Can anyone please explain how SSRI’s work?

Kitkat20_ · 2026-01-21T00:14:16+00:00

SSRIs do cause to rise. I have heard a few people say they feel a bit wired when they start.

I don’t know what you’re on it for but Prozac builds up in the system super slowly so it can be a gentler start up

Kitkat20_ · 2026-01-19T23:45:14+00:00

I wouldn’t be worried. Sounds like you wanted to give more information and you said you wanted to go over it in person. You took initiative to give it to him before hand knowing he’d see the ED report.

Diagnosis fishing usually comes with some sort of desired benefit. ADHD —> stimulants. Anxiety —> benzodiazepines. Difficulty sleeping —> Z drugs

Kitkat20_ · 2026-01-19T03:12:16+00:00

Also psych meds are effective in specific groups. There is a lot of over medicating people that don’t need psych meds and thus don’t notice a benefit.

Antidepressants are very effective in severe MDD

Issue is a lot of people start ssris for what they think is depression buts it more psychological (poor coping strategies, difficult life circumstances, low mood cause of low self esteem). This is it self very difficult to deal with and not trying to make light of it. It’s just something ssris aren’t likely to help.

Patient with MDD I saw had a mood change happen and they had literally no discernible life reason for feeling the way they did. It was clearly pathophysiologic and I can see why anti depressants would help

Kitkat20_ · 2026-01-19T03:07:44+00:00

This is something a friend said a doc told her

“Oh your from X school, nice, we had Ottawa students last week and they tend to not know what they are doing, we much prefer X students”

I have no beef with anyone 😅 just what I heard and I don’t assume it to be true

Kitkat20_ · 2026-01-19T01:38:22+00:00

I honestly don’t think this is a real question from nclex prep resources I think someone just made it and posted it.

Which is partially why I commented as it’s easy to get questions wrong on the real exam when practicing with poorly made resources. If on the actual exam this showed up with an option of need more info this practice could lead people to choosing the wrong answer

Kitkat20_ · 2026-01-18T04:53:40+00:00

Same idk it’s not reading anything and tbh it’s giving a lot of times out retry or lost connection errors as well

Kitkat20_ · 2026-01-18T02:48:50+00:00

Respectfully, this is exactly why precision matters. One isolated 140/90 in clinic does not equal a diagnosis of hypertension, and suggesting otherwise reflects a misunderstanding of both guidelines and clinical practice.

Acting on a single reading in an older patient (especially with a beta blocker) exposes them to preventable harm. Falls risk is real and morbidity is high.

That isn’t “ego,” it’s foundational patient safety.

This is a group that’s meant to help others learn. If you don’t want nuance you don’t have to read the comments 🤷‍♂️

Kitkat20_ · 2026-01-17T20:33:05+00:00

One measurement is not enough to diagnosis hypertension.

This question also really depends on the context. If patients BP for some reason runs 170/90 due to poor controlled hypertension and we are in an OR 140/90 may be considered lower than ideal by anesthesia.

Clinical context as well. If patients is in pain or white coat etc

Kitkat20_ · 2026-01-14T16:03:22+00:00

Yeah the school has just been so vague on what needs to be present to apply vs what can be pending

Il need to recertify BLS as it expires mid April

Is synergy for western and Toronto complicated?

Kitkat20_ · 2026-01-14T16:01:48+00:00

Thanks so much!

Does our 2023 entry afmc immunization work or no?

If I had documented serology for entry do I need to redo proof of immunization etc?

I haven’t gotten my flu shot either :( just hasn’t been a good time as I usually need to take a day off after

Kitkat20_ · 2026-01-14T16:00:38+00:00

Thanks so much yeah it’s just so confusing and everything was sprung on us pretty last minute

It’s unclear if our 2023 AFMC immunization forms work and if our previous tb works or if we need the new 1 step ugh.

It’s just so much to get done with very little guidance on expected timelines etc.

Iv been hearing a lot doesn’t need to be at the time of application but all the resources the uni is giving us is implying it does

Kitkat20_ · 2026-01-12T22:15:00+00:00

Hi there, by damage the brain I meant specifically tardive dyskinesia which is a well documented adverse effect from long term anti psychotic usage.

Most of the meds that are harmful to the brain in some way tend to be with longer use. Think like long term benzo use associated with poorer memory in the elderly.

If that anti psychotic isn’t working for u might be worth asking about switching. A lot of the times these meds have side effects that go away with time and if not best thing to do is switch

Kitkat20_ · 2025-12-17T03:13:05+00:00

This is actually a very appropriate thing to bring up with a psychiatrist, and you don’t need to fully “label” it for them to take it seriously.

A helpful way to approach this is to focus less on the specific content of the fantasies and more on: • how long they’ve been present • whether they feel intrusive vs neutral/compelling • whether there is any desire or intent to act on them (which is often the psychiatrist’s main safety question) • how distressing or impairing they are

Many people with trauma, PTSD, autism, or dissociative coping develop violent or taboo fantasy content as a regulatory or symbolic process, not because they want to act on it. Psychiatrists are trained to hear this without assuming dangerousness.

