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trans-axolotl · 2 years ago

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hi, I really like your blog and your antipsych thoughts have been very helpful to me. i hope this is ok to ask for advice (sorry i have brain fog and this question is vague)? i think i'm looking for 'unconventional' advice or suggestions, the kind that someone in the psych system would not necessarily recommend to me.

i have had a bad history with therapy, but i very much need some kind of mental support that i am not getting otherwise in my life (issues like CPTSD, DID, among other things). im in a position where i /can/ go to therapy, and i've been with a therapist that specializes in the things that are causing me the most problems for a year and theyre fine (i.e. has not ever helped me figure out anything about how to improve my life but has been someone who can perscribe me stuff, and hasn't done anything actively harmful to me like other therapists and psychiatrists have), but going is so upsetting for some reason (maybe because the therapy environment has been so bad in the past?) and not at all helpful. it's useful for me to have a relationship to a psychiatrist/therapist for medication and other 'navigating the system' reasons, but it's absolutely unhelpful. i am very frustrated and disillusioned with the whole concept of 'therapy' in general (maybe due to my history)!! but i don't know how else to get help!

it's harder because of the brain fog. i also feel very isolated partially because i'm in a not great environment, and partially because i have multiple mental illnesses in addition to not being a very nice person. i have felt really let down by supposed friends i've come to for help who just said therapy speak stuff like 'you should get help....' and 'sorry i don't have the emotional bandwidth to help <3' and stuff like that. it really makes me feel like i'm too messed up to be able to ask for help from regular people and i have to go to the psych industry but of course i've already been failed by them too :(

hey anon!

I think what you've said makes so much sense. I feel like we're so often told "go get help" but when we do try to seek support, it isn't as simple as just going and easily finding a therapist who is able to provide all the support and care we need. It can be so hard to find and pay for therapy in the first place, harder still to find someone who specializes in a therapy style to meet our needs, and sometimes we might not just be in a place in our life where we are in an environment that allows us to do in depth therapy work. And I just want to say that it isn't your fault if therapy isn't meeting your needs right now--that doesn't mean that you're failing at therapy. You absolutely aren't alone in feeling dissatisfied with therapy and wanting other options.

For me, what's helped when I've been considering making changes about how I approach my mental health has first been sitting down and really taking a thorough look at what things are working and what things aren't working. It seems like you've done a lot of that already--you know that it's helpful to have a therapeutic relationship to get meds and for help in the system, you know that the therapy environment hasn't been particuarly helpful for other types of healing work, and it seems like another thing you're thinking about is how to get mental support from your friends and other people in your everyday life. I think those are really good starting places to consider where you want to go from here. It might be helpful to make a list of what feels like priorities to focus on right now--do you want to develop more skills for navigating crisis? Do you want to focus on changing your relationship with dissociation? harm reduction for self destructive behaviors? building resilience and cultivating relationships in your life? There's no right or wrong answers here--you're going to be the expert on what feels most important right now.

I also just want to say that I think it's really shitty when we're made to feel like we're too crazy or too needy or too messed up to be able to be cared for and supported in our community. I've definitely had people tell me that, and it really hurts and makes me feel hopeless, like I'm always going to be struggling and that there's no chance that I'll be able to get better. But fuck that. We deserve to have meaningful connections in our community, access to resources that help us, and to be able to build resilient relationships where getting emotional support isn't considered an unmanageable burden, even if we're mad/mentally ill/ neurodivergent. I'm sorry that you haven't been able to rely on your friends and community that way, although I know it's hard when everyone we know is struggling and people don't have the energy or skills or knowledge to be able to help each other.

This is getting long, so I'm just going to list off a ton of random tips and suggestions, and I hope some of them might resonate with you.

Join a peer support group aligned with antipsych values. Hearing Voices Network, Alternatives to Suicide with the Wildflower alliance, Multiplied by One, FEDUP trans/intersex eating disorder support groups are all great options.

harm reduction! this can be especially applicable for self-destructive behaviors, but just in general moving outside of an "abstinence-only model." working to understand your actions on a spectrum of totally chaotic, unmanaged behaviors to more managed, intentional relationships with those behaviors. embracing any positive change as an important step instead of self-blame and all-or-nothing thinking.

Trying to think of the best way to describe what I'm thinking here, so I might not have the best phrasing. But basically, spending time separating your ideas for what wellbeing and quality of life look like for you from the psychiatric system's ideas of what a "normal," "healthly," quality of life looks like. For me, this looked like realizing that I wasn't actually interested in getting rid of all my hallucinations, but instead I just wanted to lessen the distress I experienced and find a way to hallucinate without panicking. So I guess just in general--really exploring what is actually important to you for your wellbeing and not limiting yourself to mainstream definitions of "recovery."

Unconventional coping skills, or coping skills that traditional psychiatry deems "risky." I've talked with some people who things like getting tattoos and piercings are actually incredibly healing for them, and are an important part of their "therapeutic" journey. Not going to go into detail or promote other "risky" coping skills on Tumblr lmao, but more just say that it's okay if there's things that therapists view as risky that you might have another perspective on how it fits into your personal healing.

Building up your and your loved ones capacity for community care. This can be a really hard one, because I know it always frustrated me when I would see people talking online about how great things like care webs or the power of peer support when I just didn't have any of that in my physical everyday life. So I'm not just going to put this here like it's a magical solution or something that's easy to accomplish. It's something that can take a ton of work and we're allowed to be frustrated about that. I think one strategy that helped me with this was spending a lot of time building my own understanding of my own capacity to help, my own needs, and what ways I would like to be cared for. That helped me start small, just by having conversations with my loved ones when I wasn't in crisis and saying "Hey, this is how I would like things to go when I'm in crisis. This is something that helps me when I'm hallucinating. This is a way you could let me know that you can't support me tonight but still leaves room for us to have connection. This is how I can help you. Let's talk openly together and develop and practice how we want to care for each other." Starting with just one person and one conversation really went a long way for me in terms of eventually building up an actual support network and for me was super instrumental in healing work.

