Hello tilderers, I have a dilemma I'm having that I'd like perspective on.

I often find myself doing things not because I want to, but because I have to. I feel obligated to. It is better if I do X than if I don't do X, so I should do X, even if I don't want to.

Though overall I don't consider "feeling obligated" a positive nor sustainable emotion to have.

These are often tied to social etiquette and maintaining a status quo at the sacrifice? of your own comfort.

Examples:

You're an introverted so tend to not desire social activity as much, but understand socializing is good for maintaining relationships so you accept invites regardless of whether you have true desire to be out for the person/occasion/event.

You should get a gift for Y because it's their birthday/Christmas because it's an expected, nice gesture but you don't really have a gift in mind or tendency of gift giving.

Z does something nice for you, pays for your dinner/got a gift/done a favor, but was not something you wanted Z to do or asked them to do. Yet now you feel indebted to give back.

General occasions where social and emotional reciprocation is expected and you're not entuned to reciprocate necessarily. And the general consequence of not reciprocating is weakening relationships/negativity from others etc.

Where is the line between doing whatever you feel/comfortable with (selfishness/self centered?) and doing things because you are socially obligated to (caring about what other people think/feel about you).

What is the resolution to negative feelings of obligation?

How can obligation turn to desire?

How does one perspective shift in this way?
You do this not because you have to, because you want to do this.

I'm a mom of one, moved to another country a few years ago. I don't have friends or family who can help me or just briefly say "hi". Because of my kid, of course I'm mostly stuck at home. I'm working, but don't have enough money to leave my kid with a nanny. I have my kid's father in the same city, but he can't take the kid at his house. He knows my situation (which I will write about above), but I don't think it's a good idea to bother him more, because I guess he has his own struggles.

Anyway. At the start of the year, I broke up with my ex, because he was lying even about small things (he literally could change his messages to look better, not to change his grammar mistakes), hid stuff and I suppose I was a backup option or rebound or something, he hid a lot of stuff (only fans, had a lot of accounts everywhere, etc), he proposed to me during text when we fought and even said "oh f, let's get married, just come here!", it was a few times. And then he did nothing about it at all and even said "yeah, a lot of stuff we need to do before marriage" and it was the first time when I realized that those things were said just to pull me back, not because he really loved me. Also he threatened me with suicide from the start, when I tried to finish our talking. By the way it was a long distance relationship. He suggested I should pay half for the second trip, knowing I don't have enough money and then, after we broke up he wrote "yeah, you just understood that I don't have enough money, and used me for entertainment".

Anyway at the start of the year I decided to end things. It ended with him threatening me with my private videos (which I asked him to delete 3 times and he lied 3 times that he did it). He threatened me for 4 days, including my birthday. Then he threatened me with suicide again. Then tried to guilt-trip me. Then again suicide, but he tried to blame me for this. Also, he wrote stuff online, he stalked me everywhere, I changed phone numbers a few times, deactivated my socials everywhere, I was isolated in real life and online. All this time I blocked all his accounts and newly made accounts also. I didn't drop a word.

The first 2 months of the year I was like in the movie Midsommar, where, if you remember, girls with the main character cried out loud. I turned on this exact moment and cried with them like this for almost 2 months when my kid was sleeping and while working. The 3rd month was kind of ok, it was easier, I still got up with shivering, but at least I could handle that. And yesterday I checked his socials and it seems like he's doing just fine. And yes, he's finally stopped all attempts to reach me (he called it fighting).

Now my questions:

1. Am I right, that if he really wanted to, even after threatening me and all that stuff he did to me, he would take actions? Real actions.
2. Previously I had suicide attempts. I am struggling again. I don't have money for a therapist, I used those emergency services to help myself, but they didn't care much. I'm doing all I can to help myself: free articles, podcasts, free resources to deal with suicide. But yes, I am really on the edge. I know I have my kid and I need to fight for my child, but I swear, I really can't, I swear, I really can't. I just wanted a family, I just wanted a partner, I thought he was a nice guy. I swear I can't.
   Please, give me any advice, whatever you have, please suggest something, maybe I just can't see some options, because I'm literally isolated and shocked. Please.​​​​​​​​​​​​​​​​

Hi All, I've just been prescribed the generic version of Vyvanse and had a bit of sticker shock when I was rung up at my local pharmacy. Even with insurance it was nearly $300 for a months worth pills. I realize this is a problem likely unique to the United States, but I'm wondering how other folks are navigating the costs. While I can afford the medication, the idea of taking on a car sized monthly payment for the pills is really unpalatable. Do folks have any tricks or tips for getting the medication at a lower rate, switching to different medications (i.e. adderall or ritalin), or finding a secondary to cover prescriptions? I've read about Goodrx or SingleCare may be more affordable. Does anyone have experience with those providers?

As a side note, I oversee selection of our company health plan/insurance. While I'd rather not change for the sake of co-workers who have established their primary care physicians with our current offering, I have the ability to change it for 2026. If there folks have providers who cover more of the costs I'm open to hearing it.

Beyond the costs, does anyone have any advice or guidance for things to watch out for as I start taking the medication? Tomorrow is my first day and I'm a combination of excited and anxious.

Thanks!

I was diagnosed as an adult about 5 years ago. I'll spare my life story, but I've spent those five years doing everything I can to give myself an environment where I can achieve my goals, and I have done a great job with that.

Apart from getting meds, I've built a strong task management/journaling system, I've built mental habits that help me overcome anxiety spirals, I've forgiven my ADHD for existing, and I have healthier sleep/diet habits to keep my baseline up.

Lately, though, some new obstacles have come up with the birth of my son (now almost 4mo old). Tbf, I've been aware of these things before, but my son has definitely exacerbated them.

With the attention and care a child requires, my windows to do things are a lot smaller. Sometimes only 20 minutes. This has made things more difficult in a few different ways:

1. For me to start doing a lot of things, even things I am excited to do, I have a "ramp-up" period before I can really dig into it. I think this is basically the time I need to plan, prioritize, and/or remember where I left off before I actually execute.

2. When I know something will inevitably interrupt me, I avoid starting anything because interruptions like, super-duper piss me off. And I don't want to be pissed off.

3. Not really related, but somewhat. In general, I would like to be able to do more in a day. I'd say my peak operating time is 9am-3pm, give or take. Outside these hours, it's a lot harder for me to do anything outside of "shut my brain off" tasks like house chores.

As many with ADHD know, an understimulated brain is unpleasant. And how shitty is it that ADHD also makes it difficult to do the things you find intellectually stimulating?

I hope all this makes sense. I've already accepted that this is my life now, and I'm okay with it. Even still, I would love some practical, actionable advice to help me make the most with what I have. Double points if it doesn't involved upping my Adderall dosage or self-medicating with caffeine. Thanks everyone!

I recently had my first proper bout of mania. I very nearly jumped out a window thinking that magic was real ('Wicked' in particular... Defying Gravity is quite the anthem). Thankfully the hotel I was staying at was nice and fast enough to call the police, and the police called me -- I never made it on to the ledge, so to speak, and when I got a call from them I realized something was quite wrong and just went with them to the hospital. I experienced a 6-day legal hold at a mental health ward, which I very much needed, and am grateful to have been sent to one where it felt like the majority of staff genuinely cared for their patients.

I believe I inserted myself into a conversation during that time, a meta-post about a user leaving and their posts being removed (or that post was about me in the first place, it's hard to tell/recall). In any event, I apologize to everyone I interacted with in my manic state. I also very much appreciate that some users (shoutout to @DefinitelyNotAFae) could tell that it was likely a mental health issue and were concerned. I'm doing way, way better now with a medication change. In addition, I'm doing an intensive outpatient rehabilitation starting today (joint for substances and mental health issues).

So, with that being said: I'm looking for generic advice from others who are Bipolar, and am very very much interested in the perspective of those that are both Bipolar and Autistic (and yes, I am officially medically diagnosed as Autistic as well). I'm sure there are many important lessons that can be hard to figure out alone.

edit-ps: Title is a nod to my previous 'Apparently I'm Autistic?' thread that was reasonably popular, tee-hee.

My wife of 3 years just told me last week that we're getting a divorce. It completely blindsided me, as there was no marriage counseling or communication about the marriage having problems from them before this, but I can't say I don't understand at least some of their reasons. They made it clear that there was no fixing things or repairing the relationship. They're leaving no matter what I do.

Other than the suddenness, they seem pretty willing to be amicable and compromise as needed, at least to an extent. We won't be able to properly separate for a while it seems like, though it's hard to predict the exact timeline at this stage. I'm currently planning a too-expensive last-minute flight back to the States to stay with my family for a little while, since I need some distance and they can be a source of comfort.

I can obviously hire and rely on a lawyer for handling the legal side of things (which will be complicated, to say the least), but I'm truly at a loss for how to handle it emotionally. I'm in my late 20s but I've never even been broken up with before this. Go hard or go home, ig. I hope there are others here who have good advice to share for this situation, because I don't know what to do now that the bottom has dropped out of my life like this. It feels like my whole future is gone. I was in a bad depressive episode already and obviously that's not been improved by this.

(Also, if one of our closer mutual online friends who lurks here is finding out this way -- sorry, she owns the Discord server so I can't exactly bring this up there. I welcome DMs from y'all.)

Update: https://tildes.net/~health.mental/1hnb/struggling_with_nihilism_and_the_inability_to_enjoy_things#comment-e8s1

Preface #1: I know the first response with something like this will be "go see a therapist" - I have been in therapy for over a decade now. There are a lot of things it has helped with (specifically trauma-focused), but nihilism is not something I've been able to get help with. The help has ranged from things like "focus on the micro over the macro" (which I think is probably the best advice, but also can be boiled down to "don't think" and I can't not think), to "find religion" (for me at least: religion doesn't breed hope, hope breeds religion), to "I don't know how to help, I can't relate to that" (...not all therapist are good).

Preface #2: I know the quick response to "life is meaningless" is "so make your own!" but I absolutely despise that logic. If everything is meaningless, than that means making your own meaning is meaningless. It's self-defeating in and of itself. That said, I don't really care about "meaning" anyway. I personally view things as "irrelevant", as if you dig deep enough you get to a point where everything is relevant to nothing. And the conclusion to draw from that is: "it's irrelevant that everything is irrelevant" - similar meaning, but checks out logically significantly better to me. But this has it's own problems that I will go in below.

Preface #3: I know the quick response to the inability to enjoy things is "you don't enjoy things because you are depressed." What I'm positing is the inverse, "I no longer enjoy things, and it's causing me to be depressed." I'm very much not saying the former doesn't happen and I've gone through time periods like that. What I am saying is that the latter is also true, and I'm sure that other people who have dealt with depression for decades understands both "My depression is causing this to happen" and "This is causing my depression to flare" happen.

To give quick context for myself: I had become a nihilistic atheist by the time I graduated elementary school; I had a rather traumatic childhood and my official diagnosis is (C-)PTSD and all the offshoots that come from it like depression and anxiety (Bringing up as I recognize myself these are thoughts that, according to the DSM/ICD, would be from someone with mental disorders). This led to things like dropping out of high school and becoming a mute hikikomori. To make a long story short, in my late teens I got to a point of either suicide or completely revamping my life with the belief that enjoyment could be found via actually being social (friends and dating) and proper self-sufficiency/money. I chose the latter for one simple reason: there was nothing to lose, so just trust the process. It took over a decade of constant self improvement, but I became a sociable person part of different clubs and hosting my own parties/gatherings with a very active dating life. I also got my degree in comp sci and have done quite well for myself with that. And a lot on top of that just in terms of trying to make the most out of life.

Unfortunately, none of that actually helped. Having to mask to be able to be social/date is exhausting and frankly people suck, and wasting life working 9-5 one of the most depressing things to me. The reason I bring this up is because I did really fucking try, I tried the stuff that everyone says brings happiness - but it don't. And it's all just so irrelevant.

Over the last half decade or so, I just can't bring myself to care about anything. And I mean anything, even super simple things. I'll talk to people or listening to a song and think "why do I care what you have to say?". I'll watch a movie or read a book and can't keep focus because seriously who cares about these imaginary things some person thought up? People I know die and I'll just think "yeah that happens." And the absolute worst for me was when it came for knowledge. Because knowledge was the thing I always cared above all else. But what does "knowing things" matter if "things" don't matter to me?

Which brings me back to preface #2. Everything is irrelevant, but it's irrelevant that it's irrelevant. Except that society demands relevancy to justify ones own existence within it. It's not possible to live an irrelevant life and be part of society. I personally really only see two options: reject society or embrace absurdism.

Speaking strictly personally, I do not see rejecting society as a means of living an enjoyable life. Mostly because I know it will lead to me living out of my car again, spending my time embracing hedonism via drugs and alcohol to fuel escapism until the end comes. And if in the end I'm just going to fuel escapism, why not just escape to begin with?

Absurdism is mostly what I fed into while "turning my life around". But I do have issues with it. One is how much it feels like the "this is fine" fire meme; it recognizes the problem but then rejects that it's a problem. This is fine if "life" itself is not a problem and you are able to enjoy your time regardless (after all, the problem itself is irrelevant so yeah just reject it as a problem), but then that gets to my second and main issue: if you don't enjoy life, what defense against suicide does absurdism have? Yes there is the whole thing of "suicide just adds to the absurdity by claiming meaning is needed" but that's only if you are committing suicide because life has no meaning. I don't care that life is irrelevant, I care that life fucking sucks. Suicide then is not rejecting the lack of meaning, it's rejecting time spent unenjoyably.

I've been able to get through things being both meaningless and unenjoyable with the belief that things would become enjoyable. Now I'm nearly 40 years old, things have played out, and I do not buy into it anymore. Either life needs to be enjoyable, or there needs to be some relevancy to it. Which, I reject the later as even being knowable as a human. Which leaves the former.

Which then comes to the silly question, how do you just enjoy things?

I am able to recognize one of my issues with enjoying things: In order to raise my emotional floor, I have embraced being stoic. Things happen that are out of our control. Things are lost, hardships are had, people die. They are simply facts of life. The problem is that it also prevents enjoying things - enjoyable things are also out of your control, so do not embrace them for they will be gone. Which, moments in time then neither "good" or "bad", they simple are just moments in time. Every moment is simply some indefinite, irrelevant moment in time.

