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    1. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      10 votes
    2. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      16 votes
    3. I have a massive gripe with reductive "politicization" of mental health

      Before we start, no, I don't mean "bring politics into" mental health. Politics obviously covers mental health issues, practices, and institutions. However, I've come to realize a certain approach...

      Before we start, no, I don't mean "bring politics into" mental health. Politics obviously covers mental health issues, practices, and institutions. However, I've come to realize a certain approach to mental health has taken root in discussions around mental health. This approach is based on the criticism of mental health from an ideological point. It centers on the idea that mental health is treated only as a chemical imbalance in the brain, and that sociopolitical conditions aren't considered. One of the most prominently figures cited for this is Mark Fisher.

      “The current ruling ontology denies any possibility of a social causation of mental illness. The chemico-biologization of mental illness is of course strictly commensurate with its depoliticization. Considering mental illness an individual chemico-biological problem has enormous benefits for capitalism. First, it reinforces Capital’s drive towards atomistic individualization (you are sick because of your brain chemistry). Second, it provides an enormously lucrative market in which multinational pharmaceutical companies can peddle their pharmaceuticals (we can cure you with our SSRIs). It goes without saying that all mental illnesses are neurologically instantiated, but this says nothing about their causation. If it is true, for instance, that depression is constituted by low serotonin levels, what still needs to be explained is why particular individuals have low levels of serotonin. This requires a social and political explanation; and the task of repoliticizing mental illness is an urgent one if the left wants to challenge capitalist realism.”

      ― Mark Fisher, Capitalist Realism: Is There No Alternative?, 2009

      This, I think, is true to a degree. Denying the mental or physical results of certain policies benefits the rich. However, this criticism, whether intended by Fisher or not, is often used to reduce psychiatry and psychotherapy to mere, atomized, asocial, apolitical practices.

      First of all, this hasn't been true in my case. Sure, I have my criticisms of the procedure and the practitioners, but I've talked about a variety of sociopolitical issues in therapy. I mean, how can you not talk about these issues? There are obviously social patterns in a population, and if they're not bad practitioners, the psychiatrists pick up on them. This doesn't mean that I talked about political theory in my therapy, but among numerous topics, I talked about things like the male gender role, the attached aggression and violence, the effects of emotional repression as a result of traditional roles. I know people who extensively talked in therapy about gender roles, queerphobia, and the associated problems.

      Therapy helped me on political issues too. I used to be much more repressed, unable to express my disapproval, unable to handle any conflict. But with the help of psychiatry, I started expressing my opinions, including my disapproval, more and more. This included standing up for myself, and while there are many power structures I can't overcome as an individual, this change helped me better stand up for myself against people who have power over me. It also helps me feel not as much like a piece of shit when I can't, because learning to face my emotions helps me realize I have limits.

      But, according to the Fisherian argument I've seen repeated countless times, this isn't what psychiatry does. It just treats you like an asocial animal, which is not true at all. If anything, psychiatry emphasizes, again and again, that humans are social animals, therefore, have social needs, and that not meeting those needs will lead to mental problems. Seriously. Search "humans are social creatures psychiatry" on whatever search engine you use and also on Google Scholar. You'll find, page after page, pop article and scientific article, talking about the importance of this.

      The second thing I want to mention is that links between inequality and mental health are an important area of research. You can search for keywords like "socioeconomic status mental health" and "inequality mental health" on Google Scholar to see many articles written about this. You can alternatively replace "socioeconomic status" with "SES" and "mental health" with "mental illness" or a mental disorder of your choosing.

      To add further support to my argument, let's look at the textbook "Psychology, Global Edition, 5th Edition" of Pearson, which is a very widely known publisher. It has an entire chapter dedicated to social psychology (Chapter 12). The chapter about psychological disorders, Chapter 14, has the following listed as one of its learning objectives (emphasis mine): "Compare and contrast behavioral, social cognitive, and biological explanations for depression and other disorders of mood."

      Let's also look at WHO's mental disorders page (emphasis mine).

      "At any one time, a diverse set of individual, family, community, and structural factors may combine to protect or undermine mental health. Although most people are resilient, people who are exposed to adverse circumstances – including poverty, violence, disability, and inequality – are at higher risk. Protective and risk factors include individual psychological and biological factors, such as emotional skills as well as genetics. Many of the risk and protective factors are influenced through changes in brain structure and/or function."

      I think one of the other negative things about this argument is that, it denies the possibility that some people face mental illness not mainly as a result of social issues, but as a result of some biological unluck. I haven't checked it out specifically, but I think mental illnesses aren't necessarily mainly a result of social conditions or trauma. I can't claim this with certainty, but neither can the opposing side. However, my approach leaves a possibility open for people who may be experiencing exactly this. Therefore, without knowing, it doesn't claim that certain experiences can't exist.

