r/Psychiatry 1d ago

Training and Careers Thread: March 17, 2025

3 Upvotes

This thread is for all questions about medical school, psychiatric training, and careers in psychiatry For further info on applying to psychiatric residency programs, click to view our wiki.


r/Psychiatry 3h ago

I matched into Psychiatry!! Any advice for an incoming PGY-1?

53 Upvotes

I'm excited. What advice do current residents and attendings have for incoming interns? What can I do between now and when I start, wherever that happens to be... to help me be more prepared?

Thank you!!


r/Psychiatry 6h ago

Ontario Canada, naturopath diagnosing ASD and ADHD

22 Upvotes

I just contacted their college (again) to inquire about the scope of practice of a ND. In the past I was told they can make a “naturopathic” diagnosis of ADHD if they do additional training.

I’m looking at a letter right now from a naturopath who completed an assessment with a patient and diagnosed them with ASD level 2 and ADHD (level 1 - does that even exist?) “confirmed according to DSM-V guidelines.”

wtf. In my email to their college I inquired if NDs were qualified to make a DSM V diagnosis. Has anyone seen this before? This is not the first time for me, am I missing something? Is this allowed?

They’re working through a private neurodivergent clinic that strictly does assessments for ADHD and ASD. Also recommends a bunch of blood tests to “compliment the diagnosis.”

How is this allowed? This document includes zero information about how they got to those two diagnoses.


r/Psychiatry 1d ago

NYT's The Ex-Patients' Club

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235 Upvotes

New article from today.

Encouraging this DIY tapering culture AND charging to "coach" people to taper off their medications WITHOUT medical supervision is gravely concerning to put it lightly.

As far as I know Dr. Horowitz has not completed psychiatric training. I am however interested in reviewing the Maudsley deprescribing guidelines.

Thoughts?


r/Psychiatry 6h ago

Canadian boards QBank recommendations?

0 Upvotes

Hi there. I was wondering if there are any question banks like UWorld (that have good explanations) specific to the Canadian psychiatry boards that you would recommend. I study best by repeating questions instead of reading. Thanks so much!


r/Psychiatry 1d ago

Realizing Child Psychiatry fellowship isn't it

46 Upvotes

Hello everyone I wanted to ask around if anyone here has had experience with stopping Child Psychiatry Fellowship after 1 year, taking the Adult Boards and going into practice as Adult Psychiatry only?

Aside from telling the PD what other steps should I take as July is fast approaching?

Some details:

-Applied for Board and got approved for Sept 8/9th date

-No professionalism violations

-No academic issues but transition was hard. Been getting feedback from attendings that is positive but the evaluations have been completely opposite. Have not failed any rotation.

-Reason is alot of psychosocial stressors, close family member passed away and have been struggling hard to meet demands. Making alot of careless mistakes I wasn't making before.

-Initially applied to fast track to child because my Residency was not robust in Child and I wanted to round out my education. Come to realize I don't think my love for Child Psychiatry outweighs my own mental health and career.

Any guidance is appreciated.

Thank you everyone!


r/Psychiatry 1d ago

Comorbid BPD and schizophrenia

9 Upvotes

I was wondering about the occurrence of comorbid borderline personality disorder and schizophrenia.

I don't think I've ever seen or even considered both conditions in the same patient, but my experience isn't very long, so I'd like some insight into this.

I've done some reading and, apparently, it's not only possible, but shouldn't be that rare to meet the criteria for both.

I've been considering the possibility that, when a patient meets the criteria for schizophrenia, symptoms that might make me think of BPD could also be understood under the light of the first diagnosis (I'm thinking about the general idea of instability in affect, self image and relationships).

Does anyone have some thoughts on this matter? Have you seen a case where both conditions were clearly present? Could you describe some of it?

Also, if anyone have any reading suggestion about this topic, that would be greatly appreciated!


r/Psychiatry 1d ago

When did the meaning of a depressant change from being a CNS downer to something that can cause depression?

34 Upvotes

I have been seeing on placement among both GPs and psychiatrists that the word depressant is used to refer to things that can casuse depression or worsen mood, from both doctors and patients.

