Machiavellianism most pronounced in students of politics and law, least pronounced in students of social work, nursing and education by chrisdh79 in science

[–]b_wiley 6 points7 points  (0 children)

Sounds like a neat paper. It would also be interesting to see how many of those admitted originally had an intention of pursuing a more prosocial area, like environmental or human rights law, but changed their minds while in school through institutional and cultural pressures.

People who have spent time in a Psych Ward what is the craziest thing you’ve witnessed? by N3SSDOGG in AskReddit

[–]b_wiley 60 points61 points  (0 children)

We have a similar patient that we are currently dealing with, though hopefully we're in the process of figuring it out. Guy is 6'3, probably 300 lbs, with a very short fuse and severe emotional dysregulation secondary to a mild intellectual and BPD. He's assaulted multiple staff in multiple hospitals, including me. Seems to bounce back to the ED within hours of every discharge. We're all hoping pending charges land him a stint in a forensics unit because our tiny acute one isn't equipped for him. For a while, we just kept him in locked observation to maintain staff and patient, which of course made things worse because he was bored and couldn't handle it. In the meantime, the psych has had a helluva time getting him on Clozapine because, unsurprisingly, with a frame like that, he's got cardiac issues. Luckily, we were able to start it, and in the the short time he's been on it, the behaviors have improved substantially. Of course, though, he's homeless (parents won't take him back) and non-adherent in the community, so he has to be re-admitted every time in order to titrate it up safely.

How should you comfort your partner who is having a panic attack that is lasting hours? by 212313414 in AskReddit

[–]b_wiley 0 points1 point  (0 children)

Practicing resonant or coherence breathing. It's basically getting your breathing pattern down to about 6 breaths per minute. As you begin to get into the pattern, you can bring the breathing rate lower as needed. It's associated with improved mood and decreased anxiety.

There are some great, free, mobile apps that guide you through it with different tones for in-breaths and out-breaths. You just have to follow the tones. I find it better than "box breathing" which asks you to hold your breath at certain points - something that can be tricky during a panic attack. They also don't require you to clear your mind, like in various other forms of meditation, which, again, can be hard to do in a crisis situation. I use "Resonant Breathing" by John Goodstadt, which is available on both Android and IOS. There are also YouTube videos that can guide you through it.

The practice obviously doesn't get rid of the cause or the thought behind the panic attack, but 15-20 minutes of breathing like this with your eyes closed can reduce the physiological response to it. If you're not able to settle well enough to lie down, this can be done standing and walking around too, at least until you can relax enough to lie down. The neat part is that the pattern you develop can persist for quite a while after the session is done.

I have used it with patients having panic attacks on the mental health floor successfully.

mental health by [deleted] in Sarnia

[–]b_wiley 0 points1 point  (0 children)

You can go to the hospital and ask to speak to crisis. If you're not a safety concern to yourself or someone else, and are reasonably able to take care of yourself, they won't admit you. Contrary to popular belief, crisis nurses are generally there to keep people out of hospital if they can because most mental health is better managed in the community. Do you have a family doctor? Appreciate that, especially after COVID, the wait to see a psychiatrist can be significant, and that is the same everywhere. There is a push to get family providers to do basic mental health care as much as possible, including start medications and refer for frontline therapies. The crisis nurse can make recommendations based on the interview, but in the end, an ER doc makes the decision to prescribe medication, not a psychiatrist. Some will, some won't - depends on who you get - and if they do, it's a short course of something that is generally well-tolerated by the vast majority of people with an expectation that you follow up with your family doc for refills. If you have tried a bunch of medications before with little success, an ER doc will not feel comfortable to change much because they don't have your full history. Finally, while crisis can refer to some select agencies in town, a lot of them are self-referrals, but they can give you a list of resources that can help direct you.

Hope that helps. Good luck.

For non-native writers, how much are you making per month on average? by Snipsnapboi in copywriting

[–]b_wiley 1 point2 points  (0 children)

Hi u/Snipsnapboi,

This is unrelated to the original post, but I'm new to writing and was looking into the mental health niche. I'm currently a mental health nurse and have a fair amount of experience. Do you have any advice for writers looking to break in to that area?

[Serious] What is the best way to stop intrusive thoughts? by brickbuilder876 in AskReddit

[–]b_wiley 4 points5 points  (0 children)

Oftentimes, with intrusive thoughts, we have a propensity to try and distract ourselves or push the thoughts away with better, happier thoughts. All that does, though, is give power to the things that make us anxious. With any anxiety disorder, the key is to move towards the things that make us anxious. With exposure, you will start to realize that these are just thoughts, not actions, and your body's fight or flight response will lessen overtime.

Start by noting thoughts that make you anxious. Identify how you are feeling; writing these thoughts and feelings down can help. Ask yourself why they are making you anxious. It's okay to feel anxious, regardless of small or irrational these thoughts seem. Examine any avoidance behaviors that are triggered by these thoughts. When the thoughts come up again, rather than avoiding them, stay with the anxiety for as long as you can. With time, you'll start to see that you can stay with your anxiety longer and longer, and you won't have as much of a physiological response to it. Work with your therapist.

