Psychiatry Thread

Psychiatry Thread

Sup Forums's psychiatry house officer at your service. AMA

You should be more happy like me.

Why do psychologists charge so much? The last one I went to charged $220 per hour and she was shit. How is that even legal?

Is this the new Alice thread?

That's pretty goddamn expensive for a therapist. Did he specialize in something? Was he Jewish? Jews cost more

You’re a shit psychiatrist. You take too long to respond

Fuck no! Alice is a psychologist. I'm a psychiatrist. There is a large difference

Shut it

Ah, so you give people drugs instead of helping them. Got'chu..

Not OP but psychiatrists are MDs and DOs. IE doctors who attended medical school. You don't pay the doctor to find something. you pay for their time and tests performed.

2 people come in to see me. One gives history and I can make the diagnosis on exam. Done, and used no real materials besides my time Another comes in and I order a UA, CBC w/diff, CMP and CT. I get the same diagnosis since it presented differently. One pays a lot more than the other for the "same" service. She might be shit at her job but sometimes that's how the world works. You get the bill based on labor.

She was fat, breathed heavy and out of the four sessions I had with her, I probably only spent 20 minutes one on one. The rest of the time she just played audio files while she went into another room to eat lunch and talk to her friend. Or she had me talk to her fucking apprentice while she went and dealt with another patient.
She used to be a forensic psychologist for the NSW police department

Yeah, I treat mental illness, not what we call 'the worried well'. Still, I am trained in some therapies.

im a good lucking guy

why i cant sexualize myself?

by that i mean that i dont think any girl would see me attractive or would like me to fuck them , i see myself cringey from an outisde perspective when i try to flirt or when i make out with a girl, altough i know im a above average looking guy

Why are humans such garbage?

Why can't you fucking idiots shut the fuck up and get along?

What were you seeing her for? This sounds very strange

No she was a psychologist. I understand psychiatrists get paid more because they are basically doctors specialising in psychology. But she’s basically an overqualified councillor

1) What do prefer as a first-treatment for rapid-cycling bipolar I - Lithium or Valproate, and why?
2) assuming no contraindications, if a 22 year male old comes to see you with a 12 month history of mild-moderate positive psychotic symptoms and no negative symptoms (with a Hx indicating schizophrenia) what would you start him on?
3) under what circumstances would you consider prescribing a TCA for major depression?

Some imposter syndrome. Maybe getting a couple girls to fall for you will help prop up your view of yourself. Go crush it!

i meant looking

im a bit drunk and english is not my main language, sorrry

Lithium, mostly because it has some antidepressant effects and for some unknown reason protects against suicide.

Why are you interested in starting a TCA?

a forensic psychologist doing that?

I'd question her qualifications. Was she a therapist or a psychiatrist/clinical psychologist? Also, proper workup on a first time basis should be 45 minutes to turn over every stone and evaluate for psych and physiological issues.. unless she's a therapist which begs the question... why is she charging so much and so inattentive of her client?

If what you said is true.. leave a scathing review and don't pay the bill if you haven't already. let it go to collection, and say fuck her. Unless insurance covers it. Then you could pay it and write a shit review but that sounds awful.

Major depressive episodes, anxiety and social panic attacks and constant suicidal thoughts. I’m 25 and was diagnosed when I was 13
I will admit I never actually paid a cent because I received 5 free visits, paid by the government mental health scheme. Maybe she was just trying to get me out the door because she knew I wouldn’t be able to afford regular visits after ???

Oh I’m just a medical student super into psychiatry and I’m looking for answers to those questions. Plus to see if you’re legit.

I’ve been told TCAs are first-line for concomitant anorexia nervosa and major depression, but I’m skeptical

yeah, I replied to your post on her leaving for lunch a second ago. Pretty fucked. Clinical psychology is good too but forensic has me asking what the fuck is her deal.

