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Lemmy instances @lemmy.ml aedalla @lemmy.ml
Dialectal Behavior Therapy Peer-to-Peer Server

A peer-led (non-professional) resource and community to supplement a professional Dialectal Behavior Therapy (DBT) Program.

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whats your best drinking story?
  • IME it comes back quickly if you ease back in but if you just go out to the bar and knock back 6 shots at once like you used to the EMTs very much will be scraping you out of a ditch. That's how most experienced addicts OD, by not thinking about it and remembering to slow the fuck down with their dosing after holding together sobriety for a while.

  • whats your best drinking story?
  • Well here's my worst: I relapsed after having dropped my tolerance and the EMTs scraped me out of a ditch and took me to my job, although thank God I don't work in the ED. Apparently I said something to the effect of "just let me die" which wound up getting me a babysitter (suicidaldrunksitter?) and wound up having to talk to a pgy-2 who very clearly (and nervously) recognized me. Fortunately my hospital is relatively with it on the evidence-based-practice even in behavioral health so he knew to wait until I was sober again to do a full assessment, because that would've been a whole week down the drain in grippy sock jail.

  • Do you think monogamy will always be the main "form" of earth or do we just break someday this code and just "do whatever we want"
  • I think polyamory is an immutable part of someone's sexual orientation as much as the gender preference spectrum (homo/heterosexual) and the intensity/situationalness (ace/gray-ace/demi). I think some people just naturally see sex and intimate relationships as something they can do openly with multiple people and some people just don't. I think it will become more acceptable for the people who see sex that way to find each other and express their love that way, the same as with all the other sexual relationships between consenting adults are becoming more acceptable. But the same way it would be silly to say we'll all be homosexual eventually I don't think we'll all be poly someday either.

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  • No I did it because the comment suggested it and it seemed like a cool idea. When someone programs a wholeass bot just to make it easy for me to be nice, I'm much obliged.

  • How can I help someone with a gambling problem?
  • Addictions often stem from a lack of stimulating activities or connection to others. The recent retirement supports this, as he would have lost both at that time. So he needs to get into some hobby that's less likely to leave him homeless, but that is gonna fill those needs. You gotta find him somewhere to go that's outside the house that he can:

    1. mostly rest/vegetate
    2. occasionally get rewarded
    3. do either alone or with a trusted friend
    4. consume mind altering substances while vegetating (usually alcohol)

    With all this in mind I now realize why there's so many jokes about old dudes fishing. Do with that what you will.

    But yeah. You should start some kind of multi generational hobby club for how to sit around and all be dudes together. There's probably some younger men out there who missed that part during COVID too so like. And figure out some activity that's not going to be horribly boring to the younger adults that won't be horribly overstimulating to the older adults.

    I've always thought the answer to the whole men's mental health crisis we're seeing today (I work in inpatient mental health) was getting men to connect better with each other in addition to women. A lot of guys say they weren't taught to talk about their feelings which means not only are they losing a lot of opportunity for emotional validation, but they're losing that validation from where it would matter most; the people most like them. I say this because a bunch of young male patients keep asking me for life advice and I'm like bruh we both know nothing I say is gonna make a lick of sense I wasn't raised in that box.

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  • Wait do you know about "Will You Help Me Repair My Door?" or the Lawsuit?

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    Explain this
  • Less restrictive environment so it takes us a second to get it reported. I wonder if lemmy has or could have a 30 day limit until you can interact with outside instances. Seems like a cool feature for federation in general. Would make it harder to make spam accounts.

  • B.C.'s health-care crisis: First look at massive markups by 'parasitic' staffing industry
  • Not as much as the residents actually. The longest I've ever had to work was 16 hours, but most jobs I've worked 12 is the max required in a row. Residents often work 24-72 hour shifts where they can be woken up by a page at any time.

  • CEO says COVID gave us bad habits, prescribes unemployment of 40-50%
  • Not true! You also have to be significantly lucky. I've met plenty of egocentric psychopaths who are stuck in small-time hustles and utterly pissed about it.

  • McConnell appears to freeze while speaking with reporters in Kentucky
  • MF having tias right the fuck up on the stage, lol. They've probably got him on anticoagulants since the first one but it probably doesn't take a big clot to fit through his arteries at this point. I can't imagine the amount of sclerosing and HTN is present in an excessively rich and exceedingly old white man. Wonder how much syphillis he's caught from 14 year olds.

  • Stories from New York City (image in post body)
  • In my defense, not seeing any buildings bigger than a barn until you're about ten, and not many more until 16 then going to NYC on a girl scout trip did almost cause a panic attack.

  • What is the most memorable/strange targeted AD you've gotten online?
  • From Amazon/target ads? The sketchiest ads I click on are probably temu.

  • What is the most memorable/strange targeted AD you've gotten online?
  • Oh my algorithm is FUCKED because I'm so insanely curious.