Setting out an hour a week that's my "self therapizing time." just using one hour a week to look up new resources, try out new skills, journal, do self-inquiry, participate in activism, do something that brings me joy, read something new about mental health, literally anything that feels intentional in that hour. trying out a lot of new things and quitting a lot of new things!

Incorporating your physical needs. I'm sure we've heard a million times things like "get sleep, nourish yourself, go outside," and all that is great but often feels fucking impossible when we're mentally doing not great. but I guess just saying it can be good to be aware of how our physical body impacts our mental health in other ways. things like trying to get our sensory needs met, embracing movement that feels good + making space for rest, embracing things that bring our physical body pleasure whether that's tasty food, sex or other kinds of physical intimacy with other people, if it's using substances in a way that feels helpful or joyful or fun--anything really!

Here's a bunch of random orgs and resources that I have found helpful: Fireweed Collective, Wildflower Alliance, Project LETS, Mapping our Madness, Mad Survival Tools, Organizing Guide for Psychiatric Survivors, MindFreedom Resources, Multiplied by one (I can't personally vouch because I haven't been to their groups, but I have a friend with DID who attends these groups and had positive things to say about them.)

I'd also add on this book: "Psychosis, Dissociation, and Trauma: Evolving perspectives on Severe Psychopathology" although I do want to give a warning that this book is a heavy academic text that has a lot of clinical and stigmatizing language. For me, it had some helpful information that helped me make connections between my experiences of trauma, dissociation, and psychosis, but I would not recommend reading it unless you feel like you're in the right headspace and can deal with wading through a lot of the psychiatric narrative.

These are all just some things that sometimes work for me, so please feel free to disregard anything that doesn't resonate with you. I'd also love it if followers could add on with any tips, resources, any "unconventional" advice!

thanks for reaching out, anon, and I hope you have a good night 💜

#personal #antipsych #antipsychiatry #resources #going to copy and paste most of these things over into a seperate post just for links to resources if anyone wants that #mad pride #mad liberation #<3 followers please add on!!

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mdhwrites · 1 year ago

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Do you have a mental illness?/im asking respectfully

I do appreciate the clarification though I've always strived to be open about this in general so as to increase visibility and awareness of such struggles.

I have depression, anxiety and avoidant personality syndrome. The third is a new diagnosis replacing an old bipolar diagnosis. I am also on mildly on the autism spectrum, though I'm still coming to terms with what that exactly means for me as only this year did I really try to figure out how that affects me personally. I have suffered from my mental illnesses for roughly 8-9 years and was officially decided as disabled by these issues by the US government four years ago come November and disability makes up the VAST majority of my income.

For those curious about how it affects me most commonly: I have trouble doing much of anything that causes me to focus or to think. I require distraction lest the storm in my brain come forward. This includes simple things like cooking, dishes, take walks, etc to complicated things like trying to simply listen to others for extended periods of time, get in character for acting, writing... *sigh*

My go to example for how bad this often can be for me is a tale from like five years ago now that still rings true where on a day I thought was good for me, I decided to do laundry. I bent over, started picking it up and promptly triggered my anxiety so hard as to shut down and break down for the rest of the day.

I LIVED in the same room as the laundry machines in that apartment at the time.

At this point medication isn't believed to be an answer for me due to having tried every class and type of anti-depressant/anxiety meds and I have tried anti-psychotics and found no success in those. I'm also currently at a point in therapy where people keep trying to teach me the same bits of mental toughness and coping skills I've done for years and it's increasingly looking like that if I want help attacking the roots of my issues, at least in therapy, I'll need to leave the people I've been working with over the past three years now. And start over. Again. Like I already have too many times.

Sigh

And the last thing I should cover is that my current state is... messy. Every couple of days I break down enough that I can't go on a morning walk like I want and today my brain screamed so badly that I considered it dangerous for me to drive to therapy. I don't normally consider myself to be a danger to myself, I know what I must do to avoid going into crises, but I haven't been writing much for a reason. My brain is just... Not good right now.

I have more I could expound upon, like more specifics on my journey, how my anxiety manifests not as thoughts but images and bodily reactions, or my interactions with crises services, but this seems enough just to kind of give an introduction to all of my new followers and the like.

And because I still believe it's a good glimpse into my brain, as well as just a solid story, my original book Crises Girlfriends, which is available on anything with a browser. Or, if the price is too high, the fanfic version which is effectively the same besides the names. Whatever makes it available for more people because the feedback I've gotten has given me the impression that it has been able to/can help people and if my experiences can do that, that means the absolute world to me. It's also just very personal for me and so means a lot to me.

Please everyone, take care of yourselves and have a wonderful day.

#Depression #Personal

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dead-or-unalive · 1 year ago

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Vent

What really sucks is, im surrounded by other mentally ill people, some of whom have similar issues as what im dealing with, but all of them have the key difference that they have a *potential* to have a better life. They try new meds and it actually makes a difference. They go to therapy and work through their issues, and reveal that underneath it all there was a perfectly normal person capable of happy relationships who just happened to have some mental illness in the way. And so it starts feeling like oh, maybe i have a shot, maybe if i take the meds and go to therapy and do everything right, things will get better for me. This is incorrect! Because the things that are wrong with me arent just mental illness - yes, i do have an anxiety disorder, depression, etc., but it doesnt actually matter, because *underneath* the mental illness is… NOTHING! Im nothing! Im no one! I have no personality, no friends, and i cant hold a conversation to save my life! Im boring! It wouldnt matter if i stopped being depressed, or stopped being anxious, because i still wouldnt be able to talk! And the only way to learn to talk to people, to have a personality, to learn to be worthwhile in any capacity, i would have to first subject people to the way i am now, and I definitely cant do that - its already clear to me that most people i do try to talk to cant fucking stand me, no one wants to be around me more than 5 minutes if they dont have to. I have exactly one friend, and literally everyone else in my life *including my own family* prefer him over me, to the point that im more of a bg character/third wheel in every conversation. I have to stress that this isnt an exaggeration - its *every* conversation i have irl. Ive just generally accepted that im unpleasant to be around, so i choose to not make people have to deal with me whenever possible. But then im stuck like this. Although, i guess even the brief period pre-pandemic where i started meeting new people and making “friends”, i was still just as awkward, just as incapable of talking to people, just a third wheel for a different group. So maybe im stuck like this no matter what i try! Even when i do find people to talk to i cant fucking manage it.