      Before I finish, I want to say that I don't deny the existence of bad practice. I've heard many stories of bad psychiatrists, and even if I hadn't, it would be unrealistic to think they wouldn't have such a problem, considering the problems in education and funding. However, my point is, it's not realistic to say psychiatry overlooks the social reasons for mental illnesses. There may be problems, but in no way they are a shared, distinctive feature of the field.

      And last of all, this may be harsh but I think it needs saying, Mark Fisher fell victim to suicide. He's not exactly an epitome of healthy coping mechanisms, and his criticisms about mental health should be evaluated with that in mind. I often think intellectualization tends to come in the way of mental health for, well, intellectual people.

      Edit: The last paragraph was poorly explained. I further elaborated here.

      19 votes
    4. I donated blood for the first time!

      Follow-up to this post (Summary: previously ineligible to give due to US FDA rules aimed at gay/bi men which were changed last year, then subsequently ineligible due to anemia which was resolved...

      Follow-up to this post
      (Summary: previously ineligible to give due to US FDA rules aimed at gay/bi men which were changed last year, then subsequently ineligible due to anemia which was resolved with an iron supplement)


      I gave my first ever pint of blood this weekend!

      The appointment went fine. I was a little nervous about the needle going into my arm, but I barely felt it. Taking the bandage off afterwards hurt way more! Even the finger prick at the beginning was worse. The actual blood donation part of the whole thing was painless and effortless.

      I had no idea that the machine rocks your blood bag back and forth while it’s filling. As I sat there killing time during the donation, I watched my blood in its little cradle. It felt cute in a weird way?

      Once my donation is processed, I’ll finally learn my blood type. My husband and I plan to start doing this regularly. There’s a donation center near(ish) us that’s easy to get to, and the staff were great. I might even try a platelet donation eventually, though that one intimidates me a bit. The idea of 2-3 hours with no use of either of my arms makes me nervous.

      Anyway, I know donating blood is not a huge deal or anything, but I wanted to share a little mini-milestone of mine. As a gay guy, I spent a big portion of my life assuming I’d never be able to donate blood, so it feels really cool to finally get to do it!

      28 votes
    5. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      7 votes
    6. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      8 votes
    7. Food suggestions, dieting help

      I'm trying to change some nasty habits at the moment. My year's theme is self control, and beating addictions is a large part of it. The symptoms I've been trying to fight off since last year:...

      I'm trying to change some nasty habits at the moment. My year's theme is self control, and beating addictions is a large part of it.

      The symptoms I've been trying to fight off since last year: Snacking often, eating portions too large, eating past hunger/always finishing my plate even if I feel full, craving greasy fast food, craving sweets/sugar.

      Progress is mixed. I'm trying a lot of things; I've reintroduced a 20:4 IF routine (my body is naturally somewhere around 16:8 - I never have breakfast) but I've had a lot of trouble obeying it for more than a few days.

      I'm realizing, today, that one thing I have not really been looking at is the cravings. This HN thread is what clicked for me. I know that on a "healthier" diet, I crave very different things.

      I'm looking at options on what I can introduce (gradually) to start getting my gut used to different classes of foods. I don't intend to switch to being vegan/vegetarian, I'm just looking to stop craving fat, salt, and sugar.
      Or rather, not necessarily crave, but "if I see it I want it" kind of thing. I want to be able to look at a packet of crisps and think "blergh" by default, even if I'm hungry.


      What advice I am looking for: Suggestions on snack replacements, juices, various tasty meals etc; things I can actually go for from day 1. I am not looking to do any large swaps. I am also not looking for extra effort; right now, a 99 percent of my meals are either store-bought, microwaved, or restaurant/takeout. I don't cook because I don't enjoy it nor usually have the time.

      Example: I've decided to introduce ginger shots to my diet, see if it'll help. I'm also going to try having carrots on-hand more often as I really like those.

      Note 1: I am considering giving Hello Fresh a shot next month, since I've never actually tried it, but I'm lukewarm on what'll happen.

      Note 2: Allergic to bell pepper; dislike eggplant, celery, zucchini.

      12 votes
    8. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      5 votes
    9. Pen needle source

      For almost a decade, I've been buying BD pen needles off Amazon. This low-cost supply has unfortunately dried up and I'm almost out. I'm leery of the other random brands they carry, some of the...

      For almost a decade, I've been buying BD pen needles off Amazon. This low-cost supply has unfortunately dried up and I'm almost out. I'm leery of the other random brands they carry, some of the reviews don't sound very good. So, folks who use pen injectors, where do you get your needles? I'm not dead set on BD but would like something of similar quality.

      The last time I got some at a local pharmacy, they came with a $45 co-pay for 100 needles. I go through at least 3 per day, so 45 cents each seems a lot to ask on top of the ~$1k/month pens.

      10 votes
    10. I lost my older brother and my mother gave up

      I'll try to be brief. I lost my older brother March this year. Barely a year after I moved to the same city as him, he passed away from a bacterial infection he got in a hospital. He went for...

      I'll try to be brief.

      I lost my older brother March this year. Barely a year after I moved to the same city as him, he passed away from a bacterial infection he got in a hospital. He went for stomach surgery, everything went fine. Suddenly, a month later, this bacterial infection got to his brain and he was gone.

      It was a big shock to our family and things are not the same anymore. My parents are old, mother is 73, father is 78.

      My mother is simply just existing these days. She is barely eating and is now weighing 48kgs (105 lbs). She needed to go to the hospital a couple of days ago because she was so weak.

      She already had problems before the death of my brother. She is losing her eyesight and despite all the treatments, it does not get better. She can see up close, she can use her smartphone, but it's hard for her to recognize people if they are not right up in her face.

      She has three hernias and can't stand too much. She can get up to make breakfast or coffee, but after 20 minutes has to lie down because of pain. It does not help that she barely eats and is getting weaker every day.

      She does not want to go to a psychologist. She just says she is not crazy and won't go. I tried contacting one that can go to her house, but she says she simply won't open the door. My father is trying to convince her, but I know it won't change.

      I can understand her and I can't see what more can I do. She never had much going for her, now her oldest (and dearest) son is dead all of a sudden, she has all this physical pain going on for years, eyesight getting worse and I can understand the fact that she simply don't care for it anymore. She simply lost her appetite.

      She is going to doctors to take exams, she did a battery of tests and everything seems fine. Even her cholesterol which was problematic is fine.

      He prescribed something to help with her appetite and vitamins, but it is not the first time. Don't think this will change much.

      I don't know really what I'm asking here. I sometimes think I should do more, but there is already my father which lives with her and my other brother who is there in the same city. I already tried sending a psychologist to help her at home, I don't know what more can I do.

      I go visit every two or three weeks (i am going for christmas and new year) and she is the same way. 80% of the time lying down in the couch, she gets up to make food or coffee, go sit in the front of the house for some time, then it's time to go to bed. This is repeated every day.

      It's not like it was much different before, but at least she ate some food. There was a day that she just ate an apple and that was it.

      She goes out of the house if she needs, like going to the doctor or groceries, but avoids for any other reason.

      41 votes
    11. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      9 votes
    12. Are there areas where the antivax crowd have a point?

      I was thinking it would be possible that they actually stumbled across something factual. But it's really hard to ask about this on todays web, because everything is so polarized, with Antivax...

      I was thinking it would be possible that they actually stumbled across something factual. But it's really hard to ask about this on todays web, because everything is so polarized, with Antivax versus "debunkers" whose sole goal is to win the debate. I sort of wished that there were some highly intelligent people who didn't care about this at all who could look into it from a fresh perspective. Some martians or something.

      The reason I'm asking this is because my mother is heavily into antivax. And I really can't deal with any of her sources, but if they're right about about something, I'd like to know.

      23 votes
    13. "[diagnosis] is something you have, not something you are"

      Does anyone else completely disagree with that sentiment? I see it a lot in these communities, and I definitely am not trying to yuck on someone else's yum, but I just don't relate to it. Maybe...

      Does anyone else completely disagree with that sentiment?

      I see it a lot in these communities, and I definitely am not trying to yuck on someone else's yum, but I just don't relate to it. Maybe someone else can explain it better than me?

      Like, I feel almost totally defined by borderline. I struggle so much with life because of this disorder. It takes so much time and energy away from being able to focus on normal people things, to the point that I feel unable to live a normal life without a ton of help and therapy.

      So I just feel that I really am my BPD.

      PS: not trying to stir a pot or anything, it's just a thought I had and wanted to talk about

      31 votes
    14. Viral illness throughout the household. What might be happening?

      We are a household of 5 people with 2 little ones. That means we get to experience the joy and pleasures of viruses the little ones tend to bring home. After a few of those I've noticed a pattern,...

      We are a household of 5 people with 2 little ones. That means we get to experience the joy and pleasures of viruses the little ones tend to bring home. After a few of those I've noticed a pattern, each viral infection within the household tends to last 2+ weeks.

      1. Patient zero brings the virus home and has symptoms
      2. One of the adults starts developing symptoms shortly after. Everyone else is fine.
      3. Each other person goes down like domino's but with few days in between. By the time the 3rd or last person is ill the 1st and 2nd person are recovered and healthy. In some instances there my be 1 person that never develops any symptoms, or has no symptoms but is very tired/weak.

      This got me thinking, and for context I know nothing about viruses or medicine in general. What is happening here?

      • Do all people get infected but not everyone develops symptoms?
      • Do some peoples immune systems successfully fight off the viral infection completely or partially?

      I'm ruling out anyone being able to avoid contact to escape viral infection due to the size and social dynamics of the household.

      17 votes