Julia’s Substack

Weaving together my perspectives of the world and the information I explore.

By Julia Mirer MD

· Launched 2 years ago

Reflections From A Mirer: LLM Polyamory

Cheating on ChatGPT with Claude.
Jun 19 • Julia Mirer MD

A Diagnosis is a Compass, Not a Destination

The diagnosis may not be a choice. Your relationship with it often is.
Jun 15 • Julia Mirer MD

Neuroplasticity Needs Direction

Psychedelics may open the window, but what happens next shapes the outcome.
Jun 1 • Julia Mirer MD

Microdosing = Antibiotics for Infectious Thoughts

In 2025, a RAND survey estimated about 10 million American adults microdosed at least one major psychedelic, with psilocybin (magic mushrooms) taking…
May 26 • Julia Mirer MD

AwareMess

When insights outpace action.
Apr 21 • Julia Mirer MD

Reflections From A Mirer – When Curiosity Becomes A Calling

Following the invitations that reshape a life - from medicine to psychedelics to autism.
Jan 2 • Julia Mirer MD

Masked Autism in Adolescents

Masking, Misdiagnosis, and the Silent Cost of Fitting In
Dec 15, 2025 • Julia Mirer MD

Screening for Masked Autism

A New Standard of Care in Adult Mental Healthcare?
Oct 23, 2025 • Julia Mirer MD