I am Eric Hollander, professor of psychiatry and behavioral sciences at Albert Einstein College of Medicine in New York City. I'm working with Spectrum, the go-to source for the latest news and analysis about autism research, to answer your questions about cannabis therapies for autism.
I have spent 6 years researching the effects of cannabis and its active ingredients on the brains and behavior of people on the autism spectrum. I am currently focusing on cannabidivarin (CBDV), one of the compounds in cannabis that is non-psychoactive — meaning it does not produce a high. In one study, my colleagues and I are seeing how CBDV can help autistic children and teenagers. In another study, we are administering CBDV to children and young adults who have Prader-Willi syndrome, a genetic condition related to autism. In both cases, we are testing CBDV against a placebo to see whether we can help reduce these individuals’ irritability without some of the negative side effects that come with the psychotropic medications that would normally be prescribed.
Feel free to ask me anything you might want to know about using cannabis and cannabis compounds as autism therapies!
Spectrum Q＆A on cannabis treatments for autism: https://www.spectrumnews.org/opinion/qa-with-eric-hollander-cannabis-treatments-for-autism/
Spectrum’s archival special report on cannabis as an autism therapy: https://www.spectrumnews.org/features/special-reports/special-report-how-cannabis-could-shape-future-autism-therapies/
PROOF: https://i.redd.it/2nw9zg1brm281.jpg
I don't understand. I work very few hours (50s/wk on average) relative to other specialties. My program is nonmalignant and overall very supportive. But I just feel so unhappy about the work and it's been killing me to think about a whole life of doing this. I can't deal with another drunk meth addict with SI presenting to the ED. I click some buttons. Push back ED to wait until they're not drunk anymore. If still SI -> click buttons/do some paperwork -> admit. If no SI -> push buttons / document nonsuicidality and "contract for safety"-> go home. I can't deal with this kind of work anymore. I feel like a waste of space. Why does psych overnight call exist? Literally they can wait in the ED overnight as they detox. What is the actual emergency? What is the actual medicine? Outpatient -- wealthy well folks talking about vague *fill-in-diagnosis* symptoms, must be supportive as I am really bored out of my mind, continue SSRIs or 2nd gen antipsychotic for vague "schizoaffective disorder." Please tell me, what is wrong with me that I can't enjoy my psychcation? Why can't I just enjoy this work?
I’m seeing a general trend in society of those diagnosed with ADHD and given stimulants or those given AD’s or AP’s during childhood and adolescence imploding once they reach young adulthood. I’m seeing this from the 90s generation currently.
Are there any studies? Children just started being drugged in the 80s at the earliest, correct?
Someone very recently posted that this space would be better if those with things to share did so. Well, here you go.
I work in psychiatry. Within psychiatry, MBTI is controversial and considered part of personality theory. I personally use many modalities in my therapy sessions including CBT and it's subtypes, family systems, trauma-based, and psychodynamic. I also integrate a smidge of personality theory for some.
My specialty population for therapy is youth struggling with confidence and anxiety/depression. What I have found is that there is often a lack of self identity. Duh, right? After a session or two, I ask them to make me a list of their values and priorities in life. I explain how these change over time, but abiding by them can create self trust and self worth. Example: if your values system includes honesty, when your peer asks you to lie, you reiterate to yourself that your perspective is important and that you know who you are when you refuse to do so. For some patients, this is not enough and they can still feel very confused about who they are which leads to isolation, contributing to depression/anxiety.
At this point, I will sometimes incorporate personality theory and have the patient take some tests and talk through the results together. In this age group, feeling understood can be vital to combat the loneliness that exacerbates depression. Using personality theory also helps me low key build out the patients weak points with activities. Example: my young INFJ's usually have sensory trouble and stay very in their heads, so I recommend minimal-brain physical activity for self care. This includes dance, walking outdoors, relaxing bathing, etc. On the opposite end, for my highly extroverted eating disorder patients, I may recommend that they sit and eat by themself with the TV off and their phone down, in order to promote mindfulness and reflection.
My INFJ perspective... I am an INFJ. I see several INFJs in my professional role.
Most (as in, not all) INFJ's seem to develop empathy as a result of something in childhood. Empathy overdeveloped usually tells me that at some point in childhood the person had to recognize emotion of others in order to prevent becoming a target of some kind. Example: in an abusive home, a child who can recognize anger may be more able to avoid notice to avoid abuse.
Another reason for overdeveloping empathy is parentification. If a child is called upon to step into an emotional or task oriented role
... keep reading on reddit ➡
My anxiety and procrastination have been going off the charts to the point where I am graduating late and losing opportunities and projects I really care about. I have been super hesitant to try meds since I've always thought "I dont need them" "i just need to try harder" "I'm just complaining, everyone deals with it". Plus, my mother always said that Americans are whiny and go on too many meds and can't deal with a little emotion.
But my psychiatry visit changed everything this week. As I explained my 10+ year history of anxiety and self hatred, the NP nodded and validated everything I said.
We went through a checklist- she asked if i often couldn't concentrate. If I didn't have motivation. If I found it hard to read long things. If I procrastinate. If i was forgetful/misplace things. If i had trouble making decisions and if i tended to avoid tasks that require thinking effort. All of these were strong yes's.
Then she told me I also had depression and possible adhd.
I had always thought that a lack of motivation, discipline, indecisiveness, and time management was just me being lazy, careless, and an immoral person, like i was led to believe growing up. That life is hard and we need to suck it up and therapy/mental health help was for weak people or only if you were hallucinating. But turns out if it's affecting your life it really could be a sign of mental health problems.
I started meds yesterday and even just the past two days my head feels clearer and I had "normal" energy to get up and do chores and I didnt get filled with too much dread when thinking about job hunting. I know that it won't solve all my problems but at least it's easier to face them.
I just wish I could tell someone i live with because the meds can cause seizures and Im scared of having one. But because she would be mad and offended and probably wouldnt speak ti me for a while if she knew, i need to hide this from her. I'm happy I'm on the right track though and finally I am realizing that I'm not a completely awful/lazy person.
ive been dealing with psychiatry for over 10 years, and it's seems like every day i'm begging to get out of it. they have been terrorizing my life for all these years. I just feel regret like why didn't i just apply for welfare and never have to deal with these people and live every day in fear.
why am i being confined and terrorized? i just want to live normally and happy off of drugs.
I am looking for a psychiatrist local to Glasgow who could do an assessment and treatment plan.
I have given up all hope in our mental health services within the NHS as I have been on a waiting list for nearly four years now. I received ten weeks of CBT and my psychologist's recommendation was that I needed long-term psychiatrist help. Anyways spoke to a Psychiatrist within the NHS who I was referred to who then diagnosed me over the phone and then said I was not entitled to any support for 6 months because I had received CBT recently.
Long story short I am fed up feeling the way I feel and I am even more fed up being passed pillar to post between mental health services and my GP so looking for a reasonably priced assessment privately as I am a student who works part-time.
I'm doing inpatient psych and I haven't been able to get more than 6 hours of sleep a night for 6 days now because working in this environment is absolutely just fucking terrifying to me. I hate it more than I can explain in words.
I don't hate the patients, so don't get it twisted. It's the opposite. I am a very empathetic person and have plenty of my own anxiety so I can feel the patient's fear like it's my own. Seeing schizophrenia everywhere I look, as well as the PTSD (they're veterans), bipolar, dementia, etc is so fucking sad that I just can't sleep well at night or really do anything after work. God bless the people who can emotionally handle this type of work. They're heroes in my book, because we need people who can take care of these patients. I just can't.
What specialty will keep me as far away from the severely mentally ill? I won't be able to function if my patient base has a lot of these things going on because I will be too depressed and anxious if I have to live it every day.
Thank you.
All the while people are interested in protagonists/antagonists with mental illnesses in other genres like crime, thriller, horror etc
Ashwagandha exhibits potent anxiolytic effects in the context of chronic stress and anxiety disorder. Fish oil has been noted to be comparable to pharmaceutical drugs (fluoxetine) in majorly depressed persons. Bacopa appears to improve memory, working memory, alertness and to reduce forgetting, anxiety, and depression.
Some of these substances have side effects. But, most of them are minor when compared to the side effects of most SSRIs, NRIs, stimulants, and anxiolytics.
I understand there are circumstances in which traditional psychiatric medications are needed. But I'm sure in many cases patients would benefit from taking some supplements or nootropics first.
I mean: instead of giving that depressed kid an SSRI that kills his libido, why not try a regimen of high-dose fish oil, coupled with therapy? If it doesn't work of course the psychiatrist might prescribe fluoxetine. But why not try this natural, low-risk, and effective supplement first?
Why not give the anxious man some ashwagandha instead of some dangerous anxiolytic? Why not give sabroxy to the kid with ADHD, before ritalin or atomoxetine?
What am I missing or understanding incorrectly?
I'm not a psychiatrist or a medical doctor, and I would love to read a psychiatrist's point of view about this.
- I Care a Lot - About the human rights abuses of conservatorships. Great movie.
- 55 Steps - A lawyer and psychiatric patient fights against psychiatric abuse.
- Dancing in the Dark - A woman is committed because no one wants to believe her when she says she was sexually abused. This is an old, rather obscure TV movie. It's of TV movie quality, but I think it's worthwhile and important if you can get a hold of it.
- Lars and the Real Girl - Much more positive than the above movies. A man has a delusion that a doll is a real person. A psychiatrist says that is just what he needs to work through things right now and instructs his family to respect him and work with his delusion. This movie is an absolute role model for how psychiatry should work.
Please let me know what else you have to add to the list.
Every time I have consulted with any sort of “mental health professional” in the past, I mention my past abuses of adderall, alcohol, molly and marijuana. And every single time, they gloss over everything else and instantly become transfixed on the weed — despite all addictions being of equally extreme degrees. I literally had one doctor tell me that marijuana impairs your coordination MORE than alcohol; I called BS but I was involuntarily in the psych ward so I didn’t have my phone to pull up the official NHTSA studies. I understand that chronic marijuana use can exacerbate some mental health disorders (especially in young people like me) but holy shit, so does all the Lithium and antipsychotics you’re handing out to your patients like you’re some kind of Pharma Oprah Winfrey.
Alcohol and ecstasy were infinitely more damaging than marijuana ever was, especially in terms of withdrawal. Obviously, any rational person would deduce that. But American psychiatry does not agree with me. What gives?
I have been managing a pretty typical combination of depression, anxiety, and ADHD since I was 15 years old.
Personally, I haven’t found any SSRIs or SNRIs that improve the quality of my life at all. Yes, I gave them each a proper try for 6-12 months. Anecdotally, I don’t know many people who have found the drugs to be effective at all. The few people I’ve met who continue to take them, describe them as a “necessary evil”. Scientifically, it doesn’t seem to take much to be considered a statistically significant improvement when compared to placebo in clinical trials.
Arguably, we shouldn’t want treatments to be like that. That’s how people describe their chemotherapy cancer treatments, and everyone knows we need a better treatments than chemotherapy.
I did eventually have some success treating my depression with bupropion (NOT an SSRI), but this is like the 8th medication I’ve tried, and I had to ask my doctor about it.
I kind of feel like psychiatry is resigned to promoting the moderate success of SSRIs/SNRIs, which have notoriously awful side effects, instead of trying to find new classes of medications, perhaps because they’re status quo, and thus safe/uncontroversial??
Any thoughts?????
Hi everyone, Im current an MS3 on my psych rotation. I wasn't expecting to enjoy this specialty, but so far I've enjoyed it more than any other rotation, and now I'm seriously considering psych.
I have a less common question about psych lifestyle. It's well known that psych has excellent hours both in residency and practice, but how about PTO/time off?
I ask because before med school I had the chance to backpack through Southeast Asia for a few months and was really bit by the travel bug. My biggest non-professional goal is to have more or less seen the whole world by my mid-30s. I've been looking for specialties that could allow for this (lots of time off) that I think I also would enjoy and these are EM, IM (hospitalist), and anesthesia. I feel like i could do any of these jobs but I think I would be happiest doing the day-to-day work of psych. Does anyone know if it would be realistic to find a gig in psych that would allow for large chunks of time off, or is the "lifestyle" aspect of psych more along the lines of hours/week and not chunks of time off?
I’m just now picking up on a lot underhanded commentary from the show’s producers that while mental health was an essential plot device, It’s generally ineffective.
Aside from the obvious problematic treatments Tony seeks through his shrink, there’s a few more interactions that led me to believe the show’s producers never took mental health therapies seriously.
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Dr. Melfi’s own psychiatrist seems to have an obsession with her patient and has made inappropriate and potentially unethical remarks.
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The therapist Dr. Melfi recommends for Meadow only offers destructive advice and seems to be focused on uncovering non-existent sexual abuse.
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Janice sees a therapist who only panders to her own narcissism.
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Carmella seeks out mental health and when is given good advice (leave your criminal husband) she rejects it and falls back to counsel from priests knowing they would discourage divorce.
Suffice to say the show made it quite clear the characters never really believed in mental health, but now I’m curious if the show writers are as skeptical.
I have nothing against religion. But I do think there’s a flaw in the system when psychiatrists go insane if I tell them the government is watching me when the next person believes in gods.
Edit: I’m learning a lot from the responses I didn’t know before. I was actually wrong my way of thinking about psychiatry.
With that said, I hope everyone realizes that mass surveillance is happening. Thanks to people like Snowden and William Binney, we’re starting to take this stuff seriously.
Read an article the other day, stating that NASA had hired several theologians to discuss how various religions would respond to the discovery of extraterrestrial life.
How do you think such a discovery would affect mental health? What implications would result in the field of psychiatry?
Edit 1: Blown away by the support. I’m tearing up, clerkship is hard and I was genuinely feeling so scared about this. I feel a little less alone, thank you.
Edit 2: I have left the rotation and will complete the final two weeks at the end of clerkship in April. I have also gotten a lawyer, thank you to everyone for your helpful suggestions.
Edit 3: Seriously astounded by the support, I’ve had so many beautiful private messages and a handful of new med friends from across the country 😭 I really think the culture of medicine can change one day!
Canadian medical student. Am currently applying to internal medicine and family medicine. Have done well on all clinical rotations so far. Half of my evals are fairly average and look like the first image in below link, the IM ones are my best performances and look more like the second.
I deleted the link I had included here because this post got popular and I want to be careful.
The first two days of this psychiatry rotation were fine and she gave me positive feedback. The tone then shifted drastically, by day 4 I could tell she was unhappy but the only actionable feedback I received was to change my discharge summary template and add more to one of my progress notes. Before even realizing there was a significant problem, I heard from the clerkship director there was concern I might not pass the rotation. This was very surprising to me as I had a job prior to medical school where I used a lot of the same skills in psychiatry, I didn't think I was an expert but I thought it would be a good rotation for me.
I do have ADHD but it is treated appropriately. I told them I did not think this was suitable for her to be commenting on, particularly blindsiding me without giving me a chance to course correct. Their response was essentially "maybe she shouldn't have diagnosed you in your absence but she was concerned and by the way she is a very respected preceptor in our department, and we think you aren't aware of how your ADHD is impacting your performance". That really annoyed me because it was an apologetic justification, not remorse. And they are still making all kinds of presumptions about how well-treated I am without having assessed me. And also, if this were my pattern I wouldn't be shocked, but by this point in clerkship with nothing but good feedback I am shocked.
What this feels like is someone with expertise has picked up on real observations and magnified them to the point where I am now bei
... keep reading on reddit ➡i’m on so many medications and still have episodes on them. i keep trying things (new meds, ketamine infusions) and it always seems to either not do anything or make things worse — the ketamine brought me from depression to hypomania and then my psychiatrist forced me to take antipsychotics which i HATE how they make me feel. i’ve had so much ECT it should be illegal, and i have cognitive deficits and extreme memory loss from it. i know some of the meds do help to some degree (i.e. i know lithium helps the mania, less so the depression) but i just feel so dependent and helpless and controlled by psychiatry.
it’s near 4am and i just wanna throw these meds away.
Because of all the stories I've read on here, I was reluctant to bring up the possibility of my having PMDD on my 2nd visit to the psychiatrist.
He asked me why I did not bring this up in our 1st session, and I admitted that many doctors do not believe it even exists, and that my last therapist ended our sessions entirely when I brought it up as a possible reason for my monthly rages/intrusive thoughts, and poor impulse control.
He seemed shocked, and assured me that PMDD is a real diagnosis, and a well studied disorder. He put me on a low dose mood stabilizer to use a week pre period.
They exist! We exist! PMDD exists!
- The professional is always right in all claims and beliefs.
- The professional always treats you fairly. They shall not be critized.
- Pretend that you are allowed to criticize the professional and that he responds to criticism in a wise, gentle and cultivated way. You are not allowed to voice Commandment 2. Obey it, but do not make it obvious.
- All professionals are One. Therefore, you shall not criticize his colleagues. They are all right, because they are One. You have to buckle in front of each one of them. Do not bother mentioning any contradictions that stem from conflicting statements. They do not exist.
- You must adjust and show your issues in a way that suits the professional. As long as you allow him to feel superior, you are a wanted and friendly patient. You get some warmth and friendliness in return.
- You are not to annoy them. That is, do not bring up the same issue more than once. It is your responsibility to entertain the professional accordingly. It is not your task in the sessions to solve your problems and he won't help you with your issues. Announce to everyone how he solved your issues.
- If you accidentally voice true claims or beliefs, which contradict Commandment 1, you must endure domineering behavior for the necessary period of time to be silenced. You must say then that the psychiatrist is wiser and more sophisticated, especially regarding your life. Being put down is the initial punishment for misbehavior.
- Another punishment is to dismiss you and label you to make it easier for the professional’s colleagues to admit you involuntarily. Your point of view is deemed worthless.
- Let go of all ambitions. A dumb, obedient, unsuccessful-in-life patient is the best one. You shall fulfill the professional’s wish for being superior. Displays of intelligence frighten them. You are to assure the professionals that they have helped you.
- You must be grateful for the professionals’ assistance. They will always improve your life. They do not request gratitude but will be feel disrespected if you do not show it for every action the professionals take.
Language support by u\apsconditus_ . Thank you! I hope I haven't put in new mistakes ;-)
I'm just curious as to whether most people here have a generally positive attitude towards the right to suicide; given that psychiatry tends to use gaslighting in order to prevent suicides. That is, to label people with made-up "disorders" that have absolutely no scientific validity, and then extrapolate from these 'diagnoses' that these people are not competent to make an informed choice to commit suicide, and therefore need to be protected by those who know better.
I am doing a blog on issues similar to this, with another submission to come soon (schopenhaueronmars.com for anyone who wants to check it out). The last one that I posted here just got downvoted and ignored, so I am curious as to whether that is attributable to my poor quality writing, or whether the majority of users here are still anti-suicide even whilst being opposed to the pseudo-science of psychiatry.
After a suicidal gesture of taking 20 Advil PM and the past events that led up to it, I will tell my experiences of the psychiatry hell I went through. I hope that there will be someone who reads this who may be able to relate and also to give hope to others that there is light at the end of this tunnel to a better life.
The nurse who spoke to me was in the ER was trying to determine what my state of mind I was in. I was a bit despondent and maybe out of what she thought was my best interest she decided to admit me against my will. Something that at the time of being 19 I had no clue they had the power to do. My family not knowing what to do acquiesced to the nurse’s recommendation. When I got to the 4th floor psychiatric unit in the hospital, I was coerced into taking pills that I did know what I was taking and was told I didn’t have a choice. OK, down the rabbit hole I go. I had no idea the severe impact these drugs would have on my psyche. The medicine threw me into a state of intense euphoria the likes of which I have never experienced before in my life. Everything was hilarious. I could not stop laughing at everything for the life of me. My mind was racing, I felt Euphoric, I could barely get any sleep. 2 weeks I spent in the hospital and was finally released because I had convinced the doctors I was fine. Still on this euphoric high, I eventually came crashing down into uncontrollable convulsions of sobbing and weeping. Paranoia ensued and I had to go back to the hospital. Still manic from the drugs, experiencing hallucinations and strange thoughts, the doctor then puts me on a severe anti-psychotic medication. Anyone who has been on this kind of medicine knows the severe impact that they can have on your brain. I slept well the first night. Too good. I would sleep 12 hours plus a day. I went from 6 foot 180 in incredible shape to a 300-pound fat person in a matter of a year.
As you can imagine the side effects of extreme lethargy and weight gain are enough for anyone to attempt to get off of them. This is where it even gets worse. As my psychiatrists are trying to figure out how to stabilize me, they had me on Depakote; an antiseizure medication. This is the one I tried to taper off on my own. Not knowing the difference between extended-release tablets and regular ones, I started to try to break them in half and take them like that. Between this and having smoked a little weed, I got myself in HUGE trouble. If anyone has ever experienced this befo
... keep reading on reddit ➡Jak wyżej. Chciałam w końcu ogarnąć rzyć i stawić czoła własnym problemom, ale za cholerę nie wiem jak się za to zabrać. Zdecydowanie wolałabym formę online, ale nie wiem czy powinnam szukać psychologa czy psychiatry? Na jakiej podstawie wybrać odpowiednią osobę? Gdzie szukać informacji? Będę wdzięczna za pomoc!
Been feeling very dysphoric about this for a long time. Maybe it’s already common knowledge here that mood disorders like depression aren’t real and are just a sham for big pharma to brainwash people with pills. I think psychosis and schizophrenia are real. But how does one differentiate a person who just happens to have poor impulse control and abandonment issues from a person with BPD? Mental illnesses are diagnosed on a symptoms basis. No brain scans. I don’t understand how people believe in the science of this
My post is not made to trigger but to make this point - Psychiatry induced Trauma, whether it's psychological, physiological, economical, spiritual.
Will never truly go away because In the end it's impossible to ignore the fact that crimes against humanity are being committed 24/7 around the globe by this profession.
It's pathologically embedded within anyone who is blind enough to work within this profession and accept payment, status, respect for capitalizing on human suffering.
For trafficking humans,
For inventing diseases that do not exist,
For inflicting hidden brain damage by any psychiatric psychoactive drug dispensed,
For tearing families apart, harming trust in the goodness of humanity,
For alienating the treated from their natural environments and community,
For deeming individuals as outcasts, sending them to unknown territory, being primed to anticipate the worst, killing their sense of home and safety.
For accumulating literal blood money, for charging the most vulnerable populations.
For holding patients as money making objects, prolonging treatment and hospitalization durations, to milk money from insurance and patient's own wallets,
For spreading life and death misinformation, for using intuition as facts, for misrepresenting science
For dehumanizing the unfortunate, playing drug russian roulette with lives like some kind of a game.
For taking part in organized identity degradation, labeling of humans like text in a computer database.
For working with almost zero oversight or any kind of higher supervision
For getting away with total destruction of individuals, killing literal souls, incapacitating, injecting brain damaging toxins
For acting as the police, taking responsibility over matters that should not be in their control.
For continuing to work in a profession with horrific and tainted history, where you get noble prize for inventing lobotomy, for destroying other's brains.
Where only social status matters, the lowest In the social ladder get the worst treatments, diagnosis, care, being handed over from hand to hand like they are not human, being forgotten about, having no priority.
Where self-proclaimed adults push their authority as the only word and fact available in the entire world, as the only option available, where no other action or opinion exists.
Drugging elders in nursing homes, making them manageable, killing their voice, treating them with Anti-Psychotics that cause such impairment where they are
... keep reading on reddit ➡Im a final year medical student and considering psychiatry. In my 2 month placement in psych, I noticed that even though in-patient psych did involve a form of dialogue between psychiatrist and patient, it was mostly centred around practicalities and assorting/labelling symptoms. The discussion never went beyond that into the personal perceptions of the patient about the symptoms. The patient’s history was nothing more than a generic set of events rather than a string of experiences that could relate to the current psychopathology. It basically felt like a factory, where the product is kept inside the factory for the shortest amount of time possible, with the hopes that medication will ease the symptoms enough for them to be sent back home so that the next product could be assembled. I am by no means shitting on the medication/biological model of psychopathology, and understand that theres many ways to approach symptoms and all of them can have an aspect of truth in them. What I don’t get is why, at least in what I experienced in the UK (London), are psychiatrists not also approaching the patient in terms of theory of mind, ego and the subconscious or at least analysing symptoms in a bit more depth with the patient.
Random question that maybe one of you guys can help with. One thing I’ve always thought back to is that during my psych placement in med school it was explained to me that ECT was efficacious, and had little side effects in treating fulminant depression. I asked at the time why this treatment isn’t used more considering the significant pressures on mental health services with depression management, best answer I got was ‘seems a bit drastic’.
I still think about it sometimes and just wonder if anyone has a more substantial answer, or whether perhaps it is just down to the human factor from us as the healthcare provider that even if the evidence behind it is good, we don’t want to jump straight to frying the brain when we have other treatments available.
It's so ironic that everyone is posting about mental health right now but we don't have the financial or political resources to actually do anything about it. Nobody actually cares what happens to us crazy people.
I've tried calling two of the warm lines for our region. Both were disconnected. I'm fine for tonight but I feel like shit. The only reason I got a psychiatrist appointment is because I'm a nurse with the health system. This whole thing is about to crumble right in front of us but no one actually cares. They'll post about us poor sick babies on Facebook all day but no one actually wants to change anything.
I'm ok for tonight. I have to work the weekend. Guess we'll see after?
Do any of them have podcasts/YouTube channels? It seems like public intellectual psychiatrists are hard to find…
Hi - as mentioned, I'm all set to start mid January and would like to set up a way to accept Crypto as a means of payment. I'm thinking I would like to accept any type of crypto, but I would assume that Bitcoin at this time is the easiest to set up. Does anyone know the best way to do this? I would like to connect on my website so people can pay there, kind of a one stop shop so they can get payment out of the way before I see them. Any widgets or even a paid-add on would be helpful. Let me know what ya'll think. Thanks
No wonder Niles looks down on it. To me, it sounds like one of those Agony Aunt/Dear Abby sorts of affairs, since Frasier doesn’t have the ability to address anyone’s problems at any length, in the way a face-to-face psych would.
Was this a Frasierverse thing or were these radio psychs really doing a brisk business?
It honestly reminds me of some sections of Reddit, with lonely people calling in. Especially eps like ‘Miracle on Third or Fourth Street’, with four hours of nonstop Christmas misery. I actually found that one of the more realistic times of year to call in.
There is obviously some handwaving going on in terms of Frasier’s Seattle-wide fame and his wealth, but if we ignore those, was there really a demand for these sorts of services or was it mostly invented to make the show more interesting?
I’m a PG2 who is interested in CAP. I’ll be starting my CAP rotation soon and will decide in the next few months whether or not to pursue fellowship.
I am interested in reading books that talk about the experience of being a child psychiatrist or talk about topics relevant to child psychiatry. I read The Boy Who Was Raised as a Dog by Bruce Perry and would like to read similar books that include clinical vignettes in child psych or talk about child psych as a career. I would also be interested to read about the history/evolution of the field or books about interesting/relevant topics in child psych or issues that affect child/adolescent mental health. Not really interested in textbooks and more looking to get a feel of what CAP is like but if there’s any good suggestions I’ll take those too.
Thanks!
Tbh I am procrastinating.
I was thinking about this one psychiatrist I had who was kind of awful. She kept pressuring me about meds I had bad reactions to or things I needed to avoid bc of my heart condition, and I had no idea why for the longest time.
Turns out she fully did not believe I had anything wrong with me. She full on asked me if I had a real diagnosis from a real doctor. like "who diagnosed you?" "uhhh my EP?" "and is that a physician?" and when I got her to explain (I was like literally what other kind of doctor is there I thought that;s just like. the same thing) it turns out she genuinely thought I had gotten a fake diagnosis from like. A holistic person, I don't remember how she said it, bc she said my issues "didn't make sense". Which is. Audacious.
Anyway, basically everyone else I know has had similar (if mildly less ridiculous) examples with mental healthcare professionals being the worst to them about their illness/disability or prescribing them meds which are directly contraindicated for people with their disorder. What has your experience been like? Open offer to commiserate here.
Edit: literally just to say that I have good experiences too, I love my current people. My current psych is super careful and understanding abt my heart issues messing w meds for me, and my therapist thinks that whole experience is horrifying and helped get me to fire my psych when I was too nervous to so I could find a better one. I don't want anyone to be too nervous to get treatment, just def feel validated in firing them when they're jerks
I was literally begging for help and for meds. This dude with this giant bullet proof gear was literally stationed in the doorway of the office. Seriously fuck. these. People. If they want me to kill myself just give me the gun and I'll make it quick and painless. I didn't last 2 minutes. If you raise your voice we'll have to end it, This little douchebag twerp said. Im fucking fuming right now. I feel so healed, the healing feels like glowing lava ripping through my veins, the healing feels like I'm in smegging cardiac arrest, I guess thats normal too. Of fucking course everyone else on these stupid mental health subs say their therapist "saved their lives".
Why do I get left out? Why do I have to get retraumatized over and over and over again by these "people" (subhumans). I reached out for help and got a severe lashing since I'm not the ideal quiet and timid depressed person. I'm fucking angry at everything and myself and no one can make it better. I never thought I could get any lower.
I'm just glad I got to bellow a loud fuck youuuu fuck youuuu that everyone could hear while I made my escape. You got to take joy in the small things, I guess lol
If you’re an international student, you get full coverage on psychiatrists even those in private practice.
If you want to get well as soon as possible I highly recommend Dr.Julian Xue. He’s very well connected and taking clients. I have a really complex case, and he titrated and referred me in no time at all! Very professional, kind, and efficient. Balanced emotional and physical well and carefully looked at my family history.
Also: I’ve been told he’s the only psychiatrist in Montreal that is licensed/able to conduct patient treatment in Mandarin. Great referral especially for Chinese international students to be comfortable!
Practice link: https://www.liberaclinic.com/
Hoping this helps someone! ♥️
I'm curious to get other people's views.
