{
  "site_id": "shrinkiatry",
  "site": "shrinkiatry",
  "url": "https://shrinkiatry.com/",
  "role": "profession",
  "network_registry": "https://shrinknetwork.com/network.json",
  "concept_source": "https://shrinktionary.com/concepts.json",
  "downloads": "https://shrinkiatry.com/downloads.json",
  "author": {
    "@id": "https://shariqrefai.com/#person"
  },
  "reviewedBy": {
    "@id": "https://shariqrefai.com/#person"
  },
  "publisher": "shrinkMD Publishing, LLC",
  "version": 1,
  "updated": "2026-07-23",
  "review_cadence": "quarterly",
  "next_review": "2026-10-01",
  "note": "shrinkiatry is the profession layer of The Shrink Network: how psychiatrists train, how practices are built and paid, the ethics and economics of care, and the systems behind clinical work. Professional commentary and education, not medical advice. concept_ids are canonical Shrinktionary slugs (the network's language layer).",
  "feeds": {
    "rss": "https://shrinkiatry.com/feed.xml",
    "sitemap": "https://shrinkiatry.com/sitemap.xml",
    "llms": "https://shrinkiatry.com/llms.txt"
  },
  "named_systems": [
    {
      "name": "The Psychiatry Operating Room",
      "url": "https://shrinkiatry.com/psychiatry-operating-room/",
      "description": "An interactive map of the behind-the-scenes areas of psychiatric practice."
    }
  ],
  "kinds": [
    {
      "id": "legal",
      "label": "Policy or legal"
    },
    {
      "id": "article",
      "label": "Article"
    },
    {
      "id": "hub",
      "label": "Section hub"
    },
    {
      "id": "home",
      "label": "Home and front door"
    },
    {
      "id": "flagship",
      "label": "Flagship interactive"
    },
    {
      "id": "tool",
      "label": "Interactive tool"
    }
  ],
  "count": 99,
  "pages": [
    {
      "url": "https://shrinkiatry.com/about/",
      "title": "About shrinkiatry",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "about",
      "summary": "About shrinkiatry: the publication about the profession of psychiatry and the profession-intelligence layer of The Shrink Network."
    },
    {
      "url": "https://shrinkiatry.com/accessibility/",
      "title": "Accessibility",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "accessibility",
      "summary": "shrinkiatry accessibility statement: we aim for WCAG 2.2 Level AA, support assistive technology, and welcome reports of barriers."
    },
    {
      "url": "https://shrinkiatry.com/ai-use/",
      "title": "AI use",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "ai-use",
      "summary": "How shrinkiatry uses AI: human-directed, psychiatrist-reviewed, with all facts and sources verified by people, and no AI medical advice."
    },
    {
      "url": "https://shrinkiatry.com/business/cash-pay-vs-insurance/",
      "title": "Cash-pay vs insurance in psychiatry",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "business",
      "summary": "Why so many psychiatrists go out of network, what cash-pay buys, and what it does to access and income, explained with sources."
    },
    {
      "url": "https://shrinkiatry.com/business/how-private-psychiatry-practices-work/",
      "title": "How Private Psychiatry Practices Work",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "business",
      "summary": "How private psychiatry practices work: structure, payer mix, overhead, staffing, and the tradeoffs behind running an independent psychiatric practice."
    },
    {
      "url": "https://shrinkiatry.com/business/",
      "title": "The Business of Psychiatry",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "business",
      "summary": "How psychiatric practices are built, paid, and run: cash-pay vs insurance, practice models, documentation, and controlled-substance rules."
    },
    {
      "url": "https://shrinkiatry.com/business/the-economics-of-insurance-free-practice/",
      "title": "The economics of insurance-free psychiatry",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-05",
      "reviewed": "2026-07-05",
      "section": "business",
      "summary": "The economics of insurance-free psychiatry: the cash-pay math, lower billing overhead, no claim denials, and the honest access tradeoff for clinicians."
