Priya Ramaswamy, a thirty-four-year-old graphic designer in Minneapolis, came home from a five-day inpatient stay with two pages of discharge paperwork and a recommendation that she enrol in either “the day hospital program at the medical centre” or “a PHP through her insurance network.” She spent most of an afternoon trying to figure out which … Read more
The Three AM Question It is three in the morning. You cannot sleep. Your chest feels tight. Your thoughts are spiraling. The anxiety that has been building for weeks has finally become unbearable. Or maybe it is not anxiety at all. Maybe the depression has shifted into something darker, something that makes you wonder whether … Read more
The Three AM Question It is three in the morning. You cannot sleep. Your chest feels tight. Your thoughts are spiraling. The anxiety that has been building for weeks has finally become unbearable. Or maybe it is not anxiety at all. Maybe the depression has shifted into something darker, something that makes you wonder whether … Read more
Marcus, a 58-year-old retired ironworker living outside Pittsburgh, opened his union benefits packet in October and stared at a phrase he hadn’t seen since the 1980s: “indemnity plan option.” His daughter had recently begun weekly therapy sessions for postpartum depression, and his own primary care doctor wanted him to see a psychiatrist about lingering grief … Read more
Marcus, a 58-year-old retired ironworker living outside Pittsburgh, opened his union benefits packet in October and stared at a phrase he hadn’t seen since the 1980s: “indemnity plan option.” His daughter had recently begun weekly therapy sessions for postpartum depression, and his own primary care doctor wanted him to see a psychiatrist about lingering grief … Read more
Devon, a 31-year-old graphic designer in Boise, started seeing his therapist over Zoom in March 2020 and never went back to in-person sessions. Five and a half years later, in November 2025, he received an unexpected letter from his insurance carrier announcing that audio-only telehealth would no longer be covered after January 1, 2026, and … Read more
Devon, a 31-year-old graphic designer in Boise, started seeing his therapist over Zoom in March 2020 and never went back to in-person sessions. Five and a half years later, in November 2025, he received an unexpected letter from his insurance carrier announcing that audio-only telehealth would no longer be covered after January 1, 2026, and … Read more
Priya, a 28-year-old paralegal in Chicago, drank her first cup of coffee at 6:45 a.m., a second at 9:30, an iced oat-milk latte after lunch, and a Diet Coke around 4 p.m. Her panic attacks started in October. By December she was waking at 3 a.m. with her heart racing, convinced she was dying. The … Read more
Priya, a 28-year-old paralegal in Chicago, drank her first cup of coffee at 6:45 a.m., a second at 9:30, an iced oat-milk latte after lunch, and a Diet Coke around 4 p.m. Her panic attacks started in October. By December she was waking at 3 a.m. with her heart racing, convinced she was dying. The … Read more
Marisol Pereira had been a foster parent in Eugene for eleven years before she said yes to her first therapeutic foster care placement. The boy was fourteen, named Jaden, and had cycled through nine placements since age seven. He had been hospitalized four times for self-harm and was stepping down from residential treatment in Idaho. … Read more