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  • Showing only topics in ~health with the tag "ask.discussion". Back to normal view / Search all groups
    1. Mental health and sense of belonging

      I'm trying to find the root cause of my declining mental health. Maybe there isn't one. Maybe my brain is just physically broken and I have to deal with it. But what I tend to think of recently is...

      I'm trying to find the root cause of my declining mental health. Maybe there isn't one. Maybe my brain is just physically broken and I have to deal with it.
      But what I tend to think of recently is the concept of belongingness.
      I rarely feel I have a sense of belonging anywhere. And my theory is that the constant otherness is what is causing the degradation.

      So what i want to is, for those who experience frequent depressive cycles -- do you have a sense of belonging? Or do you too feel constantly othered?

      (I hope this makes sense haha)

      35 votes
    2. When did you learn you had ADHD?

      I saw a post on reddit about a guy asking about why his wife changes hobbies so much. He went on to detail her getting super fixated on a hobby, investing a lot of money and learning a lot, and...

      I saw a post on reddit about a guy asking about why his wife changes hobbies so much. He went on to detail her getting super fixated on a hobby, investing a lot of money and learning a lot, and then dropping it. A lot of people were mentioning possibly being adhd.

      I remember that being the first thing that clued me in as an adult who was not diagnosed until later in life.

      Anyone else care to share?

      39 votes
    3. What do you think on how suicide prevention is handled in the world? What can be done better?

      I was inspired to write this after reading this reddit post. It ranted about people who attempt to disuade people from commiting suicide by telling them that they are selfish because of the impact...

      I was inspired to write this after reading this reddit post. It ranted about people who attempt to disuade people from commiting suicide by telling them that they are selfish because of the impact it will have on other people (I do think it is explained better in the post if you are interested).
      However I have also been thinking about how suicide prevention is handled by most governments. I am not sure of exactly what process happens in other countries, but in America if you fail a suicide attempt you can be involuntarily put into a mental health asylum for a temporary period of time, and from reading many accounts of what people have experienced in these asylums and from my ongoing experience with suicidal idealation I very much feel i would be 10x more likely to commit suicide if I was put into such a facility once i got out.
      But I also wanted to talk about other ways individuals may try to disuade people from suicide which i find problematic. Before i continue, i do want to say that I am not blaming these people, they have very good intentions. But something that has bugged me for a while has been that whenever people discuss suicide/mental health problems the first thing that is done is just recommending suicide hotlines/telling the person in question to seek a therapist/psychologist. While these options can be good for many people, i want to mention that

      1. Suicide hotlines (mainly 811) are known for reporting people to police and having them put in mental health asylums (often times unnecisarlly). And staff at these suicide hotlines are often uneducated or rude to callers, or will just not answer or even hang up.
      2. Many people in these circumstances do not have access to trained proffesionals. Even if you live in a country with public healthcare, you may be in a situations (mainly abuse) where you cant get access to one either way.

      Anyways sorry for the rambling, my brain is tired and i just wanted to get this out there. But based off of the above points, do you think that suicide prevention in society is flawed, and what could be better? While i do agree that it is flawed and there are ideas related to government on how to handle suicide prevention, i do not know what could be done on the individual level. To me one of my only resources apart from seeing other people experiences online is music (mainly Elliot Smith, Linkin park, Soundgarden and Nirvana) which I deeply relate to. But anhedonia can prevent enjoyment of such things.

      29 votes
    4. What is your experience with switching medication and brain zaps?

      I've just started switching my medication and it's been pretty bad for me. Brain zaps are very frequent and I'm crying a lot. I'm struggling. I've been trying to find out what other people's...

      I've just started switching my medication and it's been pretty bad for me. Brain zaps are very frequent and I'm crying a lot. I'm struggling.

      I've been trying to find out what other people's experience has been like when they switch meds. What is normal and what isn't. People who relate to brain zaps and how they deal with it. Are brain zaps even considered a real thing?

      What has your experience been like?

      26 votes
    5. Managing mania?

      About 3 or 4 times a year I will get pretty powerful manic episodes. Usually for a few days I'll stay at the office until late at night, I'm in an amazing mood, I'm always excited and have trouble...

      About 3 or 4 times a year I will get pretty powerful manic episodes. Usually for a few days I'll stay at the office until late at night, I'm in an amazing mood, I'm always excited and have trouble sleeping. My focus is so powerful, If I could be this version of me all of the time I genuinely believe I could do anything.

