Dr. Teralyn

Dr. Teralyn Dr. Teralyn Sell, PhD. Psychology-led, biology-informed authority on psychiatric medication decision-making and deprescribing. PhD on a mission! I’m really o.k.

Focused on judgment, informed consent, and long-term outcomes, without urgency, shortcuts, or reassurance-based care. You’ve Tried Everything & You Still Feel Like Sh!t

Sometimes I get told that I’m pretty much the last stop that my clients make. They come to me exhausted, disappointed, frustrated and basically tapped out. Western medicine has all but failed them and they are left feeling ‘blah’ from a bunch of prescriptions and no light at the end of the tunnel. with being the last stop because you always find what you’re looking for in the last place you look. Let’s get you feeling better, Naturally! Whether I’m the first place you’ve stopped at or the last place you will ever need I am completely stoked to help you not only feel better faster, but also really uncover why you felt that way in the first place. While we can’t change what you have endured in the past, we can work together to better comprehend and settle the challenges you face today. It’s time to stop holding back on your life and start moving forward, naturally!

03/23/2026

Not sure whats going on but the who has it worse game isn't helping. Any kind of withdrawal can be a person's personal challenge

You expect the hardest part of therapy to be something clinical.Something complex.Something heavy.And then reality answe...
03/22/2026

You expect the hardest part of therapy to be something clinical.
Something complex.
Something heavy.
And then reality answers differently.
There’s the work we’re trained for—
and then there’s the part no one mentions.
Precision matters.
Timing matters.
Control matters.
Not everything in the room is psychological.
—
I’ve never felt more seen.
—
Thankful for the telehealth mute button.

I talk about serious things.But I don’t take myself that seriously.There’s a difference.My daughter knows me and sent me...
03/22/2026

I talk about serious things.
But I don’t take myself that seriously.
There’s a difference.
My daughter knows me and sent me these on her trip. She gets it.
There was a time when I was on psych meds
where I felt flat.
More negative.
Less range.
I don’t want to go back to that.
So no—
I’m not interested in performing seriousness as a personality.
If you have to be intense all the time to be credible,
you’re working too hard.
Clarity doesn’t require a heavy presence.
It requires clean thinking.
You can hold serious conversations
and still laugh.
Still have range.
The topic carries the weight.
You don’t have to.

PSSD is not a side effect.It is a failure of long-term outcome thinking.A medication is prescribed for mood.It alters se...
03/22/2026

PSSD is not a side effect.
It is a failure of long-term outcome thinking.
A medication is prescribed for mood.
It alters sexual function during use.
That risk is framed as temporary.
For some, it isn’t.
Sexual function does not return.
Desire does not return.
Arousal does not return.
Connection changes.
This is not a small trade-off.
It alters identity, relationships, reproduction, and long-term quality of life.
And yet—
It is rarely discussed before prescribing.
Rarely monitored during use.
Often dismissed after discontinuation.
That is not informed consent.
That is selective disclosure.
Now extend the frame.
Imagine consenting on behalf of a child or adolescent
without a full accounting of long-term risk.
Imagine removing or altering sexual development
before it has even had the chance to emerge.
That is not a minor consideration.
That is a developmental decision with unknown endpoints.
The deeper issue is not just PSSD.
It is a model that prioritizes short-term symptom suppression
over long-term system impact.
When risk is framed narrowly,
people agree to decisions they would not otherwise make.
PSSD exposes the cost of that framing.
Not everyone will experience it.
But the absence of certainty is not the same as the absence of risk.
If a side effect can persist after the drug is gone,
it is no longer a side effect.
It is an outcome.
And outcomes deserve to be part of the decision.