Its just really unfortunate, because other people dont seem to *get* it. They think that since they can feel better, so can i. But people are social animals, and i have literally no social skills. I missed my chance to develop those, missed the window where my level of awkwardness would be acceptable. So i *cant* get better.

I am running out of reasons to keep trying. I cant live like this forever. Currently the only thing stopping me from offing myself is the fact that i dont want my best friend to have to pay our rent solo. But by sticking around im preventing him from finding new friends… idk. An unwinnable situation atm.

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ferrn0 · 2 years ago

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REGARDING POSTING

heads up / TW: this looks at personal stuff + vent(? sorta) ALSO this is not super important / not essential for you to read

TL;DR:

less posting due to massive lack of motivation

want to post more and take art serious but its hard

could be depression or hormones idk dont know what to do

overthinking lots -> dont know why this is happening

crave regular change but havent had it + difficult to get change bc of parents -> maybe this is why??

going to try my best not to stress abt it

do not worry about me, im going to be okay

i havent been posting much proper/ finished/ full art ( not sketches ) because ive been really struggling with motivation this year. For all i know, it could be a depression(?) thing or perhaps hormones ( i have a uterus unfortunately) or maybe it just comes down to ADHD.. i do take medication for adhd but they dont really do much regarding dopamine so my motivation is still kinda low even when i take the meds. I really want to be posting proper art and i want to take my art more seriously however, without motivation its really difficult. Im finding myslef slipping back into what feels like a depressive mindset. kind of. yet, im super happy in so many aspects of my life where i used to be affected by this mindset. I have found a better group of people to be around ive found more things i want to do and ive got goals for the year- i didnt have those this time last year. And now.. my creativity has been affected and i dont know what to do.

I feel guilty for not posting. Or maybe i feel frustrated that i dont post (which leaves me with noone seeing my work). Either way, i want to post. but i cant get myself to.

this leaves me thinking...

"maybe i just need to improve my skills"

"maybe im not putting enpugh effort in, what if im just not 'trust(ing) the process' enough"

"i might need to just try a new medium"

"maybe i need a new intrest or fandom to join so i can make fanart"

"what if i was just qrong my whole life and im not cut out to be an artist?"

"perhaps theres something else wrong with me and thats why i cant get myself to do things"

And this circles round and round. So what do i do about it?? should i just take a break and not focus on posting? but i already do that anyway! do i just try to do a month long or a week long challenge? but i always miss days and eventually give up!

The more i write about this the more i realise i am not okay. and that im getting worked up over a small thing. but i am miniscule and to me this small thing is ginormous.

i am a kind of person who craves change. but only when i want it. And i have gone a very long time without the kind of change i need in my immediate environment. so maybe thats the issue. but i happen to be a child. who lives with his parents. so that causes some problems, dont it? not that my parents are horrible people or incredibly unfair. but because they have their own ideas of how we (me and my brothers) should grow up and what sort of privileges we get ect. because they are my parents. My parents believe that we should each have atleast one physical out-of-school activity we do each week. I do basketball. and i have been since i was in grade 5. its been almost 5 years. dont get me wrong, i love the game and i love playing it. but i find myself dreading going to each game everyweek. i need change. i want to quit bball. i also do drama classes each week(since yr 6/7)- but i like that. and i dont want to quit. because its different every week, every year. My bedroom has also been that same for the past 3 or so years, yes i have moved things around, but the furniture hasnt changed, and the walls have been the same colour with the same wall stickers since we moved in when i was in year 1. I spend a lot of time in here(my room) and it doesnt feel like mine anymore.

TW- eating

my medication for ADHD gives me a smaller to no appetite during the day. I no longer bring much or anything to school to eat. i dont really eat breakfast either(but i did that before i got meds anyway). I still eat dinner everyday, just a little less that i used to. and i will eat lunch (depending on situation) during the holidays and weekends mostly because it ends up getting made dor me half the time. i do suspect the rather sudden change un my eating habbits might be affecting me. but nothing terrible has happened to me yet(i have lost a few kgs but that isnt worrying as i was a little overweight beforehand). perhaps this is affecting my motivation too. but who i am to know for sure?.

END OF TW

i think i will just continue as i have been. but i will try my best to not worry myself over not posting. although i cannot make any garantees. not many people follow or interact with me here so i doubt this will cause too many concerns but if it does, please do not worry. i will be okay. i am working on myself.

I apologise to those who want/wanted to see my work more/more often. i hope this all makes sense and that you can understand ♡

with sillies,

thomas[FERRN0]

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lucysweatslove · 1 year ago

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My interpretation-

The heart of the challenge lies in how I’ve been feeling uncertain of myself in the clinic in general, and what I’ve started to think longer term about it: do I continue? Should I continue? Do I think I CAN continue? For transparency, I still love medicine, I enjoy the diagnostics and patient care, I love learning and even though I’m not expected to “learn” anything or have any clinical skills yet, I’m taking the opportunities presented to me. But I’m not feeling that sense of belonging or like I’m even good enougg. I feel awkward around the clinic, unsure what I’m doing on the general social side of things. I’ll be scheduled to meet with somebody, and they’ll have no clue im supposed to meet up / shadow them. I never know if this is how it’s “supposed” to be or an artifact of a busy, understaffed clinic and new coordinator who has never coordinated this before. It’s lead me to question if this whole thing was just a big mistake- if I should have applied regular instead of rural, if I should have accepted admission at another school. At times, even questioning if I should just quit now before I pay hundreds of thousands for a medical degree. Usually it’s not that bad and I just question what specialty I want since I usually feel most out of place around primary care. I don’t really know what I even WANT for sure at this point.

