As Americans face the worst mental health crisis in two decades, the psychiatrists tasked with helping them are also burning out

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The mental health of Americans is the worst it's been in the last two decades, and the demand for mental healthcare is at an all-time high. As psychiatrists and frontline workers in this mental health crisis, we have a tremendous collective responsibility. But the physical toll and emotional nature of our work has left many of us struggling with pandemic-era burnout.

In order to help others and reduce the stigma around mental illness, we need to lead by example by being more open about our own challenges and help ourselves first.

Also, I would be remiss if I didn't address the practical steps that can be taken by employers, whether that's a hospital or private practice, to support mental health workers by cutting back on time spent on tasks outside of helping patients like administrative work.

Physicians die by suicide at twice the rate of any other profession, with roughly one doctor dying every day. The lack of time for self care and the stigma around seeking help — deepened by the even longer hours and isolation of the pandemic — paints a bleak picture for the wellness of healthcare workers.

Burnout is the reason I left my last job in a psychiatric ER at a city hospital. Even after 80, 90, sometimes 100-hour weeks, I felt like there wasn't enough time to accomplish the job I was hired to do. We were understaffed and overworked, with too many patients and not enough resources. Every day, I was putting out fires, doing tedious administrative work, and cutting through red tape to make sure patients were taken care of.

Compounded by the emotional nature of my work, my cup was empty. As a psychiatrist focused on children and adolescents, I bore witness to the worst parts of peoples' lives and often dealt with abuse. While I approach my work through the lens of a physician, I'm human, and it's impossible to completely detach from the job. Being able to help others is a privilege, but I knew that in order to effectively do that, I had to prioritize my own needs.

Thankfully the concept of therapy is becoming less taboo. When I was kid, therapy wasn't a thing people did and if they did, they never talked about it. You were more likely to hear about someone seeing their parole officer than their psychiatrist. Today, mental health is seen as an important part of our health, self care, and personal and professional stability. Especially as we end a taxing year with almost a third of the US workforce nearing burnout, companies are focusing on the mental health of their employees and studying its impact on productivity.

But this gets complicated for a psychiatrist. I'll be the first to admit that we're not well-conditioned to process the truths we spend our lives helping our patients accept. It's difficult to fit into that patient role and be on the receiving end of therapy.

In the United States, there's an average of 30 psychiatrists for every 100,000 people and for psychiatrists, there aren't many degrees of separation from a therapist and someone else in your life, possibly another patient. You're typically seeing another colleague that you might run into later at a work obligation.

Like many who face burnout, I reached my own crossroads and asked myself if I wanted to do this for the rest of my life or if there was another purpose this job was serving in my life. While I can't lighten the emotional load for my peers, I took it upon myself to co-found Talkiatry, a mental health service built with providers' needs in mind, to address other issues contributing to psychiatrist burnout.

A positive development from this year is the widespread use of telepsychiatry which allows for greater scheduling flexibility. When you think about odd hours required to staff in-person psychiatric ERs around the clock, it can be logistically difficult for these workers to seek their own help.

"Back office" advancements like streamlining electronic medical records and automating administrative tasks can free up significant amounts of time for mental health workers. Quartet Health, Mindstrong, American Well, and eClinicalWorks are a few other examples of companies that are improving processes for us so we can dedicate more time to our patients and our personal wellness.

2020 has forced us to take stock of our own lives and to confront difficult truths. Frontline workers have been celebrated, but we need to talk more about the emotional battles we're fighting daily and the supportive environment we need in order to best help others.
 
psychatrists also throw allot of pills at people, that might have short term gain but fuck up their patients in the long term. Anti-depressants(SSRIS) burn out your seratonin receptors so your on that shit for life or a long time and Benzos are the "second Opiate epidemic" in Amerikwa and involved in lots of overdose deaths. And medical malpractice is the third leading cause of death in America.
 
psychatrists also throw allot of pills at people, that might have short term gain but fuck up their patients in the long term. Anti-depressants(SSRIS) burn out your seratonin receptors so your on that shit for life or a long time and Benzos are the "second Opiate epidemic" in Amerikwa and involved in lots of overdose deaths. And medical malpractice is the third leading cause of death in America.
Protip: Make sure it's zoloft. That's what worked.
 

sofie

Newfag
No you were fucked from the get go; Zoloft had nothing to do with it.
Zoloft fucked me up. Quit that shit cold turkey.
Protip: Make sure it's zoloft. That's what worked.
psychatrists also throw allot of pills at people, that might have short term gain but fuck up their patients in the long term. Anti-depressants(SSRIS) burn out your seratonin receptors so your on that shit for life or a long time and Benzos are the "second Opiate epidemic" in Amerikwa and involved in lots of overdose deaths. And medical malpractice is the third leading cause of death in America.

