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14 votes
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Louisiana forbids public health workers from promoting COVID, flu and mpox shots
32 votes -
Holidays mental health thread
I might be a little early in posting this thread but I am personally beginning to stress a lot about the holidays - have been for like a month, even, to some degree. So I wanted to make this...
I might be a little early in posting this thread but I am personally beginning to stress a lot about the holidays - have been for like a month, even, to some degree.
So I wanted to make this thread as a safe venting space.
My own vent
I always disliked Christmas a lot, and New Year's Eve was even worse and is an active hate. But it's all so much worse this year because my brother (CSA TW) will be there. I have to pretend everything is fine even though it's not and I fear it will affect me so much so that I'm going to relapse when I get home.
Is there anything specific about the holidays that might affect or trigger you?
How are you?
Feel very free to vent!
28 votes -
US youth drug use defies expectations, continues historic decline
22 votes -
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?
3 votes -
Doctor fired after running emergency department warns about effect of for-profit firms on US health care (2022)
39 votes -
Study on hydroxychloroquine by Didier Raoult and colleagues gets pulled on ethical and scientific grounds
10 votes -
Lucy Letby lawyer seeks fresh appeal over reliability of expert witness
5 votes -
How opioid giant Endo escaped a $7 billion US federal penalty
7 votes -
Alzheimer's mortality lowest for taxi, ambulance drivers
6 votes -
Uber for nursing: How an AI-powered gig model is threatening US health care
7 votes -
Medicare for all would save 68,000 US lives per year and reduce costs by $450 billion
78 votes -
A decade without a drink
20 votes -
School smartphone ban results in better sleep and improved mood
32 votes -
How a young Dutch woman’s life began when she was allowed to die
11 votes -
The complex interplay between BDSM and CSA: A form of repetition and dissociation or a path toward processing and healing?
16 votes -
Struggling with nihilism and the inability to enjoy things
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...
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)?
34 votes -
Assisted dying now accounts for one in twenty Canada deaths
35 votes -
Texas Attorney General Ken Paxton sues New York doctor accused of prescribing abortion pills to Texas woman
41 votes -
How a simple math error sparked a panic about black plastic kitchen utensils
28 votes -
Prosecutors label $650mn McKinsey opioid pact a warning to consultants – firm settles criminal investigation and former senior partner admits obstruction of justice
12 votes -
It's time to break up Big Medicine in the US
33 votes -
Hospitals gave patients meds during childbirth, then reported them for positive drug tests
18 votes -
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?
4 votes -
Mystery ‘Disease X’ evokes fears of another pandemic
15 votes -
A critical look at CASPer (post-secondary admission test)
4 votes -
Anthem Blue Cross Blue Shield reverses US policy that would have limited anesthesia periods
44 votes -
How to judge relative dangers of chemicals for someone too busy (or lazy) to keep up with the science?
I do hope one of you thinks of a better title or a more coherent structure for the overall post. This question was inspired by a comment chain about PFAS in Gore-Tex jackets under a different post...
I do hope one of you thinks of a better title or a more coherent structure for the overall post.
This question was inspired by a comment chain about PFAS in Gore-Tex jackets under a different post here, but it's been a bit of a simmering question for me.
When reading through that thread, my immediate reaction was something along the lines of the following.
Unless you're directing traffic in Seattle or Scotland, wouldn't the amount of time you'd wear the jacket be too little to have meaningful exposure? It's not like you're walking into an oven where the polymers would break down from heat. Further, if it's GoreTex-appropriate weather, you'll near-certainly have additional clothing between your skin and the GoreTex.
I was bored at work today, so I had plenty of time for rumination and introspection. What I found so far is that my instinctive skepticism toward health-conscious rhetoric has these primary sources:
- I listened to Stronger by Science's six-hour deep dive on aspartame. Their eventual conclusion is that aspartame does cause bladder cancer in rats & mice, but the equivalent doses for humans make fears over its use into a major nothingburger. A human would need to spend a year chugging down five gallons of Diet Coke each day for the elevated cancer risk to be statistically meaningful.
