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The Thrive Journal
Straight answers, written by the clinician.
Evidence-first articles on psychiatry, advanced treatment, and longevity — no hype, sources linked.
Two failed antidepressants is a starting point, not a verdict. The re-evaluation that comes first, and the ladder past it.
Psychiatry · Jay Borrego, DNP, PMHNP-BC, CRNA
Coverage, control, and fit — the three questions that actually decide it.
Psychiatry
What “treatment-resistant depression” actually means — and what comes next
It doesn't mean untreatable. The re-evaluation that matters and the escalation ladder past it.
Why we rule out sleep, mood and thyroid first — and what happens at the visit.
Advanced care
Does insurance cover Spravato® in Florida?
Usually yes — criteria, prior auth, and what you'll actually pay.
Wellness & Longevity
Perimenopause, hormones and mood
The gap between two specialties — and how one chart closes it.
Prefer it all in one place? Read the honest starter guide
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