Which brings us to the ramifications of the challenge, what really has me feeling so negative about all of this. Disillusionment, stagnation, feelings of tension- maybe that I’m imagining but I can’t know for sure. I thought my rural experience would be more rural- its rural but also kinda not as one of the larger cities in the state is close by. The clinic has docs from other specialties come in specifically for the rural site- which is FANTASTIC for patients but also leaves me feeling like maybe I’m not getting the same rural experience I might get somewhere else. I thought it would be better organized for me- not that I expect that throughout med school, but I had no way to organize it myself, so I assumed it was supposed to be organized by other people. I did have my two weeks pre-planned, but I’ll find the doc I’m shadowing and they will be totally blindsided by it. Accommodating and kind, but without a clue I was supposed to be there or what I was even supposed to do. I feel more like a burden, which I end up interpreting as tension and hard feelings from the doc, even if I have none for them. Honestly? The excitement I had for this specific rural program (even to start school at all) feels really minimized at this point.

I’m honestly a little wishywashy on the “path to overcome” here, and my intuition is pulling it in two directions (which I find particularly humorous given the card itself). It’s a card about difficult decisions, being at a crossroads- which is also kind of the underpinning of the issue in general. I’m not sure if the two of swords here is telling me that the way to move forward is to make and commit to a decision OR that for right now, I don’t NEED to decide, and I can just decide to deal with the uncertainty (which historically I’m terrified of). I think most likely it’s saying, don’t make a decision yet- I’m too emotionally overloaded and need to give it time and NOT make some kind of rash decision.

Looking into shadow self vs higher self, it seems my shadow self is probably driving me to “act before I think.” I feel a lot a bit powerless in this situation, which I already know is impacting my eating (this isn’t intentional, I know I have to be mindful, but stress and powerlessness often means I start to slip a little into unhelpful thoughts and actions towards my own self). I think maybe this also is saying that the negative self-talk, where I’m over-analyzing my days and somehow convincing myself of how much I suck, is coming from my shadow self’s stress response and isn’t really the truth. My higher self, on the other hand, knows I can use this experience to better myself. Didn’t have a great experience? Motivates me to make the next experience better. Got some imposter syndrome? Learn more- practice my skills, read up on what I’ve seen and dedicate time to really understanding what I’m being exposed to. I know this new adventure is an adjustment and will come with a host of new challenges, not just this one, and the best way to prepare is to get myself organized, temper my expectations (especially of myself) so I can consistently show up to learn how to be a good doc.

Which I think is kind of the point, too. Although I think queen of pentacles is generally seen more on the fiscal side, like a businesswoman, or on the practical side of nurturing like a gardener or homesteader, to me I also think she represents some of the “self” or way of being I want to achieve in life and as a doctor too. Reliable, successful, resourceful, and practical, but nurturing and giving and service-minded too. She’s not the cerebral and logical but maybe a bit cold and out of touch doctor that I think of as some kind of stereotype. She’s like, the frontier doc who is always there for whatever her patients need, whether that’s delivering a baby, setting a bone, or listening to a grieving widow. Her profession and success don’t get in the way of her service- her profession and success are proof of it. Anyway, those are all traits I think I need to develop and balance, and maybe this whole rural thing right now is just helping me along the way. Not that making it through these two weeks means I’ve “gotten there” but that making it through these two weeks are a needed step in the journey.

The final card- three of pentacles to represent the change I’ll experience from overcoming this challenge- is highly focused on teamwork/collaboration and learning and qualification building. Yes, it’s often the reward/recognition/achievement card, but it’s got more nuances here aI think. Although in this deck, it’s represented by 3 bats and it’s a bit unclear, traditionally the artwork suggests some form of apprenticeship, and I can see that in the bats too. The two “higher” bats seem to have some magical something coming out of their mouths- feeding the “lower” bat with this magic. Ultimately what I’m doing for the next 7-8 years or more is apprenticeship; I’m learning from the mouths of my preceptors. It’s not necessarily a “completed goal” kind of card, more so one telling me that I’m on the right track to learning. IMO it’s not saying that overcoming means I will necessarily feel like I’ve learned so much and have integrated and feel like I belong and am respected for my own contributions, but more so that overcoming this little hurdle means I’ll be able to focus more and truly be committed to the learning, taking in all I can from those above me.

I haven’t done any tarot in a long while but I brought a card set with me to this rural thing and decided today, after feeling like crying for some reason I can’t place, to finally do a spread on a current challenge.

Not that it’s super informative. But honestly doing it again feels good, too.

#tarot

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fckwritersblock · 4 years ago

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Act 1: While We’re Young

Chapter 5

Erik ‘Killmonger’ Stevens x Black OC

(Unedited.)

Tuesday

January 10th 2005

Last night was the only night I'm allowing myself to cry over him and his 'return'. What good would it do me? No, I was gonna take Erik and whatever he had to throw at me by storm.

Waking up the next day, I feel refreshed. Like a brand new person with a more positive mindset. Today I had 3 classes and I'm determined to have a good Erik free day.

That whole Erik free thing went out the window as soon as I got to my first class.

Double O Computer Programming 1 was a junior class, however I'd taken it during the summer during my first year at UC Berkeley. DOCP 2 wouldn't be available until next semester but I needed to have a class since this was my first year on the actual campus. Thankfully Miss Hill really needed a T.A and the fact that I could help with an algorithm that tied into thermal nuclear astrophysics had her sold.

Right after I finished taking attendance, she barely got a word out before the door swung open revealing Erik as our late comer. I quickly glanced at the sheet in front of me, scanning for his name. I was so use to calling him N’dajaka when we were kids, I completely skipped over ‘Erik Stevens’. I huffed rolling my eyes, arms crossed over my chest. His timbs were the only thing heard shuffling across the room making hid way toward the front of the class. Wordlessly he handed Miss Hill before his eyes were on me. They scanned me from top to bottom, before locking with me a smug grin on his lips.

"Hey Lona," my jaw dropped.

Before I could get out a word, Miss Hill opened her mouth, looking up from the paper he handed her.

"Welcome Erik, sorry for the confusion."

"It's all good," he shrugged.

"Im Miss Hill, and I see you already know my aid. As I explained to the class prior to taking attendance, If I'm unavailable feel free to email or call her during the hours listed on the sheet." She is then took a sheet from me and handed him to me. "Other than that, find a seat."

He nodded pretending look over the sheet before averting his gaze back on me.

"I'm definitely gon do that."

Fuck my life right?

Well, Erik just so happened to be in the Calculus class I skipped two days ago. I thank God my record was squeaky clean and Mr. Kennedy accepted my poor excuse before I was quickly reminded the man upstairs has a sense of humor as the only available seat was next to Erik.

"The person next to you will be your partner for the remainder of the semester so let's take the next 15 minutes getting know one another hmm?." Mr. Kennedy instructed.

I couldn't suppress the groan that slipped as Erik casually leaned back in his chair, examining me.

"You heard the man, get to know me."

"I know all I need this know about you Erik."

"Oh so I'm Erik now? Like that?" He spoke cool, calm, and collected like our exchanged was normal.

I gripped my pencils tight, my knee bouncing up and down my body tense.

"Let me set things straight now. We don't need to talk to one another. If it doesn't have anything to do with any of the classes we take together, don't want to hear it. When you see me act like you don't know me. We clear?"

The expression on his face was unreadable before his lip twitched slight him responding.

"Crystal."

Wednesday

January 24th, 2005

It had been two weeks since Erik showed up here.

Ok that's a lie.

Apparently this man has been here. And to top it off, this mans name was in every bitch mouth like the second coming of Jesus Christ. From what I've observed though, he doesn't say much, or gives any of these broads much attention. He don't say much in general actually, he's really good at blending in. He got that laid back, mysterious, bad boy vibe going for him and these females out here hella into that.

But when he opens his mouth, that cocky bastard sure knows how to disrupt my entire soul at least while we're in class.

Outside of class though, he acts like I'm invisible.

It was like he never knew me. And honestly, I don't know how to feel about it. I know that's what I said I wanted but it bothers me just the same.

Today in particular though, he argued me down during our Calculus class. We had one problem to figure out before we could leave class today. You and your partner were supposed agree on the answer, and heaven forbid he just agree with me so we can get out of here. Math was always my subject when we were kids, nothing has changed. I was damn near about to say fuck it when he started laughing.

What in the entire fuck it so funny?" I was fuming.

"You," he shook his head. "You really hella mad."

"Um, YES!" I damn near shouted fed up. "You literally been tryna convince me it's 5 when it's-"

"Chill. I know the answer is 3 girl. C'mon, let's go." So smoothly he closed the book, grabbed his bag and headed to the front.

I was so upset, I had to let him do all the talking when it came to explain to the teacher I'll answer and how we got there. I know I open my mouth I wasn't going to say anything nice.

"Girl what crawled up your ass and died?" Donise questioned with a stank look as we sat at one of the benches outside of the library.

"Yeah What did Erik do now," I could hear teasing in Tatiana's tone so I flipped her off.

Only giving a brief explanation, I went on a mini rant about what happened in class 20 minutes ago. Donise's thought it was funny, while Tati just shook her head.

"I still can't believe it him," Tatianna glanced as a group of guys from across the quad headed our way, Erik included.

"Yes, and I wish it wasn't."

Tatianna was the first real friend I made in a while. I was actually tutoring her online for a while before she found out I was 4 years younger than her. Our friendship started off as a trade. I was her tutor and she both convinced and enrolled in a mentor program to help me with my social skills. I didn't speak to anyone much when Erik left, but I got into a lot of fights. According to the school counselor I was taking out my anger and abandonment issues on.I have meds to tame the anger, and while I haven't had to take them in a while Eric definitely bring that anger out of me.

"Girl that's just sexual tension. You got to fuck all that out." Ashley put in her unwanted two cents.

"Trust me when I tell you on God it isn't."

"Well if you out to holla, then trust and believe I will." She tossed her hair over her shoulder

I didn't really mess with Ashley like that, but she was Tati's frat sister which made them 'friends'. That little thot pocket will screw anything with legs, D, and a pulse and I'm not bout that life. Plus she messy as fuck and I don't trust her as far as I can throw her.

"I don't doubt it," I smirked as Donise said exactly what I was thinking.

Donise was coo' though, I meet her when I first got here 2 months ago. Believe It or not she was apart of the welcome comity for MIT and turned out her and Tatiana were already friends. Once she figured out who I was, I was shot to the front line during registration and everything.

"Anyways, y'all going Ant and them party tomorrow?" Ashley questioned probably tryna bum a ride.

"What party?"

"The Que's," Donise answered. "The dudes with Erik are frat."

Now this was news to me. I met most of them before but I had no idea there were in a sorority. Examining them, I guess it all made sense. Most in the clique sported some sort of purple and yellow lanyard either around their neck or on their keychain that hung from their jean pocket as if they wanted everybody to know who they were. Which I wouldn't doubt.

"Ladies! What we chattin about?" Moses questions every bit of his thick English accent tapering off every word.

"Our plans for mañana," Tati answered l

"Word. Y'all coming to the party tomorrow?" Jay spoke playing with a few strands of Donise's curls.

"Tomorrow? It's Thursday." I said confused. "Ain't there class the next day?"

"What's the matter, you can't hang?" I glared at Jay, knowing he was only chastising me because him and Erik were close, according to Tati.

I swear to God men gossip more than women do. Rolling my eyes I spared Erik a glance and he looked like he was waiting on me to respond.

"Oh, I can definitely hang."

I couldn't hang.

Around midnight I was in the bathroom throwing up everything, damn near hug in the toilet as my surrounding looks so blurry and I can barely function. Im not sure when I'd finally finished, but I could feel someone picks me up and out the bathroom and soon everything goes blurry and then black.

