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Filtered field notes — Mental Health.

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Tag · Mental Health
Archive

All mental health posts.

Sorted newest first. Each post links primary sources and methodology.

Therapy Speak: Why Everyone Calls Their Ex a Narcissist Now

A clinician's autopsy of how clinical vocabulary slid out of the consulting room and into TikTok captions — and what that costs the people who actually meet criteria.

May 02, 2026 Matthew Sexton, LCSW

Schizoid Personality Disorder: What Clinicians Miss and What Clients Are Trying to Say

Schizoid personality disorder is one of the most misunderstood diagnoses in clinical practice. Here's what the lone wolf is actually telling you — and how to actually help.

Apr 16, 2026 Matthew Sexton, LCSW

What Burnout Actually Is — And Why Recovery Isn't About Working Less

Burnout gets treated like an energy problem. It isn't. It's a meaning problem, a control problem, and sometimes a clinical problem — and the fix isn't a vacation.

Apr 10, 2026 Matthew Sexton, LCSW

Your Doctor Asked About Your Housing and Food. Then Nothing Happened. Here's Why.

Two-thirds of clinics now screen patients for housing instability, food insecurity, and social needs. But 1 in 4 positive screens never lead to a completed referral. If you've ever felt like the system asked a question it wasn't ready to answer — you were right.

Apr 07, 2026 Matthew Sexton, LCSW

Why AI Mental Health Apps Keep Failing You — And What Actually Works

AI wellness apps are everywhere. Most of them fall short in predictable ways. Here's what the research says about what actually works — and how to tell the difference before you spend money on something that won't help.

Apr 03, 2026 Matthew Sexton, LCSW

How to Actually Use Your EAP (And Why Most Employees Don't)

Employee Assistance Programs cover therapy, legal help, financial counseling, and more — for free. So why do fewer than 5% of employees ever use them? Here's how to change that.

Apr 02, 2026 Matthew Sexton, LCSW

Financial Toxicity: The Chronic Illness Cost Nobody Talks About

There's a clinical term for what happens when medical bills start breaking your mind as much as your body. Here's what financial toxicity is, why it matters for mental health, and what you — and your organization — can do about it.

Mar 27, 2026 Matthew Sexton, LCSW

An $8 Billion Industry That Can't Detect a Suicide — Why AI Mental Health Tools Are Failing

WHO says clinicians must build AI mental health tools. VERA-MH data shows chatbots can't detect suicide risk. Here's what happens when engineers build therapy without therapists.

Mar 25, 2026 Matthew Sexton, LCSW

What Is Mental Wealth? And Why Maintenance Isn't Enough

Mental health is maintenance — keeping things from falling apart. Mental wealth is accumulation — building something that compounds over time. Here's the difference and why it matters.

Mar 16, 2026 Matthew Sexton, LCSW

What Does Evidence-Based Therapy Actually Mean?

You've heard the term evidence-based therapy — but what does it actually mean? A licensed therapist breaks it down in plain English.

Mar 16, 2026 Matthew Sexton, LCSW

Mental Health Therapy for Healthcare Workers and Transplant Patients: When Caregivers and Survivors Need Care

Therapy, coaching, and consulting all promise to help — but they're fundamentally different. Here's how to know which one is right for you.

Mar 16, 2026 Matthew Sexton, LCSW

Signs You Need Therapy — Not Just Self-Help

Self-help has its place. But when the books, podcasts, and journaling aren't moving the needle, it might be time for something more. Here's how to tell the difference.

Mar 16, 2026 Matthew Sexton, LCSW

What Does Evidence-Based Therapy Actually Mean?

Cut through the jargon — what evidence-based therapy really is, why it matters for your mental health, and how to know if you're getting the real deal.

Mar 16, 2026 Matthew Sexton, LCSW

Emotional Regulation Is a Skill, Not a Personality Trait

You weren't born good or bad at managing emotions. Emotional regulation is a trainable skill — and the research shows exactly how to build it.

Mar 16, 2026 Matthew Sexton, LCSW

Burnout Is Not Just Tiredness — The Clinical Reality

Burnout isn't being tired after a hard week. It's a clinical syndrome with real neurological consequences — and rest alone won't fix it.

Mar 16, 2026 Matthew Sexton, LCSW

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