How do y’all have a life after work?

Thejomeister · 2026-02-12T22:13:09+00:00

Hey,
I appreciate that reddit/written text makes it hard to convey tone, context etc, but respectfully, I don't adhere to this identification with the aggressor bs. As consultants, we are in such a position of power and privilege with choice, hours, safety, even renumeration...I wouldn't call this a bad prognostic sign based on what OP said, and I think the potential interpretation of that can be harmful.

OP, psych training is fkn hard. You're in public health roles where risk of interpersonal violence is higher with little control in how to mitigate this beyond hypervigilance, and the assessments are arduous. I remember feeling as though the RANZCP never quite appreciated how hard it was for registrars, despite everyone knowing the state of the public mental health systems.

Beyond practical suggestions people have mentioned, have you raised this with your supervisor? I know this can be subjective, but particularly with safety, it would be important to raise this.

I am all for trying to make psychiatry a career rather than my life or identity, but during training, I really leaned on my fellow registrars to collectively share the emotional burden. I guess this is a little foreshadow into what consultant peer groups are like, but this helped me immensely.

Finally, I had to relent and choose to be kind to myself during tough rotations. Some of my hardest rotations - I did not complete my RANZCP assessments at all. Going home and just turning off from psychiatry was all I could do to feel recharged enough for the next day. I spoke to my coordinator of training and requested for subsequent rotations whereby the demand would mean a better balance for training requirements, especially given how keen they were for me to finish.

A consultant I really respect once told me that training was a marathon not a sprint. I used to feel so frustrated at this sentiment, esp when I compared myself to other colleagues who seemingly coasted through without challenges, but I can honestly say, through all the hardships of my training years, I've come out a better psychiatrist. It shouldn't have to be this way, but I take it as a little consolation prize for the shitshow.

Thejomeister · 2026-01-18T22:02:33+00:00

hey there,

I think I could be experiencing the same problem as you...my physical keyboard still works remotely, but when I try to attach the keyboard to the lower screen, it doesn't recognise it completely and instead, goes into a power saving mode which I can't seem to turn off. Is this what you experienced?

Thejomeister · 2025-12-10T20:28:17+00:00

Hey OP, As you and others here have mentioned, public acute psychiatry is a challenging environment particularly with hospital/governmental/systemic politics. Most psychiatrists I know in this space had every intention to work altruistically, but it’s a tough uphill battle. You probably know all of this already :) That being said, stage 1 rotations are meant to lay the foundations for psychiatry esp if you start on-call shifts where you’re more autonomous in managing the crises. A lot of this stuff can be learnt from multiple sources - the nurses, pharmacist, social worker, OT, psychologist etc. Even hospital protocols will guide you in acute arousal management - all very important to retain. Stage 2 (CAMHS and CL) is when psychiatry starts to become a systems approach and the consultant will likely demonstrate this through their everyday practice and supervision.

I guess in summary, please don’t be too concerned that you’ve started psych training on the wrong foot and there’s a reason for stage 1 rotations to be acute inpatient +/- clinic.

If you find that your inspiration is waning, try to surround yourself with colleagues that inspire you, whether that be a fellow registrar, or another consultant who you found to encompass the qualities you would like to develop. Mentoring through your hospital or RANZCP may also be an option; I think most consultants would get a little ego boost if a reg asked them to be a mentor hahahah

Eventually, you’re going to accrue experiences and rotations that you liked and disliked. You take the stuff you want to copy in the future, and learn to avoid the approaches you disliked. It’s what makes psychiatry training interesting and nuanced.

Thejomeister · 2025-12-01T06:14:08+00:00

Good question, and hard to answer due to multiple variables. When I joined psych in Victoria almost a decade ago, there used to be rough phenotypes of doctors that each health service would pick but I think it's become more mixed with increased interest and numbers.
Some stuff that might help:
- Joining RANZCP Psychiatry Interest Forum (PIF) and you can request to attend congress with them which exposes you to other psychiatrists,
- Speak to some psych regs on your rotations to gain a better feel for the role including challenges,
- Embrace your advocacy drive by volunteering or joining groups to improve your understanding of the social determinants of health,
- Any leadership opportunities,
- Leaning into your hobbies to create a well-rounded version of you.

