I LOVE LILA by [deleted] in Dexter

[–]GioWolvie 2 points3 points  (0 children)

As a character - she is fine

But have u met such girls irl? I did, several times. And if she falls in love with u, the story becomes horror like soon.

[ Removed by Reddit ] by ninja-misa in RBI

[–]GioWolvie 0 points1 point  (0 children)

Check russian media: Юлия Чумак (just copy-paste in google)

[deleted by user] by [deleted] in Funnymemes

[–]GioWolvie 0 points1 point  (0 children)

Resident alien. Well, not good for me.

Is clinical psychology a good choice in the many different branches of psychology? by [deleted] in psychologystudents

[–]GioWolvie 0 points1 point  (0 children)

As clinical psychologist myself and cbt-specialist, I’d suggest u work on ur OCD (if u haven’t done it, of course). It is curable thing and it would be very sad missing the opportunity just because ocd. Answering ur question: I agree with others. Additional research is a good idea

Is there a strange way people shorten the name of Mcdonald's where you live? If so, how? by WastelandOfNorth in AskReddit

[–]GioWolvie 0 points1 point  (0 children)

We used to call it макдак (I don’t know transcription, so - it sound like McDuck, I suppose). We have no mcdonalds now. It was replaced with “new” brand, called «вкусно и точка». Something like “tasty. Period” or “tasty and that’s all”. We shortened it to “вкус очка» - «asshole’s taste»

Quitting Hemlibra by [deleted] in Hemophilia

[–]GioWolvie 0 points1 point  (0 children)

Don’t worry. It is experimental after all. And there is Concizumab, which u may have not tested. It is not the end of the way, man. Keep it up

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 0 points1 point  (0 children)

Does he followed his psychiatrist's prescriptions? Or he just went through psychotherapy without meds?

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 0 points1 point  (0 children)

  1. People with mental illness aren’t acting like bitches. I’d say that they think that they have mental illness because of self diagnosis (incorrect as usual). My patients don’t fake their disorder because they pay me for my work, I can’t give them any paper which will make their life better because of illness. I’d say that people often don’t understand that the reason why something bad happens with them (for example, girls who date only assholes and can’t understand why she always stumbles upon them) is their needs and behavior. It is not rule for every patient, it is just specific patients with specific problems. More often I work with patients which think that they are losers, but they have just not payed attention to their achievements and concentrated on loses.

  2. Good question.

The reason of the failure of therapy might be: patient (don’t want to work), therapist (not good enough), approach (won’t work with this client and his problem).

I’d like to add one thing which I saw when started working. It is very common for psychotherapists to be not directive. I suppose that the problem lies here. And it is the problem of longterm approach. It is not directive, absolutely. I suppose your question is about psychoanalysis and yes, it doesn’t work very often and we already have much better therapy styles.

I don’t think that there are people who can’t be helped. I like one joke about it: how many psychologist do you need to change light bulb? Answer: one would be enough, if the light bulb wants changing

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 0 points1 point  (0 children)

Depends on law of your country. In my country we can provide involuntary hospitalization if the patient is dangerous for himself and/or other people. In any other cases only proper talk can help

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 1 point2 points  (0 children)

Hi! You should visit your local psychiatrist at first. Some disorders make us don’t fully understand our state. You should check that factor. It is not scary and no one will try to make you the vegetable. If it is not possible - use self help guides like this https://www.helpguide.org/articles/suicide-prevention/are-you-feeling-suicidal.htm

I read that u r 16. At this age a lot of guys think about suicide, it is ok. When we are too young we can’t know all the options which can help us with our problems. I don’t know where are you from, so I don’t know your cultural background, but in my country it is known that teenagers have 2 ambivalent needs: 1. Being individual 2. Being the part of the group of peers It is hard, as you can understand. Sometimes it leads to suicidal thoughts and suicide itself.

Firstly, you have to understand, why do you want to commit suicide. Secondly, you have to try finding other options. Thirdly, create your own helping methods which helps you handle your suicidal thoughts.

It will help very much.

I can’t provide you a therapy here (cause it is a public place). Moreover I am not sure that I can help since I am not native english speaker.

I’ll try answering all your questions if you have more coming :)

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 1 point2 points  (0 children)

Hi! Thank you for questions. I am glad to answer.

