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Joined 2 years ago
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Cake day: June 12th, 2023

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  • working in psychiatry for as long as I’ve had, the people I admire most are actually the ones who are just decent every single day. the ones who know everybody’s kids names and remember everybody’s birthday. I don’t know how they do it. I became the person who helps pull apart people trying to bite each other’s faces off because idk how to remember birthdays and I was hoping it would be something people appreciate but day to day it actually really isn’t and the reason why becomes obvious pretty quickly. the people who make the biggest difference in people’s mental health are people who know how to plan a good Friday night get-together and how to follow up when they haven’t heard from one of the invitees for two weeks in a row.


  • the only mental health thing I’m aware of being publicly available is commitments, and in most localities that requires an initial involuntary hold followed by evaluation and a hearing. and even that I think only counts for clearances, gun rights, and possibly licenses concerning public safety such as doctors, social workers, etc. rando employers should not be able to access that info afaik (this is a summary of the relevant part of the speech I give to patients when they ask if they want to change their status to involuntary and what the process looks like if the doctor disagrees that they need care, what their rights are in that situation, etc.). even with that idk that they can see what you were committed for just that you were. I’m not sure how hard they’d have to dig to get access to the mental health board evaluation that led to the commitment. I talked my way out of a commitment after an involuntary hold and have had a few incidents since where I even talked myself out of the hold to begin with and it never even affected me getting licensed (fellow cluster b PD here, hiiiii).


  • I think we should make all work legal for the worker. They can be here, they can receive wages, their kids go to school. as As long as they don’t commit any crimes just let them exist, whatever.

    …but hiring someone without a visa should be extremely illegal. Like decades in prison illegal. Should fix the rampant human trafficking pretty quickly. A lot of these employers do it because they don’t have to worry about treating the workers fairly. They should be terrified of illegal workers telling on them. And after they’re done telling on one human trafficker let them go find another job and tell on him too. If we were tossing people in prison for hiring illegal immigrants their job market would dry up immediately and the problem would resolve very quickly.

    people need to think more about who is actually benefiting from illegal immigration and go after those people. because it’s not some lower than minimum wage laborer, it’s his employer who found someone who’s too scared to tell OSHA that the sharps bin is overflowing and APS that meemaw has been sitting in her own shit for three days. Immigrants aren’t taking my job, sketchy employers are trafficking human beings in who are willing to be paid less while being abused and who will be too scared to say anything about the really scary shit they’re being made to do and watch.



  • Also, psych nurse protip - this is how you use this to talk someone out of a panic attack. Use the above conversation template plus the following nonverbals / paraverbals:

    • start by reducing stimuli (think five senses!). Reduce the noise and lights, and try to get away from any particularly offensive smells or sensations.

    • you can try to get the crowds and stimuli out of the area, but it will probably be easier to move the person panicking. Getting crowds of people to do things is very tricky. It’s usually just easier to move the one person.

    • talk at about half to a quarter of your usual speed and volume

    • use common English words (no SAT vocab). Enunciate clearly, and don’t use more than one conjunction / more than two ideas per sentence. Their brain can’t chew / digest as much as all at once.

    • Do not stand directly in front of them and especially do not corner them. If you feel unsafe you can still stay closer to the door than they are but try to stand slightly to the side to give them line of sight to it.

    • if you want to practice / really up your game, learn to deepen your pitch slightly / resonate / speak from your chest while still keeping your volume down. Imagine James Earl Jones reading a meditation script on YouTube. This has an added benefit if you work with seniors, most age-related hearing loss is in the upper pitch ranges.




  • I began my psychiatric nursing career working as a behavioral technician on a unit for criminally insane men. I worked there for two years and was even promoted to lead tech in charge of making the assignments for all the technicians for the shift.

    Other shifts and other units were sending staff members to the ER at least every few months related to aggressive incidents. Not us. Only thing was a guy had a stroke near when I was starting and while I think the job did do it to him, I think it happened over the many years before I worked there.

    Two months before I left I sustained the worst injury I ever did at that job taking care of criminally insane men …I shut my own finger in a door.

    I was rushing too much while grabbing hygiene / shower supplies for a guy one morning. Big heavy solid wood heavy latch and hinge with a long metal strike plate running top to bottom psych ward door. The tip of my finger swelled up twice as big, the nail turned black and eventually popped off. Looked weird as shit for a few months.

    Meanwhile one time I was helping separate two guys where one was trying to bite the other guys face off and I kinda blacked out for most of it but I do remember seeing the other guys jaw working trying to gnaw at the guy I was holding. Anyway apparently there was a point where I was under both of them on the floor because like three people came into the restraint room while I was with face-bitey to ask how I was and as the adrenaline wore off it turned out I was a little scuffed up and bruised up…

    But holy shit did shutting my finger in that door hurt so damn bad I legit thought I was going to lose the finger and it took over a month to heal!