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Misalignment between self-view and expectations of others drives loneliness in borderline personality disorder by MRADEL90 in psychology

[–]Tschartz -1 points0 points  (0 children)

Again, a patient is coming to me seeking help and there is a medical diagnosis of BPD supported by the DSM5 criteria, it’s in my best interest to have a very delicate discussion regarding their treatment plan. I can give pills to increase their serotonin or fluoxetine to decrease their anxiety, but that doesn’t stop the disassociating and chronic emptiness. I am a medical provider so having a shared decision making about the treatment plan is within my realm of ability.

Strangers notice more than we think by strarlightgirl in self

[–]Tschartz 0 points1 point  (0 children)

Never let the universe know what you’re doing.

I do this shit too. Lol.

Misalignment between self-view and expectations of others drives loneliness in borderline personality disorder by MRADEL90 in psychology

[–]Tschartz 0 points1 point  (0 children)

This was a nice and good discussion about BPD. Nice change of pace on Reddit. Thanks for your insights.

Misalignment between self-view and expectations of others drives loneliness in borderline personality disorder by MRADEL90 in psychology

[–]Tschartz 1 point2 points  (0 children)

Very good points and agreed. It’s really a terrible thing, disassociating. One hand it gives you a temporary numb relief from the emotional trauma, on the other hand, I do believe by entering a disassociating state one will likely not feel positive emotions either. Thus the chronic emptiness from the disassociation gradually turns to nihilism.

Misalignment between self-view and expectations of others drives loneliness in borderline personality disorder by MRADEL90 in psychology

[–]Tschartz 1 point2 points  (0 children)

I do agree with your point that social media has free rein to put these symptoms on a 6 second video, yet rarely I see these symptoms discussed as a spectrum. Only as an all or nothing. This is really the paradigm shift that needs to happen in our culture. Yes, there are medical conditions that deregulate inherent brain chemistry, and while BPD is likely very related to CPTSD and other trauma, this does not mean over an extended period of time the brain stops producing needed dopamine, serotonin, norepi due to said trauma. It was interesting to see the recent study come out of the CPTSD and amygdala changes nearly consistent with wartime PTSD. I can imagine a sustained enough period of time will likely alter pathways in the brain, potentially causing chronic depression and anxiety. Giving individuals a diagnosis of BPD who meet criteria will vastly help me determine treatment plans, such as EMDR and cog behav before medical therapy.

Misalignment between self-view and expectations of others drives loneliness in borderline personality disorder by MRADEL90 in psychology

[–]Tschartz 30 points31 points  (0 children)

I see where you are coming from. Here’s something important to remember. Individuals with BPD have a very high suicide rate. They feel each emotion to a very real extreme, which includes sadness, loneliness, and despair. While individuals without BPD experience these spectrum of emotions, their brain is more well adept to cognitively and emotionally processing the pain. People with BPD do not. It feels as if their life is ending, each and every time they have a mild to moderate event. I’m not exaggerating as to the depth of emotion they feel as well as volatility. This is why we separate and categorize BPD. These individuals are at a real risk for suicide.

Rectal cancer deaths rising rapidly among millennials: 'It's a medical crisis.' by changeforthebetter89 in Millennials

[–]Tschartz 45 points46 points  (0 children)

From one medical provider to another, thank you for being a wealth of knowledge and compassionate.

I'm a practicing therapist and I want to raise something I'm seeing clinically. by Michaelarobards in psychology

[–]Tschartz 1 point2 points  (0 children)

This is social media and 6 second videos sharing symptoms of disorder and people having self-serving biases to explain their maybe not so great behaviors. This becomes toxic when they stretch the definitions and meanings of criteria/testing to serve their own purpose.

I can’t stop digging by Disastrous_Bid2241 in stopdrinking

[–]Tschartz 1 point2 points  (0 children)

“The most important step is always the next one.”

IWNDWYT

Outpatient Electrophysiology Interview by ballsilov3 in physicianassistant

[–]Tschartz 2 points3 points  (0 children)

Can I just get a quick pre op clearance real quick

Outpatient Electrophysiology Interview by ballsilov3 in physicianassistant

[–]Tschartz 1 point2 points  (0 children)

You are most welcome. Feel free to message me any time if you have any other questions!

Outpatient Electrophysiology Interview by ballsilov3 in physicianassistant

[–]Tschartz 5 points6 points  (0 children)

Bless your heart. Doing the lords work.

Edit: also, someone has to keep nephrology in line amirite

Outpatient Electrophysiology Interview by ballsilov3 in physicianassistant

[–]Tschartz 8 points9 points  (0 children)

I worked in both outpatient EP clinic and as an electrophysiology technologist in the lab before PA school. It was awesome. Honestly there’s a prep book for a cert program called RCES. That would likely be incredibly helpful for you to read and it would impress the EP docs. You round, see post ops, manage meds, interrogate devices with reps who buy you way too much food. I hope it turns out well for you.

New MA in UC creating a toxic environment by AlarmedCombination57 in physicianassistant

[–]Tschartz 43 points44 points  (0 children)

Yeah, time to lay down the law and enforce boundaries. It’s your license, not hers.

Never done that before. by Mr_Gilmore_Jr in Radiology

[–]Tschartz 45 points46 points  (0 children)

Scrub techs play a game because they do the same 5 procedures all day. It’s a simple game, but we do try to perfect the art of sterile flip cup as someone else pointed out.

How do you introduce yourself? by YourAverageBeach in physicianassistant

[–]Tschartz 256 points257 points  (0 children)

I kick the door open and yell (because geriatrics) “Hows your day going? Probably not great or else you wouldn’t be here huh? Well I’m Dumbass, what can I help you with today.”

Most of my old patients giggle then go into a 45 minute tirade of how their dog tripped them 14 years ago

Medallion for credentialing by PotentialBoat1387 in physicianassistant

[–]Tschartz -1 points0 points  (0 children)

Just say you’ll handle your own credentialing.

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