I have 4, one for each decade of life

1. Stargate SG1
2. Anatomy, Physiology, Psychology, and Sociology of Sex
3. Violence prevention, deescalation, and management in inpatient psychiatry (which became my career)
4. Western Esoteric spiritual practices including Tarot, Astrology, Tasseography, Palmistry, and the myriad religious beliefs that they syncretistically evolved from

Yeah hubs is right about these things about 90% of the time (me not being on those parts of the internet often) but nobody bats 100%

a) most of the time you actually don’t want to know. You take precautions with everybody, half the time knowing just makes it harder to pass dinner trays.

b) they also just. hire brand new adults with highschool diplomas. give them a two week crash course in psychiatry. then just. “Here’s the criminally insane men!”

It’s also not hard to do casually without having to grovel. My nursing subspecialty is violence management and I frequently respond to things with,“thank you for reminding me, I’m going to go do that now!” and,“I hadn’t realized that was your preference, thank you for letting me know!” or,“that’s a good thing to point out I’m glad you’re being an active participant in your care!” You don’t even have to say you’re wrong half the time you can also just regularly tell people they’re right.

I’m aware. I’m telling you someone told me in other parts of the world the solution is letting wild animals eat them.

you said what I was going to but much better

Yeah I worked with criminally insane men for two years before moving on to normal acute psychiatry. For the most part they’re just sad and petty. There was only one that ever truly gave me the heebie jeebies and one after in regular acute. In both cases though I did not know what they had done until later; in the moment there was just this instant visceral NOPE feeling.

The wildest part to me was the international / immigrant nurse who was shocked that in the US we care enough about the mentally ill to bother putting them in prison. She was like “back home if they don’t have family that’s willing to take care of them we just physically throw and/or kick them out of the city and let them wander off and die.” Like I’m horrified by the US prison industrial complex but that was a whole new level of unhinged that I didn’t even know existed.

I’m really proud of the 10 round call and gimp response that resulted in my profile pic. Recently got a loving shout out in another comment when I brought up my delight in biting dicks (TLDR; increased sensitivity and emotional intensity).

I mentioned it and hubs immediately went on an unhinged rant about something called rationalism, “a snowcrash style ocean flotilla cult,” and his trust fund friend who hates homeless people (in his defense he did get stabbed but I can also hear him in my head saying the kind of dumbass thing that would get him stabbed). I’m still lost so I’m just going to keep trying to finish Interesting Times by Terry Prachett which I got for $1 as a paperback at my library’s used book sale last fall.

Depends on how relaxed I am, similar to a deep tissue massage. Hubs has a Goldilocks dick it’s juuust big enough to stretch me out if I’m craving it, otherwise like you said I just position myself to not let him that deep. Incidentally, he’s the same way.

Link

I rotisserie chicken when I’m actually washing myself (and take down there hose to wash my genitals) but if I’m taking a hot shower to self soothe / emotionally regulate I face away.

Honestly that dude and the person super into dragon sex are actually the best trolls I’ve met. 100% harmless and it’s wild how many people DON’T just hit the block button when they find them annoying. They’re like a built in litmus test for whether a Lemmy user is a fully developed adult who can avoid getting entangled in dumb conversations (which apparently you are).

One dude got into a highly uncivil argument about what constitutes “real physics” on a post of a tumblr screenshot with overwrought prose about… (tbh I don’t remember now but I’m thinking electromagnetism?) then reported the other user. Don’t get me wrong it was bad tumblr prose but like. It’s a genre some people like and a staple of tumblr culture which the comm was about.

Anyway I temp banned them both (I think I did accidentally remove too many comments but anyway) because they were having a toddler level squabble with profanity over tumblr poetry. One of them called me some kinda profanity so I permabanned them and they made a post on power tripping mods and pretty much everyone was like "you know we can still dig out the comments AND your DMs and you’re kinda just a menace… right? Like I woke up and pretty much everyone had already defended me. Anyway I blocked them and moved on with my life. People need to use the block button more often tbh.

