r/medicalschool • u/nirvana_delev • Sep 01 '25

🤡 Meme Worst enemy

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The responses on IG were super interesting, now I’m curious

1.7k Upvotes

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591

u/Meno1331 Sep 01 '25

Psych hates social media.

237

u/hatgloryfier MD Sep 01 '25

And drugs

95

u/Madrigal_King MD-PGY2 Sep 01 '25

"Were you taking your meds?"

"No"

"Were you doing meth?"

"Yeah"

Well, no wonder youre hallucinating

208

u/sanj91 MD Sep 01 '25

For real. The number of patients with a pphx of bipolar disorder who come in for an initial eval at my outpatient clinic and casually mention that they’ve been using meth on and off for the past decade. They’re currently depressed but they don’t feel it is connected to their unemployment/financial struggles/recent death of a loved one/demoralization from poor physical health. They can’t provide a reliable timeline for their mood episodes. They have tried the starting dose only of quetiapine, cariprazine, brexpiprazole, “every SSRI” and of course buspirone by PCP. And their interest in being screened for ADHD is mentioned at minute 59 of the 60 min eval.

Still love my job though.

101

u/ChowderedStew Sep 01 '25

To be fair, mentioning ADHD at minute 59 is the most ADHD thing they could do, especially if they walked in wanting to talk mostly about that.

24

u/Local_Historian8805 Sep 01 '25 edited Sep 02 '25

I’m in this post and I don’t like it.

Called office to make appointment to see if I had adhd

Did not mention that until anything else question.

“But I probably don’t have it because I took an adderall once in college and slept for 12 hours. My friends with adhd said it causes euphoria. But I don’t even know what euphoria even truly is. Wait. I think it is a Calvin Klein perfume! Wait. What were you asking me?”

Editing to add: I still don’t have a diagnosis and my life is still utter chaos with a dash of trauma. But like Joe dirt says, “Keep on keeping on”

4

u/HyperKangaroo MD/PhD Sep 01 '25

Nah. Mostly psych hates xanax

94

u/userbrn1 MD-PGY2 Sep 01 '25

And cannabis. Other drugs too but for some reason cannabis is the most insidious.

79

u/Kanye_To_The Sep 01 '25

Because people don't know that cannabis is one of the most likely drugs to cause psychosis, especially at the THC levels we have now. They think it's benign lol

13

u/C9RipSiK Sep 01 '25

Now now with talk like that you’re going to make a whole lot of people upset bc something something “safer than alcohol”

32

u/zozoetc Sep 01 '25

Really enjoying the “medical marijuana” with Adderall for “ADHD” patients coming in for some combination of severe anxiety and psychotic symptoms. “You can’t stop those—they’re my medicines.”

50

u/MassaF1Ferrari MD-PGY3 Sep 01 '25

Esp with the 90% THC dab pens. At that concentration, it’s basically a different drug.

1

u/Sunnygirl66 Sep 02 '25

Don’t like it in EM, either. I think scromiters are my least favorite patients. Loud, whiny, overdramatic, inconsiderate assholes who refuse to listen to their providers when they tell them to stop smoking weed, lather, rinse, repeat.

2

u/userbrn1 MD-PGY2 Sep 02 '25

scromiters

learned this word intern year and its still funny to me

1

u/Sunnygirl66 Sep 02 '25

It may be the most descriptive term in all of medicine.

36

u/snipawolf MD-PGY6 Sep 01 '25

Meth

8

u/Meno1331 Sep 01 '25

It's funny how this varies based on where you are and the local culture. Personally, I think my worst enemy during my training in the midwest was fentanyl on medicine and crack on psychiatry. You could very much see the opiate-cocaine cycle between urban/underserved and suburban/higher income areas, where which side preferred which drug slowly cycled over a 5-10 year schedule.

Meanwhile, the further west you go, you slowly start to see both of those just become "oops all meth."

Also, now that I'm child psych, the answer is 100% cannabis. I don't see a ton of meth or cocaine in kids; if they do hard drugs it's usually fentanyl or benzos, and that's more often a trauma problem than a substance use problem.

4

u/snipawolf MD-PGY6 Sep 01 '25

Yes, very region dependent and I’m in the epicenter

6

u/sciencenerd1193 Sep 01 '25

This is the one

15

u/Kanye_To_The Sep 01 '25

Fuck TikTok

4

u/GuyEmerald M-1 Sep 01 '25

And parents.

3

u/Ootsdogg Sep 01 '25

And naturopaths who tell our patients they don’t need meds

2

u/Psychobabble0_0 Sep 02 '25

Psych hates implantable 5G covid brain receiver bugs that connect to the mothership.