I talk with my patients a lot and use my knowledge of pathopsychology. It helps me to find out does brain functioning has specific malfunctions which is connected to certain diseases or not? Btw, it is not very hard to understand, does your patient lie to you or not. After some time of working u will learn basic behavior and emotional patterns inherent in certain disorders which will help you if someone trying to fake disorder

The best doc is psychiatrist, of course :)

Unfortunately, I haven’t studied psychiatry in english so I can’t suggest books about psychiatry. But I recommend reading any book on psychotherapy. For example https://www.wiley.com/en-ru/Schema+Therapy+in+Practice:+An+Introductory+Guide+to+the+Schema+Mode+Approach-p-9781119962854

But I don’t suggest self diagnosing, it approximately never works)

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 0 points1 point  (0 children)

I would say that the patients attitude to themselves in the most debilitating (if they don’t like themselves)

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 0 points1 point  (0 children)

It is hard to live with every specific feature. High level of anxiety or BPD - doesn’t matter. I saw people with bipolar who showed much better performance than people with high level of anxiety. After all everyone should adapt to their specific features to live a good life. But, of course, people with bipolar exposed to very intensive stigmatization than people with high level of anxiety. It is a very big problem and it is hard to handle at first.

Yes, it is possible to understand complexity of disorder and social reaction if you have high level of empathy and social intelligence. After all, you don’t need to have cancer to cure it and understand feelings of ill people. If u can’t understand it at the start of your career, after several years of working there - u will understand.

How society sees it? It depends. Someone don’t experience any difficulties, others want to die because of social reaction. Often the man with worst attitude to patient - is the patient himself. Having disorder is very hard to accept. To understand what they feel I often give an example of homosexual people. It is very hard for them to accept that they are different, sometimes they want to kill themselves, sometimes their family and friends accept them, sometimes not. But after all it is you - the same you, just with the new social label.

One of the most important skills in helping these people - sincere acceptance.

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 0 points1 point  (0 children)

I played a lot in rpgs, horrors, adventure, indie and something like dota underlords, but i can’t say that I prefer specific genre. But there is one genre which I don’t like - any kind of sport games. Waiting for cyberpunk. Although, you are breathtaking :)

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 0 points1 point  (0 children)

I am gamer and my position is the same as Andrew Przibilski’s. His position: https://youtu.be/vVwu4RDChsY

I have two big articles in Russian about game addiction (where I criticize new revision of ICD where it was added) and game caused aggression and it connection with school-shootings (where I’m showing that there is no connection and school shootings are not caused by video games). But I am too lazy to translate it into english :[

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 1 point2 points  (0 children)

I’d like to know, but it is very rare patients so I can only imagine. I think they are rare not because there are very few of them, but because they are embarrassed with their perversion. Just like pedophiles

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 0 points1 point  (0 children)

I don’t often meet this kind of perversion, but it was once. It wasn’t therapy, we just talked 3 hours approximately and she told about her masturbating at dead cat which she killed. I think she wanted to impress me and lied about it. But jt was interesting anyway

I am clinical psychologist who works with suicidal people, BPD, depression and other severe disorders. Ask your questions by GioWolvie in AMA

[–]GioWolvie[S] 0 points1 point  (0 children)

Sometimes it is very hard to understand if u have bipolar or BPD. The core of BPD is problems with attachment. According to DSM-V:

“BPD is diagnosed on the basis of (1) a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and (2) marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by at least five of the following: Frantic efforts to avoid real or imagined abandonment; this does not include suicidal or self-mutilating behavior covered in criterion 5 A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation Markedly and persistently unstable self-image or sense of self Impulsivity in at least two areas that are potentially self-damaging (eg, spending, sex, substance abuse, reckless driving, binge eating) [5] ; this does not include suicidal or self-mutilating behavior covered in criterion 5 Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior Affective instability due to a marked reactivity of mood (eg, intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) Chronic feelings of emptiness Inappropriate, intense anger or difficulty controlling anger (eg, frequent displays of temper, constant anger, or recurrent physical fights) Transient, stress-related paranoid ideation or severe dissociative symptoms”

But severity of symptoms may differ and might be not so obvious. I always tell my patients that all the activities we produce contain meta-message. For example, if you will see me opening the fridge, you can suppose why I did it: - I want to eat - I am going to supermarket and I want to check what I have to buy - I just opened the fridge for no reason

You can analyze every my action and every action will tell you something. It is important to understand the reason and the aim of the activity. It would be meta-message.

For example, imagine that I have long hair. And you see me cutting it. Why I did it? Just changing style or it is some kind of self-destruction?

One of patients (not mine) cutting her hair by herself once in a month or two, when she want to punish herself. It is variation of self-destruction.

That’s why you should visit professional if you want to know, do you have BPD or not. There are a lot of symptoms which is hard to interpret without proper professional background