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Mikah
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21 Jul 2022, 5:27 am

Yet more vindication for the tiny minority of doctors and researchers who have pushed back on the serotonin theory of depression suicide pills fashionable opinion over the last few decades. Funny how that keeps happening.

https://www.thetimes.co.uk/article/64fb ... 91b4ad48f0

Antidepressants study casts doubt on drugs taken by 8m people

The widespread use of antidepressants is “not grounded in science” because depression is not caused by a chemical imbalance, according to a new study.

Researchers at University College London said they had conclusively disproved a controversial theory dating back to the 1960s that depression is caused by low levels of serotonin.

After analysing decades of previous research, involving tens of thousands of patients with the condition, the team found “no convincing evidence” of a link with serotonin, a neurotransmitter in the brain.


Irving Kirsch did something similar back in 2008 using FoI requests for original trial data and performed a meta study - finding again no statistically significant results for SSRI medication. He was ignored. Taking bets as to whether this study changes anything...

The 2022 study in question: https://www.nature.com/articles/s41380-022-01661-0


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shlaifu
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22 Jul 2022, 10:35 pm

But prescribing pills is so much easier than telling people to quit the job they hate, leave the city they can't afford and stop chasing a dream that simply can't be achieved by millions of people at the same time.

Our society needs most of us desperate, but in working condition.


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techstepgenr8tion
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29 Jul 2022, 4:28 pm

I just listened to Prof. Sam Vaknin talking about the recent research as well and pounding on both SSRI's and the DSM's:

Antidepressants Scam, DSM Capitulation


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30 Jul 2022, 2:37 pm



"A scientific review has concluded that depression is not caused
by chemical imbalances in the brain, and may be more closely
linked to stressful life events."

'The Times' Is Behind a Paywall;
So Here is Another Quote From
'The Guardian' That is not Behind a Paywall...

Yeah, Being Flooded With Stress Associated
Hormones in Chronic to Acute Stress; Particularly,
With No Way to Burn-off the Stress Hormones, Behind
A Screen All Day Long, Sitting Down, Will eventually Wear

A Person Down
Both Mentally
And Physically
From Head to Toe;

Resulting in of Course
Associated Depression and
Anxiety too As that Relates to

A Life that No Longer Feels Rewarding
And is Filled With Negative Stress Related
Experiences Day-in Day-Out in A Place And
Way of Life, You'd Never Volunteer to Do if You

Didn't Think it Was Necessary to Do it, to Make a Living Now...

Hmm, Lots of Folks Are in this Circumstance; Particularly College
Age Going Folks Full of Stress Too With Assessed Depression Rates
of 40 Percent Impacting Functioning in Day-to-Day Life, Along with
Anxiety Rates at 60 Percent Impacting Functioning in Day-To-Day Life;

And Yes, A Quick Fix That Many Psychiatrists and General Practitioners
Offer too Are Pills That Help With the Re-Uptake of Serotonin That is Kinda

Like Hitting the Side
of a Computer to Fix
it and Somehow it's Working
Yet You Really Don't Know the
Full Mechanism of How it works;

Just that it is reported to Improve the
Condition of Depression or Anxiety, Etc., now...

Of Course That Doesn't 'Touch' the Kitty Petting
Neurohormone of Oxytocin That Heals Both Pain and
Anxiety Real in Day-to-Day Warm Experiences of Life all

Fuzzy
AS Such too...

Well Anyway, When i Explained
to my Doctor Among Many other
Issues of 19 Medical Disorders After
11 Years of Chronic to Acute Work Related
Stressful Experiences; Particularly, in A Fight or Flight
Aspect of it; Stuck Behind a Screen, not able to Move
Very Much to Burn The Stress Chemicals off in the Last
5 to 2 Extreme Year Parts of that Experience, My Primary
Care Provider Said take Some of 'These Serotonin Helpful Pills'

As It Will Help You to Dull The Anxiety And The Depression as Such...

