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The Siggy Blog

Expert articles on medications, conditions, and the future of mental healthcare, from the team building it.

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Nightmare Disorder and PTSD: DBT's Nightmare Protocol

DBT's Nightmare Protocol uses imagery rehearsal therapy to treat PTSD nightmares. Here is how it works, what the evidence shows, and when to get help.

July 13, 2026DBT Nightmare ProtocolPTSD NightmaresImagery Rehearsal TherapyTrauma and Sleep
Treatment & TherapyJuly 10, 2026

Acceptance and Commitment Therapy (ACT): What It Is and Who It Helps

ACT does not aim to eliminate anxious or painful thoughts. Here is how it actually works, how it compares to CBT, and who tends to benefit most.

Acceptance and Commitment TherapyACT for Anxiety and DepressionPsychological FlexibilityACT vs CBTValues Based Living
Treatment & TherapyJuly 10, 2026

Medication vs. Therapy for Depression: What Works Best?

Antidepressants and therapy both treat depression, and research shows combining them often outperforms either alone. Here's what the evidence actually says about choosing.

Medication Vs Therapy DepressionCombined Depression TreatmentDepression Treatment OptionsCBT DepressionSSRI Antidepressants
Treatment & TherapyJuly 10, 2026

Men and Therapy: Why More Men Are Seeking Help (and How to Start)

Men remain far less likely than women to get mental health treatment. Here is what the data says about why, and a realistic way to start.

Men and TherapyMen's Mental Health StigmaMasculinity and Mental HealthTherapy Access for Men
Treatment & TherapyJuly 10, 2026

Online Therapy vs In-Person Therapy: How to Actually Choose

Research shows online and in-person therapy work equally well for most conditions. Here's how to pick the format that fits your life and care team.

Online Therapy Vs In Person TherapyTeletherapy EffectivenessTelehealth Mental Health AccessChoosing A TherapistVideoconference CBT
Treatment & TherapyJuly 9, 2026

Exposure Therapy for Anxiety and OCD: What to Expect

Exposure and response prevention is the first-line psychotherapy for OCD and one of the most effective tools for anxiety disorders. Here is what a course actually looks like.

ERP TherapyExposure Therapy For AnxietyExposure And Response Prevention
Treatment & TherapyJuly 6, 2026

Does TMS Therapy Work? What the Research Actually Shows

TMS response rates, how long benefits last, and how it compares to switching medications or ECT. The honest numbers behind transcranial magnetic stimulation.

TMS TherapyTreatment-Resistant DepressionTMS Success RatesTMS Vs Antidepressants
Treatment & TherapyJuly 6, 2026

What Is EMDR Therapy? How It Treats Trauma

EMDR helps the brain reprocess stuck traumatic memories without requiring you to describe them in detail. Here is how the 8-phase process actually works.

EMDR TherapyWhat Is EMDRTrauma Processing TherapyAdaptive Information Processing
Treatment & TherapyJuly 2, 2026

DBT vs CBT: Which Therapy Fits Your Symptoms Better?

DBT and CBT share roots but treat different problems. Learn how they differ in structure and evidence, and which one fits emotional intensity versus thought patterns.

DBT vs CBTDialectical Behavior Therapy ExplainedCognitive Behavioral Therapy ExplainedChoosing A Therapy Approach
Treatment & TherapyJuly 2, 2026

What Is Dialectical Behavior Therapy (DBT)? A Full Guide

DBT teaches concrete skills for surviving intense emotions without making things worse. Learn what it treats, how it works, and what a typical program looks like.

What Is DBT TherapyDBT Skills TrainingDialectical Behavior Therapy BasicsEmotional Dysregulation Treatment
Treatment & TherapyJune 30, 2026

EMDR Therapy for PTSD: Does It Work?

EMDR is a first-line PTSD treatment backed by 30+ randomized controlled trials. Here is how bilateral stimulation works, who responds best, and what to expect from treatment.

