Half way through my psychiatry residency

How? Anxiety is fucking me up

dude i think you might be lying to yourself
be specific what drugs are you giving ppl?

Let's talk losers 2483768734

>Depression and anxiety are one of the most easily treated conditions in all of medicine
LOL. Go back to school you have no idea what the fuck you’re talking about.

Plz help me I have the depression sir

Anxiety is based on an underlying fear. This can be things like social phobias or lack of fulfillment.The goal of psychotherapy exposes that fear and we help you retrain your thought patterns. Medications like SSRIs facilitate this by increasing neuroplasticity so your brain can activate new pathways rather than going down the ones that lead to parts of the brain such as the limbic system that cause your anxiety.

Don't leave us hanging OP

The more you use these new pathways, the stronger they become. Then you can go off meds and have about 50% chance of full remission

Usually takes 8-10 months

>yeah you're gonna need some welbutrin for that
>here I think this zoloft is the ticket
>hmm..maybe some paxil will help you
>you know, this prozac is just what you need
>not another word. Here's your xanax

Nice profession user..zzz

>SSRIs facilitate this by increasing neuroplasticity
If by "increasing neuroplasticity" you mean gives the patient painful erections and generally breaks their dick, then you are spot on.

$115 for 15 minute med checks. Do the math. There is a huge incentive to push these pills. Honestly I am going to do that also to the 12 anxious housewives that step in my office daily. Most patients don't want to put the work in so it's just a waste of time to invest my time in them.

However, I am willing to clear my whole day for the user who comes to see me and legitimately wants to work hard to improve and optimize his life

>cash only psychiatry
Have fun being fucking poor and indebted. People who have cash and people with “mental issues” are a very different group

...

Are you going to independently research the serious dangers of benzos, protracted withdrawals and how they destroy lives?

Or are you going to get force fed faulty information from the scumbags who make it?

the biggest market is stay at home suburban house wives

the poor people don't go to psych and live with it or end up in the ER

most psych practices are cash only because there is a huge shortage. We are booking solid for 3 months out

>Most patients don't want to put the work in so it's just a waste of time to invest my time in them.
Your job is to invest time in them, they're investing money in you. They take the pills you give them because they trust you, but obviously they shouldn't.
>However, I am willing to clear my whole day for the user who comes to see me and legitimately wants to work hard to improve and optimize his life
Yea I'm sure you are bud
After reading this thread, I will never see a psychiatrist again. I can handle my schizophrenia on my own. This is just sickening

It's already well known. No research needed. The newer physicians have a very high threshold for prescribing benzos. It's the older docs that push it because they are too burnt out to care

ahh benzos, best drug there is.

Until you realized you lost a few months because you completely forgot what you did during that time, have a panic attack from withdrawal resulting in dissociative identity disorder, and nearly overdose in the snow in the parking lot of an EDM concert haha!

How do you suggest I taper? It makes me insane and I have a business to run but I need to get off of them. 2mg klonopin daily 5 year

Because it's not about pills. Pills are a tool to help you but you have to put the work in for yourself. Forming goals, meditation, journaling, cutting off toxic relationships and optimizing your life are what really treats mental illness. Most people are not up to the task and I can not come home with you and hold your hand.

Good bait user

Right and what you're saying is you know they wont put the work in so you'll just prescribe them highly addictive medication that have side effects like suicidal ideation.. this is insane. More than likely you are more fucked up than most of your patients. I mean the amount of mental gymnastics you're having to do to justify getting stay at home moms drugged up because you feel its a waste of time to try and get them motivated to put work in? I can't believe I trusted my psychs. NEVER AGAIN

Bumping my taper question. Thoughts on mindfulness? It kind of fucks with my anxiety when benzo tapering. Being overly aware is worse than dissociated sometimes.

Hi. I used to be heavily addicted to drugs. You need to go to the hospital. Tapering off benzos is not something you can just do, in fact it is dangerous and you can die. You need to go to the hospital and tell them you need help getting off them.

Very slowly. like decrease .25mg each month. You will readjust. No permanent damage has been done but it will be uncomfortable for the next few months until your brain readjusts and calms down. Do lots of cardio and weight lifting.

