4th year medical student here, gonna be a psychiatrist. Ask me questions about sex and drugs...

DO, 250/262. I’ve always been a good test taker.

How do you feel about psychedelics?

Wait are you also a med student? What do you want to go into?

No. There are some drugs that can limit the damage during/soon after injury, but once that damage is done, it’s done.

Fuck those are good scores

I guess you had options, why psych?

Because psych is cool and I was way to lazy to do the work required to match derm

How were the radiographers during your rotations? Were they chill?

Why is norepinephrine a target of some antidepressant drugs?

Well anything that cause neurogenesis and improve neuroplasticity and detox the body from Persistent Organics Pollutants and improves the use of energy and waste managment from the brain like ketosis
Come on try harder where's you countless research?

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Thank you. Canada is top priority for sure but it is very competitive. My 3.7 GPA is an uphill battle because many people here have 3.9+. Also we do not have a lot of schools here. For people who are not from certain provinces it is even harder (i.e. McMaster in Ontario is my top choice but I am not from there and they only accept 10 or so non Ontarians). US schools I am shit out of luck for. I have not taken the pre requisite requirements. Most Canadian, Australian and British med schools don't have tons of pre reqs whereas in the US I would need to take orgo I and II, biochem I and II, physics and calculus I think. I have only taken anatomy, intro bio, intro chem, and a lot of psychology. Taking additional pre reqs would add on even more time to my undergrad. Also US schools are insanely expensive in comparison to Canadian or even a couple of the Aussie/British schools I was looking at.

How was your urology rotation?

How fucked is an IMG who scored about 200 on step 1 if he wants to match to psych?

What was a typical sexual history like?

Incoxitation
Med student, continued

The “swelling” of the inner labia during arousal is very slight and is more of a shape/orientation change than a size change, as her clit swells and “tents” the labia with it, though you might see no change at all. It will certainly not change an “innie” to an “outie.”

Repeated bouts of arousal do not make the labia increase size over time. This idea is *dumbasses making shit up.*

I’ve done pediatrics and OB/GYN. The size of labia usually becomes apparent at age 9-10 when the girl hits puberty, but may begin slightly earlier. The size of the labia will not change with onset of sexual activity.

From personal experience, there are ways to tell (not perfect) if she’s “gotten around,” but labia size is not one of them.

Did looking at all those vaginas arose you?

Didn’t meet many, didn’t do a rads rotation
That’s kind of a tricky question. I’m sure you know that norepinephrine contributes to focus, alertness, and a sense of well-being. However, the true mechanism of how SSRIs is both very complicated and not well-understood. The best way to put it is that, over the long-ish term, they push the brain to re-wire itself in ways that are conducive to feeling better about life. Bringing the norepinephrine system in on the action may, in some people, make the drug work better.

Lead exposure causes most of its neurological damage in childhood. The major effects are done with. As for neurogenesis, etc, any Claim that a drug can substantially improve neurological function after years of brain damage should be met with intense skepticism. Most “neurogenesis” we see takes place in a Petri dish, tiny animals, and nowhere else. Even if it did work in humans, how does that drug know which neurons to regrow? Why would it magically regrow neurons that help functional intelligence, instead of just causing cancer? Will taking piracetam/nootropic stacks cause a lot of harm? Probably not. Will it actually help? My money’s on no.

Basically OP answers nothing but how much of a faggot is with his scores and the whole thread except for a few is about porn and vaginas, I wouldn't be surprised if they start talking about cocks and specifically nigger cocks with greentext and nothing about science.

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What are your opinions on prescribing psychiatric drugs? I guess you don't have too much experience dealing w/ legit patients yet, but preliminary thoughts? It seems like a lot of patients w/ MDD, anxiety, adhd, ect are always on meds. Obviously I'm uneducated and retarded, but in your professional opinion, is having a high patient population on SSRIs or anti-anxiety's worth it? would you, personally, be quick to prescribe a patient, say, without any history of therapy?

My b/f is on zoloft, anti-anxiety, and ritalin for his adhd. (takes him over an hour to cum, haven't done it myself yet. he uses fleshlight, it's bad) I got frustrated with my ex because it seemed like he thought if he got diagnosed with anxiety/MDD, then he would get 'happy pills,' but that's obviously not the way it works.

Basically, are neuro drugs worth it, especially in young/teenage patients (who seem to be taking it more so than gen x or boomers). Do any of them understand the risks of taking it?

