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3 yr. ago

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  • Honestly that dude and the person super into dragon sex are actually the best trolls I've met. 100% harmless and it's wild how many people DON'T just hit the block button when they find them annoying. They're like a built in litmus test for whether a Lemmy user is a fully developed adult who can avoid getting entangled in dumb conversations (which apparently you are).

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  • One dude got into a highly uncivil argument about what constitutes "real physics" on a post of a tumblr screenshot with overwrought prose about... (tbh I don't remember now but I'm thinking electromagnetism?) then reported the other user. Don't get me wrong it was bad tumblr prose but like. It's a genre some people like and a staple of tumblr culture which the comm was about.

    Anyway I temp banned them both (I think I did accidentally remove too many comments but anyway) because they were having a toddler level squabble with profanity over tumblr poetry. One of them called me some kinda profanity so I permabanned them and they made a post on power tripping mods and pretty much everyone was like "you know we can still dig out the comments AND your DMs and you're kinda just a menace... right? Like I woke up and pretty much everyone had already defended me. Anyway I blocked them and moved on with my life. People need to use the block button more often tbh.

  • Honestly I've spent a good part of my career working with men specifically in acute mental health environments and 90% of the time when a man expresses a lack of sexual attraction I'm relieved. The other 10% is indifference, but the amount of times they yell at me about how ugly I am and I'm like "...good...!?"

    Like tbh there's a not insignificant chance I'm just a gay dude but like. I'm not in a rush to decide. And in the meantime if not looking how they think an AFAB should keeps more men able to interact with me nonsexually that's basically 100% beneficial. And honestly women aren't great either (they're not usually as pushy either but on the rare occasions they are they're way worse). Tbh that's probably why I'm a gay dude; bitches (in a romantic context) be crazy I just wanna drink a beer with my male bestie (now 💍) and talk about whether yeast or dogs have been symbiotic with humans longer.

  • I mean, yeah.

  • Excellent question. There are some foundational skills the dog needs to be able to participate safely and effectively in the process. This process was also accelerated by the cat being a ho for human attention, making it easier to transfer some of that affection / prosocial behavior.

    Cat train the puppy for safety

    1. leave cat claws untrimmed for a month before getting the puppy and at least 6 months in
    2. Dog was crate trained so unsupervised interaction was a non issue
    3. Distract puppy every time her gaze locks onto the cat for more than a few seconds (message: cat = not interesting)
    4. When dog learns belly, teach her to do it whenever the cat is <3ft or so away

    Habituation

    1. Use treats to slowly lure them closer to each other (note: dog must have a solid grasp of "leave it" / be able to understand when a treat is not hers
    2. Alternate petting them including alternating which hands are petting them respectively during the same interaction. Specifically try to rub their respective scents on each other near their faces / snouts. The cats scent is best obtained from the cheekbones, while the dog's scent is usually easy to obtain anywhere on them. I did find the dog liked to lick my hands, so I would rub her saliva on the cats cheeks (it helps to know and leverage exactly what your cat considers a "high value petting.")
    3. Group cuddles: what you see here. Everybody keeps getting treats as long as you're willing to sit in the cuddle pile. Never ignore or discourage spontaneous attention seeking behavior from either animal in this context.
  • Unless it's a private practice, it's probably not the psychiatrist that wants to use that tool, it's probably an initiative on the part of the larger organization. There's good odds that the practitioner themselves is even against it themselves. That said, this sounds like one of the lower risk use-cases; what you're describing is more of a souped up dictation software more than it is truly generative AI.

    TLDR; don't let this stress you. Do what feels right for your own care. And, ultimately, keep your own records and notes about your own symptoms day to day vs what treatments you're trying at any given time. Also do your best to educate yourself on what the meds are supposed to be doing, especially what symptoms (not disorders) they're supposed to be treating. Taking the initiative to track your own care in detail is what's really going to get you the best results anyway.

  • At least you were kinda trying to do the right thing. We had a resident who insisted we hold a man down for a POC glucose fingerstick just because there A1C from a week ago said the EAG was like 400 and we had a court order for psych treatment.

    Like sir. I'm not starting the precedent of restraining this man 4x daily to stab his fingers. He's probably been living at 400 for months (if not years), a week or two more waiting for the antipsychotics to hit isn't gonna do all that much more damage. Also idt the paperwork was completely in order to apply medical treatments under the psychiatric court order (not that I was super concerned about a homeless psych patient being able to hire a lawyer anyway but–). You you know what's gonna really convince this man that both diabetes and hypertension really are government conspiracies to torture him? Restraining him 4x a day to stab his fingers over them.

    Anyway he didn't call the senior resident. ALL the nurses told him no so he called his Attending. at 9pm. ON A SATURDAY.

    she told him no

  • One of my dementia care protips to new psych workers is that (since music is actually clinically proven to be calming), you can look at the age on their wristband and try whatever was popular when they were 15-25.

  • "These are the best years of your life" is the WRONG thing to tell a teenager thinking about ending it.

  • I wonder how many people in these comments love an artist that someone else finds objectionable / harmful because they just don't personally empathize with the people their fav has marginalized.

  • Op if you can swing ~30 pick up a drug test at the drugstore while you're there. It's a benzodiazepine, for future reference.

  • The informatics nurse took a second to register that I was just gonna give her the IP address to remote in. She had this whole spiel ready ready to walk me through finding the device number (that wore off years before I even started). I was like girl I have the network settings open do you just want the IP address I just need you to make the new EPIC update behave let's get to it.

  • they're called hypertension and anxiety bruh just because a drug has benefits doesn't mean it has no side effects

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  • Yup. Psychiatric nurse. I think the field needs a lot of advancements and a lot of the tools I have are barbaric but I'm doing the best I can with what I have and trying to contribute to my field by teaching and pushing for advancements.

  • Literally everything I've vibe coded the #1 security feature is local only storage. I trust it naught with security LOL.

  • Yeah I use it to break up my ADHD monosentence paragraphs. I'll tell it to avoid changing my wording (it can add definitions if it thinks the word is super niche or archaic) but mostly break things up into more readable sentences and group / reorder sentences as needed for better conceptual flow. It's actually a pretty good low level editor.

  • I would assume you dispose of the parts that frequently touched your bodily fluids and list the "frame" and where to purchase replacement parts in the eBay listing. Somebody out there wants a sex doll and only has $500. Or contact the manufacturer.

  • Fun fact from a psych nurse: you can usually estimate how many years a person has spent abusing substances by how many years behind they seem in their emotional development. A 30y/o who still acts 20ish has probably spent ~10 years using. It's not necessarily contiguous, they might have started at fifteen, used for 3, got sober for two, used for 7 more then been sober for the last 3, but they've probably spent about ten years using in total. Abusing substances lets people avoid the psychological crises they would normally need to confront to grow as a person. When they stop using they don't get to skip ahead, they have to pick up maturing from where they left off. It can also happen with non-substance behavioral addictions (like gambling) but it has to be real bad.