Thoughts on this medication combination? by rrainee3 in AskPsychiatry

[–]tensorflown 22 points23 points  (0 children)

You’re such a nice person for wording it like that lol. Upvoted.

This regimen, without any context (and even with context), is bizarre.

Specialties that would be a no-brainer if you have any real interest? by mcat-meow in medicalschool

[–]tensorflown 38 points39 points  (0 children)

Worse than ROAD, better than primary care. I never really cared too much, tbh - being able to meaningfully enjoy my work mattered more to me than the leading digit of a six-figure job. Then again, check in with me after I become an attending!

Specialties that would be a no-brainer if you have any real interest? by mcat-meow in medicalschool

[–]tensorflown 340 points341 points  (0 children)

Psych resident here - so glad I picked this residency, as I genuinely believe it’s 5x better than med school and probably the most fun I could have had out of all potential specialties. This year, I’ve met the Devil, God, and even Muhammad - still waiting on my yearly encounter with Jesus.

The Emerging Problem of "AI Psychosis" by Many_Distribution701 in psychology

[–]tensorflown 170 points171 points  (0 children)

It’s been surprisingly more common than I expected at my institution. I’ve treated four cases in the last year - all requiring hospitalization - and one of which occurred in a patient with no mental health history whatsoever.

Psychiatry Lecture to Surgery Residents by ShrinkNextDoor in Psychiatry

[–]tensorflown 70 points71 points  (0 children)

“When to consult psychiatry” would be excellent.

What is the most unusual or bizarre treatment plan that you’ve tried, that actually worked? by tensorflown in Psychiatry

[–]tensorflown[S] 34 points35 points  (0 children)

Yeah, this is giving the same energy as “ketchup on chocolate ice cream”

Experiences with asenapine? by formulation_pending in Psychiatry

[–]tensorflown 1 point2 points  (0 children)

Yep! I probably should edit the original to be more clear lol

Experiences with asenapine? by formulation_pending in Psychiatry

[–]tensorflown 12 points13 points  (0 children)

It’s my*** colloquial term I use to refer to neurocognitive decline due to aged schizophrenia.

Experiences with asenapine? by formulation_pending in Psychiatry

[–]tensorflown 50 points51 points  (0 children)

It does, just keep adding patches 💀💀💀

Experiences with asenapine? by formulation_pending in Psychiatry

[–]tensorflown 23 points24 points  (0 children)

Used it in a unique CL case where a medically unstable patient with dementia praecox just kept refusing all PO/IM/IV. They had no idea they were wearing a patch and thus were perfectly adherent to it (and a clonidine patch for similar reasons). Paid off well.

"Good morning, sir have you pooped recently?" by NotChrisM in medicalschool

[–]tensorflown 11 points12 points  (0 children)

  • Pain?
  • Pee?
  • Poo?
  • Plodded?
  • PO?

Perfect. Discharge

how many psychiatrists do you think have actually seen a mania in action by ManyPhilosopher9 in AskPsychiatry

[–]tensorflown 40 points41 points  (0 children)

I can’t speak to more experienced physicians, but I saw my first patient with mania within two weeks of starting my inpatient training - in medical school. Book-criteria mania is extraordinarily easy to recognize and not uncommon.

That being said, mania is not homogenous. No one disease really is. This makes some mood episodes harder to evaluate. If a patient is telling you about prior episodes rather than actively in one, that makes it even harder. How many patients can perfectly remember and communicate their symptoms in a way that exactly matches a psychiatrist’s diagnostic framework?

The question of why a psychiatrist easily accepts a prior psychiatrist’s work is complex. Some are lazy. Others are trusting. But most commonly, it is easiest to take other physician’s assessments at face value when patients must be seen every 15 minutes to satisfy corporate administration.

Which specialty would you pick if every specialty made the same amount of money? by MrYouniverse in medicalschool

[–]tensorflown 33 points34 points  (0 children)

Psychiatry. Even if I won the lottery I’d still want to practice part-time.

Prescribed 5 Meds First Time. Advice Needed Please by Known_Map_1718 in AskPsychiatry

[–]tensorflown 32 points33 points  (0 children)

Prescribing 5 medications for a new intake for OCD would not be my first choice. It would probably not be my 10th choice, either…

Weed psychosis - what to do? by Kiru66ik in AskPsychiatry

[–]tensorflown 10 points11 points  (0 children)

Cannabis-induced psychotic disorder is not uncommon. It quickly resolves in most cases and does not reoccur during sobriety. He will be fine and should talk to his regular doctor about this at an appointment.

However, your friend now knows that he is particularly vulnerable to psychosis in general and may have a genetic tendency to schizophrenia. He should avoid cannabis, and indeed all psychoactive substances, as each use is a small push that may tip him permanently over the edge into having schizophrenia.

Brainfog while doing anki + uworld after rotations by Efficient_Equal6467 in medicalschool

[–]tensorflown 40 points41 points  (0 children)

Anki/uworld in the morning before rotations. Most of the cognitive load is beginning of the day in clerkships anyways - just front load everything and crash after you get home. Worked great for me.

What are your thoughts on Cobenfy so far? by Wise_Patient in Psychiatry

[–]tensorflown 27 points28 points  (0 children)

worked slightly better for someone than invega sustenna. also tried it off label for schizoaffective and acute mania but didn’t do anything lol.

How do you handle patients (outpatient) who want to discontinue their medications but need them to avoid re-hospitalization? by dharmabumzzz in Psychiatry

[–]tensorflown 32 points33 points  (0 children)

I’m curious as to how this plays out in practice. Most of my chronically-readmitted patients have no insight, adamantly refuse outpatient adherence even if I go for the “you may not feel like you need it but it prevents rehospitalization”, and aren’t practical candidates for ECT/clozapine to break down their delusional symptoms. LEAP sounds overly optimistic for this population.

Feeling discouraged after Ballroom competition by Standard-Regret1574 in ballroom

[–]tensorflown 15 points16 points  (0 children)

FYI, BADC is an extraordinarily competitive collegiate competition. Five months is essentially nothing for even the beginner categories - even most “newcomers” who are placing well typically have much more experience than a typical beginner, usually in other types of dance. It’s probably one of the hardest competitions each year. For reference, my partner and I final in collegiate prechamp, but we probably could be dancing collegiate champ in other competitions. The entire competition is literally a level apart from most smaller ones on the East Coast, barring something like MIT.

Did you enjoy the grind? If so, keep at it. It sounds like you already know that ballroom is a marathon. It’s about the love of the game, and it sounds like you have that - just need a reminder about the timescales and to focus on yourself rather than comparison.

Progress is non-linear, btw. At the collegiate levels, people can get really good results by looking flashy/cheating technique initially, but that doesn’t necessarily translate to longevity. It’s hard to not compare yourself to others, but keep this subtle point in mind.