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I just finished 7 months working 6 days/week on inpatient psychiatry. Common diagnoses I’ve treated include schizophrenia, substance-induced psychosis, bipolar mania and depression, suicide attempts and ideation, severe depression and/or anxiety, PTSD, and severe personality disorders, mixed with some meth, opioid, cocaine, alcohol and cannabis use disorders. This job comes with a level of responsibility I’m honestly still getting comfortable with: I’ve held family meetings for new diagnoses of schizophrenia and bipolar disorder, I’ve gone to court countless times as an expert witness to involuntarily commit and medicate patients (which I do not take lightly), I’ve stayed late advocating to discharge patients when I felt the hospitalization was causing more harm than good, I’ve sat and held space for patients who have experienced unfathomable trauma. But through all the difficult conversations and decisions this year, I’ve felt myself grow both in clinical reasoning as a physician, an...

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