Why this exists

To explore, to be curious, to grow, to change, to try, to feel, and to be.

“Polarize me, sensitize me
Criticize me, civilize me
Compensate me, animate me
Complicate me, elevate me.”Rush, “Animate”

AI is a tool. A strange one, a powerful one, and one about which most of us are unsure how to feel. This site is a working experiment in how I (a psychiatrist) am using AI for improving education, writing, research, clinical work, and even as a medium of self expression.

(My dear viewer. I am aware this is starting to sound a little culty. I promise nothing is being sold, no one is being recruited. There is no billion year contract. There are no weird, ignominious carnal coercions. And there certainly is no newsletter. It's just a website. My art project website.)

Most of what's here is meant to be touched. Drag the sliders. Mark the boxes. The pieces are written to be completed, not just read.

None of this is a pitch. It's a record of what's being built, and a small argument for leaning into the unknown.

Whose Ship Is This Now?

Doubt is not a pleasant condition, but certainty is absurd.Voltaire

Something bothers us about this particular tool. The interesting question is not whether the bothering is justified — it is what the bothering might be about.

Imagine telling a friend they're cheating because they used TurboTax. Or that a carpenter who reaches for a nail gun isn't a real craftsman. Or that the farmer who climbs onto a tractor has lost touch with the soil. We'd find it strange. Tools are tools — we've spent the last several thousand years building them precisely so we don't have to do every difficult thing the hard way.

And yet, somehow, when the tool is AI, something shifts. The writer who used it to draft an email is lazy. The student who used it to outline an essay has cheated. The developer who used it to scaffold a project didn't really build the thing. The feeling these words carry is familiar — it belongs to an older emotional register, the one reserved for work we think ought to have cost more.

There is something worth sitting with here. Not because the feeling is wrong, and not because it is right, but because feelings like this tend to be about more than what they name. What is the suspicion protecting? What is it anxious to preserve? What older question is it trying, in its way, to answer?

These are not questions a checklist can settle, and they are older than AI. People have been asking some version of them every time a tool arrives that changes what a person is capable of being. Before we look at how they've asked it — and how often they got it wrong, which is in some ways beside the point — sit with the question itself, in five movements.

i.
The Original Puzzle

A ship quietly becoming itself.

The Athenians preserved Theseus's ship by replacing each rotting plank as it failed. After enough years, no original wood remained. The wheel below represents the vessel's planks — each one ages, is replaced, and begins its own slow aging again. Watch it move on its own, or drag the slider to travel through its years yourself.

0years elapsed 0% new wood

That is the first of five movements. The puzzle turns inward, then toward the machine — a figure made of circulating matter, a dial for authorship, the mirror in the tool, and the questions none of it answers.

Read the full essay
Current work

Projects, in progress and in practice.

What can be asserted without evidence can also be dismissed without evidence.Christopher Hitchens

