One of the medical clinic nurses at the state Psych hospital I worked at would give any patient a condom if they asked and not tell anyone. Like. It was known to administration and it was one of her official responsibilities to do so, but she would not reveal who she gave them to or keep any records. We would absolutely stop them if we caught them but you can’t always catch people before they make a wholeass new person.

Men love BPD chicks because we’ll be obsessed with them and could suck the paint off a trailer hitch but they act all shocked when they realize they need Steve Irwin level animal handling skill to not get their face chewed off and that they might just get speared to death anyway. My guy, do you want to live life on the edge or not?

It’s my signifier since gender means so little to me.

third dimension

I say this to every coworker who asks why I have a car I rarely drive. It’s honestly just less stressful to commute that way. Idgaf about the weirdos at the bus stop for the most part. 90% of them are high or drunk af passed out cleanly. Every once in a while I have to nudge them out of the way to sit but that’s not usually an issue they just grunt and shift and they’re usually too shitfaced to move in their sleep once they’re out again. One is a lady who is always drunk af but awake and basically just uses the bus stop as a people watching spot and tells me neighborhood drama. There’s a pair of northerners who are polite in a northerner way. There were a brother and sister who were sleeping there for a month but last I heard she found a job and I wished them luck and haven’t seen them since. I’ve had a few really good philosophical conversations. One was a guy who had gotten his phone stolen and we chatted about the positive effects of increased mindfulness of the day to day and not being constantly observed and reachable by both your personal contacts and the faceless corporations. I got bothered by one guy but groundskeepers were hanging kinda close and the admins pass me on their way from their cars into the building I haven’t seen him since so either the facility took care of it or the other inhabitants did. Sometimes I talk, sometimes I just eat my Bacon and biscuit from the cafeteria and drink some tea. I’m trying to listen my way through the Bible just to know what’s in it. Right now I’m listening to the long long list of shit you’re not allowed to do while living in an aggressive war tribe in tents the desert like shitting too close to camp or having sex that doesn’t make more babies to keep fighting the other tribes. The cadence is weirdly chill almost seussian.

If it’s a 2 lane per side road the best way to get them to pass you is to not break check them but just take your foot off the gas until they get frustrated enough to just go around but this contextually sounds like a single lane sitch which you are correct is dangerous.

In Psych we only have limits on the what.

This is what it’s like being a psych nurse talking to an ICU nurse. It’s the difference between

You put what WHERE???

and

The patient put what WHERE???

I’m CN on this one but interestingly hubs reports this choice:

yummy yummy pseudomonas…

cancer. It’s literally cancer.

Legit have had paranoid patients making shivs or trying to start floods or fires and barricading their doors soap or lotion themselves up. The barricading isn’t usually an issue because most places I’ve worked have had swingstop doors but extracting them without getting them or us hurt always fucking sucks. Usually someone who’s spent time in the correctional system doing stuff like that with the soap or lotion but one dude was a combat veteran. That suuucked.

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Valerian root. It’s GABA active. Smells like either manure or freshly rained on soil though depending on your nose in a similar way to how cilantro taste varies between people. It’s what’s in sleepytime extra.

tbh most psych units I’ve worked don’t even do that kind of ED. We’ll do BED in a pinch but anorexia nervosa or bulimia with significant weight loss is either stable enough to be managed outpatient or unstable enough that it needs either medical hospitalization or a specialized unit. I’ve worked one psych unit that could handle telemetry and they wouldn’t have liked having to.

imma have to steal a cuff from peds to measure that bp

Guilty as minted.

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.

Every once in a while a guy will know something about women’s bodies that makes me go “ooooh OK that one’s actually really like kinsey 0 straight” instead of some other weird combination of interests that are approximately straight in a mostly possessive way. Sometimes I’ll hear “straight” guys talk about how gross vaginas are but then you hear a guy talking about pH balances and lactobacilli and it’s just really obvious which guy actually wants to be in one.

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…)