A peer-led (non-professional) resource and community to supplement a professional Dialectal Behavior Therapy (DBT) Program.
IME it comes back quickly if you ease back in but if you just go out to the bar and knock back 6 shots at once like you used to the EMTs very much will be scraping you out of a ditch. That's how most experienced addicts OD, by not thinking about it and remembering to slow the fuck down with their dosing after holding together sobriety for a while.
Well here's my worst: I relapsed after having dropped my tolerance and the EMTs scraped me out of a ditch and took me to my job, although thank God I don't work in the ED. Apparently I said something to the effect of "just let me die" which wound up getting me a babysitter (suicidaldrunksitter?) and wound up having to talk to a pgy-2 who very clearly (and nervously) recognized me. Fortunately my hospital is relatively with it on the evidence-based-practice even in behavioral health so he knew to wait until I was sober again to do a full assessment, because that would've been a whole week down the drain in grippy sock jail.
I think polyamory is an immutable part of someone's sexual orientation as much as the gender preference spectrum (homo/heterosexual) and the intensity/situationalness (ace/gray-ace/demi). I think some people just naturally see sex and intimate relationships as something they can do openly with multiple people and some people just don't. I think it will become more acceptable for the people who see sex that way to find each other and express their love that way, the same as with all the other sexual relationships between consenting adults are becoming more acceptable. But the same way it would be silly to say we'll all be homosexual eventually I don't think we'll all be poly someday either.
No I did it because the comment suggested it and it seemed like a cool idea. When someone programs a wholeass bot just to make it easy for me to be nice, I'm much obliged.
Addictions often stem from a lack of stimulating activities or connection to others. The recent retirement supports this, as he would have lost both at that time. So he needs to get into some hobby that's less likely to leave him homeless, but that is gonna fill those needs. You gotta find him somewhere to go that's outside the house that he can:
- mostly rest/vegetate
- occasionally get rewarded
- do either alone or with a trusted friend
- consume mind altering substances while vegetating (usually alcohol)
With all this in mind I now realize why there's so many jokes about old dudes fishing. Do with that what you will.
But yeah. You should start some kind of multi generational hobby club for how to sit around and all be dudes together. There's probably some younger men out there who missed that part during COVID too so like. And figure out some activity that's not going to be horribly boring to the younger adults that won't be horribly overstimulating to the older adults.
I've always thought the answer to the whole men's mental health crisis we're seeing today (I work in inpatient mental health) was getting men to connect better with each other in addition to women. A lot of guys say they weren't taught to talk about their feelings which means not only are they losing a lot of opportunity for emotional validation, but they're losing that validation from where it would matter most; the people most like them. I say this because a bunch of young male patients keep asking me for life advice and I'm like bruh we both know nothing I say is gonna make a lick of sense I wasn't raised in that box.
Less restrictive environment so it takes us a second to get it reported. I wonder if lemmy has or could have a 30 day limit until you can interact with outside instances. Seems like a cool feature for federation in general. Would make it harder to make spam accounts.
Not as much as the residents actually. The longest I've ever had to work was 16 hours, but most jobs I've worked 12 is the max required in a row. Residents often work 24-72 hour shifts where they can be woken up by a page at any time.
Not true! You also have to be significantly lucky. I've met plenty of egocentric psychopaths who are stuck in small-time hustles and utterly pissed about it.
I feel like this has to be a math/logic thing that has a name already and I wanna know what it's called so I can look it up when I'm no longer extremely drunk.
In this phone game the objective is to get all the people on all the same color floors with as few stops at any floor as possible. When the last few moves look like this, you just have to go through in the right order and only stop at each stop once (except the first/last floor).
But sometimes there's different little sub-sets of pairs inside the bigger set of pairs that are self-contained, and for each one of those there's another floor that has to be started and stopped on to complete that loop. That makes the minimum number of moves to solve: the sum of the number of pairs in both sub-sets together plus the number of subsets. (And only counting the number of pairs in both subsets because if one of the pairs is already matched it won't count for the moves).
So like these two are all one big continuous loop: A-E, B-A, C-B, D-C, E-D and A-B, B-E, C-A, D-C, E-D
And this one has one already matched leaving a single complete loop in need of matching: A-B, B-E, C-A, D-D, E-C
These ones, however, have two loops. one loop that's three floors long (four moves) and one that's two floors long (three moves): A-B, B-C, C-A, D-E, E-D and A-D, B-E, C-A, D-C, E-B
And these ones have one already matched pair, and two sub-sets of two that still need to be matched: A-B, B-A, C-C, D-E, E-D and A-D, B-B, C-E, D-A, E-C
What is this called?
MF having tias right the fuck up on the stage, lol. They've probably got him on anticoagulants since the first one but it probably doesn't take a big clot to fit through his arteries at this point. I can't imagine the amount of sclerosing and HTN is present in an excessively rich and exceedingly old white man. Wonder how much syphillis he's caught from 14 year olds.
In my defense, not seeing any buildings bigger than a barn until you're about ten, and not many more until 16 then going to NYC on a girl scout trip did almost cause a panic attack.
From Amazon/target ads? The sketchiest ads I click on are probably temu.
Oh my algorithm is FUCKED because I'm so insanely curious.
So first of all I'm always googling stuff from medical procedures to culture and liguistics. That's part of how I found out that apparently black Americans will sometimes get a nose job to confirm better to western beauty standards.
Second of all, I will click on everything that I can't identify, which often turn out to be kitchen implements or specialized hobby equipment. One time I clicked on some weird looking shoes, shortly followed by some bizarre looking amorphous plastic things which turned out to be special climbing shoes and screw-in footholds, respectively.
So anyway, that's the story of how Google adsense thinks I'm an African American woman who hates her nose but is also extremely passionate about indoor climbing (none of this is even remotely true).
Also scribus can be extremely clunky if you need to make flyers inkscape may be easier.
Right like. I'm looking forward to AI to fill out the edges of things. I feel like an artist can make more and more beautiful art if they can focus wholeheartedly on a subject then just be like... "oh and put some grass over there. No a little shorter. A little less lush. Perf" or a video game designer can fine tune everything the main npcs say but then auto-generate the side npc responses except like "eeeeh. Make him a little removedier." I think it could be a great tool for filling in gaps, but not a complete replacement for human writing, at least not for a looong looong time.
Honestly it's just fascinating to me that incel culture has such a huge fixation on chins yet their messiah doesn't even have one.
I've been following incel culture for a while now (and honestly mostly because so many try to kill themselves after being exposed to poison from men like this). And most of the time I just wind up roping any male staff member I can find (everybody from security to chaplains) to talk to these young men because I know I have no business womansplaining healthy masculinity to these young men.
But go ahead and get mad about one comment then read through my comment history for dirt like we're still on reddit even though lemmy said it would be different.
So I work 12 but because I'm a night nurse a lot of the time it's just being there and monitoring, then occasionally doing something if the monitoring indicates the need. And particularly in psychiatry, a lot of the monitoring is passive. Sure I'll go personally check on people every few hours (the techs do 15 minute checks) but a lot of my monitoring is poking my head out of the nursing station to whisper-yell "WHAT THE FUCK IS THAT NOISE" or jumping up when the floorstaff move too fast (some of our security who know me well will actually frantically gesture at me to sit the fuck back down they're just showing their buddy a meme they got excited about).
Honestly I'd settle for making sure the doctors hand off q12h. They often work 48 hour shifts with even more disastrous possibilities.
12s do make sense in Healthcare where every handoff is an opportunity to miss important information. For instance if you forget to mention all the specifics of all your patients injuries after a car wreck, the next nurse might not realize their sinuses are cracked and just go ahead and insert that nasogastric feeding tube into their brain.
3 handoffs a day instead of 2 is 1.5 as many chances to make an error like that.
That said, 2x12s a week instead of 3 sounds lovely.
How is his chin that small even WITH a beard? Is that the real reason incels idolize him? I know they've got lots of weird chin issues is he like their Helen Keller? Chinless success story?
Anyway my patient had bedbugs how'd y'all's weekend go?
(Works best for fleas since they're usually a summer pest, when that 90° weather is avaliable, but works for other things if the opportunity arises.
It just feels kind of gross having parts of me hanging out on the internet for too long. Like I haven't been able to wash my hands/face for a while. I do it manually occasionally, but I have to block off a morning or evening for it now when I used to be able to do it with a couple mouse clicks then go off to take a shit or w/e.
