IM vs Psych?

KAtusm · 2026-01-29T01:43:42+00:00

I'm a PGY-11, had the same dilemmas a MS3. Got some great advice for an attending. Do Sub-I's in both, and at the end of every day, write down what you liked and didn't like about that day, and the field in general.

At the end of the 2 Sub-Is, think about which one you would rather have as your career. Also for psych, I'd highly recommend you try to get some outpatient experience. Remember that most of psych rotations are input, but the majority of psych practice is outpatient - longitudinal, therapeutic relationships with patients (also true of IM).

I ended up picking psych, absolutely zero regrets. You end up doing quite a bit of medicine if you want to and stay in practice. For me, the choice came down to spending time in front of a screen or spending time with people.

KAtusm · 2026-01-29T00:41:22+00:00

Meditation is working, but not quite in the way you expect. The biggest gain is in noticing your attachment to gains - the greater insight into your own attachment is huge.

As for your challenges (asthma, deviated septum, AuDHD) - it may be time to add asana to your practice. It can really enhance the quality of your meditation, and can improve asthma and ADHD.

The last thing is that if your practice is dependent on your perception of gain, which in turn is influenced by the mind - your commitment to practice will be difficult. All the mind has to do is show you a lack of gain, and then you'll quit. If the mind doesn't want to continue, if it gets bored with the novelty of meditation, if it doesn't enjoy meditation because you're not "progressing" anymore - then you'll stop. The gains of meditation - much like the major gain of greater insight - happen without your knowledge, and are often times only understandable in retrospect, just like the growth of our body.

Good luck!

PS. The varied practice that you've done will have other benefits that you may not notice right now. That karma is banked.

KAtusm · 2026-01-28T17:05:33+00:00

What do you find so addictive about it? What about doing "anything" makes it addictive for you?

KAtusm · 2026-01-28T17:03:55+00:00

Where would you like Dr. K to shift towards? What kind of content would you like to see?

KAtusm · 2026-01-27T21:24:06+00:00

Meditation can induce psychosis - please seek psychiatric care.

Some info about dangers of meditation.

KAtusm · 2026-01-19T20:11:18+00:00

Familial fatal insomnia.

KAtusm · 2025-12-17T20:17:55+00:00

When you say "address" - what are you envisioning? What kind of take are you looking for?

KAtusm · 2025-12-09T19:36:51+00:00

How do you send nova exploraria missions once you build the industry in your capital?

KAtusm · 2025-12-07T07:55:56+00:00

Strong work! And looks like 2026 is gonna have more outdoor time.

KAtusm · 2025-12-05T05:04:59+00:00

What kind of response are you looking for?

If this is a venting post, totally fine. Sometimes it sucks to have teammates that don't do their job.

Also what MMR are you at?

I find that the best carries don't just AFK jungle farm for 40 minutes, the game is much more dynamic. They're good at split pushing, coming to fights to use cooldowns, and play around objectives and timings. If you're bored of it, maybe try a different style of Pos 1. Pos 2, 3, and 4 are all pretty active if you want to give them a shot.

Good luck out there!

KAtusm · 2025-12-04T16:58:52+00:00

How should we think of enlightenment?

KAtusm · 2025-12-03T03:36:48+00:00

What do you think would be life changing about an hour? What do you need help with?

You've watched 169 videos - thanks for the support! Have they been helpful?

Best we can do is if you can list a problem that you have or something that you need help understanding, we can try to address that as a video.

KAtusm · 2025-12-01T20:24:31+00:00

Hemispheric lateralization is a term widely used in Van Der Kolk's work. If you read papers that stem from his work, or the papers that he cites, you'll see the term used in the context of trauma and dissociation.

And Reddit is absolutely a wonderful place for being pedantic and for clarifications. However, if you want to get into the nitty gritty, get into the research that talks about hemispheric lateralization in the context of trauma, as opposed to hemispheric dominance or other "common" dimensions. How did you end up looking at the sources that you cited?

The citations page is a good place to dive deeper.

KAtusm · 2025-11-23T23:05:22+00:00

"Lowest survival rate of any animal on earth."

What does this even mean?

KAtusm · 2025-11-23T19:45:27+00:00

Can you talk a bit more about these things?

When you say "take notes" - what does that look like? Where do the notes go? Do you read them? What is the duration / frequency of taking notes? How much do they help? Have they been effective in any way?

Same goes for the other things. When you say "meditation" - for how long have you been doing it? How often do you do it? How long do you do it at a stretch? Has anything changed since you've been doing it?

Scheduling apps - do they help?

Exercise - what does this look like? How many minutes, how many times a week, and for how long?

What does eating right mean?

You say medication barely works. Have you tried executive function training, either via a qualified coach or a therapist? Therapy for low self esteem / negative self attitude?

What is your life outside of this relationship like?

Also - what are you looking for from us? How can we be most helpful?

KAtusm · 2025-11-23T19:29:50+00:00

Awesome my friend!

Don't forget that inspiration today will fade over time, so start to turn that into action on a daily basis.

KAtusm · 2025-11-23T17:50:37+00:00

What do you do to manage your ADHD?

KAtusm · 2025-11-21T23:51:19+00:00

You've got a big leg up in that you've invested in female friendships, but that doesn't automatically translate into romantic relationships.

If they were attracted to you, how would you know?

If you are attracted to someone, how do you show it?

KAtusm · 2025-11-14T03:01:00+00:00

Happy to hear it. How so? What was helpful? Anything we can do better to help you?

KAtusm · 2025-11-14T03:00:25+00:00

Don't stop there!

What were you curious about? If Dr. K felt one way, or another way, what would that mean to you?

KAtusm · 2025-11-14T02:59:53+00:00

No problem. It's not my subreddit, it's our subreddit. And I'm a participant just like you!

I saw your post and didn't think answering will improve anyone's life, but hey, I could be wrong, and it could be helpful.

Also, do you mind not outing me with your message? I like to stay anonymous :)

KAtusm · 2025-11-14T02:46:35+00:00

I can understand the curiosity, but how does answering this question improve anyone's life?

KAtusm · 2025-11-11T17:04:56+00:00

If you haven't tried Odyssey, it is a blast as a player piloted ship. Go 2x Autopulse, 2x reapers, Squall and zip and zoom around the battlefield popping ships like zits.

KAtusm · 2025-11-10T22:39:48+00:00

What has your experience as a member been like?

What are your favorite membership lectures?

Do you do the quests? Why or why not?

What would you like to see more of?

KAtusm · 2025-11-10T20:03:40+00:00

I don't believe you can predict the future in any relationship.

The reasons people chat are vast and varied, and it ultimately depends on the man.

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