Well, It Didn't Help me at all as i Still Felt Nothing When i Petted A Cat
or Hugged My Wife; True, Different Neurohormone, Oxytocin Damage
For Reception Head to Toe too; And it Surely Did Nothing to Heal the
Worst Pain Known to Humankind, Type Two Trigeminal Neuralgia; Nor did

Anything Else Other Than Escaping to Very Shallow Sleep for an Hour or So a Night
Then Extending to Shut-in Pain for 66 Months with all the Numb too; as my Eventual
Air Force Psychiatrist Was a Bit Flabbergasted that None of His Pills Helped me, Calling

me His Most Hopeless
Case he Ever Dealt With,
With All His Combat Fatigue
Veterans From the Desert of the
Middle East too; So He Wanted to
Try A Vagal Nerve Implant Electronic Stimulator
Device in my Chest So i Could Feel Something

of Life as the
Living Dead then;
Well, Not Unlike TransCranial
Magnetic Stimulation That Wasn't
Covered for the Megabucks It Cost
Either With my Insurance, Then Indeed;

Hmm, Cognitive Behavioral Therapy,
Psychotherapy in Talk Ways; It Was still

Mostly Specific to Word Thinking Mind;

How Modern Psychiatry Failed me is Pills
that Didn't Work For me; Psychotherapy That
Didn't Work For me; Cognitive Behavioral Therapy
That Didn't Work For me; and No One Had Any Idea

How it Might Help me to get Out of My Head And More
Into my Body in Free Meditative Movement Even totally Naked

in Nature to Connect
Back to my Whole Mind
Head to Toe and the Rest
of Nature Including People
too in Warmth to Bring Back

All the Synergy of Issues i Had then
From Head to Toe in all the Synergy
of All the Neurohormones and Neurochemicals

From Head to Toe; Yet it's Worth Noting, Some Folks
As Studies Show are Helped by Serotonin Associated Medication

And According to the Article Linked, It is Important to Review This Directive From Medical Professionals as Well:

"A spokesperson for the Royal College of Psychiatrists said: “Antidepressants are an effective, Nice-recommended treatment for depression that can also be prescribed for a range of physical and mental health conditions. We would not recommend for anyone to stop taking their antidepressants based on this review, and encourage anyone with concerns about their medication to contact their GP.”

"Dr Michael Bloomfield, a consultant psychiatrist and principal clinical research fellow at University College London, who was not involved in the study, said: “Many of us know that taking paracetamol can be helpful for headaches, and I don’t think anyone believes that headaches are caused by not enough paracetamol in the brain. The same logic applies to depression and medicines used to treat depression."

“There is consistent evidence that antidepressant medicines can be helpful in the treatment of depression and can be life-saving.”

Anyway, it's True, Pills Didn't Help me; Anyway, It's True, i Found What Worked Individually For Me in Terms of An
Autotelic Flow Of Moving Meditation That Science Assesses Now is Effective for Regulating Emotions and Integrating
Senses, Rewiring Oneself in More Positive Ways of Life Experience From Head to Toe; No only that; Yet Exercising

my More Right Brain Processes of Mind Through Free Verse Poetry Connecting Emotional Experiences With
Symbols that Are Words; Experiencing More Colors of Emotions than Just the Fear Response that Motivated

me Before;

Voila; Results for

ME, NO FEAR Now,

Wiring myself for
Positive Feelings And
Senses through Dance
And Song Free For 9 Years Now;

Instead, of the 11 Years of Increasing
Stress, Anxiety, And Depression; And the
66 Months in The Tween of Hell of That; Now,
i Go The Opposite New Way of Increasing Inhaling
Peace Exhaling Love For All DarK Thru LiGHT Real;

Yet You See, THere is No Clear Cut Manual Instruction Book
to Do, for it is All Creativity Original Day-to-Day Improving i
Have As Adventure Everyday New to Have Even More of A Colorful Life For Real...

Here's Another Clue, Science Shows At Best We Human Beings Exercise Altruism
For Real it is Human Connections Moving and Co-Creating With Each Other That
Overall Wire Us the Most For Happiness new Each And Every Day Still ThiS Way FoR Real;

So, When the Giving Becomes the Receiving Without Expectation of Return From Others;
Indeed, Literally the Giving Becomes the Receiving, Same in Happiness Real for Us Now;
Again Giving, Sharing, Caring, Healing, For All With Least Harm Inhaling Peace Exhaling
LoVE iN JoY oF LiGHT

Now Real For All With
Least Harm Again Now For Real...

