3 year pysch resident here. Ask me any questions you have about

>>140000352
whats wrong with you?

>>140000352
Why would you pick a nigger doc as your thread pic?

will you go to a black doctor if you will ill?

>>140000352
what was your step 1 score?

>>140001321
For the psychological effect of course.

>>140001682

240

is Celexa really bad? I'm on 40mg a day ;( makes me hella sleepy

Pharmacist thinking of applying to medical school or DO school to become a psychiatrist. Is it worth it? Seems like all your patients hate you.

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The medical industry is the biggest gangsters in todays society, and its largely the faults of psudeoscience turds like you who can prescribe without any objective diagnosis.

And frankly, more people are going to die before were done here.

>>140000352
How the fuck do I get rid of the akathesia from abilify? It's been about 3 weeks and I'm still incredibly bored with everything and restless on a daily basis. The aversion to soft drinks had me cut back from 6 pepsis a day to 0 and I think I've withdrawn from caffeine for the most part, but I'm still all kinds of bored and shit. Also adderall didn't work, and changing my diet at the same time as starting the abilify was a good move but I'm still troubled.
I need something but have no idea what it is

Antidepressants should not be prescribed or continued to be prescribed unless patient is being seeing by a licensed therapist to treat to underlying cause of said depression. Doctors prescribe these meds like candy. It's fucked up beyond belief.

>>140000352
What would you prescribe to someone who has constant anxiety, especially in social interactions?

How effective is Lamictal for the treatment of anxiety and depression?

>>140001992

Depends on the patient. If you aren't having any severe side effects I wouldn't worry. Just don't stop taking it without talking to your doc because withdrawal from it is a bitch.

How long have you been on it?

>>140002322
bout 5 years. was on 20mg then I got cancer and the doc upped it. no real side effects just sleepy when I take it for a couple hours.

>>140000352
Is loading kids up with Adderall and Vyvanse a tool of the Jews?

>>140002269

Therapy is better than a medication for generalized anxiety like that but an SSRI could help. SSRI's take up to 12 weeks to work so you may as well try therapy

>>140000352
Why won´t you admit 90% of "mental health" issues are thyroid (hormones, blood sugar etc) and gut related? More specifically auto-immune. Even more specifically: INFLAMMATION.

Modern food is inflammatory. Modern lifestyle to an extent depending on how well you compensate. Dwarf Wheat in particular is pure poison and causes gut lining damage which in turn leads to deficiencies which of course has consequences.

>>140002492

You're pretty good then compared to some other patients I've seen. Just keep on using it.

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>>140000352
I need more concentration to study and ritalin is just not doing it.

Anything elses I should look for?

>inb4 concentration camp jokes

>>140002612
so what does the gut like???

OP - Burn in Hell you piece of shit. Fuck you, your atheism, and your junk science. Making a fortune being Josef Mengele Jr. Way to play it, asshole.

>>140000352
Is psych full of affirmative action negros/women too?

>>140002312

Generally SSRI's are better for depression and anxiety. Lamictal is mostly used for bipolar.

>>140002685
switch to vyvanze

>>140002612
Read the book Diet Rehab by Dr. Mike Dow. Sounds like it's right up your alley

>>140002221
Bump for this

>>140000352
Why pick a meme specialty? Also pls give xanax

How can I get a bigger dick

>>140002685
No meme: stop watching porn. Jerk off occasionally but not every day and QUIT PORN for at least 3 weeks then tell me if you noticed improvements of brain fog, dopamine (willpower, urge to do or act) and motivation in general. Resources: google Your brain on porn (Molymeme just did a video with the guy of the website, like today/yesterday) and My Chains Are Gone (no need to be Christian, read is good).

Also if you have many addictions like smokes, trannies, sopa de macao, vidya, try having a White Week and let your reward centra reset itself. You need more like 3 months but who has this will.

>>140000352
Do you think homosexuality and transgender are mental illnesses?

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>>140002873
Can them both be used back to back as a complement of one another?

I need asian levels of concentration (lawyer here).

>>140003187
I dont masturbate that much my man.
And even if I did it, if I recall correctly, once I read that not ejaculating at least once a week improves the odds of you getting prostate cancer.

>>140000352
Why are you wearing a stethoscope....you're not really a doctor.

>>140002703
Food we were made to eat? Which is basically everything apart from modern processed foods or things we have not fully adapted to yet (examples: processed dairy, dwarf wheat).

I realize in modern west you often can´t eat natural, near grown and "organic" (not the meme) but you can at least focus on naturally fed meat, fruits, vegs, nuts, seeds and shit. Most importantly is ceasing the feeding of the bad gut bacteria. They exist, you can´t kill them all, but they are supposed to be enslaved by the good ones. Feed gut biome yeast, sugar, processed wheat / white foods = feed the baddies.

Faggotspacing but this is a vital topic; You can of course eat wheat, we did since biblical times. But then you need to get OLDER versions, the current common one is as said - not the same.
https://www.youtube.com/watch?v=1mS5SvHg7M4
8 minutes, no energy to watch? Bookmark that shit. I lost 20 fucking kilograms from cutting GLUTEN ONLY + doing some miniscule swimming and fucking.

>>140000352
It’s all a big scam

>>140002612
What shoulf one ear then?

>>140000352
Hey I cured my depression by joining the catholic church and by doing the ray peat diet.

Catholic church cures psychological issues of nihilism

Ray peat diet cures physiological issues of fatigue by ramping up metabolism

When will you proscribe ray peat and catholicism for patients?

What was your step 1 score?

>>140002807
What? People are obviously troubled as shit from living in (((cities))) and (((modern life))) and earning money helping them is basic free market. The issue is that "doctors" and "medicine" are not healing businesses at all. They could be though, we could change this evil.

>>140002819
Do you think "anxiety" is a meme? If therapy treats it, doesn't that mean it's not a disease but a failure to adjust to one's surroundings?

Everyone and their mom has anxiety these days it seems like.

>>140002919
Thanks. There are so many good books, movies, videos and websites out there full of good advice. And in the end it all boils down to the same simplicity. I like it and hate it at the same time, how the fuck can so many humans be so dumb and lazy when it comes to our own health?

>>140003821
Dumbest post award

>>140000352

Was there any time you had to lie to your patients?

>>140000352
did I do good for quitting prescribed SSRIs?
they made me feel zombified and passive

>>140003553
A psychiatrist is a real physician that takes additional training and has prescribing privileges, psychologists are the ones that aren't physicians/real doctors/usually have a ideological agenda

>>140000352
>>140002819

You should know that SSRI's are basically a hoax.

Take a look at a meta-analysis done by Irving Kirsch in 2008.

>>140000352
I'm going to be a general physician in December.

What's your opinion on public healthcare?

>>140003346
I heard (aka read and forgot source) that trannies showed positive reactions to schizophrenia medicine. Intemeresting.

Also a theory that sounds logical (enough) is that gays have an actual "slutty" gene. Genes as you know are not one thing but two choices (maybe more idk) and one wins over the other. Basically (historically): Sister is horny as fuck has 7 kids. Brother is horny as fuck dies from aids or rooftop. = Evolutionary Stable Strategy. It works.

>>140003897
Common denominator for all people who indefinitely resort for drugs, both illegal and legal, for "help" are that they are weak willed, stupid, and sucks at life.

>>140002819
Wife has tried both SSRIs and SNRIs and they both helped her anxiety/depression, but they also made it so she couldn't find joy in anything. Got a recommendation for Lamictal as an alternative to at least stabilize her mood. Working on getting her therapy.

>>140003393
Still willpower is a resource - you shouldn´t believe this though (belief affects) but it is.
https://www.youtube.com/watch?v=V5BXuZL1HAg
Find what is draining you and adress it. It could be stress, even subconscious. Do some self-investigative work. Introvert with too little alone time? Sane human living in a city? Having no hope for the future? You get it.

