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Apytele

@ Apytele @sh.itjust.works

Posts
43
Comments
253
Joined
3 yr. ago

I love genuine questions and people putting in the effort to love and understand each other better. If you come at me just wanting to argue I'm going to troll you back. FAFO.

  • When do the grief nightmares stop?

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  • If you want something specific, simple, and believe it or not evidence based to do:

    Do a simple, repetitive task that uses both your eyes and hands

    • crocheting / knitting
    • coloring
    • simple arcade / phone style games such as Tetris, candy crush, or snake

    ...while listening to instrumental music. Jazz, classical, lofi, or EDM are all great options, but you might also consider a video game soundtrack

    This will gently stimulate your subconscious to get some processing done kind of in the way walking / water aerobics is good for physical rehab.

  • Rules for a gun fight

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  • As a psych nurse my rules for a gunfight are that the ER security checkpoint with the metal detector and x-ray bag scanner better have found and removed the gun by the time the patient arrives on my unit. One day they didn't and I was VERY put out. Absolutely miffed. I wrote a very stern email in the morning.

  • basic biology rule

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  • my plan for when the US rulers finally get me

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  • iirc there was some torture manual out there (I wanna say CIA) that mentions (by description) bratty subs. That said I feel like everybody knows by now that torture is basically useless when it comes to obtaining information that isn't immediately verifiable anyway and such things are (mostly) trivial. There's other, way worse, reasons that people do such things.

  • Where did you think they were coming from?

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  • Are there not even specifics for different cuts or like oxtail or pigs feet or giblets or liver or stuff that aren't "meat" in the muscle fiber sense?

  • Why do we have a bunch of ways to say good night, but only one way to say good morning?

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  • fuck I love oglaf ty for reminding me

  • Why do we have a bunch of ways to say good night, but only one way to say good morning?

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  • Why do men sleep this way? I watch people sleep professionally and it's definitely a thing. It doesn't even appear to be sexual for the most part dudes just like...? instinctively...? sleep cupping their weens with one or both hands...? I would be fascinated to hear some AMAB perspectives on this.

  • Are you people all bots?

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  • Astroturfing was a thing long before llms, and the ideologies largely haven't changed. If you weren't already thinking critically about what you read you were screwed anyway. Which people largely weren't and, as a result, were largely already screwed anyway.

  • Parents, would you take a bullet for your children? People with parents still alive: How would you feel if your parents died protecting your life?

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  • idk probably just really weird like everything else they've ever done for me. It'd be one of many grand sweeping gestures that just emphasizes how little they were actually willing to emotionally invest in me day to day. Like cool but could you have maybe just have not spent my entire childhood telling me I'm not good enough. Like I can practically hear my mother saying "well it doesn't matter whether or not our kids are what we wanted it's still our jobs as parents to sacrifice everything for them." Like bitch just don't then. I'd rather you just didn't if it meant I could get away from your constant backhanded "love." I've been passively suicidal since like 14 years old and have multiple thoughts of harming myself daily because of the way they raised me. I'll just go on to the next life myself than keep dealing with them or let them keep trying to guilt me into being the person they wish I was, thank you very much.

  • Comic Strips @lemmy.world
    Apytele @sh.itjust.works

    FYI, you too can watch the Mpreg episode of the Dilbert animated series for free on tubi.

  • yeet

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  • Yeah it's one of those "things that separate us from (most) animals. We can ask "what if" and simulate the probable result with a decent amount of accuracy completely internally. It's a really cool feature if you know what to do with it, it's just sometimes it runs some really weird simulations "just in case."

  • Some hacker in thigh-high striped socks should take one for the team and release the Epstein Files

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  • I genuinely think that there's a point in every political career (probably at about the mid-to large city level) where you go to a networking event and they take you into a back room with a kid and tell you to rape them on camera or your career ends there. I don't think it's possible to reach any position of real power without letting the existing powers have some kind of blackmail material on you.