Hmm, THING iS, How the F Do You
Do This Stuck Behind a Screen With
A 'Zillion' Unrelated Things to Do that

are Not Connected As One Task At All;

And IN This Sense And Feel of Reality, the Psychiatrist
Assessed me as Never Recovered enough to go back to the
Same

Place
to Hell
Again For Real;

Fortunately, i Don't
Think either of My
Psychiatrists Were 'Trump'
Related; In Other Words, They
Had Some level of Empathy/Compassion for
Others Different Than they are in this Life Now...

i Surely WiLL Create my Own Happiness as Long as
A 'Zillion' Unrelated Stress Factors Don't Tear me Down
Behind a Screen All the Weeks and Years Through Work

To Fall Down
With Basically
General Adaptation
Syndrome and or
Autism

Burn-Out
Again; My
Psychiatrist Advised
That The Destruction Down
By Stress From me Head to Toe
Might Take Years to Heal; Yep, 66
Months With Finally a Remedy That

WorkS ETernAlly Now For Real;

What's the Difference;

Typically, Folks Who Meet
me in Real Life Assess me as
The Happiest Person they've Ever

Met in Life; Well It's True, i Built This
Field of Dreams in Heaven Now; and

i am the Only
One Who must
Still do it For me;

Yep to Return as 'He'

Works For And or Her too

It Seems as Well; Yep,

It's Always A Dance
On A Tightrope of

Balancing DarK
Thru LiGHT For Real

Difference Now is;

i Control The Tight
Rope And The Dance myself...

Hey An Aspirin Might Not Cure
Cancer; Yet SSRI's Do Seem to Help

Some folks on a Potential path to remission or recovery;

Not me; Yet There Are Plenty of Folks Who Say it Saved Their Lives;

I'll take Their Words
Of Healing Over Any

Concrete Hard

Science Experiment

That Will never Empirically
Measure All of What it Takes to
Be Happy in Balancing Mind and Body Soul Whole now...

And in Other News Regarding Serotonin and Falling In Love,
It Actually Drops in Many Cases While Dopamine of Enthusiasm
And Anxiety Towards Losing the Significant other May Reach Actual

Levels of
Jealousy
And Paranoia

Yet Bring On the Oxytocin
For Bonding Warmth and
Attachment With Vasopressin
For Dudes to Experience an
Instinct for Protection as Well too;

Well, After The Love is Gone and Grief is Left;
Serotonin and Oxytocin Both Drop Yet Dopamine
For New Creativity in Finding A New LoVE Rises; As It is

True THere Is
ReNeWinG Potential
in Grief All Naturally True

Yet this May Not Be Possibly
The Case if Serotonin Pills

Reduce the Amount of Dopamine
Inspired Creativity to Explore New Connections With Others...

It's True, This Psychology Business is Very Tricky And More Like

Painting

A Van Gogh

Painting than
Concrete Science For Sure;

In Fact, When It ALL Feels Like
a 'Scream' Some Days; You Just
Need to Get it out, Even in A Painting

That Touches Others in A Way So Deep
It Becomes Valued At Millions of Dollars

Like A 'Warhol Water Color' of 'Marilyn Monroe' at 200 Or So MiLLioN Dollars;

It's True, Humanity is More Art That Science; When We Reduce it to Pills, We Don't
Usually Repair the
Whole Being

Human; Yes,

A Naked Free
Dance And Song
Is Healing Enough for
me and it's True i Wrote
The Whole Song Down in Art

Of Dance And Song in Terms of

WEaVinG DReAMS
MaKinG LoVE ReaL

As A Free Dance And "SonG oF mY
SoUL" Still Healing So Very Happy iN JoY Now...

And it is No Joke, After i Healed my Self this way
All Naturally; The Psychotherapists and Psychiatrists
Consulted me for their Most Difficult Cases; In Fact, the
First Air Force Psychiatrist i Saw For 7 Years and 7 Months
Since January of 2008, Quit His Practice to Teach Movement
Therapy
in A Teaching
Hospital in South
Florida; Telling me,

i helped to Inspire Him to Change
His Life That Way for What He
Once Was Not Able to Cure With

Pills,
i Did
All Naturally
THiS WaY iNDeed,
THere is No Wisdom
Like Reality Indeed For Real
Clear Out Of Labs into the
Human Experience New Now...

https://www.theguardian.com/society/2022/jul/20/scientists-question-widespread-use-of-antidepressants-after-survey-on-serotonin



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Nades
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30 Jul 2022, 2:50 pm

A bit like paracetamol then. So engrained unto the public psyche as working that actual evidence of the drug working doesn't matter anymore.

Anti-depressants have been a weird one with me. None of them worked for me and there was never any clear and marked improvements from people using the drugs ever documented in all these decades.

I've always been one to think that if a drug actually works then it'll make its effects clear.