    },
    {
      "url": "https://shrinkiatry.com/business/what-to-look-for-in-a-telepsychiatry-employer/",
      "title": "What to look for in a telepsychiatry employer",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-05",
      "reviewed": "2026-07-05",
      "section": "business",
      "summary": "What to look for in a telepsychiatry employer: pay structure, panel and visit length, documentation support, malpractice, autonomy, and burnout warning signs."
    },
    {
      "url": "https://shrinkiatry.com/business/why-controlled-substances-are-different/",
      "title": "Why Controlled Substances Are Different",
      "kind": "article",
      "concept_ids": [
        "controlled-substance",
        "benzodiazepine"
      ],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "business",
      "summary": "Why controlled substances are handled differently in psychiatry: DEA scheduling, prescribing rules, and how they reshape practice. Educational only."
    },
    {
      "url": "https://shrinkiatry.com/business/why-documentation-shapes-care/",
      "title": "Why Documentation Shapes Care",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "business",
      "summary": "Why documentation shapes psychiatric care: how the clinical note drives billing, liability, continuity, time, and burnout, and what ambient AI is changing."
    },
    {
      "url": "https://shrinkiatry.com/careers/how-psychiatry-residency-works/",
      "title": "How Psychiatry Residency Works",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "careers",
      "summary": "A clear, sourced explanation of how psychiatry residency works: four years, the PGY ladder, what each year trains, and the board exam at the end."
    },
    {
      "url": "https://shrinkiatry.com/careers/",
      "title": "Careers in Psychiatry",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "careers",
      "summary": "How psychiatrists are trained and certified: residency, board certification, fellowships, and the many shapes a psychiatry career can take."
    },
    {
      "url": "https://shrinkiatry.com/careers/multistate-licensure-telepsychiatry/",
      "title": "Multistate licensure for telepsychiatry",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-05",
      "reviewed": "2026-07-05",
      "section": "careers",
      "summary": "Multistate licensure for telepsychiatry: the IMLC for physicians, the Nurse and APRN compacts for nurse practitioners, and why multistate reach matters."
    },
    {
      "url": "https://shrinkiatry.com/careers/pmhnp-independent-practice/",
      "title": "How PMHNPs practice independently",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-05",
      "reviewed": "2026-07-05",
      "section": "careers",
      "summary": "How PMHNPs practice independently: full, reduced, and restricted practice authority, collaboration agreements, and what it means for telepsychiatry."
    },
    {
      "url": "https://shrinkiatry.com/careers/psychiatrist-vs-psychologist-vs-therapist/",
      "title": "Psychiatrist vs Psychologist vs Therapist",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "careers",
      "summary": "Psychiatrist vs psychologist vs therapist: the real differences in training, scope, and prescribing, explained by a board-certified psychiatrist."
    },
    {
      "url": "https://shrinkiatry.com/careers/what-board-certification-means/",
      "title": "What Board Certification Means",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "careers",
      "summary": "What board certification in psychiatry means: how ABPN certification works, what it guarantees, what it doesn't, and how it is kept current."
    },
    {
      "url": "https://shrinkiatry.com/careers/work-in-psychiatry/",
      "title": "Working in psychiatry",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-05",
      "reviewed": "2026-07-05",
      "section": "careers",
      "summary": "Independent and telepsychiatry careers for psychiatrists and PMHNPs: how the models compare on pay, autonomy, and burnout, from the profession lens."
    },
    {
      "url": "https://shrinkiatry.com/contact/",
      "title": "Contact",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "contact",
      "summary": "Contact shrinkiatry: email support@shrinkiatry.com for questions, corrections, interview suggestions, or feedback."
    },
    {
      "url": "https://shrinkiatry.com/cookies/",
      "title": "Cookie policy",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "cookies",
      "summary": "How shrinkiatry uses cookies: Google Analytics only with your consent, denied by default. No advertising, no data selling. How to decline or change your mind."
    },
    {
      "url": "https://shrinkiatry.com/copyright/",
      "title": "Copyright",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "copyright",
      "summary": "shrinkiatry copyright: content and branding owned by shrinkMD Publishing, LLC. Read, link, and quote with attribution; republishing needs permission."
