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2 yr. ago

I love genuine questions and people putting in the effort to love and understand each other better. If you come at me just wanting to argue I'm going to troll you back. FAFO.

  • Oh hi I'm a psychiatric nurse!

    Most important: Pick the three people you trust most in the world, put them in order of who you want making decisions for you the most (you also need to consider who will be the most level-headed & put your needs before their own emotions), then talk to your doctor about what paperwork you need to sign for that. Then talk to those people at length about how you want to die and what would make you feel the safest and happiest day-to-day until it happens. Think about what routines have brought you peace in your life, what things you do for fun / relaxation, what kind of music you like to listen to, etc.

    If you're up to it, I also highly recommend Wellness Recovery Action Planning. It's more designed for people who are more likely to recover, but it'll give you a template to go off to communicate your day to day needs in a written format for your legal decision makers and healthcare professionals to make you feel safe and comfortable as you progress through these next few stages. It'll also have some spaces for you to mention any specific triggers (a lot of the time we find out someone has PTSD from sexual assault after a trip to the bathroom unexpectedly turns into a cage match and it would be nice to get a heads up instead). And if you do this have a special section just for music; it's the part of your brain that's likely to keep working the longest. Make two playlists, one to dance / have fun to, and one to relax / sleep to.

    I wouldn't fuss too much on the gun thing unless you already have one / have been used to having one for most of your life. If you were never a gun person before you're unlikely to randomly just go out and buy one.

    Good luck and I really hope you're able to find trustworthy people to make decisions for you because without them to actually carry out your wishes, literally anything else you decide on now is completely moot.

  • I feel the same way reading the Bible. Even as early as Genesis I was like damn Abraham I already don't understand why you tried to pimp out your sister-wife ONCE so why did you KEEP DOING IT? Somebody recently commented that they find the Bible boring and I was like you need to find a modern translation because if you can even vaguely understand what's actually going on that shit is WILD. Turns out humans have always been crazy AF and personally I actually find that kinda comforting. Makes a lot of modern shit seem less unmanageable. Another great example is the whole Onan thing. It's wild that somebody decided to make it about masturbation when if you really get down to it it's a story about a dude who thinks he's being slick by obeying the letter of the current law to (literally) screw his widowed sister in law out of her rightful property and THAT story is TIMELESS.

  • Hole.io

    It's completely ad-laden garbage but I looove the art style for some reason and the actual gameplay outside of the weird resource management shit they added to sell in-game currency is soooo satisfying.

  • I love this in theory. Just needs a big user base.

  • I've been working inpatient psychiatry for almost a decade now and here's how we talk people out of delusions...

    ...you don't. Confronting the delusion directly helps their brain practice protecting the false belief system and strengthens the neural links / pathways. It's like the ruts made by a wagon wheel, the more the wagon travels the path the deeper they get. You can try and haul the wagon up out of the ruts onto a different part of the road using brute strength but 10 seconds later it's gonna fall back in and you'll exhaust yourself trying to wear a new track so close to the old one. You're much better served just sending the wagon somewhere else entirely and waiting for the ruts to erode on their own (this metaphor also maps well to addictive / difficult to discontinue behaviors; it's often easier to disengage from the entire constellation of behaviors and stimuli around the habit, including things like people and places, than it is to just stop the habit itself).

    So if you really do love this person and want to bring them out of it, do your best to send the wagon somewhere else. Just glaze over for a second while they rant, then change the subject and engage fully with something reality based you can create a connection with. Try to connect over knitting or gardening or woodworking or music or old movies or sports or whatever other hobby or social activity / discussion you can use to connect with them over that's reality based.

    That's how COVID sucked them into all this. It broke up the knitting groups and gardening clubs and cooking classes and all anybody had left to socialize with was Facebook conspiracies. If we want out, we need to focus on rebuilding those communities.

  • The university cops are great where I am but the city cops are very hit and miss. The university cops were my backup for violent patients when I worked the medical center and they actually had pretty decent deescalation skills. At the very least they would just defer to me and standby assist unless I specifically told them to initiate a hold. And when they were doing standbys they wouldn't verbally threaten or physically impose they'd just stand loosely at my shoulders and be like "hey buddy we're just here to keep everybody safe." Vs the city cops are only allowed on the unit long enough to serve involuntary admission paperwork like "hey here's your copy of the form signed by the magistrate that says these nurses can't let you off the unit." Which is good because they're like 25% decent, 25% matter-of-fact (acceptable), but like 50% are assholes.

