med takes, anecdata
@velartrill unfortunately when they're handed out indiscriminately like candy, most of the attention falls on the lives that are fucked up in the process.
I spent a big portion of my last 20 years resisting one med or another which might have gotten me stable far sooner, even though my ultimate goal is to rebuild my life such that I no longer need a chemical crutch.
so it's that perspective that I bring to med threads 💜
med takes, anecdata
@velartrill I keep an open mind on these meds bc IF managed correctly they can REALLY help subsets of ppl with severe mood disorders, psychotic disorders, etc.
what interests me is the clues we get from this.
WHY does olanzapine work like a powerful antidepressant for some badly depressed people? WHY might clozapine work when its siblings don't in resistant schizophrenia?
they have awful side effects, but for some very sick people, those meds work when nothing else will.
@velartrill also the whole "nobody knows how any of this shit actually works" problem - anybody who has a psych med prescriber who doesn't act like they're throwing darts blindfolded should get a different prescriber, because that's what ALL of them are doing, it's just that some not only know that, but are attentive to patterns they see over years of blind dart-throwing while trying to help fucked up people. those are the good prescribers.
@velartrill IMO the problems are -
* most of the meds aren't very good in that while they may be great for a few they're shitty for many others and predicting this is difficult; some are bad enough that they should be restricted
* patient education is nonexistent
* prescriber education often isn't much better
* inappropriate prescribing & management is a biiiiiiiig problem for multiple reasons
for example, neuroleptics are often prescribed for sleep. WHAT THE FUCK.
@velartrill I definitely agree with some of what you're saying here, kinda agree with some, and definitely disagree with some
I'd just point out that a neuroleptic + SNRI + stimulant is the least-worst med stack I've taken in 20 years - a particular neuroleptic is the only med to ever keep me stable, a particular SNRI is the only med to ever reliably raise my baseline mood & improve resilience
they have BIG downsides but I need to be stable while I rebuild my life to be livable 🤷🏻♂️
mh meds, self-knowledge
when I started on daily benzos, I did not have anywhere near enough insight to understand what was happening with my body and mind especially in high stimulus situations, or when not getting needs met. there were needs I wasn't aware of or didn't understand. all I knew was that I was suffering from crippling anxiety.
benzos wallpapered over a LOT of that shit. and now i'm learning about it way later.
mh meds, self-knowledge
also, I'm starting to think that to whatever degree I've perhaps always had autistic traits - especially the sensory sensitivity and the need for a certain amount of solitude in order to stay stable - I may have somewhat successfully suppressed them with benzos for 20 years.
my average benzo dose was slowly declining from ~2015 to 2019 when it reached zero. and my sensitivities have increased over the same period.
Two days ago my energy level was up, yesterday energy & mood became elevated and I needed to adjust the meds a bit. I was 'up' enough that I had a hyperactive gag reflex, tons of energy relative to baseline, but was super frazzled and couldn't stick with anything for more than five seconds.
Today, climbing a flight of stairs leaves me needing a rest, and I'm resistant to my stimulant medication.
None of this is new. But I haven't articulated it very well to the professionals out here.
Open access journals get a boost from librarians—much to Elsevier’s dismay
A quiet revolution is sweeping the $20 billion academic publishing market and its main operator Elsevier, partly driven by an unlikely group of rebels: cash-strapped librarians. [One university's] ability to cope [without an access deal] is a vivid example of how the market is changing and eroding Elsevier’s pricing power.
The seventh annual international Gender Census 2020 is now open until 12th March!
It's for anyone whose genders (or lack thereof) aren't described by the M/F binary. It's short and easy, and the results are useful in academia, business and self-advocacy.
thanks for this - my take, at least the centrists are also waking up to the fact something is wrong in the Matrix?
anyway, i'm also super interested in reading & resources about a more collective way of life, because I've come to understand that for me personally (for reasons visible in my profile) it is non-optional & mission critical to be embedded with a clan, but clans are actually really fkn hard to find in the capitalist hellscape.
"Many people growing up in this era have no secure base from which to launch themselves and no well-defined pathway to adulthood. For those who have the human capital to explore, fall down, and have their fall cushioned, that means great freedom and opportunity—and for those who lack those resources, it tends to mean great confusion, drift, and pain."
this effect has been blamed for the rise in elder estrangement.
tl;dr: people nowadays are far more willing to cut off toxic relatives because of the ongoing shift into extreme hyper-individualism in American culture; meanwhile, a lot of those toxic relatives, often parents or grandparents, while still perhaps insufferable, are not only less toxic than *their* elders, but they're also blindsided by being cut off, because they would never / could never have done the same in their own lives.
following mh topics; talking to anyone
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