- When I catch someone trying to be convincing in an area where I lack domain expertise, I judge them by their overall demeanor and (if I can catch on) general rhetorical logic [in that order] long before I consider the truth of their specific claims. The IRL people I've met who are most stridently into wholesome natural living have fervency and lack of appreciation that it's the dose that makes the poison to the degree that it makes RFK discussing vaccine policy sound grounded in reality by comparison. Perhaps if they were born in a different society, they'd make excellent temple priests who ensure no lazy shortcuts or "it's all we have available" excuses are made when it's time to ensure a full harvest. Instead, they're the kinds who play 50 million questions and have genuine concerns that the radio waves that connect my wireless headphones are giving me brain damage or control. [To be fair, there is some large selection effects here. My hobbies have a habit of attracting those who are so open-minded that their brains fell out. Since online interactions strip the majority of demeanor and previous interactions, I judge online strangers with strange opinions way less harshly than IRL contacts unless they've gone out of their way to be obnoxious. IRL, I'm exposed to a lot more generic chemicals bad rhetoric than in my usual online bubbles. ]
- Based on 1, unless I have preexisting trust with a particular journalist, layman's science journalism—when it's performed by journalists dabbling in science rather than scientists trying their hands at public communication—is far too likely to overblow a headline or misrepresent the research conclusions. "Here are 30 links to news articles" doesn't appeal to me because 25 of them are probably copying each other (that's just how internet journalism works). It's highly unlikely that all 5 of the remaining links misread the original paper, but I'm not reading through all those (perhaps AI summarization could help here—at the very least it could identify commonalities and outliers for manual examination later).
- Related to 2, two additional SMBC comics that share my attitude: Vitamin Water v. Butter and Pronounceable Ingredients Only
That said, sometimes the health nuts are correct. As it turns out, all the coughing smokers do is a strong sign that smoking is bad for your lungs.
What are some heuristics to sort health tips that get passed around without citation into one of the following buckets?
- You'll notice the improvement
within a weekonce you've finished withdrawal. Smoking, boozing, eating meat or alliums at dinnertime, and heroin are in this bucket. - The effect is real and significant, but you may not notice the impact until at least a year has gone by, if ever. Seatbelts and bike/horse helmets are the two examples that immediately pop to mind.
- Technically non-zero, but ultimately trivial. The opening aspartame example would fit. In a similar line to doctors who recommend against treating prostate cancer because the treatments would shorten your lifespan by more than letting that cancer run its course and waiting for a heart attack or totally unrelated cancer to do you in, these interventions are meaningless to anyone who uses motor vehicles regularly.
- Playground rumors or outright disinformation. Vaccines causing autism and yellow 5 as an HRT supplement b/c it shrinks your testicles belong in this wastebin.
Circling back to the impact of PFAS in Gore-Tex that inspired today's thinking, my layman's estimate that the effects on the factory workers who make a career out of working with the stuff is a low 2 when following proper safety procedures. Without them, a definite 1. For wearers of the stuff, a solid 3.
One final reason I may have been so fired up on this topic is that I listened to a highlight reel from a Congressional
hearinground table on food & pharmaceutical safety last week. During the testimony, I had a nagging feeling that at least half of what they said was true, but the truth percent is below 75, and I had no idea which was which because all claims were presented with the same urgency.31 votes -
Blue Zones are fraud, debunked
5 votes -
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?
6 votes -
A bird flu pandemic would be one of the most foreseeable catastrophes in history (gifted link)
34 votes -
Reusing plastic water bottles, to-go containers? Scientists say that’s a bad idea.
27 votes -
Hi, how are you? Mental health support and discussion thread (December 2024)
This is a monthly thread for those who need it. Vent, share your experiences, ask for advice, talk about how you are doing. Let's make this a compassionate space for all who may need one.
18 votes -
Norwegian Parliament votes to extend abortion access to eighteen weeks into a pregnancy, adding six weeks to a limit set in 1978 when the procedure was first legalized
9 votes -
Formaldehyde causes more cancer than any other toxic air pollutant. Little is being done to curb the risk.
18 votes -
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 -
How do you learn to recognize your own emotions?
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...
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!
45 votes -
The Texas OB-GYN exodus – Amid increasingly stringent abortion laws, doctors who provide maternal care have been fleeing the state
36 votes -
Hi, how are you? Mental health support and discussion thread (November 2024)
This is a monthly thread for those who need it. Vent, share your experiences, ask for advice, talk about how you are doing. Let's make this a compassionate space for all who may need one.
34 votes -
The deregulation of cancer - a legal analysis of trends in the US
13 votes -
Seventeen key charts to understand the COVID-19 pandemic
8 votes -
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?
3 votes -
What is the process for adult ADHD diagnosis?
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...
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.
33 votes -
We've got a lot of ways to go: Thoughts on World Toilet Day
9 votes -
"I’m withdrawing from DBT and this problematic language is why"
20 votes -
Battling infectious diseases in the 20th century: The impact of vaccines
12 votes -
Montana voters approve abortion rights in state constitution
29 votes -
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?
6 votes -
Building Up: Resilience podcast episode on mental resilience
4 votes -
How to deal with high conflict people - Bill Eddy
5 votes