>>140000352
y u fake ass shit docs suck big pharma cock? why cant u cumskins actually blow the lid on big pharma? is the dick too good? i know it is when my hubby is gone. BBC stretches me out wide

>>140002563
you haven't mentioned valium yet. That's because it was too effective, with too little side effects against manic depression, curing too many too quickly, causing the market for depression drugs to shrink. Also MDMA, the best drug for apathetic depression, successfully used for 2 decades until the early 1990s when its effectiveness & lack of serious side effects caused to it become so popular as a recreational drug it was significantly damaging alcohol sales, young people were realising MDMA was a better social drug than alcohol. So the kikes made it a schedule 1 ( most prohibited ) illegal drug.

But as anons say, drugs are only a short term fix to help anons thru the worst, like painkillers for pain. The solution is to fix whats causing the depression and that's about adjusting your life.

>>140004523
>Sane human living in a city?
Probably this plus busy ass schedule that is taking a toll of my health.

>>140003778
If you had to answer this question knowing everything you do, what would you answer?
I´m not advising veganism or any far out diet here. You can´t do perfect so think "next best thing". More local. Less deathsprays. More nutrient dense (vegs, fruits, seeds, superfoods if you are into that). Meat that was fed what it was supposed to i.e NOT corn & soy fed cows etc. No farmgrown fish either for obvious reasons.

Small changes, expensive and takes some work and effort (no tendies or fries) but can change your QoL massively.

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>>140000352
What does it say about my mental state if I get aroused by smearing my body with other peoples feces?

>>140003821
Not sure if memeing but changing worldview, habits and diet can obviously cure depression. Already modern science has had to admit it has links to inflammation, infection and basic biological factors such as diet.

>>140004870
i wash my eyes out maybe 3 times a day from annoying crusties and whatever shit gunks up my eye lashes.... this pictures gives my brain full mental aids.
thanks.

>>140000352
What is your opinion on tianeptine? Why is it treated in the U.S like it doesn't even exist?

>>140000352

How do I get Adderall

>>140000352
What do you think about bupoprion/Wellbutrin

>>140003897
Interesting topic. Do you think it could have to do with the tribal situation? Think of an old tribe: You know the rules and the punishments. You know who is who (pecking order). You know your job and how to do it. You have a role which is decently important, not 100 000 000 nobodies ready to replace you should you fail. Plus shared culture, religion and worldview.

You need a tribe even within a city. And a profession or something you can do that feels worthy or useful.

>>140003862
You won't fix it when assholes like OP run around acting like junk science is actually a cure for something. They are the phrenologists of our age, dispensing Dr Vampos snake oil for obscene profit and acting like that's being an upright citizen. Utter pieces of garbage taking advantage of people in need. We could put OP in a wood chipper - feet first - and society would be better off.

>>140005075
College library.

>>140004870
delet this

>>140004243

STAR*D suggests otherwise

>>140004704
Do you believe that Ayahusca visions can cure hard addicts?
I prefer basic biology but like me some mystic amygdala rewiring pineal gland speculation.

>>140001856

And you decided to go for psychiatry with that score?? Smh.

>>140002017
I would think it would be worth it if you care, and understand it's in your patients' nature not to trust you. Be honest, try to help, respect boundaries and talk to your patients like they are human.

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>>140004743
F
At least you aren´t a Bong.

>>140000352
I have some mental issues that affect me at times (hallucinations, paranoia, "delusions"...). I want to move to the US but I don't know if it'll affect my opportunities for finding a job. Do employers check those things? Can I get fired if I end up needing antiphychotics? Should I even get help or keep ignoring/fighting it?

>>140005075
Write down a list of symptoms from childhood onwards. If you are here you are probably on the spectrum. Just examples. Then do some mindmaps with themes + events from your life. Go to psychologist for 100$ get referral to psychiatrist and finally doctor and done.

>>140005075
street method :
get out on the street, go to sleazy pubs and clubs, ask around, be pally with sleazy types. Ask if u can have some of what they're smoking, they will nearly always say yes because its entirely beneficial for them to have someone dependant on them for drugs, every user is a potential dealer. What your looking for is crystal meth, very addictive, very common in merifat land. Same type of shit as adderall
btw, don't do drugs, they will fuck u up irreversibly.

