I recall recently seeing an article posted that was related to euthanasia, and I started thinking about the subject. I see both potential pros and potential cons associated with it. For example, there's the concern about family members or authority pressuring an ill person to opt for doctor-assisted suicide to ease financial burdens, for instance. There's also the benefit, on the other hand, of allowing someone who is terminally ill or guaranteed to live the rest of their life in excruciating pain the option to go out on their own terms. With proper oversight and ethical considerations, it generally seems to be an all-around ideal to provide an "opt-out" for those who would only continue to suffer and would rather not prolong it, as a merciful alternative to forcing them to live it out.

But then there are some trickier questions.

As a disclaimer, I spent nearly a couple of decades struggling through depression and have been surrounded (and still am surrounded) by people who struggle with their own mental illnesses. Because of this, I'm perfectly aware of the stigma and subpar treatment of mental illness in general. With that in mind, I completely recognize that there are certain conditions which are, at this time, completely untreatable and result in peoples' quality of life deteriorating to the point that they become perpetually miserable, particularly with certain neurodegenerative diseases.

Thus, the question occurred to me: wouldn't such a condition be the mental health equivalent of a terminal illness? Would it not be unethical to force someone to continue living under conditions in which their quality of life will only diminish? Shouldn't someone who has such a condition, and is either of sound enough mind or with a written statement of their wishes from a time when they were of sound enough mind, be able to make the same decision about whether or not to opt to go out on their own terms?

And yet, as reasonable as it sounds, for some reason the thought of it feels wrong.

Is there something fundamentally more wrong about euthanasia for mental health vs. euthanasia for physical health? Is it just a culturally-learned ideal?

More importantly, what makes euthanasia acceptable in some cases and not others? Which cases do you think exemplify the divide? Is there something more fundamental that we can latch onto? Is there a clear line we can draw? Is psychology itself just too young a field for us to be drawing that ethical line?

I'm genuinely not sure how to feel about this subject. I would be interested in hearing some other thoughts on the subject. The questions above don't necessarily have to be answered, but I thought they could be good priming points.

[I'm tagging this as "adult", for purposes of open discussion, with apologies to anyone who may consider the topic inflammatory or sensationalistic.]

Based on discussion of loneliness elsewhere, I'm curious as to what adaptive measures people undertake to promote life satisfaction in the face of environmental/cultural/social stressors.

The word "drug" is used very loosely here, and basically refers to any strategy for purposefully altering neurochemistry - in addition to licit or illicit substance intake, it could be endorphin-boosting exercise, going out with friends, naps, particular reading genres, a good meal, games, direct brain stimulation, meditation, sexual activity, long walks in the country, or whatever.

I'm also taking for granted the proposition that intentionally seeking beneficial neurochemical states is a human activity that everyone participates in, whether they're aware of it or not, and desirable as long as it harms no one.

This is not an attempt to incite, advocate for, or excuse breaking any applicable laws, but a request for information on what people actually do and prefer. If you're concerned about potential legal implications of confessing to an illicit favorite, please discuss in terms of "a friend/someone I know, likes substance/activity x because y".

"Favorite" excludes strategies you've found harmful or destructive, but discussion and/or warning is worthwhile if you feel like it.

I'll start off by saying I have an acquaintance who finds psilocybin micro-dosing very effective at inducing positive emotional balance, mental focus and good sleep regulation.

There is a tendency nowadays for public officials to characterise loneliness as a public health crisis. I agree that it's a pervasive condition. However, the human condition is not fully medicalizable. I believe we can speak about it just as who we are, according to our full experience, in our capacity as first-person narrator, as witness, as who are the closest to their own struggles.

But it can be really hard to be open, and hence vulnerable, to difficult emotions. In times of distress, our own internal communication can get jammed, and it natural that opening up to the external world may feel as if an insurmountable difficulty.

Nevertheless, the great force of nature, evolution, has given us the ability to listen and be listened to. Its greatest strength may be manifest at the time of greatest need.

Which is why I'd like to have this thread. This thread is for you, if you're feeling lonely at the time, or if you want to share your experience with loneliness, or if you would like to give support to our community members, or just to speak up, or just to listen.

Let us tune in to each other's expressions in caring consideration. We don't have to be perfect in self-expression or empathy -- this is not a contest. This is a fireside chat, a place to rest, reflect, and understand, before moving on.

Are you willing to join the conversation?

Here's an article in Australian Fairfax Media: "Fears new wonder drug could lead to STI epidemic"

It refers to this article in The Lancet: "Community-level changes in condom use and uptake of HIV pre-exposure prophylaxis by gay and bisexual men in Melbourne and Sydney, Australia: results of repeated behavioural surveillance in 2013–17"

Here's the key take-away from the Fairfax article:

An international 2016 study of men who have sex with men found the chances of contracting chlamydia, gonorrhoea and syphilis were increased 11, 24, and 44-fold respectively in PrEP users. Fears have now been raised that these staggering numbers might be replicated in Australia.