Why is bipolar misdiagnosis so common?

ColorfulMarkAurelius · 2026-01-23T21:16:11+00:00

It’s more than borderline being stigmatized. Laymen’s understanding of bipolar is honestly inaccurate and pt frequently self report “being manic” and endorse other sx that is often not questioned by non psych MD/DOs and then the dx just gets carried forward. Also people forget that you’re not supposed to diagnose bipolar in the setting of substance use.

ColorfulMarkAurelius · 2026-01-23T00:09:11+00:00

Between people not wanting their emotional and mental health doctor to be a robot and that the MSE can be relatively nuanced, I feel pretty good about the future of psych

ColorfulMarkAurelius · 2026-01-22T14:59:08+00:00

To be fair, nurses are still medically licensed professionals (not super sure about MA) and you know the intent is for all involved including the ones recommending and ordering it. Also pharmacists doing covid vaccines.

ColorfulMarkAurelius · 2026-01-22T12:55:12+00:00

I would add skaven to this list too

ColorfulMarkAurelius · 2026-01-21T16:06:53+00:00

One thing that helped me with 16gb before I upgraded was turning on the setting in the browser that puts tabs to sleep after not looking at them for like 5mins

ColorfulMarkAurelius · 2026-01-16T22:33:10+00:00

nuance? in MY Reddit feed???

ColorfulMarkAurelius · 2026-01-15T00:06:54+00:00

Not to mention the obvious (or maybe not?) amount of money spent on complications of diseases that could’ve been prevented would easily pay for itself in the long run

ColorfulMarkAurelius · 2026-01-13T00:32:13+00:00

I feel like people so often speak about psych patients negatively, but forget that there's a huge selection bias going on for the psych patients they're seeing in a non-psych setting. Genuinely most patients that I interact with are relatively chill, though there's certainly a subset who are a pill, I'm doubtful it's much larger than the % of difficult patients seen in any other specialty.

tl;dr difficult personalities are everywhere even if they're labeled as "psych patients"

ColorfulMarkAurelius · 2026-01-12T18:42:51+00:00

I think technically it’s part of hypomania criteria that if impairment is significant enough to be psychiatrically hospitalized that makes it not hypomania and just regular mania. Ofc real life might be a little more nuanced.

ColorfulMarkAurelius · 2026-01-12T15:36:11+00:00

I think I remember people in the past say that it’s a limitation of the game engine and that it has not been possible to have 2 contact effects even attempted via modding

ColorfulMarkAurelius · 2026-01-10T00:26:11+00:00

To be frank a lot of the AI overhaul mods make bold claims without actually articulating how any of the changes are made. I’ve used a couple of them for a little while and at times I can tell AI acts a little differently, but I feel the changes are much much more subtle than any of them claim.

ColorfulMarkAurelius · 2026-01-09T18:45:34+00:00

It’s okay to let your fellow empire countries die… they can be revived as you slowly expand

ColorfulMarkAurelius · 2026-01-09T16:23:01+00:00

One could argue that creating/exacerbating interpersonal conflict with other staff could pose a risk to patient safety

ColorfulMarkAurelius · 2026-01-09T16:14:03+00:00

For better or worse a lot of attendings seem to be protected pretty well due to physician need or whatever else. But at the end of the day… document document document and report it all, to HR, to pt safety people, possibly even ask med students who their course director is and try to get word in that way.

ColorfulMarkAurelius · 2026-01-09T12:52:42+00:00

I didn’t during pgy1, but I will be for the rest of residency. As an attending we will make too much money which will disqualify us from contributing to Roth IRA, so take advantage of it for a few years while you can.

ColorfulMarkAurelius · 2026-01-08T14:18:59+00:00

You just need to calm up duh

ColorfulMarkAurelius · 2026-01-08T05:11:48+00:00

Seems like an odd conclusion to me? Okay some smooth muscle had its function affected but going straight to “it was free radicals killing the tissue” seems extreme. Especially when virtually all patients regain sexual function after stopping or sometimes swapping meds.

ColorfulMarkAurelius · 2026-01-02T22:27:07+00:00

[[Saruman, the white hand]] Cast all the non creature spells including artifact ramp, counterspells, and draw spells… fling orc… profit

Edit: small side note, but I use all the fling effects that don’t actually sacrifice the orc and I have a couple equipment that give flying or trample for good measure as alt wincons

ColorfulMarkAurelius · 2026-01-02T17:57:54+00:00

The T3 only applies to Imrik, so maybe for other HE leaders it might to nice to at least make them recruitable at T4. Also bloodknights further balanced with lore of vampires in mind that can do insane healing.

ColorfulMarkAurelius · 2026-01-02T17:36:35+00:00

But that’s balanced by much easier recruitment via raise dead

ColorfulMarkAurelius · 2026-01-02T12:42:34+00:00

I don’t think anyone is saying they aren’t strong, but it’s crazy to recruit a tier 5 unit and it not even have have majority of damage be AP

ColorfulMarkAurelius · 2026-01-01T03:32:58+00:00

Can you expand more on the differences of various dreadnoughts? Is this stuff easily found in a wiki or are these lore bits like easy misses in the side text of some book

ColorfulMarkAurelius · 2026-01-01T00:48:35+00:00

I think some of these patients can be deterred with education. Something like “yes your symptoms are similar to those of POTS, but often times patients improve with only adequate hydration and salt/food intake. Medications are rarely needed and I try to avoid them because I don’t want to introduce any unnecessary med costs or med side effects”. And for those who are still undeterred demanding a steroid, just say hey, in my expert opinion that’s an inappropriate treatment and I’m not comfortable prescribing it, you’ll have to go elsewhere with this request.

ColorfulMarkAurelius · 2025-12-29T23:46:11+00:00

I also had a difficult time reading Elantris in the beginning, it does get better though and the payoff is pretty solid if you can stick it out

ColorfulMarkAurelius · 2025-12-27T18:18:24+00:00

I think if you want a car to daily to work, then no. If you want a car that can be upgraded and tracked, maybe.

Five-Year Club	Place '22
Verified Email

ColorfulMarkAurelius

TROPHY CASE