profile

Welcome to Brain Bites with Dr. B!

Your friendly, online psychiatrist: Jess Beachkofsky, MD

Brain Bites is all about broadening your reach with easy-to-digest psych knowledge! Join me for quick, interesting medication and brain science tidbits! Elevate your therapy practice with insight and data from your friendly online psychiatrist!

Featured Post

Can you do therapy for this?

“Well, he only called the cops 3 times this week.” “Oh that’s better than usual! Do you remember why he called?” “Just the usual, the Navy is putting cocaine into the orange juice, that he’s a samurai in hiding from the CIA.” “And he’s still taking all his meds?” “He’s been doing good there. And he’s drinking less soda. He’s lost a few pounds so far.” “That’s great! Well, overall it sounds like an improvement so maybe no medication changes this week?” “Yes, that’s fine…. Oh…. And now he...

1 day ago • 5 min read

I'll tell you. Paxil, or paroxetine. Nothing against Paxil, really, it's just that when it comes to antidepressants there are SO MANY GREAT OPTIONS that I don't want to choose a mediocre one if I don't have to. This week's video starts with how I find the (hopefully) right antidepressant medication for someone based of a few different things including whether I like them or not! (The medications, not the patients. All of my patients are awesome!) I will also specifically walk through my top 3...

8 days ago • 2 min read

“Shoot. What’s the alcohol withdrawal protocol again?” “Dude, just look it up. Again.” I was with a fellow psych resident in the hallway of the PES or psychiatric emergency services. This was the 4th patient of my shift who was having a worse time than I was. Thank goodness for the giant pockets of my white coat where I stored important bits of paper and “pocket-sized” reference books that had titrations and protocols and acronyms and all the things a resident needs to survive and not hurt...

15 days ago • 4 min read

I LOVE Mad Libs! But not just any mad libs. Because if you’re in business for yourself you’ve been inundated with boring “mad libs” thrown around as an easy way to do this or that: Use our mad libs style template for client notes! Grab this free mad libs fill in the blank email template! or the completely unrealistic Create the perfect website by just filling in this mad lib style, done for you page! Yeah, right. This is NOT the kind of Mad Libs I cherish. Now this stuff might be good or...

22 days ago • 2 min read

One of my patients texted me at 8:37pm the other night because she wanted to move her appointment to the next morning. “I want to get off my meds” was her follow up text. I was concerned. “What happened? Is everything ok?” thinking maybe she found out she’s pregnant or started having a bad reaction or decided she wanted to remind herself what it felt like to feel worse (I sure hope not!). 😳 We were scheduled to see each other in 3 days anyway. Couldn’t it wait? These meds don't work! I don't...

29 days ago • 3 min read

Hey Reader! This week, even though I've wanted to put it off every single moment, I've been working on applying for my next CEU course. This one is on SSRIs and serotonin. It's hard to get started and I don't like all the tedious script writing and resource formating and listening to how many times I say "so" and "you know". 🙄 But I keep thinking how cool it will be for you to get CEUs from watching these weekly videos I'm making anyway! So easy peasy! In theory... I mean 4 emailed videos =...

about 1 month ago • 2 min read

Maybe it’s the change in weather, maybe it's a coincidence, maybe it has to do with Q2 business things, or maybe it’s because Mercury is in retrograde! But something goes on with moods in spring! I’m not a spring cleaner per se, but that’s because I’m an equal opportunity seasonal cleaning kind of gal. But what about people that get that cleaning bug and then stay up all night cleaning? Well, maybe they’re just really motivated and want to get it all done! Or maybe it’s something else....

about 1 month ago • 4 min read

Happy Spring Break Friday, Reader! Well, maybe not for you, but right now the fam and I are in NC doing a lot of hiking and other outdoorsy stuff like we love to do! It might be a weird choice for some but since we’re beachy people already, going somewhere cold with mountains and waterfalls is the perfect spring getaway for us! But I’m super excited and wanted to share something with you, Reader!! I had an article published on medicinal-media.org! It’s about the importance of music in...

about 2 months ago • 1 min read

Not that time of the month for me, Reader, but certainly for a lot of people! And by people, let me just clarify: menstruating females. Yup, that's the time of the month I'm referring to. I'm just going to get into this a little bit even though it's a very big topic. But I'm noticing some trends in my practice and I know some other psychiatrists are noticing this too. Do you have anyone in your clinic diagnosed with PMDD? Premenstrual Dysphoric Disorder. Like PMS only a zillion times worse....

about 2 months ago • 2 min read

Thanks for welcoming me back to your inbox, Reader! I like hanging out here with you. And today I have a "hot topic" video! (no, not that store in the mall, although my friends may have shopped there when "special K" was all the rage) Psychedelics!! Mostly as related to treating PTSD but the info is pretty broad and can also apply to depression, anxiety, OCD, and even eating disorders! When I first started hearing about psychedelics in residency, mostly ketamine, I was pretty skeptical. When...

2 months ago • 1 min read
Share this page