If this turns out to be good I'm gonna keep it in my back pocket for the next time I have a psych patient who really likes to creatively write (...and is also not actively detached from reality LOL)
This is the google sheet (idk how else to make a set of 6 tables vision-impairment friendly)
- What's your theme?
- What's your plot?
- Who's your hero?
- Who's your villain?
- Who's your side character?
- What's your wild card?
- ...what're you doing with it?
I told chat GPT to give me some prompts to help people with emotional processing/expression, and to get pretty weird/quirky, so some of them are kinda out there. I want that weird, stimulating creativity, but I'd like some help filtering out undesirable content/general bad vibes. Some of them also get a little trite, repetitive, or even just nonsensical, so it helps to filter those out as well.
There's a lot of them, but I told it to shuffle them for every person, so even if you just rate the first five or so it gives you it should help. My end goal is to narrow down to about 1/4 - 1/2 of each, so if you rate however many you do at about an 1/3 bad, 1/3 ok, and 1/3 good, I should eventually get a pretty solid list.
There's so many because I'm thinking about offering a daily challenge of one of each, and I want there to be almost no chance a patient will see the same one twice (I just feel like that would be really disheartening for someone stuck inpatient for a long time).
Feel free to share this around in any creative or mental health circles you run in!
cross-posted from: https://lemmy.ml/post/2701716
> The technician I was training was checking his phone ALL. NIGHT. And not in a way that was disruptive or dangerous at all. It wasn't even unprofessional imo. It dinged while we were cleaning up my 1:1 and I could see him get excitedly tense but he waited until we got our dirty gloves off to even look at it then asked if he could take a quick five minute break. Honestly he was so obviously lovesick how could I even say no. > > Whole night went on like that he was polite, professional, attentive, everything he needed to be. He kept the patients as safe as he needed to. But damn if he didn't smile every time that phone dinged and run to check it the second we had downtime. > > Around 1am I asked what her name was and he was SHOOK. "Is it that obvious?" Yes, honey. You don't actually have to tell me her name, and you are doing the job I'm training you for JUST. FINE. but YES, YOU ARE OBVIOUSLY SMITTEN, LOL. > > Ah, young love.
The technician I was training was checking his phone ALL. NIGHT. And not in a way that was disruptive or dangerous at all. It wasn't even unprofessional imo. It dinged while we were cleaning up my 1:1 and I could see him get excitedly tense but he waited until we got our dirty gloves off to even look at it then asked if he could take a quick five minute break. Honestly he was so obviously lovesick how could I even say no.
Whole night went on like that he was polite, professional, attentive, everything he needed to be. He kept the patients as safe as he needed to. But damn if he didn't smile every time that phone dinged and run to check it the second we had downtime.
Around 1am I asked what her name was and he was SHOOK. "Is it that obvious?" Yes, honey. You don't actually have to tell me her name, and you are doing the job I'm training you for JUST. FINE. but YES, YOU ARE OBVIOUSLY SMITTEN, LOL.
Ah, young love.
A nursing home for people with dementia in Dusseldorf, Germany set up a fake bus stop to prevent dementia patients from just wandering off.
People don't wanna talk about it at all because it's too close to trans-ness being a mental illness but imma come at this from entirely the opposite direction:
The NO.1 predictor of a cluster B personality disorder is a consistently invalidating childhood environment.
What's more invalidating than spending your whole childhood saying "hey I think I'm actually a-" and every single person around you cutting you off right there and saying "no you ain't." Psychiatry ain't shit without social context but psychiatry is also coming to accept that being constantly invalidated as a child gonna do your brain the fucky-wucky.
It's ok to accept that trans ppl are at an increased risk of personality disorders due to our completely fucked societal norms. Accepting that we're at increased risk of mental disorders due to societal bullshit =/= saying being trans is a mental illness. If anything, it's an indictment of the society we live in.
TLDR; trans ppl are at increased risk of mental illness =/= transness IS a mental illness and we still deserve to acknowledge the trauma society done did to us.
Basically, whatever you were using done fucked your brain.
Think about what used to make you happy before whatever you were using. Think about it. Did you like Sports? Did you like Music? Did you like writing? ANYTHING. What did you used to love?