Tag list: @kitesatforestp @xsweetdellzx @justgetitoverwith0 @letsshamelessqueen-m @cmkcolove @readingaddict1290

#black!reader #black panther killmonger #erik killmonger series #erik stevens x reader #erik stevens #killmonger x black!reader #black writer #killmomger x oc #killmonger imagine #marvel imagine #marvel #black panther imagine #black panther #wakanda forever #tchalla

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albatris · 4 years ago

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ik this is probably an inappropriate question to ask but i deal with stpd and just recently discovered this. Previously thought it was just depression/anxiety but ive been on like 7 antidepressants/2 of which were more geared towards anxiety. I was wondering if you take any meds or have any advice you might recommend. Id really appreciate it. Im running out of ideas lol.( Sorry to bother and thank you)

nah you’re all good, I don’t have any problem with questions like this n I’m happy to share any experiences of mine that people might find useful!! though in this case idk how much help I’ll be, sorry D:

mostly about meds but my bad for goin on a whole ramble in the middle about therapy?? I talk a lot and have trouble staying on topic

'cause meds n therapy both have been useful to me but both probably would've been pretty useless without the other

under cut for personal rambles

so I was in the same boat as you for several years, I was in treatment for depression and anxiety and then borderline later on, way way way before anyone landed on schizotypal

as such I’ve been obviously dealing with stpd symptoms for basically my whole life but I only got diagnosed early last year n it’s the first time I’ve been. like. actually in any sort of therapy that addresses it properly and I’m still getting a feel for it

in terms of meds, I’ve been on a whole slew of different antidepressants, didn’t find one that worked until I was maybe 18 or 19? so I’ve been on the highest dose mirtazapine since then....... helps with that kinda baseline anxiety background hum, helps with obsessions and guilt spirals..... I didn’t think it did much for depression until I tried coming off it??

like, it gave me a slight boost in terms of energy and motivation, not a huge one, but definitely noticeable once it was gone

but yeah, it was kinda..... yeah, this med is about as helpful as I’m gonna get, so I decided to stick with it. I recently have considered coming off it ‘cause the sedation was a nightmare, but that’s on hold for the time being

I’ve been on two different antipsychotics, first quetiapine, which did absolutely nothing and was even more sedating on top of the mirtazapine, and currently I’m starting on aripiprazole. still on a super low dose, but working up to something that will hopefully ease some psychotic symptoms. side effects of insomnia and nausea but eased off mostly after the first week

but yeah, I haven’t really had much experience with antipsychotics or how helpful they are yet, atm I’m gonna wait and see whether there’s any real positive effects

but meds are super hard to give advice about, ‘cause different ones work for different folks, what works for me might not for you, what works for you might be something I tried and hated, etc etc etc, y’know

honestly the most helpful thing for me has been therapy, I’ve pretty much been in therapy since I was like 5 and I’ve done a lot of it

meds might be helpful to some people on their own but for me I think they would have been mainly useless without some form of therapy

meds kinda helped with some of the “edges” ie, the resulting depression and anxiety of the personality disorder, hopefully will help with some psychotic symptoms too, therapy has also helped with some of these issues on the edges, and I’m currently addressing some of the more specifically schizotypal core issues, although I will likely have to continue doing the work on those issues for most of my life

if you have a good doctor who listens to you, if you want to continue trying out meds then you might still find one that helps you out! I don’t really have a lot of advice here, because the effects can be so different from person to person. but I’ve found that meds only help on a really small scale, they kind of take a little bit of the weight off but it’s still a whole lot of heavy lifting on my own

so therapy was real good for some of that stuff too, skills for easing some of the load. therapy for me involved Other People, but for others it could involve other resources, such as online workbooks n that kind of thing....... ‘cause I know personally for me I fuckin HATE meeting new people and having to bare my soul for them, so therapy gets. interesting

and I know therapy is not realistic for some folks (and also not what this question was about but I’m just rambling now)

n I know especially that that shit gets fucking HARD when any sort of psychosis and paranoia is involved, in terms of stpd, I flat out refused to speak about certain symptoms with professionals due to paranoia and fear, and had a lot of issues trying to come into a therapy environment and immediately having complete strangers be like “ok tell me about what’s up”

like, no???? fuck off?? I don’t even know you??

n until recently all my therapies where only tangentially useful as a schizotypal, like, I did a bunch of social anxiety stuff which helped with some of the surface level day-to-day social anxiety (not so much the more deep-seated stpd social anxiety, that whole “it gets worse the closer you get to people” type, very fun), I did a lot of work around depression and suicidal urges and goals and meaningful living and whatnot, I did DBT which also encompassed a lot of work on interpersonal skills and handling dissociation and paranoia

n like. some of it was helpful? none of it got to the core of the issue or addressed what I really needed to address

I got super lucky with my current psychiatrist in that she was someone I already knew for around a year and a half beforehand ‘cause she helped out in my DBT group therapy. so I was able to get a feel for what kind of person she was beforehand and got to find my feet in trusting her in a more distanced context before entering one on one therapy. she also specialises in personality disorders and was the one who actually diagnosed me so it wasn’t like she was like “oh you’re definitely schizotypal, I’m gonna just pan you off to someone more experienced now” which was nice

she’s also the one who’s helping me out with meds currently

but ya, therapy can be A Lot, ‘specially for schizotypals who tend to isolate and get uncomfy in those vulnerable scenarios. in order to make the most out of it I have to practice an extremely uncomfortable sort of “radical openness” which is like..... well, I’ve spent most of my life being miserable and unhappy and feeling trapped and stuck in these patterns, and this has gotten me nowhere, in order for something to change I need to be radically open about my experiences

which gets HARD because the knee-jerk reaction to paranoia and delusions is often to pull back and isolate, and often I’ve struggled with the idea that it’s not “safe” to speak about certain things or that something bad will happen if I do

so it’s difficult, but I have to continually commit myself to being open and placing myself in intensely uncomfortable scenarios, getting used to the idea of trust being An Action, and practicing trust even when I don’t necessarily Feel It

that’s been a really helpful outlook for me and the only thing that’s kept me involved with therapy and meds and treatment. idk if it’ll be useful to others. I also know that some therapists and psychiatrists are shit and being radically open with the wrong people can be a nightmare