I’ve answered pretty much every question except for “why are you a faggot?”

Need a more specific question.
Didn’t do one. I can probably answer some dick questions if you got them though.
If you have research, great letters, and overall strong evidence of being truly dedicated to psychiatry, you’ll might be ok. If you got nothing but a 200 and a few average letters, you’re fucked hard.

No, it’s really not very arousing. Most of the women are sick and pretty unattractive. Even with the rare attractive girl, you’re too focused on doing the exam properly. Arousal is context dependent

Hello Dr.,

Asking your opinion. I’m 28, got married young, have 2 kids, grad degree, house, cars, decent enough job. I’m depressed as fuck and want to an hero every day. Hate my wife, hate my job/boss/coworkers, hate my dog, hate my family, hate my friends, etc. The only people I like are my kids and that’s probably because they’re too young to understand how much of an asshole I am.

Tried everything. Went to therapists for years. Started exercising 3x week. Started eating better and trying to sleep (still can’t). Tried many antidepressants and anti-anxiety meds; taking wellbutrin and vistaril right now. Physically feel much better, but mentally I’m getting worse. I even started a PhD on the side, just to keep myself busier. Downtime is the worst possible thing for me so I work as much as I can.

Started smoking weed to try to help (never even tried it before last year). Have been avoiding drinking for the most part although I said fuck it a few times and got black-out hammered. Last weekend I got in a fight with my wife and just decided to drive 400 miles to another city and fuck a stranger. Despite all this, somehow I’m still functional. I get all my shit done and show up on-time every day.

Don’t recommend divorce, I’m working on it.

The only reason I don’t just kms is because I worry it would fuck up my kids even more than being around me will.

Thinking about trying psychedelics, although I would predict that with my mindset I’d just freak the fuck out.

Wat do?

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>tldr im schiz can the illness be residual schiz and live life off meds or can the illness subside after years

I have schizophrenia. Im on invega trinza and have no symptoms. I was diagnosed 3 years ago at age 18 afer i was arrested. Ive been on antipsychotics since. Ive tried going off twice. First time was 8 months after diagnosis, i started feeling jumpy and had a hypnagogic hallucination and got back on meds. Then 2 years after diagnosis i was on the lowest dose of latuda they have and after a month or so i had some auditory hallucinations. Then hospitalized, put on geodon once daily. The geodon is supposed to be twice daily, i had this weird dopamine rebound effect after the half life of geodon (7/10 hours) wore off. I lost most cognition for an hour, but after that I felt normal like i did prior to psychosis and prior to drugs. Is it possible for schizophrenia to go into remission and live life off drugs? Im 21 now.

Therapy and SSRIs in *combination* is the most effective treatment. You should be getting BOTH.

The right thing to do is tell the Dude his options. Lifestyle modifications like better diet and exercise *might* help if you really want to avoid meds. If it’s true MDD, though, the chances of that working are slim. He also has the option to do therapy alone. All the doctor should be doing is telling the patient “these are your options. These are their success rates. I will guide you through any of them, and work with you to maximize efficacy and minimize side effects.”

The side effects are usually mild, which is why, at least for depression, the drugs are preferred. But you need to know how to properly use them, and the patient needs to speak up if he’s having problems. If sexual issues are a problem, there are several steps to take to correct it. You’re supposed to try different drugs.

If my degree is in psychology, I have undergraduate psychological research experience, 1 publication, and some research/good elective experience in med school is that sufficient?

Why does venlafaxine have such severe withdrawal symptoms compared to regular SSRIs?

can i get chlamydia anywhere without a prescription?

My serotonin always shows zero on plasma tests. This was after severe intestinal damage due to laxatives after constipation for 10 days. Almost died of peritonitis. This was 4 years ago.

Ever since then, always syper coinstipated and smelly poops. All drs say it's in my mind but I feel super depressed and zoloft, which used to have good effect, now makes me feel so fkn weird. Could it be my non existant serotonin?

Also, why do psych drs do not aknowlege serotonin made in bowels?

Also why psychs do not test meds on themselves to determine if a med is shit or not?

How long does one have to wait after cumming to blow another big load and how can I make my cumshots bigger?