Sorry I greatly dislike folks who spread FUD about medication beyond the obvious (yes, psychologists do not properly explain what anything do, and most people don't like the lesson in neurochemistry). It is anti-harmreduction and so I have registered solely to explain this to anyone who may pass by and wants to actually understand what these different drugs do. The fact that there is so much misinfo, but in the right direction, is part of our awful drug war attempts and the lack of real info doctors give.

For starters, Zoloft is indeed an SSRI, (~Selective~ Serotonin Reuptake Inhibitor). Most drugs, illicit or otherwise, have some element of reuptake inhibition. Amphetamines (adderall, vyvanse) both act as an NDRI (Norepenepherine/Dopamine Reuptake Inhibitor(s) and mimic the dopamine chemicals themselves.

A short lesson in how your neurons actually work is in order too, and explained basically by this half-assed picture I drew one day because my psych professor couldn't explain how this worked to another student.
Untitled.png
amph.png


However, this is unusual. ADHD and ADD tend to manifest themselves as an underabundance of dopamine in these connections; amphetamines, thus, (given dopamine and serotonin are both messenger chemicals for your brain's synapses), 'focus'. In the extreme case, a non-patient taking amphetamines will hyperfocus, getting you tweakers and the like, where they are so focused they are in fact focused on nothing at all, and encounter a severe amount of 'noise' in their own thoughts and behavior.

Returning to Zoloft, Zoloft is Sertraline, and sertraline is one of the family of non-prescription needed drugs therapists can give you. That is the only reason they are so common; any doctor can give them on the spot with little requirement. This is because they are not habit-forming and not very fun. SSRIs take upwards of a month or two, and there is no guarantee you or anyone else will adapt to it will, or react well. However, those who do react well have a greater amount of floating serotonin, which remedies depression, which is generally a chemical lack of serotonin (the thing that makes u happy and also is released for bliss/orgasms/etc. Your brain likes it, but it's limited. Dopamine, however, is not, and the brain can never have enough of it compared to the very obvious numbing feeling of too much serotonin (ecstacy, or MDMA, is precisely that, a flooding of serotonin, the opposite of an SSRI or rather a 'very rapid SSRI', which is incredibly dangerous). The fact that they take over a month of consistent dosing to function is why they are not very dangerous. Caffeine, nicotine, even fructose, are generally more unhealthy for you than an SSRI is, but this also comes with its main problem:

they are hella inconsistent. I, personally, dislike all of them. I know people who have responded very well, and others who have the same problems as me; I've tried many kinds of anti-depressants, and know pretty specifically what my problem is and what helps. However, that thing that helps also neccesarily gives me seizures, so I am stuck in a loop of no one wanting to recommend me anything. SSRIs most commonly can causes lack of sexual drive, nightmares or strange dreams, insomnia, narcolepsy, and given any rebalancing of serotonin can increase the risk of suicide in the short term, can also temporarily make one more depressed. This makes it very hard to stick wit hit.

SSRIs do NOT help in the short term. They do just about nothing in the short term aside from make dreams weirder, typically.

However, benzodiazepines (which do require a prescription, including xanax, klonopin, etc), which are for severe anxiety and were irresponsibly over-prescribed and still are, are short acting. This makes them incredibly addictive, not to mention the state of mind is addictive when one is very anxious about anything at all. While there are 'overdoses' of benzos, benzos by themselves do not have a very easily reached LD50 (the dose at which 50% of recipients will die with normal tolerance). Even highly habitual users will never reach that point. You will force yourself to sleep long before that.

What benzos do is they amplify the effects of intoxicants, especially alcohol; I like to use the cheat sheet of 1 drink = 3 drinks when under the influence of a benzo. This can lead to accidents that would normally not have happened, especially driving issues, when one thinks they've only had one or two drinks.

