Reddit » Psychiatry
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We're a community created for psychiatrists and others in the mental health field to come together and discuss our field. We are not a subreddit to ask psychiatrists questions either about individual situations about psychiatry generally.
Reddit » Psychiatry
2h ago
I am a recent graduate of a psychiatry residency program, currently offering pro bono trauma therapy and psychiatric care to two Palestinian sisters, ages 11 and 19, living in New York State. They are Arabic speakers, and the younger sister has tragically lost her leg in a bombing in Gaza.
To better support their recovery and address the complexities of their trauma, I am in urgent need of guidance and supervision from an experienced child psychologist or psychiatrist who specializes in trauma. If you have expertise in this area and are willing to donate an hour per week to help supervise my ..read more
Reddit » Psychiatry
2h ago
Our outpatient year is in our PGY-II Year. Sadly, it is unanimously rated the least pleasant year of residency, for a number of reasons, namely we have no support staff whatsoever. This amounts to an incredible amount of administrative work. Was this your experience in training clinic?
We have 1-2 people who work the front desk, but their only role is to pick up the phone and take a message. Aside from that, we room patient and get vitals (on every person), deal with every direct message, phone call, or email. Add on to that we are expected to fill out all paperwork—prior authorization, disab ..read more
Reddit » Psychiatry
6h ago
Some of the most valuable pieces of wisdom I have ever been told went right over my head at the time I first heard them. This is one of those pieces of wisdom.
It was a mentor in residencey. A wizened old psychologist who was for sure descended from Yoda. It was 2003 and I was a 3rd year resident.
In my head I was like "WTF, you are telling me experience is nothing? Nothing transfers?"
Of course like all wisdom/advice, it was much more nuanced than that.
What I now know he was saying is that every patient is unique and needs to be treated as such. Nothing can be applied broadly. All preconcei ..read more
Reddit » Psychiatry
1d ago
So a wrote a longer post about this but it got deleted and I don't have the patience to do it again.
TLDR - People "out there" saying one or two injections and it auto tapers and you never have WD or cravings or use ever again everyone should be on the shot tomorrow.
Never rx'ed myself. Heard very mixed reviews, but would love to hear more from people with more experience...
submitted by /u/medicated1970
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Reddit » Psychiatry
1d ago
For practicing clinicians, what is your least favorite part of your job? Why?
submitted by /u/Sad-Register-1621
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Reddit » Psychiatry
1d ago
Hi All!
I’m hoping to crowd source some info or wisdom here. I am the rising outpatient chief for my psych program, and as I prepare the rising PGY3s for outpatient year, am talking with my year and above co-residents about advice they wish they were given when they began their third year, given how different the pace, responsibility, and approach outpatient is compared to inpatient, and therapy really beginning in earnest.
What are the tips, wisdom, etc you would give to someone starting their outpatient year that would give them the best ability to minimize stress, enjoy their learning, and ..read more
Reddit » Psychiatry
1d ago
I’m currently an international medical resident due to start a new job in California that will sponsor the H1b visa. To start the visa process, I was told I need to obtain my California license first, which requires an ITIN or social security number. I’m not eligible for either as I never filed taxes in the US for an ITIN, and I need my visa to be approved before obtaining a social security number. I’m stuck in a loop and can’t get one without the other. The lawyer appears to be confused too.
This seems like a gross oversight of the process and I’m wondering if anyone else has experienced thi ..read more
Reddit » Psychiatry
2d ago
Will Medicare / Medicaid reimburse a PGY-2 psychiatry resident with their full physician license for psychiatry services rendered?
Will commercial insurances?
As I approach the end of PGY-1, I’d like to start a weekend practice seeing patients. Just wondering if I should bother credentialing with Medicare / Medicaid and with commercial insurances or will it be futile without my board cert.
submitted by /u/feelingsdoc
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Reddit » Psychiatry
2d ago
This is what I see in my addiction colleagues at least....
Opiate dependence - You have to get on MAT and probably stay on it for life. It's serious business.
Benzo dependence - Here is a week of inpatient, and/or maybe a month of a longer acting benzo, and then you need to straighten up and fly right. Or maybe just figure out on your own how to cut that sh*t out.
Is this just my little group?
submitted by /u/medicated1970
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Reddit » Psychiatry
3d ago
Hi all, new psych attending here so just getting my footing. ?
I have a patient I diagnosed with intermittent explosive disorder. Seems to clearly meet criteria with significant rage and impulsivity issues. Since childhood.
Comorbidities include ADHD and BPD so obviously some overlap of symptoms here.
I have never treated IED in adults (or in children when I did my child psych rotations either for that matter). Wondering what people like to use for treatment. For now I’m going to try an SSRI then was thinking topiramate or valproic acid if ineffective. Any tips or resources including treatmen ..read more