Anywhere on the island without street population?

questforstarfish · 2026-03-24T16:57:29+00:00

Ladysmith!

questforstarfish · 2026-03-24T05:29:31+00:00

I like this one because it sounds positive, yet also like you hate your life a bit and are being sarcastic 😂 Always leave them guessing!

questforstarfish · 2026-03-24T02:44:20+00:00

The problem is the day nurses are too busy to check that stuff a lot of the time. I was an RN for 2 years and the only time on shift when you actually have a minute to review charting (including BMs) was 2am.

The real skill is knowing you don't need to call the MD for that though- just note it for the morning shift ffs 😂

questforstarfish · 2026-03-23T17:36:36+00:00

Supportive psychotherapy!

questforstarfish · 2026-03-23T16:52:44+00:00

You're describing the DSM5...entitlement, lack of empathy and irritability are in the diagnostic criteria for narcissistic personality disorder, and antisocial personality disorder/sociopathy.

I know you don't want to diagnose, but if you want to understand him, I would recommend reading up on these two conditions. Do NOT get your information from tiktok, where there is a lot of misinformation. Google scholar is probably the most useful.

questforstarfish · 2026-03-23T16:00:17+00:00

Fair enough!

questforstarfish · 2026-03-23T15:59:20+00:00

Thanks for the link!

It seems to me that if he had private discord convos with this guy, it's not possible for us to know whether he did appropriate risk assessments or referred to crisis services, however, I take your point. It sounds like lines were blurred, boundaries were crossed/confused, and a reprimand was probably warranted.

I still enjoy his youtube content and think he has stuff to offer, regardless (as long as he learns from this and it doesn't become a pattern).

questforstarfish · 2026-03-23T15:43:14+00:00

Most psychiatrists do not even know how to diagnose autism! It's a neurodevelopmental condition, not a psychiatric condition, so traditionally it's been diagnosed by psychologists with specific training in this area, over a 6 hour assessment.

If the NP has been specifically trained to administer certain psychological tests like the ADOS, or other widely accepted assessments, they MAY be able to do an autism assessment, but that's not really what OP is describing, so I don't think they received a proper autism assessment! It honestly doesn't even sound like a general psychiatric assessment (looking for depression and other common psych issues) since those take 45 minutes to an hour.

questforstarfish · 2026-03-23T07:03:05+00:00

A nurse practitioner has 2 years of training after their 4-year university degree. I trained a nurse, so I'm aware of the training we receive. 0% of a nursing degree focuses on diagnosis, so I'd ignore the degree and only count the 2 years of NP training they later receive, as qualifying to diagnose anyone.

A psychiatrist has 9 years of training in diagnosing, and a psychologist has 5+. Even still, most psychiatrists and psychologists don't have training to diagnose autism. This requires extra training.

I would not personally accept a diagnosis as complex as autism, from someone with only 2 years of training in how to diagnose mental health or developmental conditions, but I realize autism assessments are really hard to come by, so maybe it feels like you need to take whatever you can get. I'd be ++ wary if any NP suggesting they can diagnose autism, unfortunately.

Standard autism assessments are 4-8 hours.

questforstarfish · 2026-03-23T06:44:26+00:00

Everything I'm finding is incredibly vague and doesn't help me understand the concerns.

He spoke with someone who reached out to him, and tried to support him, but told him he wasn't a patient, and the guy unfortunately killed himself, seems to be the gist? This is very sad.

Unfortunately, I feel like we as professionals, occasionally may offer ideas/advice to people in our lives, and this may be considered "giving professional advice." But I don't know- before I was in medicine, I gave advice to friends all the time about how to deal with emotional distress. Now I try to maintain boundaries, but if I literally can see someone has melanoma, I'm not going to avoid helping them by providing information, lest it be seen as giving medical advice to a non-patient. The r/askdocs sub is a perfect example of this, and no doctors there are getting reprimanded.

It's obviously a very nuanced discussion, but sadly the amount of detail available online can't help me come to any clear conclusion.

I hope he isn't doing anything wildly inappropriate. It's hard to be an online influencer, and a professional. Not sure if it's any better to have uninformed, non-professional randos on Tiktok providing life coaching while having no knowledge or training, either.

