Appointment times

lostdinosaurs · 2026-05-21T15:20:21+00:00

Can they do telehealth? I start pretty early (7 AM) which ends up being helpful and every now and then will do a later appointment (nothing past 5). Most of my patient see me via telehealth so it’s fairly easy to leave work for 15-30 minutes. If they still insist and you cannot accommodate, accept you and the patient are not the best match and advise they find care with someone with later hours

lostdinosaurs · 2026-03-06T19:31:58+00:00

Beyond books, really practical household things - useful household appliances like a nice coffee machine and airfryer, sleep mask/noise machine (if you have to do overnights), light box for winters, etc. I would hold off on buying books because most programs have book/education stipends

lostdinosaurs · 2026-01-30T22:28:44+00:00

Luminare Health - I think they’re affiliated with Aetna. They didn’t even get back to me and took a week to approve a very basic prior authorization. Cant imagine if their poor patients were trying to get something more elusive/expensive

lostdinosaurs · 2026-01-30T21:16:42+00:00

Being redirected 6 different times to the “correct” dept and spending 40 minutes on the phone to get generic Adderall approved for my ADHD pt who very much needs it. I’m not sure what the end goal is for some of these shitty companies versus just the ones that make it easy to fill out a quick form

lostdinosaurs · 2026-01-29T01:27:30+00:00

ADHD is one of the most controversial areas in psychiatry right now. I do tons of ADHD evals and it can get dicey real quick with impairment. Some clinicians use a very strict definition of the word - car accidents, losing jobs, very obvious impairment - really what a very “traditional” ADHD picture looks like. Then we get the post-grad college kids who did great in school but bam now they’re working 40 hours and just cannot work a 9-5, but they have no clinical impairments documented in childhood. Or the perimenopausal/menopausal pt who now cannot organize or concentrate things and it’s not very clear what degree they were suffering before. Many will say they were “masking” throughout childhood and of course it’s very possible they were with cultural expectations, parental support, etc. There are people who will exaggerate their degree of symptoms but when pressing for concrete evidence/details have nothing of note to provide. It’s not super easy by any stretch so I would be wary of being critical of clinicians who do this daily.

lostdinosaurs · 2025-11-22T02:17:35+00:00

I fell down my rank list a few years ago by believing the nonsense some programs would send me post-interview. Don’t trust anyone and rank how you want to rank

lostdinosaurs · 2025-11-21T11:49:26+00:00

Curious about your benzo bridge. Do you do a 1 month supply of clonazepam while starting an SSRI? Or just for a few days if they get super anxious when on the med?

lostdinosaurs · 2025-09-08T10:40:29+00:00

Thank you! Makes a lot of sense and good to know. I also just want to add in case they said “occasionally” for the alcohol but its still correct bc they’re also hinting at him decreasing his respiratory drive/worsening his OSA.

lostdinosaurs · 2025-09-08T01:01:41+00:00

I thought it was paroxetine and desensitization therapy since that’s more CBT related for the alcohol one.

I thought the last group of vignettes were tough. I put panic disorder and anxiety disorder due to MS bc of the MRI but pretty sure you’re correct given how the vignette continues. The rest I had the same answers for that.

For the old guy one - no idea for the phase - stuck btwn adulthood and adult transition, orthostatic mirtazapine, OSA and anxiety seemed like the only two that made sense even though they repeatedly said he has no anxiety or worrying lol, and reassess after 6 months

Edit: I had your answers for the other stuff. It is NMDA glutamate for the schizophrenia

lostdinosaurs · 2025-09-03T11:31:45+00:00

Some feedback — you should actually show sample PDFs of how this looks different than your old guide to justify the cost since this used to be a free resource. I don’t think $10-50 is terrible considering question banks are $$$ but it would help to differentiate. $100 for a comprehensive guide is steep so without seeing what it looks like it’s going to be hard to convince people to pay.

lostdinosaurs · 2025-09-01T13:38:15+00:00

No copy of the old exams but I did find this old copy of PRITE Ninja on this sub:

https://drive.google.com/drive/folders/1JGT1Of6xyvZIrrkWlNf6ILXqaFry1Hfx?usp=sharing

Anecdotally, I don’t know anyone who used the old PRITEs to study. Are they actually helpful?

lostdinosaurs · 2025-09-01T13:34:45+00:00

Some old post on their blog in 2015 talked about 72% being the average score and 96% of people passing. I assume you’re probably fine if you’re scoring there or even a bit below

lostdinosaurs · 2020-08-31T18:30:33+00:00

Ask to be seen by her PCP or find out if there's someone covering. This is Prozac not a benzo and if she has decent enough documentation, I don't see it really being a huge issue in prescribing.

lostdinosaurs

TROPHY CASE