The Journal
Notes from The Sanctuary.
Reflections on whole-person care, and the quiet work of healing.
Philosophy
What it means to be seen.
Psychiatry, at its best, is not about a diagnosis. It is about being understood.
More from the Journal
Private Psychiatry
You are allowed to question the bill.
October 31, 2026
Insurance paperwork is not a test of your competence. On verifying benefits before care, asking the right questions, and not paying an invoice you were never meant to owe.
Reflections
The Lies We Tell, The Masks We Wear, and The Truths We Hide
October 28, 2026
Not every lie is spoken out loud. On the masks we wear to survive, and the difference between choosing what to share and feeling you have no choice but to hide.
Reflections
A Little About Me, and the Art of Becoming
October 18, 2026
Why The Sanctuary & Co. exists, and what it means to build a life that feels intentional.
Mental Health & Wellness
Why you get sick the moment you finally rest.
October 18, 2026
The vacation cold, the Saturday headache, and what your nervous system is doing when the pressure finally lifts.
Ketamine Therapy
Ketamine therapy, and the relief that can arrive within days.
October 17, 2026
Why we offer ketamine when standard antidepressants have not been enough, how it works, and what the first few weeks of treatment tend to look like.
SPRAVATO® (esketamine)
SPRAVATO®, and what the first month of treatment looks like.
October 17, 2026
Why we offer SPRAVATO®, how esketamine works alongside an oral antidepressant, and how the first four weeks of treatment usually unfold.
Mental Health & Wellness
When the Seasons Change, So Can Our Mood: Understanding Seasonal Depression
October 15, 2026
As the days grow shorter, changes in mood, sleep, and energy may signal seasonal depression. Dr. L shares how to recognize the signs and care for your mental health.
Reflections
When you’re functioning, but you don’t feel okay.
September 5, 2026
You can keep showing up, performing, and taking care of everyone around you while quietly knowing that something in you does not feel right.
Private Psychiatry
Private-Pay Psychiatry vs. Insurance-Based Psychiatry: What Patients Should Know
September 5, 2026
Learn how private-pay and insurance-based psychiatry differ in cost, appointment structure, privacy, flexibility, medication coverage, and out-of-network benefits.
Reflections
On the slowness of real care.
August 5, 2026
Why we resist the rush, and what a thoughtful pace makes room for.
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