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Joined 1 year ago
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Cake day: July 1st, 2023

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  • I just don’t wanna be social and hate the world.

    Saying that after also talking about how your situation is depressing to you indicates you want things to be different but aren’t ready to try to make anything different. People’s life circumstances can fuck with them, for sure, but the only person who can make anything different for you is you.

    You’re stuck having a pity party for yourself and you’ve spun your self-hatred into hatred for “the world.” Try really hard to let go of whatever shame and self-hatred you’re holding on to and accept that none of us are perfect, and there are actually plenty people out there who would accept you and be your friend if you treat them with respect.






  • I felt great about it, our monthly mortgage payment was a little less than we were paying in rent, and a portion of every payment was us building equity in our home rather than 100% going to a landlord. I feel even better now, as rents and home prices have skyrocketed where I live, and our monthly payment has only gone up about $300 over 9 years where renters are facing much steeper increases.

    It all boils down to your monthly payment, and whether that price is right for you. You need a solid estimate on what your monthly payment will be, to include principal, interest, and escrow to cover taxes and insurance, and see how that amount feels to you moving forward, because it will stick with you.



  • The laws vary so much by state that any advice given here is not likely to be useful as far as specifics. Here in Texas, either a police officer can evaluate that someone is at risk of harming themselves or others and issue an emergency detention, compelling a psychiatric evaluation, or an outpatient doctor can write a certificate of medical examination and a family/outpatient team can file an order of protective custody directly with the county court, which a judge has to accept and sign. The specific criteria you can use for either of these varies by state, as does the process.

    Elsewhere I read you’re concerned about your loved one’s delusional thinking, which unfortunately is not likely to meet the threshold for involuntary treatment without significant behavioral issues. The best thing for you to do right now is to take care of yourself, recognizing you and your boundaries are the only thing you have control over. Maybe check if you have a local NAMI chapter and see if they have a family support group. I guarantee you there are people there who have been through similar experiences.




  • Caveat here that I’m neither a doctor nor a psychopharmacologist, but I am a psychotherapist with many years of inpatient experience on treatment teams with psychiatrists. Antipsychotics seem to most often be used as an adjunct treatment with a mood stabilizer when someone is experiencing severe mania or severe depression with psychosis. When someone’s symptoms are too severe, a mood stabilizer alone may either take much longer (like weeks) to stabilize someone, or it won’t stabilize them at all.

    After stabilizing their most acute symptoms, we would always work with our patients to define a short term goal to work with their outpatient doc in tapering off the antipsychotic while continuing with a maintenance dose of mood stabilizer, because the goal should always be to be on as little medication as possible while maintaining stability.

    The most common antipsychotic prescribed for bipolar is zyprexa, aka olanzipine, but the evidence seems to show that it’s no more efficacious than lithium or depakote as far as its usage as a maintenance med, but it comes with a serious risk of weight gain, metabolic syndromes, and EPS, where the side effect profiles for the mood stabilizers are much more tolerable on average. Where olanzipine shines though is in treating that acute phase of severe mania or depression in the short term.

    Everyone is different and everyone’s body responds differently to different meds, but personally if I had severe bipolar disorder, I would try my damnedest to avoid relying on an antipsychotic as a maintenance med.




  • The internet became pervasive in the mid 90s, and “always on” cable internet started to be widely available in the late 90s. Cell phones became pervasive around 2000-2001, Facebook hit big with colleges in 2004, but the iPhone release in 2007 changed everything. Within five years, almost everyone in the developed world had a smartphone, and had instant access to the entire internet, a built-in camera, and were always available via call, text, email, chat, or social media, with an endless stream of apps.

    2012 is my vote, that’s when the majority of the developed world had adopted “always on” technology that still stresses us out today.


  • This is totally it, making sure your kids know how to clean up is #1, and then tying the work to positive reinforcement, eg “You can play video games after all the Legos are picked up,” or “We can watch TV after you put away your laundry.” The key is consistency and follow through. If you don’t follow through, your kids aren’t going to either.

    Also key is applying these rules dispassionately. No matter how your kids emotionally react to a rule imposition, you remain calm. If you react with anger, frustration, or irritation, you risk throwing everything off course




  • Welcome to aging. It’s been like this for everyone forever.

    Edit: It’s ok, go ahead and downvote. When you find smells are a little less intense, colors are a little less vivid, or experiences are a little less pleasurable, go ahead and blame others for that, right? Surely it doesn’t have anything to do with your own inexorable march toward death? Knowing that things were better before now is a new phenomenon, never experienced before by any prior generation, right?

    Edit: You’ll see. YOU’LL ALL SEE