  • DBT therapy doesn't work (I read and practice skills for 30 mins a day M-F), meds don't work, consistent cardio doesn't work. Where do I even go from here? (long rant, sorry)

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  • I'm not questioning your compliance I'm reframing your perspective. You're interpreting it as the former because rejecting it entirely is easier than shifting your perspective to one that's less pessimistic of both yourself and others. You're having difficulty hearing a perspective that puts work ahead of you instead of the ease of just deciding failure is inevitable and laying down to die where you are. The fundamental dialectic of DBT that you are utterly failing to grasp is that it will ALWAYS be true that you are both doing the best you can currently AND can do better in the future.

  • DBT therapy doesn't work (I read and practice skills for 30 mins a day M-F), meds don't work, consistent cardio doesn't work. Where do I even go from here? (long rant, sorry)

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  • My current major players are seroquel for sleep and strattera during the day. I decided to try lamictal a few years ago just to see if it was bipolar and idk that it really helped but even with the dose maxxed it has basically 0 side effects so I just never stopped. I would think I would have noticed either a feeling of increased calm or often I have patients who report that it makes them feel "depressed" just because it's been ages since they were actually euthymic and they're using mania as their definition of normal.

    The biggest thing I'm trying lately is clonidine vs guanfacine to stop the weird apocalyptic nightmares. I might have to stop the seroquel sometime in the next year because after about a decade I'm starting to grind my teeth and I've been trying to think what I'll try for sleep instead. I'm not typically a fan of SSRIs due to the anorgasmia but ultimately sleep goals will take priority. If I was gonna switch that up though I'd probably have to take a week or two PTO to experiment, I'm pretty careful with my meds as it concerns work.

    Like I said in my other comment, your med list is not long at all, I've been on more different drugs than that all at one time and most of them don't even start working until you've been on them for like a month, AT LEAST. It honestly just takes time and if you're not willing to take it slow and be open to input from providers you trust you're gonna have a bad time.

  • I don't understand how Trump gets away with all his senial BS. How come everyone is not telling him to piss off or use the constitution to shut him the hell up?

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  • I had an old coworker who had given MAGA organizations her life's savings. She was working well past her planned retirement and wound up getting a head injury when a patient bopped her on the head three times. She shouldn't have been put in the position to work high acuity psychiatry in her 70s. She was going to retire destitute but after that nobody could deny she just wasn't safe to work anymore. And to the day she retired she kept saying trump was going to reward her any day now. I know somebody here is gonna talk shit but aside from being too damn naïve she was such a kind soul. And I've only ever worked psych as a nurse but she'd done all kinds of things like oncology and wound care so if I had a patient with a medical problem or who needed an IV placed she had my back. She'd rant to the high heavens about the lizard people but damn if she didn't know her lab values and meds back to front. I hope those grifters rot in hell.

  • future wife rule

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  • I love him so much.

  • Just one more rule

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  • Holy shit that goes hard.

  • Given the way GPT operates, I bet it would be more accurate if we trained it to speak like Yoda.

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  • Yeah I've been having it code short useful scripts (like converting the PDF of my work schedule to an importable ICS or making a custom desktop timer for a work task that repeats every fifteen minutes) and I find it works better if you make it sum up it's goals at the beginning then if I need to start fresh in a new chat (faster processing, less perseveration on erroneous earlier versions) I have it sum up the goals at the end to paste into the new one.

  • Being Trans Isn't Normal or Part of Nature...or is it...?

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  • Better example is parrotfish clownfish.

  • DBT therapy doesn't work (I read and practice skills for 30 mins a day M-F), meds don't work, consistent cardio doesn't work. Where do I even go from here? (long rant, sorry)

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  • Oh it also usually takes a year for full efficacy. It took me two. Hi I've got borderline and I've been working in psychiatry for almost 10 years now.