EMDR TherapyEMDR for PTSDEye Movement DesensitizationPTSD First-Line TreatmentTrauma Processing Therapy
Treatment & TherapyJune 30, 2026

Ketamine for Depression: What Patients Need to Know

Ketamine and esketamine work on a completely different brain system than conventional antidepressants, producing effects within hours. A clinician explains who qualifies, what to expect, and what the latest approvals mean.

Ketamine DepressionEsketamine SpravatoKetamine MechanismTRD Medication OptionsRapid Antidepressant
Treatment & TherapyJune 30, 2026

TMS for Treatment-Resistant Depression: What to Expect

If antidepressants have not worked, TMS is a proven next step. Here is what the evidence shows about response rates, how the treatment course unfolds week by week, and how to know if you're a candidate.

TMS DepressionTMS for TRDrTMS TreatmentBrain Stimulation DepressionTMS Results
Treatment & TherapyJune 29, 2026

PTSD and Anxiety: How They Overlap and How to Treat Both

PTSD is no longer classified as an anxiety disorder in the DSM-5, but the two conditions share significant clinical features. Here is what the distinction means, why it matters for treatment, and how to address both when they co-occur.

PTSD and AnxietyIs PTSD an Anxiety DisorderPTSD DSM-5 ClassificationPTSD ComorbidityTrauma and Anxiety Treatment
Treatment & TherapyJune 29, 2026

How to Stop OCD Thoughts: What the Evidence Actually Says

Trying to stop OCD thoughts directly makes them worse. Here is what the clinical evidence says about what actually works, why suppression fails, and how ERP and ACT address the real problem.

OCD Intrusive ThoughtsHow to Stop OCD ThoughtsOCD Thought PatternsERP for OCDOCD Natural Treatment
Treatment & TherapyJune 26, 2026

Can PTSD Be Cured? What Long-Term Recovery Actually Looks Like

PTSD cannot be cured in the traditional sense, but remission is achievable with evidence-based treatment. Here is what recovery looks like, what timeline is realistic, and what the research shows about long-term outcomes.

Can PTSD Be CuredPTSD RecoveryPTSD HealingCPT TherapyLong-Term PTSD Recovery
Treatment & TherapyJune 26, 2026

How to Cure Depression: What Medicine and Science Actually Say

Depression can't be cured like an infection, but over 80% of patients respond to treatment. A licensed PA explains what the evidence says about remission, response rates, and lasting recovery.

Can Depression Be CuredDepression RemissionDepression ManagementAntidepressant Response RateLong-Term Depression Care
Treatment & TherapyJune 26, 2026

How to Treat OCD: Therapy, Medication, and What the Evidence Shows

OCD is treated with exposure and response prevention therapy and SSRIs. Here is what each approach involves, how they work together, what high-dose SSRI treatment looks like, and why most people with OCD are not getting the right care.

How to Treat OCDERP Therapy OCDOCD Medication TreatmentOCD Therapy OptionsSSRI for OCD
Treatment & TherapyJune 26, 2026

How to Treat PTSD: Therapy, Medication, and New Options

CPT, EMDR, and prolonged exposure therapy are the most evidence-supported PTSD treatments. A psychiatrist explains each option, when medication helps, and what the 2024-25 guidelines changed.

PTSD Treatment OptionsCognitive Processing TherapyEMDR for PTSDPTSD Medication OptionsProlonged Exposure Therapy
Treatment & TherapyJune 25, 2026

How to Reduce Anxiety Immediately: 8 Evidence-Based Strategies

Eight clinically validated strategies to reduce anxiety within minutes. A licensed PA explains the physiological mechanisms behind each technique and when to seek additional care.

Reduce Anxiety FastAnxiety Relief TechniquesBreathing Exercises AnxietyGrounding for AnxietyImmediate Anxiety Relief
Treatment & TherapyJune 24, 2026

How to Get Out of Depression: Steps That Actually Work

Depression is treatable in the large majority of patients, but treatment requires more than a prescription. A Psych P.A. explains the specific, evidence-based steps that move people toward recovery and why the hardest part isn't starting.