      It's like a totally different person from my usual self who is easily fatigued, slow to start, and generally lethargic.

      Knowing this side of me exists is exciting but also kind of depressing given my awareness of its fleeting nature. How have you dealt with this? Any reading you could recomend?

      20 votes
    6. Lifting discussion and resources

      We have the weekly fitness check-in but I thought it would be valuable to have a thread to discuss more specific lifting topics and resources. What type of programs do you gravitate towards? Do...

      We have the weekly fitness check-in but I thought it would be valuable to have a thread to discuss more specific lifting topics and resources.

      • What type of programs do you gravitate towards?
      • Do you compete in Powerlifting/Weightlifting/Strongman or some other discipline? Any upcoming meets worth watching?
      • Have you found any resources that others might be interested in?
      42 votes
    7. I have severe and persistent mental illness. I now work as a public mental health professional. Ask me anything.

      Symptoms from my diagnoses of bipolar 2 and social anxiety disorder kept me from working, socializing, forming relationships, and living independently for more than a decade. I worked my ass off...

      Symptoms from my diagnoses of bipolar 2 and social anxiety disorder kept me from working, socializing, forming relationships, and living independently for more than a decade.

      I worked my ass off to improve my wellness, and for the past 6 years I have worked as a Peer Support Specialist for 2 different public agencies. I tell my story to other people with mental health and substance issues as part of my work. If anyone’s interested, I’d love to share it here too.

      41 votes
    8. Other caregivers, how do you cope?

      Hey all, my partner is newly paraplegic post spine surgery and while he's been disabled through our ten years together this is new. He's using a power wheelchair and has to transfer by Hoyer lift....

      Hey all, my partner is newly paraplegic post spine surgery and while he's been disabled through our ten years together this is new. He's using a power wheelchair and has to transfer by Hoyer lift. And in the six days since he was discharged from the rehab (PT and OT) hospital he's been to the ER twice. We have home health set up. But all of a sudden my life is a lot more... Stressful is understating it. He's going through his own emotional journey and getting support so I was hoping to find some connections, suggestions and the like here.

      Right now I'm feeling a ton of pressure not to let any of the various balls I'm juggling drop. Something that feels unsustainable, particularly with my ADHD. I feel like I'm only getting this far due to stress compensating for my lack of medication (it's packed from our recent move, I'll find it or get a new script I just haven't yet). My partner's in a rush to get a wheelchair van and I don't know if we're making a good purchase and it feels like everything has to be handled right now but also for the rest of our lives.

      Are there devices that are must haves? Things I need to know about wheelchair vans? Empathy from fellow caretakers?

      17 votes
    9. Runners: What keeps you going? What's your motivation for running?

      I have been running for 10 years. Since October 2019 I have run everyday without missing a single day. During the week I have little time and run 2-3 miles but on the weekends I try for 5-6 miles....

      I have been running for 10 years. Since October 2019 I have run everyday without missing a single day. During the week I have little time and run 2-3 miles but on the weekends I try for 5-6 miles. I have made the occasional 10+ mile runs and find that at some point around mile 7 it becomes "How far can I really go today if I get through this mile." The only motivator I have is not breaking my daily run streak, nothing fancy. I know others have motivators to get into shape for a marathon or other event. What's your running motivation?

      16 votes
    10. What was the most valuable technique you have learnt to manage or improve your mental health?

      A recent thread had me reflecting on my own mental health journey and what really made a difference for me, I was interested in opening a discussion about what other people found most valuable...

      A recent thread had me reflecting on my own mental health journey and what really made a difference for me, I was interested in opening a discussion about what other people found most valuable too. I'll add my own as a comment.

      49 votes
    11. General surgery resident in the US on a 28 hour shift. AMA!

      Hi everyone! I am new to Tildes and wanted to say hi to the ~Health community. I am on a 28 hour emergency general surgery call today and have a bit of downtime. I also noticed that the post on...

      Hi everyone! I am new to Tildes and wanted to say hi to the ~Health community. I am on a 28 hour emergency general surgery call today and have a bit of downtime. I also noticed that the post on the moral crisis of America's doctors had some interest so I thought I would answer any questions about that or training to be a surgeon in the United States. I am finishing my 2nd year of a 7-year training program. Ask me (almost) anything!

      44 votes
    12. Weight loss - how are you approaching it? How’s your progress?

      I’m interested to see how many others in the tilde community are trying to actively lose weight, what methods you’re using, any big milestones you reached recently and/or your goals! I’ll kick...

      I’m interested to see how many others in the tilde community are trying to actively lose weight, what methods you’re using, any big milestones you reached recently and/or your goals!

      I’ll kick off: I lost 25kg in 2022, have been on a long maintenance break while I restarted running and getting into my exercise groove, and am now starting up again to lose another 15-20kg. Last year I was just calorie counting but became a little obsessive so this time around I’m trying intermittent fasting - I’m short and I don’t have many calories to play with so skipping a meal feels like the most doable!

      I’m a recent joiner after discovering tildes on Reddit (frankly have found that place terrible for my mental health lately, so this API thing bringing about discussions of alternatives has been a godsend!) but one thing I did like on there is the motivation I’d find in knowing I wasn’t the only one on this journey. Perhaps others feel similar! (And if not, if I’ve committed some heinous social faux pas by posting, I can only apologise - this feels like such a nicely curated place that I’m nervous of spoiling it like some great oaf burping during dinner with the queen)

      31 votes
    13. I want to give psilocybin a try

      Insight once came to me after I was prepped for a surgical procedure. As my body's weight began to evaporate, a pain I had never recognized, but which must have always been sounding in the...

      Insight once came to me after I was prepped for a surgical procedure. As my body's weight began to evaporate, a pain I had never recognized, but which must have always been sounding in the background noise of my being, vanished. The superadhesive worry--which sometimes frightened others as much as myself, that in order to socialize, I had learned to sometimes twist into a temporary shape resembling charm--came unstuck and peeled away. Then followed a great thought, a mandate for how I should spend the remainder of my life. Also, I needed to poop. But more than that, I needed to get out of this semi-public hospital bed and to a private space immediately, so I could allow this cosmic insight a moment to fully bloom. Time was against me. Anesthetized, I knew I was slipping toward, maybe even over, the falls past which I would forget everything of this experience until a groggy post-procedure awakening brought dull daylight and its senseless aches back to me. I had to somehow save the thought. I searched, but the bathroom gave up no markers, no specimen cup labels to write on. I wondered about tearing toilet paper into little letters, hiding them above the cabinet. But would I remember to return to read the message? With an increasingly calm desperation, I dug my nails into the flesh of my hand and repeated again and again the life-saving insight delivered during communion with the world that lay beyond pain. Please remember, please remember this thought.

      When I regained consciousness, it was waiting for me like a friend who had lost patience, and now seemed much less attractive. What I had somehow stolen from the gods, secreted in my closed palm through a swim across the river Lethe, was this message: “Do Drugs.”

      I had realized that analysis, working on the problem of myself both mentally and verbally, had won me no appreciable gains. Insight, I had. But relief, happiness, an improved outlook? Nothing I had done had really helped me feel better. Anesthesia instantly had. These aren’t the words of an addict coming on-line. I was a reluctant user of any substance. However, in the years following I forced myself to again undertake drug trials with my psychiatrists. Methodically, I worked through every class, waltzed backward through the eras of drugs, danced off-label with each oddball wallflower, ingested every twisted molecule to ever win over the FDA with a promise of psychiatric benefit and maybe some that merely had intrigued one of my more historically-curious doctors. When Eddie Haskell, MD wanted to resurrect a drug of the bad old days just to see what it’d do to a person, I was the patient with his hand out.

      I overslept and didn’t sleep. I gained and lost a third of my body weight. My head felt like a styrofoam block, then like the slate of a blackboard being scraped with tableware. I was more or less charged, sweaty, sensitive to light, and shaky. Some drugs make you feel like Benjamin Braddock in his birthday diving suit. Others make you feel like an amnesiac idiot in Benjamin Braddock’s birthday diving suit. A common theme emerges. These substances could help me feel slower, distant from the world, claustrophobic, clammy, sensorily distorted. Sometimes, they dulled my anxiety, or dried my hair-trigger tear ducts, but they accomplished this through impairment, and very clumsily. I have never been drunk, but I think it’s like a drunk traffic cop: success in psych meds comes about by the stopping of certain avenues, slowing up of traffic, blocking lawful turns. And it’s sometimes noted in the overall impact that fewer crashes have occurred. To me this is not success. Impairment so far hasn't been healing for me. I want my turn at quoting the line, "I feel like myself again."

