The Frontier Psychiatrists Owen Scott Muir, M.D.

My friend and RAMHT co-founder, Grady Hannah, had a quick and dirty conversation with two friends today about the thrilling 2025 CMS Physician Fee Schedule. Every year, there is an open comment period on these proposed changes, and this year has some crucial changes for physicians who’d love to be able to deploy Digital Theraputics in the context of Behavioral Health Disorders.
Thanks for listening. More coverage of this open comment period is coming soon, but here is a quick overview of the issues at stake.
Yes, this is how nerdy we are at baseline. Yes, we talk like this to each other for fun. This time, we recorded it. Yes, I am this boring.
Thank you so much for listening! As a reminder, I have a new book out, and it is available on the Kindle store! It’s the number one new release in:
Depression
Pharmacology
Humor: Doctors and Medicine
And it’s inching up to #11 on the “just generally funny books” charts. Let’s push this one to number one among all funny-ish books.
It’s called Inessential Pharmacology. (amazon link)



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Yesterday’s column was a fine article, but what if you miss my snarky tone while reading it to yourself? Problem? Solved. Dear Readers, here is the podcast version of the aforementioned article!
For those hoping for actual solutions? The AACAP Facts for Families series of guides exist! For example, you can learn how to prepare for your child’s first cell phone. You can also get expert guidance from actual child psychiatry doctors on Internet Use In Children. Or we could follow scaremongering from the Surgeon General? That is also an option.
My ChatGPT prompt:
“Please generate a scary warning label for social media that the surgeon general could place on social media platforms that would terrify young people into not using social media quite as much.”

Here is the warning label it came up with:
I think we are really getting somewhere.







This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe

The Frontier Psychiatrists started as a room in on the clubhouse app. One of the enduring pleasures from that era is my friendship with (Jeremy Fox, P.C.). He’s a licensed professional counselor, EMDR therapist, and a delight to speak with. This week’s podcast features a discussion of a paper Jeremy brought to the table:
Are mental health awareness efforts contributing to the rise in reported mental health problems? A call to test the prevalence inflation hypothesis
The inflation hypothesis posits that more talking about mental health problems leads to more actual problems. We also discuss the role of screening, including my very popular thoughts on the DSM-5-TR Level One Cross-Cutting Measure, as featured in my Osmind EHR, that I use in my work at Fermata.
In our conversation, we evaluated the possible takes on this paper. While I’m at it, I’ll remind readers that suicide risk assessment is important, and no one does a better job of explaining it than Dr. Tyler Black:
Thank you for listening! Please share this podcast with your friends drop a a 5-star review on Apple Podcasts. It drives discovery like woah.




This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe

The Frontier Psychiatrists newsletter and podcast do a lot of cheerleading for brain stimulation—particularly accelerated TMS. However, I’ve recently added many new readers and have not explained my favorite brain stimulation approach. The podcast version and a useful transcript are intended for educational value. Also, here is Garfield:
Prior articles on the topic are myriad, but include:
TMS is better than Drugs
TMS Should be Covered by Medicaid
Depression Can Be Over in 5 Days, Replicated
The Science Behind the Best Outcomes In Mental Health
Your Depression Should Be Over Already
My Sickboy Podcast Appearance
And many others!
Thanks for reading, listening, and sharing.





This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe

The Frontier Psychiatrists is a newsletter and a podcast. Most people assume podcast means “recording a good enough conversation.” Yes, I do those too. I also have a sick fetish for spending way too much time crafting highly produced audio pieces that happen to be podcasts. I think these might need a different name in the future—what happens when species diverge in evolution?
This story is about someone I know—Alan Emamdee, D.O. A man arrested for a crime he didn’t commit. Unlike the A-Team, he didn’t get to go on the run and help people unionize in an 80s TV show. He’s a doctor who suffered through years of a brutal legal process till he was acquitted at trial. The road back hasn’t been easy, but he had the tape. This is the first episode.
It’s worth the listen. Please, share with your friends.



This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe

The Frontier Psychiatrists started as a Creator First show on the ill-fated clubhouse app. One of our favorite guests was the remarkable (Jeremy Fox, LPC), an EMDR therapist with a passion for working with men around their actual problems. One of those is the loss of normative friendships among men—15% of men report no close friendships at all. This corrosion of close relationships is an accelerating problem for both individual men and society.
Today’s episode of the podcast includes both the video above and pushes the audio to the podcast feed!
Prior writing on the value of friendships and what we can do about that includes articles such as:
It’s important to have Friends
Friends: A How-To Guide
Matthew Perry was Classy
A Conflict of Interest Disclosure Regarding My Picks for SXSW
The Future of Brain Health?
Announcing: May 5th, 2024…
Rapid Acting Mental Health Treatment NYC 2024
(Eventbrite Link)
It’s a night of thrilling conversations about the future of mental health. It features speakers from…Videra, MDHub, Osmind, Neurosigma, iRxReminder, and…Lykos Theraputics!
More info to come…but it’s the second IRL The Frontier Psychiatrists event, and we could not be more excited to have you!



This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe