jtrn

17 ms·

181.
by jtrn 1y ago
In therapy, I love the thought experiment of "What could he have said instead?" and WHY did he choose THIS exact phrasing, out of the millions of approaches he could have chosen? Say that he is concerned about the time required fo
182.
by jtrn 1y ago
Welcome to year 30 of trying to prove psilocybin works for psychiatric illness. And still in the pilot stage. Even taking the data at face value, the trial cannot disentangle the drug effect from expectancy, psychotherapy, and statistical n
183.
by jtrn 1y ago
Here is the forum post that convinced me NOT to continue getting into Helix. It says all I need about the project health. And given the development since then, I am more confident that it’s a bad horse to bet on. https://github.c
184.
by jtrn 1y ago
No, for my patients. Again. Purely subjective and anecdotal.
185.
by jtrn 1y ago
Because I get triggered when people are illogical while using excessively complicated language and do not try to understand the points being made. Like in this comment, I clearly laid out all the ways I think lisdex != amphetamine. But you
186.
by jtrn 1y ago
Regarding under- and over-eating: it seems you think I am a simple mathematical average that doesn't factor that in. I stand by my observation, as and observation, not fact. Lisdexamfetamine is not amphetamine—not chemically, not in te
187.
by jtrn 1y ago
Yes.
188.
by jtrn 1y ago
This is where I failed as a psychologist because I don't have extensive training in pharmacodynamics, so I forgot that "potent" is a specific term in that world. What I meant was: I subjectively believe that Semaglutide is th
189.
by jtrn 1y ago
I answered it a couple of places in this thread already, but the short answer is yes, and GLP1 is not usually a good way to core ADHD treatment. However, if you tried stimulants without success, this would be my descending list of things th
190.
by jtrn 1y ago
I am a strong believer that the biggest "thing" in ADHD is the challenge with sustained goal-focused behavior. And that is in large part due to how fucking hard it is to stay on task when you have ADHD. It's not uncommon to h
191.
by jtrn 1y ago
As I wrote to another person here: Yes. Not as much as with ADHD medication, but there is an obvious subset of addictive personalities that find relief from addictive behaviors (beyond eating addiction) with semaglutide. But to add to this,
192.
by jtrn 1y ago
It's not just GI side effects. Semaglutide is genuinely GI TOXICITY. That's why it's EXTREMELY important to ramp slowly. So yeah, it's a thing. But for basically everybody, it's manageable with slow and controlled r
193.
by jtrn 1y ago
Reminds me of a client I had once. He said that the only thing that made him reset was to "pig out" with a carb-overdose, then just sit in front of the TV with a sugar high. Incidentally, I had been nagging him about trying ANYTHI
194.
by jtrn 1y ago
Actually yes. Not as much as with ADHD medication, but obvious subset of addictive personalities that have relief from addictive behaviors (beyond eating addiction) with semiglutide.
195.
by jtrn 1y ago
For semaglutide, the newest and most potent GLP1. United States: The main patent is expected to expire around 2032. Monthly Price: $950 - $1,350+ (cash price without insurance) Norway: The main patent is expected to expire around 2031. Mont
196.
by jtrn 1y ago
Clinical psychologist here in Norway, and just my subjective experience: People stop GLP1 agonists for the following reasons, in descending order: - They want to enjoy eating again. - Medications are a hassle. - Worry about long-term effect
197.
by jtrn 1y ago
Best godamn comment in this whole thread. Now we can have fun reading the the mental gymnastics !
198.
by jtrn 1y ago
I’m not sure if “kicking in open doors” is an idiom in English, but this is a good example of that concepts. This is basically a rehearse of old tropes. Hollywood has lost its story telling edge. Jurassic park is inaccurate but successfully
199.
by jtrn 1y ago
Muddled thinking galore. This write-up is just to scream into the void out of frustration... On Luddites: "They were protesting the fact that capital owners were extracting the wealth from their labour." This makes no sense, and i
200.
by jtrn 1y ago
I wanted to just reply “this”, but i feared it would be seen as unbecoming on hn, but really truly and deeply mean it: this!!!
201.
by jtrn 1y ago
Shortcuts is the opposite of "enough rope to hang yourself with": not enough rope to even tie a knot. This is an exaggeration, though. I managed to use Shortcuts even while writing this text, so it definitely is useful. But why is
202.
by jtrn 2y ago
So why do I have to make an MCP server? Could it not just hook into the OpenAPI JSON spec? And who will define the credentials? The OpenAPI spec defines the credentials. MCP doesn't even allow for credentials, it seems, for now. But I
203.
by jtrn 2y ago
What do we gain by using MCP that cloud not be achieved worth OpenAPI standard. It feels extremely redundant to me.
204.
by jtrn 2y ago
Have you tried building PWAs for large user bases? Here are some of the frustrations I had with PWA's. There are massive differences between browsers and Android/iOS when it comes to storage, access to local files, and size limita
205.
by jtrn 2y ago
I hoped OpenAI would support OpenAPI for connecting to tools. Having created a couple of MCP servers, it feels like a less flexible and worse documented API to me. I can’t really see anything that is made better by MCP over OpenAPI. It’s a
206.
by jtrn 2y ago
Has it occurred to you that nothing is more powerful for coming up with intellectual arguments than a strong driving emotion? Yes, rage might be the appropriate and response given the situation. But it’s often true that it starts with an em
207.
by jtrn 2y ago
As a clinical psychologist, I find it increasingly frustrating to sift through research studies that fail to meet even the most basic standards of scientific rigor. The sheer volume of studies that claim “X is linked to Y” without properly
208.
by jtrn 2y ago
I have used it a lot, and I love it, but it's very limited with regards to which situations it's useful in. It's way too sensitive to sound, so it stops way to often when answering; if there is noise in the room (as there oft
209.
by jtrn 2y ago
It would be interesting to know how much of this effect is also explained by factors other than income and profession, and even types of work. I work both as a software developer and a psychologist, and I love tinkering in the shop with wel
210.
by jtrn 2y ago
It's not that deep, dude. He is just a well-known proponent of the second shooter claim, and that the assassination was a government conspiracy.

More ›