Okay!! Thank you!! Remember to not spread bullshit you just made up because you don't trust doctors and actually learn better than they understand!! It can save someone's life!!
 

edge_beta

Master lvl Taig
Sorry I greatly dislike folks who spread FUD about medication beyond the obvious (yes, psychologists do not properly explain what anything do, and most people don't like the lesson in neurochemistry). It is anti-harmreduction and so I have registered solely to explain this to anyone who may pass by and wants to actually understand what these different drugs do. The fact that there is so much misinfo, but in the right direction, is part of our awful drug war attempts and the lack of real info doctors give.

For starters, Zoloft is indeed an SSRI, (~Selective~ Serotonin Reuptake Inhibitor). Most drugs, illicit or otherwise, have some element of reuptake inhibition. Amphetamines (adderall, vyvanse) both act as an NDRI (Norepenepherine/Dopamine Reuptake Inhibitor(s) and mimic the dopamine chemicals themselves.

A short lesson in how your neurons actually work is in order too, and explained basically by this half-assed picture I drew one day because my psych professor couldn't explain how this worked to another student. View attachment 4952View attachment 4953

However, this is unusual. ADHD and ADD tend to manifest themselves as an underabundance of dopamine in these connections; amphetamines, thus, (given dopamine and serotonin are both messenger chemicals for your brain's synapses), 'focus'. In the extreme case, a non-patient taking amphetamines will hyperfocus, getting you tweakers and the like, where they are so focused they are in fact focused on nothing at all, and encounter a severe amount of 'noise' in their own thoughts and behavior.

Returning to Zoloft, Zoloft is Sertraline, and sertraline is one of the family of non-prescription needed drugs therapists can give you. That is the only reason they are so common; any doctor can give them on the spot with little requirement. This is because they are not habit-forming and not very fun. SSRIs take upwards of a month or two, and there is no guarantee you or anyone else will adapt to it will, or react well. However, those who do react well have a greater amount of floating serotonin, which remedies depression, which is generally a chemical lack of serotonin (the thing that makes u happy and also is released for bliss/orgasms/etc. Your brain likes it, but it's limited. Dopamine, however, is not, and the brain can never have enough of it compared to the very obvious numbing feeling of too much serotonin (ecstacy, or MDMA, is precisely that, a flooding of serotonin, the opposite of an SSRI or rather a 'very rapid SSRI', which is incredibly dangerous). The fact that they take over a month of consistent dosing to function is why they are not very dangerous. Caffeine, nicotine, even fructose, are generally more unhealthy for you than an SSRI is, but this also comes with its main problem:

they are hella inconsistent. I, personally, dislike all of them. I know people who have responded very well, and others who have the same problems as me; I've tried many kinds of anti-depressants, and know pretty specifically what my problem is and what helps. However, that thing that helps also neccesarily gives me seizures, so I am stuck in a loop of no one wanting to recommend me anything. SSRIs most commonly can causes lack of sexual drive, nightmares or strange dreams, insomnia, narcolepsy, and given any rebalancing of serotonin can increase the risk of suicide in the short term, can also temporarily make one more depressed. This makes it very hard to stick wit hit.

SSRIs do NOT help in the short term. They do just about nothing in the short term aside from make dreams weirder, typically.

However, benzodiazepines (which do require a prescription, including xanax, klonopin, etc), which are for severe anxiety and were irresponsibly over-prescribed and still are, are short acting. This makes them incredibly addictive, not to mention the state of mind is addictive when one is very anxious about anything at all. While there are 'overdoses' of benzos, benzos by themselves do not have a very easily reached LD50 (the dose at which 50% of recipients will die with normal tolerance). Even highly habitual users will never reach that point. You will force yourself to sleep long before that.

What benzos do is they amplify the effects of intoxicants, especially alcohol; I like to use the cheat sheet of 1 drink = 3 drinks when under the influence of a benzo. This can lead to accidents that would normally not have happened, especially driving issues, when one thinks they've only had one or two drinks.

Okay!! Thank you!! Remember to not spread bullshit you just made up because you don't trust doctors and actually learn better than they understand!! It can save someone's life!!


tl:dr

lol oh snap.....we got a noob medico on the forums......my money is on solu and raddy cannibalizing this fish swiftly.
 