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what do you think about using strong reward-boosting drugs to treat patients with comorbidity of conditions likely dopamine related; like aspergers, adhd-i.. basically the idea of reward defiency syndrome underlying that?
i have those, and social anxiety worsened by traditional anxiolytics... read a few papers about RDS and it was like a textbook perfect fit.
but currently, strong treatments are banned if not legally than practically; they've been a real lifesaver for me though. major relief on all my problems, long-term using opiates. stimulants would be ok short term but since side effects scale with dosage, had to stop those.

edging

Drug dealer

sure. just go to any bar or club and find the sluttiest girl, you'll have your chlamydia in no time

Dare I say, the dream

I thought so my question was a little vague

What can you tell me about how the lsd n other psychedelics makes you see a strange overlay over your vision akin to several photoshop filters working together, and how sounds appear to become visual and how my nervous system all around feels senses not normal to them, such as experiencing strange smells and in a way sensing something in sensory neurons that that region isnt associated with normally sensing

Idk my questions all scrambled too lazy to make it neat

>This was after severe intestinal damage due to laxatives after constipation for 10 days.
kek what?
10 days is routine for me.
but i think i'm the world record holder, especially for normal passage afterwards... didn't poop for 92 days once.

It’s not my place to comment on your particular medical/psychiatric condition. You got a lot going on and I don’t know your history. But if your depression seems to be resistant to several of the right meds used at the right doses, the next step is to go to a psychiatrist who can discuss your options. IECT/TMS are incredibly effective, and ketamine is showing huge promise - you may be able to get in on a trial if you find a psychiatrist who thinks you’d benefit.

Schizophrenia does not subside with age. You will experience psychosis if you stop taking the meds.

Here’s a really important thing to know: in schizophrenia, the symptoms are your brain dying. Psychotic episodes literally kill brain tissue. The excess of dopamine that floods the synapses during a psychotic episode kills brain cells. Each episode of psychosis makes you lower-functioning - and this is progressive. The 50 year old schizophrenic who never took antipsychotics will often need a nursing home because his brain has been so destroyed.

Antipsychotics SUCK. There’s no question about that. But they’re currently the best tool we have to protect your brain and your ability to function in society, and they work very well. Better ones are being made every day. And the shitty effects of antipsychotics are nothing compared to the alternative of having your brain fry itself.

Do you think the lag time before depression lifts is due to downregulation homeostasis?

When faced with mania would you the prescriber start the patient on lithium or depakote? And would this be because of time to reach stable concentration in the blood?

You a male or female? I got a blockage and hte shit was pushing so hard it enlarged my colon. Started to suffer from vasovagal episodes afterwarsd that almost stopped my heart. Also my shits are so wide now, I can't even pass them. And haemorrhoids all the time.

I have schizoaffective disorder. Any questions for me?

OCD as well

male.
it definitely enlarged my colon; when i finally got it out it was wider than a soda can and 2' long, followed by several baseball-sized chunks.
eventually your body reaches a point where it's just like 'no' and you go from not being able to go to having involuntary go from minor ones just squeezing out a little bit of overflow diarrhea to like full-blast extreme taco bell power only it's a giant block instead of liquid.
extraordinarily painful and i bled for hours.

>Here’s a really important thing to know: in schizophrenia, the symptoms are your brain dying. Psychotic episodes literally kill brain tissue

Yeah no.

get into fisting your ass, i have big shits too but since i started to play with my ass they are a breeze... i can plug any type of toilet on a good day

Recently diagnosed with Lupus. Take two Plaquenil daily and every few months have blood taken.

I've got most of the symptoms and all I've been told is stay out of the sun and heat or minimize exposure. Frequent headaches, chronic knee pain in both knees, memory problems, brain fog, butterfly rash, malaise, fatigue, etc. I work outside all day in the sun and heat.

Doctor hasn't been much help in explaining the disease to me, everything I've learned is from the internet and what I've dealt with so far.

Is there anything in particular about the disease you think I should know about?

I've noticed my hands sometimes shake, especially when I'm holding a small object like a utensil when eating. Is this a symptom?

Dermatologist says I may also have Rosacea because on top of the butterfly rash, my face also gets clusters of pimples (but not regular pimples), sore to the touch, and my eyelids are swollen and red. Is this Rosacea?

What is the best way to manage this disease? It's pretty rough mentally.

I'm interested in this, user. For how long have you been like this? And what is your approximate age?

Also, do you suffer psychiatric/psychological issues due to this? did it have a trigger?