See this shit? Giving medical advice over an anonymous imageboard.. this is the state of psychiatry, /biz

SSRIs are not addictive. Being on them alone has benefits by itself and that is why it is still prescribed but best treatment and chances of remission are in combination with psychotherapy and actually making changes in your own life. I am talking about depression and anxiety. Schizophrenia is a whole different animal

Well...this thread has been very interesting.

I love it. I actually feel way to dissociated and I have been working mindfulness into my life through meditation and journaling for the past 2 years. Makes life feel like it isn't just flying by. I started appreciating little moments more.

...

Good thread. Thanks newb doc. If someone’s family member dies give them 5 Xanax tops and tell them it’s rapidly addictive and they’ll die if they take more. Tell them alcohol infrequently is much safer believe it or not because that’s so true

Hey user

I've been on venlafaxine for anxiety 10 years now. I feel alright.

Should I go off it or can I cruise indefinitely

Do you have a backup plan? Faggot.

according to all of our knowledge so far, you have a 50% chance of relapse if you go off. Worth the risk? If you decide it is, talk to your doctor about it. If you have ever been suicidal or homicidal you should never go off of an antidepressant. There is no health concern to taking them for life. Many people do.

Venlafaxine is an SNRI and has some nasty withdrawal. It shouldn't be done cold turkey

none needed bro

>There is no health concern to taking them for life.
Please...just stop

lol what is the concern?

Hi user.

I have been suicidal for 8 years now. Literally all the bullshit advice out there I have done.

>Hit the gym
Been going to the gym for 10 years, have a competitive total, low bodyfat

>Focus on work and financial success
Did that, now focussing on crypto and worth over half a million, literally feels like I'm in debt

>Get a gf, fuck some women
Did that, no relationship lasts because I lose interest, don't care about sex

>Drop everything and travel the world
Done. Helped briefly, but wherever I went shit caught up with me

>Delete social media
Never use facebook, instagram, snapchat, all that shit

Idk guys, I think I'm done. Something about my brain is totally different I guess and I don't belong here. Is it time for me to leave? I really think so. I've done more than many did their entire lives and I'm 24. Still, noone will remember me.

Give me something that will make me feel something. Please.

ncbi.nlm.nih.gov/pubmed/24502860

bmj.com/content/350/bmj.h2435

link.springer.com/article/10.1023/A:1021141404535

>link.springer.com/article/10.1007/BF01249875
>. It was found that lesioning of the noradrenergic nerve terminals abolished the decrease inβ-adrenoceptors produced by desipramine, mianserin and zimeldine and partially antagonized that of theβ-adrenoceptor agonist clenbuterol. PCA pretreatment did not antagonize the long-term effects on theβ-adrenoceptor produced by these compounds.

You dont know shit

Try some psychedelics you idiot.

it's legalized drug dealing. except you can only sell physically addictive drugs that don't provide euphoria. oh and chemical lobotomies, and chemical castrations.

lol fuck off with your pleb tier Japanese articles and rat studies. You realize they load up 3000x the prescribed dose in these experiments just to find some kind of effect that they can publish?

Here is what you are looking for
apt.rcpsych.org/content/aptrcpsych/15/2/107.full.pdf

So you are bored with the world?

What does make you happy?

>a study is bad because its in a different country
nice US education you got there, they giving out psychiatry degrees to whoever has the most box tops now?
I can already tell youre really bad at your job and probably wont help a single person

also just based on how easily you get riled up is a bad sign for your patients as well, maybe you should go to a psych yourself.

You Are not depressed or anything.

You Are finnish.

No it is a bad study because it is a bad study

Literally who researchers from no-name japanese institution

Journal impact factor: 5.49

Relation ship with SSRI and diabetes: 95% CI, 1.05-1.37

That data puts you at a 0.5-0.37% increased risk of diabetes.

Scary

You might be closet gay.

Literally respect and recognition from other people. When I get admiration. I know it's fucking vain, but it's the only thing that pleases me.

Which ones user? LSD? I heard it's bad to take that shit when I'm in a terrible mood already.