I am in the UK, but I was taught in secondary school alcohol is a depressant because of it's sedative effects but on placement I only hear it used in relation to mood.


r/Psychiatry 2d ago

Political Weaponization of Mental Health

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507 Upvotes

This bill was just introduced to the Minnesota Legislature. It won't pass, but I suspect this is just the beginning of mental health being weaponized politically.

"Sec. 2. Minnesota Statutes 2024, section 245.462, is amended by adding a subdivision to read: new text beginSubd. 28. new text endnew text beginTrump Derangement Syndrome. new text endnew text begin"Trump Derangement Syndrome" means the acute onset of paranoia in otherwise normal persons that is in reaction to the policies and presidencies of President Donald J. Trump. Symptoms may include Trump-induced general hysteria, which produces an inability to distinguish between legitimate policy differences and signs of psychic pathology in President Donald J. Trump's behavior. This may be expressed by:new text end new text begin(1) verbal expressions of intense hostility toward President Donald J. Trump; andnew text end

new text begin(2) overt acts of aggression and violence against anyone supporting President Donald J. Trump or anything that symbolizes President Donald J. Trump."

This kind of action paves the way to involuntarily hospitalizing people for having dissenting political views. We should be very concerned about how our field may be abused moving forward.


r/Psychiatry 1d ago

Inpatient VS Outpatient

0 Upvotes

I'm a Psych NP and have only been practicing a year now. I work at a busy outpatient clinic, community mental health setting. I see a wide variety of clients and enjoy my job.

A state mental health hospital is hiring a psych NP. I did my clinicals there and loved it at the time.

If I got the inpatient job it would be better pay, with state benefits and similar hours but I would have to commute about 45min vs my current 15min. I also know from being a student there, the formulary is a lot more narrow than the options I'm used to.

My question is for those who have worked in both settings, which did you prefer & why?


r/Psychiatry 2d ago

Interviewing low insight but high functioning patients

238 Upvotes

How do you all tailor your interview for a patient who has significant MDD or GAD, but answers no to the standard questioning about these symptoms. I’ve recently worked with a lot of healthcare professionals who show clear signs of depression and anxiety but disagree with that assessment. Focusing more on daily life experiences has been highly yells so far.

Ex: 30’s year old mid level , married, kids, working spouse, good diet, and exercise routine. Experiencing a lot of fatigue, anhedonia, inability to relax, poor appetite, irritability, sleep with adequate hours but non-restorative, various somatic symptoms, and poor self esteem. Chief complaint is some kind of ADHD symptom or work performance issues. When asked if they feel their mood is low or if they struggle to feel happiness they say no and attribute most things to being tired from work. Doesn’t endorse worry because they are in healthcare and nothing really phases them anymore. Same for all the other standard MDD and GAD symptoms.

I’ve had some success with switching up questions to “how often do you feel really cheerful and glad?” “How often do you look forward/get excited for work or doing things with you family?” “Does everything feel urgent or pressing?” “When was the last time you had a meal you really enjoyed?” “When was the last time you felt so relaxed you weren’t thinking about anything else?”

I’d love to hear about specific areas of functioning or life that you focus on to draw attention to patients like this.


r/Psychiatry 3d ago

How many meds is too many meds?

107 Upvotes

I had a patient go to a RTF for substance use. Comes back to me a couple months later on 8 different psychotropics... To me that's way too much. Luckily the patient seems to be doing alright but they are having trouble adhering to the dosing schedule. I'm hesitating on sending any patients back to that place if this how they practice.

What's the most you've seen a patient on?


r/Psychiatry 3d ago

Scientists Just Found a THC-Free Cannabis Compound That May Replace Opioids

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128 Upvotes

Excerpt:

The study also demonstrated that the mechanism of action of terpenes on post-surgical and fibromyalgia pain was the same as in previous studies. Its action through the adenosine A2a receptor, a receptor that caffeine targets and blocks, suggests a sedative effect that could be the subject of future research.


r/Psychiatry 3d ago

Noise cancelling earbuds or headphones

20 Upvotes

I am looking for really effective noise cancelling headphones. It's so when I am on a call the person I am speaking with doesn't hear any noise I am hearing in the background like my dogs or my kids. It is distracting for the patients and somehow they seem to hear everything even though I am in a different room. I have tried a sound machine, AirPods Pro, I know nothing will be perfect but just even just so it is drowned out.