Which, kind of tied to that as well, but another issue I recognize: as I have understood my own trauma and how it's affected me, I've really understood just how much is deterministic in life. Which is especially sad in the case of trauma responses, and how much society basically double downs on the trauma (just easy eg of how "hysterical women" have been treated throughout history, but look at the overlap of BPD and traumatic childhoods).

But now these are not just moments in time, but determined yet irrelevant moments in time.

But that still doesn't preclude enjoying things. And I guess that's mostly what I'm for the search for in life, to figure out what things I actually enjoy/how to actually enjoy things I want to enjoy. Because enjoying life is certainly enough, but that requires life to be enjoyable.

And it's actually part of why I'm even posting this. With all the different ways I've changed my life and such, I've tried to look back at what was actually enjoyable. And long-form text communication is definitely the way I prefer to communicate (oh do I miss when 'social media' was forums). I also recognize the importance of being part of more smaller, tighter-knit communities compared to being a blob in a mass. So it's part looking for help, and part just trying to get back into posting on smaller communities.

But I also feel like I'm all over the place and I do apologize for that. I think to try to summarize to bring the points clearer...like I said before, life either needs to be enjoyable or there needs to be some kind of relevancy to it. So either how do you find relevancy/where am I wrong on that, or how do you find enjoyment (and I don't mean "try new hobbies until you find what you enjoy!" kind of stuff - I've already ran that gauntlet. I'm not asking where to find enjoyment, I'm asking how to feel enjoyment; how are you able to care about things might be a better war to phrase it)?

I'm a pretty introspective person. I grew up with an emotionally abusive parent, struggled with my mental health from teenagerhood, and been to more therapy than I can remember since the time of my parents' divorce when I was eight. My siblings and I have done a lot of deconstructing over the years to figure out what the heck happened to us (the abuse was pretty insidious and, of course, we normalized it) and how it affected us internally. I'm also most likely autistic and have always struggled to socialize correctly, which led to a LOT of observation and imitation that was both conscious and unconscious.

Despite all this practice at introspection though, in the past few years, I've come to realize I am wildly out of touch with my own emotions. I am tempted to blame much of this on the fact that I was always collecting social "scripts" to follow, so that I could react appropriately to jokes, or good/bad news, or whatever. If you're acting, you don't actually need to know how you feel. And if you feel something different from standard, it's irrelevant because it's "wrong" to feel that way, so you ignore it. So it took me a long time to realize that my display for other people was actually pretty disconnected from whether I was actually feeling anything. I don't feel it was dishonest, though, because I still would have wanted to show sympathy, excitement, etc. for the people I care about. It just takes me so long to process things that I wouldn't have been able to do it within the same conversation if I didn't have a ready script.

I know that some autistic people experience alexithymia/emotional blindness, but it doesn't look terribly well understood. I know I should probably get back on the therapy horse, for a number of reasons including this one, but I'm pretty leery. I never felt like it helped me much. (Although most of it, at the time, was to help me with "depression". Which I certainly had, but there was no understanding from either my end or theirs that the cause was likely rooted in ADHD/autism.) And I did try to start up again last year; I found a psychologist who specialized in ADHD and autism, and although she seemed understanding at first, I felt like I couldn't establish any clear communication and we just kept talking past each other. At this time, I super don't have the energy to keep trying new therapists, and waste weeks or months on each one before I figure out we won't click.

So I ask: have any of you folks ever dealt with emotional blindness? If so, how have you learned to identify your emotions? Do you keep a feelings journal, and how do you even know what to put in at first? Any advice is welcome!

Every time I find myself in an ADHD related thread on the internets, I feel like I'm seeing my personal struggles being described by others (Anxiety, Depression, executive function issues... the list goes on).

My intermittent attempts to seek out a diagnosis (or rule it out) end quickly with all the utter shite noise in the search results (literally everyone is selling something).

I'm hoping some of you who've been down this road can shed some light. Should I just schedule and appointment with my GP and start a conversation or???

Thanks (hope I got this in the right sub-tilde)

UPDATE: Thank you all so much! I ended up setting an appointment with a nearby adhd clinic that does 2 brain scans, a bunch of bloodwork, several questionnaires, and a couple meetings with a psychiatrist/psychologist (can never remember which is which). 1st scan is on Monday morning, 1st meeting with psych* is in early December. Feeling optimistic.

Reading through all your comments, I feel connected and optimistic in a way I've never felt before when pondering what I can see to be atypical behavior/emotions/response to stimuli but felt powerless to address.

Thanks so much for helping a stranger on the internet, hoping to pay it forward someday.

Here’s a topic that I would like to hear some opinions (advice) on. I work in a pretty demanding software role. The positives: I am well compensated and I like the work I do. It also helps that I work on a genuinely useful product whose sole purpose is not only to extract profits from the consumer base. I also do not work overtime.

Therefore I am covered on all bases: moral, financial and personal interest. However, for the past year or so my responsibilities have grown, and I have to juggle more and more (both in number of tasks, their complexity & deadlines) during the same period of time (remember, no overtime).

So now I find myself periodically stressed for longer & longer periods of time. I don’t have energy and motivation for my hobbies, and I dread having to engage in anything more intensive than the occasional walk. But I can tell that this state of being is not sustainable for the long term.

To whoever can relate: what are your thoughts?

Edit: some good things that I have going for myself, that help a little; I have a good sleep schedule, I rarely drink, I don’t stay connected to work outside working hours and I have a very supportive partner.

*TRIGGER WARNING: Racist and Anti-LGBTQ topics contained below with hurtful language *

Hello all,

TL;DR: I am wondering if there's any generally recommended resources, books, or general advice (peer-reviewed research would be ideal) on dealing with racist, close-minded family after you have made the transition to more progressive worldviews? I don't really like my family these days because of their Trump support as well as their generally close-minded, reality-denying views. It's weighing on me, because I miss having some sort of good connection with them like I used to. Their health is starting to decline, but I've gotten to the point that I don't really like them that much, and I haven't been going to see them. These two parts of me are kind of at odds with each other, and I'm struggling to find a balance.

Background & Context: I (33M) and I grew up in a rather conservative family (2 older brothers), to the point that a "light" level of racism was generally accepted and talked about in the family, and as an example, jokes using the N-word with the hard R were told by my dad and grandparents semi-regularly. I say "light" racism because we don't have a family history of racial violence or owning slaves (we're descendants of 1900's European immigrants, mostly.) I also think my family generally supported the Civil Rights Act back in the day. As a result, I grew up finding racist and gay jokes funny and frequently repeated them, and generally had a close-minded approach to the world before I went to college - but I never truly wished anyone any ill will. I got along well with my family, and while we were never super close, I at least talked to my family about stuff but we never really shared emotions or talked about depression with each other. None of us ever really learned how to deal with their emotions and talk about them. My family never traveled, either, so I never got out of my home state till I was in high school, and it was of my own volition. My parents are also conservative Christians, so they have generally anti-LGBTQ views. My mom calls LGBTQ people "abominations" per the bible, for example. It's disgusting.

Once I got out into the real world working with people of other cultures and befriending them, my worldviews began to change. Especially once I went to college and started working in scientific research, wherein your critical thinking and objectivity are especially stressed, I started to pivot more and more to progressive views. Beyond that, the more I saw that data generally supported progressive views and policies, I started to disagree harder and harder with my parents on political topics. Additionally, I slowly lost my faith, and started to become more and more annoyed by my mother citing the bible as a reference for topics such as LGBTQ marriage rights. I now commonly refer to myself a recovering Catholic.

And then Trump happened. Honestly, in his first run, I could understand why people voted for Trump. They were tired of traditional politics and feeling like it wasn't working for them, especially in midwest and blue collar areas, so they figured "fuck it, throw some chaos into the system." But after COVID and January 6th? I just can't fathom still having a SHRED of support for that disgusting shell of a man. And yet my parents do. My mom watches Newsmax, thinks COVID vaccines are deadly, and thinks the 2020 election was stolen. She thinks Biden was kidnapped and was being impersonated by the Deep State. I can't. I just can't with her. It's all she wants to talk about, and my dad won't say anything to her about how fucking crazy the shit she spouts is.

I was also close to one of my brothers for many years, as we went to concerts and played games together mostly. We just "click" when it comes to gaming together, and it feels seamless and fun to play with him in a way that it doesn't with anyone else I've ever played with. But then, politics comes up. My brother would probably be aptly described as an incel, in that he reads 4chan still, and also has some batshit crazy views. One, for example, is that he doesn't think the races should mix, because something along the lines of black and white genes don't work as well together. He has straight up said that to me, and I regularly wonder if I should cut off contact with him for that alone. He often blames women in sexual assault cases or characterizes them as gold diggers. A part of me wonders if I am doing a disservice to the aforementioned groups by even still associating with him after saying things like that. If I am also doing a disservice to myself by even sometimes associating with someone who has such an awful worldview?

And herein lies my dilemma: I haven't gone to see my family in over 6 months, now (I live <30 mins away). My parents' health is declining - it is likely that one of them is going to die in the next 5-10 years, and yet I don't even want to go be around them, especially my mom. I still game online with my brother, but this dilemma is slowly eating away at me.

But also? I feel a deep empathy and sorrow for them, to the point that I'm choked up as I'm writing this post because they are lonely people who, in my opinion, have been grossly manipulated and mislead throughout their lives. I wouldn't want someone to give up on me, as I feel I am doing to them by avoiding them. I also used to be deeply entrenched in close-mindedness, and I wouldn't be where I'm at without people who kept trying to convince me of a better path. But the other part of me thinks: Is there a line somewhere? At some point, do you become too deeply entrenched that I can't convince you out of it? What do I do at that point? How do I even define that point?

Are there any resources or books on this topic? Are there any objective things I can do to try and improve this situation and feel better about it? I have spoken with a therapist about this in the past, but I wouldn't describe the feedback I got as very helpful. I would like to go see a therapist again, partially about this, but it's so damn expensive thanks to the American healthcare system. Any input anyone has is appreciated, even if it's anecdotal. This post is also partially just cathartic to write out as it is also to ask for feedback. Thank you.

I just got the official notice from my boss that I've been let go due to performance reasons. This wasn't a surprise to either of us at this point, as I'd been struggling to improve without sufficient improvement for a while up to this point. Can't really even blame my boss, as she really did try to gently help me get back on track over the last year. I think the likely culprit has been burnout all along -- I've been feeling like a fly stuck to fly paper for months at this point. Before getting fired I got some burnout leave started with my GP (it's not super hard to get medical leave for burnout here in Germany) but I initiated the process too late for it to make a difference for this job.

Luckily between my severance pay and eventually unemployment benefits, I'm not in any financial risk due to this change (advantages of moving to a country with a real social safety net). I can even get some free job training courses paid for by the state while I'm on unemployment. But between now and when that sort of thing starts, I'm wondering whether I should do something specific to help myself rest and recover from burnout. I'm planning on going back to therapy and talking to a professional about this, of course, but I'm curious whether anyone else here on Tildes has advice for how to recover from burnout other than just "take time off", since I've got that bit covered.

Special Ed. Teacher here.

This year I've been assigned a tough caseload. But my most challenging student is easily the student with Reactive Attachment Disorder and possibly autism. I'll call him Jake.

Edit: He's in middle school, btw.

To protect his privacy and my own, I can't give many specifics. This student is chronically online and I wouldn't put it past him to Google situations he's caused in my class.

Some vague descriptions of the things he's done this year:

-Repeatedly jokes about pedophilia and teachers who have been arrested for it. It makes me uncomfortable that he does this, obviously. The only saving grace here is that he has thrown it around so many times, including calling multiple teachers pedophiles last year, that everyone knows he is just being rude and it's not a serious accusation. Thoroughly documented and I'm not really concerned about actually being accused. Fyi, I have informed his adoptive parents and they have informed his counselor. They are taking it seriously and have started investigating whether or not this is just shocking humor or a more serious part of the Jake's history before adoption.

-Waits for the perfect time to drop rude or shocking comments to inflict maximum damage. When he wants to say something awful to me or in general, he will hold off until he has an audience and the room is relatively quiet.

-Constantly mocks and shit talks certain students. We have dealt with it. He isn't just getting away with it. But even after consequences, separation from the students, and punishments at home, he doesn't stop. He's hung up on hating a couple of kids in particular but will generally be rude to whoever if he wants to. One of these kids is a scrappy kid from a rough school and I could totally see it ending in punches if we don't manage this.

-Absolutely refuses to share any serious thoughts. Even when asked what kind of support he needs, what kind of rewards would motivate him, or what's bothering him, he just gives ridiculous answers in a high-pitched voice or walks away. This kid wants no part in coming up with solutions and won't even engage in a conversation about his behavior or even the behavior of others.

-Speaking of his high pitched voice, this is the voice he always uses to say rude things. He has his normal speaking voice and then he uses this higher pitched voice when he says things that are rude or shocking. Like he has two different brains and one wants to be mean.

-Last year, he kept a list of times he felt students and teachers had broken the code of conduct.

-absolutely hates special Ed. Hates me for being a special ed. teacher. Reminds the other kids in my class that they're "special" constantly.

For the record, all of these things have been addressed many times. The school has been supportive, the parents have been supportive, and everyone knows that this behavior, if continued for much longer, will likely result in a change of programming for this student. He would be placed in a more restrictive setting.

This is kind of my last ditch effort to see if anyone has ideas, because this student is on the verge of leaving my classroom. If there is anything I can do to make it work with this kid, I would do it immediately. He's smart, witty, and unfortunately very funny in a South Park kind of a way. But he's raising hell every day and he's the first student I've had where it feels like I can't connect with him at all. And not for lack of trying.

My only living parent has between one and five days left to live. The parent is unable to speak now and has had dementia for the last 5 years and will not recognize who I am if I go visit now in these final hours.

They live a few thousand miles away from me; it would be expensive to go and money is painfully tight right now with my partner unexpectedly unemployed and struggling to get a job comparable to the job just lost.

I’m somewhat estranged from this parent. The short version is this parent is a narcissist and really didn’t show up when I was growing up, or at any point in my adult life, or really at any point when it mattered. Despite this person being a really crappy parent, they exerted a massive gravitational pull in my life through many decades—basically, this parent loomed very large for far too long given the extreme narcissism, albeit much less so in the last decade or two. (Dementia and my coming to terms with it all and caring less and time and my having my own kids and my starting my own family all being some sort of salve.)

