Red flags to look for in psychiatrists

- if they do not like that you research your disorder/s and treatment/s
- if they do not explain the reason/s behind certain treatment/medication that they are prescribing you
- if they are reluctant/refuse to let you access your medical records
- if their first response to symptoms is medication without any talk therapy
- if they say they “don’t believe in therapy”
- if they say they “don’t believe in medication”
- if they insist on seeing your parent/legal guardian without you being present
- if they tell you that there are no other treatment available if you complain about your current treatment/medication not working/having unmanageable side effects
- if they diagnose you without explaining how they came to that diagnosis, what it entails, and which treatments you have at your disposal
- if they fall asleep during a session (you’re laughing but it happened, several times, and i’m not boring)
- if they assure you that you cannot have [insert disorder here] because you are too young/wealthy/poor/fat/skinny/smiling/old/whatever bs (the only valid reasons for not having a disorder is if you do not meet the minimum criteria for it, age/body/ethnicity/etc are not criteria)
- if they tell you that you obviously do not want/are not ready to get help (that’s a super abusive technique, would only see this as a valid comment to make if you are pressured into seeing them by someone who has authority over you)
- if they insist on you continuing to take a medication despite the side effects very negatively affecting you (for example: if you are recovering from an ED and you get the “gaining weight” side effect and that is very triggering to you)
- if they are flippant about/disregard your feelings

i’m probably forgetting a lot. feel free to add.

EDIT: I made a blog to vent about bad mental health practitioners @shrinksfromhell. Check it out and submit your stories!

huge spider in the kitchen. steve and i both tried to jump into eachothers arms to escape, collided in mid air, and both got knocked out. spider vanished. we have to burn the tower down

You were involved in a horrible accident, thanks to the hep of doctors and scientists you’ve fully recovered in record time. The only side effect you’ve noticed is that you can’t click through the “I am not a robot” CAPTCHA…

“As a therapist, let me just say: almost every trauma survivor I’ve ever had has at some point said, ‘But I didn’t have it as bad as some people,’ and then talked about how other types of trauma are worse. Even my most-traumatized, most-abused, most psychologically-injured clients say this. The ones who were cheated on, abandoned, and neglected say this. The ones who were in dangerous accidents/disasters say this. The ones who were horrifyingly sexually abused say this. The ones who were brutally beaten say this. The ones who were psychologically tortured for decades say this. What does that tell you? That one of the typical side-effects of trauma is to make you believe that you are unworthy of care. Don’t buy into it, because it’s nonsense. It doesn’t matter if someone else had it 'worse.’ Every person who experiences a trauma deserves to get the attention and care they need to heal from it.” —hobbitsaarebas

Successful People Start Before They Feel Ready

“If you’re working on something important, you’ll never feel ready. A side effect of doing challenging work is that you’re pulled by excitement and pushed by confusion at the same time.” – James Clear

The Start-Up Guy is well underway. I have been working with several businesses, including a very exciting Johannesburg-based business which is launching in the next two months. I am so honoured that they used and continue to use my services.  

I’ve noticed a common trait amongst all the guys and girls I’ve been working with recently, and I thought it might be useful to share because I think many other people are experiencing the same thing.

Almost all entrepreneurs don’t know what they’re doing and it’s perfectly okay. In fact, I don’t know of a single one who, at the outset, knew exactly what they needed to do and when to do it. Before your mind does that thing where it jumps to conclusions, let me explain.

A start-up is an experiment, a matter of trial and error. No one can be fully certain about the route it will take. At best, one can have a firm idea of the intended outcome, but whether that transpires is all dependent on the market’s response to your idea (and who really knows what that’ll be? Right?).

Sir Richard Branson has one of the most interesting entrepreneurial stories, for me, because he started many of his companies largely by mistake. He dropped out of school to continue a magazine business he had no idea was going to sustain him. As a way to grow his magazine sales, he started distributing music records made by unknown artists to his readers, and so began the journey of Virgin Records. He started Virgin Airlines after he was delayed by his flight facing maintenance issues before take-off. This guy is the epitome of just getting on with it. This guy is also worth $5 Billion today!

As an entrepreneur and business owner you have to embrace the learning process and continuously learn (by doing). Learn your market, learn your business, and continuously adapt your learnings to suit your market as you go. The entrepreneurs who embrace the learning process and respond to unexpected events in real time are often the ones who do very well.

Without babbling on for too long, the moral of the story is that not knowing what to do is not a good enough reason to not start your business. Passion and a basic idea is enough. Even if you are physically incapable of carrying out certain tasks, outsourcing skills is a thing (like helluurrr, this is why people like me are here). It is no mistake that one of the single most important traits that investors look for in entrepreneurs is passion, especially in the very early stages of a start-up. Not “intelligence.” Not qualifications. Passion (synonymous with commitment/dedication in this regard). A founder who is not passionate about what they are doing will give up when they face the inevitable hurdles of starting a business. Passion is the fuel by which a project goes from start-up to a fully-fledged business.