    So first of all I'm always googling stuff from medical procedures to culture and liguistics. That's part of how I found out that apparently black Americans will sometimes get a nose job to confirm better to western beauty standards.

    Second of all, I will click on everything that I can't identify, which often turn out to be kitchen implements or specialized hobby equipment. One time I clicked on some weird looking shoes, shortly followed by some bizarre looking amorphous plastic things which turned out to be special climbing shoes and screw-in footholds, respectively.

    So anyway, that's the story of how Google adsense thinks I'm an African American woman who hates her nose but is also extremely passionate about indoor climbing (none of this is even remotely true).

  • Which Distro for Theatrical Use?
  • Also scribus can be extremely clunky if you need to make flyers inkscape may be easier.

  • Studios Advertise $1 Million AI Jobs While Hollywood Writers Remain on Strike
  • Right like. I'm looking forward to AI to fill out the edges of things. I feel like an artist can make more and more beautiful art if they can focus wholeheartedly on a subject then just be like... "oh and put some grass over there. No a little shorter. A little less lush. Perf" or a video game designer can fine tune everything the main npcs say but then auto-generate the side npc responses except like "eeeeh. Make him a little removedier." I think it could be a great tool for filling in gaps, but not a complete replacement for human writing, at least not for a looong looong time.

  • Andrew Tate prosecution files reveal graphic claims of coercion ahead of trial
  • Honestly it's just fascinating to me that incel culture has such a huge fixation on chins yet their messiah doesn't even have one.

    I've been following incel culture for a while now (and honestly mostly because so many try to kill themselves after being exposed to poison from men like this). And most of the time I just wind up roping any male staff member I can find (everybody from security to chaplains) to talk to these young men because I know I have no business womansplaining healthy masculinity to these young men.

    But go ahead and get mad about one comment then read through my comment history for dirt like we're still on reddit even though lemmy said it would be different.

  • How many hours a day do you actually work?
  • So I work 12 but because I'm a night nurse a lot of the time it's just being there and monitoring, then occasionally doing something if the monitoring indicates the need. And particularly in psychiatry, a lot of the monitoring is passive. Sure I'll go personally check on people every few hours (the techs do 15 minute checks) but a lot of my monitoring is poking my head out of the nursing station to whisper-yell "WHAT THE FUCK IS THAT NOISE" or jumping up when the floorstaff move too fast (some of our security who know me well will actually frantically gesture at me to sit the fuck back down they're just showing their buddy a meme they got excited about).

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  • Honestly I'd settle for making sure the doctors hand off q12h. They often work 48 hour shifts with even more disastrous possibilities.

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  • 12s do make sense in Healthcare where every handoff is an opportunity to miss important information. For instance if you forget to mention all the specifics of all your patients injuries after a car wreck, the next nurse might not realize their sinuses are cracked and just go ahead and insert that nasogastric feeding tube into their brain.

    3 handoffs a day instead of 2 is 1.5 as many chances to make an error like that.

    That said, 2x12s a week instead of 3 sounds lovely.

  • Andrew Tate prosecution files reveal graphic claims of coercion ahead of trial
  • How is his chin that small even WITH a beard? Is that the real reason incels idolize him? I know they've got lots of weird chin issues is he like their Helen Keller? Chinless success story?

  • How to quickly get fleas or other bugs out of items you can't wash in hot water: leave them in the back seat of your car in 90° weather for the day. Fleas don't like that much more than dogs or babies

    Anyway my patient had bedbugs how'd y'all's weekend go?

    (Works best for fleas since they're usually a summer pest, when that 90° weather is avaliable, but works for other things if the opportunity arises.

    12
    Are there any good Lemmy tools to easily but properly nuke your history yet? Like PowerDeleteSuite works for Reddit?

    It just feels kind of gross having parts of me hanging out on the internet for too long. Like I haven't been able to wash my hands/face for a while. I do it manually occasionally, but I have to block off a morning or evening for it now when I used to be able to do it with a couple mouse clicks then go off to take a shit or w/e.

    15
    If any of you like to write/draw, I could use your help filtering these AI generated writing/drawing prompts for my inpatients.

    I told chat GPT to give me some prompts to help people with emotional processing/expression, and to get pretty weird/quirky, so some of them are kinda out there. I want that weird, stimulating creativity, but I'd like some help filtering out undesirable content/general bad vibes. Some of them also get a little trite, repetitive, or even just nonsensical, so it helps to filter those out as well.

    There's a lot of them, but I told it to shuffle them for every person, so even if you just rate the first five or so it gives you it should help. My end goal is to narrow down to about 1/4 - 1/2 of each, so if you rate however many you do at about an 1/3 bad, 1/3 ok, and 1/3 good, I should eventually get a pretty solid list.

