#alleviation of depression like symptoms

[damneddunya]

Biohacking for my parents is clearly working. Mum's literally done 16.5km of walking/jogging with resistance training afterward over the past 2 days at 60 years old.

What's more amazing is that she was bed ridden 3 years ago... unable to tie her own hair.

God is good 👏

[dandelionjack]

session with the psychiatrist today and he finalised getting me a s*roquel prescription… upon a google i discovered that one of the most common side effects is supposedly weight gain so now i am actually considering the preferred alternative option of recovery which is k*lling m*self

[psychoticallytrans]

A commonly overlooked symptom of depression is anhedonia, the inability to feel joy or pleasure. The reason that it's easy to overlook is that it's easier to miss the absence of something that's not around all the time than it is to miss a symptom that causes active distress, such as feeling tired and miserable all the time.

Anhedonia is good at being a persistent undercurrent to your life. My aunt, who has major depressive disorder, related to me that she figured out that something was wrong when she looked at the daffodils she had planted blooming, and couldn't recognize the emotion that she felt when she looked at them. It had been long enough since she had felt happy that she lost the ability to recognize the emotion.

It's a particularly dangerous depressive symptom, because it robs you of the ability to feel those little spots of joy that keep a lot of people going, while not doing anything to impair your ability to function. If you don't know that this is a treatable symptom of depression, it's easy to assume that your ability to feel good is permanently broken, and decide to commit suicide because you don't want to live like that. It's not an irrational conclusion, but it is an uninformed one, and everyone deserves to have all the information when making a major decision.

This is what a lot of questionnaires are trying to look for when they ask about "loss of enjoyment". If you can't remember a loss of enjoyment because you can't remember enjoyment, then you probably have anhedonia. If you struggle to define how it is to feel "happy", "content", or "good", or how it feels when you feel those emotions, you probably have anhedonia. If you can't remember feeling any of those emotions for a week or more, you probably have anhedonia.

Symptoms commonly co-occurring with anhedonia are fatigue (often the cause), clear and thoughtful consideration of suicide, loss of desire to socialize or do activities that used to make you happy, and weight loss (due to lack of enjoyment of food).

This section is anecdotal. In what I have observed, anhedonia due to fatigue rarely responds well to depression treatment unless depression was causing the fatigue. If fatigue and anhedonia are co-occurring and are not both alleviated by depression treatment, consider other causes for the fatigue.

[icaruspendragon]

was telling my therapist about how i've always used books, fanfic, and storytelling as escapism but now instead of me consuming stories, stories consume me. dalton gave me The Look (the one that means he's gonna say something i need to hear but don't want to) before asking, "you know that snake that eats itself?" to which i said, "yeah, ouroboros." and he replied, "i didn't know he had a name, that's cool. anyway, you're the snake. i know you've convinced yourself the consumption is filling, but it's not. when it's you you’re eating, it's destruction."

like yeah i know that’s not what the snake represents and ex-cowboy-turned-combat-vet-turned-trauma specialist dalton probably does not know the exact symbolism behind it but like. jesus christ man did that to lay me to waste at 10:30 on a wednesday morning.

and even though he hurt my feelings with the truth, it did put it into perspective for me.

it’s not levity’s lighthouse guiding me to port when depression’s darkness and anxiety’s turbulent waves make it difficult for me to sail smoothly on my voyage.

it’s not a way to alleviate my symptoms, it’s a manifestation of them.

it’s a compulsion, deceptively insidious when cloaked in distraction’s pseudo-warmth. when easily covered by procrastination’s much easier to swallow explanation.

and i’m sure you want to say “but reading is a healthy coping mechanism!”

and it is. when done in moderation.

it’s no longer coping when your screen time is 16 hours a day. when 12 of those hours a day are spent scuttling about ao3 on all fours. when you sit in the same spot on the couch for hours on end with your head buried in the sand. when it’s literally all you can think about.

the consumption isn’t coping. isn’t creation. isn’t reconstruction or rebirth or reformation. it’s chaos. it’s compulsion.

it’s cannibalism.

[mcverse]

ꨄ︎ Paring: Neteyam x Avatar! F! Reader

ꨄ︎ Requested: Yes/No

ꨄ︎ Type: Part 1 out of 5 (Previous/Next)

ꨄ︎ Word count: 2.3K

ꨄ︎ Warnings: Death, conscious transfer, illness, depression, angst, not spell checked

ꨄ︎ Side Bar: Lied bout how many parts ✌️

please keep in mind that all characters in my stories are always 18+

You were the fault in the stars—an anomaly right from your first breath.

The sky people, who technically were your own, had descended upon Pandora with a singular intention of seizing what was not theirs, continuing the vicious cycle of destruction and resolution that had marred their history.

In the midst of this chaos, your parents, two faceless soldiers whose names and faces are shrouded in a haze of pain and heartache, had their own hidden agenda that they pursued with reckless abandon.

Their clandestine romance, born out of passion and desperation, resulted in your fragile birth—a constant reminder of their illicit love in a world that will struggle to accept you.

Much like spider, whom you considered your own brother now, the two of you were both deemed too young for cryogenic preservation and left behind on the unfamiliar terrain of the alien planet.

Unfortunately unlike Spider, your body was weak, afflicted with a genetic strain inherited from one of your biological parents. Perhaps this, among other factors, contributed to the decision to abandon you on Pandora, leaving you to face the harsh realities of survival alone.

Despite your rational understanding of the circumstances, as you came to accept the voice in your head as your own and not a figment of your imagination, the unjustness of their decision still lingers within you.

It certainly wasn’t fair.

Your delicate condition left you confined to the high camp, unable to roam freely and appreciate the majestic wonders of Pandora like Spider. Every step you took was accompanied by painful bouts of coughing, requiring you to rely on a specialized oxygen mask designed to alleviate your symptoms.

Even within the safety of the base built for humans, the air meant to sustain you offered no respite. Such was the irony of your existence, born into a world where both forms of air you breathed posed a constant threat to your survival. Life had thrown you a curveball long before you even knew what it meant.