PSSD is not a side effect.It is a failure of long-term outcome thinking.A medication is prescribed for mood.It alters se...
03/22/2026

PSSD is not a side effect.
It is a failure of long-term outcome thinking.
A medication is prescribed for mood.
It alters sexual function during use.
That risk is framed as temporary.
For some, it isn’t.
Sexual function does not return.
Desire does not return.
Arousal does not return.
Connection changes.
This is not a small trade-off.
It alters identity, relationships, reproduction, and long-term quality of life.
And yet—
It is rarely discussed before prescribing.
Rarely monitored during use.
Often dismissed after discontinuation.
That is not informed consent.
That is selective disclosure.
Now extend the frame.
Imagine consenting on behalf of a child or adolescent
without a full accounting of long-term risk.
Imagine removing or altering sexual development
before it has even had the chance to emerge.
That is not a minor consideration.
That is a developmental decision with unknown endpoints.
The deeper issue is not just PSSD.
It is a model that prioritizes short-term symptom suppression
over long-term system impact.
When risk is framed narrowly,
people agree to decisions they would not otherwise make.
PSSD exposes the cost of that framing.
Not everyone will experience it.
But the absence of certainty is not the same as the absence of risk.
If a side effect can persist after the drug is gone,
it is no longer a side effect.
It is an outcome.
And outcomes deserve to be part of the decision.
LongTermOutcomes Deprescribing BrainHealth RiskLiteracy

03/22/2026

Can we just let the chemical imbalance theory go already? Once we can stop trying to make fetch happen (ie move on) we free ourselves up to actually finding the source @🇨🇦 HealingKat52 ❤️‍🩹❌

03/22/2026

Can we just let the chemical imbalance theory go already? Once we can stop trying to make fetch happen (ie move on) we free ourselves up to actually finding the source @🇨🇦 HealingKat52 ❤️‍🩹❌

03/21/2026

The irony is obvious.
I post about anosognosia from psych meds—
loss of insight—
and the response is:
“You’re lying.”
That’s the point.
If awareness is impaired,
the person doesn’t experience themselves as impaired.
They experience themselves as correct.
So disagreement isn’t a rebuttal.
It’s often the presentation.
Orientation:
When insight is what’s altered, pushback is expected—not informative.

Anosognosia is not just illness.Sometimes it is pharmacology.Psych meds don’t just change symptoms.They can change aware...
03/21/2026

Anosognosia is not just illness.
Sometimes it is pharmacology.
Psych meds don’t just change symptoms.
They can change awareness of those symptoms.
That includes awareness of worsening.
When a drug blunts perception,
it can look like:
• stability
• compliance
• “better insight”
But the person may be less able to detect what’s off.
That starts to resemble anosognosia—
not from the illness,
but from the intervention.
Now the loop:
Worsening → reduced awareness → interpreted as improvement
Questioning → labeled as “lack of insight”
The error is using insight as an outcome
when the treatment is altering insight itself.
The real question is:
What is driving the lack of awareness?
Brain pathology?
Medication effect?
Withdrawal?
If you don’t separate those,
you will call drug-induced impairment “recovery.”

Anosognosia is not just illness.Sometimes it is pharmacology.Psych meds don’t just change symptoms.They can change aware...
03/21/2026

Anosognosia is not just illness.
Sometimes it is pharmacology.
Psych meds don’t just change symptoms.
They can change awareness of those symptoms.
That includes awareness of worsening.
When a drug blunts perception,
it can look like:
• stability
• compliance
• “better insight”
But the person may be less able to detect what’s off.
That starts to resemble anosognosia—
not from the illness,
but from the intervention.
Now the loop:
Worsening → reduced awareness → interpreted as improvement
Questioning → labeled as “lack of insight”
The error is using insight as an outcome
when the treatment is altering insight itself.
The real question is:
What is driving the lack of awareness?
Brain pathology?
Medication effect?
Withdrawal?
If you don’t separate those,
you will call drug-induced impairment “recovery.”
Deprescribing MentalHealthTruth ClinicalJudgment

Address

Menasha, WI

Website

Alerts

Be the first to know and let us send you an email when Dr. Teralyn posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Dr. Teralyn:

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram