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Joined 3 years ago
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Cake day: June 12th, 2023

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  • One dude got into a highly uncivil argument about what constitutes “real physics” on a post of a tumblr screenshot with overwrought prose about… (tbh I don’t remember now but I’m thinking electromagnetism?) then reported the other user. Don’t get me wrong it was bad tumblr prose but like. It’s a genre some people like and a staple of tumblr culture which the comm was about.

    Anyway I temp banned them both (I think I did accidentally remove too many comments but anyway) because they were having a toddler level squabble with profanity over tumblr poetry. One of them called me some kinda profanity so I permabanned them and they made a post on power tripping mods and pretty much everyone was like "you know we can still dig out the comments AND your DMs and you’re kinda just a menace… right? Like I woke up and pretty much everyone had already defended me. Anyway I blocked them and moved on with my life. People need to use the block button more often tbh.


  • Honestly I’ve spent a good part of my career working with men specifically in acute mental health environments and 90% of the time when a man expresses a lack of sexual attraction I’m relieved. The other 10% is indifference, but the amount of times they yell at me about how ugly I am and I’m like “…good…!?”

    Like tbh there’s a not insignificant chance I’m just a gay dude but like. I’m not in a rush to decide. And in the meantime if not looking how they think an AFAB should keeps more men able to interact with me nonsexually that’s basically 100% beneficial. And honestly women aren’t great either (they’re not usually as pushy either but on the rare occasions they are they’re way worse). Tbh that’s probably why I’m a gay dude; bitches (in a romantic context) be crazy I just wanna drink a beer with my male bestie (now 💍) and talk about whether yeast or dogs have been symbiotic with humans longer.



  • Unless it’s a private practice, it’s probably not the psychiatrist that wants to use that tool, it’s probably an initiative on the part of the larger organization. There’s good odds that the practitioner themselves is even against it themselves. That said, this sounds like one of the lower risk use-cases; what you’re describing is more of a souped up dictation software more than it is truly generative AI.

    TLDR; don’t let this stress you. Do what feels right for your own care. And, ultimately, keep your own records and notes about your own symptoms day to day vs what treatments you’re trying at any given time. Also do your best to educate yourself on what the meds are supposed to be doing, especially what symptoms (not disorders) they’re supposed to be treating. Taking the initiative to track your own care in detail is what’s really going to get you the best results anyway.


  • At least you were kinda trying to do the right thing. We had a resident who insisted we hold a man down for a POC glucose fingerstick just because there A1C from a week ago said the EAG was like 400 and we had a court order for psych treatment.

    Like sir. I’m not starting the precedent of restraining this man 4x daily to stab his fingers. He’s probably been living at 400 for months (if not years), a week or two more waiting for the antipsychotics to hit isn’t gonna do all that much more damage. Also idt the paperwork was completely in order to apply medical treatments under the psychiatric court order (not that I was super concerned about a homeless psych patient being able to hire a lawyer anyway but–). You you know what’s gonna really convince this man that both diabetes and hypertension really are government conspiracies to torture him? Restraining him 4x a day to stab his fingers over them.

    Anyway he didn’t call the senior resident. ALL the nurses told him no so he called his Attending. at 9pm. ON A SATURDAY.

    spoiler

    she told him no












  • Fun fact from a psych nurse: you can usually estimate how many years a person has spent abusing substances by how many years behind they seem in their emotional development. A 30y/o who still acts 20ish has probably spent ~10 years using. It’s not necessarily contiguous, they might have started at fifteen, used for 3, got sober for two, used for 7 more then been sober for the last 3, but they’ve probably spent about ten years using in total. Abusing substances lets people avoid the psychological crises they would normally need to confront to grow as a person. When they stop using they don’t get to skip ahead, they have to pick up maturing from where they left off. It can also happen with non-substance behavioral addictions (like gambling) but it has to be real bad.



  • My addiction ed for new techs that were hired with few to no actual psych qualifications is that they’re almost definitely addicted to something and just happen to be lucky enough that it’s legal. Common legal addictions:

    • nicotine
    • caffeine
    • gambling including microtransaction phone games
    • social media
    • pornography
    • processed sugar