I have one very close friend who is telling me that it is critical to go before this parent dies because being present while they are still living will give me a kind of closure and unexpected resolutions that I cannot even anticipate now. This friend is quite adamant that going is critical for personal growth.

A different close friend says that going while the person is still alive is a complete waste and that I should go for the funeral instead where I can see other relatives and connect with my sibling and other relatives and deepen those relationships which (the friend says) will be a momentous transition point for us all, creating a better sense of family than any of us could have ever had while this person was alive. This friend insists that the healing and closure is identical pre-death and post-death, but that the extra emotional burden of seeing someone dying will derail me and never be able to be “unseen.” This person thinks spending money on two trips is foolish, so the one trip to go on is for the memorial. FWIW, My sibling is only going for the memorial.

Even if money were no object, I’m not sure I could emotionally handle going twice. I suppose I can, but that’s very time intensive and I have young kids myself who need me and for whom it would be a strain if I were gone for too long. I’ve already said it, but I have to say it again: money is really tight Going twice feels possible, but extremely difficult

I guess what I’m really trying to understand, if my feelings for this parent are presently ambivalence that grew over a decade or two from what was formerly extreme anger and hurt, is there something meaningful about going while the parent is still alive? Is there something important that happens before the person dies that is in someway healing or transformative or valuable? Is it more important to instead go when my sibling is going? Should I max the credit card and go twice? Should I risk infuriating and deeply damaging my relationships with my extended family and not go at all to save money? (This last option seems wrong, but it is a possibility, so I feel like it at least deserves considering.)

Friends of Tildes, what did you gain or lose from seeing a relative in hospice? What thoughts and wisdom do you have to share around moments like these?

Thank you in advance for sharing your stories. I’m sure your collective wisdom will help me make a better choice.

Two weeks ago I decided to cut alcohol out of my life. I have a weird issue though where I don't feel I necessarily relate to other problem drinkers in support spaces online, and I assume would not in-person, because I feel like my habit was never particularly bad. I've never been addicted to the degree where I have to have a drink to function, I never used it as a crutch in social situations, or anything like that. I don't mean this to put anybody down, but I've grown up around alcoholics, and even count myself among that number, but feel I somehow never fell into the worst, and have a hard time walking away from where I was because of it.

To break down my cycles of drinking:

I started with a beer a day. I liked beer, then moved on to drink/include whiskeys and other hard liquors. I'd have 1-3 drinks a night most nights from when I was of legal drinking age and could afford my own alcohol, and have a pace usually of one an hour. I enjoyed the tastes, experimenting with different varieties, and just exploring what was out there from whiskeys, cordials, weird beers, meads, anything.

Then there came a point where I started drinking heavily infrequently but regularly about seven years ago, where half a handle was gone in a week and a half and I had no idea where it went. I didn't black out at all, but would later realize I was drinking it really fast. This continued, I would stop buying hard liquor, and then buy some, and drink it quicker than I should have, rinse repeat.

The thing where I feel conflicted is I feel like I was in control, in a sense. I really enjoyed the alcohol I was drinking and would sip on it over a few hours having glass after glass. For these heavier nights I would wake up with a mild hangover, but it wasn't an every day thing. I would occasionally mess up and drink half a 750ml bottle and regret it, but tone it back down.

As far as cravings, I would crave alcohol like I crave other foods/drinks, like "I really want some Johnnie Walker Black this week" similarly to how I would think "I want a coke." Then I would clear 375ml in three days, and realize I didn't have enough to enjoy until the next paycheck (I generally didn't buy liquor more than once a pay period because I was usually interested in being more intimate with one drink at a time). Similar to how if I eat candy bars regularly I crave them, alcohol is/was the same.

Part of this led me to take a long time to give myself permission to stop drinking. I decided two weeks ago that I just don't need alcohol and sort of just said I'd commit to it, do the "one day at a time" thing. No end time, just never doing it. I feel if there's a deadline, or any conditions to drink, I'll slip back into the patterns I had which weren't entirely self-destructive, but not something I wanted to live with. As far as work functions, I'll just get a soda, mocktail, or water.

As a result, I have also hit a sort of malaise about how different things aren't. I've had dry patches where I chose not to drink, and I don't have a huge recovery story since I wasn't drinking all the time anyway, but going through these sorts of cycles. I don't feel any different because I'm not healing, I'm not going through any withdrawals or detox, I don't have any behavior to feel guilty about, or anything. I feel like a bad alcoholic, in a sense, because I don't have much to run from beyond the problem of "one is too many, two is not enough." I also feel self-conscious about not drinking alcohol, because I'm worried about how to answer if asked why.

I guess, to a point, I'm reaching out because I feel a little alone on this. I'm not sure how to navigate my not-quite sobriety (I still use cannabis edibles on rare occasion, and kava quite frequently, but not regularly). Has anybody else been in a similar situation? How did you navigate it internally?

I have tried and failed to journal many times in the past. I always find myself self-editing, avoiding writing certain thoughts or feelings and just overall not being as authentic or honest or genuine as I should be to actually get some value out of journaling. I wish I could get over this “self-censoring” habit because I love reading and writing and really think journaling could be a great outlet for me.

So, I ask, what tips do you have to help write? To help actually get your thoughts and feelings out on the page, without judging yourself or feeling self conscious or critical? What do you write? What do you find helps you write more honestly and genuinely?

Could really use some help and guidance.

At 22 years old, after months long assessments, I have been diagnosed with severe ADHD, depression and moderate anxiety. Here is a quick timeline of my experience:

• May - August :
  • I started CBT therapy and Sertraline 50mg
  • Gradually I was upped to the a dose of 75mg.
  • In this whole period I did not experience any improvements or side effects, except a loss of appetite in the first few days.
• September:
  • I started taking Methylphenidate 18mg and went back to just 50mg of Sertraline.
  • From the first day I had felt a sentiment of calmness and control. But it slowly faded away and I still felt I could not concentrate on things or act productive.
  • I also stopped going to therapy as I saw that CBT was not effective for me.
• October - November:
  • This was a completely different month. I wasn't fully in control of my attention span but it was much better than I've ever been. What was more shocking was how internally I felt at peace and something that I'd describe now as euphoric (as I assume this was just a side effect of the medication). U
  • Until mid november I was actually going around telling people I think I might not be depressed anymore, as I had felt for the first time in a way that I haven't felt since early childhood. I was able to accomplish incredible feats related to discipline and I saw my academic results improving greatly. Unfortunately this sentiment slowly faded away and I was back to my old self by the end of November.
• December - Now I was upped to 36mg of Methylphenidate and I noticed a much better control of my attention but unfortunately I have not felt that feeling of relief again. And as it seems the effectiveness of the dose diminished from the first few days to now.
  Since December I've had numerous breakdowns, feeling completely exhausted and burnt out. I suffered from classic problems of procrastination starting to work on difficult projects only a couple of days before the deadline and it was all crashing down. I submitted multiple disgustingly low quality pieces of work because I just did not work in time enough but the few days I did work I did incredible amounts of effort and I do feel like the pills helped me stay focused. After this deadline period though I was just met with my normal depression symptoms where I had a long streak of days that I could not even get out of bed or brush my teeth.