Did you know tianeptine existed before seeing my post?

>>140005551
At least for US citizens it's illegal to look into a person's medical history. Not sure on immigrants. As long as you have no violent history you should probably be fine.

>>140005551
More details please anon. Is the paranoia too bad to go to a doctor? Because that sounds like Schizophrenia and afaik medicines that work do exist.

I get you may be worried about being institutionalized or having your mental health info somewhere where a future employer can find it. You gotta remember the paranoia WILL whisper sweet lies into your head. Argue with it, meet it´s downpulling words with strong Aesthetic words of your own. Do this with a piece of paper and when your mind is calm though.

Hold on, there's such a thing as ANTIdepressants? Why has nobody told me

>>140005254

Sure, but if you want to hear the otherside of the argument take a look at this study:

http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.0050045

hey kid... board certified physician here... did my residency in internal med at UCON... want me to redpill you on your healthcare system?

>>140005551
i think you most serious mental dysfunction is wanting to move to the USA. Get help anon.

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>>140006719
>Is run by jews.
Who would had tought...

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>>140006719
>muh Identity of Scarlet
Thank you for great medical advances oh wise philosopher king

>>140005339
>Do you believe that Ayahusca visions can cure hard addicts?
no. The hallucinations are not part of being cured of addiction. To get off an addictive drug with another drug you might as well just take Ketamine which is a low addictive depressant that will just dull all your urges, certainly better than fucking methadone. But there's no easy way to get off an addictive drug.

>>140006402
Schizophrenia, schizotypal personality disorder... I have no idea what I have.

And yeah, it's bad. I think that if I go then someone in my life will find out. That people at my current job will know, that my few friends will stay away from me, that I'll be a disgrace to my family, so on. Even if I try to hide it from my partner, how can I make an excuse for leaving for a few hours every few days? It will get out eventually.

I know paranoia can be a deceiving bitch. It's hard to know what to believe in at times though, you know? I'll try what you suggested though. Thanks anon.

>>140005339
>>140007659
actually i take that back anon. Part of getting over any addiction is having something better to think about than your next fix. Hallucinations certainly give u something to think about, so this arguably achieves the helpful 'think about something else' rule. but taking hallucinogens is bad for u. so i wouldn't recommend it.

>>140006719
Jew trying to redpill

>>140006732
Hearty chuckle. The pay isn't good here though anon. I'll never be able to buy my own home at this rate. I'm already 30 and I don't have much.

>>140002221
> akathesia
easy as fuk to cure, just go exercise until it goes away. Bordem is much harder to fix. you need to be getting on with something that give's u a feel of progress. If computer games give u that feel, then try them, but of course its best to leveling up in some real life skill. A job can give u that feel just by the incoming cash. Set yourself short, medium and long term goals ( e.g. lose 1 stone, get better car, get skilled enough for on a $60k salary so u can get a gook pregnant and raise a perfect gentleman ) , and see each days work as incremental progress to those goals.

I was on Zoloft 50mg for almost 2 months and I felt great. Then I went off that because I was constantly shitting, like every half hour. I get off that and start 10mg lexapro, after 3 weeks I hopped off due to various side effects including the shitting.

They referred me for a psych evaluation. What is that? Has the mental health system failed me, like countless others?

>>140006732
Oi m8, I concur
*getsassaulted with acid for neglecting to pay tv license fees*

im a us citizen in a med school in Europe, what step 1 score do I realistically need for internal med

ignore the flag, I'm home for the summer

>>140000352
>>140000352

Do you have an opinion on NoFap? It is a huge mystery to the outside world but it has helped me cure social anxiety, better energy levels, more testosterone, minimizing brain fog etc and these will continue for about 90 ish days before they just level out.

In other words, I keep seeing benefits improve for months and months. But every medical journal out there says that it doesn't matter and that frequent ejaculation is actually good for you.

So why is there a community of so many people on reddit/r/NoFap that feel the same way I do without any kind of medical study backing up our experiences?

>>140004043
its not that dumb anon. Christians give a lot of support and feel of being part of a team, which counts for a lot. I know 1st hand. I don't believe any christian bulshit, but when i was depressed , directionless and friendless it was nice to be able to walk into the middle of their group and be welcomed and friended and immediately have people spending large amount of 'feels' time with u. ( not sex feels, just friend feels ). i didn't mind they were all naive and misdirected, I poked fun at them a bit, showing a little of my power level, and gauged it right, they were amused by my different outlook on life, but not offended. It helped while I picked myself up, and I'd consider doing it again if my life crashed again.

>>140011590
frequent ejaculation helps protect against prostate cancer or at the very least makes you not get erectile dysfunction when you are older.

although most men get harmless benign hyperplasia of the prostate as they get older

>>140011237

>230 would be fine and do it after 5th year otherwise you have no chance... just go through FA twice, 2400 uworld questions, and flash cards for pharma... make sure to do at least 2 self asses the week before... if you're having a hard time organizing I would recommend using cramfighter

>>140011237

what country?

>>140013057
serbia

we actually have quite a few jewish Israelis in my program

>>140006719

Also you haven't answered OP... I won't redpill you without your consent

>>140011590
i don't really get the no fap thing. I think i knew already from experience that i could go years without fapping. if you don't put fap material \ hot women under your nose, you don't particularly want to fap. Its like a dog and meat, put the meat under the dogs nose, and it'll drive itself mad thinking about the meat. But don't show the dog the meat, and the dog thinks about something else. Why this is a revelation \ life improving thing for some anons : I can only guess they've dug themselves into a heroin-like dependency addiction to fapping. A one dimensional fap life. I never had that.

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>>140013208
>serbia
>europe

I'm on antipsychotics and antidepressants. Why do I become more psychotic off them than I was before I started taking them? Also, why am I extremely happy when I'm on my own but miserable around other people? You're probably not going to answer this you cunt.

>>140000352
The whole field is about pushing pills on people rather than actually helping them you push the pill jew

>>140013762
The real issue is lifestyle.

I was on antidepressants and antipsychotics. You don't need them. Sure give them a run for 4-6 months see how you feel, see if your life on a MACRO scale improves.

Think of longer term bad habits and behavior in life and see how they are in a few months of antidepressants. Try to pick out negative side effects. (For me it was sleep and over eating).

See if your anger improves, negative thoughts, etc.

The reason you don't like people is because you aren't adjusted and your not doing fun things with people of similar mindset.

>>140013208

You'll get 240 with no sweat, if you are studying med. in Serbia.

>>140000352
>Ask me any questions you have about antidepressants
How the fuck do I get off Cymbalta?

>>140000352
>antidepressants
Do they work?

>>140014224
man I hope so

this guy in an older year I know got a 255, but you have to understand he was some kind of genius, some French Canadian dude. cool guy. he Is pretty worried trump is going to fuck his h1b visa attempt tho, so nothing is certain

>>140013449

what was the point of this post?

I never asked how do you quit fapping, I asked why do so many people experience extreme benefits from it yet it's never mentioned in medical communities?

Sounds like you just wanted to get on a soapbox

>>140014634
>people experience extreme benefits from it
Lol, my God you people are dumber than a box of rocks

>>140014634
its a placebo effect

its all in their heads

>>140014215
>The reason you don't like people is because you aren't adjusted and your not doing fun things with people of similar mindset

True. That's why I'm a loner. I'm happier watching the world burn than participating in it and trying to save it.

I've been taking oxycodone IR 30mg QID, Wellbutran 100mg BID and Valium 10mg BID for about five years now.
The oxy KILLS my motivation to do anything in life and hampers sex drive. I want off this roller coaster and not be chained to a bottle of pills for my pain, anxiety and mild depression!

What do doc???

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>>140000352
Are antidepressants the reason why I can't stop fapping to the sexy banana?

Pls halp D:

>asking a resident anything
Kekd

>>140000352
What big pharma exec are you twinking for?

how useless is buspar?

and is trileptal safe long term?

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>>140020439