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Tolerance to meds is common, esp ADHD & sleepers. Starting a rotation of 2-3 types on a cycle of some days or weeks usually works like a charm. No need to give up!
Psychiatry has few objective measures. One is looking at the chronology of events vs. onset of symptoms. If the symptoms started before a discrete event there is little logic to conclude that the event is causative. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7
Some people have so much anxiety that makes them go to the toilet, some “fight” back at their anxiety, and some need to give up and take meds. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
Everyone is needy and lonely, and we can see this escalate during puberty. This is proof of a significant biologic element to loneliness. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
Some hyperactive people just do lots of hobbies and collect lots of things. It’s not obvious they are hyperactive at first blush. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
Persons often say drugs, therapeutics, or VaXs are “effective” but can’t describe what they are effective for. Think, “indication” & “endpoints”. Know what you are told you can treat before leaping into a point of no-return. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
People often consult us about family fights. They're usually caught up with the intense escalation so that we have to guide them to focus on the start of the fight which hints at the underlying cause. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx.
How to deal with difficult co-workers? Keep frustration low, realize the difficulty is a merry-go-round, try to take it as a comedy and keep out of trouble. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
What is the difference between nociceptive and neuropathic pain? Maybe as much as the difference as written in the definition, maybe much less because the little secret is that they may co-occur on top of or side by side each other, or, injury may exist but not be detectable.
Imagine an overactive and impatient spouse and a zoned-out and self-absorbed spouse. The overactive spouse will try to drive the zoned spouse to certain goals and the zoned will fight back, causing escalation. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Are timelines important? Many persons make conclusions about events and causality of symptoms in spite of the events occurring afterwards. It’s challenging to convince persons what could be causative and what could be just a bumpy road. Us: https://t.co/W6SS4mUflN
Medicines may look great on a lab bench but fail miserably in patients. It's the research scientist's job to manage the expectations of the commercial side of a company regardless of the time, effort, and and money put into the R&D, and go one milestone at a time.
Driven and competitive persons don’t easily give-in to their spouses in an argument, essentially falling into the quicksand of making both parties losers. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Some medical interventions seem "invasive" but are even less invasive than some "non-invasive" interventions. Some treatments are reversible and some are not though patients often don't realize which is which unless it's carefully explained.
If one has hyperactivity, this can cause one to give oneself an amount of work greater than one’s capacity, i.e., for one to be the cause of their own trouble. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
People want to get a “divorce” even with small kids because they get into “0 or 1 mode” when heated and don’t realize the problem to come with the stress on children, alienation, and guilt that might ensue. Try to find creative solutions! Us: https://t.co/W6SS4mUflN