Sorry I greatly dislike folks who spread FUD about medication beyond the obvious (yes, psychologists do not properly explain what anything do, and most people don't like the lesson in neurochemistry). It is anti-harmreduction and so I have registered solely to explain this to anyone who may pass by and wants to actually understand what these different drugs do. The fact that there is so much misinfo, but in the right direction, is part of our awful drug war attempts and the lack of real info doctors give.

For starters, Zoloft is indeed an SSRI, (~Selective~ Serotonin Reuptake Inhibitor). Most drugs, illicit or otherwise, have some element of reuptake inhibition. Amphetamines (adderall, vyvanse) both act as an NDRI (Norepenepherine/Dopamine Reuptake Inhibitor(s) and mimic the dopamine chemicals themselves.

A short lesson in how your neurons actually work is in order too, and explained basically by this half-assed picture I drew one day because my psych professor couldn't explain how this worked to another student. View attachment 4952View attachment 4953

However, this is unusual. ADHD and ADD tend to manifest themselves as an underabundance of dopamine in these connections; amphetamines, thus, (given dopamine and serotonin are both messenger chemicals for your brain's synapses), 'focus'. In the extreme case, a non-patient taking amphetamines will hyperfocus, getting you tweakers and the like, where they are so focused they are in fact focused on nothing at all, and encounter a severe amount of 'noise' in their own thoughts and behavior.

Returning to Zoloft, Zoloft is Sertraline, and sertraline is one of the family of non-prescription needed drugs therapists can give you. That is the only reason they are so common; any doctor can give them on the spot with little requirement. This is because they are not habit-forming and not very fun. SSRIs take upwards of a month or two, and there is no guarantee you or anyone else will adapt to it will, or react well. However, those who do react well have a greater amount of floating serotonin, which remedies depression, which is generally a chemical lack of serotonin (the thing that makes u happy and also is released for bliss/orgasms/etc. Your brain likes it, but it's limited. Dopamine, however, is not, and the brain can never have enough of it compared to the very obvious numbing feeling of too much serotonin (ecstacy, or MDMA, is precisely that, a flooding of serotonin, the opposite of an SSRI or rather a 'very rapid SSRI', which is incredibly dangerous). The fact that they take over a month of consistent dosing to function is why they are not very dangerous. Caffeine, nicotine, even fructose, are generally more unhealthy for you than an SSRI is, but this also comes with its main problem:

they are hella inconsistent. I, personally, dislike all of them. I know people who have responded very well, and others who have the same problems as me; I've tried many kinds of anti-depressants, and know pretty specifically what my problem is and what helps. However, that thing that helps also neccesarily gives me seizures, so I am stuck in a loop of no one wanting to recommend me anything. SSRIs most commonly can causes lack of sexual drive, nightmares or strange dreams, insomnia, narcolepsy, and given any rebalancing of serotonin can increase the risk of suicide in the short term, can also temporarily make one more depressed. This makes it very hard to stick wit hit.

SSRIs do NOT help in the short term. They do just about nothing in the short term aside from make dreams weirder, typically.

However, benzodiazepines (which do require a prescription, including xanax, klonopin, etc), which are for severe anxiety and were irresponsibly over-prescribed and still are, are short acting. This makes them incredibly addictive, not to mention the state of mind is addictive when one is very anxious about anything at all. While there are 'overdoses' of benzos, benzos by themselves do not have a very easily reached LD50 (the dose at which 50% of recipients will die with normal tolerance). Even highly habitual users will never reach that point. You will force yourself to sleep long before that.

What benzos do is they amplify the effects of intoxicants, especially alcohol; I like to use the cheat sheet of 1 drink = 3 drinks when under the influence of a benzo. This can lead to accidents that would normally not have happened, especially driving issues, when one thinks they've only had one or two drinks.

Okay!! Thank you!! Remember to not spread bullshit you just made up because you don't trust doctors and actually learn better than they understand!! It can save someone's life!!

