Opening for Child Fellowship in my same city - Conflicted
Hey everyone,
I'm a PGY3 and there is an opening for a child psych spot at a local university, and I am conflicted. I do enjoy my child outpatient days, particularly teenagers struggling with trauma, eating disorders, depression and anxiety; but I also find it exhausting. And I am not a big fan of autism. I also find parents exhausting, and that every patient visit takes forever due to overbearing parents. I haven't had any inpatient child experience either.
I guess the pros are that it...
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Source: Student Doctor Network - January 15, 2023 Category: Universities & Medical Training Authors: HinduHammer Tags: Psychiatry Source Type: forums
Negligence accusation story.
Inspired by a recent ED forum post, I thought I would share my experience of negligence accusation. It never progressed to a lawsuit thankfully but took a lot of time and emotional toll. This occurred shortly after I finished residency.
Working inpatient psych, our team was consulted to see a woman in her early 50s who appeared frankly psychotic/manic. History from her husband notable for depression, and unclear history of possible hypomanic episodes on a few occasions over their 30-year...
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Source: Student Doctor Network - January 8, 2023 Category: Universities & Medical Training Authors: nexus73 Tags: Psychiatry Source Type: forums
NYT Op_Ed on Chronic Pain & Suicide
Opinion | ‘Entire Body Is Shaking’: Why Americans With Chronic Pain Are Dying
American medicine and law enforcement continue to fight the last opioid war.
www.nytimes.com
"It is not the fault of people who suffer pain that America has an addiction problem. Denying them access to needed medication helps no one." (Source: Student Doctor Network)
Source: Student Doctor Network - January 3, 2023 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Late onset bipolar
Patient in their 70s. Chronic cannabis user. Chronic depression, insomnia, anxiety, possible narcissistic personality traits. Over previous few months increased use of high potency cannabis products (e.g. 80% THC pen, flower marijuana soaked in cannabis oil). Manic episode emerges and leads to inpatient hospitalization. Dad had "bipolar", but best history I can get is dad was a heavy drinker and physically abusive, and had some good days.
Where do you put your money? This person has new...
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Source: Student Doctor Network - January 3, 2023 Category: Universities & Medical Training Authors: nexus73 Tags: Psychiatry Source Type: forums
Why is trazodone rarely used for depression?
Why is trazodone rarely utilized as an early-on monotherapy option for depression?
You would think it's a solid option with it's low incidence of weight gain and sexual side effects, combined with it's benefits on sleep.
Maybe you run into tolerability issues when you dose it above the lower doses used for sleep? I'd be unaware personally, because I self-admittedly rarely use it like this as well. (Source: Student Doctor Network)
Source: Student Doctor Network - December 20, 2022 Category: Universities & Medical Training Authors: hebel Tags: Psychiatry Source Type: forums
How to avoid scam in GP jobs
Hello this thread is for GPs to raise awareness among them against scam jobs; this thread will be obviously severely attacked by some DSOs, owners and specialists who try to make the GP a cheap, ugly, limited and by all means not rewarding job. This behavior in my opinion has been linked to some of the suicidal cases that I have heard about and knew myself and so please GPs this is a big deal. In fact, I really belive that there should be an organization for GPs only to defend their rights...
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Source: Student Doctor Network - December 11, 2022 Category: Universities & Medical Training Authors: Shim-stock Tags: Dental Residents and Practicing Dentists Source Type: forums
Billing question
Regarding outpatient codes 99214, 99215.
For a 99214 lets say I have a patient with only GAD. Their anxiety is worse from previous visit. I am managing them with an SSRI. Would the fact their anxiety is worse since previous visit be considered 1 or more chronic illness with "exacerbation or progression"?
For a 99215 lets say I have a patient with Bipolar I. They are taking lithium. Their depression is worse than it was at last visit. Would this be considered a 99215 given "severe...
