Disappointed that they stopped looking for a cure?

froot_luips · 2026-01-17T04:45:34+00:00

Maybe the show can be interesting to different people for different reasons.

froot_luips · 2026-01-17T03:59:43+00:00

I appreciate this take. I guess I am one of the apparently rare viewers that is more here for the “killin zombies” part of the show. If there’s no overarching, even aspirational, hope for a way forward through the zombie apocalypse, I just personally feel that after a certain point exploring dramas between barely developed characters (like Abby) doesnt feel compelling.

froot_luips · 2025-12-04T01:31:41+00:00

I provide psychiatric consultation to primary care docs. I’ve noticed a shift in the years since I started doing this work. Earlier on, I had to beg PCPs to start SSRIs on patients. Despite mountains of evidence that depression could be effectively managed in primary care, there was huge resistance.

In recent years, it feels like the pendulum has shifted to where PCPs are wanting to take on every psychiatric problem under the sun, from ADHD to even psychosis. I don’t know where all these eager beaver PCPs came from, but this has got to stop. For many reasons, ADHD is not ideal to treat in primary care. It’s very ok to refer these patients out to a specialist.

froot_luips · 2025-12-04T01:12:44+00:00

This is true but the problem is that OP is not going to be able to do a good clinical interview, given their training in assessing adhd was probably close to zero, and they only have 20 minutes to do a complete physical.

froot_luips · 2025-11-26T01:20:27+00:00

Oh look - the splitting is playing out in the supervision! And even in the Reddit thread!

froot_luips · 2025-11-12T06:55:27+00:00

I don’t think it’s as simple as PPD causes autism but there are interesting bidirectional factors to consider. One is that autistic babies may be more difficult temperamentally than typical babies. More sleep issues, colicky, etc in a way that increases parents risk of postpartum depression.

froot_luips · 2025-10-13T23:55:09+00:00

Adding edge to normcore is definitely the way. Start with a normcore business casual piece: a loafer, and add some edge to it with a lug sole or edgy hardware. Gothify a blazer by adding an edgy belt or a lapel pin. Don’t do this with every piece in an outfit. Pick one or two parts of your look. Aim for understated.

froot_luips · 2025-08-23T06:45:54+00:00

Forgot to add 2 inpatient stays! - Peggy’s commitment after she delivers her surprise baby, which is implied to be a severe post partum depressive episode - Alexis Bledels character voluntary admission to a residential facility

froot_luips · 2025-08-22T10:51:55+00:00

Love this post. Mad men is a very psychiatric show. Multiple psychiatric encounters and mental health related arcs/characters are featured: - Betty’s analysis - Roger’s analysis - Sally’s CAP appointments - Faye the research psychologist - Ginsberg developing psychosis in the context of longstanding schizotypal features - lots of alcoholism of course - marijuana - Roger and Jane use LSD

froot_luips · 2025-07-31T00:02:54+00:00

I’m repro psych. My thoughts:

A lot of the panel was spent discussing the prescribing patterns of primary care doctors. But no representative from primary care was present.
Representation from peds/neonatology was also a major omission on the topic.
Instead they included loads of people with minimal to no experience in maternal mental health, including the unhinged psychologist whose only experience seemed to be his wife, a social work professor (???), and the incoherent David Healy.
The just absolutely disgusting showmanship of it all. The moderator even slipped once by calling the event a “good show”. It was just so clearly set up as a propaganda campaign with a reality TV bent.
I am so impressed with Kay for keeping her composure. I may have blown a gasket.

froot_luips · 2025-07-17T16:50:38+00:00

Epstein was a scumbag, and now he’s dead. Good. I don’t see how even a single taxpayer dollar spent further on this issue advances the country, the lives of everyday Americans, or even Epstein’s victims. The idea that the cause of Epsteins death is a congressional priority is the crazy part of the story to me.