      And so, my heart sinks at every day's new headline about psychedelics. If you follow health news at all, you know they are a hot topic, showing a ridiculous amount of promise. Despite fitting the diagnostic profile, my former home was far from anywhere with signups for studies. I reached out to several "clinics" offering psychedelic-assisted therapy. They struck me as resembling many legal weed shops--loads of young bros polishing their presentation and sanitizing an extortionate drug deal in hopes of financing a Tesla. With fees starting at 8x the plane ticket to administer and contextualize a drug that costs less than $20 a dose, I wouldn't credit their soft patter as containing much idealism.

      And here I am--for other reasons besides. Yes, a part of me thought living here would put legal psychedelics within my reach, but I'm not seeing any opportunities. Now I'm kicking myself for never having tried to cultivate mushroom spores, never having ventured to ask acquaintances for a hand. I'm marooned here and psilocybin is about blow up in the States.

      20 votes
    14. Thoughts on SSRIs?

      Hello everyone, I recently got put on some SSRI for my worsening suicidal ideation and honestly I can't believe the difference it's made. It's like a version of myself that I find hard to believe...

      Hello everyone,

      I recently got put on some SSRI for my worsening suicidal ideation and honestly I can't believe the difference it's made. It's like a version of myself that I find hard to believe existed, but can draw parallels with the version of me before I got depressed, etc.

      I'm just curious how I should be viewing these changes in me: Are they really me without depression/anxiety or is it a more lurid exaggerated version of that?

      Any other thoughts on SSRIs in general welcome! I'm interested in seeing Tildians' thoughts on them :)

      18 votes
    15. What happened to those mental health threads?

      I think those could be real useful especially now. Sometimes I want to share related stuff but they would not warrant a full thread . It’s possible that they never existed and I’m delusional. In...

      I think those could be real useful especially now. Sometimes I want to share related stuff but they would not warrant a full thread .

      It’s possible that they never existed and I’m delusional. In which case, I think they should be a thing.

      9 votes
    16. Has there ever been a moment where you felt you were doing fine but in hindsight you were a lot more vulnerable/troubled/worse off than you thought?

      Around 2 years ago, when I first made a reddit account, I spent a lot of time on AskReddit asking about 'why are women so hard to date' like a personification of the dunning-kruger effect (while I...

      Around 2 years ago, when I first made a reddit account, I spent a lot of time on AskReddit asking about 'why are women so hard to date' like a personification of the dunning-kruger effect (while I don't think I've really learned anything about dating and socialization since then, I have stopped thinking women don't share the same basic emotions and reactions as men and in general don't think they're so removed from guys). Given that and how little engagement my threads were getting (it's AskReddit, but I didn't know what I was expecting) I was basically ready to be made an incel. Thankfully someone snapped me out of it by calling 12-year old me a neckbeard, which terrified me away from touching dating for a few months at least.

      PS: If the answer is "if you don't feel like this you're in trouble, people don't/shouldn't just stop developing like that", I won't be surprised.

      15 votes
    17. Mass testing is the best hope for normalcy after quarantine

      I'm sure something everyone has wondered at this point is simply what the plan is after the lockdown. Out of what's circulating in public policy circles, Paul Romer's plan is the probably the one...

      I'm sure something everyone has wondered at this point is simply what the plan is after the lockdown. Out of what's circulating in public policy circles, Paul Romer's plan is the probably the one with the most appealing results

      https://paulromer.net/covid-sim-part1/

      Basically, mass random testing--specifically, 7% of the population is tested every day, or 21 million, selected randomly.

      Of course, 21 million random tests is an absurd number. But if it could be done, people could to some extent resume life, if the simulations hold to reality.


      On the other hand, plans like

      https://www.aei.org/research-products/report/national-coronavirus-response-a-road-map-to-reopening/

      https://ethics.harvard.edu/covid-19-response

      Have a few things in common. For one, they all involve incredibly advance and detailed contact tracing. They rely on the proliferation of mass surveillance similar to HK, where all US citizens would have to install apps, for instance, that track their location and ping them when they have been in contact with a COVID19 positive patient.

      They also involve extreme limitations on travel, and one of them even has the forced drafting of immune citizens into the medical and food industries.

      It's estimated about 80% of the economy could continue, and they will last until the minimum of vaccine (18 months - 2 years) or 14-20 months (herd immunity is achieved).


      What does everyone else think? What do you think we should do after the lockdown?

      17 votes