I think because that to minimize damage for a full acute withdrawal. As I understand it, benzos increase GABA that is depleted from alcohol, because NMDA recovers more quickly and is excitable, causing the twitching, seizures, etc.

This seems like a slow wean off with social and housing support to replace the dependency on alcohol. Kind of makes a lot of sense.

For the sake of argument, what percentage are aimed at improving quality of life (not extending someone’s life)? I assume most or all are intended as treatment, but I’m curious.

That’s interesting. I suppose it’s similar to having the radio or TV on the background at work.

It is an antique woodworking tool. It was a decent price, that’s why I scooped it. The idea was to buy a vintage one and fix it a little so it was cheaper than a very expensive new one. But many of the vintage ones are approaching new prices.

I know a lot of people don’t seem to be fans of Nike, and I do notice many of them wear out faster than other brands. But the Pegasus has been a good workhorse for putting on miles, and I got them on sale as they were closing out the year’s models.

I’m also relatively new to running but I often came across the limit of 500 miles per shoe (and probably a little sooner if they start to hurt or something). So I have an app that pulls my runs over and I can pick which shoe I used, so it keeps a tally of how many miles they have left.

If you’re looking at other brands, Brooks, Hoka, and Saucony are pretty good ones to start with.

Must have had to shell out a lot for that

Man, that’s a tough one. Like someone mentioned, that’s really a philosophical question. I’m not sure what you mean by “gain more traction.” Do you mean that people will care more? And I guess I would argue that there is generally not “a society that continually endeavors to divide.” Humans are social beings and have survived this long partially because of that. But if you look at news, social media, etc it does look like the world is going to shit.

Everyone experiences depression a little differently, but when I had my attempt and looked back after the fact, the biggest contributing factors were a lack of purpose and lack of human connection support. Things did not change until I met someone that would come to mean a lot to me. I got a different job and different friends that gave a shit. I don’t know you, but I give a shit about you. And I’m willing to bet there are some people that would like to get to know you and give a shit about you too.

You’re the only one that can convince yourself that life is worth living. And I would start with not looking at reasons not to die, but reasons to live. Even the smallest of reason. Use that as motivation to change your environment. This may sound dumb or cliche, but join literally any club. Having that connection can make a difference. Try. Is there any risk in not?

That being said, obligatory recommendation to dial 988 in the US. Maybe there’s a person that can talk with you about those difficult to answer questions. Hell, call more than once and see what the second person’s view is, maybe it’s better.

So it’s not a given “fact” that you’re facing in thinking that there isn’t anything that’s worth it, it’s a very really state of being. But states can change. Feel free to message me if you’d like; even just to unload some BS.

I think I would agree. The behavior seems to be more dismissive than gaslighting (manipulative). I think a patient doubting their own knowledge or experience definitely happens, but it is a secondary effect from the dismissiveness from the medical provider and not usually the intention.

Unless, we consider it intentional so they need to do less work. Considering a person’s subjective information to be fully true and including that in the plan of care takes more effort, versus following the script you know.

This is part of a larger discussion that one of my classes is covering: “Traditional versus Collaborative Care.” Personally, I think the word collaborative gets tossed around too much and English needs more synonyms for it, but the theories kind of make sense. Traditional approach is basically “I’m the doctor, so I know what is best. If you don’t take these meds, you’re being non-compliant.” While the Collaborative approach is more like “What are the goals for your care?”

Some people don’t care what the provider thinks they care about, or aren’t communicating in a way that connects to the patient enough. A relevant podcast I listened to a while ago mentioned that most disagreements are caused by a difference in expectations. If the medical provider is expecting a “compliant” patient with no questions, they are going to be upset when someone is disagreeing with them. And if a patient is expecting a medical provider to listen to them, but the provider ignores them, they will probably be frustrated, belittled, etc.

Sure, small groups of closed-minded people can easily become echo chambers. For everyone else, safe spaces can be a way to support thoughts or feelings that may not otherwise be expressed and discussed. I guess the question becomes “What percentage of safe spaces are made up of mostly close-minded people?” If you assume that most people are close-minded, then you are correct.

I have never heard of that theory and research. It was really enlightening to read and seems to be pretty logical. I’ll probably revisit that later.

In response to the main article, I have never really been a big believer in the serotonin deficiency theory. In my experience, depression was much more affected by environmental factors. When I found a clearer sense of purpose, had a safe support system, and identified & let go of people that were not helpful to my mental health, things got steadily better. And have remained better. I know medication is necessary in certain cases to maintain mental health, but I would argue that the environmental effects have a larger impact.

This is also just a theory, but I don’t think genetics are as involved as people believe. I think genetics are base, but the genetics of depression are often really more of learned behaviors that are passed on from parents. Again, I’m positive there are some cases, but not the majority.

I currently journal and think an anonymous blog would be a neat idea, but I’ve never actually blogged.

Do any of you have a recommendation? Medium? Self host? I think the ability to search, reference, and download a copy would be ideal.

Circuit breaker?? I hardly know ‘er!

On a series note, if they really amp things up and don’t meet too much resistance, they could splice their lives back together.