Thanks for the info, and if you're still reading this, you should stick around. Might make things more lively around here.
 

chuj

A regular degenerate; lowest of the low
woźny
Sorry I greatly dislike folks who spread FUD about medication beyond the obvious (yes, psychologists do not properly explain what anything do, and most people don't like the lesson in neurochemistry). It is anti-harmreduction and so I have registered solely to explain this to anyone who may pass by and wants to actually understand what these different drugs do. The fact that there is so much misinfo, but in the right direction, is part of our awful drug war attempts and the lack of real info doctors give.

For starters, Zoloft is indeed an SSRI, (~Selective~ Serotonin Reuptake Inhibitor). Most drugs, illicit or otherwise, have some element of reuptake inhibition. Amphetamines (adderall, vyvanse) both act as an NDRI (Norepenepherine/Dopamine Reuptake Inhibitor(s) and mimic the dopamine chemicals themselves.

A short lesson in how your neurons actually work is in order too, and explained basically by this half-assed picture I drew one day because my psych professor couldn't explain how this worked to another student. View attachment 4952View attachment 4953

However, this is unusual. ADHD and ADD tend to manifest themselves as an underabundance of dopamine in these connections; amphetamines, thus, (given dopamine and serotonin are both messenger chemicals for your brain's synapses), 'focus'. In the extreme case, a non-patient taking amphetamines will hyperfocus, getting you tweakers and the like, where they are so focused they are in fact focused on nothing at all, and encounter a severe amount of 'noise' in their own thoughts and behavior.

Returning to Zoloft, Zoloft is Sertraline, and sertraline is one of the family of non-prescription needed drugs therapists can give you. That is the only reason they are so common; any doctor can give them on the spot with little requirement. This is because they are not habit-forming and not very fun. SSRIs take upwards of a month or two, and there is no guarantee you or anyone else will adapt to it will, or react well. However, those who do react well have a greater amount of floating serotonin, which remedies depression, which is generally a chemical lack of serotonin (the thing that makes u happy and also is released for bliss/orgasms/etc. Your brain likes it, but it's limited. Dopamine, however, is not, and the brain can never have enough of it compared to the very obvious numbing feeling of too much serotonin (ecstacy, or MDMA, is precisely that, a flooding of serotonin, the opposite of an SSRI or rather a 'very rapid SSRI', which is incredibly dangerous). The fact that they take over a month of consistent dosing to function is why they are not very dangerous. Caffeine, nicotine, even fructose, are generally more unhealthy for you than an SSRI is, but this also comes with its main problem:

they are hella inconsistent. I, personally, dislike all of them. I know people who have responded very well, and others who have the same problems as me; I've tried many kinds of anti-depressants, and know pretty specifically what my problem is and what helps. However, that thing that helps also neccesarily gives me seizures, so I am stuck in a loop of no one wanting to recommend me anything. SSRIs most commonly can causes lack of sexual drive, nightmares or strange dreams, insomnia, narcolepsy, and given any rebalancing of serotonin can increase the risk of suicide in the short term, can also temporarily make one more depressed. This makes it very hard to stick wit hit.

SSRIs do NOT help in the short term. They do just about nothing in the short term aside from make dreams weirder, typically.

However, benzodiazepines (which do require a prescription, including xanax, klonopin, etc), which are for severe anxiety and were irresponsibly over-prescribed and still are, are short acting. This makes them incredibly addictive, not to mention the state of mind is addictive when one is very anxious about anything at all. While there are 'overdoses' of benzos, benzos by themselves do not have a very easily reached LD50 (the dose at which 50% of recipients will die with normal tolerance). Even highly habitual users will never reach that point. You will force yourself to sleep long before that.

What benzos do is they amplify the effects of intoxicants, especially alcohol; I like to use the cheat sheet of 1 drink = 3 drinks when under the influence of a benzo. This can lead to accidents that would normally not have happened, especially driving issues, when one thinks they've only had one or two drinks.

Okay!! Thank you!! Remember to not spread bullshit you just made up because you don't trust doctors and actually learn better than they understand!! It can save someone's life!!
oh cool, you study medicine? because i have the weirdest thing on my ballsack
 
Sorry I greatly dislike folks who spread FUD about medication beyond the obvious (yes, psychologists do not properly explain what anything do, and most people don't like the lesson in neurochemistry). It is anti-harmreduction and so I have registered solely to explain this to anyone who may pass by and wants to actually understand what these different drugs do. The fact that there is so much misinfo, but in the right direction, is part of our awful drug war attempts and the lack of real info doctors give.