I'll bet you can get through withdrawal easy. That's just two days twitching and sweating. Withdrawing is EASY once you've done it enough.
But what're you gonna do after? How are you gonna cope with the next SIX OR MORE MONTHS of ANHEDONIA??? How are you gonna cope with the fact that for months at a time nothing you used to love will bring you joy without the substance you've been abusing?
Let's talk about PAWS, ok?
My fiance says he's never heard of this and I can't tell you I know where it came from but I take my shoes off and carry them or leave them outside the boundary when I know I'm waking over dead people! We're supposed to respect dead people and you respect people by taking off your shoes when you enter their home! You should take your shoes off when walking where dead people live(are)???
Am I just insane???
What is a "Safety Plan?"
- It is a plan that YOU create for YOURSELF (and which only needs to be accessible to you.)
- It is a plan that addresses (and hopefully decreases) behaviors that:
- You don’t like doing or feel bad after doing
- Decrease your ability to connect with others
- Examples:
- Self-injurious behaviors
- Substance abuse
- Binge-Eating
- Gambling
- This plan may not continue working if you do not
- Seek treatment for a known mental-health issue
- Do not use the activities more often when you are calm than when you are distressed (THINK PAVLOV, a calming activity must continue being associated with a feeling of calm more often than distress to continue calming you).
What does a safety plan include?
- 3x ACTIVITIES to do instead of the behavior that disrupts your life
- Listen to a specific song that calms you
- Take a hot bath
- Do a craft you love
- Do a sensory activity you love like playing with clay or paint
- Play with a pet that loves you
- 3x PEOPLE to contact who will always pick up the phone for you (as many backups as possible to avoid strain on any one person)
- A partner?
- A close friend?
- Family?
- A mentor?
- Another associate from your socio-cultural or religious background?
- 3x Public SERVICES to Access in Case of Emergency
- Your specific mental health provider such as a therapist, psychologist, or psychiatrist
- Local Mental Health Board
- Local Service for a specialty or minority background such as LGBTQ, POC, or Veteran.
- National Mental health hotlines
- National Specialty hotlines for the LGBTQ, POC, or veterans.
- OPTIONAL for people whose home is not a safe place, where can you GO to feel safe?
- The library
- A public commons like a statue or fountain
- A national or state park area
- A church or other charitable organization’s property
- A friend or acquaintance’s property
If you DO come in contact with the involuntary mental health system, can you answer these questions? (You likely can't create these answers ahead of time so just write them out and leave blank spots for them)
- What behavior OF MINE did the mental health system concern themselves with? They usually worry about
- Real or perceived threats to self
- Real or perceived threats to others
- PROFOUND inability to provide for one’s own safety (think naked in below-freezing temperatures or wandering into interstate traffic)
- What part of that behavior did I MYSELF have control over?
- What will I PERSONALLY do to prevent this problem behavior from occurring in the future?
- Did I have a previous safety plan either formally or informally?
- What safety plan could I develop to address this specific behavior?
- How could I modify my safety plan to address this specific behavior?
Examples of places to keep a safety plan:
- fridge
- wallet
- phone home screen
HELP! THERE'S A THING I DON'T HAVE 3 OPTIONS FOR!
- Well I reckon you know where to focus your recovery now, don't you? Start with the first listed option you don't have enough items for and find some things/people.
Somewhere to upload all your mainstream social media memes where they can give us our dopamine fix and not bother the rest of lemmy. ICON [https://unsplash.com/photos/b3NaswrROkI] - BANNER [https://unsplash.com/photos/liak2l9DQiQ]
Now it's c/popmemes
Somewhere to upload all your mainstream social media memes where they can give us our dopamine fix and not bother the rest of lemmy. ICON [https://unsplash.com/photos/b3NaswrROkI] - BANNER [https://unsplash.com/photos/liak2l9DQiQ]
To repost old twitter screenshots, overly recycled memes, and other things typical of the mainstream social media.
Because I like lemmy more but it doesn't give me that cheap potato chip dopamine fix that reddit does and I'm probably not alone.
But also I don't wanna put my shitty capitalist memes in your regular meme feeds, I wanna keep them over here in quarantine for me and my fellow degenerates.
aedalla @lemmy.ml Psychiatric Registered Nurse
Love memes and scifi/fantasy.