I don't know what more to do. I always knew I was broken and needed help. And for all my life I thought that seeing a psychiatrist is a last resort in case "I can't fix myself" on my own. Now it's been almost a whole year and I am in a critical time period where I need to excel and put in the work but I find myself succumbing to my symptoms while jumping up and down with the doses of some pills that barely seem to have an effect.

I didn't have many people around me from the start, and many of them would not understand my condition at all (nobody from my family does). But now it seems that even the few that were empathetic I have unfortunately tired out. I've heard my fair share of bad remarks that have gradually demoralised me (ADHD is not real. I'm just lazy. I just like to complain. etc) and due to the fact that I also have codependency problems this has greatly hurt me and made me feel like I am completely alone and nobody cares for my troubles or has my wellbeing in their best interest. Right now I just wish I'd know what to do. I wish there was some clear step by step goal oriented way to "happiness" or at least normality. I don't even know what more to tell my psychiatrist other than how I don't feel well, which is what I've been telling him since the start.

If you've been through a similar journey, I'd love to hear your experience and any advice you wish you had received earlier.

I am realizing as I age that when I’m feeling unwell in some kind of way, I cannot be comforted by others.

I have friends and family and sometimes a romantic partner who try to comfort me, and while I am thankful for their support, I never feel comforted. I know what doesn’t work but I cannot provide them with what I want or need because I don’t know what I want or need to feel comforted.

So, how do you get emotional or mental comfort from others?

Edit - I wanted to start a conversation about how you (the reader) feel comfort from others. Thank everyone so much for the tips for me, but that was very much not the point and I can see now how that was unclear. Thanks again, everyone!

To the powers that be: if there is better phrasing, please help me out with the title.

I hear people saying to suicidal people that its easier to get through life if you just try to get through the next moment, but tbh for me its at a point where depending on my mood i can't get through one moment, and i have used drugs much more frequently and made 3 attempts in the past week as a result (though they were all when cptsd and psychosis was bad so i wasn't thinking at all rationally, and i didn't completely expect them to work).
For me "getting through the moment" is just continuing to exist, or just trying to distract myself/take drugs.

So does anyone know of any ways to keep going without drugs if things are really severe?

I've been writing and rewriting this to make it more formal, but I've decided to screw it because the original was raw and can probably describe my needs better than my rewrites could ever. So apologies if it doesn't fit the tone of Tildes

As of right now, I am currently not seeing anyone for my mental health. However, I'm in the process of getting help. I already have a consultation form for one and all I have to is figure out if I'm saying too much because one part ended up being like 16 paragraphs long and I don't think mental health professionals like that...

Anyways, I've been having trouble getting myself to clean. There's a gap between my bed and the wall that I put in case I ever got bedbugs (never got bedbugs in my life) and what ended up happening is various items of clothing would fall into that gap without me knowing. Which led to a whole bunch of carpet beetles suddenly flying in my room a month and a half ago.

Here's my concern: I did have a period where I found fleas in my room, and after seeing them a few times I went on a cleaning spree. Eventually my dad had to stop me because I was deep cleaning the house every single day, and when I wasn't doing that I was researching about pest control. When I wasn't able to clean I ended up researching too deeply on pest control, which led me to find out about scabies. Which led me to a delusion that I had scabies, then went straight back to my cleaning frenzy again, this time with this newfound fear that I'm infesting my family with scabies if I don't babywipe or vacuum everything.

Then one day, I started getting psychosomatic hallucinations that matched the symptoms of scabies. At night, I wouldn't be able to sleep because I would feel hundreds of bugs crawling inside my skin every time it got dark, forcing me to sleep with 3 lamps around me to mitigate the sensation. Every time I got out of a hot shower I could feel it too, but not as strongly as at night. And then when I sought out a dermatologist, because there was no way I didn't have scabies if I was going through all these symptoms, it just suddenly... stopped? Which was my biggest indicator that it wasn't scabies, because it would have never stopped if it was scabies.

It was a... bizarre experience for sure, but an impactful one. Especially now that it's been about a year since it all went down, and I've been having trouble sleeping because my room gets so stuffy. I keep my window open at all times, even when I'm too cold to sleep, just because the air is so musky and makes me feel like I'm on the edge of throwing up. I don't feel hunger in my room, and all I can think of is how there's carpet beetles in those gaps and how I will have to clean them when I get better. Because I don't want to repeat what happened last year. I don't want to clean and have these stupid carpet beetles or whatever else I find in that gap briefly take over my life like those fleas and imaginary scabies did. For the past few years I've been swinging between moments of depressive symptoms, grandiosity, and paranoia one after another and a few months ago is the first time in five years since I stopped having these back-to-back moments and I just... can't have another one again. Not until I get help.

But it has come to my attention that help might take a long time. If I need therapy, that might take months, if not years, and there's a good chance if I need medication I won't find the perfect one right away. So either I have to wait until months or years of my room rotting more and more or I clean it now. To clean knowing full well that I might relapse into another stupid paranoid episode because it was a trigger before and can be a trigger now.

I don't know. I don't know what to do. I want to clean but I don't want to trigger what I went through in the past again. I don't want to trigger anything. Any causes to my episodes I keep it in my head and make it a rule to avoid at all cost, but how do I avoid cleaning when it's impacting my physical health not to clean? I know I should get help, get treatment, but I shouldn't do anything funny while I wait for the perfect solution right? When I have the right treatment and coping mechanisms I can tackle my triggers, so best not to clean? If that's a trigger? I hate this. I just want guidance

I signed up for a class from Udemy. Udemy makes tech classes you take at your own pace. The lessons are many short videos with lectures and some practical exercises.

I signed up for a class that will prepare me to take a certification class for a skill that will help my resume. Complete worth it.

I am about 2/3 done.

The thing is I've getting frustrated and mentally run down.

The course is voluminous. The going is slow.

I know the thing to do is to forget about finishing, forget about the results, and just focus on enjoying each lesson in the hear and now.

I enjoy taking notes, I am good at it, and I find reviewing notes to be soothing/meditative.

I still get frustrated and demoralized.

Worse, I always thought if I got a lot of time to learn something I would sit down at it 8 hours a day and blow it away. I get wiped out at about 3-4 hours. I'm kicking myself for this which isn't helping.

Any advice, commiseration, or success stories?

I have a very long history of mental illness from age 10, and though I've cycled through a lot of explanations the diagnoses that best match my symptoms currently are currently ADHD and CPTSD. I am medicated for both, and although I am not in active therapy I have also done therapy. I consider my mental health relatively well-managed currently: at least, I am not in any urgent danger of hurting myself and it has been a very long time since I have been. Certainly things could be better but I'm usually functional.

But sometimes I go through these phases, generally 1-3 months long, where my ability to function on a normal level slips dramatically. It never gets to the nightmarish state I was in when I was a teenager, but it becomes hard to... oh, make appointments, do the dishes, walk the dog, just generally deal with the obligations of being an adult. My house is never in GREAT shape but it becomes a disaster. Work performance suffers a lot, my relationships suffer. I also start experiencing emotional PMS symptoms (or perhaps I just lose the ability to suppress them), and while I'm not the type to have "emotional outbursts" I do experience deep and irrational sadness or anger on those days. I also tend to end up dealing with insomnia, which is like a force multiplier on feeling overwhelmed.