Now don’t get me wrong, I am not saying that you can go and start the next big business with the technical skills of a toddler. I am merely saying that, within reason, you can start a business without the technical know-how, as long as you have the dedication to follow through with the necessary steps. In doing so, be realistic, tread carefully and always consult a professional when you’re thinking about making an expensive decision.

If whilst reading this article you had a certain project or idea in mind, maybe it’s time to pursue it with everything you have. Why aren’t you? That was not a rhetorical question. Like Richard Branson famously said, “screw it. Just get on and do it.” If you are really struggling with how to conceptualise or begin your business, consult me and we can find a solution together. 

Once again, thank you for reading.

Tweet me @sazi08

In the future temporarily stopping your heart, or “micro-death,” is a popular way to gain the benefits of a full night’s sleep in only a few minutes. There were no known negative side effects until you decided to push the envelope a little further.


human diets change when the food industry changes. 

animal treatment changes when the food industry changes. 

workers treatment changes when the industry itself makes the change. 

fight the industry, not people buying random shit they can afford because the government subsidizes meat/dairy/soda/etc.

The problems you care most about are the fault of capitalism, lmao sorry, attack the real problem, not side effects. 

When you need to cut the leg off, putting a bandaid on it will only make it worse.

neil doesn’t get it

“You were supposed to be a side effect of the drugs.” “I’m not a hallucination,” Neil said, nonplussed. “You are a pipe dream,” Andrew said.

Either Andrew had confiscated Nicky’s copy or he’d gone out and gotten Neil one of his own. Neither option made much sense to Neil.

“Tell your pet psycho to knock it off before he cripples someone.” “I don’t think he’ll listen to me,” Neil said. “You and I both know he will. Now get going.”

"Just promise me this isn’t going to be a problem.” “What?” Neil asked. “I can’t tell if you’re being obtuse to fuck with me or if you’re really that dumb,” Wymack said. When Neil just stared blankly at him, Wymack rubbed his temples as if warding off a headache. “I would pity you, but Andrew’s right. I don’t get paid enough to get involved in this. Figure it out yourself—on your
own time.”

Neil sat sideways in his chair, facing Andrew, and said, ”Why does Roland think you're tying me down?

Neil wasn’t sure he should keep pushing, but if he didn’t get the truth now he knew he never would. ”I didn’t think I was a personal problem. You hate me, remember?

And finally.

“You hate me, remember?” "Every inch of you,” Andrew said. “That doesn’t mean I wouldn’t blow you.” The world tilted a little bit sideways. Neil dug his shoes harder into the floor so he wouldn’t fall over. “You like me.” “I hate you,” Andrew corrected him, but Neil barely heard him. For a dizzying moment, he understood.

Maladaptive Daydreaming sounds fun, harmless, and totally normal until you bring out the side effects that came with the package:

- (Unbelievably) violent daydreams.

- Pacing for hours until your feet and body hurt because you’ve moved too much.

- *clears throat* erotic daydreams.

- Your brain constantly shouts at you to daydream whenever you’re doing something important.

- Laughing and crying; making facial expressions at the most inefficient times.

- Bad or at least unsatisfying grades.

- Have to make up excuses for later use if someone wants to ask or point out the way you pace around or talk to yourself.

- The amount of pain and suffering because you know that your daydreams are not real and that they’re never going to be real and be next to you, and you have to bring them everywhere as the one that keeps you company all the time because you keep pushing everyone away in real life so you can daydream more.


“Actually, we used a modified version of that formula you confiscated from Agent Johnson’s father.” 
“That’s horrible! Are you mad?”
“Think of the formula’s side effects… aggression…”
“You never fought a juiced-up Cal. …mood swings.”
“The guy nearly killed us.”


just chillin 3 days post op ✌🏼️
I am a feeble little non-binary noodle and kurt’s doing a spectacular job looking after me

anonymous asked:

Can you explain any additional side effects/effects of ketamine?

kicks down the door, dual-wielding syringes

Did somebody say KETAMINE?L!!?!?#$$@@!!!!!!?

…Shut it, Stethy.

Okay. Ketamine. My #1 all-time favorite pharmacological agent. (I have a feeling someone sent me this ask to cheer me up, which I’ve really needed this week, but I’m not sure so I’m going to answer it.)

There’s a phenomenal article about the “Ketamine Brain Continuum” from an amazing ER doc, which I’m going to summarize here,  but if you’re as fascinated as I am, is worth reading in its entirety.

In low doses, ketamine can relieve pain. It can also make people feel very “stoned”.

