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About tryp

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    Bawk Bawk Therapy Cranes!

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    sleep, sanity, cats, trashy television, psychopharmacology

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  1. It doesn't make everybody gain weight - but it is more prone to it than some other antidepressants. I did gain on it. Only way to find out is try it and see.
  2. Psychopathy is a clinical construct with specific criteria - there is a psychopathy checklist. Psychopathy is likely a subset of people with ASPD. Many people with ASPD would not meet threshold for psychopathy but most people who do also meet criteria for ASPD. Sociopath is actually not a clinical term. It’s a colloquial term that is not really used in psychiatry. Or at least that’s my understanding.
  3. That being said, the confidence interval for most of the medications listed under “weight gain” crosses zero, which limits significance.
  4. Your girl needs you, melli. Nobody else will ever be the same for her. There is no replacement for her having you as she grows up. I know your life isn’t how you want it and that is terribly unfair. And I also know that there’s a part of you that is determined to be there for your kid and build the best life for yourself that you can. Thinking of you.
  5. Yeah some psychiatrists will say that the weight gain is dose dependent and maybe it is worse at high doses, but low ones will do it too unfortunately.
  6. It typically causes neither. Every so often someone gains some weight on SSRIs but it's atypical.
  7. therapists and gifts

    Just ask. Therapists tend to have pretty idiosyncratic policies, beyond that gifts of substantial value are always a no. Some therapists have a no gifts policy and some will accept nominal value gifts. Almost all accept cards. Most professional organizations for therapists stipulate nominal value only but there are definitely some therapists with a no gift policy.
  8. I'm not sure that it's the law (I believe some states do have laws requiring periodic UDS for controlled substances but not sure about Michigan specifically) - but it may be part of that doctor's practice. Some doctors don't feel comfortable prescribing substances with significant street value/abuse potential without hard proof that the person is actually taking them themselves and not diverting them. That said, even a UDS isn't proof that someone is taking the entire prescription consistently themselves - but it is what it is. And it's basically garbage that insurance won't cover it. Kind of sucks, I wouldn't feel good about it myself, but it's not totally out of left field, especially non-psychiatrists, who are sometimes more nervous about those medications.
  9. I honestly think that's amazing - I keep all of the info in a word document, which works well for me, but I love your overlapping timeline.
  10. To be honest, diagnosis in psychiatry is a muddy business, because it's phenomenological, which means that it's based on constellations of symptoms rather than anything objective, like a blood test or scan or something. Now, there's nothing wrong with that, nor does it mean that the diagnosis is invalid. However, in my opinion, MDD is probably not a single illness. It's probably a whole bunch of endophenotypes. So long story short, it doesn't surprise me that anticonvulsants work better than antidepressants for some people.
  11. I don't think it's a red flag in terms of competence or ethics. However I'd have a hard time working within that frame, so I'd probably pass and move on.
  12. So over it! A rant

    That does sound really awful. Worth maybe talking to your doc on a day when you haven’t self harmed to make some kind of preemptive plan in advance for how to handle it in a way you can both live with? I’d be upset too in your shoes.
  13. Heavy opposite action + setting an alarm for a smaller chunk of time like five minutes and telling myself I can stop in five minutes if it’s intolerable.
  14. It’s an interesting paper that will definitely continue to affect clinical practice. There is a move away from opiates. Worth noting that they studied a very specific type of chronic pain, mostly in men, and excluded people with severe mental illness, among other things. So that does change the ability to generalize. Like benzodiazepines, opiates are a tool that can be used or misused. Neither good nor bad inherently. They certainly have a role, but I think part of what this study is looking at is that the role is not as large as previously thought.
  15. My experience is somewhat similar though maybe milder. I’ve exclusively dated and been sexually active with women and I have no desire to ever date men but wouldn’t rule out being purely sexually attracted to one.