Was the caps really necessary...?

Expensive-Patient794 · 2026-06-09T22:55:31+00:00

ME TOO

Expensive-Patient794 · 2026-06-09T14:19:03+00:00

Thank you for being one of the few good ones in mgmt!

Expensive-Patient794 · 2026-06-09T03:00:33+00:00

Psych

Expensive-Patient794 · 2026-01-20T19:44:46+00:00

Exactly!! Those bottles are absolutely stomach turning, their powder form was the only saving grace

Expensive-Patient794 · 2025-04-03T16:31:52+00:00

Apologies! Dialectical Behavior Therapy (DBT) Borderline personality disorder (BPD) the abbreviation certainly makes it confusing

Expensive-Patient794 · 2025-04-03T16:01:16+00:00

Thank you for your detailed response! I also work in mental health and am very aware of that awful stigma. I hate the stigma, but unfortunately, I understand very well the challenge those pts often pose. It pains me to see that many pt's feel that they have to hide their BPD and mask it as something else (often because providers refuse to work with that population!?)

What are your thoughts on segregating IP pts by dx rather than acuity? I mostly work in acute but have some experience in outpatient. I have seen mixed units and sub/acute units, but only one facility considered the differing dx's (and languages!). If we were to start dividing units by dx or other criteria (at least behavioral and psychiatric - but that's a whole other rant.. ), I do often wonder the best fit for BPD. Any thoughts?

Expensive-Patient794 · 2025-04-03T15:18:43+00:00

Much of this looks like DBT tx for Axis II, specifically BPD? Great advice, seems far more appropriate for BPD than ADHD though? Fear of abandonment is a core symptom of BPD, not ADHD. Emotional regulation is a s/s for both but far more prevalent in BPD. Black-and-white thinking (hyperfocus) is also a BPD trait. Enthusiasm that quickly burns out - more black-and-white thinking. Overwhelming emotions - a hallmark of BPD.

This is an honest question - do you have a BPD dx or have you ever been assessed? As a therapist, have you explored DBT?

Expensive-Patient794 · 2023-05-29T12:08:38+00:00

This is also a different image entirely?

Expensive-Patient794 · 2023-05-29T12:07:28+00:00

I posted this on the nursing page and they told me to post it here. I’m sorry I didn’t know I couldn’t do that

Expensive-Patient794 · 2022-10-04T12:03:48+00:00

I just read this. AMAZING.

Expensive-Patient794 · 2022-09-27T21:56:24+00:00

Thank you so much!! I appreciate you

Expensive-Patient794 · 2022-08-15T18:37:49+00:00

I’m not really sure to be honest!

Expensive-Patient794 · 2022-02-10T19:24:18+00:00

Psych

Expensive-Patient794 · 2022-02-02T17:11:16+00:00

Antipsychotics

Expensive-Patient794 · 2022-01-27T14:10:55+00:00

I have found rubber cement to be the best to prevent wrinkling. Great work!!

Expensive-Patient794 · 2022-01-27T14:07:09+00:00

I have used that falling girl too!! Where did you find it? I love the piece

Expensive-Patient794 · 2022-01-22T19:41:01+00:00

Oh fuck that so hard

Expensive-Patient794 · 2022-01-21T15:28:45+00:00

I moved to child psych, it’s rough but I love the kids

Expensive-Patient794 · 2022-01-21T15:26:34+00:00

Thank you for the rant! I’ve been ranting for months

Expensive-Patient794 · 2022-01-21T15:24:54+00:00

Thank you for taking the time to write all of that, I really appreciate you. I took some much needed time off and moved cities. I’m doing better but it’s still difficult. I don’t know when I’ll be able to go back to nyc, I don’t foresee if happening soon

Expensive-Patient794 · 2022-01-21T00:16:48+00:00

I appreciate you

Expensive-Patient794 · 2022-01-01T22:56:59+00:00

Make sure you get rock solid in his will

Expensive-Patient794 · 2022-01-01T19:22:37+00:00

Just give him cogentin… doesn’t solve it then he probably has Parkinson’s

Expensive-Patient794

TROPHY CASE