How to Get Out of DepressionDepression RecoveryDepression TreatmentOvercoming DepressionDepression Steps
Treatment & TherapyJune 22, 2026

CBT for Anxiety and Depression: How It Works

Cognitive behavioral therapy is the most evidence-supported psychological treatment for anxiety and depression. Here is what the research shows, how sessions actually work, and when it makes sense to combine it with medication.

Cognitive Behavioral TherapyCBT TechniquesTherapy for AnxietyTherapy for DepressionEvidence-Based Therapy
Treatment & TherapyJune 22, 2026

How to Calm Anxiety: Techniques That Work Fast and Why Each One Works

Breathing exercises, grounding, cold water, and movement can interrupt an anxiety spiral within minutes. Here is the evidence behind each technique and when to use them.

Anxiety Relief TechniquesGrounding for AnxietyBreathing Exercises AnxietyCalm Anxiety FastAnxiety Self-Management
Treatment & TherapyJune 22, 2026

How to Deal with Anxiety: A Psychiatrist's Complete Guide

Anxiety affects 19% of U.S. adults, yet most never get effective care. A psychiatrist explains what actually works: CBT, evidence-based medications, and why ongoing support changes outcomes.

How to Deal with AnxietyAnxiety ManagementGeneralized Anxiety DisorderAnxiety TreatmentCBT for Anxiety
Treatment & TherapyJune 22, 2026

What Helps with Anxiety? Proven Treatments and Coping Tools

Anxiety is treatable, but the best approach depends on whether it is mild, moderate, or clinical. Here is what the evidence shows actually works and what does not.

Anxiety TreatmentSSRIs for AnxietyAnxiety Coping StrategiesGeneralized Anxiety DisorderMental Health Treatment Options
Treatment & TherapyJune 19, 2026

How Long Does Therapy Take to Work for Anxiety? What the Research Actually Shows

CBT for anxiety typically produces meaningful improvement within 8 to 12 sessions. Here is what the evidence shows about timelines, modalities, and what to expect at each stage.

Anxiety TreatmentCBT TherapyTherapy TimelineMental Health TreatmentAnxiety Disorder
Treatment & TherapyJune 19, 2026

Treatment-Resistant Depression Options: Beyond Standard Antidepressants

When two or more antidepressants fail at adequate dose and duration, TRD-specific options open up. Here is what the clinical evidence says about TMS, esketamine, ECT, MAOIs, and augmentation.

Treatment-Resistant DepressionTMS for DepressionEsketamine TreatmentBeyond AntidepressantsDepression Treatment Options
Treatment & TherapyJune 18, 2026

Does TMS Therapy Work for Anxiety? What the Research Actually Shows

TMS is FDA-cleared for depression and OCD, and research on anxiety disorders is growing. Here is what the clinical evidence actually says about TMS for GAD, anxious depression, and anxiety comorbidities.

TMS for AnxietyTranscranial Magnetic Stimulation AnxietyAnxiety NeurostimulationTreatment-Resistant AnxietyrTMS Research
Treatment & TherapyJune 18, 2026

What Is TMS Therapy? Everything You Need to Know About Brain Stimulation for Depression

TMS therapy uses magnetic pulses to stimulate the brain regions that regulate mood. FDA-cleared since 2008, it is most often used for depression that hasn't responded to antidepressants.

TMS TherapyTreatment-Resistant DepressionBrain Stimulation TreatmentNon-Medication Depression TreatmentNeuromodulation Psychiatry
Treatment & TherapyMay 29, 2026

Online OCD Treatment: What Evidence-Based Care Looks Like Remotely

ERP therapy for OCD works remotely. Here is what the research says about outcomes, what to expect in online sessions, and how to find care that actually treats OCD.

OCD TreatmentERP TherapyOnline TherapyOCD Online
Treatment & TherapyApril 27, 2026

What is AI Chat with Real Psychiatrist Supervision?

AI chat with real psychiatrist supervision blends technology and expert care, making mental health support safer, more efficient, and clinically reliable.

AI Mental Health AppClinical SupervisionOnline Psychiatry