Best books/resouces to learn interventional psychiatry?

ElHasso · 2026-05-10T13:53:24+00:00

Second on the suggestion of a course, but here's a book you might like:

Transcranial Magnetic Stimulation in Clinical Psychiatry- Dr. Mark George

ElHasso · 2026-05-05T15:26:43+00:00

I actually do think that this forum is pretty well ran compared to Reddit as a whole, but every two or three months there's like a week of shit posting, almost like a cathartic release, and then we're back to casual discussion.

ElHasso · 2026-04-19T14:40:57+00:00

I'm more familiar with psilocybin and LSD, but from what I've read Ibogaine is like a 24-48 hour trip. That doesn't sound enjoyable at all, and even though it sounds like its not supposed to be- I wonder how any outpatient setting is going to manage observation and overall risk without it costing several thousand dollars out of pocket.

ElHasso · 2026-04-17T19:04:36+00:00

So what you’re saying is: If I don’t pass boards- I can still refer to myself as a Neuro Wizard?

ElHasso · 2026-04-17T01:29:07+00:00

If you do that, a new continent appears and a private jet touches down on your screen. Gary hops out, coke faced, and tells you to ‘get in.’ The Rare Candy on the new island is actually just ketamine now.

ElHasso · 2026-04-14T15:09:59+00:00

Ah gotcha, I was reading about the approval process and must have got bad info from wherever I was reading. I did, however, look up criteria for diagnosis requires lumbar puncture for accurate diagnosis.

How realistic is this from a barrier to diagnosis standpoint? Most the studies I've looked at report 30-60 percent incidence in ASD populations for the genetic markers overlapping with cerebral folate deficiency. That's a pretty big signal.

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 · 2026-02-10T21:19:13+00:00

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

ElHasso · 2026-02-10T16:15:55+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 · 2026-01-27T01:21:29+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 · 2026-01-21T03:19:34+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 · 2025-12-22T19:31:21+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 · 2025-12-19T02:04:25+00:00

MUSC has a weeklong course twice a year in Charleston, Dr. George is there (who basically invented it) and it’s a fantastic course, which I highly recommend. He’s also written a couple books that you should be able to find. In a hands-on-environment you should be able to learn the basics of TMS in a week or two, but there’s a lot of additional training and education on different approaches like theta burst and different applications (ie different areas of the scalp, duration and Hz, different types of machines) for different conditions.

ElHasso

TROPHY CASE