    },
    {
      "url": "https://shrinkiatry.com/corrections/",
      "title": "Corrections",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "corrections",
      "summary": "shrinkiatry corrections policy: how to report a mistake, how we verify and fix it openly, and how corrections differ from updates."
    },
    {
      "url": "https://shrinkiatry.com/culture/burnout-in-psychiatry/",
      "title": "Why Psychiatrists Burn Out",
      "kind": "article",
      "concept_ids": [
        "burnout"
      ],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "culture",
      "summary": "Burnout in psychiatry: what national data shows, where the specialty sits relative to others, what drives it, and what protects against it. Honest and sourced."
    },
    {
      "url": "https://shrinkiatry.com/culture/",
      "title": "The Culture of Psychiatry",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "culture",
      "summary": "History, ethics, professional identity, and public perception of psychiatry: the reflective, behind-the-scenes layer of the profession."
    },
    {
      "url": "https://shrinkiatry.com/culture/professional-identity-in-psychiatry/",
      "title": "Psychiatry's professional identity",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "culture",
      "summary": "Who psychiatrists understand themselves to be: physicians first, the biopsychosocial model, and the tension between biology and psychotherapy."
    },
    {
      "url": "https://shrinkiatry.com/culture/stigma-inside-medicine/",
      "title": "The stigma psychiatry carries inside medicine",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "culture",
      "summary": "How other specialties regard psychiatry, the 'not real medicine' bias, and how that stigma affects recruitment and the workforce."
    },
    {
      "url": "https://shrinkiatry.com/culture/the-hidden-curriculum/",
      "title": "The hidden curriculum in psychiatry training",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "culture",
      "summary": "What residency teaches without meaning to: the informal lessons about status, emotion, and what really counts, and why they outlast the formal curriculum."
    },
    {
      "url": "https://shrinkiatry.com/culture/why-the-volume-model-burns-clinicians-out/",
      "title": "Why the volume model burns clinicians out",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-05",
      "reviewed": "2026-07-05",
      "section": "culture",
      "summary": "Why the volume model burns clinicians out: double-booked panels, 15-minute med checks, quotas, and moral injury as a better frame than personal failing."
    },
    {
      "url": "https://shrinkiatry.com/decoder/",
      "title": "The Psychiatry Decoder",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Plain-English answers to the puzzling realities of psychiatric care: why visits feel short, why the notes, why slow dose changes, and why the wait."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-a-diagnosis-can-change/",
      "title": "Why a diagnosis can change over time",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Why a psychiatric diagnosis can change: the first one is a working hypothesis, and updating it as the picture clarifies is careful medicine."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-appointments-feel-short/",
      "title": "Why appointments can feel short",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Why psychiatric appointments feel short: medication-management visits, billing codes, documentation, and the workforce shortage all compress the time."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-controlled-substances-have-extra-rules/",
      "title": "Why controlled substances have extra rules",
      "kind": "article",
      "concept_ids": [
        "controlled-substance"
      ],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Why controlled substances carry extra rules: stimulants and benzodiazepines are federally scheduled, which drives refills, visits, and telehealth limits."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-getting-an-appointment-is-hard/",
      "title": "Why getting an appointment is so hard",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Why getting a psychiatry appointment is hard: a real workforce shortage, thin insurance networks, and uneven geography, all at once."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-medication-changes-are-gradual/",
      "title": "Why medication changes are gradual",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Why psychiatric medication changes are gradual: many drugs take weeks to work, side effects peak early, and slow changes keep the signal clean."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-prior-authorization-delays-medication/",
      "title": "Why prior authorization delays your medication",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Prior authorization explained: why your insurer makes your psychiatrist justify a prescription, why it delays care, and how it ties to parity."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-psychiatrists-ask-certain-questions/",
      "title": "Why psychiatrists ask certain questions",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Why psychiatrists ask about sleep, appetite, and family history: the questions map directly to how a diagnosis is built and to safety."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-some-psychiatrists-dont-take-insurance/",
      "title": "Why some psychiatrists don't take insurance",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Why some psychiatrists don't take insurance: low reimbursement, heavy administration, and hard-to-join networks push many to cash-pay."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-stimulants-need-an-in-person-visit/",
      "title": "Why stimulants need an in-person visit",
      "kind": "article",
      "concept_ids": [
        "stimulant"
      ],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Why psychiatrists often won't prescribe a stimulant like Adderall at a first telehealth visit: the DEA rules, the diagnosis, and misuse pressure."
