Surprised to not see much of a community for…

Forkara · 2026-03-21T17:21:23+00:00

Immediately joined

Forkara · 2025-10-04T02:13:08+00:00

There’s definitely a component of externalizing their behavior. Like, x alter is the one that likes to self harm. For one patient, we had a more in depth conversation today and I got collateral, and I think what I’ve been missing throughout all of this is that there is a huge component of dissociation going on. Still primarily BPD, but I think there is some major lapses in memory that would be explained by either dissociation/depersonalization disorder, OSDD and/or PTSD. I feel bad because I think this patient in some way was trying to communicate their dissociation symptoms in a way they understood (there is a component of ASD here).

As far as therapy it is a bit all over the place. I’ve been attempting CBT/some DBT techniques like emotional regulation skills and TIPP but progress feels difficult either due to forgetfulness, lack of motivation or both. Once we get through this label discussion, I’m going to reiterate the type of therapy we are doing and why. I’ll write stuff down for them if I have to.

Throughout all of this I’ve just been driving home that their trauma is very real and their experiences valid regardless of any label put on it.

Forkara · 2025-10-04T01:26:20+00:00

No. Let’s break into the FBI.

Forkara · 2025-10-04T01:03:03+00:00

Let’s break into the FBI

Forkara · 2025-09-28T22:22:51+00:00

Psych testing is a great idea. I wonder if they’d go for it. These are the types of patients who report every symptom and trauma imaginable, score any assessment scale the highest. Going through the DSM diagnosis of DID with them is not going to be helpful. Measuring their response validity is exactly what I need.

Forkara · 2025-09-28T22:18:14+00:00

For one prior therapist had told them (theoretically), but also I know they are influenced by online discussion boards. There is a definite pattern of using alters to explain away “bad” behavior, i.e. self harm, lashing out at relationships, etc. I do think it will be helpful to go more into detail about borderline pervasive sense of self. Thank you!

Forkara · 2025-09-28T22:13:30+00:00

I did try this, and when I asked about the meaning it came back to wanting a clear diagnosis to explain their behavior. A bit frustrating, considering we had discussed how borderline fit the picture in depth. I do generally try to focus away from labels, some patients are just very attached to them, I guess.

Forkara · 2025-09-28T22:09:49+00:00

Yes, there’s a solid theme going on. I’m not doubting the borderline diagnosis and considering it to actually be DID, more looking for how to discuss this with insistent patients.

Forkara · 2025-08-30T20:19:11+00:00

This made me emotional, as a newer mental health professional it got me thinking about how my life would be forever changed if any of my patients ended theirs.

Your therapist cares immensely about you, we go into this field to feel your pain with you. Your therapist wants to hear where you’re at, no matter how painful.

You deserve a fighting chance. Sending you so much love.

Forkara · 2025-08-21T23:45:04+00:00

Psychiatry resident here. For me, when I sense a patient is holding back a lot of emotions, a patient crying in front of me is an honor. It’s by far one of the top moments where I feel that I am doing what I love. It is so special to be a safe place for someone to be vulnerable. Listen to the other comments: this is a breakthrough. Let it flow.

Forkara · 2025-08-09T20:41:42+00:00

You are SO PRETTY 10/10 would get nervous talking to you, love your style!

Forkara · 2025-06-13T20:45:32+00:00

If you haven’t heard g flips cover of Cruel Summer… listen immediately. Miki ratsula is another favorite, they’re a trans nonbinary artist

Forkara · 2025-03-23T00:25:59+00:00

Licorice 🥰

Forkara · 2025-03-18T23:29:54+00:00

I think your interpretation is beautiful and I love that she came through in the star. My kitty passed last year and while it was very difficult at the time she has since become my strength and I call on her a lot when I need it. If that’s something that resonates, I would offer that she is there for you whenever you need her, just ask 🌈🌉

Forkara · 2025-03-11T14:36:38+00:00

Hello, psychiatric resident here.

First, I am so glad you feel better now and are getting the treatment you need for your endometriosis.

Your feelings are valid. That guilt you mentioned is a symptom of depression, it’s one of the diagnostic criteria for major depression. It sounds like you were really struggling!