It sucks especially because it's like I'm watching myself do it, and I feel as though I don't have enough control over myself to nip it in the bud, and sometimes the damage I do during these times is not fixable at all. It's almost like an unplaceable craving, like there's some thing I'm missing and my subconscious and my body are trying to send me signals, and I just can't interpret them right and figure out what I need.

How I generally get out of these phases is -- well, it's a bit chicken-egg, because the turmoil makes it difficult for me to reach out for help or even do anything to help myself, so to me it seems like sometimes the wave just passes. I'll say, "ok, this time I'll get my shit together", download some new app or whatever, organize my time or tasks via some new fascinating system, and that'll work... but it feels like it's only because I'm "ready" for it to work.

I think it's unlikely I'll find a solution that will work indefinitely to prevent these slips (hooray, novelty-obsessed brain). And anyway - as though it even needs to be said - I'm sulking in the midst of one now, so prevention or reduction tips might be helpful later, but for this moment I'm mostly concerned with getting out once I'm in.

If you have "swingy" mental health, or phases, or waves - what do YOU do about it, if anything? Therapy? Do you change your medication? Do you take a vacation? Commiserate on your favourite internet forums? What works for you?

I'm a long time Tildes user but I've created this separate account because I'd like to avoid connecting this topic to my normal username.

I am going through a divorce that will take about a year to finalize and I am struggling with the stress. If it were a short term thing, I would grit my teeth and bear it, but I have a full year ahead and I'm afraid I need some help in order to make it through with my physical and mental health intact.

My wife has a personality that includes "kill mode" for anyone she deems as an opponent -- whether it is another driver on the road, a customer service agent who doesn't give her what she wants, or anyone at all who she perceives as having slighted her. This is one of the reasons why we're getting divorced. I have nearly the opposite approach to conflict, and I can't handle seeing people get attacked so fiercely or so often. Now that we're getting divorced, I am the target of these attacks. For clarity, they're only verbal attacks, not physical -- there is no physical abuse in this case.

I could stiffen up and fight back whenever she starts arguing with me, but we have kids and I want to commit myself to preventing their exposure to hostilities as much as possible. But this means I have to do my best to brush off my wife's verbal abuse and maintain composure so they can have a stable dad to rely on.

Right now I'm having trouble sleeping and I am constantly anxious throughout the day. It gets worse whenever I have to interact with my wife; and unfortunately we have to interact frequently every day to coordinate childcare and logistics of the divorce. I have a tightness in my chest from being so anxious (not heart attack) and I am struggling to maintain focus on work or any tasks I have to complete. I can hold back the tears, but I really do want to cry many, many times a day.

What can I do to wade through this time period? I know there are breathing exercises to help calm down. What else can you recommend? I am trying to make sure I do eat well enough and that I drink enough water. I avoid alcohol entirely and don't take any kind of medication.

Any advice at all would be greatly appreciated. And I'm sorry if this is not an appropriate forum for this question. I will delete if so.

I've started to date a lovely woman, and she's now allowed me to know that she has Dissociative Identity Disorder. I've done my best to read and watch information about the 'disorder' but I was wondering if anyone has had any experiences that might they're willing to share.

I know that everyone is different, and there's no set way anyone who has it acts or behaves.

My mind is way annoying to listen to and I don’t like it!

I'm 45 years old and I have a hard time coming to term with the fact that the majority of my life---the one which supposedly should had been my golden years---lies in the past. I know I'm still alive but I just can't drum up much enthutiasm for an existence which I mostly see as sad leftovers of something which wasn't worth much either. I simply don't care much. I can distract myself for some time, but I have this deep feeling that, well, what's the point.

And I can ignore it, for some time. But ignorence can only go so far. At some point you need some hope, some sliver of meaning and purpose. And I just don't see it.

And this is all awful impractical, because whenever I try to strive for anything, my brain just goes, “narh, why bother struggle when it doesn’t lead to anything”

Is there any clever way to turn stuff like this around? Some NLP stuff to nudge me towards a less self-defeating mindset?

I'm failing. My usual tricks aren't working and I don't know what to do with my clothes anymore.

One of my ADHD symptoms is that needs to see everything. My "pantry" is open shelves in my kitchen. Everything in the fridge is up near the front of the shelves. I have a giant desk so I can spread out when I'm working. I need to see it all at all times.
So the issue becomes, how do I do that with clothes. My alligator brain wants them all over the floor so I can see everything. That's not gonna work lol. I used to be good with a closet with no doors, but my new apartment isn't laid out in a way I can do that.

Does anyone have any interesting clothes storage advice? The clutter is stressing me out, so I need to figure out whatever my new system is going to be.

I'm working on pruning the sources of information that come into my Readwise/Read Later feeds down based on usefulness/actionable in my life and quality. My priorities are for data sources to expand my 'reality tunnel', to provide unique insights (not an echo chamber), and to remove a lot of the 'noise' of the day-to-day information overload. I'm considering what those sources might be. If you have a moment, I'd appreciate your thoughts, advice, and links to any writings or videos that speak to this similar goal and how others have done it. Thanks in advance!

Nick Milo said:

The noise is deafening, but I promise to focus on the high-value signal.

I'm seeking to reduce the noise, and increase the signal of my Reader feeds.

I figured I would help kick off this new subgroup by starting a discussion on how people with ADHD try to manage it.

I had a late diagnosis a couple years ago as an adult, and I have been working with a counselor to develop some behavioral techniques (in addition to medication). Not all of them stick, which in my experiences is the primary challenge of this disorder, but I've had good results when I do use them.

Primarily, I have a calendar where I put reminders and plan things out. If I have parts of a project I need to get done, I lay those out and assign them to certain days of the week. Working in academia, I live my life a semester at a time and this helps me reevaluate certain goals and it feels reasonable to me to plan out a few months at a time.

One thing I struggle with when it comes to planning is coming up with accurate estimates of how much time it might take to spend something. This was always a big obstacle in my way when it came to planning things out before - I wanted to know the exact time on how long it took to do something so that my schedule would be perfect. My counselor suggested that I come up with an initial estimate of how long something should take based off my intuition, and then double it (e.g. if I think a task should take 30 minutes, plot it out for 60 minutes of my day). This has been great for me because usually it's a win-win. Often, my initial assessment is underestimating how long something takes, so by accounting for slippage in time I can better chunk out my day. On the other hand, if I do get it done sooner I can pat myself on the back and I now have extra time in the day to get other things done.

I wanna find better ways of trying to stay on track with habits. I've tried some different apps and none are working too well. Recently I picked up Sunsama which has helped in terms of reviewing the day and looking at subtasks, but as I've gotten busy with experiments I've kind of lost track of that. What are some things that you do to accommodate the way your brains works?

...When I can't complete a task right now but instead have to wait for some reason. For example:

• When I have to complete a task list for school, and would love to just blitz through it all, but have to wait on someone else to fill out some form. Then I get it in an email a day or two later, but have already completely forgotten about the list and things I should do, because something else took over my mind. And I put it off because I have other things to do. Then the deadline comes and goes, and I'm sitting there thinking "Well shit, if I could have done it immediately then it would have been fine."

• I ask my kids for things they want at the store. I know I need to add it to the grocery list app immediately or I won't remember it, but I'm driving them to camp and can't use my phone. By the time I've dropped them off, I forgot already. Then they're upset with me because I forgot their things, and I'm upset with me because I forgot their things.

