For my eighth rotation, I rotated through Queen’s Hospital Center CPEP. It was one of the most interesting rotations that I have had so far. The CPEP is the psychiatric emergency room. Therefore, the cases that we saw were all acute and we were able to see many time sensitive situations. I really enjoyed being able to rotate each day with different preceptors. I saw how each one approached the patients and was able to see how the providers spoke with the patients about really intimate, emotional, and sensitive topics. They also gave us a lot of responsibility to go and implement the things that we learned. Very often, we would have to call the family members and friends of patients to receive collateral information or to update them on their loved ones progress. These conversations were not always easy and sometimes met with great disapproval, however, they helped us grow in our skills of talking to patients and their families about difficult topics. For example, I one time had to inform a patient’s family that he was being discharged against the desire of the family. The patient, they stated, was an “unhealthy presence in their home.” I had to discuss that the patient had completed his stay and was stable and at no present risk to himself or to others. I was also able to see very depressed and suicidal patients. I was able to interview them and hear about their stories. It was also interesting because I was able to follow their progress as most patients stayed in the CPEP for up to 72 hours. I was able to assist in their outpatient plan and discuss the plan of care with their families. One time I was had a patient that was seeking a religious outpatient treatment. She wanted to focus on becoming more religious, as she felt that this would help her through her substance use to remission. I was able to search for religious programs in the area and helped set up appointments with her to go and join their programs. I was also able to see many patients with various disorders. I saw patients with PTSD, ODD, MDD, Bipolar Type 1, GAD, and Schizophrenia. Additionally, I saw patients that were not able to control their emotions and required medication such as Haldol and Ativan. I also saw some patients that required restraints due to their excessive aggression and agitation. Many patients struggled with intellectual disabilities and it was important to recognize and know their past medical history so that we would be able to properly assess the patient. I was not able to see as many pediatric patients as I would have liked to have seen. I was able to see one pediatric patient and the experience was very enlightening. It was really thought provoking to hear such deep and emotional thoughts come from such a young girl. The patient I saw was a thirteen year old girl who was depressed and was having suicidal ideations. These thoughts haunted her day and night. It was eye opening to hear what sparked these thoughts and how she tried to cope with them at such a young age. Overall, I had a really amazing experience here and I loved the staff and everyone who worked here.