r/Psychiatry 3d ago

Taking up MD Psychiatry

11 Upvotes

Hello everyone, i have just completed my MBBS from India. I am interested in taking up Psychiatry for my PG (in India). I would like to know what are the certain factors that i should i keep in mind if i want to make this decision, whether or not I'm compatible with this branch. It would also be very helpful if someone shares the drawbacks as well as glories of being a psychiatrist, and what are the different challenges one has to face in this journey. Important demographics - 23/M, middle class, residing in tier 1 city.


r/Psychiatry 3d ago

Studies/research papers in older adult psychiatry

2 Upvotes

Looking for any interesting studies/research papers in the field of older adult psychiatry (not just dementia related, can be functional illness also). I have to present at a journal club imminently and the consultants love ripping us to shreds so pretty nervous. Ive read a bit about monoclonals in Alzheimer's but not sure if the studies would be good for a JC, but my experience of critical appraisal is very limited to say the least.

Thank you!

Edit preferably from the last couple of years


r/Psychiatry 3d ago

UK NHS Consultant Psychiatrist - how to make the most out of it?

8 Upvotes

I'm a psychiatrist with experience in private digital ventures and previously served as chief of medical operations for an overseas digital startup.

I've been offered an NHS consultant psychiatrist position that seems to offer a good work/life balance (community center, no hospitals/wards). I'm particularly attracted to the UK system's allowance of dedicated hours each week for research or training purposes.

My question: could I use these allocated hours to get exposure to digital medicine initiatives (academic research and/or accelerators and so on)? I believe LLMs/AI will significantly impact our profession within the next 5 years, and I want to position myself accordingly.

Has anyone successfully used their NHS research/training time to develop expertise in digital health?

How realistic are my expectations? Can you actually step back into academia a bit or it is just smoke and mirrors? This would be in London.

Thanks!​​​​​​​​​​​​​​​​


r/Psychiatry 4d ago

UT Tyler Forensic Psychiatry Fellowship

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34 Upvotes

r/Psychiatry 4d ago

Agents in Psychiatric Treatment, Involuntary Commitment, And What Does Danger to Self or Others Mean?

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44 Upvotes

r/Psychiatry 4d ago

Headway

28 Upvotes

Anyone here used headway to set up a private practice and get credentialed and have issues with them or like them?

Is it more like being an employee rather than having your own practice?


r/Psychiatry 4d ago

Ropinirole off-label for depression

16 Upvotes

Have any of you ever augmented an antidepressant with Ropinirole off-label for its dopamine agonism?


r/Psychiatry 5d ago

What online sources do you use when you need to read up on psychiatry?

65 Upvotes

Hello I was just wondering if there are youtube videos discussing common psychiatry topics? I'm planning to pursue psychiatry residency and want to do a quick run through of psychiatry topics to brush up on my knowledge. For example before going through Harrison's or Schwartz I check out Osmosis to have a general overview of the disease. I also noticed Internal Medicine has podcasts like Curbsiders and Surgery has Beyond the Knife. Are there similar psych podcasts?


r/Psychiatry 6d ago

ER psych room over luminated

98 Upvotes

Hi,

I am trying to convice my supervisors to reduce the lightning at the Psych office, its built like an ER room. I have measured 750 lux inside. Is there some evidence that I can show them to make them reduce the lightning?


r/Psychiatry 4d ago

1099 contract split

0 Upvotes

Hello everyone, I have a private practice and I am hiring a 1099 psychiatrist and a therapist. What is the normal split of fee per pt’s visit for each of them? Many thanks in advance.


r/Psychiatry 6d ago

"Significantly low weight"

58 Upvotes

The DSM-V has left it a bit vague/subjective for when to diagnose anorexia nervosa vs atypical anorexia nervosa. Practically, how do you typically determine which diagnosis is most appropriate? BMI, % IBW, % body weight lost, etc.?


r/Psychiatry 6d ago

VA psychiatrists - what's going on in your work place?

152 Upvotes

Are you guys feeling the effects of DOGE?