About Chronic Anxiety in Modern Life
YouTube video by Shrinks In Sneakers
youtu.be
November 24, 2025 at 4:22 PM
Families sometimes tell me I’m a “bad doctor” because a commercial pharmacogenomic panel said their loved one’s meds are “wrong.”
November 21, 2025 at 4:14 PM
Lithium blood levels: evidence or tradition?
We talk about lithium like it has one “magic number”… but the data tells a different story.
Here’s what the evidence actually supports 👇
November 21, 2025 at 1:18 AM
Depakote Levels: Science or Just Vibes?
We quote valproate “therapeutic ranges” (50–100 or 50–125) like they’re sacred.
But the evidence is very different depending on what you’re treating.
November 19, 2025 at 4:20 PM
NJPA FALL CONFERENCE
THE FUTURE OF PSYCHIATRY
Shrinks in Sneakers Edition
🔥 AI | Lifestyle | Neuromodulation | Mindfulness 🔥
November 18, 2025 at 6:38 PM
70% of patients hide suicidal thoughts.
Here’s why that matters.
November 17, 2025 at 10:40 PM
TMS vs. Meds is the wrong question. Ask: what stage is the patient in?
After 2+ adequate meds, remission odds for another med are usually ~10–20%. rTMS in TRD delivers ~50–60% response and ~25–35% remission, with fewer systemic AEs. Sequence smarter
#TMS #TRD #Psychiatry #depression #neuro #meds
November 15, 2025 at 5:50 PM
Where did “mood stabilizer” come from?
It wasn’t always part of psychiatry’s language
But the term was never clearly defined just catchy
#Psychiatry #BipolarDisorder #Lithium #ShrinksInSneakers #bipolar #psychiatrist
November 13, 2025 at 9:23 PM
Melatonin isn’t the harmless “natural sleep aid” we’ve been sold.
A new analysis (130K+ patients) found long-term users had:
⚠️ 90% ↑ risk of heart failure
⚠️ 3.5× ↑ hospitalizations
⚠️ Nearly 2× ↑ mortality
youtu.be/IhpV5zD7TL4
#Melatonin #Insomnia #Sleep #Psychiatry #CBTI #ShrinksInSneakers #sleepmed
Melatonin and Insomnia: Why “Natural” Doesn’t Always Mean Safe
YouTube video by Shrinks In Sneakers
youtu.be
November 13, 2025 at 9:20 PM
Every month I read one book
This month: The Body Keeps the Score
The book validates survivors and highlights what many of us know meds play a minimal role in healing.
True trauma work is holistic: EMDR, neurofeedback, body-based therapy. Access remains the challenge
#Psychiatry #Trauma #PTSD
November 11, 2025 at 9:00 PM
Melatonin might not be as harmless as we think.
A new @American_Heart study found people who took melatonin for ≥1 year had:
⬆️ 90% higher risk of heart failure
⬆️ 3.5x higher risk of heart-failure hospitalization
⬆️ Nearly 2x higher risk of death
November 7, 2025 at 8:12 PM
There’s a rise in people saying AI told them to kill themselves
Let’s be honest AI is a tool, not a therapist
It can’t replace empathy, connection, or care
If you’re in crisis, please reach out to a human
📞 Call or text 988 Crisis Lifeline
#Mentalhealth #MentalHealthMatters #AI #AIethics #psychiatry
November 7, 2025 at 6:30 PM