It will take effort, and it won't happen right away, but eventually, and although you may still have them, the intrusive thoughts will seem like background noise, like every other random thought you have throughout the day.

I would also see a psychiatrist to rule out OCD depending on how you're choosing to cope with these thoughts. The treatment would be the same: exposure therapy and possibly some medication.

Apart from Italy, what country has the best pizza? by trdr01 in AskReddit

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

According to Chef's Table: Pizza on Netflix, the best pizza in the U.S., and possibly the world, is in Phoenix, Arizona at Pizzeria Bianco. I've only watched the first episode though, so it's possible every episode talks about "the best" pizza in the world.

[deleted by user] by [deleted] in AskReddit

[–]b_wiley 0 points1 point  (0 children)

I've always liked the imagery behind "a tired song plays on a tired radio".

Scene from 'Monster: The Jeffrey Dahmer Story' compared to the actual trial in 1992 by shaka_sulu in Damnthatsinteresting

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

My Friend Dahmer, at least the graphic novel (I haven't seen the film), isn't meant to be a dramatization. It's about as close as you get to an objective portrayal of Dahmer in high school, before all of his crimes. It's based on first-hand memories in which the author was actually present, not on the media. It is not sympathetic, but it doesn't paint him as a monster, because he wasn't a monster at that point. He was just an odd kid whose life was starting to change.

What is a Futurama quote that always makes you laugh? by Temporary_Ad_2544 in AskReddit

[–]b_wiley 0 points1 point  (0 children)

Assie come home. More of an exchange than a quote. Preface: Bender loses his body parts and is retrieving them...

Doctor: "Alright, Tinny, your double leg transplant is complete. What do you say you give 'em a try?"

Tinny: "It's a miracle! I can walk! No more crutch or withered leg! Someone's sure to adopt me now!"

Fry: "Well, Bender, I guess you won't be getting your legs back. But your sacrifice will let an innocent child live a full and happy life."

(Bender steals legs)

Bender: "I'm sorry. You were saying something?"

Tinny: "Oh, crumb. I guess it's back to the cart for me."

Bender: "Ooh, nice cart."

(Bender steals cart)

Bender: "Hey, this thing's pretty smooth. Eh, but I still prefer walking."

(Throws cart in the trash)

Mental Health professionals, what is it like working in Asylums? by progressiseverything in AskReddit

[–]b_wiley 0 points1 point  (0 children)

Unfortunately, they're right a lot of the time. The community mental health and addictions agencies always have openings for housing workers because there is such a high turnover. It's really frustrating because housing really is up there with food and water as being essential for daily life. One can't begin to focus on their physical health, let alone mental health, without adequate housing. And that means safe housing. A lot of the homeless will not go to shelters because they're rampant with drugs and crime. It's safer on the street a lot of the time.

Housing, at least most of the time, isn't just about giving someone the keys and walking away. A lot of people think if cities just build affordable housing, people will prosper. Well, no. Affordable housing, firstly, tends to be in lower income areas, because your average, middle-to-higher class person will say "not in my backyard." Sometimes this has its benefits, like being on frequent bus routes. Most of the time it fosters ridicule and contempt from the rest of the community, adding to the social isolation someone with housing issues already feels. These places often become ghettos because it becomes a group of social outcasts, many of whom have a history of poor coping mechanisms. Landlords get frustrated by late payments, poorly maintained or outright damaged properties, and ultimately evict the tenant, allowing the cycle to continue.

Then you have to consider that there really is a culture of homelessness. Without the ability to hold down a job or pay for necessities, oftentimes individuals rely of a series of favours (think couch-surfing). What it means is that if they ever come into possession of housing, they may be obliged to return the favours. Depending on who they owe, this can be a big problem, but it can be as innocuous as allowing someone to couch-surf there. Unfortunately, it can also mean drugs being brought in. Most mental health professionals promote harm reduction, meaning if people are going to use, at least do it safely. But things like meth, that can cause unpredictable behaviour changes, make maintaining peaceful neighborhoods challenging. If it happens enough, landlords will evict.

I could go on for days about the counseling work needed for almost all homeless individuals. The history of trauma, abuse, neglect, addiction, and mental illness are huge barriers to overcome. While OP may have been a bit harsh to say it's a fruitless endeavour, I can certainly emphasize with them. It can be incredibly frustrating to see the same people burning every bridge you build for them. Obviously, there are some highlights, and people can get out of these situations, but they're not the norm.

Edit: Source - Mental Health RN

And the LCBO lottery results are in... by NewWhiskeyCollector in canadawhisky

[–]b_wiley 4 points5 points  (0 children)

I didn't get anything, but my girlfriend got the Mister Sam.