In  medium doses, it can cause hallucinations. This is what the drug using community refers to as “falling down the K-hole,” and ketamine is indeed known for its illicit uses. For example:

Then I entered an orange-brown-black space occupied by a giant inflated kiwi-bird with ruffled, long tassel-like feathers and a long curved slim black beak, and the beak curved off into infinity. The space was like a corridor, with undulating grasses at the top and bottom, and the kiwi somehow inside it, but the sides were open and the corridor stretched off into infinity and I moved toward the kiwi and it felt beautiful, amazing, with loud buzzing, ringing sounds accompanying the journey….

There are some fascinating first-hand accounts here:  

Note: I am in no way encouraging illicit uses of pharmacological agents. Any agent can be dangerous. But if you want to know what ketamine feels like, don’t ask the medical providers, ask the people who use it for fun, right? 

This is actually where medical people want patients not to be. The hallucinations can be distressful. To quote Dr. Reuben Strayer (above article):

If the patient develops distress shortly after an initial dose, the patient is not fully dissociated and the best maneuver is usually to give more ketamine.

Personally I think that’s the best maneuver for almost any situation.

In high doses, ketamine works as an anesthetic, specifically a dissociative anesthetic. It shuts the brain off from outside stimulus completely. Basically what ketamine does is it shuts the brain off from outside stimuli. That means that even though someone’s eyes are open (and possibly twitching, medically referred to as nystagmus) their brain isn’t processing information from them. As a doc whose lectures I love likes to say, “Think of a beach. Or think of a mountaintop. Or think of a beach on a mountaintop. Anything is possible with ketamine.”

Think of it like this: with most anesthetics, the brain is temporarily turned off. With ketamine, the brain isn’t turned off – it’s just disconnected from the outside world.

However, if someone is unprepared for it, those hallucinations can seem like a nightmare. And there is a portion of patients who get ketamine and, as it starts to wear off, they start screaming uncontrollably. This is called an “emergence reaction,” as they emerge from anesthesia and slip into the K-hole.

Someone who has been sedated/anosthetized with ketamine, especially if it’s against their will (used as a “knockout drug”), will likely have very negative hallucinations. To an outsider they’ll be lying on the floor, eyes open and blinking, unable to move or react to anything. It’s a great moment for a horror scene, or a horrific element to an action plot, especially if they have an emergence reaction and come back to reality screaming.

(Ketamine is also routinely used during veterinary euthanasia, at least where I live, and eyes stay open even after death, and that’s something a good vet warns their clients about. Ketamine isn’t the lethal agent, that’s a barbiturate, I think usually just a massive overdose of phenobarbital.)

Other uses:

  • ketamine helps open up constricted airways (acts as a broncholytic or bronchodilator). This means that it’s the optimal anesthetic for intubating – putting a breathing tube in – severe asthmatics who need to go on ventilators.
  • Ketamine, in high doses, can be used to subdue patient who are physically violent and psychotic.
  • Because ketamine acts on different receptors than typical sedatives, it can be used to stop seizures when benzodiazepines (Valium, Ativan, Versed…) have failed.
  • Low-dose, slow infusions of ketamine have seen great promise in depression that’s not responding to other approaches. There are ketamine clinics around for exactly this purpose.
  • Low-dose / analgesic ketamine is often used by EMS personnel during rescue scenarios where someone is trapped or pinned in a vehicle because ketamine, unlike most pain medications, doesn’t reduce blood pressure.
  • Ketamine is typically not used as an anesthetic in head injury patients because there is some (conflicting) data on whether or not it can increase intracranial pressure.

Originally posted by rightstufanime

So that’s ketamine. Thanks for the ask and thanks for listening to my madness!

xoxo, Aunt Scripty


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What to know about the apparent ‘Pokémon Sun and Moon’ “save glitch”

  • A game-ending “save glitch” is affecting some Pokémon players
  • The glitch in question kicks in when players save the game while inside a Pokémon Center or in some parts of the Battle Tree.
  • If you get affected, you may be forced to restart the game entirely.
  • BUT it turns out that the “save glitch” isn’t a glitch at all.
  • Instead, it’s a nasty side effect of using PKHex, an unofficial save editing tool that lets you trick the game to find better Pokémon.
  • The program’s creator even confirmed the issue on Twitter and has corrected it in the latest update of PKHex.
  • If you’re feeling paranoid the best solution is to simply avoid PKHex — and any other cheats — entirely.

follow @the-future-now

The face you make when you wake up in Jamaica!!! #SideEffectsOfJamaica

See you at Emancipation Park tonight for Blues on the Green!



Favorite Moments (1/?)

“I hate you,” Andrew said casually. He took a last long drag from his cigarette and flicked it off the roof. “You were supposed to be a side effect of the drugs.”
“I’m not a hallucination,” Neil said, nonplussed.
“You are a pipe dream,” Andrew said. “Go inside and leave me alone.”