    },
    {
      "url": "https://shrinkiatry.com/decoder/why-your-psychiatrist-takes-notes/",
      "title": "Why your psychiatrist takes notes",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "decoder",
      "summary": "Why your psychiatrist takes notes: the note is a legal record, a billing document, and the thread that carries your plan between visits."
    },
    {
      "url": "https://shrinkiatry.com/disclosures/",
      "title": "Disclosures",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "disclosures",
      "summary": "shrinkiatry disclosures: the editor's financial interests in shrinkMD, books, and apps, stated plainly. No ads, no affiliate commissions, no paid placement."
    },
    {
      "url": "https://shrinkiatry.com/economics/ghost-networks/",
      "title": "Ghost networks: when the directory lies",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "economics",
      "summary": "Insurance directories list psychiatrists who can't be reached or aren't in network. A 2023 Senate study put numbers on it. Here's what that means for access."
    },
    {
      "url": "https://shrinkiatry.com/economics/",
      "title": "The Economics of Psychiatry",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "economics",
      "summary": "The workforce shortage, reimbursement, supply and demand, and the economics that shape access to psychiatric care, explained with sources."
    },
    {
      "url": "https://shrinkiatry.com/economics/mental-health-parity/",
      "title": "Mental health parity, and why it hasn't landed",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "economics",
      "summary": "The parity law says mental health coverage must match medical coverage. Enforcement is another story, and the 2024 rule is currently not being enforced."
    },
    {
      "url": "https://shrinkiatry.com/economics/the-psychiatrist-shortage/",
      "title": "Why the Psychiatrist Shortage Persists",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "economics",
      "summary": "The psychiatrist shortage explained: how big it is, why it persists, where it concentrates, and what actually expands access to care."
    },
    {
      "url": "https://shrinkiatry.com/editorial-standards/",
      "title": "Editorial standards",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "editorial-standards",
      "summary": "shrinkiatry editorial standards: accuracy first, psychiatrist review, careful sourcing, independence, labeled opinion, and open corrections."
    },
    {
      "url": "https://shrinkiatry.com/editorial-strategy/",
      "title": "Editorial strategy",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-23",
      "reviewed": "2026-07-23",
      "section": "editorial-strategy",
      "summary": "How shrinkiatry decides what to publish, what it owns versus hands off to the rest of The Shrink Network, its evidence standard, how it routes readers to care, and how it stays independent."
    },
    {
      "url": "https://shrinkiatry.com/editorial-team/",
      "title": "Editorial team",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2024-07-01",
      "reviewed": "2026-07-07",
      "section": "editorial-team",
      "summary": "The shrinkiatry editorial team: Shariq Refai, MD, MBA, FAPA, a board-certified psychiatrist, and the review standard behind the publication."
    },
    {
      "url": "https://shrinkiatry.com/ethics/capacity-and-consent/",
      "title": "Capacity, competence, and who gets to decide",
      "kind": "article",
      "concept_ids": [
        "informed-consent"
      ],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "ethics",
      "summary": "Decision-making capacity: the four abilities clinicians assess, how capacity differs from competence, and why a patient can refuse care you think they need."
    },
    {
      "url": "https://shrinkiatry.com/ethics/how-involuntary-commitment-works/",
      "title": "How involuntary commitment actually works",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "ethics",
      "summary": "Involuntary psychiatric commitment explained: the legal standards, who can initiate a hold, how long it lasts, and why the rules change at the state line."
    },
    {
      "url": "https://shrinkiatry.com/ethics/",
      "title": "Ethics in Psychiatry",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "ethics",
      "summary": "Confidentiality, capacity, consent, boundaries, and conflicts of interest: the ethical framework behind responsible psychiatric practice."
