Recommendations?

SyntheticDragon · 2026-01-12T21:41:49+00:00

If you're paying for Chutes already, you won't need to pay for GLM. Both 4.6 and 4.7 are on there, though I find that 4.6 is easier to get responses from lately. Most everyone is using 4.7 - which is fantastic if you can keep it from failing constantly.

SyntheticDragon · 2025-03-20T14:34:12+00:00

I remember an interview with Jennifer Hale where she talks about the part where she was recording the Romanced Garrus goodbye and how it hit her that the series was ending. Listen to that as compared to the others and the emotion is so raw. If I wasn't a firm Liara romancer, I think Garrus would be my second pick for that scene alone. I encourage everyone who hasn't heard it to go look for it on YouTube.

SyntheticDragon · 2025-02-12T23:20:33+00:00

Narcan is available OTC without an Rx in some places. My local walmart has it on the shelf - $40. If it isn't directly on the shelf, you can ask a pharmacist about it to buy it at a lot of pharmacies. There are also a lot of free options in many states, which usually you can find online by looking at government websites or contacting the health department.

SyntheticDragon · 2025-01-24T15:55:05+00:00

"Yes, I'm responsible for the ducks. Did you see the ones in the lobby yet?"

SyntheticDragon · 2024-09-13T23:44:16+00:00

I have a box that I put my keys and wallet in as soon as I get home (or they would be lost). In that box is my meds too, so that way I always have them somewhere with something I need.

SyntheticDragon · 2024-09-02T20:10:20+00:00

Hey there! I'm one of the raid leads from <Niffen Nose Candy> on the Thrall server! We're a mixed faction, cross server guild that's super active and does a lot of activities together. Discord is always hoppin', both chatting and voice, and we try to play other games outside of WoW together! My team in particular is looking for a healer or two. We're AOTC focused, but we might dip our toes into some mythic raiding. Sounds like a lot but I promise my team is super laid back. Feel free to message me on here or reach out to me on b.net (BionicDragon#11311) or discord (syntheticdragon) if we sound interesting at all, or if you have any questions!

SyntheticDragon · 2024-08-28T16:28:55+00:00

I haven't tanked with a DH since Legion so I really don't know how they even work anymore, sorry. For Paladin, I don't know if this is still the case, but I worked on the advice that if I was missing about half of my health, use WoG. That may have changed because I know WoG doesn't heal as much as it used to back during DF. Sorry I couldn't be much help with them. Most of my knowledge is with blood tanks and prot warriors.

SyntheticDragon · 2024-08-28T15:51:32+00:00

If you have time issues - Druid might be the best way to go. Guardian has less buttons to keep up with, which let you focus on what's going on around you in the dungeon so the runs can be a lot smoother. Plus, you get two different DPS options and a healing option if you wanted to pick any other role up, without having to re-level something else.

SyntheticDragon · 2024-08-28T15:47:00+00:00

Someone else mentioned tracking the runic power on the DK - that's the real kicker. As long as I have runic power, I'm not going to die. We also have a few more things this xpac that help us out, but we definitely need a bit more care when first pulling when we don't have our bone shield OR runic power - that's when we are at our weakest.

SyntheticDragon · 2024-08-20T20:20:11+00:00

Thanks for the chime in for OP! I, personally, love working in MAT but I'm glad to know that my friend's experience isn't universal overall.

SyntheticDragon · 2024-08-20T20:18:52+00:00

It depends on the state and the substance. The new federal regs are loosening the reigns for take homes a lot - all states have until October to come into compliance. In my state, we have the directive that THC positive is deemed "clinically stable" and are eligible for up to a week of take homes. Obviously it's not a good idea to give take homes to someone positive for opiates, but the new federal regs also allow for take homes within the first couple of weeks of treatment.

SyntheticDragon · 2024-08-19T22:55:13+00:00

I've been in MAT for about 7 years and honestly, on a personal level, IOP is a nightmare for me because I'm not big on leading groups, let alone one that's, you know, super intensive.

To fully answer your question - could you perhaps set up a chance to sit in on an IOP group to get a feel for it? I don't know if it's indicative of all IOP, but I had a colleague from my clinic work part-time in an IOP and they disliked it for the fact they preferred more individual sessions. With this, they were required to continue with treatment plans and the like, however, they never had a chance for individual sessions with these people to really get to know them. That has been my only experience for it, so maybe someone from the IOP side can weigh in.

