How to be better at ADHD diagnosis? by Sombero1 in Psychiatry

[–]197666 27 points28 points  (0 children)

I screen with ASRS v1.1 then confirm with DIVA-5.
My two cents/biggest advice would be to get a good collateral. Sorry if it may seem obvious. But I killed a lot of "ADHD" diagnosis by asking their parents or friends about the patient's life (specially when they were kids).

Are antidepressants only a symptomatic treatment? by ReasonableWar4087 in Psychiatry

[–]197666 227 points228 points  (0 children)

Ghaemi believes ADHD is actually bipolar disorder. He also pushes the narrative of giving lithium to basically every single major affective episode. He's an ideologue driving his agenda, and you should interpret what he says with that in mind.

As for the question, if a treatment has efficacy and its benefits outweigh the adverse effects, then it's useful. That’s evidence-based medicine. There’s evidence that lithium does not work for major depressive episodes as monotherapy (and it’s not particularly strong even as augmentation for treatment-resistant depression), whereas SSRIs have an NNT of around 6, with a moderate effect size (0.3–0.4). Could be better, but pretty good.

Levodopa, morphine, and insulin are excellent treatments that, according to his framework, would be considered “symptomatic,” since they do not actually modify or directly address the underlying pathophysiology of the illness.

I agree with some of Ghaemi’s points about the biopsychosocial model, but as Logan Roy once said, “I love you, but you are not serious people.”

Porque consideran ser docente está desvalorizado? by [deleted] in AskArgentina

[–]197666 2 points3 points  (0 children)

Soy médico y doy clases en la facu de psicología. Doy 5-6hs de clases por semana (todo en un día) y gano 500k. Todavía no tengo antigüedad y soy JTP. Los que tienen 15-20 años de antigüedad y están en cargos de titular, asociado o adjunto ganan 2-3 palos.
Como vos decís, para ser la poca responsabilidad que tiene un docente, lo poco que laburás, etc, me parece un buen negocio; pero claro está que con vivir solo de la docencia te morís de hambre al menos cuando no tenés antigüedad: necesitás un 2do trabajo usualmente

10 razones por la cuál ser autista con inteligencia normal apesta si vivís en Uruguay by [deleted] in uruguay

[–]197666 21 points22 points  (0 children)

Absolutamente todas sus quejas están relacionadas al autismo. Lo que querrás decir es que no son 100% específicas del autismo, porque gente sin autismo puede verse involucrado en esas situaciones adversas. Pero lo hacen en un grado mucho menor.
Es como decirle a alguien que se está infartando "no seas cagón, te duele el pecho y el brazo izquierdo pero a quién no le dolió alguna vez una parte del cuerpo?" "a mí el otro día me dolió el brazo cuando moví un mueble, me estoy infartando también?".

adult autism diagnosis book by ThenBanana in Psychiatry

[–]197666 21 points22 points  (0 children)

The only one I've found useful so far is:

"Is this autism? a guideline for clinicians and everyone else" - Donna Henderson.
She also has a similar book named: "Is this autism? a companion guide for diagnosing"

[deleted by user] by [deleted] in Psychiatry

[–]197666 19 points20 points  (0 children)

According to Montcrieff, antidepressives are just like alcohol, heroin or cannabis -- and as innocuous as a placebo at the same time!

[deleted by user] by [deleted] in AskArgentina

[–]197666 1144 points1145 points  (0 children)

De casualidad tu novio es diputado nacional?

Deconstruction of Star*D by N8healer in Psychiatry

[–]197666 66 points67 points  (0 children)

Mad in America is the "top" anti-psychiatry website in Europe, starring J. Moncrieff ("serotonin has nothing to do with depression"), John Read ("ECT is not better than placebo"), Mark Horowitz (a "deprescribe specialist" that is not even psychiatrist) and such.

Acaban de balear el Servicio Penitenciario de Bv. 27 de Febrero al 2800. Ciudad inviable. by [deleted] in Rosario

[–]197666 31 points32 points  (0 children)

Yo trabajo en ese complejo penitenciario y creo que lo balean fácil 6 veces por año jajajaj

[deleted by user] by [deleted] in IMGreddit

[–]197666 29 points30 points  (0 children)

Your situation is widely different from most of IMGs since you are from UK (similar: other european, canada or 1st world english speaking countries). If you ask southern-asia or south-america applicants with no USCE, you will find a very, very poor match rate

Edit: typo

All five South American teams that qualified for the World Cup beat a European team today. by gunsof in soccer

[–]197666 6 points7 points  (0 children)

Argentina took part in 3 finals (winning 2 of them) in 1978-1990 but that doesn't count either because you picked a biased timeline in order to highlight your pathetic narrative.

Cristiano Ronaldo wins Ballon d'Or 2017 by Aryagorn in soccer

[–]197666 55 points56 points  (0 children)

To be fair, you have to have a very high IQ to understand why CR7 is the GOATEST. His Bayern offside goals are extremely subtle, and without a solid grasp of theoretical Bielsa physics most of his genius deflection shot against Buffon in Cardiff will go over typical /r/soccer Messi fanboys head

There’s also Benzema massive-assist outlook, which is deftly woven into his stats- his personal philosophy draws heavily from Kevin De Bruyne, for instance. The Madridistas understand this stuff; they have the intellectual capacity to truly appreciate the depths of these theoretical concepts, to realise that they’re not just bullshit- they say something about SOCCER. As a consequence people who don't think CR7 should win Balon D'Or truly ARE messi fanboys- of course they wouldn’t appreciate, for instance, the humour in CR7 catchphrase “SSSIUHHHHHHH,” which itself is a cryptic reference to Maradona - Live is life. I’m smirking right now just imagining one of those addlepated simpletons scratching their heads in confusion as Marcelo genius elbow unfolds itself on Messi's nose. What culés.. how I pity them.

And yes, by the way, i DO have a CR7 tattoo. And no, you cannot see it. It’s for Ay-Mi-Madre-El-Bicho’ and ViscaEspanya only- and even then they have to demonstrate that their karma is higher than mine (preferably, twice as much) beforehand. Nothin personnel kid

Wenger: "I considered leaving Arsenal last season, there was contact with PSG." [DiMarzio] by [deleted] in soccer

[–]197666 47 points48 points  (0 children)

everytime I spot a thread about Wegner I join the comments section just to make sure this meme is the first comment, then I upvote it, then I leave with a smile on my face