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What are “irreversible passage points”? If you wait the passage is irreversible: waiting too long for marriage or family making, waiting to study something and then getting old, a family dies with your plans still hanging, etc. Look closely at the train you are on and the stops!
The dose-response issue keeps popping up. This time it's depot injections. "I don't have symptoms so I often skip my injection days" is common. This defeats the purpose of getting depot injections to begin with.
Learn to use as needed extra doses, half doses, every other day doses, rotation schedules to avoid tolerance, and other flexibilities you'll never learn in medical school!
Antipsychotics can cause weight gain and diabetes. Psychosis can cause frightening delusions, family breakup, maybe suicide. We need to decide which side of the coin can be treated vs the risk of treating vs not treating.
Getting a handle on the cause vs trigger of depression is important. When did it start, what are the stresses, how does it relate to medications, drinking, relationships, etc. Never rush to a decision. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
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
What about paranoia? We can give meds but what about reasoning? An “agency coming after me” is common. We try to remind people that if an agency was after them they would have been gotten already because agencies don’t like to waste time. Us: https://t.co/W6SS4mUflN
What to do when your company wants you to get a specific psychiatric intervention to return back to work, although you don’t have a problem to work? Get a Dr letter and a legal consultation. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
Many of our consultees in Japan have similar troubles, lack of exercise, don’t seek intimacy, don’t seek career development, don’t work on their language skills. Various causes, various interventions. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Infidelity, knotty problem. The truth, we as humans cannot be expected to be robots, but we need to keep the value on deep relationships over lust. How? Live humbly and safely. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
No matter how many times you tell them, some patients just never take the dose or dosing schedule recommended. This can lead to significant morbidity and mortality.
Welcome challengers to your belief system who put you up against the ropes. They will force you to learn how to justify your argument, or force you to change it. Either way will help you grow. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Look at your position in life, family, work, lifestyle. What do you need to focus on? Realize your life positions will change, family will grow, jobs have an end. Move thru the phases with forethought. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
What are the signs of ability to thrive? Family, Love, Friends, and work. Work requires persistence, flexibility, and strategic progress. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg