Mental health · Politics · War · Accountability

The psychology beneath power.

PsychiatRick examines the psychology beneath politics, culture, power, masculinity, and the daily chaos of American life.

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Clear-eyed writing for complicated times.

Independent. Personal. Clinically informed.

Latest writing

Ideas with a pulse.

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Aug 17, 2026

America Is Number One

We lead the world in substance use disorders and overdose deaths. We lead our closest peers in mental health need and suicide. What pain are we trying to bury?

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Aug 15, 2026

Trump Took This Soldier’s Wife.

Someone made the call. But what about the others

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A PsychiatRick project

Between Visits

AI-guided mental health support and practical self-management tools for the space between appointments.

Daily check-insCoping skillsGuided and unguided meditationAI text and voice support

See plans Premium from $7.99 monthly

BVBetween Visits

What would feel most useful right now?

Talk it throughTake a breathChoose a next step

Between Visits is mental health support software, not therapy, diagnosis, medication management, or emergency monitoring. Human follow-up is highly recommended when symptoms persist, worsen, or impair functioning. If you may be in immediate danger, call 911 or 988 in the U.S.

How it fits

Support between appointments.

PsychiatRick does not provide in-person treatment. Between Visits is mental health support software for check-ins, coping tools, meditation, and AI-guided support. Follow-up with your own human clinician is highly recommended when symptoms persist, worsen, or interfere with daily life.

BVBetween Visits

What would feel most useful right now?

Talk it throughTake a breathChoose a next step

Between VisitsSupport software that goes where you do.

An adult speaking with a clinician through a private telehealth visit — Human careFollow up with your own licensed clinician.

A care professional and an adult reviewing a wellness plan together — Follow-throughA plan becomes useful when somebody follows up.

Illustrative images. The people shown are not actual patients or clinicians.

About the author

Rick Leach, MSN,
APRN, PMHNP-BC

Psychiatric mental health nurse practitioner. Combat infantry veteran. Writer willing to follow the evidence where it leads.

Rick's work connects clinical knowledge with lived experience of war, trauma, masculinity, politics, and moral injury. PsychiatRick is where those threads meet without euphemism or easy answers.

Writing on this site is commentary and education, not individual medical advice. Public behavior can be analyzed, but public figures are not diagnosed from afar.