    },
    {
      "url": "https://shrinkiatry.com/ethics/limits-of-confidentiality/",
      "title": "The limits of confidentiality in psychiatry",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "ethics",
      "summary": "What psychiatrists can and can't keep private: the duty to protect after Tarasoff, mandatory reporting, and why the answer changes at the state line."
    },
    {
      "url": "https://shrinkiatry.com/ethics/two-year-rule-for-therapists/",
      "title": "What is the 2-year rule for therapists?",
      "kind": "article",
      "concept_ids": [
        "boundaries"
      ],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "ethics",
      "summary": "The 2-year rule sets how long a therapist must wait before a relationship with a former client. What it says, why it exists, and how it differs by profession."
    },
    {
      "url": "https://shrinkiatry.com/evidence-methodology/",
      "title": "How we evaluate evidence",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "evidence-methodology",
      "summary": "How shrinkiatry evaluates evidence: primary and authoritative sources, separating what's shown from what's claimed, and stating uncertainty plainly."
    },
    {
      "url": "https://shrinkiatry.com/how-we-build-content/",
      "title": "How we build content",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "how-we-build-content",
      "summary": "How shrinkiatry builds content: real questions, primary sources, plain-language drafting, psychiatrist review, full sourcing, and ongoing updates."
    },
    {
      "url": "https://shrinkiatry.com/",
      "title": "shrinkiatry | The Profession. Understood.",
      "kind": "home",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "summary": "shrinkiatry explains the profession, culture, business, ethics, training, technology, and behind-the-scenes realities of psychiatry. Part of The Shrink Network."
    },
    {
      "url": "https://shrinkiatry.com/innovation/",
      "title": "Innovation in Psychiatry",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "innovation",
      "summary": "Measurement-based care, digital therapeutics, precision approaches, and AI in psychiatry, with an honest read on the evidence."
    },
    {
      "url": "https://shrinkiatry.com/innovation/interventional-psychiatry/",
      "title": "Interventional psychiatry as a service line",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "innovation",
      "summary": "TMS, ECT, and esketamine are the treatments psychiatry actually delivers as procedures. What it takes to run them, and why most practices don't."
    },
    {
      "url": "https://shrinkiatry.com/innovation/measurement-based-care/",
      "title": "Measurement-based care",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "innovation",
      "summary": "Measurement-based care uses brief scales like the PHQ-9 and GAD-7 to track symptoms each visit. The evidence, and why adoption in psychiatry lags."
    },
    {
      "url": "https://shrinkiatry.com/innovation/prescription-digital-therapeutics/",
      "title": "Prescription digital therapeutics",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "innovation",
      "summary": "Prescription digital therapeutics are FDA-cleared software treatments. What's actually authorized, what the evidence shows, and why coverage lags."
    },
    {
      "url": "https://shrinkiatry.com/innovation/psychedelic-assisted-therapy/",
      "title": "Psychedelic-assisted therapy: where it stands",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "innovation",
      "summary": "No classic psychedelic-assisted therapy has FDA approval as of July 2026. MDMA was rejected in 2024. Here's the evidence, the trial problems, and what's next."
    },
    {
      "url": "https://shrinkiatry.com/leadership/clinical-leadership-in-psychiatry/",
      "title": "Clinical leadership in psychiatry",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "leadership",
      "summary": "What leadership means in psychiatry: medical directors, department chairs, leading multidisciplinary teams, and systems thinking."
    },
    {
      "url": "https://shrinkiatry.com/leadership/",
      "title": "Leadership in Psychiatry",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "leadership",
      "summary": "How psychiatrists lead practices, departments, and care teams: clinical leadership, supervision, and systems thinking in psychiatry."
    },
    {
      "url": "https://shrinkiatry.com/leadership/supervision-in-psychiatry/",
      "title": "How psychiatrists train the next generation",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "leadership",
      "summary": "Supervision and teaching in psychiatry: the attending and resident structure, what ACGME requires, and how clinical judgment gets passed down."