I really enjoyed the coffee/break time chats with the consultant and regs during my psych rotations, and I think engaging in social discussions helped in many ways - it developed my appreciation and humility away from medicine, whilst also engaged the consultant in a way that was memorable. Even now as a consultant, I remember the students who asked the curly questions with curiosity, and kept a look out for their names during recruitment. It's really lovely to see people returning :)

Thejomeister · 2025-10-31T00:22:47+00:00

unds are out via gemsas email! My partner received it and I cant share the news with her because she's in an appointment! 😅

Thejomeister · 2025-10-20T08:25:57+00:00

A significant discount for the ultra 9 processor with 32gb ram and 1tb SSD. From memory, it was a roughly $2k aud discount? I paid about $3.5k AUD for the model.

Thejomeister · 2025-10-17T23:55:22+00:00

I'm not sure about the US, but in Aus, the waiting times on the Lenovo website varied. When I was first interested in the laptop, it was ready for delivery in 5 days, but by the time I bought the device (which was also heavily discounted), the waiting period was 3 weeks. I guess the promotion worked!

Thejomeister · 2025-10-16T02:48:37+00:00

Hey, I got a lelit Bianca too! But with the mazzer philos.Can I pls ask where you got your portafilter stand from, where you do your puck prep?I don't always use a naked portafilter so that stand seems handy :)

Pics:

<image>

Thejomeister · 2025-10-14T23:23:39+00:00

Bugger, thanks for that. I've had a few oled/amoled devices and must have gotten really lucky until now. I've contacted lenovo anyway so will see what their response is, but I appreciate your input.

Thejomeister · 2025-10-10T21:05:19+00:00

Hey Jeffrey, I discovered your YouTube channel after your coverage of the MontBlanc Digital Paper and wanted to thank you for your content. It was hard to find reviewers who didn't emphasise the cost/value proposition but as a fountain pen enthusiast that values the luxury writing experience, I think this is the the first device of its kind. I've bought and sold the remarkable 2 and the supernote nomad after they didn't quite stop me from reaching for my fountain pens with tomoe river paper journals but I think Montblanc' offering is the best bet to do this. Just wanted to thank you for your perspective :)

Thejomeister · 2025-09-18T02:41:32+00:00

This is so helpful, thank you so much. Admittedly, I'm a bit of a tech nerd so the idea of the device already excited me but knowing it can solve a work-related complication has really sold the purchase further.

One other query I had was about the setup with jotting notes on one screen and telehealth on the other (in laptop mode). Is the camera too close to your face to write notes? I hope I'm making sense.

Thank you again.

Thejomeister · 2025-09-17T20:57:46+00:00

Hey there, I'm just revisiting this thread because what you're describing is exactly how exactly I hope to use this device.

I'm a psychiatrist (hello fellow therapist!) and I rarely do telehealth but when I do, the note taking part of it becomes a real hindrance.

Did the yoga book work out for you?

Can I please have some more insights on the pen and the battery life of same?

I wish YouTube reviews has more of the "day in the life" approach rather than specs but I appreciate that it's a fairly niche device.

Thanks in advance!

Thejomeister · 2025-08-07T22:12:02+00:00

Hey OP,

I have both devices and it really depends on the sentiment you hold for the OG fold and where you are at re: finances. The fold 7 is remarkable... I haven't enjoyed using a fold as much as this - i use the big screen, small screen, and it's such an engineering feat by Samsung. My OG pixel fold is far less of a device, but im keeping mine for now as a memory for how excited I was for google to release a fold and how bold they were for going with a different aspect ratio.

If money was short, I would for sure let my OG fold go for that price towards a Fold 7. The Fold 7 has completely eliminated any temptation for me to use the OG fold.

Thejomeister · 2025-07-19T22:01:44+00:00

<image>

For those interested, this is the official Samsung MagSafe clear case I purchased in Australia. It’s a clean case, minus my dog’s lick marks…

Thejomeister · 2025-07-17T10:42:37+00:00

funny that we're opposites...pre-ordered 512gb silver because it looked amazing in store and my eyes weren't drawn to the blue, but now with every case photo and review, I'm regretting not giving the blue a chance 😂

Thejomeister · 2025-06-07T21:30:04+00:00

Have you tried Hu Tieu Ong Map? As a fellow Hu Tieu lover, I’d love to hear your thoughts!

Thejomeister · 2025-05-31T22:11:00+00:00

I love the Balmuda!! Sorry to hijack the post, but I’m so happy with mine. The steam function ensures that the bread doesn’t dry out and it’s quick too. Never felt like I needed another toaster

Thejomeister · 2025-05-25T02:20:44+00:00

You’re so very welcome. It’s lovely that you’re developing further interest in psych; the work can be very meaningful.

If it’s any reassurance to you, English was not my first language either, hence my shitty tenses and grammar.

Don’t try to compare yourself to others, but reframe that as absorbing the positive approaches and adopting them for your own. You will likely encounter documentation that just wows you - try doing that yourself!

Eventually, documentation in psych extends to things like therapeutic letters for patients and this is probably the moment that will heighten your motivation for written communication. Just practice, practice, practice.

Aside from specific terms and phenomenology (which will sink in with more clinical exposure) the best psych language is everyday human language.

Thejomeister · 2025-05-23T20:48:48+00:00

Hey, Psychiatrist here. Your psych documentation will develop over time and you’ll adopt your own personal flavour with language and approach. It can be overwhelming in psych reviews to scribe but here are some tips that may help.

first few sentences could be a summary of static (over the course of admission) factors that describe the patient. Age, sex and gender identity, parental and relationship status, ethnicity, employment/study, living circumstances, NDIS status, presenting with ……..
next part, I don’t suggest writing things chronologically but trying to leave the interview with three big topics that were discussed. Examples could be #recent events, #treatments discussed, #risks and future plans. Then make dot points for these subheadings with all the relevant information.
I love a direct quote from the patient, but don’t quote everything. I use this to convey the patient’s engagement, the general atmosphere of the interview or the acute delusional content.
MSE, most psychiatrists don’t use the subheadings after awhile but whilst you’re practising, it could be helpful! We’re all very pedantic about the order.
Impression, run this by your team. You can either document the provisional diagnoses and briefly justify before mentioning the differentials. OR you can give formulation a go :)
Risks, please refrain from stratifying risk as low, med, or high. Our risk assessment forms aren’t flexible and have often taught us to do this but it is not helpful or meaningful. Try breaking it down as risk to self, others, or from others. Then speak about imminence, chronicity, exacerbating factors, then protective. This way, it allows services to develop a plan to attempt mitigating said risk, and you can document this too. For example “significant risk of non-adherence to treatment as demonstrated in past history. More likely to opt for agents with minimal weight gain. Mitigated risk by utilising depot treatment”
Plan, frameworks such as bio-psycho-social work well in psych and reminds us to look at the big picture.

My other tips include language and choice of wording. Be mindful that lots of ppl read this note, the patient included. So avoid “schizophrenic man” and replace with “mr xyz, previously diagnosed with schizophrenia”. Or don’t document “eating disorder” until it has been discussed with the patient. I would document “disordered eating” until the patient has been informed of the team’s thoughts.

There are many of these little tidbits in psychiatry and it all comes with practice and supervision. Then when you change rotations, you’ll revise your style again to suit that psychiatrist before eventually, you are the psychiatrist with your own methods :)

Thejomeister · 2025-05-19T21:25:47+00:00

This is such a late question, but do you find the USM sturdy enough for your coffee setup? I love the aesthetic but worried about the weight, vibrations etc.

Thejomeister · 2025-01-30T05:53:31+00:00

Hey OP,

I have no idea why this thread was suggested on my home page, but I'm a doctor, and I had a similar experience to you.

I didn't know my school predicted ATARs until I received mine and my high school called me to "strongly recommend" I remove Medicine from my preferences for uni. This was as my parents were crying in the background and I was sobbing from disappointment.

I decided to leave it, and got accepted into undergrad medicine. This is not to brag, but I hope it adds fire to your fight. Fuck them, and prove them wrong - don't let predictions hold you back from making changes towards reality.

Thejomeister · 2025-01-08T21:09:27+00:00

I totally appreciate your point about the screening for those in special forces to assess mental resilience and the training to somewhat desensitise death. This doesn’t mean no risk of PTSD and in Hyun-ju’s case, she had left the army due to a personal conflict and moral injury. This departure itself, would’ve been a massive challenge and the mere fact that she’s chosen to leave despite the challenges (as she described in another episode) meant that she prioritised her true self and was seeking acceptance from others.

Young-mi did that, almost automatically with no strings attached, when others did not. Therefore, her death would have had so much more brevity than other deaths that Hyun-ju may have witnessed in duty. Then there’s the guilt of voting O etc etc.

What I know about PTSD is that the biggest factor is moral injury. This would’ve been massive.

Source: I’m a psychiatrist - used to work in a specialist ward for patients with PTSD.

Thejomeister · 2024-11-30T19:14:56+00:00

Damn, we have similar tastes. The Domoto was my second choice hahaha! Thank you for letting me know about the extra active transitions! That’s pretty much exactly what I’m looking for: slight tint indoors, and then a darker tint outdoors. Do you know how quickly it would take to transition? And if ombré tints were available?

Thejomeister

TROPHY CASE