The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:
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Requests for advice and / or encouragement. On basically any topic and for any scale of problem.
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Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.
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Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.
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Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).
Jump in the discussion.
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Borderline girl. Realizes her psychiatrist is the only person in the world who "gets" her. Turns on the love bombing. Gets visibly horny in the office. She's hot, too. Psychiatrist, just a mortal man, fights for his life to resist.
There's like, a nasal spray you can all take that turns off your sex drive in case you have patients like this, right?
Some interesting things related to this:
Obviously it doesn't happen very often, thank god.
It's also more of a problem for therapists/psychologists/psychiatrists who do therapy (rarer) - consider that for many people talking to someone for an hour a week is more than they talk with most people in their life and family. Med management doesn't create that level of intimacy.
Also most men are not experienced with being hit on at length, especially by someone seductive (and with borderline the pleasing aspect is quite possibly why the pathology exists given its association with trauma).
For this reason old school docs would suggest to their trainees that they hire prostitutes if they weren't getting enough gratification in personal life.
Amusingly back in the day it was actually considered treatment for borderline women. It actually worked???* Obviously terrible from an ethical perspective however.
Malpractice has gone back and forth if it should be covered. Obviously it's a completely avoidable mistake that should end in the psychiatrists professional evisceration, but if malpractice covers it the victim can get more money.
Professional boundary rules are incredible strict for psychiatry. In other specialties you can eventually date patients if common sense steps are taking in most jurisdictions. In psychiatry never ever ever. This makes sense but is taken to an extreme - one guy lost his license because of a woman that he had a patient encounter with decades prior to them meeting again that neither remembered.
*Basically having someone who you can't push away successfully helps with developing appropriate personal relationships and coping skills. These days a boyfriend who don't peace out substitutes.
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