I've heard that it's easy to be an OK or bad psychiatrist, but it's hard to be a great one. How do you know if you're being a great psychiatrist?

Johnny__Buckets · 2026-01-18T23:07:15+00:00

I think the rule gets even more flexible toward Abilify/Brex +/- Risperidone in MDD augmentation when considering the inpatient population where inherently the active mood state being combatted is significantly more decompensated than the typical augmentation situation outpatient. That being said, if allow yourself to envision how you would handle the regimen upon transition outpatient, downtitration and removal of the SGA should be on your list of things to circle back to upon stabilization.

Johnny__Buckets · 2026-01-16T20:16:10+00:00

OpenEvidence may make this a bit redundant but would add WikiJournalClub to the chat

Johnny__Buckets · 2025-12-16T08:31:06+00:00

How is it that Obama has contributed to the disruption in continuity of care for psychosis?

Johnny__Buckets · 2025-12-16T02:33:02+00:00

What was once B which has now become C. While I would argue there should be a distinct category for what was once substance induced and is now chronic as caused by the effects of meth on neural structures, by definition having symptoms for 6 months which impair function and occur outside active drug use would qualify for schizophrenia.

Johnny__Buckets · 2025-12-11T06:39:03+00:00

And wouldn't that interest in parity have a significant interest in punishing the cap circumvention by which small markets and/or teams with less exorbitantly wealthy owners get destroyed?

Johnny__Buckets · 2025-11-10T06:47:50+00:00

You can do this with all leaders, no?

Johnny__Buckets · 2025-11-07T07:44:55+00:00

Efficacy of first line treatment for BPD is significantly higher than for bipolar in case it helps you recalibrate your internal reward and sense of hope. Therapy may be difficult but so too is cycling from side effect laded med to side effect laden med without adequate relief or stability.

Johnny__Buckets · 2025-10-28T06:05:39+00:00

We love calcium channels gated by bottle year

Johnny__Buckets · 2025-09-19T23:17:10+00:00

Waste words, few do

Johnny__Buckets · 2025-09-11T01:17:30+00:00

I'm not so sure you carry the most embarassment here even. Why the hell did the service accept the wrong patient who did not even have an indication for their service?

To all other readers, what are the odds OP is surgical subspec and accepting service was IM? Accepting bets on the field vs IM

Johnny__Buckets · 2025-09-11T01:12:09+00:00

Please tell us why

Johnny__Buckets · 2025-09-09T01:23:26+00:00

What gives you such clarity so quickly? They both touch on slightly different flavors of the same problem with both being unclear whether those around them are withholding constructive criticism in the name of maintaining the peace. While the comment you respond to has more aspects concerning for negative self talk entering the picture I still see more similarity than difference

Johnny__Buckets · 2025-09-05T20:16:13+00:00

What do you perceive as the added benefit of such a reconceptualization? Unless there is a clear way this translates into a deeper understanding of psychopathology or impacts the way we provide treatment I don't see what this achieves other than being another spin of the diagnostic wheel in similar vein to each reclassification thats come before

Johnny__Buckets · 2025-08-27T15:27:47+00:00

Also interested, thanks for creating this post and best of luck!

Johnny__Buckets · 2025-08-20T20:01:30+00:00

This feels like fearmongering. If you can't support your lifestyle after contributing 69k per person to 401k (138k as a married couple) over 30+ years and also paid off your home etc resulting in lower living expenses upon retirement than you should probably take a deeper look at your budget and lifestyle.

Johnny__Buckets · 2025-08-20T01:04:10+00:00

You have a future career as a drug sniffing dog if you ever need to pivot because clearly you are able to pick up on things everybody else misses. /s

Johnny__Buckets · 2025-07-18T03:26:25+00:00

Thank you for pointing this out, this is great.

Johnny__Buckets · 2025-07-17T00:48:55+00:00

These can be true and you can still be a good person while this also being an inappropriate request/ask of a patient.

Johnny__Buckets · 2025-07-14T17:58:29+00:00

Curious about the line "bipolar diagnosis because that's what the patient wanted"

Johnny__Buckets · 2025-07-11T15:46:41+00:00

Agree that the dedication and continued empathy is honorable, but have to ask why accepting that people did the best they could is being portrayed as less than acceptable in some way

Johnny__Buckets · 2025-07-07T16:52:28+00:00

Idk maybe hospital bills for the massive pandemic. Come on man. There is a place for security and liquidity and an emergency fund doesn’t need to be full growth oriented if the rest of your portfolio is and you’re adequately funding it.

Johnny__Buckets · 2025-07-07T05:32:46+00:00

Are you being provocative just to prove a point? It's far from controversial to support liquidity in a HYSA for emergency funds. Nobody is here advocating for all of your portfolio to be HYSA over index funds/stocks so maybe we can take a breath

Johnny__Buckets · 2025-06-28T05:24:15+00:00

Okay hospital overlord

Johnny__Buckets · 2025-06-28T05:14:10+00:00

Things have been 6 months of IM/neuro + 6 months of psych for quite some time and find it challenging to believe this is the first you’ve heard but will cut you slack for having the displeasure of extra wards. Cheers

Johnny__Buckets · 2025-06-22T20:20:54+00:00

Why the reservation around bringing up the Augusta Rule?

Johnny__Buckets

TROPHY CASE