• 27 Posts
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Joined 3 years ago
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Cake day: June 10th, 2023

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  • Do you have a source for that? I know the issues within homelessness are complex but I haven’t seen any data to suggest that a majority of homeless people are severely disabled.

    https://pmc.ncbi.nlm.nih.gov/articles/PMC8423293/

    A peer reviewed article of a meta analysis of many studies shows a whopping 76% of all homeless people have a mental illness. The majority are alcohol or other substance abuse problems followed by schizophrenia. These can all be incredibly disabling conditions. Something like social anxiety disorder, for example, while can be very disabling on the extreme end, does not cause difficulty caring for basic functioning of yourself. Alcohol/substance abuse problems and/or untreated schizophrenia are incredibly significant conditions which are severely disabling.

    I have a friend with schizophrenia which has been thankfully successfully managed. I have known her for a long time and it was very scary watching her develop it and at first and for professionals to struggle to help her treat it. She would also periodically do this thing where she felt she didn’t need her medications because she felt better. So she would stop taking them periodically and go back to having severe issues before everyone managed to convince her to go back on them. It’s actually an incredibly common phenomenon and one of the reasons why it’s a difficult disorder to treat. She is one of the success stories because she has had a lot of help and support and access to very intensive mental health care. Many do not, unfortunately.


  • I’ll admit I only read the first several paragraphs. I do get a bit frustrated at times with the number of people nowadays that claim to have ADHD just because their house is messy or autistic because they have one thing they are passionate about.

    The tricky part is that like the article states…yes, basically all mental illnesses are essentially a part of the normal human condition! So it actually really is a spectrum between “normal” and “mental illness”. So where do we draw the line? That’s the problem. It’s blurry. It’s not a binary.

    Where the line is theoretically supposed to be drawn is when the issue is severe enough to have an impairment of functioning or severe distress in an area of your life. Do you have mild social anxiety where you get a little bit of butterflies in your stomach before an event but are able to attend and function just fine? You don’t have a disorder. It’s natural…some people just have more or less of this than others. Do you have anxiety so intense that you have a panic attack at the thought of ordering food at a restaurant so you never go out to eat? That is functional impairment. You have a diagnosable disorder.

    But again, this line is blurry. What I will say is that even though the first example shouldn’t technically be classed as having a disorder, it is always a good idea to try to improve your happiness in life by seeking out how to cope with things like therapy! That’s always a good thing and we should strive for everyone to live their best life! But if the first person were to receive medication for that, I’d say they were overmedicated. The second person would heavily benefit from medication.

    It’s just dumb to me how people go around and are like “I have trouble paying attention to boring things. I am so quirky with my ADHD, guys”! Yet they have always been able to function just fine. People often get overmedicated this way and two other things happen. 1. They are pathologizing normal human reactions and 2. They almost “cheapen” (not the word I’m looking for) people who really really struggle with “actual” ADHD because they make it look “easy” to live with the condition, while those who “actually” have the condition struggle.

    I will say that a lot of this in the US at least is insurance related. Often, a provider needs to tack on a diagnosis, even if not necessarily accurate, in order for insurance to pay for anything. If they just said that a patient was seeking help for “life improvement” (which is a good idea!), insurance is going to be like “fuck no, you’re not getting any money”. So like in my case, my providers immediately diagnosed me with both of your standard “anxiety and depression” for billing purposes, when really it’s kind of innacurate.

    Anyway goddamn I am always so wordy on the internet lol. Just my views is all.

    tl;dr - I both agree and disagree with the artilce

    🙃


  • literally just fix homelessness

    Dude, I know everyone makes it out to be a simple thing, but it’s really absolutely not. Homelessness and mental health issues are associated…usually a combination of addiction with one or more other mental illnesses that are severely disabling…be it PTSD, schizophrenia, etc. It is absolutely not as simple as just “give everyone some money” or “give everyone a place to live”. Obviously that sort of stuff helps way a lot, but it is really not the easy fix people think it is. Many of these people even end up wandering away from housing that is given to them exactly because of their multiple overlapping severe mental illnesses.

    Basically, the majority of homeless people are also severely disabled by often multiple overlapping mental illnesses which are difficult to treat even in people with stable housing. We should always always strive to find them food and shelter, but it is NOT the easy fix that people think it is. It’s a multi-layered issue that requires an insane amount of different types of resources.


  • It’s difficult, man. It will probably make you happier if you could just forget about it, but brains don’t work that way. Plus some people just seem to be way better at it than others.

    A mildly traumatic thing happened in my workplace. I have plenty of functional days, but other days things return to my brain without my inviting them and it makes it more difficult to function. Sometimes I get transported back into time like I’m there.

    One thing I read about is the concept of mental “time traveling”. When we remember these things, it’s like we are literally back in that very moment. But that is not what is happening right at this very moment. You are “safe”. You are not back in time being harmed right now.

    Is it wise to not trust her anymore if she has proven herself to be untrustworthy? Absolutely.

    But in order to free yourself better, you have to first notice that you are time traveling. Then look at things in your environment. Not her, but try to take in all of the sensory input around you. Remind yourself that you are here, not there. Recognize that the only time that exists is right now. Even one second in the past no longer exists and even one second in the future doesn’t exist yet. Work with what is around you now.

    Idk if that is at all helpful, just something that I have read about lately. Way fucking easier said than done because I still struggle.

    Wishing you well.