But it wasn't all doom and gloom.

Although you were too young to return to Earth and too ill to venture far from your room, you seized the opportunity to explore what was within your reach. Every video log, every movie, and every book, left behind by the sky people, some of which a child shouldn’t have access to was reviewed by you to fill in the absence of adventure in your day.

For a while, it was sufficient, and you gradually came to terms with the inevitability of your fate. There was no cure for your ailment, not on Pandora, and certainly not without the funds to obtain one. You accepted that you would die here, in this place, as you.

It was during this time that you became fascinated with the study of physiology, absorbing every bit of knowledge about your own body and how it could have been saved under different circumstances. You spent countless hours researching medical practices and surgeries, diving deep into your own anatomy and discovering how various medications and herbs could extend or improve life.

Sharing your newfound knowledge with Spider, Lo’ak, and Kiri became a daily ritual that brought you joy and excitement. You would eagerly offer up fascinating facts to the Sully children and Kiri whenever they stopped by to visit or fetch your brother.

Though they didn't always grasp the intricacies of physiology like you did, they were just as enthusiastic to learn and would often opt to stay cooped up in your room, asking questions both silly and serious, and enjoying the happiness that radiated from you.

The moments spent with Spider, Lo’ak, and Kiri in your room were some of the best memories you would always treasure. It was through your eagerness to share your newfound knowledge and energy that you got to know them better, especially Kiri, who became your closest friend and confidante. You were so close that she was like a sister to you, always by your side.

However, the limitations imposed by your illness often left you feeling lonely and isolated when your friends were not around. Your physical limitations reminded you that you had a faulty body that was unable to explore the vast world of Pandora like they could. And that is where you messed up.

You fell into a deep depression, which gradually turned into a false sense of determination. You felt like you could survive out there like Spider, or rather, that you wanted to. What was the point of living if you had to live with this feeling of not being in control? It was actually pathetic.

It was a reckless decision to leave the safety of your home and venture into the forest, following the group of newly-adults, taking care to move slowly so as not to cough and give yourself away. It was even worse when you brazenly entered the Omaticaya clan, knowing full well that you were a stranger and seen as an enemy of the natives.

Being surrounded by creatures larger than you, most of them hissing and armed with weapons, was overwhelming. Panic set in, causing hyperventilation, which was exacerbated by your illness. Despite the mask, it was difficult to breathe, doing very little to keep you conscious and your eyes began to roll to the back of your head.

You welcome the darkness, craving the peace it brought, but never enough to end your life yourself. In that moment, you felt alive for once, and you never wanted to leave. You had no desire to return to the life you once had.

But things don't work that way, and eventually, your eyes flutter open. For a moment, you're disoriented, you wonder if you're still gone—whether you're dead or just existing to not exist. Your vision is still blurry, but as you blink and flicker your eyes, the colors of glowing, bioluminescent blue slowly come into focus.

The sight before you is truly breathtaking. The glow emanating from the tree mesmerizes you and fills you with a sense of wonder and awe. As you gaze at it in rapture, you feel an intense urge to touch it, to feel its warmth and energy. You reach out your hand, but to your shock, the hand that extends is not yours.

The hand that hovers before you is large, bony, and blue, with five fingers like yours. Confusion and bewilderment seize you, and you stammer out a feeble, "W-What?" as you try to make sense of what is happening.

As you stare at the mysterious blue hand, your eyes widen when you see another identical hand firmly grasp on the blue hand hovering before you. It's not just a visual illusion—you can feel the pressure on your skin. Slowly your eyes follow up the arm of the mysterious hand to find Kiri smiling softly at you, tears glistening in her eyes.

The sight of her tears immediately worries you, filling your head with warning bells and you return the squeeze, “Kiri, what’s wrong?” you ask, voice oozing in concern.

She returns your concern with a wider smile, her teeth gleaming under the bioluminescent light and shakes her head, “I’m okay,” she assures you, her hand trembling as she continues, “It’s just… to see you like this makes me so happy.”

Confusion etches on your face as you furrow your brow, struggling to comprehend Kiri's statement, "See me like what?" you mumble, tilting your head quizzically. Your eyes dart back to the now intertwined hands before you, trying to make sense of what you're missing.

As you feel Kiri's hand on the other bony blue hand, you can't help but notice that it's not your own. The hand is obviously Na'vi, which you are not. Your mind is filled with unanswered questions, and the nagging feeling of not understanding the situation consumes you. You look back at her, repeating your question with a sense of urgency, "What do you mean, Kiri? When you say 'see you like this', what am I like?"

Kiri kneels down beside you, and you feel her release your hand. She slides it up your arm and firmly grasps your bicep, while her other arm reaches around your upper back and uses all her strength to pull you up into a sitting position. You're momentarily discombobulated, realizing you must have been lying down before, but you can't remember when or how you ended up in that position.

“You fainted,” she replies softly after a beat of silence, pulling on you slightly to lean more on her. You look up at her, mouth slightly agape at her words, “You almost died,” she continues, brows frowning like her lips, “We almost lost you.”

The weight of her words hits you hard, and you feel a lump form in your throat. You inhale sharply, only to realize that when you do, your lungs contact and flatten smoothly without a following cough. It's a strange sensation, and you can't help but marvel at it for a moment, grateful to be breathing easily again.

Then your attention is back on Kiri, eyeing her questionably, as you notice something strange, “Did I grow or have you gotten shorter?” Whether it was sitting or standing, Kiri is normally seen towering over you by several feet, but right now she’s exactly the same level as you.

Kiri's expression twists into a grimace, and she opens her mouth to answer, but before she can speak, another voice cuts in, firm and straight to the point, “No! You have passed through the eyes of Eywa and returned.”

Your gaze shoots up to the source, and you find yourself gazing into the piercing yellow eyes of a female Na'vi standing before you. They felt as if she was looking straight through you, leaving nothing hidden or unexamined. Immediately your struck by the intensity of her. There's a raw power to her presence that feels both intimidating and awe-inspiring, as if you're standing before a force of nature.

