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  1. Physical activity was one of the lifestyle interventions I tried while I didn't have a pdoc or meds. In my experience it helps some -- not nearly as much as fitness "influencers" claim, but enough to be worth the effort. I walked around inside my house and used a pedometer app on my phone
  2. I haven't used them personally. I included them in a list of possibilities in conversation with my pdoc and he said he never prescribes them as an adjunct for MDD. From my reading, not all pdocs share that stance. Stimulants do get included in some treatment guidelines as a (roughly) third-line adjunct treatment. The research I looked at had fairly mixed results, but I was running low on better options, so I wanted to consider it
  3. It was a while ago, so my memory isn't clear, but based on some receipts it appears that it was 5mg for a week then went up to 10mg and stayed at that dose for 4 weeks. At 5 weeks my pdoc stopped/changed the med.
  4. Trintellix really didn't agree with me, but it was quite obvious. I had a huge increase in hopelessness and suicidal ideation (a possibility for many antidepressants, but I hadn't personally encountered it before). I also had a sharp decrease in appetite to the point where I actively didn't want to eat.
  5. I use a patch for a different med and have found that my butt is a good location for that. I've just realised that I don't know if it's an "approved" location for mine, either. I'm having a hard time thinking why chest or upper thigh would be find but not stomach or butt...
  6. People have brought up different elements of acceptance in the conversation. There are pieces that I use and find useful. I avoid feeling resentment or self-pity about having depression in the first place. Those can be an enormous energy drain that don't give anything in return. I also expect that I'll have to deal with depression in the future and that I'll need to manage my mental health for the rest of my life. This reduces future anger or disappointment when a cure doesn't happen. If a fighting mentality feels like it's an energy drain, it makes a lot of sense to try something different. That approach has always looked a lot like buddhism to me, but I'm saying that from the outside since it's the part I don't do.
  7. I've been dealing with depression for 20 years now, and for the last 15 it's been very consistent with few pauses. I've talked to people about ACT and whether it could have benefits, but honestly I can't accept it. Accepting it feels very dangerous to me. Refusing to accept it is a pretty big component for me in keeping SU thoughts at bay, and continuing to push forward and do the things I need to do for daily life. I may be missing out on benefits, but so far I haven't been able to take the risk.
  8. For me they are like a fly buzzing around. I can brush them off (at least I can now, with practice) though some times they keep coming back persistently. They are mostly a response to anxiety, stress, and tension, especially like @Rabbit37, stress that doesn't seem to have more direct solutions. I've described them as a sort of barometer for my stress levels. I get fewer urges when I'm doing better, but still get them semiregularly. I SHed for about 2 years and it's been about 12 since I stopped. It's a bit frustrating that the urges haven't tapered off more, but they are manageable and I don't worry about my ability to avoid acting on them. For me they are very distinct from SU thoughts and feelings and I don't classify mine as intrusive thoughts. It just doesn't feel like the right label for the way I experience them.
  9. I think self-harm usually serves a purpose and when you are quitting that gap needs to be filled with something else. Can you think of things to try instead for when you are dealing with anger, anxiety, etc? You can try out a bunch of things and see what clicks for you
  10. I worry about this. I will hopefully be getting an assessment done in the next month or so and I worry about getting a false negative. I want to believe that the tests are accurate and sophisticated enough enough to give a correct result, but depression and decades of coping mechanisms muddy the waters, not to mention the stereotypes about ADHD.
  11. I run into some similar things with therapy. I think for me one of the difficulties is that I'm already a certain way along in the process, and I did all that work during a time when I didn't have access to therapy. So now that I'm working with a psychologist I am already doing a number of the things they would recommend. I'm getting some benefit from what I'm already doing, but it's hard for both of us to figure out what strategies might be able to build on that further. My tdoc and I handle this by using some of our time in sessions to talk about therapy such as how well certain approaches have worked so far and we try to gauge the potential in other approaches we could try.
  12. My mom has chronic physical illnesses and they were at their most severe when I was young. She says she feels guilty about being so limited, but it didn't matter to me. There were some things she couldn't do, so we did other things. From my experience growing up I think there are two things that matter far more than the rest: that they care, and that they accept who I am. I'm lucky to have great parents and that's what makes them great. I see the same themes with friends who have not-so-great parents that at least one of those things was lacking.
  13. A close friend of mine has BPD and the opinion of our friend group is that if he was an animal he would be a teddy bear. I had to encourage him for a while to get help, but it wasn't because he didn't want help. He had grown up with the message (like a lot of us do) that a person is supposed to deal with mental health problems by "pulling themselves up by the bootstraps" and he had kept working really hard trying to do it that way. Our conversations were about how he deserved to feel better and he deserved help.
  14. Tapering is very often the more comfortable way to discontinue a med. I'd say bupropion is pretty decent for discontinuation effects, but how long is it until your next doctor's appointment?
  15. My company also uses a bastardized version of agile that makes no sense. I wonder if many places actually use the real thing My town of ~50k has a cat cafe, but it's still fairly new and not yet clear how much staying power it will have
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