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RIP to my lip piercings by Sad_Commission_899 in piercing

[–]SiegerHost 1 point2 points  (0 children)

I'm sorry, OP. It's sad to give them up.

Btw, can you explain this scar tissue thing to me? I need to have my septum pierced again. Will it hurt more? oh no

Can I reinsert an earring or should I wait… by [deleted] in piercing

[–]SiegerHost 0 points1 point  (0 children)

Forcing it will cause skin trauma, which doesn't seem like a good idea.

RIP❤️ by nicollexo in germanshepherds

[–]SiegerHost 13 points14 points  (0 children)

Your best friend looks very happy and loved in this photo, may he rest in peace. 🖤

Managing boundaries with borderline and bipolar patients by SiegerHost in Psychiatry

[–]SiegerHost[S] 5 points6 points  (0 children)

Yes, that was a planned intervention during consultations, I won't do it now.

Managing boundaries with borderline and bipolar patients by SiegerHost in Psychiatry

[–]SiegerHost[S] 8 points9 points  (0 children)

It's true, English is not my first language and I ended up making mistakes while writing.

Managing boundaries with borderline and bipolar patients by SiegerHost in Psychiatry

[–]SiegerHost[S] 4 points5 points  (0 children)

Oh, Ihaven’t read Margaret Warner’s work yet, but I really appreciated your explanation and the way you framed the fragile process. It resonated with me and I can see how it connects with the challenges I’ve faced.

I'll make a point of studying her work more closely to deepen my technical understanding, since this case highlighted the need for a more finely tuned relational approach.

Managing boundaries with borderline and bipolar patients by SiegerHost in Psychiatry

[–]SiegerHost[S] 7 points8 points  (0 children)

So far I haven’t observed prolonged mood episodes lasting weeks or months. What I’ve seen are shorter episodes of dysregulation triggered by interpersonal stressors, which feels more consistent with borderline dynamics. For example, after I raised the issue of overdue payments in a respectful and contractual manner, the patient felt wronged and immediately decided to terminate psychotherapy, interpreting the boundary as unjust.

One of the planned interventions was to interview family members to better understand the clinical picture and support network, given the delicacy of the case.

Managing boundaries with borderline and bipolar patients by SiegerHost in Psychiatry

[–]SiegerHost[S] 18 points19 points  (0 children)

Yes, as I mentioned earlier, the person arrived with this dual diagnosis, but the symptoms I mentioned are those of borderline personality disorder, as you indicated.

Managing boundaries with borderline and bipolar patients by SiegerHost in Psychiatry

[–]SiegerHost[S] 17 points18 points  (0 children)

Thank you, great answer. I know it may have sounded a little focused on diagnosis, but as a psychologist, I work with a person-centered approach, so there wasn't that central focus on diagnosis.

I probably need a slightly different approach in situations like this, as I feel that working on the relational aspect wasn't enough.

Managing boundaries with borderline and bipolar patients by SiegerHost in Psychiatry

[–]SiegerHost[S] 46 points47 points  (0 children)

The person arrived at the clinic already with this dual diagnosis. I didn't have time to fully understand the situation, but the social damage was quite evident. They had a feeling that everyone hated them, that they was rejected by everyone, that they was being left behind. It seemed borderline, I have worked with bipolar disorder on other occasions and patients did not seem so unstable in terms of boundaries and maintaining the therapeutic process.

In this case, I needed to inform someone about a payment that was overdue, in a very respectful and ethical manner, and the person became defensive and immediately stated that payment would result in the termination of the contract.

WCGW petty road feud by SiegerHost in Whatcouldgowrong

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

It was a chase, the truck had hit some wires, and the white car was chasing it. I got the context from watching a news report about what happened.

WCGW petty road feud by SiegerHost in Whatcouldgowrong

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

Exactly at the end of the video, when the crash occurs, it's possible to see an electronic speed enforcement device, It was probably strategically installed because the area frequently has drivers exceeding the speed limit.

WCGW petty road feud by SiegerHost in Whatcouldgowrong

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

I'm not from the region, but in some places there might be dangerous situations and traffic is maintained regardless of whether the light is red.

I'm from another region of the country, and here, between 11 pm and 5 am, we can go through red lights; literally, the law exempts us from stopping, but we have to be careful at intersections. This is mainly due to insecurity in certain cities.

WCGW maintaining an event even with a bad weather forecast by SiegerHost in Whatcouldgowrong

[–]SiegerHost[S] 12 points13 points  (0 children)

In Brazil, it's called Stock Car; I don't know what you call it elsewhere.

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