but it’s something that applies in my other relationships too and with my relationship to myself, so. *shrug emoji*

but yeah. that’s been what’s helpful for me

meds do a little bit of the work, but honestly I still have to pull a fuckload of the weight on my own, I kinda got to the point with meds where I was just like “ok this is obviously as good as it’s gonna get” and just stuck with it......... which is kind of a bummer of an answer

ik that kinda turned into a whole unrelated ramble in the middle there but I hope this kinda answers a bit of your question maybe or maybe not ‘cause I don’t really know what I’m doing

but also

I hope you have a nice day

#sorry this is such a rambling wishy-washy answer #tl;dr meds r good but sometimes shit. therapy is good but sometimes shit #like both have probably been really instrumental to me in learning how to manage my symptoms #but also #both can be a nightmare #also idk if this made any sense at all it's a bit of an all-over-the-place response #n bits of it aren't really relevant i don't think #schizotypal #Anonymous

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flyonthewallmedstudent · 4 years ago

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Day in the life videos on youtube.

I didn't realize this was a thing. Until today.

Quite the rabbit hole.

Watching med students. Other doctors in other parts of the world. interns. Even undergrad.

Some are really high quality and well done, as some of the most highly watched youtube videos are. But these actually tend to be more boring, they're almost too happy. Some of the time it's their first day of "X". Which could probably be why they're still so upbeat. The lower quality ones tend to feel more real and interesting.

My fave is Dr. Mike. As he's just great to look at and so likable.

And then I finally come across the one of the med students floating around our wards did. They're a bit odd in personality, but otherwise fine. Then word got around the interns and residents that, hey this student has a youtube channel with day-in-life-videos. It was pretty awkward to watch. So of course, we probably collectively bumped up their views and they'll likely have no idea it was us - easily dozens of us by the end of the day.

If you going to do stuff like that. Know that when people you work with on rotation find out, we'll be all over it. We'll all be judging it too. We may even be sharing it with our friends.

If I were to do a Day in the Life - and I wouldn't, as it'd cost my anonymity, it would admittedly be utter trash.

I don't go to the gym. Even though I should.

We live across where we work, which I don't recommend.

The toddler will wake us up, usually by slapping us in the face. Daycare provides all meals, so drop off is pretty much after we all roll out of bed, on the way to work.

It's always a mess at home. Maybe it's clean or tidy once a week. There's a reason why the toddler's nickname is Chucks and we own a Roomba or robot vacuum.

I'll attend handover, where someone inevitably is getting grilled. Gently. (Hopefully not me eventually when we rotate). Then it's rounds, and seeing patients. I'm in IM, so most of my patients are in their 70s and 80s. 90s isn't unusual, 60 is considered young. They're crumbly, they have 20 medications (which we always pare down), 50% will be demented, delirious or both.

This makes for really boring TV. It's also a reason why most in medicine find this area really unfulfilling, it's almost like working in acute geriatrics. Our ED recently told us that most of their traumas now are older people falling over and fracturing everything.

The interns will take most if not all the ward round notes, then go do jobs, like request an Xray. Which all magically happens on EMR. We also hover a lot over computers to look at results.

I might have clinic later. Where I spend more time reading patient files and typing up letters after seeing them, than I do actually talking to them.

I'll find the interns and we'll look at more results. We might tweak some medications that nurses administer.

Like 60-70% of what I do is "paperwork." Because after all, if you don't document it. It never happened. Thank goodness for EMR though, if I had to hand write notes and request physical files I'd probably explode.

The unsung heroes that never get the limelight in the media are social workers, occupational therapists and physios. IN many cases, they do the vast majority of the "work."

There may be no medical issue at all. I'm not starting any new medications, usually I'm removing them. In many cases, we're looking at elderly individuals no longer able to live independently at home and now have to look at nursing home or enhanced services to help them out at home. All if not mostly government funded by the way, all of which is a form of socialism which somehow got so politicized despite its existence for decades in most Western countries.

Drama is family meetings where we all as a team, sit down with the kids (who are often in their 50s and 60s) and say, I'm sorry, but it's time we talk about safety for your loved one to remain home on their own. Let's look at these other options.

This is the reality of practicing medicine with an aging population in the first world. This is where your taxes go. You work a lifetime paying them, then when you hit the twilight years of your retirement, a small fortune goes into your care in those final years of life. A single night in hospital costs $2000 if not more. You can spend a lifetime never seeing a doctor or going to hospital, but I guarantee you will in your last decade. A lot.

If I didn't have kids, I'm finally comfortable enough now in my skills to say, I'd love to go overseas and do humanitarian work and help struggling countries establish their own local healthcare. Then I think about what I have to offer. It really isn't much to the 3rd world where they're still struggling with covering basic needs. Forget the expensive regimens, medications and rehab I regularly recommend or prescribe. If you live in poverty, it's still pricey despite government subsidy.

If I really wanted to implement change, I'd go into politics. Be a public servant and work on legislation or lobbying. That's where real change would come from. But as of yet, I often feel like I'm just shoving bandaids on the titanic.

I love what I do. But it's very unsexy for TV.

It's very first world country. I wouldn't glorify the career anymore than it already has been glorified, there's many lofty careers out there that aren't nearly as competitive to get into as medicine and net more public service.

#medblrs #medblr

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bigskydreaming · 4 years ago

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Hey friendly reminder that I honestly do not want anyone to follow me unless they actually WANT to which means they are free to unfollow, refollow, leave and come back and leave again or WHATEVER as many times as they want, for any reason whatsoever. Including if my posting styles of the moment get to be too much for them or are not to their liking, etc?

BUT I have been seeing a surge in comments in notes and stuff on various posts of mine about the length of my posts or the rambling of my posts and like....I know? This is not new information to me? But I post the way I post at any given time based on the resources I have at any given time and the fact that its often a matter of I can post a long rambling post or I can make no post at all.