    },
    {
      "url": "https://shrinkiatry.com/leadership/what-a-medical-director-does/",
      "title": "What a psychiatry medical director does",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "leadership",
      "summary": "The medical director role in psychiatry: what the job involves, the authority it does and doesn't carry, and why clinical excellence doesn't prepare you for it."
    },
    {
      "url": "https://shrinkiatry.com/medical-disclaimer/",
      "title": "Medical disclaimer",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "medical-disclaimer",
      "summary": "shrinkiatry medical disclaimer: educational and professional commentary only, not medical advice, and not a substitute for a licensed clinician."
    },
    {
      "url": "https://shrinkiatry.com/opinion/a-ghost-network-is-a-parity-violation/",
      "title": "A ghost network is a parity violation",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "opinion",
      "summary": "An editorial: if the psychiatrists in your directory can't be reached, the plan hasn't covered mental health care. It has covered the appearance of it."
    },
    {
      "url": "https://shrinkiatry.com/opinion/cash-pay-is-a-symptom/",
      "title": "Cash-Pay Psychiatry: A Symptom, Not a Villain",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "opinion",
      "summary": "An editorial: psychiatrists dropping insurance is a rational response to low reimbursement, not greed. Plus the strongest access counterargument."
    },
    {
      "url": "https://shrinkiatry.com/opinion/",
      "title": "Psychiatry Opinion",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "opinion",
      "summary": "Clearly labeled editorials and arguments about psychiatry: ethics, policy, technology, and the direction of the profession."
    },
    {
      "url": "https://shrinkiatry.com/opinion/the-15-minute-med-check-is-a-policy-choice/",
      "title": "The 15-minute med check is a policy choice",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "opinion",
      "summary": "An editorial: the short psychiatric follow-up isn't a clinical standard or a moral failing. It's the predictable output of how the visit gets paid for."
    },
    {
      "url": "https://shrinkiatry.com/opinion/we-cant-train-our-way-out-of-the-shortage/",
      "title": "We can't train our way out of the shortage",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "opinion",
      "summary": "An editorial: more residency slots alone won't fix access. Distribution, pay, and care models matter more. Plus the counterargument."
    },
    {
      "url": "https://shrinkiatry.com/privacy/",
      "title": "Privacy policy",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "privacy",
      "summary": "shrinkiatry privacy policy: what we collect, Google Analytics only with your consent and denied by default, no ads, no data sales, and how to opt out."
    },
    {
      "url": "https://shrinkiatry.com/psychiatry-operating-room/",
      "title": "The Psychiatry Operating Room",
      "kind": "flagship",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "psychiatry-operating-room",
      "summary": "The behind-the-scenes map of psychiatric practice: training, judgment, documentation, telepsychiatry, ethics, medication rules, AI, and access."
    },
    {
      "url": "https://shrinkiatry.com/reports/",
      "title": "Psychiatry Reports",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "reports",
      "summary": "Data-driven briefs on the state of psychiatry from public sources: workforce, telepsychiatry, burnout, technology adoption, and compensation."
    },
    {
      "url": "https://shrinkiatry.com/reports/mental-health-need-met-by-state/",
      "title": "Mental-health need met, by state",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-16",
      "reviewed": "2026-07-16",
      "section": "reports",
      "summary": "How much of each state's mental-health need is met, from HRSA shortage-area data: every state ranked, plus the clinicians it would take to close the gap."
    },
    {
      "url": "https://shrinkiatry.com/reports/psychiatrist-compensation/",
      "title": "Psychiatrist compensation, by the numbers",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "reports",
      "summary": "Psychiatrist compensation, by the numbers: pay ranges by employment type and setting, how psychiatry compares to other specialties, and the cash-pay split."
    },
    {
      "url": "https://shrinkiatry.com/reports/psychiatrists-by-state/",
      "title": "Psychiatrists per capita, by state",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-16",
      "reviewed": "2026-07-16",
      "section": "reports",
      "summary": "Psychiatrists per capita by state: all 50 states and DC ranked by residents per psychiatrist, from federal specialty counts and US Census population."