“Come again?” you stutter, worry slowly creeping up on you as you are once again confused by another statement. You weren’t understanding a lot of what was going on right now. You tear your eyes from her to look back at Kiri and raise your brows at seeing Lo’ak and Spider now standing behind her.

When did they get there?

“What does she mean? Who is she?” You whisper hurriedly to your best friend, glancing occasionally at the boys, hoping if Kiri doesn’t give you the answers you want, they will.

“[Name],” another voice speaks, calling out to you. You perk up at it, instantly recognizing it to be Norm, which it was when you find him standing in his avatar body beside the mysterious woman from before. He walks closer to you, kneeling when close enough just like Kiri, “Sweetie, when you fainted, you stopped breathing for a few minutes. Jake called Max and I to help.”

Jake. That’s Kiri and Lo’ak’s dad. You’ve only met him once when he was stopping by to talk to Norm. He was really sweet and made you feel normal just like his kids.

“Okay…” you stare at him warily, waiting for him to get to the point.

He looks away briefly, seemingly to gather his thoughts before looking back at you, “Max and I know more than anyone how much you’ve been struggling. So even though we didn’t have the resources before, we were determined to help you,” he pauses as Max comes up behind him and beam at you, “We started making you an Avatar 6 years ago. Some test still needed to be ran but we’re out of time.”

You push away from Kiri slightly, lips forming a tight line as your squint at him, “What are you trying to say, Norm?” A part of you knew deep down, but the denial was heavy, to think you could be like everyone else, no illness or restrictions was a myth.

“You’re human body died, you are now consciously living in your avatar.”

His words caused a reaction, albeit a slow one. First your lips start to quiver, and your body trembles in disbelief before tears pool at your eyes. Kiri quickly wraps you in her arms, laying her head on top of yours as you lean your face into her to conceal your choked sobs.

To think something you had dreamed about has actually came true. The many nights you stay up, coming up with solutions to you, the problem. You didn’t know what else to feel, if not relief beyond the depths of your soul.

“Eywa has gave you a second chance,” Kiri mutters lowly, but it was loud to you as her hot breath fans your ears and cause it to twitch, “I’m so happy for you, [Name].”

This time you pull away from her completely, smiling up at her with glossed over eyes and chest filled with so much warmth, you might overheat, “Thank you, Kiri.” Slowly, you rise up from your sitting position with her help. You were stunned at the distance from the ground at full height. This was going to take some time to get used to.

“Max, Norm… Thank you, I can’t express that enough.” You try to walk to them, but your legs were wobbly so you more like stumble instead. Eventually, you reach them and pull them both into a hug, which probably looked silly as Max was the shortest by far in the bunch.

“You being safe and healthy is enough.” Max says, being the first to pull away and Norm nods, agreeing with him as he pulls away next, “We still have to run test though.”

You chuckle at that, rolling your eyes as you nod to him, “Understood.” You didn’t care how many test they had to run, as long as you were able to run and breathe without falling over.

Run.

You wanted to run.

Your ears flicker at the thought, stalling your side quest as your attention is drawn to them. You went to grab them in awe and felt something swish behind you, “Huh?” You twist your body, wait a second, and laugh when your eyes land on a tail; your tail, “Amazing!” You exclaim, smile growing wider.

Someone clears their throat, successfully making you stop and look at who did. To your surprise it was Jake, who was standing by the female Na’vi from earlier. He too had a smile on his face, happy to see you back and better than ever.

Though he haven’t spent much time with you, he was sympathetic to your situation, as it felt somewhat similar to his past self and unknowingly to you, have allowed Norm and Max to create a Avatar for you. It was only a matter of time before you became one like him.

“How are you feeling?,” he smiles warmly at you, like a father does his child. It made you feel giddy and shy, “It might feel strange at first, but you'll get used to it.”

You give him a curt bow, afraid to look him in the eyes. Before it was easy, it just felt different now. You couldn’t explain it, you just knew, “Thank you, it feels… different but I’m still me.”

He nods, walking closer to stop a foot away, “Good… [Name], you are Na’vi now. That means you have the opportunity to become apart of the Omaticaya clan.” He raises a hand and places it on your shoulder.

You knew what that meant. That means you’ll have to complete rites to become one of them. But that was the least of your worries; you knew nothing out the land except from what you read or what Norm brought back and you didn’t know how to hunt or fight for yourself. There was no way you can pass.

As if he can read your mind, he points to a male Na’vi, much younger than him with braided hair and sharp features. He resembles a handsome sculpture you read in history books, but better, “My son, Neteyam, will teach you the way of Na’vi.”

“Dad,” Lo’ak steps forward to protest but gets shut down with one look, his eyes cast down and he steps back into the background.

Poor Lo’ak, you thought, didn’t even stand a chance.

“Neteyam is a good teacher and warrior. You’ll learn fast.” Jake tells you, proudly.

“T-Thank you.” You bow again, much deeper this time. You didn’t know why you were bowing or if it was even appropriate in this situation, you just read somewhere that it was respectful.

He nods again, turning away to walk over to his son, the one he calls Neteyam. He whispers something to him, something that causes his lips to form a tight line and look over at you in annoyance as his dad leave him there.

You flinch at that and look away abruptly, just now taking notice how there were a whole ton of Na’vi circling around you all. How overwhelmed must you’ve been to not notice?

Suddenly, the air was knocked out of you temporarily as a force hits your stomach. Looking down, your body relaxes when you see it’s Spider. It was a little weird to be the taller one this time, but that didn’t stop you from returning his hug.

“Do that again and I will kill you!” He spits, glaring up at you in faux aggression. His hold on you, along with the pout on his lips tells the opposite of his words, “Scared the hell out of me.” he eventually admits, glare softening a great deal.

“That’s the opposite of what we want, bro.” Lo’ak comes up beside you and swings his arms over your shoulder, pulling you into a side hug of some sort, “But if you do, I’ll team up with him to make it happen.” He teases, smirking at you.