Misslizard
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01 Aug 2022, 9:03 am

I think they are overprescribed, therapy should be a first option before medication.
However, I do think they saved my life and work for some people.
I was on them for a year or so and when my life circumstances changed for the better.I didn’t think they were needed anymore ,so I gradually tapered off them.After around a year or so I slowly sank back into a horrible depression that would not leave.Nothing helped.Sylvia Plath type depression.I went back on them.
I am alive today because of them.


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aghogday
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01 Aug 2022, 12:19 pm



Herein, Tells Truths And Lies About 'A Matter of Things.'

One of the Most Positive Aspects of Science is it provides
A Tool of the Scientific Method to Observe and Measure

(Even More Important Than Providing Knowledge, Science
Helps to Relate What We Don't Know like How Flies Generate
New Eyes When the Genetic Material For That is Taken Away;

Or Yes, How Other Species of Life Losing Heads, Generate New Heads
With the Memories of the Other Heads, Remaining In Newly Grown Heads)

PARTS oF REALITY;

Of Course, Little Children
Do This Whenever They
Burn Their Hand on a Stove

And Find It Injures Them, Providing
A Memory of Harm They Don't Easily
Forget to Harm Themselves Again

By Touching A Hot Stove;

And Indeed, This is A Reason
Humans Tend to Be So Negative;

We Focus on What Potentially Harms
Us and Does Harm Us Most to Continue
to Survive With Last Harm; Problem Is Yes,

We Have Imagination; Most of Us at Least;

That Provides Us With A Potential to Imagine
Most Anything in Life We Are Told By Someone Else

May Harm Us; Leaving Us in Fear and Anxiety of What We Are told.

There Are Many Parts of the Human Experience of Depression that may
Be Material Reduced Like the Factor of Lower or Higher Levels of Serotonin;

However What Science CAN'T Measure Reliably is the Synergy that All the Material
Reduced Parts it CAN Measure That Make Up Our Conscious and Unconscious Realities

of Mind

Real Now

Eternally So
Changing With
Every Change of Every
Part of Our Existence in Flow

That is Not Restricted to Linear
Fashion of Reality; And Oh By A
Way, if You Want A Reference By Someone

With Actual additional Credentials as a Scientist and
A Researcher; You Are Surely Welcome Now to Listen
to the Research of Iain McGilchrist as He Provides it
For Free On Youtube Without Any Commercial Distractions

Through 12 Volumes So Far, in Study of the Human Mind;
Including Focus on Left and Right Brain Processes Far Beyond

Old Myths and
Stereotypes
About the Both;

'Serotonin' Wasn't A Big
Factor, if Any in my Depression
That Was in Large Part an Inability
to Feel the Warm Connections that Oxytocin Brings;

Yet for 'Ms. Lizard' Here as Documented, She Relates, Just
As i Did, Earlier in the Discussion Here; That Many Folks Do

Relate that Taking Drugs that Regulate Serotonin Helped to Save
Their Lives; Therefore, It is Potentially VERY DANGEROUS TO SUGGEST

THAT THOSE DRUGS ARE NOT USEFUL IN THE TREATMENT OF MENTAL ILLNESS,

BASED ON THIS OR THAT RESTRICTED SCIENTIFIC STUDY THAT IS ONLY DIRECTED
AT THE PARTS OF THE SYNERGY OF MATERIALLY REDUCED PARTS THAT MAKE THE

EXPERIENCE OF
DEPRESSION REAL.

See How i Put that in All Caps;

Yes, it can Potentially Have Life or
Death Consequences; And The Consensus
Of Science And Humans Who Relate Their
Lives Have Been in Part Saved By Taking the

Medication cannot
be left out of any
Real Rational and
Caring Discussion About
A Materially Reduced Aspect
Serotonin Plays in Depression.

It's Like 'Love,' An Experience of Life
That May Be Restricted to A Family Member,
Or A Pet, Or a Lover, or The Entirety of Existence

In A Universalizing Faith of A Venn Diagram of Love
That Holds All of Reality As the Essence of Love; Yes,

Actually Feeling And Sensing This Bliss and Nirvana of Love For All...

