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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. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. That really does suck. Makes total sense to feel disappointed. Appointments can be a source of comfort in hard times.
  9. Shitty situation

    Fuck that sucks.
  10. That sucks. I’m really sorry
  11. I’d expect a call.
  12. DBT skill of the day!

    Nice 3 minutes sounds like a really doable goal. Lots of anxiety provoking transitions for me right now - working ACCEPTS today.
  13. How do you prepare for PDOC appointment

    To see a new one, or my current one? When I see a new one, I bring a list of all of my past medication trials with approximate dates/durations, side effects, whether it worked. I have a lot, and it helps not to have to verbally explain it all. I also bring a list of my allergies, and current medical problems and surgeries, and past psychiatrists and therapists I've seen. It's basic questions that they all ask every single time and it's easier to just hand them a list. With my current doctor, I keep a running document on my computer where I just jot down things I want to mention at the next appointment as they come to mind, and then I read it briefly before I go in.
  14. When I have voices that are related to other parts, there's usually also a sense of something inside, like a presence, or an image, or something. Like a strong sense of "not me" like the words come out of the blue sort of. But I don't know what it would be like to have adult voices. I only have child ones. You could try asking inside and seeing what you find out.
  15. DBT skill of the day!

    Used opposite action to load my dishwasher even though I really didn't want to. Also managed to engage in balanced eating from PLEASE today. Trying for radical acceptance but not quite getting there.