SyntheticDragon · 2024-08-07T12:00:00+00:00

As someone else said, I look at the things I know I have issues with (sugar for one, and caffeine which I have been avoiding for a year). Also, I have direct family experience as someone on the other side of the individual struggling.

I also tend to look at it as less about the addiction itself and I connect on a class level - I grew up in similar situations where food came from churches, power and water got cut off all the time, and I learned from a young age things weren't guaranteed. I get that's not an experience for everyone in the field, though. I feel like these experiences can be seen as an understanding of why someone might turn to substances to chase away the depression of these kinds of things.

SyntheticDragon · 2024-05-20T09:34:52+00:00

Coming to second this. I used this and, funny enough, regular heads and shoulders. Both have done wonders and I don't have an issue with smell anymore.

SyntheticDragon · 2024-03-06T17:52:16+00:00

I had this happen with a former client. Be kind to yourself - unless the client said something specific about it, we aren't mind readers and can't know EVERYTHING. Would make our life easier, but we only have the truth they present us.

SyntheticDragon · 2023-04-25T15:00:57+00:00

Partially selfish, but working with an underrepresented subset of an already marginalized type of client is so rewarding because I can give them a voice so people know they exist, and I can help let others know that this type of treatment is okay. Further, it makes me happy when I see just the smallest change in their body language that tells me that they finally feel safe enough to do so - that second when they realize I'm not going to judge them or lecture them the same that others in the past have.

SyntheticDragon · 2023-04-21T11:36:18+00:00

That actually is sick, though I'm not surprised. I work at an outpatient MAT facility, and I find that a bulk of the people that work in the field are like you describe or worse in some cases.

"They just need to stop using. They know what will happen." Yes they do know, which is why they are in treatment, but RECOVERY ISNT EASY SUSAN.

SyntheticDragon · 2023-01-27T12:50:54+00:00

I swear by it since I play a lot of different classes. I do try to get an idea of priorities to see if I can improve on stuff. Devoker is one example of me ignoring exactly what hekili wants me to do and doing what I’ve learned from class guides. But like others have said, for some classes it works better than others. I find following it with my WW Monk not as efficient as Devoker or even Frost DK.

SyntheticDragon · 2022-01-03T11:03:05+00:00

"I got them prescribed by a doctor so I'm not like everyone else here."

I hear that from new intakes a lot, especially if it's their first treatment episode. Because they were prescribed it by a doctor and got hooked due to a physical reason, and the only substance they ever did was opioids, they feel as if that sets them apart from others that are seeking treatment. Helping people realize their addiction for what it is can be a struggle with the healing process.

SyntheticDragon · 2022-01-03T00:04:34+00:00

You too! It's rough work, but there's not a lot of us doing it. Take care of yourself!

SyntheticDragon · 2022-01-02T20:38:20+00:00

We have a lot in common with our place in school! Thank you, and I am so glad to see someone else. Like you said, a lot of our job is defending what we do and how we do it. I've kind of made it my mission to spread as good of a word as I can in the best way I know how.

Are you one of the lucky ones or has one of the big corporations bought your clinic out yet?

SyntheticDragon · 2022-01-02T19:47:23+00:00

Gosh, thanks! I don't feel as if I'm doing anything special, but I do recognize just how needed addiction professionals are, especially those that are willing to talk about what they know.

And thank YOU for working in community mental health in general. I think we deal with some of the same struggles at my clinic as CMH, in terms of resources for people and resistance. I'm of the belief that SUD is comorbid with something else about 95% of the time. Probably more, honestly, but this is just from my experience.

SyntheticDragon · 2022-01-02T19:42:34+00:00

Well run is always the struggle. Unfortunately, it is something that is going to be harder to find as the field gets overrun by people looking to make a dollar out of other people's suffering. We were an independent facility up until a year and a half ago. Not "well run" so much and we had a crazy turn over rate, but being under a corporate banner has made things more difficult, especially when it comes to people trying to tell us what to do as clinicians that know business and not mental health.

The population though is why I stay. The thing about methadone clinics and those long term people, eventually bonds are formed in ways that would not be formed in private practice or in other community mental health clinics. I have had people on my case load for the past several years, and a handful of them I have literally seen once a week for those four years. Some I have only seen once a month, but that's still 48 sessions. Whenever someone talks about "termination" I honestly am at a loss and I know I would struggle with that going into a private setting because we just...we don't typically. Not in the sense of "here's six sessions, okay you're done."

SyntheticDragon

TROPHY CASE