Kiri comes up from behind to push him off you, replacing his arm with hers around your waist, “Over my dead body,” she rolls her eyes and cheese at you, “I can’t wait to show you pandora. You’re going to love it,” she says, tugging you with her towards the forest, “Come on.”

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[aspd-culture]

Sorry ig in advance since you get questions a lot but got curious about a few things

1. Is it normal for pwASPD to view unbeneficial relationships as chores? I know I, a likely prosocial, when I don't see the benefit in a relationship, I have to view it as being a chore to continue it.

2. If a connection is established between harming others and being harmed, will a pwASPD, for lack of a better term, be able to mimic empathy or remorse?

3. Do you know if pwASPD and another comorbid disorder, if the other disorder causes already low or fragile self esteem (like another cluster B), can seem like they don't have ASPD?

These are mostly for project research but also out of curiosity because I can

Nothing to be sorry for!!/gen

1.) Oh yes. So very, very much yes. And honestly, it's even worse than a chore - more like if a dead-end job decided to stop paying you but you'd go to jail if you quit. If you've ever seen a kid stuck dress shopping with their mother on TV, that's the way I would like to act through every single interaction with an equal part useless and annoying but unavoidable prosocial irl. Every single non-Exception prosocial is that coworker you hate who won't leave you alone./hj Joking aside, not all prosocials are actually that annoying actually. So it kind of depends; sometimes it's fine at least for me.

2.) Yeah, I'd say so. This goes differently for all of us, but for the most part "connection formed" would probably go in the direction of an Exception, and that's where some symptoms of ASPD are lessened for those of us that have them. That includes often having some degree of effective empathy and/or a desire to work on cognitive empathy with them in particular (I use them as practice to make the necessary use of cognitive empathy less annoying with non-Exceptions). Ditto with remorse for some pwASPD, though for me in particular that depends on the Exception in question. Some still do not bring out remorse in me for whatever reason. This is a good place to note that actually, since I don't think I've mentioned this elsewhere. Exceptions do not all have to be the same even for the same pwASPD. Two friends may have different symptoms they alleviate vs don't affect vs worsen, and of course platonic vs sexual vs romantic Exceptions often vary in that as well. For me and a few other pwASPD I've met, this may also occur with some groups of people who aren't Exceptions but cause an Exception-esque response. For me, kids get that as most do other people struggling with mental health disorders beyond just depression and anxiety (nothing easy about those two it's just in our current world most people have those). If I hurt a kid's feelings, 25/10 times I am going to cry with them or force myself not to. And that will vary for each pwASPD based on how much social neurological development was completed before it was fundamentally changed and started developing antisocially too. Some of us have more empathy than others, or more remorse than others (and vice versa) in general, so that'll impact those situations too.

3.) So this depends on what you define as "seem like they don't have ASPD", though it won't be self-esteem that affects that. Generally I'd point that more in the direction of NPD. But yeah, looking at the symptoms of ASPD, there are a few specific disorders that cause someone who very much has ASPD to not be diagnosed and/or believed both professionally and personally. In personal relationships, it's honestly just not being a serial k*ller that will get most to think you don't have it. Professionally, you're looking at disorders that cause social problems (such as autism, SAD - social anxiety, and GAD - generalized anxiety), impulse control (ADHD mostly), emotional instability (bipolar disorder, IED - intermittent explosive, ODD - oppositional defiance, and yeah your other cluster b PDs). There are others that make a whole lot less sense imo to get in the way of an ASPD diagnosis too. Schizophrenia comes to mind, with some professionals thinking that it's just... so many episodes of psychosis that it starts to look like ASPD which, don't even get me started on how much of a medical failure it is that I have heard of that specific thing happening. But mostly, it's going to be the ones I listed previously. None of these are mutually exclusive with ASPD, but they have symptoms that overlap with or mimic ASPD's, and so you'll have genuinely good professionals who are trying to avoid over/misdiagnosis where it applies to a *very* stigmatized disorder, and you'll have lazy ones that don't care to try and pick out which it is if not both. That will all just depend on the pwASPD's presentation of symptoms. I had more than one professional refuse to believe I had ASPD, and my (very lovely and dilligent/gen) psychiatrist was also leaning to just diagnose autism until I said some line about the reason I try for social interaction not being because I want to but because everyone has to to be able to get what they need in life. Once she realized I see it as an irritating requirement to associate with other people - even ones I kind of like - she quickly turned on that and diagnosed both. That's why it's important to speak openly and with as much of the mask removed as possible without getting yourself in trouble. They will try and avoid labelling you with something like this unless they are 1000% sure because of its connotations and the social and professional implications of having ASPD. It is very possible to pick out which is which or if it's more than one with overlap in regards to any set of comorbidities even outside of ASPD, but it takes a lot of work for that to be done properly especially if you're still masking in front of them.

I have no issue with anyone asking just out of curiosity by the way. Seriously like I guess I see why some people feel weird about it, but genuine interest is the reason why disorders get looked into, researched, and potentially normalized and accepted. There is nothing wrong with being interested in any topic as long as you're respectful in your interactions with sensitive subjects, and this ask was completely respectful, so I'm happy to answer it./gen

Plain text below the cut:

Nothing to be sorry for!!/gen

1.) Oh yes. So very, very much yes. And honestly, it's even worse than a chore - more like if a dead-end job decided to stop paying you but you'd go to jail if you quit. If you've ever seen a kid stuck dress shopping with their mother on TV, that's the way I would like to act through every single interaction with an equal part useless and annoying but unavoidable prosocial irl. Every single non-Exception prosocial is that coworker you hate who won't leave you alone./hj Joking aside, not all prosocials are actually that annoying actually. So it kind of depends; sometimes it's fine at least for me.