01
Neuromodulation Education
Clinical resource · Live
Plain-language education on TMS, ECT, ketamine, VNS, and psychedelics. Written for patients trying to make a real decision and clinicians who want depth without the marketing gloss or the inherited stigma.
02
TMS: what it is, how we use it, and how AI helps us along the way
Grand rounds lecture · 2026
A grand rounds talk on transcranial magnetic stimulation — what it is, how we use it, where the evidence is going. Threaded through: a live demonstration of what AI collaboration actually looks like in a working psychiatrist's day.
03
Therapy For Me
Patient platform · In development
A platform that helps patients understand the actual landscape of psychotherapy — what exists, what fits, what to ask for — and connects them with therapists whose work matches what they're looking for. Built on the idea that fit matters as much as access.
Building
04
Case Report — ECT & the Oculocardiac Reflex
Peer-reviewed manuscript · In preparation
Cardiac arrhythmia following succinylcholine administration in a patient undergoing ECT with severe comorbid glaucoma. A proposed mechanism — acute IOP spike triggering a trigeminovagal reflex — and a glycopyrrolate prophylaxis protocol that allowed the course to be safely completed.
Building
05
Research — rTMS + Psilocybin for TRD
Grant proposal · In development
A proposed trial pairing rTMS with psilocybin for treatment-resistant depression. Builds on the D-cycloserine-augmented TMS paradigm and uses BDNF/TrkB-mediated plasticity as the mechanistic bridge — with the question of microdose versus macrodose treated as the empirical question it actually is.
Building
06
Conference Poster — AI in Neuromodulation
Academic poster · 2026
Where AI is meaningfully contributing to neuromodulation right now — targeting and fixation, data mining, treatment optimization across DBS and TMS — alongside an honest accounting of what it can't yet do and shouldn't be asked to.
Building
07
Frontotemporal Dementia — A Caregiver Companion
Web app · In development
A progressive web app for families caring for someone with frontotemporal dementia. Built around a Behavior Decoder — a way to look up what a difficult moment likely means at the neural level, what to try in the moment, and how to log what worked. Designed for the variants and behaviors that don't fit memory-focused tools: behavioral disinhibition, primary progressive aphasia, compulsive behaviors, apathy, sleep dysregulation. A working demonstration of what AI makes newly possible — clinically grounded, family-facing resources for a population that has been underserved by both medicine and the tools built around it.
Building
08
AIDA-Pilot — AI-Assisted Dialogue Augmentation in psychotherapy
Pilot study protocol · 2026
A pilot RCT protocol testing whether a structured 10-minute AI reflection window, embedded mid-session in standard outpatient psychotherapy, is feasible, acceptable, and safe. Two arms, therapist-stratified randomization, 48 clients across 6 therapists, 12 weekly sessions each. The AI sees prior-session summaries, current-session transcript, and recent symptom scores; the therapist selects from four prompt categories — pattern reflection, reframe, values clarification, skills practice — and retains full override at every step. Primary outcomes are feasibility and acceptability; PHQ-9, GAD-7, working alliance, session depth, and rupture coding are tracked to inform a definitive trial. Not a chatbot study, not an administrative-AI study — a first systematic look at AI as a participatory third voice inside the therapeutic dyad.
Drafting

AI & Art

Somewhere, something incredible is waiting to be known.Carl Sagan

Most of what's written about AI in medicine is about efficiency. Faster notes, cleaner charts, better triage. That matters. It's also not the whole story.

AI can be an instrument — one that helps people manifest the thing they've carried for years and never quite knew how to get it out. Writers who weren't sure they were writers. Musicians who never really practiced but felt the music. Painters with no brushes. (Ok, OK — I think you, the reader, get the point.) The bottleneck between imagination and expression is getting thinner, and that turns out to be its own quiet revolution.

This section (just like this very website) is a slow, ongoing exploration and experiment of what that means — and what psychiatrists, of all people, might have to say about it. Disclaimer: No 5ht2a receptor agonists were used in the conceptualization, creation or editing of this website.

Pieces
Generative · Three.js

The Restored Brain

A 130-second visual essay on depression, intervention, and the network finding its shape again. Asynchrony, reorganization, resynchronization — three movements rendered as a living network.

Open piece
Installation · SVG & conversation

The Painting

A child's painting, a conversation, and the code that built it — three panels held in a single frame. Paint breathes; the process is part of the work; the apparatus is part of the painting.

Open piece
Generative · Langevin dynamics

Entangled

To observe is to entangle; to touch is to be touched. A form annealed across seven drafts — meet it and it scatters, re-anneals, and is never quite the same. The mark of the encounter lingers. Its error approaches zero but never arrives.

Open piece
Generative · WebGL

The Smallest Cause

A 220-second meditation on free will. One neutrino, eight minutes out of the Sun, threads a single neuron — one sodium channel catches fire, a spike becomes a storm, and at the end a hand reaches for the spoon and asks whether it chose. The Hodgkin–Huxley equations do the deciding; the question is who, if anyone, is left over.

Open piece
Suite · Six stills

Crossings

Six panels in gold and umber, hung on a single thread. A corridor, a caravan, a bridge that ends mid-river, a door standing open in the sky — every one a way across. What crossed, and what was crossed, the panels keep to themselves.

Open piece
Generative · WebGL & sound

Carrier

A living study in resonance. A spectral hypersphere folds slowly around a single source while harmonics are woven into light; nudge the fundamental, the detune, the drift, and the field settles into an entirely different atmosphere. Sound on. Move slowly. Stay a while.

Open piece
Living instrument · Canvas & sound

What You Leave Behind

An instrument with a memory. Plant a note, weave a connection, stir in a little uncertainty — the garden grows from what you give it, and your gestures become its habits. Choose Listen and it sings what you have made. Come back tomorrow and it will remember you — on this browser, at least. Nothing here is finished; it is only ever attended to.