    Like some patients are super entitled, yelling racial slurs, spitting, etc and I understand it's difficult to keep your composure if you're not specifically trained to (although they really should be) but a lot of patients are clearly just not with it. Like either wildly delirious and rambling about alien conspiracies or just straight up visibly developmentally delayed. And I've seen officers talking shit to people with like obvious high needs autism, downs, etc and the best I can do is just tell the cops to give them the paperwork in the mousetrap and hurry the patient inside but like. What the fuck.

    It's kind of cute though when you get a new one who just recently got the job to Help People™ so they're not a bastard yet and this is one of their first experiences with a psych hold and they're standing there with their body cam on having just unlocked the cuffs and the patient just immediately yanks their pants down and starts screaming about the invisible snakes and spiders on their genitals and the baby cop just 😦

  • As a psych nurse I've only met two people who actually unsettled me, both turned out to be serial murderers. I used to work forensics specifically (the "criminally insane"), so I've met lots of rapists, murderers, and a ton of pedophiles. Most of them are just either pathetic and trying to not go to prison where they'll get their shit kicked in, or did something real stupid while not knowing their ass from a hole in the ground. As long as you follow some basic rules you'll be fine (don't be alone with them or within arms reach if you can help it, bring a buddy if you do, and never let them between you and the door, etc.) and honestly half of that is more for their safety than yours (you'd win the fight, but you'd be in a lot of trouble).

    But both of these dudes just gave me an instant back of the neck prickle. All you can do is interact as little as possible, exit every situation as soon and as smoothly as you can, protect your newer workers who don't know better, and hope the doctor discharges them ASAP. There's no fixing that and all you can do is escape and hope they quickly go somewhere they can be contained properly (ideally a max security prison).

  • I felt the same way about the person with the third person pronouns. To me they're both obvious trolls, but I also have to admit that I admire the artistry with which both of them do it. They're not hateful. They don't abuse anyone. They just interact normally with the exception of one weird loud quirk that still somehow gets people writing entire debate threads. Both Diogenes and Horace De Vere Cole would be in awe.

  • Exactly the emotion I intended to induce!

  • Wait I thought it actually was though?

  • This idea I like most out of the suggested options, ty

  • AI Generated Images @sh.itjust.works

    Mole Rat Pikachu

  • First thing out of hubs mouth when I mentioned hearing about it: "That was their only advantage over apple!"

  • Actually what finally spurred me to ask this question.

  • One of my devices is the atom already. I'm more wondering what I can do with my other devices I already have

  • Asklemmy @lemmy.ml

    What's the android version of getting annoyed with windows and installing linux mint?

  • Gonna keep trying but it is definitely not working out of the box...

  • Sorry android should have specified you're right lol

  • Asklemmy @lemmy.ml

    Looking for a one-time paid (non-subscription) TTS program for android

  • I've been working in high acuity psychiatry for 10 years. I notice when doors don't click shut behind me and if I don't hear a solid click or an electric lock whirring sound I get the urge to check the handle, even at home / in my apartment complex. I can feel people behind me on the street if they're closer than about 20 feet back. I don't like sitting without a wall behind me (it was weird going back to school and explaining that my ADHD preferential seating accommodation was the back row, not the front).

  • AI Generated Images @sh.itjust.works

    Eldritch

  • AI Generated Images @sh.itjust.works

    Eldritch

  • AI Generated Images @sh.itjust.works

    For nightcafes opposites challenge

  • AI Generated Images @sh.itjust.works

    One of those zoom out and squint deals

  • Ask Lemmy @lemmy.world

    Comment your favorite good-evil / law-chaos memes I wanna average out my placement on all of them.

  • Showerthoughts @lemmy.world

    The fact that some dogs are used to the groomers and some aren't is wild.

  • Ask Lemmy @lemmy.world

    What's the worst way to use statistics?

  • Showerthoughts @lemmy.world

    Instead of paying for a therapist every week I'd be willing to pay like $100 a month for someone to harass me into going to social events.

  • Books @lemmy.ml

    Me reading Ancillary Justice by Anne Leckie:

  • Mildly Infuriating @lemmy.world

    .....

    www.duckduckgo.com
  • Asklemmy @lemmy.ml

    What item did you get from your ex that you still have, but not because you associate it with your ex / are hung up on them?

  • Books @lemmy.ml

    Still working my way through The Murderbot Diaries

  • 196 @lemmy.blahaj.zone

    Underconsumption Rule

  • AI Generated Images @sh.itjust.works

    .....

    duckduckgo.com
  • AI Generated Images @sh.itjust.works

    .....

    duckduckgo.com