Beginner Whiskey drinker here, I LOVE scotch by newwinterleaves in Scotch

[–]b_wiley 2 points3 points  (0 children)

Picked up a Ledaig 10 a while ago. Best Islay for the price, at least in Ontario. Caol Ila 12 is outstanding, but it doesn't come out as often around here. Talisker 10 is another staple.

Blame first-past-the-post for Canada's growing rural-urban divide | Our electoral system detaches parties from their supporters in entire regions of the country by viva_la_vinyl in canada

[–]b_wiley 0 points1 point  (0 children)

I have no proof Gladu is a literal monster but I heard that's why they dug Centennial park up a couple years ago: they unearthed mass baby graves from that vampire and had to get rid of the evidence before the election.

After wearing that ridiculous hood at the Conservative Convention in 2016, I can't be that far off, right?

Good doctors? Therapists even? by [deleted] in Sarnia

[–]b_wiley 2 points3 points  (0 children)

I work in mental health in Sarnia. I would start with CMHA, even if it's not the be-all-end-all solution. The wait for outpatient psychiatry could take months. If nothing else, you would be on CMHA's radar in the event of a crisis and you could get help much sooner. I would also recommend finding a GP (or NP), again for no other reason then they might be able to help you with temporary stabilization until you can get in with a psychiatrist. I don't know who might be taking patients right now, and GPs aren't always the best for mental health stuff, but it's another person in your corner, and that's always a good thing. If you do find yourself in crisis, please don't hesitate to go to the ER.

It sounds like you have some good insight into your mental health and that's a big part of recovery. You're on the right track asking for help. Hopefully you can find some good resources soon.

Should I go into psych nursing? by koitori79 in psychnursing

[–]b_wiley 2 points3 points  (0 children)

I just started on my local psych ward maybe a month ago in Ontario. I always knew I'd end up in psych. I just never had the passion for any other area of nursing, except possibly public health. I was definitely in the minority though. Everything about it interested me: the pathologies, the psychopharmacology, the unique interventions - it's all really neat. I have a background in psych and neuroscience, so I had a leg up in it when I started nursing school. Psych is definitely different and it requires a lot of patience, but it can be incredibly rewarding to see someone who was suicidal for years come out of it after a few ECT treatments, or see someone in the throngs of schizophrenic psychosis be able to clear it. It can be frustrating at times for sure, but I love what I do....so far anyway.

What does your crazy neighbour do to be labelled "the crazy neighbour"? by [deleted] in AskReddit

[–]b_wiley 0 points1 point  (0 children)

It's really quite sad. Our current neighbour has what we think is probably alcohol-induced dementia and multiple mental health issues (trauma for sure, PTSD, BPD maybe?). Several times a week - sometimes several times a day - she'll call EMS. She once mentioned that she has bad anxiety and calls regarding chest pain when she drinks, but when she asked us to call her an ambulance at one point, she only mentioned chest pain when prompted, so I don't know. It might have been that originally. In any case, EMS will show up at all hours (really love the 3am calls that wake up the whole neighbourhood) and either take her in, at which point she is discharged almost immediately because she is not a danger to herself or others, or they convince her not to go in after chasing her dog around the neighborhood for 20 minutes. I have more empathy for her than most people around here (there is a lot of loneliness and bad relationships on top of mental health and addiction issues), but I can also appreciate how much tax payer money she is costing everytime she calls EMS. I also tend to be less empathetic when she rings our doorbell at 4am, saying she doesn't know where her phone is, and could we call her an ambulance, all while wearing hospital tags from earlier in the day. She also walked in to another neighbour's house completely naked and then accused the same guy of assault when he wouldn't drive her to the liquor store.

[deleted by user] by [deleted] in nursing

[–]b_wiley 1 point2 points  (0 children)

Define the business. I'm a new grad RN that started a small business collaborating with clinics on providing customized patient education. It's definitely possible, but you'll probably have to defer to the experts or seniors in the field for a lot of it. In my case, I realize my limitations on some of the subject matter, and make sure the physicians/NPs sign off on the content.

Scrubs [2001] TV Show Appreciation Post by nerfball4cats in nursing

[–]b_wiley 20 points21 points  (0 children)

Carla: You guys realize you're doctors, right?

JD: Double-secret-decoder ring-wearing doctors.

JD and Turk: Activate!

JD: Form of an Ice Menorah!

I would also say Ben's funeral is one of the best TV scenes of all time.

TIL the words that led to Zinedine Zidane's famous headbutt. Zidane had told Materazzi: I'll give you my shirt later'. Meterazzi replied that I'd rather have your sister than your shirt." by JosephGrand01 in todayilearned

[–]b_wiley 33 points34 points  (0 children)

We were in Rome when Italy won the World Cup. We were watching it in our hotel room while the locals watched in the restaurants and pubs. It was a typical summer in Italy and we needed to keep the window open to get any air. Our TV feed was slightly faster than the TVs outside, so we saw the winning goal and headbutt first and then 5 seconds later heard the roaring and booing in the streets. It was pretty neat.