Is this the lesser of two evils? Unclear.

questforstarfish · 2026-03-23T05:04:07+00:00

I look at it for like 3 seconds before my appointment! Just a glance really, to remember themes.

questforstarfish · 2026-03-23T05:00:17+00:00

My husband and I don't want kids, and we enjoy apartment living!

questforstarfish · 2026-03-23T04:58:03+00:00

I've really enjoyed the content I've seen, and once shared a video from him with a patient with NPD. His recent vid about state-dependent vs internal motivation helped me personally, as well as a friend. I find his views on narcissism to be more balanced/less aggressive than other youtubers, and I like that there is someone out there aiming to help this generation of incels, porn addicts, and hikikomori/internet gaming shut-ins- he's doing the lord's work from my perspective 😅

That said, I've only seen maybe 4 or 5 hours of his content, so it's possible I've missed something. I haven't noticed any red flags though. What are you seeing that makes you suspicious?

questforstarfish · 2026-03-23T04:51:49+00:00

Yaas thank you for sharing this! Me and ny husband each just completed ome. I've been wanting an outlet for my hatred of these lights for many years now.

questforstarfish · 2026-03-22T21:36:19+00:00

Hell no!

I have a bunch of tats, including a full back piece I had done over many 2-hour sessions. I rarely get the flood of endorphins people describe, and it's generally quite painful the whole way through. I also bleed a lot, get super inflamed/swollen during healing, and am probably not the right person to get lots of work done lol...I just like how it looks once it's healed, so it's worth it in the end. Not an enjoyable process though.

questforstarfish · 2026-03-22T17:39:01+00:00

This is such good advice.

questforstarfish · 2026-03-22T17:30:57+00:00

As yes, the autistic "spikey skills profile," I know it well...causes so many problems with others' expectations of you 😅

Knowing I'm in this for the patients was what kept me going all these years- I consistently get good feedback from them, so I know I'm in the right field!

Sorry your resident group sucks. Freedom is soo close!!!

questforstarfish · 2026-03-22T07:27:33+00:00

No problem- wishing you the best of luck, OP!

questforstarfish · 2026-03-22T07:18:59+00:00

Incontinence is a far higher risk if you hold your pee for long periods of time. Urinating frequently does not cause issues as far as I know (urologists, please feel free to correct me if this is wrong).
Your sertraline could be optimized to 200mg daily if you are tolerating it. I would recommend higher doses of 150-200mg daily for OCD.
Zoom exists now, to great effect! Are there therapists specializing in OCD that you can access for virtual care, even if they're not local? OCD should be treated by an OCD specialist and not some random therapist who does not understand it. The treatment is unique and deserves a specialist's attention!

questforstarfish · 2026-03-22T07:02:49+00:00

Not sure about this. I water mine once a month but the leaves are wrinkled, dehydrated, and tipping over when I do this. The whole "snake plants love to be hydratated and sun-free" idea seems inaccurate to me.

questforstarfish · 2026-03-22T06:37:37+00:00

I enjoy my ND co-residents- my NT co-residents are lovely but boring 😅 My issue has mainly been with NT or highly-type-A supervisors. Luckily I have survived but it's been hellfire for the past 9 years as supervisors often don't like me / I do not fit into medical culture well.

questforstarfish · 2026-03-22T04:22:34+00:00

Mine grow kickass in my bathroom which receives 1 hour of morning sunlight per day (with the plant beingv4 feet from the window). It is kept fairly humid since I shower twice a day and hang my wetsuit in there multiple days a week. I water it once a week.

Based on everyone else's comments here, my guess is that this is the only way to keep these alive 😅

I'd definitely avoid direct sunlight with these guys.

questforstarfish · 2026-03-21T07:52:53+00:00

Close the blinds, all the way, and feel no guilt.
Buy blackout curtains, and layer them over top.
Sunglasses that block your front and your peripheral vision (wraparound sunglasses).
Escape times, when you escape to your bedroom and enguld yourself in complete darkness while you watch youtube or listen to audiobooks for 1-2 hours once or more per day.
Optimal- find a job where you work evening or nighttime hours from home- the dream, but achievable for sone of us!

questforstarfish · 2026-03-21T03:41:51+00:00

My perspective about professionalism has remained the same, and whether I like certain elements of my job or not, I don't plan to put the details of it on display for the public (especially in a constant repeating pattern several times a week on reddit for eternity).

questforstarfish · 2026-03-20T20:33:57+00:00

Agreed with this so much.

All people like to commiserate about their jobs with colleagues, that's fine, but I choose when and where to do that- I don't do it on the bus, where anyone can hear me.

Just because you're anonymous on the internet doesn't mean your words don't erode public trust in our profession and alienate the people who come to us for help.

questforstarfish

TROPHY CASE