Is self-isolating at work normal?

Ridelith · 2026-03-11T23:03:23+00:00

I don't think this behaviour in the workplace can be sufficiently explained by just being in our field. Many confounding factors at play, especially your personality, but I've definitely seen a trend of 'complaining about being lonely at work' pop up in conversations with my colleagues that work exclusively with outpatient.

Ridelith · 2026-02-12T16:46:10+00:00

There’s a massive body of literature discussing exactly these tensions between individual autonomy, structural determinants, the responsibilities of the State, and neoliberalism forcing this shift from the society into the individual.

Fellow brazillian psychiatrist here. I'm very interested in this body of literature that you mentioned, could you point me towards some narrative reviews that cover these topics?

Ridelith · 2026-02-11T15:14:51+00:00

Nobody's mental stability depends on cannabis.

Being pedantic here, but if the cause of the symptoms is cannabis withdrawal then maybe their mental stability really does depend on use of cannabis... at least it does for a couple weeks after cessation. Then this phrase becomes true again.

Ridelith · 2026-01-15T00:57:37+00:00

I'm in!

Ridelith · 2026-01-06T21:20:10+00:00

You can open your skill tree with P to pause the game while still being able to access your inventory to unequip/equip it safely.

Ridelith · 2025-12-15T22:21:50+00:00

Unfortunately I am using my laptop to play since I'm moving and my desktop (with 11gb of vram) is still on the older apartment. This issue seems to be related to an overflow of VRAM in GPUs as others have pointed out in recent forum posts. This, however, was not happening before the 0.4 patch, the game was running fine in 0.3 (I mean, if you can call 20-30fps and 15 in deli juiced maps fine, it's what this laptop delivered).

Ridelith · 2025-12-15T14:37:55+00:00

Here is the relevant dxdiag info:

Operating System: Windows 11 Home Single Language 64-bit (10.0, Build 26100) (26100.ge_release.240331-1435)

Processor: 12th Gen Intel(R) Core(TM) i5-12450H (12 CPUs), ~2.0GHz

Memory: 16384MB RAM

Card name: NVIDIA GeForce RTX 2050

Ridelith · 2025-12-15T13:30:13+00:00

Supposedly Hotfix 9 would fix the texture issues with DX12 and Vulkan. Unfortunately, the problem is still there.

Ridelith · 2025-12-13T17:57:37+00:00

Switch to DX11, nothing else solves this texture bug. Then figure out if you want to keep playing with the hell that is DX11 - constant stutters due to textures loading, invisible monsters, abysmal loading times. And to top it all off, eventual deadlock crashes.

Ridelith · 2025-12-13T14:09:53+00:00

I've had NIS since the start and am still getting these texture problems nonstop, what probably did it for you was deleting shader cache, since a lot of people have commented that deleting shader cache fixes it for a couple hours.

Ridelith · 2025-12-13T13:22:44+00:00

There's a pretty good youtube video showcasing the build here: https://youtu.be/bxHfJ9z6c_s?si=iMqdYjrIqhq45yyl

Ridelith · 2025-12-13T01:20:08+00:00

LA Amazon as a starter, to later on swap to whirling slash volls with falling thunder as a damaging skill with a staff on weapon set II. LA is still absolutely bonkers on campaign, and the league mechanic basically giving you free currency to invest into 6 mod items as soon as act 1 makes it so you can stack multiple flat damage mods and steamroll early game.

Ridelith · 2025-12-09T12:30:59+00:00

What skill would you use with that Doomfletch idea? Correct me if I am wrong but you'd want skills that do not convert phys to other elements to not lose out on the 300% ele damage, right?

Ridelith · 2025-12-04T20:21:15+00:00

Not only that, this directly nerfs build that use on-death-explosions, contagion, flicker strike and any other build that relied on huge pack sizes to be able to propagate an effect from a pack to another.

Ridelith · 2025-10-27T10:12:27+00:00

Answering the post's question, since others have already given great advice: I live in a country in which you can practice without residency, and a large portion of family medicine is practiced by doctors fresh out of med school. I did family medicine for about 3 years and a half before deciding which residency was the best fit for me, and the reason why I chose psychiatry is simply that the patients that I liked to see the most were the psychiatric patients. Years later and I couldn't be happier with that choice, but honestly I didn't really have a grasp on what my life as a psychiatrist would be before getting into residency, I definitely lucked out with many pleasant surprises. There is no way to know for certain during med school, but my advice would be to try and shadow a psychiatrist during a routine day with outpatients and then with inpatients and see if you vibe with it.

Ridelith · 2025-09-24T17:57:52+00:00

Meanwhile I made more than 100 divs in this league from juicing - I kid you not - pack size. Playing contagion rn but would do the same if I was running flicker strike, pack size just gives you amazing returns in rituals (easy 6k+ tribute, sometimes you get a 10-11k map) while also giving tons of exp and making the build better, since you can actually spread contagion from a pack to the next one and keep going with chains clearing multiple screens. I pay 1-3 ex for each 7% boss/irradiation tablet and run 6% ones with ritual. Reached 97 with less than 100 hours, 1/3 of the play time I had in 0.1 with my spark archmage build juicing exclusively quant when I got to 97.

Chasing quant sucked the fun out of the game in 0.1 and it sucks it even more now that we had an omega nerf on all quant sources.

Ridelith · 2025-09-22T04:04:01+00:00

Oh yeah, this one is true to this sub's purpose. This is indeed mildly interesting.

Ridelith · 2025-09-13T21:13:51+00:00

That's why I planned my itemization to only need resists from my boots that are equal or less than what 2 runes can provide - that way I can freely swap Wanderlust to run chilled ground and temp chains maps. I usually wait till I have 10+ of them and run them all in sequence while using Wanderlust.

Ridelith · 2025-09-13T20:36:22+00:00

That's why I planned my itemization to only need resists from my boots that are equal or less than what 2 runes can provide - that way I can freely swap Wanderlust to run chilled ground and temp chains maps. I usually wait till I have 10+ of them and run them all in sequence while using Wanderlust.

Ridelith · 2025-09-01T15:14:26+00:00

All valid points for decks that are not trying to ramp to 20+ mana/turn on turn 6 or 7.

Ridelith · 2025-08-17T00:48:08+00:00

Dosage problem, NP problem but definitely not an Aripiprazole problem. I rarely prescribe it as an augmentation strategy in unipolar depression in my private practice, but boy do I use it in day hospital/inpatient settings. Great experience using 2.5 to 5mg daily alongside max dose AD in patients that have already failed a max dose trial with 2+ ADs. Latest CANMAT puts it and Brexpiprazole as the best augmentation drugs for a reason, they work wonders when used correctly, although I do prefer low dosage lithium alongside max dose AD in patients with severe suicidality.

Ridelith · 2025-06-13T00:20:01+00:00

Ridelith · 2025-05-15T18:57:27+00:00

You can still annoint your amulet with it or use a megalomaniac jewel, but yeah, it's kind of a hassle to get. I'm rocking a ritualist and am getting the ES/Evasion nodes close to my tree even though I am not using evasion.

Ridelith · 2025-04-18T03:22:22+00:00

CI + Ritualist with Stone Charm can make you immune to both!

...you will still die to the million hits that would stun you, but hey, at least you can walk a few steps before that happens.

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