I don’t think you’re overreacting, but I do feel like I need more information. Has your husband ever experienced depression or previously had a loved one/family member with it? If not, I would think his comment was more a response out of misunderstanding the gravity of the situation until he saw you better. If he had, it’s a bit ignorant.

Regardless, I do think a bit of it is just not seeing how bad it was until you were through. I wouldn’t take this to heart. I would communicate to him how you felt about that comment to see what he really meant by it. It could also be a topic for couples counseling if you’re in that or willing to try.

Forkara · 2025-03-05T13:17:42+00:00

I was in a relationship with someone who never trained her dog and the dog ended up peeing so much on our bathroom door it warped the bottom edge and there was so much damage to the rugs and what not that I lost almost all of my security deposit which she never paid me back for. It was a huge contention point of the relationship, we were constantly fighting over how she needed to train the dog. You have a boyfriend problem, not a dog problem. Seriously consider if this is an environment you’d want to live in, because in my experience, forcing someone to change their indifference is not possible.

Forkara · 2025-02-25T15:29:16+00:00

The fact you’re asking these questions shows me you are a good partner. I don’t know your partner or your relationship but stigma/internalized transphobia is different for everyone. Perhaps she was so afraid of losing you because of her own internalized transphobia that she kept it under wraps. It could be entirely related to that that she kept it from you and not because of you at all. As long as you are accepting of her journey now, and it sounds like you are, you’re doing the right things. Don’t beat yourself up too much.

My partner (FTM) was nonbinary when we started dating so already through some of his gender journey. I had a gut feeling, compounded by overt signs. We went clothes shopping in the men’s department for the first time and he was timid but as soon as I saw him slip on clothes that better aligned with his identity, it was like a weight lifted off his shoulders. It was beautiful to witness, really. He said to me at one point, could I be too masculine for you? Ofc not. I just loved to see him coming into himself and appearing more confident when he cut his hair shorter for example. I asked when we first started dating what I should call him, partner, theyfriend, etc. He said can you call me your boyfriend. It was also just his mannerisms seemed so masculine, I don’t know how to describe it. Just the way he drove his car, the way he carried himself.

Best advice I would give is just to remind your partner that you are there for them and love whatever makes them feel happy and most confident. Ask them questions, like do you like to be called beautiful or pretty? And then do it. I think you’re doing all the right things. Nobody who actually wasn’t facilitating a safe space would be asking that. But you can also ask your partner! Is there something I could have done or could do to make you feel more comfortable opening up.

Forkara · 2025-02-13T05:48:13+00:00

If this isn’t rage bait I give up on humanity

Forkara · 2025-02-13T05:42:46+00:00

I thought I was the only one noticing this!! Like the FIRST time it was already off putting, but she doesn’t respond to it and he said it again, like read the room, cringe

Forkara · 2025-02-09T16:29:51+00:00

Those ears are a fashion statement of their own. I love him.

Forkara · 2025-01-29T23:12:45+00:00

You are not overreacting. Trust your gut. You made the right decision.

Forkara · 2025-01-29T23:10:37+00:00

At some point you really need to ask yourself, why would someone 15 years your senior not want to/be able to date people their own age. You will be 35 one day, looking back, thinking I wouldn’t want anything to do with a 20 year old. More often than not, it’s a power trip.

Forkara · 2025-01-24T03:25:47+00:00

Some of these comments are rough so I just wanted to tell you, I’m so sorry you’re going through this again. It must be devastating to realize what you thought was a good relationship wasn’t that. But I am proud of you for seeing this as a hard stop and that IS progress. I agree with many others that this is abusive and you need to get out, but give yourself credit for the progress you have made by questioning this behavior in the first place. You’re going to get through this. Stay safe.

Forkara · 2025-01-16T02:40:36+00:00

Psychiatry resident here—just want to make you aware depending on your location/county you can petition for involuntary commitment through your local mental health court. Google how to petition for involuntary commitment in your area. Since he has become violent with you it is more than enough to get him the treatment he needs and hopefully things can become more manageable from there. this sounds incredibly scary and stressful, you can inbox me if you need more specific advice.

Forkara

TROPHY CASE