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Wellness Wednesday for November 12, 2025

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:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • 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.

  • 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.

  • 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).

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Welp. Exam's in 4 hours. I've studied on and off for 6 months, and very hard (by my standards) for at least 2. I've been a complete shut-in for two weeks.

My performance is at the point where I'll probably pass, but that's not a guarantee. A minor fluctuation in cut-offs (due to the scoring system and thresholds) could still make all the difference. The MRCPsych Paper A can vary from 40% to 60+% percent pass rates from batch to batch. Hopefully they'll be a little more lenient this time, as the last go had the most failures of recent history. I can kinda see through the matrix now, when it comes to awkward questions and terrible phrasing.

I'd have liked to go into it right after a full night's rest, but my sleep cycle wouldn't allow for it. Still, I'm hardly sleep deprived. Wish me luck folks, I could use some right about now.

Edit:

Reassuringly, the actual exam had me go what the fuck at roughly the same rate as the dozen mocks I did. Maybe even better! I could have wrapped up the whole paper in 45 minutes instead of 3 hours, but I opted to take a leisurely two just to triple check, not that that made much of a difference.

I would say that >50% of the questions had answers that I could have answered in my sleep. For the rest, I had far more 50:50 tossups between two plausible seeming options out of the five per question than I did examples of total ignorance. I did spot a few questionable questions, such as 5 different options for a description of schizophrenic mannerism, of which one was perhaps slightly less wrong than the rest. Most of the time, my intuition lead me the right way even where I wasn't completely certain of the correct answer.

Then there are the stupid questions:

Which test is required before prescribing atomoxetine and Ritalin (separate questions)? The correct answer would be none, because there isn't a single test that is strictly required or even strongly suggested according to standard guidance. That wasn't an option, so I opted for blood pressure (almost certainly correctly) because well, they're stimulants, but that's almost totally irrelevant in practice.

Then they asked us about the method of action of vortioexetine, presumably regarding its antidepressant effects. The answer is "nobody fucking knows", but sadly that wasn't a choice either. I went for 5-HT1A agonism because well, it does do that, and it's a common mechanism for many antidepressants. Sigh.

With the benefit of hindsight, I think I achieved the desirable goal of minimizing regret. I didn't make any stupid mistakes, or unforced errors. Where I was wrong, it was usually due to arcane trivia or genuine ignorance. Many claim that the mocks are harder than the real deal, and I'd say that's probably true for this one. The typical passing score is low 60s, I already did better on average on most mocks, and I estimate >=70% on the actual paper. Which is very likely a pass! Still too early to celebrate, but I'm not touching another fucking textbook till the results are out.

Thanks to everyone who wished me well, I appreciate it <3

I tried to open this without a VPN and got the "content not viewable in your region", which isn't a great omen haha. Thanks nonetheless!

Weird. It's just imgur. And I promise it's perfectly SFW!

It's a UK thing, Imgur got into legal trouble for not following new age restriction laws, and opted to pick up their ball and go home. I don't even blame them.

(I did use a VPN to actually look, in fact, I keep it on almost all the time!)