    There's so many because I'm thinking about offering a daily challenge of one of each, and I want there to be almost no chance a patient will see the same one twice (I just feel like that would be really disheartening for someone stuck inpatient for a long time).

    Feel free to share this around in any creative or mental health circles you run in!

    2
    When you work in psychiatry and just accidently see through people sometimes?

    cross-posted from: https://lemmy.ml/post/2701716

    > The technician I was training was checking his phone ALL. NIGHT. And not in a way that was disruptive or dangerous at all. It wasn't even unprofessional imo. It dinged while we were cleaning up my 1:1 and I could see him get excitedly tense but he waited until we got our dirty gloves off to even look at it then asked if he could take a quick five minute break. Honestly he was so obviously lovesick how could I even say no. > > Whole night went on like that he was polite, professional, attentive, everything he needed to be. He kept the patients as safe as he needed to. But damn if he didn't smile every time that phone dinged and run to check it the second we had downtime. > > Around 1am I asked what her name was and he was SHOOK. "Is it that obvious?" Yes, honey. You don't actually have to tell me her name, and you are doing the job I'm training you for JUST. FINE. but YES, YOU ARE OBVIOUSLY SMITTEN, LOL. > > Ah, young love.

    1
    People seeking and buying "Stim toys" and viewing "ASMR Videos" are just a result of us removing people from the means of production.

    This isn't me being a luddite. Machinery has massive potential benefit to giving humans more free time to pursue things that fulfill them and the internet is an amazing tool for disseminating knowledge and increasing communication, whether it's about art, science, or philosophy.

    But I realized today, this person is just kneading different textures of dough and this person is just whittling. How many bakers and carvers loved what they did because it stimulated their senses in ways that humans have evolved to be fulfilled by?

    I have another theory (that probably aligns with disability theory in some way or other) that people with autism aren't actually more common now, it's just that they're sensitive to bright artificial light and loud noises and weird smells and foreign textures the world we live in is FULL of those. And what's more, we have ever increasing attentional expectations in the midst of all that!

    You used to just have a weird uncle Joe who doesn't talk a whole lot but man he can knead dough aaaalll day or thresh wheat or maybe he just makes cute little wooden toy horses all weekend and we sell them at the market on Monday. And it's weird how aunt sally hums like that but damn her lace embroidery is WILD. (we can discuss antiquated gender expectations at a different time).

    This isn't saying savantism/special abilities should be expected of neurodivergent people either, just that a looot of people probably flew entirely under the radar that way for a huge portion of human history and we're only noticing them now because we're progressively putting people in more and more noxious environments where even people who could've coped in those environments can no longer cope in this one.

    And now we have a whole industry of creating stimulation for people who never would have needed it if we just hadn't created an entire world without naturally occurring stimulation that they're "expected" to live in after humans spent hundreds of thousands of years learning to make tools out of wood and stone and cook over open fires, and crush and mix their own grain to make breads.

    And because all these things occur on a spectrum, we're seeing more people everyday who would have had no need for the stim industry now suddenly require it because we're progressively pushing more and more people who could previously have claimed one of those coveted "normal" labels into being "different" as we steadily push them to accept less and less stimulation in their daily lives and steadily push them to stretch their attention span more and more beyond what it ever evolved to do.

    TLDR; the ASMR/Stimming industry is only necessary because we created a world where those stimuli no longer occur naturally that people who need them have to live in. The concept of a "disability" is very intimately intertwined with expectations as to what environment any given person "should" be able to thrive in.

    43
    Nobody wanna talk about the trans-BPD link

    People don't wanna talk about it at all because it's too close to trans-ness being a mental illness but imma come at this from entirely the opposite direction:

    The NO.1 predictor of a cluster B personality disorder is a consistently invalidating childhood environment.

    What's more invalidating than spending your whole childhood saying "hey I think I'm actually a-" and every single person around you cutting you off right there and saying "no you ain't." Psychiatry ain't shit without social context but psychiatry is also coming to accept that being constantly invalidated as a child gonna do your brain the fucky-wucky.

    It's ok to accept that trans ppl are at an increased risk of personality disorders due to our completely fucked societal norms. Accepting that we're at increased risk of mental disorders due to societal bullshit =/= saying being trans is a mental illness. If anything, it's an indictment of the society we live in.

    TLDR; trans ppl are at increased risk of mental illness =/= transness IS a mental illness and we still deserve to acknowledge the trauma society done did to us.

    0
    Lemmy no longer works on the android app?

    I think it's lemmy.ml specifically but I don't know for sure? Anyone have a good workaround?

    EDIT: Thanks to everyone who suggested Lemmur! Had no idea it existed but I've got it installed now!

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    agertudici aedalla @lemmy.ml

    Psychiatric Registered Nurse

    Love memes and scifi/fantasy.

    Posts 9
    Comments 35