TCAs are third line agents for depression. So I don't prescribe them frequently. Too many side effects

ye i have that shit, i experience all these sympthoms

Perfectionism
Overworking
Fear of failure
Discounting praise

im a succesful guy, decent at social interactions, decent looking, but i feel that when i have to flirt im a piece of crap, that i cant compete with other guys and that girls have no interest in me, as i said im not a bad looking guy but i just cant realize how girls could be attracted to me, i feel like im not wanted by them

SeeI also had a family member go to her to help deal with certain issues and she literally played the same audio file that she played me.
How do I leave a negative review though? I was recommended to her by my local gp.

but i dont feel that "undesirability" in a real way, they dont say anything bad or act indiferent, its just me, and thats why i dont even bother to approach them in a "sexual" way

I don't know the evidence for that. I am skeptical. Especially with the comorbities, I wouldn't give TCAs to those prone to overdosing and prone to electrolyte disturbances

Retired forensic psychologist. She moved to my town a few years back and started her own private business. Maybe she’s just a greedy bitch trying to make bank before she officially retires

Wow, she sounds like a POS therapist. The problem with psychologists is they don't have a lot of standardized practices. There are tons of quacks out there

Can your gp give you another referral?

I'd run like hell from her if she's as bad as you're saying. Holy shit dude.

Try doing some therapy, or just go to some bars and practice flirting, and when you start to get some attention from women, your views about yourself might change

Tell your GP to quit referring his patients to her!

Typically, all it takes is a couple of patients telling me that someone is bad and I will stop referring to them

Thank you for adding that. I was thinking it but didn't type it. This 10000000x.

A bad referral looks bad on the part of the practitioner like "they trust this asshole?" deal. Weakens the whole network.

Yeah I’ve given up on getting professional help. I’ve had enough over the years anyways, it’s up to me now to make a change
And yeah after the fourth visit I was gobsmacked when she basically just said “ I can’t help you if you don’t even know what you want in life “. Stupid bitch knew why I was there. How many times do I have to remind her. Last time I ever saw her

To the med student: you thinking about psych? It's an awesome field. Low stress, good lifestyle. Get to choose where you work, huge demand all over

Yeah I told him. He wasn’t too impressed. He was under the impression she was a very helpful lady

See, in forensics you don't treat, you just do assessments. Retiring from forensics and trying to do therapy is like a carpenter retiring and decides to build a boat. You have only a smidgen of the skill and none of the knowledge

Here is the shit psychologists name. Saw her last year so I have no idea if she even operate in town still

That makes sense. Pretty certain she was just trying to make big money now

So my ex still trying to make me feel bad 2 years after the fact of putting nails in the coffin, she accused me of abuse in court I won, but before court she defamed me and so I live without identity really how do I proceed? How do I get myself back out there!?

Also dealing with depression and anxiety daily

You live without identity? What does that mean?

What are you afraid of? More crazy chicks?

You also get stalked.
Fuck that coddling shit, I'm going to be an ER physician

If anyone in here has been and done well in either college or medschool please add me on discord: ghosty#1254

Need career advice

MED STUDENTS PLEASE PLEASE PLEASE ADD ME ON DISCORD ghosty#1254

PLEEEEEEEASE

NEED ADVICE AND A FRIEND

Yea I'm afraid of more crazy girls

Been fat all my life, lost 100lbs in 2007 gained it all back and keep losing the same 20lbs over and over. I work out and walk to work but I'm in denial about how much I eat. Why the fuck can't i quit fast food?

I don't really let people get to know me and I don't have social media

Also a good choice. Good lifestyle. I don't know any psychiatrist that has been stalked. I've been asked out a handful of times. A couple of them were actually pretty cute.

But ED is a good choice. But not as much freedom is job choice.

What kind of advice you want? I got into a high tier med school my first year applying.

