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

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  • I’ve noticed in codes I just have to step into the middle of the room put some bass out from my chest and point at people and give simple instructions (and these are psych codes so it’s usually “ALICE -> THAT ARM. BOB -> THE OTHER ARM. CAROL -> LEGS. DAVE -> GO GET THE RESTRAINTS.”

    But then sometimes something very unexpected comes up like a very large patient dropping their weight into a weird position. So the important thing there is to hopefully come up with an idea quickly and give the simplest way possible to explain to everyone to move as a team. But sometimes someone else comes up with a good idea before me and then you go “CAROL’S RIGHT. ON THREE WE’RE GONNA ___.”

    So. 0. Know what the fuck you’re doing enough that you’re respected as an authority figure.

    1. Confidence in posture and voice.
    2. Point and use simple instructions.
    3. Confidence doesn’t mean ego. Recognize a good idea when you hear it and use it.

    Probably not what you were asking but I hope it helps.


  • Well. Emotional swings like that can occur as part of a manic episode specifically. Mania just means the emotions come faster than usual, not that they’re good. Ppl w mania are actually frequently extremely angry, usually because they’re going a million miles an hour and don’t understand why everyone else won’t just keep. tf. up.

    But yeah if op has always just been like that consistently without any ebb and flow over month’s / years then yes it points more towards a thought disorder. I used to have a really cool infographic from a textbook on the differential dx between borderline, bipolar, and adhd since they can all have very similar presentations or even just be comorbid in certain patients.

    I’ve actually seen a good few patients who we all swore up and down were borderline then the meds would click into place and oh. Look at that you really were just bipolar. huh. (I say all of this having a childhood dx of ADHD, an adult dx of borderline, and a current psychiatrist who thinks I’m bipolar so…)