Every once in a while a guy will know something about women’s bodies that makes me go “ooooh OK that one’s actually really like kinsey 0 straight” instead of some other weird combination of interests that are approximately straight in a mostly possessive way. Sometimes I’ll hear “straight” guys talk about how gross vaginas are but then you hear a guy talking about pH balances and lactobacilli and it’s just really obvious which guy actually wants to be in one.
Well. Emotional swings like that can occur as part of a manic episode specifically. Mania just means the emotions come faster than usual, not that they’re good. Ppl w mania are actually frequently extremely angry, usually because they’re going a million miles an hour and don’t understand why everyone else won’t just keep. tf. up.
But yeah if op has always just been like that consistently without any ebb and flow over month’s / years then yes it points more towards a thought disorder. I used to have a really cool infographic from a textbook on the differential dx between borderline, bipolar, and adhd since they can all have very similar presentations or even just be comorbid in certain patients.
I’ve actually seen a good few patients who we all swore up and down were borderline then the meds would click into place and oh. Look at that you really were just bipolar. huh. (I say all of this having a childhood dx of ADHD, an adult dx of borderline, and a current psychiatrist who thinks I’m bipolar so…)
As a night shifter whose employer exclusively uses Windows, ty
My parents told me it’s a hit list for when the fascists take over …but then they voted for the fascists.
deleted by creator
Also I’m specifically a gnostic / esoteric Christian at this point so the obligatory:
If I’m gonna believe some wildass shit I might as well really go for it you know?
I wish there were more Christianity comms (I’ve got some Bible shitposts too) but pretty much all of them get brigaded / downvoted by people who don’t even follow the subs and by all appearances don’t know what a block button is.
yes it’s very likely to either get torn apart by interpersonal tensions such as infidelities or economic power struggles or just devolve into a new age cult of some kind, and usually some combination of all three from what I’ve seen of those kinds of communities.
working in psychiatry for as long as I’ve had, the people I admire most are actually the ones who are just decent every single day. the ones who know everybody’s kids names and remember everybody’s birthday. I don’t know how they do it. I became the person who helps pull apart people trying to bite each other’s faces off because idk how to remember birthdays and I was hoping it would be something people appreciate but day to day it actually really isn’t and the reason why becomes obvious pretty quickly. the people who make the biggest difference in people’s mental health are people who know how to plan a good Friday night get-together and how to follow up when they haven’t heard from one of the invitees for two weeks in a row.
the only mental health thing I’m aware of being publicly available is commitments, and in most localities that requires an initial involuntary hold followed by evaluation and a hearing. and even that I think only counts for clearances, gun rights, and possibly licenses concerning public safety such as doctors, social workers, etc. rando employers should not be able to access that info afaik (this is a summary of the relevant part of the speech I give to patients when they ask if they want to change their status to involuntary and what the process looks like if the doctor disagrees that they need care, what their rights are in that situation, etc.). even with that idk that they can see what you were committed for just that you were. I’m not sure how hard they’d have to dig to get access to the mental health board evaluation that led to the commitment. I talked my way out of a commitment after an involuntary hold and have had a few incidents since where I even talked myself out of the hold to begin with and it never even affected me getting licensed (fellow cluster b PD here, hiiiii).
I think we should make all work legal for the worker. They can be here, they can receive wages, their kids go to school. as As long as they don’t commit any crimes just let them exist, whatever.
…but hiring someone without a visa should be extremely illegal. Like decades in prison illegal. Should fix the rampant human trafficking pretty quickly. A lot of these employers do it because they don’t have to worry about treating the workers fairly. They should be terrified of illegal workers telling on them. And after they’re done telling on one human trafficker let them go find another job and tell on him too. If we were tossing people in prison for hiring illegal immigrants their job market would dry up immediately and the problem would resolve very quickly.
people need to think more about who is actually benefiting from illegal immigration and go after those people. because it’s not some lower than minimum wage laborer, it’s his employer who found someone who’s too scared to tell OSHA that the sharps bin is overflowing and APS that meemaw has been sitting in her own shit for three days. Immigrants aren’t taking my job, sketchy employers are trafficking human beings in who are willing to be paid less while being abused and who will be too scared to say anything about the really scary shit they’re being made to do and watch.
a more useful question would be,“out of all the ways you could make money why are you thinking about this one?”
Also, psych nurse protip - this is how you use this to talk someone out of a panic attack. Use the above conversation template plus the following nonverbals / paraverbals:
start by reducing stimuli (think five senses!). Reduce the noise and lights, and try to get away from any particularly offensive smells or sensations.
you can try to get the crowds and stimuli out of the area, but it will probably be easier to move the person panicking. Getting crowds of people to do things is very tricky. It’s usually just easier to move the one person.
talk at about half to a quarter of your usual speed and volume
use common English words (no SAT vocab). Enunciate clearly, and don’t use more than one conjunction / more than two ideas per sentence. Their brain can’t chew / digest as much as all at once.
Do not stand directly in front of them and especially do not corner them. If you feel unsafe you can still stay closer to the door than they are but try to stand slightly to the side to give them line of sight to it.
if you want to practice / really up your game, learn to deepen your pitch slightly / resonate / speak from your chest while still keeping your volume down. Imagine James Earl Jones reading a meditation script on YouTube. This has an added benefit if you work with seniors, most age-related hearing loss is in the upper pitch ranges.
my usual answer when I’m suspecting some kind of boundary-pushing behavior is “well you can ask…” …but I have to hear out my psych patients, you don’t owe strangers the same obligation.
I love dearmodern on YouTube and thrifted furniture
beans
beans
I just got certified to teach mental health direct care workers to talk people down and how to safely restrain people when they are still posing a threat to themselves and others and that’s a goal I set almost a decade ago and it’s really taking some time to set in that I actually did it. I went from spending 3 hours on a state hospital floor with my back locked up with EPS after getting twice the normal agitation meds to teaching in under 10 years. What the fuck.
I began my psychiatric nursing career working as a behavioral technician on a unit for criminally insane men. I worked there for two years and was even promoted to lead tech in charge of making the assignments for all the technicians for the shift.
Other shifts and other units were sending staff members to the ER at least every few months related to aggressive incidents. Not us. Only thing was a guy had a stroke near when I was starting and while I think the job did do it to him, I think it happened over the many years before I worked there.
Two months before I left I sustained the worst injury I ever did at that job taking care of criminally insane men …I shut my own finger in a door.
I was rushing too much while grabbing hygiene / shower supplies for a guy one morning. Big heavy solid wood heavy latch and hinge with a long metal strike plate running top to bottom psych ward door. The tip of my finger swelled up twice as big, the nail turned black and eventually popped off. Looked weird as shit for a few months.
Meanwhile one time I was helping separate two guys where one was trying to bite the other guys face off and I kinda blacked out for most of it but I do remember seeing the other guys jaw working trying to gnaw at the guy I was holding. Anyway apparently there was a point where I was under both of them on the floor because like three people came into the restraint room while I was with face-bitey to ask how I was and as the adrenaline wore off it turned out I was a little scuffed up and bruised up…
But holy shit did shutting my finger in that door hurt so damn bad I legit thought I was going to lose the finger and it took over a month to heal!
I mean he’s doing better than my parents.
third dimension