2.) Yeah, I'd say so. This goes differently for all of us, but for the most part "connection formed" would probably go in the direction of an Exception, and that's where some symptoms of ASPD are lessened for those of us that have them. That includes often having some degree of effective empathy and/or a desire to work on cognitive empathy with them in particular (I use them as practice to make the necessary use of cognitive empathy less annoying with non-Exceptions). Ditto with remorse for some pwASPD, though for me in particular that depends on the Exception in question. Some still do not bring out remorse in me for whatever reason. This is a good place to note that actually, since I don't think I've mentioned this elsewhere. Exceptions do not all have to be the same even for the same pwASPD. Two friends may have different symptoms they alleviate vs don't affect vs worsen, and of course platonic vs sexual vs romantic Exceptions often vary in that as well. For me and a few other pwASPD I've met, this may also occur with some groups of people who aren't Exceptions but cause an Exception-esque response. For me, kids get that as most do other people struggling with mental health disorders beyond just depression and anxiety (nothing easy about those two it's just in our current world most people have those). If I hurt a kid's feelings, 25/10 times I am going to cry with them or force myself not to. And that will vary for each pwASPD based on how much social neurological development was completed before it was fundamentally changed and started developing antisocially too. Some of us have more empathy than others, or more remorse than others (and vice versa) in general, so that'll impact those situations too.

3.) So this depends on what you define as "seem like they don't have ASPD", though it won't be self-esteem that affects that. Generally I'd point that more in the direction of NPD. But yeah, looking at the symptoms of ASPD, there are a few specific disorders that cause someone who very much has ASPD to not be diagnosed and/or believed both professionally and personally. In personal relationships, it's honestly just not being a serial k*ller that will get most to think you don't have it. Professionally, you're looking at disorders that cause social problems (such as autism, SAD - social anxiety, and GAD - generalized anxiety), impulse control (ADHD mostly), emotional instability (bipolar disorder, IED - intermittent explosive, ODD - oppositional defiance, and yeah your other cluster b PDs).

There are others that make a whole lot less sense imo to get in the way of an ASPD diagnosis too. Schizophrenia comes to mind, with some professionals thinking that it's just... so many episodes of psychosis that it starts to look like ASPD which, don't even get me started on how much of a medical failure it is that I have heard of that specific thing happening. But mostly, it's going to be the ones I listed previously. None of these are mutually exclusive with ASPD, but they have symptoms that overlap with or mimic ASPD's, and so you'll have genuinely good professionals who are trying to avoid over/misdiagnosis where it applies to a very stigmatized disorder, and you'll have lazy ones that don't care to try and pick out which it is if not both. That will all just depend on the pwASPD's presentation of symptoms. I had more than one professional refuse to believe I had ASPD, and my (very lovely and dilligent/gen) psychiatrist was also leaning to just diagnose autism until I said some line about the reason I try for social interaction not being because I want to but because everyone has to to be able to get what they need in life. Once she realized I see it as an irritating requirement to associate with other people - even ones I kind of like - she quickly turned on that and diagnosed both. That's why it's important to speak openly and with as much of the mask removed as possible without getting yourself in trouble. They will try and avoid labelling you with something like this unless they are 1000% sure because of its connotations and the social and professional implications of having ASPD. It is very possible to pick out which is which or if it's more than one with overlap in regards to any set of comorbidities even outside of ASPD, but it takes a lot of work for that to be done properly especially if you're still masking in front of them.

I have no issue with anyone asking just out of curiosity by the way. Seriously like I guess I see why some people feel weird about it, but genuine interest is the reason why disorders get looked into, researched, and potentially normalized and accepted. There is nothing wrong with being interested in any topic as long as you're respectful in your interactions with sensitive subjects, and this ask was completely respectful, so I'm happy to answer it./gen

[plumlace]

Mental Wellness Mod Beta Testing

Today for beta testing I am releasing my Mental Wellness Mod! I'm really appreciative that you guys are here and I want to share this with you.

I want to iterate that this is not a completed mod. I would like feedback, ideas, and suggestions from you to make this the best possible mod. Below I will outline the current features.

Mental Illness

Anxiety

Depression

ADHD

Each illness adds a constant buff to sims, and some illnesses have random buffs such as anxiety attacks or hyper-focus.

Taking medication will also give you a buff that alleviates symptoms. Some medications have a chance for different types of buffs, such as a dazed buff.

You can use the cheat menu to diagnose each condition or remove conditions.

You can become diagnosed by going through an assessment with a Psychiatrist. You will then be prescribed medication based on your diagnosis.

All sims have the option to speak with a therapist and receive a buff afterwards.

You can choose to use the phone or walk through the pie menu to speak with a therapist or psychiatrist.

You can also discuss your mental health or vent to other sims. You do not need to have a diagnosis to do so.

This is just a general overview of the mod I'm currently working on. I am requesting beta testers to test the mod out and provide feedback before posting publicly. This is not a complete mod.

If you are interested in beta testing, become any tier Patron and DOWNLOAD HERE.

Thank you so much!

[remindingpersephone]

Here we go again

Hi gang. I'm back on my Chris-Get's-Healthy kick, again. I know I've talked about this and asked for your help in the past. I am once again attempting to quit sugar and work out more.

If you have offered me advice in the past and are tired of my requests, yet again, for advice and ideas, I understand. I get it. Believe me, no one is more tired of my bullshit and my inability to stick to a regimen and make the healthy choices than I am.

This last time I was derailed by my mom's illness and death. I just did not have the mental space or physical energy to commit to disciplined nutritional choices and consistent work outs while taking care of her. But the reasons don't really matter because there were excuses before this one, and on and on. I have been starting and giving up on, healthy living routines since I was 18 years old. Let's do the math, that's 30 years!

A little background: I am not a yo-yo dieter. I very slowly put on weight starting with my first desk job at 20 and never dropped it. The weight has never bothered me. I am a confident woman who has never needed to fit into a six 6. I am also single by choice and nothing in the last 30 years has given me a reason to change my mind about this.

This situation now is that I'm looking hard at 50 and the little aches and pains: the trick knee, the occasional sciatica, the feet that get a little too sore too soon, are, I feel, all red flags signaling that hitting snooze on my health is no longer an option.

I truly believe that fitness and nutritional eating are not only the key to staying fit and active, but I think if I just commit and get through those first few tough months, I would actually like it.

