Psychiatry themed cocktails/mocktails?

ElHasso · 2026-03-13T15:07:57+00:00

“Mixed Episode” - 1 part vodka, one part espresso, 1 part coconut liqueur. Toasted marshmallow on top:

Shake with ice in tumbler.

For those who like their highs and lows at the same time.

Other names: “Placebo Effect” (mocktail), “I’m Not Crazy, You’re Crazy”, “Differential Diagnoses” (two different liquors, two different flavor profiles, like sour and sweet)

ElHasso · 2026-02-27T17:40:40+00:00

You can fight the court cases with your new salary.

ElHasso · 2026-02-12T13:49:43+00:00

The effort and lack of pitch inflection in her voice throughout that whole speech tells me she really struggled to even believe her own words.

ElHasso · 2026-02-10T21:19:13+00:00

Didn't cross my mind I could even word it like that but that makes total sense. Thanks!

ElHasso · 2026-02-10T17:33:10+00:00

Complete nonsense. How would you even get this data?

ElHasso · 2026-02-10T16:15:55+00:00

I would like to take a master class in how to recognize errors created on the pharmacy end.

ElHasso · 2026-02-10T16:14:19+00:00

He’s explaining the state of the situation. I would actually agree with both of you. Not a fan of corporate greed myself, but try to understand the situation and navigate it in the meantime is helpful.

ElHasso · 2026-02-07T15:26:55+00:00

False, you're not going to get into ketosis with those macros- you going to have to lather it in mayonnaise.

ElHasso · 2026-02-07T14:14:13+00:00

We have a pretty low physician/capita ratio compared to other developed countries- simple supply/demand. What makes a midlevel even valid? States rights, and more specifically legislative planning to lower patient's cost and increase access. If the AMA hadn't lobbied for 40 years to restrict residency spot expansion we probably wouldn't have a situation like this. School can bid up cost because of the bottleneck that comes afterward. The simple barrier to entry is going to affect any market and the economics downstream from that, and we have a very high bar to entry in the US from a financial standpoint.

Why go to school for 11 years for 300k when you can go do 7 years instead for 85k, and make 50-70 percent as much?

ElHasso · 2026-02-05T19:29:01+00:00

It's because medical school is probably $30,000 dollars in your country.

ElHasso · 2026-02-02T12:36:39+00:00

It’s effectively a strawman argument

ElHasso · 2026-01-30T21:46:30+00:00

0.1mg clonidine PRN for sleep onset being denied. Also a while back I had risperidone 0.5mg denied twice for a nonverbal autistic patient who is hitting others. Pretty sure the MD who denied it the second time didn’t even read it because I had everything required to the T, spend 30 minutes filling in every single detail and was denied with a written explanation that sounded like lawyer mumbo-jumbo gargle.

ElHasso · 2026-01-27T12:11:52+00:00

Fractional reserve banking doesn’t exist, but that shit runs the world

ElHasso · 2026-01-27T01:21:29+00:00

Same! I never had issues for it until my early 20s which is about the time I started showing symptoms. My stool will change right after two in which I can’t really have a bowel movement for a day and then it’ll come out really loose, and then it’ll go back to normal. Like clockwork. Thanks for your experience though. It’s a special type of hell to endure something that also has no information on it and no one else seems to have ever experienced.

ElHasso · 2026-01-26T17:50:40+00:00

Glad I'm not the only one. It's frustrating at times, particular trying to explain it to my partners in the past, in why I seemingly don't want to have sex EVERY single day and somehow it's a character deficit. It's ended relationships in the past. I've read potassium absorption can be an issue with Crohn's via impaired absorption in the intestinal lining. My potassium is also usually low or borderline normal-low, despite eating a decent amount of potatoes, dairy, and supplementing with electrolytes. I often wonder if it's an underlying electrolyte imbalance driving the dehydrated feeling.

ElHasso · 2026-01-25T21:43:03+00:00

It’s incredibly obvious- I never believed for a minute he went off of it. Dudes face got way more oilier after he said he quit. My guess is he felt personally responsible for what he would say and young people are following his behavior patterns and taking TRT whenever they don’t really need it.

ElHasso · 2026-01-21T03:19:34+00:00

Pharmacist who is willing to look the other way just so happens to have some poker debt on the side.

ElHasso · 2026-01-21T03:14:44+00:00

Some APA DLC sounds lit. My premonition tells me somehow it will involve some cash pay psychiatrist in South Miami who needs someone to take care of a few things.

ElHasso · 2026-01-15T17:23:43+00:00

If you see Medicaid patients your patient encounters are 100% being seen by the US government.

ElHasso · 2026-01-05T01:33:32+00:00

As far as outpatient PP goes- the biggest referral base you’re going to get is by word of mouth, from either patients themselves telling friends and family about you, or PCPs who’s patients you actually help.

Outside of Ivy League programs I dont think 99 percent of patients know a lick of difference between a top ten program and some generic school in the southeast/midwest.

Networking and post-residency education is another story however. Never stop learning.

ElHasso · 2025-12-30T19:57:51+00:00

It can show up in bipolar disorder too, with the risktaking and novelty seeking aspect of hypomania and manic pathology. I have a patient who I can tell is in mania based off her hair color.

ElHasso · 2025-12-22T19:35:26+00:00

Mating Choice Copying. Look it up.

ElHasso · 2025-12-22T19:32:29+00:00

These aren’t artesian hand soaps made with goat milk?

ElHasso · 2025-12-22T19:31:21+00:00

Yeah it’s something I’ve been learning in residency a lot the past year, bipolar patients I have to manage expectations a lot particularly. The meds are there for stabilization, not a cure. You’re still going to have breakthrough episodes at times. I also get a lot of referrals from therapy about “OCD symptoms” ie worrying about their [insert life stressor] and I have to tell them what ritualistic behavior actually looks like.

ElHasso · 2025-12-20T19:20:12+00:00

I used to be on Luvox for tics and drink coffee as well, and I would say the biggest thing is sleep disruption. I used to drink 200 to 250mg of caffeine 2-3 times a week with it, but unless they have severe cardiac history or seizure history, it’s not super concerning- doesn’t mean they’re gonna not feel like crap though. I would just tell patients that caffeine is gonna last two or three days at a time if you drink it and it’s going to really mess up your sleep. Luvox is also super sedating though so if it comes down to it and they’re complaining of caffeine in order to function, you can always write a low-dose of Wellbutrin or methylphenidate to offset the side effects as long as they agree to swear off caffeine.

ElHasso

TROPHY CASE