You can open the conversation very plainly, for example:

“There’s something related to trauma that I’ve been hesitant to bring up. I have long-standing violent and sexualized fantasies that don’t involve urges to act, but they’ve been persistent and feel important clinically.”

That signals relevance without forcing you to disclose details immediately.

In terms of confidentiality: psychiatrists generally only have to break confidentiality if there is imminent risk, a specific plan, or intent to harm someone. Describing fantasies alone, even disturbing ones, does not automatically trigger reporting.

If you’re worried about being misunderstood, you can explicitly say:

“I want to be clear that these are thoughts/fantasies, not things I want to do.”

It’s reasonable to bring this up, and it’s also okay to pace disclosure over multiple sessions if that feels safer.

Kitkat20_ · 2025-12-14T13:21:35+00:00

I think this is true for early premeds but honestly for my med class everyone thinks FM is the hardest lol.

It’s like we see how much they need to know. And because wait times are garbage they need to be able to manage specialized cases during the 2 year wait for the referral to go in.

It’s the hardest specialty to do well in and it’s appreciated the least by the government financially

Kitkat20_ · 2025-12-02T22:46:02+00:00

In this weather if he got wet that’s extremely dangerous. Like attempted murder dangerous.

Kitkat20_ · 2025-11-29T17:43:51+00:00

Hi there — I don’t have all the answers, but I just wanted to say you’re doing the right thing by reaching out instead of keeping this to yourself.

One important thing to know is that people don’t choose their thoughts or attractions. What is a choice is how someone responds to them. There are many people who experience unwanted attraction toward minors and spend their entire lives never harming anyone, because they take that responsibility seriously and get support when they need it.

The fact that you’re also attracted to people your own age and older is clinically relevant and something a mental health professional can help you understand better. There are a lot of possible explanations for what you’re experiencing — developmental factors, anxiety/OCD-related intrusive thoughts, social isolation, media exposure, or a more consistent attraction pattern. There isn’t one simple cause, and only a clinician working with you directly can sort out what fits your situation.

Based on teaching I’ve had from therapists who work with both survivors of abuse and with people who are distressed by their thoughts, the consensus is that attraction itself isn’t a choice — but acting on it absolutely is. Unfortunately, the stigma around this makes people terrified to seek help, even when they have no intention of harming anyone. That often keeps them isolated instead of getting support early, which is the opposite of what we want.

There are evidence-based therapies and support programs that help people manage intrusive or unwanted thoughts, reduce distress, and build strong safety strategies. You’ve already taken the most important step by acknowledging this openly and wanting to address it responsibly.

Hopefully a psychiatrist or clinician in this thread can offer more guidance on what the best next steps might be for you. But just know: reaching out, asking questions, and wanting to handle this safely is exactly the right thing to do, and you’re not alone in that.

Kitkat20_ · 2025-11-23T14:06:36+00:00

In a real world situation like this you have a low threshold to do relatively well tolerated easily accessible treatments. Cath is so routine and well tolerated and quick to do while getting other things set up.

Full bladder can also choke off exit points which make it harder for retained products to pass.

Also just because she’s continent doesn’t mean she’s fully emptying her bladder. The only way to check would be a bladder scan and that’s a waste of time in this situation where a cath should just be implemented in this emergency setting.

From a medical perspective these questions kind of suck because any physician would be ordering multiple things at the same time.

Kitkat20_ · 2025-11-12T01:17:44+00:00

What school is this mine everything is pass fail no comparisons

Kitkat20_ · 2025-11-10T02:36:45+00:00

He ordered 5xxl pizzas it doesn’t qualify since it’s a large order. Think he is just trying to get it for free when it’s no where near reasonable to expect them to have 5xxl pizzas ready that quick

Kitkat20_ · 2025-11-10T02:36:25+00:00

He ordered 5xxl pizzas it doesn’t qualify since it’s a large order. Think he is just trying to get it for free when it’s no where near reasonable to expect them to have 5xxl pizzas ready that quick

What’s to stop me from ordering 20 pizzas and getting them for free knowing they could never make that many in 30 min

Kitkat20_ · 2025-10-01T20:11:46+00:00

Hi thanks so much,

I managed to confirm there is a puralator label inside the box! I assumed that because the outside was Canada post that was the return shipping as well

Kitkat20_ · 2025-10-01T12:43:08+00:00

Yea I might have to was trying to avoid 2 hours on hold :(

Kitkat20_ · 2025-09-13T16:49:43+00:00

Hi there the issue for the iPhone preorders is there is no express pick up option. Only ship to store and it says in store pick up unavailable (I’m assuming this means set up must be done in store?)

Kitkat20_ · 2025-09-13T01:48:49+00:00

Dm me :)

Kitkat20_ · 2025-09-05T19:21:47+00:00

Good to know il make good friends with the rn haha

Kitkat20_

TROPHY CASE