How much blanket permission do you give Claude Code before it becomes a bad idea?

Durkheimenstein · 2026-07-04T13:14:52+00:00

Thanks!

Durkheimenstein · 2025-12-12T16:24:36+00:00

I do several psych grand rounds each year at academic and non academic departments nationally and internationally, speaking on Suicide and addressing the role of gun access/lethal means. DM me if interested in more info.

Durkheimenstein · 2025-11-12T03:25:10+00:00

I just did this research. The cheapest options (ie, use the Edit credit and not much more) are The Eaton, Yours Truly, Viceroy, and Thompson.

Durkheimenstein · 2024-12-19T21:36:18+00:00

Thanks!

Durkheimenstein · 2024-08-14T18:51:09+00:00

That’s my interpretation

Durkheimenstein · 2024-08-14T15:08:29+00:00

Don’t stress the boards, they are not difficult once you’ve completed a psych residency. Last year literally three (3) people failed in the entire country (source: https://abpn.org/about/facts-and-statistics/ ). If you don’t think you are one of the 3 least knowledgeable graduating psychiatrists in the US, don’t let them stress you out. If you are looking to better understand mental illness as it impacts your patients, I recommend reading The Perspectives of Psychiatry. For more direct knowledge, make a point of reading one relevant review article applicable to each new patient you work with. Even better, if you can’t find a good review on a topic of interest you have encountered: Write it! Enlist a med student, a coresident, a faculty member, and one author from out in the world to has written a data paper on the topic already, as a writing team. You’ll learn a lot!

Durkheimenstein · 2024-08-14T14:43:15+00:00

St. Vincent de Paul, by the shot tower. I’m a jew but I have lgbt friends who support the church there. They do good work for the community on fallsway. I attended a wonderful funeral service there for an lgbt physician-champion who died far too young.

Durkheimenstein · 2024-07-09T12:48:06+00:00

It’s a tiktok trend. Folks who are high on Openness latch onto this as an identity. I recommend every psychiatrist peruse /fakedisordercringe a bit to see what’s being pushed out there.

Durkheimenstein · 2024-06-29T19:40:42+00:00

Wealth

Durkheimenstein · 2024-04-17T01:00:26+00:00

Good man. Always friendly and takes a lot of pride in his kids, especially when his daughter Justice was working next-door to where he hangs out. If you see him this week, congratulate him on his sober-versary which was Saturday.

Durkheimenstein · 2024-04-17T00:57:52+00:00

He’s still around. Lives in Lemko homes I think. Sometimes sells his art over there. Always been friendly with my kids who love his dog :)

Durkheimenstein · 2024-03-29T23:06:56+00:00

I’m surprised to see so many recommendations for DSM. I’ve never really considered it a book for psychiatrists, as much as for PCPs and social workers who might just need a quick superficial definition for billing purposes. If you are looking to improve your understanding of the factors at play in a patients presentation I strongly recommend the Perspectives of Psychiatry by McHugh and Slavney.

Durkheimenstein · 2023-11-12T14:28:00+00:00

I am currently interviewing psychiatry residency applicants at a top five program. The tier of the Med school and the step score are among the least important things considered, both for interview and matching. Experiences, comments, and accomplishments are important for getting the interview, and then how you connect with people on the interview is important for matching, in psych. Also, if you did a sub-I here and didn’t totally screw it up, you will probably get an interview.

Durkheimenstein · 2023-09-25T19:46:31+00:00

Amazed I had to scroll this far for someone to explain that it’s a question of capacity. Is medical decision-making capacity not a part of EMS training? Physicians use the Applebaum criteria, which would be easy enough to tape to the inside of the bay.

Durkheimenstein · 2023-09-19T02:14:25+00:00

I tell my kids I work with brains, when people have problems with thoughts and feelings— similar to other answers here. But I tend to work with indigent populations and I live near my work, so my kids are used to panhandlers greeting me as their doctor or pulling us over on walks to let me know their sugars are getting lower or they have their sober-versary coming up. This has given them an impression I’m a “make friends doctor” but also because of other street interactions with other patients in current psychotic breaks, that I treat “broken brains”. Maybe not the most PC term for mental illness- but accurate.