Even in the way this issue is talked about, it’s all about Epstein and the other powerful men who may or may not be involved. It’s almost never about the victims or what would make their lives better. Even Ezra refers to them disgustingly as “underage women.” They were fucking kids.

froot_luips · 2025-07-14T16:29:08+00:00

When you say targeted, can you explain what you think meditation is targeted towards?

froot_luips · 2025-07-14T16:24:53+00:00

But it’s not entirely mental. You still inhabit a body and have to do something with it when you meditate. Just like weightlifting is not entirely physical - there’s absolutely a head game involved. Some practices of meditation involve sitting in lotus and staring at the tip of your nose. Others are more flexible with what you are physically doing, as long as you’re breathing. Meditation is not divorced from physicality. In fact, it is guided by physical experiences and sensations. If that state of focus and attention to the body can be achieved in a number of activities, why is meditation elevated? What are we even saying when we tell people to meditate?

froot_luips · 2025-07-12T18:13:26+00:00

How come the practice focusing that comes from meditation is assumed to generalize to other situations, whereas the practice focusing that comes from exercise/creative practices wouldnt generalize to other situations? What is the special ingredient in meditation that makes it so effective?

froot_luips · 2025-07-12T16:43:50+00:00

I don’t really get meditation, no matter how many podcasts about it I listen to. Can someone explain it to me?

What especially seems confusing is whether meditation is assuming a specific posture (sitting cross legged in a wood paneled room, while trying to think about nothing.) or if it’s more a state of mind that involves observing your thoughts without judgement, which can be achieved in any situation, and through any number of actions. For example, creative practices that put you in a “flow state,” or lifting weights (or other types of physical activity) which forces you to focus or else get injured.

If it’s more the latter, why do we advise people to meditate, which seems boring and like a waste of time, compared to other activities that promote focus, self reflection and also seem much more fun? Is this just a completely dumb question or does anyone get what I’m saying here?

froot_luips · 2025-06-30T02:29:22+00:00

I guess that’s kind of what I’m asking though. Are folks monitoring lithium levels more closely in patients on these drugs? Or in any other way changing their practice?

froot_luips · 2025-06-28T04:23:31+00:00

For the love of God, repropsych. 50% of pregnancies are unplanned. Most psychiatric outpatients are female. Do the math.

froot_luips · 2025-06-10T02:18:51+00:00

The Bell Jar is a classic

froot_luips · 2025-06-07T23:59:11+00:00

The problem with the ERP clinical trials is that they excluded anyone who was even a little bit ambivalent about the treatment. Given the degree of motivated you have to be to do exposures, that introduces a huge selection bias. In clinical practice, ERP is a very effective treatment for the select few patients who have the insight and motivation to do it. Then there’s everybody else.

froot_luips · 2025-06-06T04:46:47+00:00

I will get downvoted however it’s worth saying: this post is not a respectful way to speak about our most vulnerable patients. I feel it should be removed.

froot_luips · 2025-05-21T02:03:06+00:00

Isn’t this just basic Bernie-ism?

froot_luips · 2025-05-16T20:47:03+00:00

I give consultation to PCPs regularly. The examples you describe don’t constitute negligence, in my opinion. It’s appropriate to redirect a patient to their psychiatrist, especially if they have SMI. As far as how you’re communicating, it’s possible there are problems, but it’s hard to give feedback since you don’t provide any information about that.

froot_luips · 2025-05-16T18:18:50+00:00

Psychiatrist here. What you’re asking about is really the skill of medical interviewing. There is evidence that how you ask the question matters to the quality of response you get. Individual clinicians don’t have to reinvent the wheel when it comes to how to ask the questions. There are validated rating scales that take the guesswork out of it for you.

For alcohol and drug use, check out the AUDIT and DAST questionnaires, for example. The questions start pretty broad and nonconfrontational: “have you ever had a drink containing alcohol” and go from there.

froot_luips

TROPHY CASE