  • DBT therapy doesn't work (I read and practice skills for 30 mins a day M-F), meds don't work, consistent cardio doesn't work. Where do I even go from here? (long rant, sorry)

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  • EMDR (eye movement desensitization and reprocessing). Somebody else asked if your environment is otherwise safe which I agree with but decent DBT should be coaching you on how to address that. The only other modality I can think that will likely help / hopefully get you the rest of the way there is EMDR since it helps to reprogram your memory processing a little better than behavioral therapy alone. You might also consider TMS (transcranial magnetic stimulation) since it night help bridge some neurochemical deficits that you're struggling to address with medication. It's noninvasive, they don't cut / open anything and it's pain free so they don't have to put you under like they would for ECT.

    That said, that is NOT a long med list and you seem unclear on what the medications are for vs what your symptoms are. None of those medications are for ADHD, and those periodic increases in emotional sensitivity are basically textbook bipolar. Honestly I'm thinking you may need to communicate better with your doctors or find ones that are better communicators if you can.

  • Spanish @lemmy.world
    Apytele @sh.itjust.works

    ok so is the whole usted being polite thing like asking "does her highness want more wine?" instead of addressing the person directly?

  • Lemmy411 - Don't know where to find what you're looking for? @lemmy.ca
    Apytele @sh.itjust.works

    Looking for small foam adhesive disks, single-sided (pictures included)

  • PieFed Meta @piefed.social
    Apytele @sh.itjust.works

    UPDATED: The Fedigram as a Cherry Pie

  • No Stupid Questions @lemmy.world
    Apytele @sh.itjust.works

    What're your strong opinions from an aged / dead fandom?

  • Ask Lemmy @lemmy.world
    Apytele @sh.itjust.works

    Why did ~20 year old me save this to my hard disk ~10 years ago? If there's a joke idgi anymore.

  • Ask Lemmy @lemmy.world
    Apytele @sh.itjust.works

    Can anyone help me find a full recording of The Latvian National Opera production of Peer Gynt?

  • PieFed Meta @piefed.social
    Apytele @sh.itjust.works

    would like to be able to post to my own profile as a microblog

  • Asklemmy @lemmy.ml
    Apytele @sh.itjust.works

    What's the android version of getting annoyed with windows and installing linux mint?

  • Asklemmy @lemmy.ml
    Apytele @sh.itjust.works

    Looking for a one-time paid (non-subscription) TTS program for android

  • Unpopular Opinion @lemmy.world
    Apytele @sh.itjust.works

    If you're debating the quality of probiotic supplements based on how many billion CFUs it takes to survive stomach acid; you're putting them in the wrong end.

  • 196 @lemmy.blahaj.zone
    Apytele @sh.itjust.works

    Fixed it rule

  • Witchy Memes @lemmy.world
    Apytele @sh.itjust.works

    What should the columns say?

  • Witchy Memes @lemmy.world
    Apytele @sh.itjust.works

    Should I keep going?

  • What is this thing? @lemmy.world
    Apytele @sh.itjust.works
    SOLVED

    Found on the ground in an urban area, USA mid-atlantic region but not costal.

  • Ask Lemmy @lemmy.world
    Apytele @sh.itjust.works

    Comment your favorite good-evil / law-chaos memes I wanna average out my placement on all of them.

  • Mental Health @lemmy.world
    Apytele @sh.itjust.works

    I think this is as done as it's getting - DIY mental health course

    anonfiles.ch /l0OCpZ9Yktg/DIY_Mental_Health_zip
  • ADHD @lemmy.world
    Apytele @sh.itjust.works

    School Tip: Sometimes "Preferential Seating Accomodations" can mean sitting in the BACK of the room.

  • 196 @lemmy.blahaj.zone
    Apytele @sh.itjust.works

    A rule... and a warning.

  • Showerthoughts @lemmy.world
    Apytele @sh.itjust.works

    The fact that some dogs are used to the groomers and some aren't is wild.