Lately I've been drinking my Dr. Pepper and eating my high-calorie cheesy pasta and lots of sourdough bread (all my favorites), but they just haven't been as satisfying as they once were. [Sidebar: I realize some of this could be residual depression and grief making life just not as wonderful as it once was. That will take time.]

Mostly, I'm just tired of giving the "I have got to get my health in order" thoughts the mental real estate in my brain. I need to deal with it so I can move on from it. So it is not such big part of my daily thoughts.

My long-winded and self-indulgent post here is just to ask once again - and I swear for the last time - what do you all find works for you as far as fitness and nutrition goes? My fitness goals are:

to get stronger and improve flexibility and mobility while protecting the joints and ligaments

staving off osteoporosis

alleviating some peri-menopause symptoms

My nutrition goals are:

to kick the sugar addiction once and for all and change my palate so I don't crave sweet things so much

prevent diabetes/heart disease, etc. before they start

improving gut health

I welcome all comments and advice, and that includes the tough-love "girl, you have got to get your shit together!"

[covid-safer-hotties]

Also preserved in our archive

By Stephanie Soucheray, MA

Two new studies add to the growing body of literature on the lasting effects of long COVID. In the first, a study of 114 patients with long COVID in Israel, researchers found high rates of depressive disorders (46%), generalized anxiety disorders (21%), sleep disturbances (76%), and reported cognitive changes (95%) among those diagnosed with the condition.

In a second study, Centers for Disease Control and Prevention (CDC) researchers find that the prevalence of long COVID-19 in the US population in 2021 was 29.9%, and 77.2% of those with long COVID had not returned to pre-COVID health within 8 to 60 weeks after infection.

The first study, published in BMC Infectious Diseases, was an online survey given to long COVID patients composed of several established questionnaires, including the Generalized Anxiety Disorder (GAD-7) for psychological distress, the Subjective Cognitive Decline (SCD) questionnaire for cognitive decline, and the Pittsburgh Sleep Quality Index (PSQI) for sleep disorders.

The participants had an average age of 44 years, and 29 were men (25.4%) and 85 were women (74.6%).

The high rates of sleep disturbances and cognitive changes, including brain fog and memory loss, were the most significant findings. Social support negatively correlated with psychological distress, with those who reported more social isolation during their long COVID illness having worse mental health outcomes.

“Personality traits and social support were found to modulate symptom severity, with conscientiousness and social support appearing to confer protective effects, while neuroticism was associated with greater risk,” the authors said. “These findings highlight the potential for psychological interventions to alleviate distress in Long COVID patients.”

More than 75% of patients did not return to health The second study, published in Clinical Infectious Diseases, used data collected in 2021 to assess long COVID prevalence. Notably, the authors found 30% of those infected with COVID-19 in the pre-Delta period (March to December 2020) developed long COVID, or post-COVID Condition (PCC).

Among those, 3 out of every 4 patients did not return to prior health within 60 weeks of initial infection.

Certain symptom clusters were associated with not returning to pre-COVID health, including respiratory problems, gastrointestinal symptoms, and chronic fatigue syndrome-like symptoms.

“Understanding PCC symptom clustering may provide insight into pathophysiology, severity of PCC, and management for patients who have not returned to their usual state of health after SARS-CoV-2 infection,” the authors concluded.

Study links: bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-024-10308-0 academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/ciae632/7929829

[pocket-stars]

im actually really proud of myself for not only surviving this year, but thriving at the end of it

2024 started with a pretty hard breakup and the realization that i had something wrong with my reproductive system. i endured medical professionals writing it off as “too unlikely” when it’s actually pretty common and harmful stuff. ended up finding out it was much more likely to be endometriosis, which is way more harmful than what we originally thought it was. i spent almost my entire year worrying about my future, everything i might have to endure, everything i might lose, and my fight for the medical system to actually care about my issue was frustrating and disheartening. it was even harder to have my entire family pretty much ignore the issue and my stress because of me being trans. my workplace treated me like shit. i developed type one diabetes and didn’t even realize despite my familiarity with it because i wrote off all of the symptoms as just more endometriosis. i was miserable, my body was dying and begging for help and i couldn’t do anything. i was so depressed and stressed out i wouldn’t engage with my hobbies or do the creative things i wanted to do and a lot of my plants unfortunately died because of my depression.

and then i got diagnosed with t1d, and i could feel the life coming back to my body. by now i’ve gained back all of the weight that i lost while i was undiagnosed, and i feel a lot healthier. and i got surgery for my endometriosis, and not only did i survive, but i came out of it with great results. a lot of my stress about my future has been alleviated. my chronic pain is gone and my body is healthier in so many ways

my girlfriend and boyfriend are still here, i quit my abusive job, i made new friends, my interest in playing splatoon is back, my surviving plants have been growing healthier, i’ve been engaging with my hobbies more and drawing a lot more and i feel good! when was the last time i felt good!! even with the awful holiday week i’m having im still happy. and i think that’s incredible

[saulwexler]

I feel like because depression is common it tends to get trivialized when it's the actual worst.

this recent study has been going around about how effective exercise is in alleviating depressive symptoms - and it's 100% true like we should all do this!

but at the same time people act like actual symptoms of depression are excuses, and not real barriers to physical activity (insomnia, fatigue, calorie deficit from low appetite, eg).

anyway going on my walk even though it's pouring rain and I will complain the whole time >:(

[maaarine]

The Cause of Depression Is Probably Not What You Think (Joanna Thompson, Quanta Magazine, Jan 26 2023)

"A literature review that appeared in Molecular Psychiatry in July was the latest and perhaps loudest death knell for the serotonin hypothesis, at least in its simplest form.

An international team of scientists led by Joanna Moncrieff of University College London screened 361 papers from six areas of research and carefully evaluated 17 of them.

They found no convincing evidence that lower levels of serotonin caused or were even associated with depression.

People with depression didn’t reliably seem to have less serotonin activity than people without the disorder.

Experiments in which researchers artificially lowered the serotonin levels of volunteers didn’t consistently cause depression. (…)

Although serotonin levels don’t seem to be the primary driver of depression, SSRIs show a modest improvement over placebos in clinical trials.