For starters, Zoloft is indeed an SSRI, (~Selective~ Serotonin Reuptake Inhibitor). Most drugs, illicit or otherwise, have some element of reuptake inhibition. Amphetamines (adderall, vyvanse) both act as an NDRI (Norepenepherine/Dopamine Reuptake Inhibitor(s) and mimic the dopamine chemicals themselves.

A short lesson in how your neurons actually work is in order too, and explained basically by this half-assed picture I drew one day because my psych professor couldn't explain how this worked to another student. View attachment 4952View attachment 4953

However, this is unusual. ADHD and ADD tend to manifest themselves as an underabundance of dopamine in these connections; amphetamines, thus, (given dopamine and serotonin are both messenger chemicals for your brain's synapses), 'focus'. In the extreme case, a non-patient taking amphetamines will hyperfocus, getting you tweakers and the like, where they are so focused they are in fact focused on nothing at all, and encounter a severe amount of 'noise' in their own thoughts and behavior.

Returning to Zoloft, Zoloft is Sertraline, and sertraline is one of the family of non-prescription needed drugs therapists can give you. That is the only reason they are so common; any doctor can give them on the spot with little requirement. This is because they are not habit-forming and not very fun. SSRIs take upwards of a month or two, and there is no guarantee you or anyone else will adapt to it will, or react well. However, those who do react well have a greater amount of floating serotonin, which remedies depression, which is generally a chemical lack of serotonin (the thing that makes u happy and also is released for bliss/orgasms/etc. Your brain likes it, but it's limited. Dopamine, however, is not, and the brain can never have enough of it compared to the very obvious numbing feeling of too much serotonin (ecstacy, or MDMA, is precisely that, a flooding of serotonin, the opposite of an SSRI or rather a 'very rapid SSRI', which is incredibly dangerous). The fact that they take over a month of consistent dosing to function is why they are not very dangerous. Caffeine, nicotine, even fructose, are generally more unhealthy for you than an SSRI is, but this also comes with its main problem:

they are hella inconsistent. I, personally, dislike all of them. I know people who have responded very well, and others who have the same problems as me; I've tried many kinds of anti-depressants, and know pretty specifically what my problem is and what helps. However, that thing that helps also neccesarily gives me seizures, so I am stuck in a loop of no one wanting to recommend me anything. SSRIs most commonly can causes lack of sexual drive, nightmares or strange dreams, insomnia, narcolepsy, and given any rebalancing of serotonin can increase the risk of suicide in the short term, can also temporarily make one more depressed. This makes it very hard to stick wit hit.

SSRIs do NOT help in the short term. They do just about nothing in the short term aside from make dreams weirder, typically.

However, benzodiazepines (which do require a prescription, including xanax, klonopin, etc), which are for severe anxiety and were irresponsibly over-prescribed and still are, are short acting. This makes them incredibly addictive, not to mention the state of mind is addictive when one is very anxious about anything at all. While there are 'overdoses' of benzos, benzos by themselves do not have a very easily reached LD50 (the dose at which 50% of recipients will die with normal tolerance). Even highly habitual users will never reach that point. You will force yourself to sleep long before that.

What benzos do is they amplify the effects of intoxicants, especially alcohol; I like to use the cheat sheet of 1 drink = 3 drinks when under the influence of a benzo. This can lead to accidents that would normally not have happened, especially driving issues, when one thinks they've only had one or two drinks.

Okay!! Thank you!! Remember to not spread bullshit you just made up because you don't trust doctors and actually learn better than they understand!! It can save someone's life!!
Thanks for the info, but how are benzos short acting when diazepam/valiums main metabolite can last for up to 200 hours in someones system?
SSRI's can also cause people to become more sucidal when they are put on them. Its got that warning on almost all of them.
 
Does your ballsack have one of THESE on eet?View attachment 4966
Because that would be a real bitch.
No no I meant if you have thots stuck to yer dick, just stop making so much money, driving nice cars and acting like a Chad, and the twats will fuck right off... not recommended, but works every time. They can appear as strange growths at times, also acting preg for sympathy$
IMG_3130.JPG
 
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