McWilliams Psychiatry

Education Center and Blog

Below you will find educational articles and insights from Dr. McWilliams regarding various mental health topics and treatments

Photo of a patient in conversation with their psychiatrist

Are Two Failed Antidepressants Enough? Why Ketamine Might Not be the Early Intervention it is Being Marketed As

As a psychiatrist practicing in Columbia, Maryland and seeing patients virtually across Maryland, Virginia, and Wisconsin, I regularly evaluate people who have tried ketamine with little to no legimitate treatment history. Brand new patients often ask about starting with ketamine immediately without having tried anything else. This article is an attempt to offer a more complete picture - one that takes ketamine seriously - while being realistic about when it's the right tool, and when it isn't.

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Woman struggling to sleep on her phone laying in bed

Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is the first-line treatment for chronic insomnia, recommended above medication by every major sleep and psychiatric organization. A Columbia, MD psychiatrist explains what CBT-I is, who it helps, and how it compares to sleep medication.

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