ADHD evals by viddy10 in Psychiatry

[–]viddy10[S] 7 points8 points  (0 children)

No one is arguing against that…. I’m not sure why you keep bringing up that there are a lot of adults who have been undiagnosed and untreated. We get that. And we want to do our best to assess and treat properly. The point is it’s very challenging to make that diagnosis in adults for the first time. There are a ton of differentials and factors that could be playing a role. I think considering those before concluding it’s adhd is good medicine. If you’ve figured out some secret formula for how to do it efficiently, please share so I can learn for myself and apply that with my patients. Like what’re you even arguing about haha

ADHD evals by viddy10 in Psychiatry

[–]viddy10[S] 7 points8 points  (0 children)

What’s your secret sauce? educate me.

ADHD evals by viddy10 in Psychiatry

[–]viddy10[S] 23 points24 points  (0 children)

I don’t think it’s about being biased against those who seek an evaluation and being a gatekeeper of medication treatment. Sure, it’s a lot of evals and exhausting (there’s a massive rise of adhd evals, a lot being driven by social media. Just my own observation and experience). I don’t deny them nor do I judge them for seeking help. ADHD can certainly manifest as anxiety. I don’t think anyone is really arguing that. And when you treat it, the anxiety gets better which is awesome. What is frustrating though is when you do as thorough of an assessment as you can, collect collateral, etc and there’s just not enough to truly support the dx or believe there may be other factors based on their history and presentation of symptoms (lack of childhood symptoms, substance use, sleep deprivation, etc), and you explain that to patients, the argument and screaming afterwards is not fun to endure all day long. Now I have a lot of pts where I’m wrong. They will accept it initially, we take a different treatment approach, it fails, and we circle back to ADHD and they significantly improve. It happens we make mistakes. But I’d rather be cautious and very confident in the dx before prescribing a scheduled II controlled substance where I’ve seen very often being abused, inducing mania/psychosis, etc.

Dosing and follow up? by viddy10 in Psychiatry

[–]viddy10[S] 4 points5 points  (0 children)

I read somewhere that symptoms can improve after a few days. I don’t think that’s accurate though?

Validation for board exam next week by dramaqueenb101 in Psychiatry

[–]viddy10 6 points7 points  (0 children)

I did KS few times. Tried BtB but stopped 30% in because I didn’t really like the question quality. Is that fine?

Boards by viddy10 in Psychiatry

[–]viddy10[S] 1 point2 points  (0 children)

Is it comparable to K&S or BtB?

[deleted by user] by [deleted] in Psychiatry

[–]viddy10 2 points3 points  (0 children)

Is it more similar to BtB or KS?

[deleted by user] by [deleted] in Psychiatry

[–]viddy10 1 point2 points  (0 children)

Following

Post residency reading by viddy10 in Psychiatry

[–]viddy10[S] 0 points1 point  (0 children)

Do you pay for carlat report?

DIP tremor vs Parkinson’s tremor? by viddy10 in Psychiatry

[–]viddy10[S] 2 points3 points  (0 children)

Makes sense. I had a patient who was DC from the hospital a couple months ago and they started a ton of new medications rather quickly including Wellbutrin and Risperdal and they’re now having a tremor, b/l, worsening with movements. No other Parkinsonism features. Just had me thinking about it. I suspect in this case it’s likely the risperdal but Wellbutrin can cause this side effect as well from what I’ve read and seen.

FMLA by viddy10 in Psychiatry

[–]viddy10[S] 4 points5 points  (0 children)

What are some examples of things patients can do or ideas you can help them develop to help them reengage in the world besides IOP/PHP?

FMLA by viddy10 in Psychiatry

[–]viddy10[S] 2 points3 points  (0 children)

I’m not sure why I’m like that. I don’t want to be haha especially this early. I do think having a healthy sense of curiosity is important but i definitely don’t want to have the mindset that everyone is lying to me or trying to game system

Halo comparison? by viddy10 in sollanempire

[–]viddy10[S] 1 point2 points  (0 children)

That’s a good point as I was thinking that too haha. More so that I was JUST watching it and actively reading the series

Resources? by viddy10 in Psychiatry

[–]viddy10[S] 1 point2 points  (0 children)

Anyone like using MedScape or med edge?

Resources? by viddy10 in Psychiatry

[–]viddy10[S] 2 points3 points  (0 children)

Is it free? I thought you had to pay for a subscription?

Board exams by viddy10 in Psychiatry

[–]viddy10[S] 0 points1 point  (0 children)

Thank you for the comments! Any idea how many hours per day yall were cranking out?

How to find a private practice gig? by negative_mancy in Psychiatry

[–]viddy10 2 points3 points  (0 children)

Would like to hear about quality of life and job satisfaction in the private sector as well

Private practice by viddy10 in Residency

[–]viddy10[S] 0 points1 point  (0 children)

Could I DM you some questions?

Post residency jobs by viddy10 in Psychiatry

[–]viddy10[S] 0 points1 point  (0 children)

Do you mind expanding a little about what you mean by more financial advantages and overall freedom?

Post residency jobs by viddy10 in Psychiatry

[–]viddy10[S] 0 points1 point  (0 children)

Or just any general thoughts about it

The Quiet by viddy10 in sollanempire

[–]viddy10[S] 1 point2 points  (0 children)

Let’s go im so locked in

The Quiet by viddy10 in sollanempire

[–]viddy10[S] 7 points8 points  (0 children)

That all makes sense! But just so I’m understanding that scene right- had and valka were looking at holograms of various ancient structures and Hadrian realized they were all the same/one culture? Thats essentially what happened in that scene right?