Maybe. I fap to girls, can't fap to gay shit though. Had sex with an objectively beautiful girl, literally lost interest. Maybe it was the condom. She wanted to go again in the morning and I was just waiting for it to be over lol.

Looks like it's time to level up user

Find a passion and start a project that you can dedicate your life to

better image

How do I get my shrink to switch me from xr adderall to ir?

How do I locate myself on this pyramid?
Not sure if love/belonging is even fulfilled. But I have no clue where I belong.

tell him it wears off early but is still really strong in the morning

I hope a schizophrenic nigger eats your face.

Thats right goy, once you start taking our magic drugs you can NEVER stop, or you will kill yourself! That will be $200.

It's based on what makes you feel fulfilled. You can not skip blocks. When you are starving/homeless a simple pizza will do the trick. You are in the green right now. As you said admiration and respect makes you feel fulfillment and happiness. Now things get complex and you really start the journey to reach your full potential

>$115 for 15 minute med checks. Do the math. There is a huge incentive to push these pills. Honestly I am going to do that also to the 12 anxious housewives that step in my office daily. Most patients don't want to put the work in so it's just a waste of time to invest my time in them.
>However, I am willing to clear my whole day for the user who comes to see me and legitimately wants to work hard to improve and optimize his life

op has a point, he's a sociopath but he has a point.
Here is the issue op, most people who are diagnosed as "having depression" or "having anxiety" don't have any kind of treatable condition, they just have shit lives. Shit lives dealt to them due to no fault of their own, which can't be improved regardless of how much effort they are willing to put in. Meds don't fix a shit life, and neither does therapy. You are aware of this, and people in your field are too, yet you willfully ignore this reality because it devalues your profession, and devalues you. Your statement about clearing your day for an user that needs help is cute but naive, you will have 45 min sessions that you are paid in full for and nothing more because you know damn well you aren't doing anything beneficial unless you are treating an actual schizo.

Sounds reasonable actually. But yeah, it's really fucking complex. I have no clue how to go about finding my purpose and reaching my potential. Just killing myself seems so much easier from where I stand.

It's relative. Many people are fine with shit lives. They don't know any better. They peaked in high-school and work that machine shop job and come home to their bitch wife and 4 kids. It's not bad for them but not good. Medication can stop them from hitting crushing lows but overall this is the life they chose.

I will be making a decent enough living to spend some time with patients that have potential even if it is at a loss financially. It truly is a passion of mine and is something that I personally need in order for myself to be happy and fulfilled. I did not sign up for this to be a pill pusher. I want to help.

These fucking kikes pretending that they are doing anything but feeding drugs to cattle to keep their miserable livestock productive. Fucking lmao.

Ever heard a psychiatrist suggest their client should drink more water and exercise, then send them on their merry way? Fuck no. Dose up thise kids. Fuck up their developing brains with hardcore drugs. Oh but its fine, because we have a degree.

If there was ever a group of faggots that collectively deserved a noose, it is these scum bags.

not a real doctor lol

You are feeling this way because honestly, you are smart enough to not just follow the herd. Find something you are passionate about, create a vision, then start a project that you can dedicate your life to . Something that plays off your strengths whether it's creativity, problem solving etc. I don't know you so it's hard to say what it will be but you will find it. It will be torture until you find it but you will.

graduated med school and intern year and can legally perform surgery lol

Do you jack off to lots of porn? Your brain is fried. Of course you can't enjoy anything regular anymore.

none of this made any sense

whats relative? my statement was in reference to unhappy people who have shit lives, who don't want them. Your response pertained to people who have shit lives.... by some peoples standards....that they like....but don't like....so meds good cause not too bad.....hey they chose it

>I was talking about people who didn't chose it

this is why I fucking hate shrinks. I hate to sound like a stormfag but they all remind me of the statement in mein kampf where Hitler says arguing with jews is like gripping slime that oozes between the fingers just to re congeal at the other side

...

what is the endgame for you kikes? If you fully eradicate the white race there will be no more sweet shiksa pussy for you to lust after. Is this just another self destruct loop embedded in the Jewish psyche?