>implying that brain tissue cannot be regenerated?

Yikes.

Also, I literally had voices in my head years ago. Thought I was going schizo, turns out it was just a demon I was dealing with, telling me to kill myself etc. I know some of you doctors and med students think the physical is all there is but the spiritual manifests into the natural. That's why I no longer hear voices telling me to kill myself etc. It was strictly spiritual. Anyways. Good luck to you in your med school. I hope your life is full of positivity. Night.

Thank you. I’ll look into those more and ask my doc about them. Appreciate the advice.

I drink a fifth of vodka every night after work and have for years. 28 male here. How old will I live to?

Get fucking EXCELLENT letters - and a lot of them. Know your psych drugs cold.

Do a lot of away rotations at not-so-desirable institutions.

And be prepared to do family medicine. You can still practice some outpatient psych.

Not quite sure, sorry.

Serum serotonin tests don’t tell you much. If you’ve seen a Gastroenterologist who has evaluated your constipation, and told you that you’re fine, your options are a) go to a big university GI doc for a second opionion, and b) consider that it might be in your head - which there’s no fucking shame in. Your head can do fucked up things to you, it doesn’t mean you’re making it up.

Psychiatrists do ackowlege that serotonin is important in the bowels - that’s actually why it’s called serotonin, and why the most common side effects of SSRIs is stomach/bowel discomfort.

The time is too variable to comment on. Cumshots will always be bigger when you 1) go a long time without cumming, 2) edge 3) are extremely aroused, and 4) actually have a woman there As opposed to masturbating

It’s a legal and ethical nightmare. The best way I can describe it is “yes, it might work, but at what cost?”

It’s a really interesting academic idea, but no doctor who wants to keep their license would ever use opiates to treat autism disorders, and no ethics board in the world would approve such research.

I’d sure like to see some cool experiments using, say, dopamine agonists, but if I had to guess, I would say that they would risk making the restricted behaviors worse in a lot of autism kids.

The best explanation I have is that it works on the same machinery that causes dreaming.

Uh, yes. Dopamine excitotoxicity is a feature of schizophrenia, though this is more well-known in Neurology and in more academic psychiatry,

Thanks medanon.

ok, so here is a thing-
since i can remember whenever i had a fever i had hallucinations- very specific ones at that.
1- chaotic thoughts that seem like voices but not quite the speaking voices. feels like anger/anxiety voices/thoughts and leave me very uneasy because its not me experiencing the anger/anxiety but its like being with a person that has those.
2-when i close my eyes and i put a hand over my head it feels gigantic and is crushing me.
3- visual hallucinations when i close my eyes. dark colors mixing together in a very specific pattern- brown and dark red mainly
i sometimes have days that i experience the thoughts only when i sit at a computer but i don't think i'm having a fever...
wtf is that?

I FINGERED MADDIE ZIEGLER. there, I said it, its out there now and i don't give a fuck. two weeks ago I met her and she has this snotty little attitude, I'm just a sucker for spoiled little rich girls so I walk up to her ask whats up. Next thing I know i'm in her bedroom she's showing me all these awards and shit telling me how basically she's a big deal. I had no idea she was the girl from some music video. before I know it were on her bed making out and she actually moves my hand towards her panties so im thinking "fuck it", and I fingered her. she cums which is pretty damn hot to hear her moaning in my ear and i'm thinking "nice, i'm getting to tap that" but no. suddenly her phone rings. it some bitch with a SCREAMING voice telling her to come to "the studio" or some shit. she gets up and goes "shit im late" and im like "what about me?" so i whip out my dingaling and shes like "wut? gross! no! I gotta go!" she packs a whole bunch of stuff and then her mom knocks on the door. "my moms here, quick, hide your cock!" she hisses at me. next thing I know we're all in the car, she asks me where they can drop me off. then she pulls up this window thing in the limo so her mom and the driver dont hear and lays it on me : "look, if you tell anybody about what we did, anybody at all, miss abby and my mom are gonna have you killed." i am like what. the. fuck. next thing i know i'm being kicked in my side out of the car after it stopped and in to the snow. as they drive up she opens the window of the car a crack and hisses: "remember now! dont call me i'll call you" its been a long time now and i still havent heard anything from her. tried to call her but she blocked my number so i figured fuck it, i have to tell you guys this. what a bitch. what an ungrateful little whore. she was hot though. never met her sister but heard shes hot too.

