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Q: I’m on antidepressants and want to explore psychedelic therapy. What do I need to know about tapering off [Selective Serotonin Reuptake Inhibitors] safely, and how long should I wait? A: This is one of the most common and important questions I receive, and I’m glad you’re thinking about safety first. Before I dive in, I […]

Caring for elderly parents who are no longer able to care for themselves is an experience that few are prepared for.  Elderly people who live alone have compounding medical issues, and those suffering from dementia related cognitive decline, present a multifaceted set of concerns.  Adult children and families who are going through this experience with […]

Dear Dr. Jane, My wife and I have been married for almost 25 years. Our youngest is graduating high school in June and heading to the dorms. We love each other very much and have a nice connection, but we’re hoping to spice things up a little. We aren’t into anything like swinging or threesomes. […]

I’m nervous. Although my messages almost always focus on love in one way or another, and love can be one of the touchiest topics we can discuss, this message potentially adds an even touchier topic, politics.  Politics and Love.                                                                                                                                        You’d be nervous, too. To be completely open, politics is not a topic I know much […]

I’m not talking about the nonhuman animate things we name, such as pets, even plants, but rather the inanimate things, like houses, boats, cars or even vacuum cleaners. I grew up in houses named Up Yonder and Verte Feuille, learned to sail in the Me Too. Since moving to Oregon, houses have been christened Dorothy’s, […]

Q: I’ve enjoyed MDMA recreationally several times with friends – the euphoria and deep connection to music, environment, and community feels profound. However, I consistently experience blues and low energy in the days following. Can you help me understand why this happens and how to minimize it? I’m also curious about MDMA’s therapeutic potential – […]

Have you ever heard someone tell you they are excited to go the dentist and have their teeth worked on? It is a rare individual indeed, and for that reason many preventative care visits are delayed, and many necessary treatments are deferred for much longer than they should be. It has long been understood that […]

Dear Dr. Jane, My wife and I have been married for close to 10 years, together for 15. In general, we get along really well, but sex is almost non-existent at this point. I can count on one hand the number of times we were intimate in 2025. When we first met, we were both incredibly […]

Oregon is considering legislation to address an issue no parent should ever have to contend with – non fatal pediatric cannabis overdoses. While childless, I have been enlisted by friends with children who have eaten cannabis edibles, and had adverse reactions. Thankfully, the worst of it was their offspring being, well, really high, then sleeping […]

When they tell you “You can’t go on that path, it is beyond you!” —grab that path as your destiny. ~Likutei Sichot Hero #1 Just recently I met a woman, Julie Lorenzen, at the Larkspur Community Center where I do my morning workouts. The Center has become more of a holy sanctuary to me than […]