Open piece

This website.

“I'm reaching up and reaching out.
I'm reaching for the random
or whatever will bewilder me.
Whatever will bewilder me.”Tool, “Lateralus”

This page is itself the demonstration — built end-to-end through psychiatrist-AI collaboration, including the part you're reading right now. Code, copy, visual design. The content created here wouldn't exist in this form without the tools we so curiously explore and with which we experiment. Below is an interactive demonstration of what happens when you remove the substrate from a thing made of code.

The Map

The people who got me here.

Family, mentors, and the long lineage of voices that taught me how to think, how to make, and why it matters.

W
E
K
Dr. Joshua Bess neuromodulation mentor
Dr. Daniel Maixner neuromodulation mentor
Razor Ray the one who taught me to shred
The Watchers
Carl Sagan the cosmos as humility Neil deGrasse Tyson the cosmos, made conversational Sean Carroll quantum reality, made livable Hugh Everett every possible world, all at once
The Cartographers
Arthur C. Clarke the cosmic as moral question Isaac Asimov what machines owe us Ray Kurzweil the long arc of intelligence Rudy Rucker consciousness as transferable substance
The Builders
Kurt Gödel the limits of any system, proven from inside it Claude Shannon information as the fundamental currency Richard Feynman don't fool yourself Strunk & White omit needless words Dr. Jim Dahle the financial education physicians never got
The Skeptics
Baruch Spinoza geometry as ethics Voltaire doubt as dignity Mark Twain epistemic humility as a literary style Christopher Hitchens argument as moral act Richard Dawkins the gene's-eye view
The Bombthrowers
George Carlin language against bullshit Bill Hicks truth as performance art Doug Stanhope the comedian who refuses to flinch Rage Against the Machine political fury made into rhythm
The Tragic Maker
J. Robert Oppenheimer the one whose creation exceeded his control
The Excavators
Carl Jung the shadow as serious material Albert Camus peace inside the absurd Charlie Brooker technology's quiet moral arithmetic Katherine Dunn the holy freakshow Chuck Palahniuk the body as battleground
The Heart-Keepers
Khalil Gibran tenderness without sentimentality Maynard James Keenan the metaphysical inside the heavy Neil Peart the drummer as philosopher
The Joker
The Dude abiding, as philosophical stance
At the center W · E · K
The ones who trained me Dr. Joshua Bess neuromodulation mentor Dr. Daniel Maixner neuromodulation mentor Razor Ray the one who taught me to shred
The Watchers Carl Sagan the cosmos as humility Neil deGrasse Tyson the cosmos, made conversational Sean Carroll quantum reality, made livable Hugh Everett every possible world, all at once
The Cartographers Arthur C. Clarke the cosmic as moral question Isaac Asimov what machines owe us Ray Kurzweil the long arc of intelligence Rudy Rucker consciousness as transferable substance
The Builders Kurt Gödel the limits of any system, proven from inside it Claude Shannon information as the fundamental currency Richard Feynman don't fool yourself Strunk & White omit needless words Dr. Jim Dahle the financial education physicians never got
The Skeptics Baruch Spinoza geometry as ethics Voltaire doubt as dignity Mark Twain epistemic humility as a literary style Christopher Hitchens argument as moral act Richard Dawkins the gene's-eye view
The Bombthrowers George Carlin language against bullshit Bill Hicks truth as performance art Doug Stanhope the comedian who refuses to flinch Rage Against the Machine political fury made into rhythm
The Tragic Maker J. Robert Oppenheimer the one whose creation exceeded his control
The Excavators Carl Jung the shadow as serious material Albert Camus peace inside the absurd Charlie Brooker technology's quiet moral arithmetic Katherine Dunn the holy freakshow Chuck Palahniuk the body as battleground
The Heart-Keepers Khalil Gibran tenderness without sentimentality Maynard James Keenan the metaphysical inside the heavy Neil Peart the drummer as philosopher
The Joker The Dude abiding, as philosophical stance
Further reading

An invitation, before you go.

We shall not cease from exploration, and the end of all our exploring will be to arrive where we started and know the place for the first time.T.S. Eliot

A working collection of voices, books, and films — the ones that have shaped how I think about intelligence, mind, and what we are becoming. Or maybe what we have always been.

Enter the library
A doorway, and what waits beyond