But the mechanism behind that improvement remains elusive.

“Just because aspirin relieves a headache, [it] doesn’t mean that aspirin deficits in the body are causing headaches,” said John Krystal, a neuropharmacologist and chair of the psychiatry department at Yale University.

“Fully understanding how SSRIs produce clinical change is still a work in progress.”

Speculation about the source of that benefit has spawned alternative theories about the origins of depression. (…)

Repple warns, however, that another explanation for the effects his team observed is also possible: Perhaps the depressed patients’ brain connections were impaired by inflammation.

Chronic inflammation impedes the body’s ability to heal, and in neural tissue it can gradually degrade synaptic connections.

The loss of such connections is thought to contribute to mood disorders.

Good evidence supports this theory.

When psychiatrists have evaluated populations of patients who have chronic inflammatory diseases like lupus and rheumatoid arthritis, they’ve found that “all of them have higher-than-average rates of depression,” said Charles Nemeroff, a neuropsychiatrist at the University of Texas, Austin.

Of course, knowing that they have an incurable, degenerative condition may contribute to a patient’s depressed feelings, but the researchers suspect that the inflammation itself is also a factor.

Medical researchers have found that inducing inflammation in certain patients can trigger depression.

Interferon alpha, which is sometimes used to treat chronic hepatitis C and other conditions, causes a major inflammatory response throughout the body by flooding the immune system with proteins known as cytokines — molecules that facilitate reactions ranging from mild swelling to septic shock.

The sudden influx of inflammatory cytokines leads to appetite loss, fatigue and a slowdown in mental and physical activity — all symptoms of major depression.

Patients taking interferon often report feeling suddenly, sometimes severely, depressed.

If overlooked chronic inflammation is causing many people’s depression, researchers still need to determine the source of that inflammation.

Autoimmune disorders, bacterial infections, high stress and certain viruses, including the virus that causes Covid-19, can all induce persistent inflammatory responses.

Viral inflammation can extend directly to tissues in the brain. Devising an effective anti-inflammatory treatment for depression may depend on knowing which of these causes is at work.

It’s also unclear whether simply treating inflammation could be enough to alleviate depression.

Clinicians are still trying to parse whether depression causes inflammation or inflammation leads to depression. “It’s a sort of chicken-and-egg phenomenon,” Nemeroff said.

Increasingly, some scientists are pushing to reframe “depression” as an umbrella term for a suite of related conditions, much as oncologists now think of “cancer” as referring to a legion of distinct but similar malignancies.

"And just as each cancer needs to be prevented or treated in ways relevant to its origin, treatments for depression may need to be tailored to the individual."

[hookedonyonics]

you know how indulgent, wallowing mental health messaging ("I can't just yoga my depression away") has thankfully shifted to an understanding that diet, exercise, fresh air, socializing, and productivity will lift your mood and help alleviate and manage other symptoms?

i feel like there is a strong indulgent, wallowing message right now re: personal finance... like yeah okay the avocado toast vs buying a house thing is stupid but like. you do actually have to try. some of this is in your power. you just don't want to have to face that a lot of this problem is in your control and if you made some sacrifices you could get some relief and make some progress.

[anamericangirl]

I remember seeing someone say that the only questions you should be able to ask in order to correctly identify real gender dysphoria is to ask “do you feel like your life/sense of self is in poor quality” and “do you think any of those would improve if you were the opposite sex”.

Combined with the questions I’ve seen in another ask about asking why people don’t feel like they were the sex they were born as + why you don’t feel masculine/feminine enough and who said so, I feel like there would be a lot less misdiagnoses of gender dysphoria and less “trans children”.

I’ve also wanted to ask, why do you think that there isn’t any medication for true gender dysphoria yet (besides money)? One of the things I’ve read actually made me think that, if it’s classified as a mental illness, then why isn’t there any research for creating a medication for it (like bipolar depression, ADHD, etc.)?

I feel like maybe those are the only types of questions being asked considering the amount of people identifying as trans now. It's a shame because since the treatment for gender dysphoria is so drastic and life altering it's really dangerous to have such vague qualifiers for determining if someone is actually experiencing it.

About a month or so ago I responded to someone else who was also asking why I think there might not be medications for it or more attempts to create one so I'll just repeat what I said then. There’s a lot of reasons I think could contribute to that. First, mental illnesses are hard to treat and often a medication doesn’t do much other than alleviate symptoms. Therapy is probably the best option for any type of dysphoria in my opinion because dysphoria can go away and most of the time does if you actually seek therapy and treatment rather than “affirmation.” I’ve seen studies done on detransitioners and the main reason given as to why they detransitioned was they realized their dysphoria was related to “other issues” which is something people typically find out in therapy. Another reason I think there’s not much headway in a medication for gender dysphoria is financial incentive. Medical and gender affirming institutions get a big check for every one child who transitions and they’re more interested in making money than anything else. It’s not healthcare at this point. It’s just activism.

[acorpsecalledcorva]

Oh ok yeah apparently this needs to be said about not having any memory of trauma. The overwhelmingly, repeatedly, and strongly given advice to a questioning system in traumagenic and CDD spaces is to absolutely not try and dig for that trauma to prove to yourself that you're a system, but to simply take stock of your present situation, see if your current symptoms are causing you distress (including chronic anxiety, depression, medically unexplained pain, internal conflict, and confusing flashbacks/reoccurring nightmares) and to work on alleviating those first and foremost. Even in a therapeutic setting using the 3/4 phase model you wouldn't even start to look for or talk about potential trauma until potentially a year or two into treatment.

