Marybelle

PGY-1 Psychiatry Resident

[Marybelle @callmembellz]

Helen scratching at her skin and seeing the bugs - delusional paracytosis? 🤔#fidlercandyman

[Marybelle @callmembellz]

@Ixzieli Helen's presentation could definitely be reflective of dissociative fugue state including sudden loss of memory, wandering, and assumption of a new identity construct (possibly the Candyman himself?) #fidlercandyman

[Marybelle @callmembellz]

@kavya_atluri Agreed! Possibly shared delusional disorder or folie à deux? #fidlercandyman

[Marybelle @callmembellz]

@itzbella005 #FIDLERTalkToMe However, if we consider shaking the hand s analagous to drug use we must rule out any substance-induced mood/psychotic disorder first before giving a primary psych dx!

[Marybelle @callmembellz]

@itzbella005 Ya thats a good thought, on the differential would definitely be MDD with psychotic features vs a primary psychotic disease which was perpetuated by an acute stressor - Shivani Bahl PGY-1

[Marybelle @callmembellz]

@CourteneySerena Good point! Ddx could be either dependent personality disorder or even borderline (given boundary issues)

[Marybelle @callmembellz]

@xkhushipatel11 Great point! It could suggest that each entity represents a different aspect of her psyche or her unresolved emotions. The fact that they appear differently might reflect the stages of her fear, guilt, or grief, or even how her mind is processing trauma.

[Marybelle @callmembellz]

@andreho_md @Ixzieli Well said, Dr. Ho 🙌

[Marybelle @callmembellz]

@luckymeowmeowy Good point! She would probably benefit from individual therapy like CBT or grief-focused counseling, to address her emotional responses and coping strategies. Also family therapy with her father could help explore underlying relational dynamics 😊

[Mark Manson @Markmanson]

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Get good at boring.

[Marybelle @callmembellz]

@ScuderiaFerrari 🫴

[Mark Manson @Markmanson]

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YESS GEORGE! P1 in the #F1Sprint - what a drive! 🙌🙌

[Mercedes-AMG PETRONAS F1 Team @MercedesAMGF1]

P8 ➡ P3! Another MEGA #F1Sprint in Brasil for Lewis! 👏👏

[Mark Manson @Markmanson]

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[The Mindfulness Meditation Institute @TrainingMindful]

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[The Mindfulness Meditation Institute @TrainingMindful]

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[Mark Manson @Markmanson]

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[The Mindfulness Meditation Institute @TrainingMindful]

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