    },
    {
      "url": "https://shrinkiatry.com/reports/what-1099-telepsychiatry-pays/",
      "title": "What 1099 telepsychiatry actually pays",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-05",
      "reviewed": "2026-07-05",
      "section": "reports",
      "summary": "What 1099 telepsychiatry pays: per-visit, hourly, and percentage-of-collections pay structures, reported ranges, and the self-employment tradeoffs."
    },
    {
      "url": "https://shrinkiatry.com/reports/where-the-psychiatrists-are/",
      "title": "Where the psychiatrists are",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "reports",
      "summary": "Where the psychiatrists are: the geography of the workforce, why it concentrates in metro and academic hubs, and the counties with no psychiatrist."
    },
    {
      "url": "https://shrinkiatry.com/research-digest/can-we-predict-suicide/",
      "title": "Can we predict suicide?",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "research-digest",
      "summary": "A meta-analysis of 50 years of research found risk factors predict suicidal behavior barely better than chance. What that means for clinical practice."
    },
    {
      "url": "https://shrinkiatry.com/research-digest/collaborative-care-evidence/",
      "title": "Collaborative care: what the evidence shows",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "research-digest",
      "summary": "Collaborative care: what the evidence shows. The IMPACT trial, the effect on depression, where it works, and the real limits and implementation barriers."
    },
    {
      "url": "https://shrinkiatry.com/research-digest/do-burnout-interventions-work/",
      "title": "Do burnout interventions work?",
      "kind": "article",
      "concept_ids": [
        "burnout"
      ],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "research-digest",
      "summary": "A meta-analysis of controlled trials found burnout interventions help only modestly, and that fixing the organization beats fixing the doctor."
    },
    {
      "url": "https://shrinkiatry.com/research-digest/",
      "title": "Psychiatry Research Digest",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "research-digest",
      "summary": "Practice-relevant psychiatry research, guidelines, and policy changes, summarized honestly with the limits of the evidence stated plainly."
    },
    {
      "url": "https://shrinkiatry.com/research-digest/telepsychiatry-outcomes/",
      "title": "Telepsychiatry Outcomes: The Evidence",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-29",
      "reviewed": "2026-06-29",
      "section": "research-digest",
      "summary": "Telepsychiatry outcomes: what the evidence shows. Non-inferiority for many conditions, high patient satisfaction, and the honest limits of video care."
    },
    {
      "url": "https://shrinkiatry.com/resources/",
      "title": "Free psychiatry practice resources",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "resources",
      "summary": "Free educational psychiatry practice resources: example intake, consent, referral, and policy forms, documentation aids, coding references, and checklists."
    },
    {
      "url": "https://shrinkiatry.com/start-here/",
      "title": "Start Here",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "start-here",
      "summary": "New to shrinkiatry? Start here. Tell us what part of psychiatry you're trying to understand, and we'll point you somewhere useful."
    },
    {
      "url": "https://shrinkiatry.com/state-of-psychiatry/ai/",
      "title": "AI in psychiatry: the state of play",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "state-of-psychiatry",
      "summary": "The state of AI in psychiatry: ambient note tools are real, decision support and chatbots are unproven, and no AI is cleared to diagnose."
    },
    {
      "url": "https://shrinkiatry.com/state-of-psychiatry/burnout/",
      "title": "Psychiatrist Burnout: The Data",
      "kind": "article",
      "concept_ids": [
        "burnout"
      ],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "state-of-psychiatry",
      "summary": "The state of burnout in psychiatry: what national surveys show, where the specialty ranks, and why the drivers are mostly systemic."
    },
    {
      "url": "https://shrinkiatry.com/state-of-psychiatry/",
      "title": "The State of Psychiatry",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "state-of-psychiatry",
      "summary": "A sourced, regularly updated read on the forces reshaping psychiatry: the workforce shortage, telepsychiatry, burnout, and AI."
    },
    {
      "url": "https://shrinkiatry.com/state-of-psychiatry/psychiatrist-shortage/",
      "title": "The Psychiatrist Shortage, by the Numbers",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "state-of-psychiatry",
      "summary": "The state of the psychiatrist shortage: how deep the workforce gap runs, where it concentrates, and what the projections actually show."