"shitty life" is relative. People are equally happy across all social classes. It's just the higher up you go the more difficult it is to find happiness

Is it a state of mind or mood? Retard. Stop giving people hooked on pulls because they are sad. Kys, you only think about short cuts so you can feel confirmed you "healed" someone.

>Depression and anxiety are one of the most easily treated conditions in all of medicine
then why is every person on antidepressants still depressed even when on their antidepressants? at most people feel a mild improvement and studies have shown placebos to be almost as effective

Depression and anxiety is litteraly te only reason someone would attend. Kys what are they, go see a therapist because they are too happy?

How stressful was med. school vs. psychiatry residency? I have friends who said it was chill, and low stress.

How much of a PITA was it going through all the bullshit psych theories in residency?

How many hours did you work during residency?

Did you deal mainly with crazy people in the wards?

Did you have a lot of call?

What are the opportunities for telepsychiatry looking like for the future?

What are your thoughts on PMR as a specialty?

Thanks,
Asian Premed Gunner 9000

see

Theres a better bath scene than that my friend

sri's absofuckinglutely are physically addictive, dude. you've been brainwashed.

t. neuroscience student

>give me something that will make me feel something
That's not how it works, buddy. they only give you things that make you NOT feel/think bad things. anything that makes you feel more is illegal.

>How stressful was med. school vs. psychiatry residency? I have friends who said it was chill, and low stress.
very chill. psych is a secret ROAD specialty

>How much of a PITA was it going through all the bullshit psych theories in residency?

Depends on the program. Most top tier psych residency programs keep to evidence based medicine

>How many hours did you work during residency?

40-50 hours / wk weekend call twice a week. It's a breeze compared to any other field

>Did you deal mainly with crazy people in the wards?
Suicidal patients, addicts, and permanent psychotic patients

>Did you have a lot of call?

no
>What are the opportunities for telepsychiatry looking like for the future?

you can do full time telepsych from your house for about $150/hr

>What are your thoughts on PMR as a specialty?

hidden gem if you are into it. I had 0 interest

Thanks for the information.

Do you think the demand for psych will increase say 8 years from now? I know these things go in cycles, but I figure that demand for psych will only go up in time given the US's propensity to treat everything with drugs and psychotherapy.

You are mistaken. SNRIs are very physically addicting and painful to come off but SSRIs have negligible withdrawal and 0 psychological dependence

Right now you can get a job wherever you want. Especially if you do child psych

I know it's in high demand now. But generally speaking demand for specialties fluctuate YOY. I'll be entering med. school in a year - so I'm wondering it by the time I come out (9 years), the market will be wrekt for psychs or what.

Cash practice is the way to go. I was also looking at the Calpers prison jobs too. They pay well and part time ($300k a year).

Love the idea of working remotely working part time in some place like Europe or Asia.

No idea the US healthcare system is to wild to predict right now

Again you are dodging my point. A persons life can be objectively shitty and impossible to enjoy due to no fault of their own.When some painful circumstances arise there is no cure other than for time to hopefully deal that person a better hand that counteracts the past. You people act like you have a fix but you don't, and that makes you even more blind and delusional than the people you treat, or you are outright lying which is where things eventually lead. You are like clergy who lost their faith but continue to preach because you know nothing else. Look at the children of people in your field, then look at the preachers daughter, notice how their both fuck ups?

Thoughts on gut bacteria and mental illness?

>A persons life can be objectively shitty and impossible to enjoy due to no fault of their own

I can not think of an example of this situation. Can you give me one? Many homeless people are just as happy as middle class and wealthy people. They are getting the satisfaction they need at their respective levels. Happiness is actually pretty uniform across all classes.

>i have no self control and also am TERRIBLE AT MATH SO I DON'T UNDERSTAND HOW TO TAPER BECAUSE I CAN'T REDUCE NUMBERS BIT BY BIT

i want you to end your own worthelss life violently

i never even took benzos but anyone can taper off youf ucking subhuman nigger

gut bacteria became trendy about 5 years ago when a group of researchers found a link from gut bacteria to cardiovascular disease and published in a bunch of high impact journals. Now every field is trying to jump on the bandwagon and relate gut bacteria to every disease known to man.