On the Other Hand, the
Head Priest at the Catholic
Church i Visit as Both an Anthropology
Participant Observer and Long Form Free Verse Poetry Writer;
As Yes THAT is one of The Credentials i Hold With A Degree in
Anthropology, And Two more in Social Sciences Interdisciplinary,
And Health Science For Yes A Well Rounded Education Now Still in

College for the
Arts of Humanity this
Way; Yet Sadly Deficient
in College For Actually Creating
Art Original Then; That isn't Something

You Can Take A CONCRETE Lesson alone For To ACTUALLY DO; It is a Gift
Now That Still Comes in Free Association of an Entire Experience of All Of

Reality Now
Through Mindful
Awareness Through
Subconscious and Conscious Mind too;

A Synergy of All Life Experiences Indeed in Human Way;

Anyway, Back to that Head Priest, Yesterday He Said Love
Is Not a Feeling or An Emotion; Only An Action We Do Cause

'Jesus' Has the
Key in Verbal Word
Lessons on How to Do it
By Asking A Story For It;

That's Actually Mostly Ridiculous

By Any Measure of Reality Other than

What A Fictional Story Directs Folks to Do;

If i Were to Believe That i Might Be Trying to
Save Babies Who Are Smiling At Each Other For
No Other Reason than the Union of the Feeling and
Sense of What Love Brings Without Any Words At All;

True, There is No
Original Sin in the Smile

of A Baby With Another Baby;

On the Other Hand, Words Are Metaphors;

And All You Have to Do to Influence some others

Now is To Provide A Carrot and or Stick Great Enough

To Convince them what You Say is True, like Heaven
or Hell as A Made

Up Place of Material
Existence After Death

in Fire or Gold Laid Walls of A 'Trump Palace;'

Love is An Ever Changing FLoWeR We Color New Within
Now To Give, Share, Care, And Heal All Others With Least
Harm With Petals of Affective Empathy, Cognitive Empathy,

And Compassion that Does Not Get Get Tired of Helping More;

Is that ALL, Heaven and Hell No; Love is What We Move, Connect, And

Co-Create Most

When We Live

ThiS Way and
Actually Lift Each
Other Up With Least Harm;

Yet Again, These Are Only
Words; Only A Small Representative
Part of ALL The Parts That Make LoVE ReaL;

Not Unlike Serotonin

And Depression too;

Not Unlike Love and
Oxytocin too; Not Unlike

The Role That Serotonin and
Dopamine And All the Other

Neurochemicals and Neurohormones

And So Much More Create Constantly

Changing From Head to Toe and So Much

More As We Move, Connect And Co-Create With each Other

Eternally Now for

Real and If it Seems
Like This Poem Can and
Will Go on in Flow Like This Free Verse

Outside of Linear Fashion Forever Now;

In fact, Now You May Perceive A Bit
More of Human Potential to Color
Flowers Within,

True

Or False;

That All Depends
on You, Whoever You
Are; i Broke the Code for
me as FLoWeR CoLoRinG More

Than A Concrete Sidewalk Straight and Narrow...

And Nah, i Don't Get Depressed Any More As i

Create A FLoWeR Within With No Fear of THorns

RiSinG as Rose

Within i Master

All

in all

Within at
Least Eternally

Now; As Change is
the Ultimate Reality Indeed;

True, i Can And Will Look Back
And Prove Empirically So In Measure
How It's Been ThiS Way for 9 years Now;

So Many Ways to Count Our Blessings These DAYS FOR
REAL TO GIVE, SHARE, CARE, AND HEAL WITH LEAST HARM

WITH THAT
PROPENSITY
FOR LOVING ALL
DARK THRU LIGHT TRuE Too;

Seen A Bottom Floor And It's
True A Bottom Floor Still Holds Up

A Pyramid
Eye Above
of Real Riches
More Now Than a
Frigging Dollar Bill
And A Symbol Thereon...

Or Any Bible Book Or one
So-Called God Man too; Yet
Again that too, Parts of Whole...

Scientism Not Unlike Any One Other
Religion is When We Fall to the Parts
Materially Reduced And Miss Bigger Pictures

in Synergy new now

to Thrive
SO MUCH

More in Meadows
With Wings of
Butterflies

Free So

Far Off the
Bland Straight
Jacket Concrete Sidewalks of Life...

Just Broken Up All In Parts, Dots on A Straight Line...

