Recent comments in /f/IAmA

nap-and-a-crap t1_j0i1wi9 wrote

It seems you might not have full understanding of how CBT works and its scientifically proven benefits? Or maybe it did not work for you or someone close to you? Personally, it has helped me overcome many negative thought and behavioural patterns, it has helped me reflect over my thoughts and actions as well as giving me a great set of tools to tackle worry and anxiety.

I highly recommend it, but we do need to bear in mind CBT is not a fit for all and every challenge of the mind. That said, it has been scientifically proven to be more effective on more than most treatments, for a number of conditions.

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Potato_Shaped_Burns t1_j0i1cji wrote

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thereidenator t1_j0hy57s wrote

Hi Lucy, I’m an RMN working in a community adult access team, I have experience in female and male forensics, community affective disorders and CAMHS inpatients. I have a bit of a passion for trauma informed care probably to the point that I think almost all mental health diagnoses stem from a form of PTSD. For me the barriers to compassionate care at the moment come mainly from staffing and burnout related issues. It’s hard to give patients your best when the staff team are spread so thinly. In CAMHS I found patients attitude towards each other made things difficult as well as the attitude of their parents, I think the complaint culture we have gotten into plays a big part in this as well, as we are scared to do our jobs in some ways due to fear of litigation if something goes wrong. I think being able to recognise when staff are burned out and rotating them for a while would be great but rarely happens, especially if you work somewhere like a PICU where it’s hard to recruit to. Do you think that the staffing problems we have now, such as a heavy reliance on agency staff, mean that patients are not getting good, compassionate care and continuity in their care?

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blahehblah t1_j0hxbx3 wrote

Not the Dr but every good therapist hopes to be told if the patient feels like the treatment is not going well. I can't overstate it that they want to get feedback on what does and does not work

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Thewalrus515 t1_j0htijz wrote

The answer is, as always, broad economic and social reform, but since they profit from the system as it is, nothing will be done. Psychology is a joke field. Always has been. Therapy is a crap shoot and almost never works, it just teaches you how to hide your symptoms. Then they foist highly addictive meds on you. It’s an embarrassment.

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mlke t1_j0ht568 wrote

How do you judge what is too "niche" in terms of pop culture references, or possibly too niche in general? The answers I get frustrated with are the ones I have absolutely no relationship to- like actor names, or tv shows that I hear about but would never watch. I guess this is basically a question of how you determine "difficulty" in general, but I wonder if you have some limit in your mind that you don't cross.

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quiarados t1_j0hsswd wrote

Hi Mike. Big fan.

As a constructor I've had many instances where I've had a puzzle I've made accepted for publication by an outlet, and then in the interim between that acceptance and the puzzle getting published, one or more of the clues became outdated or otherwise problematic (sometimes I look through the AVCX archives and think, wow, we referenced Kanye a lot back then!) ... have you ever had to significantly alter or un-accept a puzzle that was kosher at the time you accepted it?

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wsj OP t1_j0hsd4e wrote

My assistant Joanne and I look at every submission separately and then compare notes. It usually doesn't take long to look over a puzzle--usually less that 15 mimutes--but we get so many, we have a big backlog (months) of puzzles we haven't gotten to.

Once a puzzle is accepted, I add it to the files. Every week, I pick a set to use, pick the days they'll run, edit them and lay them out. Then they go to the test-solvers to check. Once the revisions are made, they get uploaded to the WSJ.

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wsj OP t1_j0hr74l wrote

Any or all of the above. First I'll look at the grid fill to see if any areas can be improved. After I'm happy that the grid is as good as it can be, I'll edit the clues which can mean tweaking a few or rewriting whole swaths. Which day of the week the puzzle is scheduled for can mean making the clues easier or trickier. And when the puzzle is laid out, I might need to edit more clues to fit on the page.

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