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Source: Student Doctor Network - December 7, 2022 Category: Universities & Medical Training Authors: yanks26dmb Tags: Psychiatry Source Type: forums
MDM in 2023 E/M guidelines
In the 2023 guidelines for E+M codes on inpatient, it seems that it's both easier and more difficult to justify a high complexity code. It does however seem that one can justify this on the basis of discussing a medication that requires monitoring, even if it isn't started. In my view, this would mean that discussing, say, the option of an atypical antipsychotic which requires lipid/glucose monitoring in a patient who is manic, psychotic or suicidal, would meet criteria in terms of MDM. What...
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Source: Student Doctor Network - December 4, 2022 Category: Universities & Medical Training Authors: SmallBird Tags: Psychiatry Source Type: forums
WAMC 4.0/517 Reapplicant next yr help
I've applied to ~33 schools this year and think I'll need to reapply next year considering how little II I've gotten so far. I'm honestly extremely depressed even though I know I shouldn't take rejections personally. Right now, I'd like to focus on how I can improve my chances for next year. I think my biggest weaknesses were essays and letters, so I'm thinking of quitting my current full-time bench research job to get CRC or EMT experience and increase patient exposure. I would greatly...
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Source: Student Doctor Network - November 10, 2022 Category: Universities & Medical Training Authors: Cleeee Tags: What Are My Chances? WAMC Medical Source Type: forums
Failed ABOG Written Exam
It's been a week since I found out I failed my written ABOG exam by 5 points. I'm trying to make a plan moving forward and could use some recommendations! I have an appt. to see a therapist to help with my mood (I'm not sure if this impacted the test or not, but I know I am feeling anxious and depressed since receiving the news).
Does anyone have any test taking skills courses they recommend? I know ABC and ExamPro both offer courses; does anyone recommend them? I don't think I had an...
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Source: Student Doctor Network - November 5, 2022 Category: Universities & Medical Training Authors: ellemich Tags: Ob/Gyn Source Type: forums
Remedy worse than disease? Re: Psilocybin reduces symptoms in treatment resistant depression, trial results show
(Source: BMJ Comments)
Source: BMJ Comments - November 4, 2022 Category: General Medicine Source Type: forums
A level chemistry privately or change colleges
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A level chemistry privately or change colleges
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Source: The Student Room - October 31, 2022 Category: Universities & Medical Training Authors: a._5 Tags: Medicine Source Type: forums
Clinical PhD Program - ethicality of clients
I've changed the original message on this post because I was uncomfortable with how many people had viewed the post. Here's part of what I had posted:
The type of clients first year students work with in my program's in house training clinic (it is community mental health, not just students) are too complex and risky for first year students (one student in our program's SECOND client had active suicide ideation, a suicide plan, direct access to means, past suicide attempt history, and...
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Source: Student Doctor Network - October 28, 2022 Category: Universities & Medical Training Authors: diceymice07 Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Bipolar 2.
I was just curious how confident you guys feel with the bipolar 2 diagnosis in the outpatient setting. I ask, but usually when they present the history is unclear and often fairly vague with some BPD sx thrown in the mix. The challenge behind it is that patients rarely present to me in hypomania, its typically a depressive episode, and patients often have a remote/vague psychiatric hx and arent the best at remembering details. For some patients when i have a lot of information about them...
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Source: Student Doctor Network - October 27, 2022 Category: Universities & Medical Training Authors: annoyedpsychiatrist Tags: Psychiatry Source Type: forums
Cheapest online counseling program
Howdy all, first post, would appreciate some feedback.
In short, I'm a non trad student (just turned 40) and would like my last career to be mental health counseling. This stems from me overcoming anxiety, depression, and self doubt myself and I would now like to help others do the same. I enjoy listening to people and believe I am naturally empathetic and would excel as a counselor.
The thing is, I'm in kind of a unique situation. Currently I'm a digital nomad residing in South America...
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Source: Student Doctor Network - October 23, 2022 Category: Universities & Medical Training Authors: EcuaJudoka Tags: Mental Health and Social Welfare Source Type: forums
