On plastic patient populations

I’ve really enjoyed my time on the adolescent unit so far, not just because I get out so early every day to work on other things, like residency applications.


A quick aside regarding applications: I did not think submitting ERAS this weekend would have been so draining. Perhaps it is the dependence on another when couples matching. Perhaps it is the medical student neuroses coming out in full force. Whatever it was, I am glad to have submitted my applications and am now playing the waiting game with a smile on my face.


I like the conversations that I have with the treatment team, we all seem to care about these patients and try to keep their best interests in mind, even if their families are hot messes that contribute to their mental health issues. One of the preceptors told me that in psychiatry he likes kids way more than adults, because you can help kids.

The implication being that you cannot help adults. I am starting to see his perspective. These kids are so plastic and they are still so young. Even if they have endured terrible and horrific trauma, they have the chance to grow from the experience, rather than be defined by what was done to them.

I didn’t think I would like my time on the adolescent unit so much. But, I do.

I supported and observed a young trans man coming out to his father. I participated in the diagnosis of ADHD and watched a life turn around in a few short days. I can see why people do this work.

I wonder if I would like the work when on a more challenging child and adolescent psych floor. I know that this unit is quite selective in the patients they accept. To my knowledge, many of the violent or agitated patients are at other facilities in the area. I wonder if I would feel the same way rotating at those units. Am I seeing a manicured version of child psych?

Questions with answers for another day, I suppose.


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