All these little things that just add up to make life a little more frustrating and annoying.

Anyone else with ADHD, have any tips to overcome these? Frustrations of your own to vent? How do you explain to others that it isn't you being careless or lazy, but instead it's your brain working against itself?

I have a very close friend that has been in the deepest troughs of depression for the past couple of years. They live about an hour away, so though my wife and I try to physically show up to support them whenever we can, that's much less often than we'd like. Their support network is thin, and day-to-day basically consists of only their partner, with whom they live, and who is visibly fraying at the seams.

This person (I'll just call them John for the sake of readability) is currently on medication for their depression and OCD (I'm nearly certain it's Lexapro, can't remember for sure) and has on and off therapy, though they often find themselves at odds with their therapists' perspectives. Some of this is because it feels like the profession has been flooded with folks who lack experience with patients with severe chronic mental illness, and some of this is (I suspect) John's illness distorting their thinking, leading to frustration and anger in the moment that doesn't make sense in retrospect.

John had a particularly bad day yesterday, and after I spent some time with them, we started talking about how they felt like they needed considerably more support than they were able to get in their current situation. Unfortunately, the only option he was aware of was "group homes", which seems like a pretty broad term and I don't know much about what they look like (or how successful they are at helping people like John).

I'm trying to get a sense of the spectrum of options available for people like John who are suffering from severe chronic mental illness. On the one end, there's what we're doing now; regular psychiatry and counseling, and on the other end, I guess, is involuntary in-patient behavioral health/medicine clinics. Being involuntarily committed to such programs has been a source of trauma for them in the past, so I'd like to avoid anything even close to that end of the spectrum, if possible. I know that there are, for example, 90-day rehabilitation centers for folks with substance use disorders (I have a family member that found a lot of success at one of these), but do similar programs exist for folks non-substance-related mental illness? Does anyone have personal experience with any of these programs?

Thanks in advance to anyone who takes a moment to read and share their thoughts; I know this is a really challenging topic.

For several years now (4-5-ish, but hard to pin down when it started), I have been stuck in a cycle of enervation/depression. I don't really like to use the word 'depression' to describe this, because in my youth (I'm in my early 50s now), I suffered from serious bouts of extreme depression, and by comparison, this is a walk in the park ... so I've gotten into the habit of colloquially referring to is as "ennui".

The duration varies (a lot), but the cycle is most often roughly 7-14 days long, where 60-70% of the time, my energy, motivation, my ability to focus on and accomplish tasks ... all goes into the toilet, and I spend most of my day reading news, surfing the 'Net, playing video games, watching re-runs, walking about town with my dog, or even just sleeping. The other 30-40% of my time, I feel good -- clear-headed, focused, motivated and energized -- and I spend most of this time catching up on all the stuff I neglected during the ennui phase, and making Grand Plans for the future.

It is hard to tell, objectively, whether I am getting better, worse, or just treading water ... in part, because the cycle varies enough that it's hard to see any clear trends over anything less than 6-8 month time frame ... but more so because my ability to objectively assess my status is so colored by the cycle itself ... when I am in one of my ennui phases, it feels like I am getting worse or, at best, maintaining. When I am in the manic-ish phase, I feel like I will never feel unmotivated again, and I must often remind myself that it is temporary, and in another day or 3, I will be back in a funk. As objectively as I can be, however, I think I am actually treading water or, possibly, getting gradually worse at a very glacial pace.

I know the "up" phase of my cycle sounds a lot like the manic- part of a manic-depressive bipolar thing. Maybe it is; as I said, it is hard to be objective. That said, though, I am really, really confident that, prior to the beginning of this, ~5-ish years ago ... that "manic" phase was my normal state of mind. I used to be a very focused, productive individual.

So ... I've tried many different things to address this. Assorted doctor visits have mostly concluded that either they don't know what the problem is, and/or, I'm exaggerating/imagining it (no doctor has explicitly said this -- it is my interpretation of "we can't find anything wrong with you"). I've tried increased exercise, more time outdoors, more sleep, less sleep, meditation, a wide variety of changes in diet, vitamins/minerals/supplements, etc. I've lost over 40 lbs. I'm currently trying (for a 2nd time) large daily doses of turmeric, and contemplating trying (also for a 2nd time) a round of tDCS self-treatment.

For context, I am right now on an upswing, coming out of my latest "ennui" phase and feeling optimistic and productive.

I should also add that I have another issue ... one that I believe is unrelated, but sounds similar when I describe it. This dates back to about 15-16 years ago, and is another thing I have seen many doctors for, and tried various things to remedy. In a nutshell, about 15 years ago, I got dumber. Prior to that, my ability to learn and remember, my executive functions, my ability to deduce, my ability to focus and prioritize and plan ... were all much better.

Over the course of 12-18 months, I lost a lot of my mental functions. For anyone who has read it, it felt a lot like the tail-end of the book "Flowers For Algernon". The simplest quantifiable example I can give of this is the notion of ... how many things are on your mental shopping list (stuff you need to get at the grocery store) before you realize you better write it down? For me, prior to this loss, my magic "I'm gonna forget stuff if I don't write it down" number was around 12-13 items, that I could fairly confidently remember. Afterwards, that number dropped to around 3.

At that time, my doctor found a (benign) lump in my throat (a goiter), and ultimately, they removed half of my thyroid. After they removed it, over the course of 6-12 months, my mental faculties improved again, but I feel to this day, that they never returned to anything close to what they were before. My mental "shopping list" number today is around 5.

Multiple tests since then have repeatedly confirmed that my half-of-a-thyroid is fully getting the job done, and I do not need any kind of supplemental hormone treatment -- with the possible exception of testosterone (ps: I'm a guy), which I tried for a little while -- and dammit, it helped, too -- but then I freaked out and quit once I started reading about side-effects.

I am writing this explicitly looking for suggestions and advice. Keep in mind, though, that (I'm guessing here), 80-90% of my responses will be "already tried it, didn't help".

In advance, danke y gracias.

Hello,

So I've been officially diagnosed with depression a few years ago. I am on medication for it and I've done therapy in the past. I am a more functional person than I was, let's say, one year ago as I've adjusted my medication.

However there is something that is SEVERELY affecting my quality of life and that is the generalized lack of interest or extreme difficulty in doing almost anything. Yes I've talked with my doctor about this. It's "normal" and we are working on it.

I don't know many people and COVID-19 took a hit on my already limited social life. So I guess I want to share my experience and hear from others who experience(ed) the same difficulties. When you are trapped in not wanting to do anything, what the hell do you do?

Recently I've started reading a physical book again. I think it is a good thing for me to have something to do that does not involve a screen. Plus it makes me sleepy if I am a bit tired which, for me personally, is great. Aside from this next experiment, the activities I do the most are playing one or two video games, study for my degree and work part-time.

Another thing I've started doing is doing the bare minimum in terms of physical exercise. I am working on doing pull-ups (I went from doing 0 to 1,5 =) ) and doing some squats. School and work rob me of a lot of energy so I tend not to exercise. But now I'm trying to at least do something.

I will try to keep up with this post but I have a tendency to procrastinate on them if I get a lot of replies. Thanks for bearing with me =).