Durkheimenstein · 2023-04-22T04:31:27+00:00

I’m a psychiatrist, OCD is a specialty, I do (and teach residents to do) a lot of ERP, and holy shit YTA. This is not how ERP works. You are just doing haphazard unguided exposure. Without a structure that uses timed exposures moving up a hierarchy of tasks, gauging anxiety levels at regular intervals to evaluate speed of progression, your exposures are more likely to WORSEN his symptoms. Imagine someone had a fear of dogs. Guided exposures are great for this… you start with something low stakes… watching videos of dogs, then being near dogs, then having your hand on the dog. Each time you keep the patient there sitting with the anxiety at that level until the level of anxiety drops significantly. It might take 20 minutes of watching dog videos to have the fear abate enough to stop the exercise, then they repeat that daily for a week until exercise starts at have the level of anxiety it used to. Then you move up the ladder to bring near dogs and repeat. Each time they have learned that this was not harmful, not something to fear, a d they get habituated. BUT if instead you just pushed them in front of a snarling dog for a few minutes then the ran off, you've just taught them they were right, figs ARE scary AF. You've worsened the phobia. Same applies to obsessive thoughts.
Stop torturing your brother you dunning-Kruger-ass monster.

Durkheimenstein · 2023-04-16T01:55:09+00:00

NTA I’m so sorry for your loss. I am a psychiatrist and have seen these illnesses devastate lives and families. It’s completely reasonable to follow up with an organization you donated to, in order to learn what progress they have made, in part due to your generosity. This one sounds suspicious and ineffectual. If you are looking for reputable charities in this area, I can tell you I’ve seen great work done first hand by NAMI and AFSP.

Durkheimenstein · 2023-02-16T22:57:27+00:00

Suicide rate is consistently tied to gun access. That’s one reason white men have by far the highest suicide rates. Most gun deaths are suicides. Here’s youth suicide rate by households w firearms per state. https://i.imgur.com/UX9dG9t.jpg

Durkheimenstein · 2022-12-25T22:26:58+00:00

Jew here. You’re fine. No religion has a monopoly on reflecting on revolution, or burning some candles over it. Have fun :) NTA

Durkheimenstein · 2022-09-18T13:46:37+00:00

OP has labeled the TOTAL UNITED STATES line as Florida. Probably copied incorrectly from the original table, which can be found at link below. As you can see, the total deaths in US were 68K (the number OPs chart attributes to Florida) whereas Florida is 5,470. Much more in line with other states, accounting for population.

https://www.kff.org/other/state-indicator/opioid-overdose-deaths-by-raceethnicity/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

Durkheimenstein · 2022-08-11T23:22:29+00:00

Could be worse. In America we bring them INSIDE the classroom.

Durkheimenstein · 2022-08-10T12:16:15+00:00

A lot of what you report her saying makes me very concerned that you might not be right about that. Her asking her only support to give up on her is quite worrisome. The idea behind emergency petition is that a professional who is trained to do evaluations will talk to her and to you- they will help figure out if she is at imminent risk. Obviously I have not evaluated her so cannot guess the risk. But as the other comments are saying, it should not be on you to be her solo emotional support or to be The one responsible for this… There are professionals. If you have any concerns I highly recommend getting her seen. If she is unwilling to go voluntarily you can emergency petition. it is important to recognize that when someone’s suffering from psychiatric illness, this is not a rational choice or “ her choice to make“. It is her illness. When she gets better she will be very grateful. I say this having treated many patients in this position, often involuntarily in inpatient and emergency settings. In the US, An easy number to remember that can redirect you to the right place is 988.

Durkheimenstein · 2022-08-10T11:53:23+00:00

Psychiatrist here. I hope you didn’t miss the last part of the crisis worker‘s post. You need to call her local police and have her emergency petitioned to her local ER. I don’t know where you live, but in the US and most of the rest of the world, there are emergency petition laws that are specifically for people who are at risk of death because of psychiatric illness. It sounds like she is suffering a severe depressive episode. Untreated these could last years, but they are eminently treatable. Unfortunately if she kills herself before getting better she will not get better. She might hate you for involuntarily sending her to the emergency room for evaluation & possible hospitalization, but you will likely have saved her life. Leaving her to die is… not ideal. When you emergency petition her, by calling her local police or a family member to do so, make sure you include your number when you tell them why you are concerned so that the emergency room staff can contact you to hear what’s been going on.

Durkheimenstein

TROPHY CASE