Like I'm sure there are toxic AF spaces where they're saying shit like "name 3 traumas that happened to you" but the spaces I've been in have all focused heavily on grounding in the present moment and finding stability. Sometimes this can be distressing when someone IS desperate for answers like "omg if I experience X does this mean I went through Y" and the best anyone can say is "we can't answer that for you, focus on relieving the distress of X and try not to worry about what it means". Like to give a personal example, this week I've been experiencing body memories of pain in my wrists, and if I get as close to it as I dare without triggering myself further I can get a sense that the memory is of being pinned down. There's SO many things that could be indicative of, but I'm not gonna push it. It's a trauma, because I'm reliving it in some way, but I can't at all remember what that trauma is or when it happened and that's completely fine. I can just put a pin in it for later and focus right now on grounding to alleviate the pain.

That's all there is to it. Outside of syscourse that's how it works. You just make notes of things, ground, and move on.

And I know anti-endos are very guilty of centering trauma beyond useful relevancy and contributing to the trauma anxiety questioning systems experience, but the answer is not to push by saying a questioning system must either deny that they're a system, hunt for trauma, or identify as endogenic.

You can actually say "CDDs are caused by childhood trauma and/or adverse childhood experiences" and "you absolutely do not need to know what your trauma is at all and you shouldn't look if you feel you may have a CDD". Those are not, in fact, contradictory or incompatible sentences

[ladyvictory22]

Hopelessly Devoted To You

(AU Angst Hornywolff)

After years of overcoming peaks of stress, anxiety, and even depression, Toto had forgotten what it feels like to have anxiety or panic attacks, to wrestle with your thoughts, and to distance yourself from people, especially from one particular person.

"There's no relationship," he had said, and it deeply affected him. It felt like they were driving thorns into his heart and mind. However, he tried to control himself, focusing on the championship, on fighting for Lewis to win that last race. But everything unraveled when he lost it at the last moment.

He didn't shed tears. Instead, his feelings manifested through anger. Although this emotion didn't last long, because at the least expected moment, his hands began to tremble, he felt an intense cold, his heart raced, and a sharp headache seized him.

Still, he didn't allow himself to cry.It wasn't that he distanced himself out of fear, but because of the images that provoked stress, memories of hurtful words he didn't want to hear again.

The symptoms resurfaced during the tests the following year when they were close and there were press conferences discussing the new year and how they had processed everything. Toto felt that familiar sense of nerves, trembling hands, and chest pain, something he hadn't experienced in years.

This marked the beginning of his battle with anxiety. He began working with his therapist, and due to the high levels of stress at work, he was prescribed medication to alleviate anxiety and intrusive thoughts when needed.

"It's a process," his therapist told him, although Toto didn't like that it took so long.

Two years had passed since then, and despair consumed him. He wanted to feel better, but he couldn't help but feel frustrated when he saw everyone around him doing well, especially him, radiant and content.

He knew how to coexist with Christian, but he preferred to keep his distance. At least this year, he had Fred at Ferrari for company.

Christian noticed that Toto had been avoiding him for some time. At first, he attributed it to the behavior of a sore loser, but it became worrying when Toto's behavior persisted, becoming even more distant. Was he still resentful? Christian wondered. Max was on the verge of winning his third title, and his relationship with Toto had continued to deteriorate since the collapse of 2021.

During the last Team Principal press conference, questions about Red Bull's new constructor's title and his relationship with Christian began to overwhelm him. He responded with courtesy and professionalism, but he felt an anxiety attack taking hold of him, manifested as a sharp pain in his chest.

After the press conference, Toto rushed out of the room. His body was as tense as a coiled spring, and his hands trembled uncontrollably. Each step he took felt like a superhuman effort as he made his way to his motorhome. Sweat beaded on his forehead, and his breathing became erratic and shallow.

Once inside, the disorder in his motorhome mirrored the chaos in his mind. Objects were strewn about, papers scattered, and an overwhelming sense of despair filled the air. He curled up on the floor, embracing his legs like a castaway clutching a piece of driftwood in the midst of a storm.

His heart raced as if it wanted to escape his chest, and a sharp pain in the center of his chest felt like a sharp claw squeezing him tightly. He squeezed his eyes shut, but he couldn't block out the thoughts that attacked him like an angry swarm of wasps.

Tears threatened to emerge, and he fought them back with all his might. But his eyes filled with tears that ran down his cheeks, mingling with the sweat. The pain in his chest intensified, and his breathing became ragged, as if he were trying to breathe in the midst of a fire.In his hands, he held a bottle of pills, the only salvation he knew at that moment. He desperately tried to open it, but his trembling hands could barely hold it. The label on the bottle seemed blurry due to tears clouding his vision.

Then, in the midst of this emotional and physical chaos, Christian entered his motorhome, concerned about what was happening. Christian's presence only increased Toto's sense of invasion and anxiety.

"Toto," Christian said with concern, "do you need help?"

"Yes, please, just go," Toto replied quickly, wiping away his tears, trying to hide his trembling and the quiver in his voice.

Toto continued to try to open the bottle desperately, but suddenly, hands took the bottle from him. When he looked up, he saw Christian holding the bottle. He felt so vulnerable that he curled up even more to protect himself from Christian's presence, which only made things worse.

Christian opened the bottle and handed Toto two pills. Toto's hands trembled so much that he could barely hold the pills. He took the pills and looked at them uncertainly before finally swallowing them with difficulty. Christian hurried to get a glass of water and handed it to Toto, who drank it eagerly. The water helped soothe his throat, which was dry from stress.

When Toto finally managed to swallow the pills, he averted his gaze from Christian, avoiding his compassion.

"I didn't know you were going through this," Christian said finally.

"You didn't have to know," Toto replied sharply. "You wouldn't care."

"Toto, that's not true," Christian insisted gently.

"Just... go, please... go," Toto stammered, his body still trembling.

Christian didn't push further and left the motorhome. Meanwhile, Toto's tears began to flow uncontrollably while his chest ached.

"Don't cry... Don't cry," he told himself, closing his eyes, but it was too late; the tears he had held back for so long were finally flowing.

Meanwhile, Christian walked through the paddock, feeling a pang in his heart due to Toto's last words. There, he realized that he had won a championship, but he had lost something equally important: a person who mattered deeply to him. Tears filled his eyes, and he felt guilty. For him, it was already too late.

~~~~

ok, hornywolff angst, we all cry

@silvereds