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Wellness Wednesday for February 14, 2024

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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If I become a psychiatrist, I pray I don't get you as a patient. I prefer the ones who just get better with pills and CBT (not the one involving roosters).

As for my modestly uninformed opinion, I have no fucking clue, but if it works it works, and psychiatry is a practically pre-paradigmatic field so I wouldn't sniff at it.

If the pills don't work, you're kinda S.O.L. There were actually two meds I saw mild results on -- Nortriptyline and Tranylcypromine. I told this to my psych, but rather than perking up she frowned and said "I can put you back on the NTP but the parnate's too dangerous". It has to be a downer when your patient finally responds to a drug, but all you can say is, "Didn't work well enough, onto the next one". And maybe that's the best option. I've seen psychs try to write smartly-designed protocols online, but they still boil down to "This pill is effective for a lot of people and we don't know why", with directions on how to safely use it, but you're doing the same thing as all other psychs. c'est la vie