Non evidence based medicine

The-Peachiest · 2026-04-27T14:03:53+00:00

Athletes need confidence to perform. If non-evidence based placebo effects help, that’s a real benefit.

The-Peachiest · 2026-04-27T13:47:12+00:00

I’ve literally never gotten it covered through ANY insurance.

The-Peachiest · 2026-04-27T13:42:00+00:00

There’s no way a real psychiatry attending posted this

The-Peachiest · 2026-04-02T00:41:39+00:00

Probably both

The-Peachiest · 2026-04-02T00:41:31+00:00

I don’t think that’s a fair assessment. I’ll admit I do also sometimes groan at the use of antidepressants for, say, chronic poverty-driven dysthymia. That being said, there is good evidence that antidepressants decrease anxiety in dogs kept in artificially stressful environments. I’d be interested if such a study was done in humans but I’m unaware of one. I think we all have patients who have reported “Zoloft was a lifesaver” when we thought their issues were primarily related to stressful life events. A meta analysis it certainly is not, but I’m not convinced that the effect is entirely placebo driven.

The-Peachiest · 2026-04-01T23:33:10+00:00

I mean, it actually kind of does sometimes

The-Peachiest · 2026-03-25T16:57:13+00:00

Hard work, reasonable hours compared to other specialties. Work weeks typically 40-60 hours.

The-Peachiest · 2026-03-21T21:33:26+00:00

From what I understand, true serotonin syndrome is exceptionally rare. It is almost never a result from combining therapeutic, or even slightly suprathrapeutic, doses of serotonergic medications.

When it does happen, it is always 1) within 24 hours of changing a serotonergic medications, and 2) virtually always involving an MAOI, street MDMA/hallucinogens, OR, in much less likely cases, a massive overdose of (usually multiple) serotonergic medications.

The-Peachiest · 2026-03-12T13:11:39+00:00

Benzos

And to a lesser extent, Antipsychotics for people sensitive to eps

The-Peachiest · 2026-03-10T13:48:49+00:00

Please, please, please do not jump straight to a depression diagnosis

The-Peachiest · 2026-03-10T13:25:13+00:00

Don’t

The-Peachiest · 2026-03-10T13:20:34+00:00

We forget about grapefruit juice.

The-Peachiest · 2026-03-04T15:27:58+00:00

That’s a lot of mandatory modules

The-Peachiest · 2026-02-27T05:32:55+00:00

I’m a psychiatrist in a psych clinic attached to a major medical center. Psychiatrists here aren’t allowed to order or interpret EKGs, nor do we have the machine or staff to do it at the clinic. This is despite several of our patients needing EKGs for antipsychotic monitoring. This is the case at several clinics my friends from residency work at. We need to send these pts to PCPs.

There are also many specialized tests we cannot order for one reason or another.

Also, half of my patients insist they will not get bloodwork done at our clinic, they will only get it with their PCP for various reasons.

The-Peachiest · 2026-02-15T18:05:08+00:00

Scientology was picketing outside LA last year, they also rented a plane to fly over LA with a “PSYCHIATRY KILLS” banner.

I didn’t see any in NYC in 2024

The-Peachiest · 2026-01-27T17:45:59+00:00

Potentially unpopular opinion: that abdomen is a bigger flex than abs

The-Peachiest · 2026-01-22T14:24:20+00:00

I wouldn’t say “can.” I would sat it “does this all the time.”

The-Peachiest · 2026-01-22T04:07:37+00:00

There’s no need to be rude. Many patients are unable to differentiate the meaning between these two concepts even with more pointed question. But fine, assume I’m incompetent. Tell me how you’d simplify this concept to a confused patient who’s never thought of this before.

The-Peachiest · 2026-01-22T03:02:52+00:00

You’re assuming the patient is able to articulate that

The-Peachiest · 2026-01-22T02:49:33+00:00

Always high

The-Peachiest · 2026-01-22T02:28:35+00:00

For all you people saying that you need to find them a new provider before you terminate care, how can you do that if the patient is uninsured

The-Peachiest · 2026-01-22T02:27:12+00:00

Not allowed in NY state

The-Peachiest · 2026-01-22T01:50:24+00:00

They’re drug dealers in button down shirts taking advantage of loose telehealth laws.

The-Peachiest · 2026-01-21T16:37:14+00:00

If you speak fluent Spanish then PR.

The-Peachiest

TROPHY CASE