BASED PSYCHIATRIST
@BasedPsychMD
Medical doctor. Student of the mind. Ungovernable.
Psychiatry often doesn’t treat trauma. It sedates the nervous system until you stop complaining.
One of the patients from the addictions ward was discharged 9 days ago, comes back because he lost all of his belongings. Id, meds, everything. Still has a smile on his face. Unbelievable attitutde.
Psychiatry loves to say how you’re supposed to “start low, go slow”… but when it’s time to taper: stop fast, good luck.
A common psychiatric outcome: not happier, just quieter.
If a patient can’t cry at their father’s funeral but scores lower on the HAM-D, is that remission?
Not to mention double-blinded randomised controlled trials of longer term antidepressant withdrawal effects such as Rosenbaum, Michelson, Judge, etc which show very high rates of withdrawal.... But perhaps not as catchy as a caption for a meme
I think some psychiatrists are upset by the word 'withdrawal' because it brings up questions about the nature of the drugs prescribed. Euphemisms or neologistic word salads help to conceal these issues and to reassure. But we should be truthful with patients
Following the shock of last week, some psychiatrists on soical media are now literally creating new concepts as alternatives to the hated 'withdrawal' - the lastest is "Post discontinuation neuroadaptive dysregulation" (or PDND). Let's vote. Should this be included in DSM 6
Everyone mocks Freud until it’s time to explain how Epstein controlled billionaires. It’s always been about sex.
Put your kids in sports… It’s childhood exposure therapy. Every time I think back to med school exams, job interviews, life falling apart… the ones who didn’t crack were the ones who grew up competing. Sports wire your brain to tolerate pressure, recover from failure, and…
In modern psychiatry, CCs of drool per hour, is a useful bio marker.
We already have UBI. It’s called working for the government. Nearly 40% of US workers are paid directly or indirectly by the state. In less capitalist nations? Higher. Most of this labor creates no real output. It’s just inflation protected payroll. As AI eats redundant jobs,…
My hospital is currently battling bankruptcy. Waiting for a bail out. Are hospitals abused by bad actors or is healthcare just doomed?