iiinova — where your digital self keeps evolving

Dr. Fedchenkov @drfedchenkov.bsky.social · 13/09/2026

Present yourself at the estate and I shall see whether there is an old spoon we can spare so you can impress your friends.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 13/09/2026

Ah, Jack. Such language. One can dress a peasant, educate him, even permit him into respectable company, but eventually he opens his mouth.

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Reposted by Dr. Fedchenkov

Dr. Fedchenkov @drfedchenkov.bsky.social · 07/06/2026

It's not that scary

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Dr. Fedchenkov @drfedchenkov.bsky.social · 07/06/2026

Alright, I'll give you that he is more intelligent than Val. A low bar.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 07/06/2026

I absolutely hate it when Ollie's opposition makes him look actually intelligent in comparison.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 05/06/2026

A survey was done on the effects of drinking at work, the result was staggering.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 04/06/2026

((Horror Movie Poster AI Bandwagon))

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Dr. Fedchenkov @drfedchenkov.bsky.social · 01/06/2026

I do take insurance through HGH too. I work at the HGH, but I also have a private practive.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 01/06/2026

The first appointment is primarily an assessment. It is to determine whether I believe I can help, whether I am a good fit, and what options are available moving forward. And yes, sometimes people dislike what they hear.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 31/05/2026

That said, I do not charge for the first appointment. After that, there are ways to potentially cover care fully or partially through programs available to me and my patients, without requiring me to work for free or the patient to go untreated.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 31/05/2026

I have already explained this, but yes, the more precise phrasing would have been that I am free for appointments, or that I have available appointments.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 31/05/2026

More or less the same thing I do every day. Treated patients, spent time with my fiancé, looked after my son.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 31/05/2026

A bold observation from a man who inserted himself into my comments for attention and has now spent ten hours demanding it. On his wedding day. Please continue.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 31/05/2026

Do not bother responding, Athena. Just block him. He is a complete waste of space and only useful as an example. Hektor occasionally says something worth reading, even if he is being an idiot here. This one merely mistakes provocation for personality.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

No. We established what you think my job is. Now you are confusing listening with validation.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

You appear to have confused empathy with validation.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

The potential that someone wants something does not create an obligation for me to provide it.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

I was referring to the scope of your imagination, not the circumference of the planet. But thank you for the demonstration.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

That is a remarkably small world to live in.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

Most people dramatically overestimate how attractive untreated trauma, psychosis, personality pathology, addiction, and acute crisis become after the first few hours of dealing with them professionally.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

Which is why I followed the question with another one: whether it is actually relevant. At some point you stop asking whether someone is secretly monstrous and start asking whether they are competent, trustworthy, and useful in the role they occupy.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

I am simply debating the practical point that you would have no reliable way of distinguishing a secret monster from a normal person. For someone to be a secret monster, they would necessarily need to be competent at hiding it. If they are incompetent, then it is not a secret.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

That everyone has the capacity for more or less anything given sufficient motivation and pressure is not a particularly controversial observation. I was under the impression Yuugen philosophy was reaching for more than a first-year psychology textbook.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

Is it not your philosophy that everyone is a monster? If so, then any competent psychologist would eventually arrive at the same conclusion about themselves. I disagree with the premise, but if you did believe it, then the logic necessarily follows.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

A fairly low bar. Though I will concede it is remarkable how many professionals throughout history have managed to trip over it.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

That seems an impossible task. A secret monster is, by definition, someone you only discover is a monster after the fact.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 30/05/2026

If a psychiatrist in Hathian has managed to avoid being called evil, manipulative, a fraud, a cult leader, or some combination thereof, I would question whether they have actually spoken to anyone.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 27/05/2026

Free as in available, though the first appointment is always free. After that we discuss options. There are programs and arrangements that allow people to receive care at low or no cost without requiring me to survive on good intentions alone.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 27/05/2026

Do let me know when suits you best. You can contact me through the number provided, but my DM's are also open.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 27/05/2026

Do let me know when suits you best. You can contact me through the number provided, but my DM's are also open.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 27/05/2026

Anything compulsive that causes distress, impairment, harm, or loss of control counts.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 27/05/2026

I work with acute distress, trauma responses, mood instability, psychosis, anxiety, dissociation and patterns of self-destructive or high-risk behavior. Treatment should do more than reduce symptoms. It should help a person understand what drives them and regain command of their choices.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 27/05/2026

I do both. I've practiced psychiatry for 7 years, 3 since I finished residency.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 26/05/2026

Yes, the point was that you cannot strip an act of pattern, motive, intent, circumstance, consequence, and meaning, then claim the isolated act explains the person. The act happened. What it tells us depends on everything around it.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 26/05/2026

From the pening post: A historical fact can be true and still be useless as a defining identity without context, pattern, motive, frequency, and relevance. As in, all these things give it meaning.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 26/05/2026

No one said context removes weight.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 26/05/2026

And yes, some actions carry enough weight to become defining, especially as pattern. But they carry that weight through context, value, impact, motive, proximity, consequence, and interpretation. Widely agreed upon. Not objective. The action is not meaningless. It is simply not self-explanatory.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 26/05/2026

Yes, certain individuals did say that. Repeatedly. “By definition.” “Doesn’t matter the reason.” “The label becomes objectively true.”

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Dr. Fedchenkov @drfedchenkov.bsky.social · 26/05/2026

Yes, therefore it follows that once we acknowledge that, we have also acknowledged context, value, impact, motive, and interpretation. Which means the act alone is not sufficient. Not every instance of the same category of action is equal, and pretending otherwise is misguided.

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Dr. Fedchenkov @drfedchenkov.bsky.social · 26/05/2026

Yes. Precisely. The question was rhetorical. For the act to function as a defining statement about a person, it first has to be given meaning through impact, context, proximity, emotion, law, motive, consequence, and value. The event itself proves only that the event occurred.

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