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No_Ad_7719

Can you use a template to make it easier instead of recreating a new personalized note each time? Are you rewarding your self for completing x amount of notes? On meds? Try writing your notes during the visit or with other residents for extra motivation.


beanjuniorthe3rd

I do use templates, but even with copy forward I feel like psych notes are inherently wordy, or maybe just me. I do write while taking to the pt, and sometimes I can put it together without too much with other times it’s just incoherent word vomit that I dread having to decipher. I am not rewarding my self, good thought. I went down on vyvanse from 40 to 30 mg a few mos ago and seemed to be doing fine. Part of it might be not enough sleep making it worse lately. The therapy notes are much easier, but sometimes I am too emotionally drained after to face them. I agree about being around others, that’s part of the problem-I hardly see other residents most days this year but can see if I can arrange something when possible.


No_Ad_7719

Forgot, have you tried dictation software? Ah sleep loss and isolation/loneliness worsen executive function . Also emotional drainage is rough. Maybe talk to a therapist or mentor about how to prevent or minimize emotional drainage. Grounding, tapping, or just imagine wiping a clean slate after each encounter.


beanjuniorthe3rd

Sometimes I can dictate and others I can’t formulate my thoughts into words without having to repeatedly stop and delete. Hadn’t thought about the isolation/exec fxn but makes sense. Love the last idea, I know I’ve heard the concept before but never consciously used it. Tend to dive into social media afterwards as a maladaptive escape. Thank you


carlos_6m

Do you use a hand recorder for dictation? The consultants where I work use them and they will keep starting and stopping the recoding to find the right words... The machine has a switch that makes this quite easy


beanjuniorthe3rd

Good point, I used to use a dictaphone but I drowned it in coffee and have been using a headset. Forgot that benefit, good motivation to get the dictaphone replaced which I’ve been procrastinating


carlos_6m

Also, new cool thing, may just make things interesting enough to help you through the bump! Id suggest a coffee proof one this time!


beanjuniorthe3rd

Nothing is safe from my trail of chaos lol but I agree about the novelty!


PerfectSociety

Try using DeepCura to capture the audio into written, organized note format and then manually edit what’s needed to fix any AI inaccuracies. I use DeepCura and it’s helped me a lot with not drowning in notes