Wow nice. I just need advice on - fuck it idc its worth getting banned if u actually add me

I'm in high school and need advice on that and my future.

hello doctor I have Bipolar 1 with psychotic features I currently take Depakote and have tried several non-benzos for anxiety and also things like hydroxyzine and buspar. I'm still prescribed trazodone but it's not working so what kind of anxiety med is actually going to work fam.

Because it hits your pleasure center just like drugs and sex. So it's very much an addiction.

Try a food diary. Having to write down the fact that you are about to eat garbage is a pretty good deterrent. Also, try to find something you can do that gives you pleasure that you can use to replace food

>Sup Forums's psychiatry house officer at your service. AMA


How do you do that backwards d

I'd rather deal with those brave enough to make the plunge, instead of trying to talk them out of it.

>Live you pathetic son of a bitch!

I don't do discord. First, consider shadowing various physicians to see if you actually like the job. Then get a good science degree. Treat school like its work, not fun or a growing experience. You'll go places

Fuck I've been treating high school like practice. I think Im just gonna kill myself.

also my skype is user.ymous458

please

I like propranolol and clonidine. But really, the best treatment for anxiety is therapy

1/3rd of ED presentations have a psychiatric component. Good luck with that, fam

I've tried clonidine but not propranolol. How common is gabapentin being used, one of my old therapists recommended that medication and it's been off label prescribed for bipolar.

You don't need a mentor in high school. Just learn how to study. Being smart isn't enough to do well in med school. It's enough for undergrad, but when you get to med school you have to know how to study effectively

Correct, but I'm re writing their prescription from the jewpschologist, not back and forth with them for hours on end, my entire day mostly doing that with people of different degrees of fucked who don't want to get better so they just keep bothering you with their petty horse shit.
I'd rather suture arteries and stab people to life with needles, but that's just my thing.
I'm also not overweight, gay or female so I don't really fit into the profile for the field.

It's off label. It seems to work for some. You really like benzos I bet ;)

mine was $140 with good insurance

fuck that noise.

Lol, got some weird cognitive biases, about both psych and ED. Good luck bro

...

Do you get off on giving people lobotomy drugs? Is it a power Trip thing Is that why you are psychiatrist or is it strictly just the retarded amounts of money you make just to say here take this fucked up drug itll destroy your brain.

What objective reason is there for not killing myself.

Lol. Comments like that are why I start these threads.

You caught us, bro. We shell out mind controlling chemicals to take away your beautiful individuality. You are fine just the way you are

Sorry I'm working as a paramedic for the local trauma center,
I'm sorry your country's ER is filled with boring cucks.

And if you've ever been to the southern half of the free continent you would have the same biases about anyone willing to study psych.

>They are why kids shoot up schools here.

Answer the fucking question

Objectively, you would be happier to be alive than be dead.

Yeah man, I write a prescription and I think about all the money I make and I cum in my pants. We good?

Answer it thoughtfully and seriously

I hate to say that I have to agree with you. I have been to many headshrinkers and the majority of them have sucked or made things in my life worse. Some of them are good, but in my experience they are the exception not the rule.

Yeah, I figured you weren't in medical school. You sound too stupid

Ask a question with answering

Stop running away from the perfectly good question.

That is subjective by nature. I said give me an objective reason. hat evidence do you have that happiness is contingent on being alive? What evidence do you have that I would not be happier in whatever may be my existence in death?

1. Our drugs don't lobotomize, they barely even work
2. I genuinely like helping patients, hence why I've spent a lot of time and energy to become a doctor
3. The money, in terms of being a physician, isn't superb

Drink a bag of diarrhea

You existence in death is not existing. You will be neither happy nor sad. You will cease to be anything. Therefore l, you will be happier alive.

Whenever I'm physically separated from anyone I'm close to (friends, family) for more than three days, I begin to feel crippling nostalgia. I'll start thinking about things I used to do or enjoy and feel terrible. Besides avoiding being alone, what do?

Do you enjoy making little incisive remarks and talking shit about patients?