  • I swear I clicked post on a comment here, but idk wtf happened to it. Doesn’t look like it was removed in the modlog so I’m confused.

    Couple of things…what type of therapy does your therapist use? Does it seem like it’s more of a “talk therapy”? Most therapists I’ve encountered are like this and I have found it not overly helpful. While they are nice for a listening ear, it’s hard to find enough substance for me to be able to help myself in practice. What has helped me was finding a therapy program with a specific therapy modality…so I have a way that I can apply it irl. I’d wager that the therapy type is probably less important than the structure. Many therapists claim to use CBT or DBT or whatever else, but when you actually get to the sessions, they don’t. In my experience, many are just talk therapists that use vague concepts for these, which I have then had difficulty figuring out ways to help myself irl. Obviously easier said than done to find a therapist with more structure, but that is probably the first direction I’d go tbh. You also have to be very specific and explicit about what you need from therapy in order for them to be able to help you…what you wrote here is great.

    Another thing is…have you tried any medications for anxiety by any chance? While therapy definitely is going to be able to do the most heavy lifting, sometimes you need just a little bit more help or a little bit more of a push with psychiatric medications. It’s scary, but they are given to millions of people and are not a huge risk. You can always stop them (slowly, not cold turkey) if you feel like they are not helping you. It’s not like someone is going in and permanently altering your brain like with surgery.

    Best of luck, OP.







  • I am not surprised the group stuff actually clicked though. Individual therapy once every two weeks is honestly a joke for real issues. You spend forty minutes just giving a status update on your life and then the session is over. It does nothing for actual skill-building. Those IOPs are a grueling time-sink, but they force you to actually sit with the garbage in your head instead of just ignoring it until your next fifty-minute slot.

    You really hit the nail on the head at why standard timeframe individual therapy seems to have just sucked for me. Therapy appointments never coincided with issues…and then it’s basically just tell me about the past two weeks. “Ok bye.” While therapists in my experience have always been eager to try to give input to me…I just haven’t been able to have as much direct guidance as I needed. I’ll cry about a bad day to them, but the suggestions given afterwards never seemed to help me enough.

    Then I went the other way and bought a comprehensive DBT workbook. Good lord! It has helped me too, but over time I realized that it was way too dense and actually gave way TOO many techniques for it to be effective in my life. These bite sized, but 3x/week DBT chunks make it a lot easier to try to add in skills to daily life.

    Just be careful with that “needing a therapist less” talk from your provider. It sounds great in theory, but in my experience, that is usually just insurance-speak for trying to kick people out of the system once they are stable enough to not be an immediate problem.

    Well it’s a bit different like that for me. I often complain to her about the cost of things and why all of my therapy and psychiatry appointments are not great for me monetarily. I have a crazy high deductible plan, so it is very expensive for me to see providers so often. The IOP program is a temporary hit to my financials (which I’m in a great position for) to potentially actually get some better help and ways to cope long term…as opposed to my current ineffective methods that still cost a lot of money overall.

    I actually DON’T want to be in therapy long term. I want to be able to cope with life better myself. I would still obviously be open to seeing one in times of struggle, but I want to actually be able to have enough positive change in my life where it isn’t really needed as much anymore, if at all.


  • I have regrettably made suicidal gestures in my life or even been so distressed that I have impulsively wanted to do things like crash my car full speed into a telephone pole.

    But a particular thing happened a few months ago…not really related to my life…rather a podcast I found and began listening to. Something clicked in my brain and I am now absolutely fucking terrifying of death. I really really don’t want to fucking not exist anymore and I know that it is inescapable. I started looking around at others in the background of my daily life like…

    “What the fuck are we even doing here? Doesn’t everyone realize that we are all going to die? Doesn’t everyone realize that they will just cease to exist one day? I don’t want to die. Everything we are going right now is pointless and a waste of time. Why is everyone on the planet not all scrambling to figure out how to not cease to exist forever?”

    I can’t stop thinking about it, really. It’s terrifying.

    Please don’t reply to me with copium about how you love that you’re going to become dirt because it’s part of the earth or some shit. I’m not interested and it doesn’t work on me.







  • You know what I’m going to say something different and I hope it’s not too inappropriate.

    The other commenters have done well so far. But have you considered using some of your money for therapy? I see you said you’re on antidepressants, but I wasn’t sure if you were already in therapy or not.

    I don’t mean this as a cop out answer and I don’t mean that they will directly help you with your finances. But it might be a good idea to talk to someone about the “nothing matters because the world is going to shit” mentality. Even if there is merit to what you say, it isn’t exactly helping you feel happy or satisfied with your life. If you can learn to cope with this particular thought, you might find the rest falling into place a little easier.


  • I really hate to sound like a shill on the internet lol. It seems like you can’t ever talk about how you enjoy a product on the internet without someone claiming you are secretly working for them.

    There are a lot of these types of bands on various stores on the internet really. You just have to search things like motivational wristbands.

    This one is a bit different because it has words on the inside, but the outside has artwork instead of just being plain. Imo this particular brand is WAY overpriced for what it is. But I haven’t found a band sold by someone else that has this. All the other ones are one sided.

    The brand for these is called Zox. I have several of them now. I try to pick combos of sayings and artwork I like. Tbh the artwork on this one is not the best imo. I am mostly into their flower design ones.

    But if you find a cheaper company with both motivational sayings on the inside AND artwork on the reverse side, please don’t hesitate to let me know!