They do seem to multiply rapidly.

definition of gatekeeping and immeasurably destructive to any community, real or online

so I looked into this because your comment sparked some curiosity and from what I can tell it’s less about the chemical itself and more about how your brain regulates and uses it. There’s also limited evidence as to whether GABA as a dietary supplement is even crossing the blood-brain barrier (where it would cause these effects). The other thing you need to keep in mind with most “natural” supplements is that the FDA regulates them under the F, not the D! Things like melatonin (which I even take personally) are regulated as FOOD, not DRUGS. Drugs have to

• be exactly the chemical they say they are
• in exactly the amounts they say they are per. pill.
• and as over the counter medications have to have approved safe dosages and frequencies on the packaging
• and all pills prescription or not have to have a unique alphanumeric imprint on each pill that can be used to identify it if it is separated from its packaging. Even different doses need unique imprints.

Food needs to:

• mostly probably be the thing it says it is. If it’s a plant it might be a different strain between different manufacturers.
• that plant also might have a variety of other chemical structures in it that aren’t advertised on the bottle.
• say almost whatever the manufacturer slaps on it in terms of dosage or frequency.
• have no imprint whatsoever to identify it if it’s not in the original packaging.

Like I said I use several supplements myself that even have good evidence behind them in terms of safety and efficacy. But you need to be aware of the ways in which they’re regulated differently than drugs and know that you’re gonna have to do a little more research for yourself to really find what’s going to be safe and effective for you. Finding a physician who’s educated in holistic and integrative therapies can be super helpful for something like this.

no good answer due to normal variations in physiology and variations in the specific person’s quality and severity of addiction but in terms of timescale I would say a day-ish? Would be better to ask an ICU RN or MD. At my level and specialty of care (acute psychiatry) and assuming the pt has been screened appropriately by the ED to not already be in high acuity withdrawal (needs medical or ICU) we’re generally not talking minutes to a couple hours but we’re also not talking a week. The scale we use to measure is called the Clinical Institute Withdrawal Assessment.

Depending on the half-life of the medication used for the taper I’m reassessing that score either every 4 hours (ativan) or every 8 (phenobarb). My unit usually does phenobarb because it requires less frequent and precise assessment due to the elongated half-life. And I can always reassess ahead of schedule and give 1 extra dose as a standing PRN order without even needing to call the on-call MD if they’re having breakthrough symptoms.

Also keep in mind that it’s not just mortality we’re worried about. I can’t make withdrawal fun but I definitely don’t want it to suck any more than it has to. There’s also a lot of permanent but nonfatal damage that can happen in the meantime. And it’s actually also an issue of my safety and that of my coworkers. My subspecialty is actually specifically the management of violence and drug withdrawal is an item on MOST violence risk assessment scales. Actually the only one I don’t see it on irrc is the BROSET and that’s just because it’s a rapid 6-12h tool and the CIWA is already addressing that under the agitation and paranoia items at that time interval.

The paranoid delusions and audiovisual AND tactile hallucinations are no joke. One of the COMMON reasons I get called to medical units for backup is CIWA patients because we can’t take them until they’re on the tail end of a high dose taper but the medicine nurses aren’t always equipped to address the psychiatric symptoms and there’s more equipment available to throw / swing at them.

tbh I’m not on the research end I’m on the butt end with the people experiencing it directly (which is where I wanna be the most I wanna do is maybe teach someday) so I have empirical backup but most of my knowledge is experiential. I guess the best way I can describe it is that certain stuff just starts giving you anxiety. Nurse knowledge is like 2-3 years of following strict rules you learned in school then when you hit your stride something crystallizes in your brain and you can just look at certain patients through that lens and your nervous system just says “absofuckinglutely not, no.” So I can’t cite stats I can just tell you where the needle is on how anxious it makes me. Which is it’s own type of knowledge.