Occasionally, but everyone in health care does that. It's a coping mechanism for having jobs that are emotionally draining. I would say that we do it a hell of a lot less than other specialities, who enjoy dehumanizing, like

Why do we enjoy calling each other faggots and telling each other to go suck dicks?

suck a dick

Thoughts on effexor? Gp put me on it until I see a psychiatrist for anxiety. 75mg extended release per day. Also, tips for dealing with anxiety? Specifically I have been having panic attacks at work because I always fear messing up/getting in trouble. I've had a rough past year at work kinda being a screw up despite having worked there 7 years and the rest being relatively untarnished.

Maybe some leanings towards dependent personality disorder.

Living life with the expectation of never feeling bad is a fools game. Get comfortable in feeling bad. That's where the power of being human comes from.

I feel as though my emotions are numbed, apathy might be the most appropriate word for it. I still experience happiness and sadness, but it seems like it's all at a much lower level than people around me experience. This may or may not be related for my inability to get motivated to do important things, I procrastinate constantly even when I know a deadline is close and want to start, but I can't force myself to/get distracted by almost anything else. Is this normal and I just need some self discipline or could it be an actual mental health issue?

You have no objective evidence of nonexistence upon death or alternate existence upon death. It cannot be objectively determined whether you would be happier, sadder or the same in death.If you were a legitimate Mental Health Professional you would know this and have been able to respond appropriately. My assumption now is that you are still in school and probably no farther along that your second year. If this assumption is wrong you should burn your degree, quit your job and kill yourself as your degree is obviously worthless, your will be ineffective in your job causing more problems than solving and you are currently an oxygen thief.

Really?

This might be pertinent info, but when I took shrooms I did feel those emotional extremes, overwhelming emotions that I've never felt before. Maybe it was just the drugs but I don't know if people can normally feel that level of emotion and I just can't.

For the same reason wolf pups bite each other when they play. Affection

I regularly engaged in passive suicidal ideation. Could this become a serious problem?

Here’s my dilemma. I purchased some new furniture last year and I wanted to decorate my room with a black, grey and white theme. Something basic but elegant. Anyway my family bought me a new doona cover, rug and pillows for the lounge but it’s multi coloured hippy lookin shit. I mean it’s not terrible but I fucking hate it.
What can I do to get rid of it, and put in my style without hurting their feelings?

Everyone I know that's been forced into the mental health system knows it's evil and wicked full of power tripping pieces of shit. It's part of the gov agenda to label people mentally I'll and ban them from guns and such to just generally oppress the people. You can't just call someone mentally I'll for being diff. I literally watched a guy in the "slammer" which is what they are cause I was literally held against my will well past the three days they are allowed because of corruption "loop holes" and literally forced injections I wish I had handled it a lot differently instead of just sitting by getting ass raped waiting for them to let me leave. But I watched a guy go from happy cheerful and complete chatterbox like the guy would just keep rambling the craziest shit nonstop like how he fucked Paris Hilton he was funny. He would get so angry when they treated him like shit so they forced the most fucked up shit on him he would scream every night in pain that the drugs we're fucking up his head and the nurses just laughed and said hes just delusional. About a week an a half of that and the guy was a zombie he would just slowly walking around drooling and not talking to anyone so yeah I've seen and have experienced the mental health system it's all a complete corrupt sham to keep jobs open for med students and lawyers. And dumb parents raise wild kids cause they don't know how discipline properly so they turn to drugs to sedate them and the doc says o he's just psychotic give him this it'll fuck him up real good. And later on those kids get demented and grow up with all sorts of problems continuing the viscious cycle of the mental health system the try to pull in as many people as they can and force cancer down their throats all they have to do is label you as a danger to others and the court can order you take lobotomy for any amount of time they wish. And you bet your ass they are gonna do it. I hate the mental health division and everyone in it

Couldn't you just put it in a bucket filled with black dye?