Or Bits and Bytes Short of Humanity Digital, No Longer Analog Whole Free Waves

True, in Words At Least, In Experience at Least for Me; Free Verse Poetry Best Measures

And Expresses Human

Experiences Like
Depression and Love;

Yet of Course Without a More Right
Brain Hemisphere Process of Understanding
Metaphor Figurative Deeper of Human Experiences,
It is Basically a New Continent of Mind to Seek and Find
For Real to DO New Now; i Was Surely Almost Totally Lost
From it for
Decades

On In; WiTHiN,

Now I'm Mostly
Killing Time in
Heaven For ReaL ETernAlly
Now Within FOR REAL NEW

In Effortless Ease of 'Wu Wei'
Flow FRiEnDS With

Gravity THiS Way

All of Gravity
Indeed (GoD)
in Balancing Force Within
So Much more than 'little 3 or
Even 4 Letter' Words For Real

More Like Today's Date for
Symbol For the First Two Parts of Whole
8 Standing Infinity 1 Whole And Separate As Well

ThiS UNitY
oF ALL New
NoW ALWaYS Changing



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01 Aug 2022, 12:27 pm

for me, mood lifting drugs [tri-cyclics, methylphenidates, atomoxetine] were life saving crutches that got me over the abysses of my life.



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01 Aug 2022, 1:13 pm

shlaifu wrote:
But prescribing pills is so much easier than telling people to quit the job they hate, leave the city they can't afford, and stop chasing a dream that simply can't be achieved by millions of people at the same time.  Our society needs most of us desperate, but in working condition.
Popping pills is also easier than losing weight, learning marketable skills, developing artistic and social talents, becoming an interesting person, and playing some other role than "Perpetual Victim".

Because society also needs a class of people that can be looked down upon.



Fnord
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01 Aug 2022, 1:15 pm

auntblabby wrote:
for me, mood lifting drugs [tri-cyclics, methylphenidates, atomoxetine] were life saving crutches that got me over the abysses of my life.
Everybody needs a crutch now and then, but to keep using that crutch long after the need has ended is just plain wrong.

No, I am not pointing a finger at you, Blabs.



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01 Aug 2022, 1:18 pm

Fnord wrote:
auntblabby wrote:
for me, mood lifting drugs [tri-cyclics, methylphenidates, atomoxetine] were life saving crutches that got me over the abysses of my life.
Everybody needs a crutch now and then, but to keep using that crutch long after the need has ended is just plain wrong.

No, I am not pointing a finger at you, Blabs.

i weaned off of them in the 00s. better living through chemistry, within limits. am needing more painkillers these days, though.



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01 Aug 2022, 1:42 pm

auntblabby wrote:
Fnord wrote:
auntblabby wrote:
for me, mood lifting drugs [tri-cyclics, methylphenidates, atomoxetine] were life saving crutches that got me over the abysses of my life.
Everybody needs a crutch now and then, but to keep using that crutch long after the need has ended is just plain wrong.

No, I am not pointing a finger at you, Blabs.

i weaned off of them in the 00s. better living through chemistry, within limits. am needing more painkillers these days, though.
You and me both!

Caffeine to wake up, aspirin to move without pain, clopidogrel to prevent blood clots, statins to keep my cholesterol down . . .

I can barely remember a time when I could still see the back of my medicine cabinet.



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01 Aug 2022, 1:52 pm

if i can still look down and see the body parts south of my gut, i will tolerate not being able to see the back of my medicine chest.



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01 Aug 2022, 1:53 pm

auntblabby wrote:
if i can still look down and see the body parts south of my gut, i will tolerate not being able to see the back of my medicine chest.


:lmao:


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Location: Brooklyn, NY

01 Aug 2022, 4:55 pm

I have been taking Prozac for OCD for a number of years and it's a lifesaver. If it wasn't for these medications, I would probably be miserable lying in bed all day wishing to get out of this hell. I'm not exaggerating. Anyone with severe OCD will tell you it's hell. I'm in therapy but "therapy first" before meds wasn't an option. I like to use the analogy of a car without wheels. A car without wheels will simply not be able to move on the road, no matter how hard the car tries to move or change its attitude or whatever. I needed wheels, and for me that was Prozac. While I hate having to take off work every two months to see the psychiatrist, I need these medications just to function and to be able to hold down a job.

Imagine if we started telling diabetics "Well, if they just changed their diet they wouldn't need insulin. Insulin is over-prescribed." Or if we told people with high blood pressure "well if you just stopped worrying to much you could lower your blood pressure. You don't need those anti-hypertensive the doctor prescribed." We don't say these things to people with physical illness. We only say this for mental illness, as if somehow it's not as valid as physical illness.

SSRIs work for some people, and don't work for others. If's the patient’s responsibility to communicate with their doctors about what is and isn't working and the patient and doctor can come up with another treatment plan if necessary.