    },
    {
      "url": "https://shrinkiatry.com/state-of-psychiatry/telepsychiatry/",
      "title": "Telepsychiatry: the state of virtual care",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "state-of-psychiatry",
      "summary": "The state of telepsychiatry: psychiatry kept virtual care more than any specialty, reshaping access and overhead. The numbers and the limits."
    },
    {
      "url": "https://shrinkiatry.com/technology/ai-in-psychiatry/",
      "title": "AI in psychiatry: a grounded look",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "technology",
      "summary": "AI in psychiatry, assessed honestly: ambient scribes, decision support, and chatbots. What the evidence shows, what's overstated, and the real risks."
    },
    {
      "url": "https://shrinkiatry.com/technology/ambient-ai-scribes/",
      "title": "Ambient AI scribes: what the evidence shows",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "section": "technology",
      "summary": "Ambient AI scribes draft the note from the conversation. A 2025 study found burnout fell from 51.9% to 38.8% in 30 days. Here's the evidence, and its limits."
    },
    {
      "url": "https://shrinkiatry.com/technology/",
      "title": "Technology in Psychiatry",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "technology",
      "summary": "Telepsychiatry, electronic records, ambient documentation, and AI in psychiatry, judged on what they change and what the evidence shows."
    },
    {
      "url": "https://shrinkiatry.com/technology/what-telepsychiatry-changes/",
      "title": "What Telepsychiatry Changes",
      "kind": "article",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-06-20",
      "reviewed": "2026-06-27",
      "section": "technology",
      "summary": "What telepsychiatry changes and what it doesn't: access and overhead shifted, while the exam, the rules, and clinical judgment mostly stayed."
    },
    {
      "url": "https://shrinkiatry.com/terms-of-use/",
      "title": "Terms of use",
      "kind": "legal",
      "concept_ids": [],
      "audience": [
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "terms-of-use",
      "summary": "shrinkiatry terms of use: educational use only, not medical advice, what you may do with the content, no warranties, liability limits, and governing law."
    },
    {
      "url": "https://shrinkiatry.com/tools/",
      "title": "Tools",
      "kind": "hub",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "tools",
      "summary": "Free educational tools for psychiatry, including a practice policy builder, a private-practice revenue estimator, a workforce shortage map, and a residency explorer."
    },
    {
      "url": "https://shrinkiatry.com/tools/private-practice-revenue-estimator/",
      "title": "Private Practice Revenue Estimator",
      "kind": "tool",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "tools",
      "summary": "A free, educational calculator estimating net and gross annual revenue for an independent psychiatry practice from volume, pricing, and overhead."
    },
    {
      "url": "https://shrinkiatry.com/tools/psychiatry-practice-policy-builder/",
      "title": "Psychiatry Practice Policy Builder | Free Templates",
      "kind": "tool",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-18",
      "reviewed": "2026-07-18",
      "section": "tools",
      "summary": "A free tool that drafts editable psychiatry practice policies: refill, cancellation, payment, communication, telehealth, and controlled-medication, plus a patient FAQ. Educational templates, not legal advice."
    },
    {
      "url": "https://shrinkiatry.com/tools/psychiatry-workforce-map/",
      "title": "Psychiatry Workforce Shortage Explorer",
      "kind": "tool",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "tools",
      "summary": "An educational, interactive explorer of illustrative psychiatry workforce shortage tiers by US state, linked to HRSA shortage-area data."
    },
    {
      "url": "https://shrinkiatry.com/tools/residency-explorer/",
      "title": "Psychiatry Residency Path Explorer",
      "kind": "tool",
      "concept_ids": [],
      "audience": [
        "clinicians",
        "public"
      ],
      "published": "2026-07-07",
      "reviewed": "2026-07-07",
      "section": "tools",
      "summary": "An educational, interactive explainer of the psychiatry training path, from PGY-1 through PGY-4 and into fellowships, based on ACGME and ABPN."
    }
  ]
}