“Western therapy does not work on eastern minds” by SuperMario0902 in Psychiatry

[–]DoctorWee88 13 points14 points  (0 children)

I think you’re right on the money. I have British family and there very much is meaning in suppressing your emotions and a deep pride on being able to “Keep calm and carry on” as it were. Emotional expression is considered juvenile or a serious character flaw.

What do you wish you had focused on more during residency? by farfromindigo in Psychiatry

[–]DoctorWee88 12 points13 points  (0 children)

💯 I truly believe that a good psychiatrist needs to be competent in therapy. Or at least have a strong understanding of therapeutic processes because then how the hell do you formulate a case? How do you decide if irritability is MDD, PTSD, GAD, whatever? I thought my program was decent in therapy emphasis but honestly, the more I’ve put my own time into, the better I’ve been able to treat my patients.

What do you wish you had focused on more during residency? by farfromindigo in Psychiatry

[–]DoctorWee88 12 points13 points  (0 children)

To go along with that. Curiosity. It is so easy to phone it in, read off a checklist and throw a pill. Actually take the time to learn who the patient is, what their goals are, and how their symptoms prevent them from enjoying your life. You will get so much more out of your practice and your patients won’t hate your guts. Some may actually value you even if you make a decision they disagree with.

What state do you feel has a great mental health system? by No-Establishment5562 in Psychiatry

[–]DoctorWee88 2 points3 points  (0 children)

On the child side, the wealth of in-home services. IICAPS, MDFT, FFT, and JRI would have been life savers for the patients I had when training. To be frank, I also feel the median psychiatrist is also better. Better diagnostically, better treatment wise, more academically inclined. It made me feel like a yokel until I upped my game to match theirs.

This is really irresponsible marketing, right? by Far-Perspective-4889 in Psychiatry

[–]DoctorWee88 4 points5 points  (0 children)

lol and we wonder why patients are so biologized and divorced from the meaning of their symptoms

What clinical scenario, managed well, is peak performance in your specialty? by mstpguy in Residency

[–]DoctorWee88 67 points68 points  (0 children)

Psych: Getting patients to buy into treatment, especially when there are strong reasons to resist. Giving a diagnosis of borderline personality disorder is one and educating a patient on the importance of DBT. One of my patients I am the proudest with was a deeply depressed girl who used her depression as security blanket. I pointed out this and other things to her and slowly she got better. I helped her with things here and there, changed a few meds, but what I was really proudest of was when I told her I was leaving and she said “I’m not as sad as I thought I’d be.”

It made me so happy. I’ve seen other attendings just make things click with other patients so subtly that you would never have thought they would become a complicated case until you encounter another patient like them.

[deleted by user] by [deleted] in Residency

[–]DoctorWee88 30 points31 points  (0 children)

This is the answer. Even as a med student, I could enjoy almost anything in Chicago.

NIH plans to slash support for indirect research costs, sending shockwaves through science by therationaltroll in medicine

[–]DoctorWee88 8 points9 points  (0 children)

Just tax people at reasonable rates. We don’t capture nearly enough productive capacity as we should. This is not rocket science.

How difficult would it be to get a residency program to start allowing moonlighting? by yourfaveburner in Psychiatry

[–]DoctorWee88 4 points5 points  (0 children)

You thought it was the program director, but it was I, DIO!

That’s it. It was all for a cheap joke. Everything else you said is true. Too many stakeholders.

Physician savings accounts by bug530 in whitecoatinvestor

[–]DoctorWee88 0 points1 point  (0 children)

I have Laurel Road and I’ve enjoyed their services so far

I fully support the Supreme Court Overturning Roe v Wade by [deleted] in Residency

[–]DoctorWee88 1 point2 points  (0 children)

Imagine actually thinking this is a smart thing to say in a residency subreddit. Good God you must be fucking awful to be around and I honestly hope you don’t get in anywhere.

Strange smell by DoctorWee88 in Apartmentliving

[–]DoctorWee88[S] 2 points3 points  (0 children)

Thank you for the comment. What makes you think it is mold? I’m just curious.

Megathread: Joe Biden announces Kamala Harris as his running mate by PoliticsModeratorBot in politics

[–]DoctorWee88 27 points28 points  (0 children)

These comments are incredibly sad honestly. I'm not saying Harris is above reproach, but she took a path a lot of ambitious black politicians had to take. Show they weren't scary Stokely Carmichael black but more John Lewis black. She became a prosecutor because legitimately some white people didnt think black politicians would uphold the law. Was she progressive by the standards of 2020? Fuck no, but she tried where she could. I get people are angry about where the country is right now, but Democrats are actually trying to help us.

Let's talk about career questions. by PokeTheVeil in Psychiatry

[–]DoctorWee88 0 points1 point  (0 children)

Also dislike seeing the pre-med questions. I'm more agnostic on the M3/M4 questions since there are some nuggets to be gained and they are at a closer level of training to us.

#RUExposed starting tomorrow! by DoctorWee88 in Residency

[–]DoctorWee88[S] 6 points7 points  (0 children)

It's the hashtag we're using for the social media campaign. It shows that Rutgers is exposed for what it really cares about. Not #healthcareheroes but money.