iiinova — where your digital self keeps evolving

The Masked Shrink @themaskedshrink.bsky.social · 24/11/2025

If someone says their product has NO chemicals in it, they are begging for me to troll them. We live in a chemical world.

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The Masked Shrink @themaskedshrink.bsky.social · 07/11/2025

Low budget plan for having my house be trendy: wait long enough and the 70s look will become popular again.

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The Masked Shrink @themaskedshrink.bsky.social · 26/10/2025

Pet peeve: If you see that someone was charged with a crime, it does not mean they are guilty. And as prosecutors love throwing multiple charges at people to pressure them into a plea, even if guilty, they may only be guilty of a small fraction of the charges thrown at them.

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The Masked Shrink @themaskedshrink.bsky.social · 13/10/2025

I'm done with addiction fellowship interviews, so the time has arrived for me to dye my hair purple. It's like residency senioritis.

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The Masked Shrink @themaskedshrink.bsky.social · 06/10/2025

Something that is true for me: I am way happier when I embrace pessimism. When I do, I get to enjoy more pleasant surprises when things go better than anticipated. I can be happy that I just survived the day rather than being disappointed in my failure to "thrive."

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The Masked Shrink @themaskedshrink.bsky.social · 03/10/2025

Is BlueSky less toxic than other social media sites or have I just avoided the trolls thus far?

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The Masked Shrink @themaskedshrink.bsky.social · 30/09/2025

I love my e-bike commute. Not all of us are athletic enough to bike the full distance to our place of work, but the pedal assist opens up a whole new world. And I am saving so much money on fuel and insurance.

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The Masked Shrink @themaskedshrink.bsky.social · 29/09/2025

To the people who flipped our house before we bought it, I am grateful for you building my confidence. I have learned that I can do a way better repair job with YouTube knowledge in comparison to your sloppy job.

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The Masked Shrink @themaskedshrink.bsky.social · 24/09/2025

I was taking the PRITE yesterday, a standardized test used in psychiatry residency. Got me thinking, maybe patient advocacy groups and the #autism community need to fight to have a place at the table where decisions are made about what type of questions are on these exams.

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The Masked Shrink @themaskedshrink.bsky.social · 21/09/2025

Three tips for a happier life from an autistic psychiatry resident:

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The Masked Shrink @themaskedshrink.bsky.social · 18/09/2025

As someone who used to work with protein, DNA, and RNA as part of bench research, I find it hilarious when people fear RNA. Breathe on it and it is gone. If DNA is like info in a library, RNA is like a snap chat.

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The Masked Shrink @themaskedshrink.bsky.social · 18/09/2025

My favorite quote from Princess Bean from Disenchantment: "Two things can be real." Wisdom for our time, that. Embrace dialectical thinking!

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The Masked Shrink @themaskedshrink.bsky.social · 17/09/2025

For the people who ran the clinical trials on acamprosate or involved in getting it to market, I am curious: Was making the dose 666 mg TID a way to be funny, or was using the devil's number completely unintentional? #pharmacology #addiction

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The Masked Shrink @themaskedshrink.bsky.social · 16/09/2025

Two easy ways to get me to like you: 1) Express admiration for the works of J.R.R. Tolkien or 2) talk about being a Zelda fan. Do either of these, and you can make a lot of mistakes with me and I will still like you as a person with almost unlimited patience. #autism

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Reposted by The Masked Shrink

Julia Métraux @juliametraux.bsky.social · 13/09/2025

I highly recommend sharing articles you do agree with more or as much as you quote post writers and sharing articles you disagree with. Give articles you like traffic! Not just give traffic to hate reads.

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The Masked Shrink @themaskedshrink.bsky.social · 08/09/2025

Question to parents of neurodivergent children: How does one go about diplomatically confronting teachers that shame neurodivergent traits without risking that teacher retaliating by further shaming your child? #adhd #parenting

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The Masked Shrink @themaskedshrink.bsky.social · 01/09/2025

I decided to live a little dangerously today. Ate some mushrooms I found in the woods and identified myself. I'm still alive. Not even a tummy ache. #foraging

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The Masked Shrink @themaskedshrink.bsky.social · 29/08/2025

If a patient with ADHD sees clinical notes by me, I hope they don't feel hurt by me documenting when they are late to appointments. It is just me providing objective justification of the diagnosis and/or treatment plan.

