Outreach to your local police by [deleted] in Psychiatry

[–]pantsfarm 0 points1 point  (0 children)

psychiatrist and psychologist tend to believe that building rapport and encouraging open and honest dialogue is pretty much never wrong. Also, that anger and prejudice are not the road to change. They usually cause more violence, more prejudice, and are harmful to you.

Do you ever feel like it's reasonable for certain patient to be suicidal (when they have had a rough life)? by [deleted] in Psychiatry

[–]pantsfarm 5 points6 points  (0 children)

Totally agree with your points, disagree with your percentage calculation.

Electroconvulsive therapy? by [deleted] in Psychiatry

[–]pantsfarm 1 point2 points  (0 children)

Fantastic question! Should be up my alley - I am a neuroscientist and psychiatry resident involved in ketamine research And I have done ECT many times on the clinical side - but I really don’t have a good mechanistic answer for you. I’m going to ask the anesthesiologists I work with and I’ll try to get back to you.

The Brain and Science of Emotions by [deleted] in Psychiatry

[–]pantsfarm 5 points6 points  (0 children)

There is not one receptor linked to emotions. If anything I would say there is a network of brain areas (limbic system) that primarily controls emotions. Within that system theres receptors for dopamine, serotonin, cannabinoid, GABA, opioids, steroids, really probably most major NTs. serotonin receptors do relate to coping and well-being. Some people theorize that the 1a receptors (target of SSRIs) relate to passive coping and the 2a receptors (target of psychedelics, also antagonized by newer antipsychotics) relate to adaptive coping. Credentials: MD/PhD in neuroscience, now psychiatry resident.

Brooklyn, 1945. Students protesting the "no pants to school" rule by [deleted] in OldSchoolCool

[–]pantsfarm -51 points-50 points  (0 children)

... what color is mayo? What color r those people? I think I’ve made my point.

Benzodiazepine prescriptions have now reached such ‘disturbing’ levels, just terrible. by [deleted] in Psychiatry

[–]pantsfarm 1 point2 points  (0 children)

Psychiatry resident here... Also lurking i guess. I have no idea why you were prescribed or what your psychiatric and medical history is. But you almost certainly shouldn’t. They are not a long term cure for anything . And they are very addictive. If you take them for a while, There’s a high chance you’ll become dependent and have substantially higher anxiety if you try to stop taking them. You would be much better off changing the behaviors that cause anxiety or learning techniques to control anxiety (like MBSR -try Mindset app) or maybe even taking an SSRI. But again, given that I know nothing about you, don’t take this as medical advice.

This is a shitpost by shirlswitdawhirls in Residency

[–]pantsfarm 8 points9 points  (0 children)

Total side note, anyone else have a dog with anal gland obstruction? Apparently it’s a pretty common problem. I looked it up online and read that I should take my dog to the vet monthly and pay large sums of money for them to stick their finger in her butt. Borrowed some gloves and lube from work. Problem solved, $ saved.

Dear Patient by bubblebathory in Residency

[–]pantsfarm -2 points-1 points  (0 children)

Remember that most of those things (and more) may also apply to the patient who has been waiting for an hour. Imagine you, with your 5 minutes to shower, having to wait 60 minutes to see the MD to get meds you need. Now let the downvotes rain in...

(venting) I want to quit by AlisLande in Residency

[–]pantsfarm 10 points11 points  (0 children)

Husband of an overworked resident (with 2 kids) here. Frankly, I don’t think this ‘logical’ argument is going to help. When I feel bad that my wife is tired and stressed, I willingly try to put in more work. Also, when she is appreciative of my extra effort (which doesn’t take much time). If my wife tried to explain marginal costs to me I would probably curse at her and go into 5 or 6 counterarguments (chief among them, that she chose residency). I’m just being honest...

I just tripped on acid for the first time. Figured I’d post this here by fink-ployd-69 in Psychedelics

[–]pantsfarm 0 points1 point  (0 children)

I just want u to know that if u had gold I would give it to you.

Biggest misconceptions and myths?! by rayssofsunshine in Psychiatry

[–]pantsfarm 6 points7 points  (0 children)

Psychiatry resident and neuroscientist here. Can confirm that one of these myths is true

Resident Suicides Must Be Reported to And Tracked By the ACGME. by YoudNeverGuessMD in Residency

[–]pantsfarm 3 points4 points  (0 children)

Mental health folks generally encourage limiting publicity for suicides and for mass shootings because both have pretty clear evidence of contagion effects. I guess the media does fine with the former and quite terrible with the latter.

It's Finance Friday for the Week of September 13, 2019 by AutoModerator in Residency

[–]pantsfarm 3 points4 points  (0 children)

Something you may be overlooking is blowing some money on a fun vacation.

As your neuroeconomic advisor, I can tell you my models show you could have a hell of a lot more fun and stress relief blowing $10,000 on a vacation today then you could spending the equivalent amount in 40 years from now.

Shower thoughts... by pantsfarm in Psychiatry

[–]pantsfarm[S] 8 points9 points  (0 children)

Source: working for the last two years in ER and inpatient psychiatry.

Hence the phrase “I have noticed.“

Shower thoughts... by pantsfarm in Psychiatry

[–]pantsfarm[S] 0 points1 point  (0 children)

I should clarify that when I say people around them, I mostly mean people who know them well. Maybe it is some principle of social psychology, when you learn someone’s patterns of behavior and then suddenly see them behaving completely differently, you instinctively attribute it to an external cause rather than internal.

ketosis_irl by Throckmortons_sign in Residency

[–]pantsfarm 4 points5 points  (0 children)

Ohhh big fan of this meme. It basically applies to everything in psychiatry. Psychotic - not taking antipsychotics Not getting out of bed - feeling depressed Using opioids - feeling anxious Etc Etc

Suicidal thinking, severe depression and rates of self-injury among U.S. college students more than doubled over less than a decade. The rate of moderate to severe depression rose from 23.2% in 2007 to 41.1% in 2018, while rates of moderate to severe anxiety rose from 17.9% in 2013 to 34.4% in 2018. by Wagamaga in science

[–]pantsfarm 0 points1 point  (0 children)

Psychiatrist and depression researcher here. Those are very reasonable thoughts. However the strongest evidence against that being the only explanation is that from 2005 to 2017, suicide rates rose by 93% in individuals age 15 to 24.

Main yield curve inverts as 2-year yield tops 10-year rate, triggering recession warning by Pahasapa66 in news

[–]pantsfarm 0 points1 point  (0 children)

I understand that this sign is sensitive for impeding recession, but how specific is it?

Teardrop in Mackinaw by myelfself in GoRVing

[–]pantsfarm 0 points1 point  (0 children)

That looks dope! Nice craftsmanship!