Not op but this is me when i get the flu. Hands feel like giant balloons and i hallucinate the world around me

well not going for 7-12 days is routine but longer is rare since i try to avoid getting into that situation. only had a couple other extreme durations, one about 32 days the other around 45.
i'm 35, it's primarily from extreme opiate use, but those extreme times once i hit the 2-3 week point i knew the pain from going would be so severe i'd be afraid of it and actively tried to put it off as long as possible... here's a greentext i typed up for a drug stories thread about how that goes:

>constipated big time from 10-15 80s a day habit, had not gone in 2 weeks
>fear the pain, so put off going
>week 4 passes, now so terrified of the pain i've almost stopped eating to buy more time
>week 5 comes around, i start shooting more and more 80s to suppress the urge, along with not eating
>hit week 6. i'm constantly fighting the urge to go. cannot sleep more than 15 minutes without waking up to suppress the urge again
>shooting upwards of 30 80s a day now trying to stop the urge to shit; only eating 1/2 a pack of ramen every 3 days
>completely delirious from lack of food, lack of sleep, and excessive drugs
>week 8, now with contractions where it squeezes but can't move the shit
>each contraction accompanied by a little bit of overflow diarrhea... shit myself a little every 10min
>wake up one time on day 92, body sends clear 'fuck you it's happening now' signal and i run to toilet
>next 45 minutes is absolute screaming at the top of my lungs agony
>imagine the power urge of a massive diarrhea episode, only you can't physically push it out
>at long last, gigantic chunk as long and thick as my forearm comes out (and i'm a fatass)
>crying it relief as it's followed by 3 baseball-sized globs
>blood is absolutely gushing out of my destroyed anus
>sit there bleeding for hours, pass out from blood loss, lack of sleep, lack of food, and pills
>wake up to devastated asshole a few hours later. pain continues for days

interesting, do you have these weird thought chaos in your head? this is the most troubling to me because its borderline voices in my head.

pic of the turd

Thank you, duly noted. Not currently an IMG but I very will likely pursue medicine in Europe or Australia if I can't get into a Canadian school. Matching in the USA is more doable than Canada. I anticipate my USMLE scores won't be more than average though or perhaps even a little less cause I doubt myself. Appreciate your input a lot though truly.

>I’d sure like to see some cool experiments using, say, dopamine agonists, but if I had to guess, I would say that they would risk making the restricted behaviors worse in a lot of autism kids.
well they already use amphetamines and methamphetamine to treat ADHD, so using it for other things doesn't seem out of this world; especially since the ADHD-Inattenive subtype is already a major feature of RDS; it wouldn't really be using it to treat an autism disorder, just one particular autism-spectrum disorder is correlated with the other cluster of RDS related disorders--- other autism spectrum disorders are not.
and given that, opiates are really no more dangerous so i understand the refusal, but it's sure as shit not grounded in medicine and science, just our hysterical opiophobia.

enjoy prescribing shit drugs to people who'd be better off without them for the next 40 years or so
wow, what a stellar career awaits you
fucking cunt

also, what's your stance on pharmakeia and shilling for pharmacomafia in general?

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What’s the nastiest thing you’ve smelled?

Have you ever read "The House of God"?

I know youre not a doctor but im gonna shoot my shot anyways

I suffer from halitose; bad breath, as quickly as 15 minutes after brushing my teeth/tongue. My dentist says I should floss more.... yeah fuck you too, idiot. I'm 24 and I cant wrap my head around it.. I brush every day and I floss occasionally, what the fuck is causing this shit

2. My dick also smells. Like what the fuck. Its not an STD, I havent fucked in a year, but about half a year ago my foreskin(eufag) got red, swollen and started itching. That went away within a week but now, half a year later, it has a bad odor. It doesnt smell disgusting, only if I dont wash it for a day, but even right after a shower it smells bad. I know I should go to the doctor but im too embarassed even though I can rationalize the situation.

How can a decently groomed human produce these odors man wtf

1. See a fucking dentist eurofag
2. See a fucking doctor eurofag

I bought this prostate vibrator but I am having trouble getting it all the way in, how do I get it past the last hill and all the way to the base, first time trying ass play.

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I'm also 24 and as far as I know I don't have any halitosis. I don't brush my teeth at all because I'm sad. I might also just not notice it because I induce sneezing very often when I run out of masturbation attempts for the day.