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The Masked Shrink @themaskedshrink.bsky.social · 20/08/2025

Would it be problematic if an interviewer asks why I applied to their program and I mention among other reasons that one of their faculty has pink hair and I'm planning to dye my hair purple? I hate ambiguous professionalism rules in medicine. #residency #medicine

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The Masked Shrink @themaskedshrink.bsky.social · 08/08/2025

Some exceptions to this, but in general have not liked it when a therapist regularly self disclose. The ones who routinely do it end up making premature conclusions about things. While my current therapist will occasionally self disclose, it is done sparingly but effectively. Others takes?

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The Masked Shrink @themaskedshrink.bsky.social · 07/08/2025

Was helping a colleague with some computer walk throughs in person while she was camera off on a separate zoom call, volume cranked up. While I was near sensory overload, she suddenly unmuted and answered a direct question to her without missing a beat. Is that what NT multitasking is like? #autism

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The Masked Shrink @themaskedshrink.bsky.social · 31/07/2025

How I practice psychiatry. I really love safety plans. I even have one for myself on a the VA phone app. #mentalhealth

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The Masked Shrink @themaskedshrink.bsky.social · 30/07/2025

If we are going to stop body modifying surgery for trans people, only fair to ban breast augmentation surgeries.

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The Masked Shrink @themaskedshrink.bsky.social · 24/07/2025

Reminder, for those torn between allowing kids to have screens vs. not have screens, having kids use screens WITH you is an option.

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The Masked Shrink @themaskedshrink.bsky.social · 23/07/2025

It is not anti-Semitic to be opposed to the starvation of children.

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The Masked Shrink @themaskedshrink.bsky.social · 22/07/2025

www.govexec.com/management/2... Well this is silly. What is there to review. The mission is and always should be to serve the veterans. Simple. straightforward.

govexec.com

VA launches a departmentwide 'review of its mission' as it seeks changes to its operations

Veterans Affairs is no longer planning mass layoffs, but major changes still expected.

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The Masked Shrink @themaskedshrink.bsky.social · 21/07/2025

Pet peeve: people who list items as "free" online but when you click on the listing it is "will accept best offer."

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The Masked Shrink @themaskedshrink.bsky.social · 19/07/2025

For the people who go by the nickname Al, how are y'all doing right now with all the artificial intelligence talk?

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The Masked Shrink @themaskedshrink.bsky.social · 19/07/2025

One thing you learn with autism, often the hard way, is that the golden rule can lead to unintentionally hurt feelings.

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The Masked Shrink @themaskedshrink.bsky.social · 17/07/2025

I think I have resting confused face. People keep asking if I am lost when I'm just walking down the hall to my place of work. #autism

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The Masked Shrink @themaskedshrink.bsky.social · 15/07/2025

It will be an interesting day on social media when DSM-VI comes out. (No, I do not know when it is coming out).

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The Masked Shrink @themaskedshrink.bsky.social · 12/07/2025

I hate writing personal statements. That is all.

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The Masked Shrink @themaskedshrink.bsky.social · 09/07/2025

www.bbc.com/news/article... I often am stuck in a state of denial/emotional distance when it comes to world events. But the image of the stuffies in this article made it real. I cry for my fellow Texans and the futures that have been swept away.

bbc.com

Camp Mystic: A girls' summer camp swept away by a 'horrific' deluge

Terrified girls at Camp Mystic swam through the broken window of one cabin into the swirling darkness of the flood.

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The Masked Shrink @themaskedshrink.bsky.social · 04/07/2025

I'm starting to think that Trump has a very different definition of who counts as "people" when he talks about doing things for the American people. Seems like he defines people as those in the top 1% in regards to wealth. I don't know what he considers the rest of us.

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The Masked Shrink @themaskedshrink.bsky.social · 02/07/2025

Okay CHAT-GPT, I don't trust you to write letters or give psychotherapy, but helping someone with minimal knowledge of computer language operate open source software using terminal commands with very inconsistent official instructions found online, you got the job done.

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The Masked Shrink @themaskedshrink.bsky.social · 30/06/2025

Hey #mentalhealth professionals! What are your favorite mental health apps? Sharing one of mine, the Safety Plan app below. Do not need to be a veteran to use. www.ptsd.va.gov/appvid/mobil...

ptsd.va.gov

VA.gov | Veterans Affairs

Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more.

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The Masked Shrink @themaskedshrink.bsky.social · 28/06/2025

With all this talk about the danger of vaccines, why is no one talking about the danger of dihydrogen monoxide? 100% of humans who drink this die.

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The Masked Shrink @themaskedshrink.bsky.social · 27/06/2025

As a psychiatrist, I don't always recommend movies to patients, but when I do, that movie is Inside Out.

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The Masked Shrink @themaskedshrink.bsky.social · 27/06/2025

Just imagine if our world leaders lived their lives in the spirit of a Muppet Christmas Carol...

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