Like, I really truly do not like going into specifics about my situation more than necessary or when not necessary, because like, my situation is boring to me, I don’t particularly care to dwell on it any more than I have to. But the fact of the matter is its still a thing that exists so here goes: yes I have physical issues like near constant migraines and pain and also vertigo, and yes I have neurodivergencies like C-PTSD and ADHD and yes I have circumstances that include near constant stress from eternally being in the negatives, financially, as well as being almost constantly hungry from a lack of money and limited options for eating due to the physical constraints of my jaw as well as being consistently sleep deprived because there’s only so much sleep you can get when there’s no such thing as a physically comfortable sleeping arrangement for you currently, all while existing in a constant limbo of I literally have NO idea when any of this will change for me because haha fun fact WE LIVE IN A PANDEMIC.

My point is like......all of these are things I’m not shy about, but they don’t exist as bullet points in a checklist of identity or circumstantial traits, they all exist at all times as points of fact that influence and inform and interact with each other.

So my financial situation and limbo of not being able to move forward with my surgery because of the chaos of the health care industry during a pandemic directly informs both the way stress impacts my mental health issues, but also my ability to treat my mental health issues by way of medication, nutrition, rest.....ie, almost every cent I make via work, etc, goes right back out the door to keeping up my insurance premiums of $850 a month, because even though my surgery is paid for, there’s still elements like hospital stay fees, anesthesia, etc, that won’t be paid until the day of surgery itself, and which I will not be able to pay without my insurance remaining current and active. Which means that I had to prioritize an insurance package that would net me THOSE benefits, which means I had to sacrifice parts of insurance that are no longer in that package, but which previously made things like my medications, refill appointments and therapy more affordable for me.

Which means that I have to prioritize my medication and therapy etc and maintain my therapy and PTSD, depression and anxiety meds as the most important to upkeep, while my ADHD meds are pretty much priced out of accessibility for me at the moment. Like, the specifics of my metabolism and various trial and error with different meds over the years and the way my body rapidly adapts to various meds and plateaus to a point where they cease to have any real impact on me means the only ADHD medication that’s consistently effective for me is Vyvanse, which there isn’t a viable generic form of that I can take, meaning a monthly refill of it is $350 without insurance, which I flat out can not ever afford anymore, which means its been roughly two months since I last popped an ADHD pill.

So yeah, that directly impacts things like my ability to self-edit, make a point briefly, or refrain from circling back to the same point several times over and over because I literally forget that I made it.

Now of course ADHD medication is not the be-all and end-all and its not like there aren’t various other life-hacks and coping strategies for working around ADHD even without it, after all, I didn’t even get diagnosed until I was 26. But these various other adaptations rely on things like good nutrition (which I can not regularly afford, or even consume....most leafy green vegetables for example, or fruits other than berries, are literally nonstarters for me because I don’t have enough leverage with my one-sided jaw to CHEW them in the first place, and the ingredients for making smoothies regularly are again, expensive). So nutrition as a hack for ADHD management is pretty much out - I’m too busy prioritizing eating anything I can, whenever I can afford to. Other adaptations involve getting lots of rest: something that again, physically isn’t all that viable for me these days, even leaving aside the effects of constant stress on attempts at getting meaningful rest, along with the constant stress and constraints of trying to work as much as humanly possible in my circumstances, in order to keep bringing in income to go to insurance, rent, and food and meds. Then there’s also the stabilizing effects exercise and physical activity can have on the brain and various neurodivergencies like mine, but the migraines and vertigo make most forms of exercise a nonstarter for me, with most of the rest invalidated by the fact that I’m pretty much always hungry, tired, and in chronic pain.

Now let’s examine work and the viability of obtaining more sources of income to help with all this. Well, my options are limited there too due to the ecosystem of factors in play. I’ve been trying for awhile to find even a part time job in my area I can do, but the problems are even though I can make myself mobile and active through my pain issues and migraines, and am even good at gritting and bearing it and acting like I’m smiling and laughing and happy even while in excruciating pain (yay, perks of childhood abuse making a career in retail viable even while practically dead on my feet, lololol)......there’s the simple physiological limitation that I just can’t stay upright RELIABLY for more than a couple hours at a time. Eventually, dizziness knocks me on my ass. Downside of a jaw that’s constantly hanging with all its weight from one side of your face, fucking with your ability to even stand up straight, not to mention causing inner ear and equilibrium problems at random whenever you open or close your mouth in the wrong way (or mere approximation of ANY kind of way).

So, standing upright at any kind of customer service or retail job is one issue. Stocking stuff, that sort of thing.....not really an option when you’re likely to drop all of it at any given moment. But then there’s bracing myself at cash registers, something like a job at Starbucks or hell there’s a Jamba Juice nearby, that’d also get me an employee discount for smoothies I can drink regularly. Course, there’s the whirring of blenders and such, which pair great with constant migraines. Etc. Etc.

BUT. I’m a well-rounded person with lots of skills....which lead to things like my freelance graphic design business as a book cover designer, as well as various writing endeavors, etc. And all of these are things that I DO do, currently. They’re how I make my income as is. There’s absolutely more jobs out there, but the fact is as a freelancer, FINDING additional jobs is a time consuming and spoon consuming process, that is additionally impacted by factors like ADHD, so not only does looking for work require time that’s not already being spent working, it also requires the management and expenditure of mental resources that I have to prioritize FIRST towards applying them to what work I already DO have, given the absence of ADHD medication and minimal coping or regulatory habits allowing for me to be all that productive WITHOUT said meds.

Not to mention the strain sitting in front of a computer all day for work in venues like graphic design, etc, puts on migraines, so there’s only so many hours I can devote daily or in one sitting to doing things like cover work. Much of my writing time is spent not actually writing, but me just dictating into notes on my phone and then copying and pasting all that into the appropriate formats for fiction, nonfiction and just random posts. Of course here then I have to prioritize applying my mental resources to first making sure the stuff I write to make money gets edited or properly pared down to size and isn’t repeating the same shit over and over and over, then doing the same to stuff I write fic wise as one of my few escapes from Real Life BS so I can at least point to having SOME kind of life (as this has been my daily existence for years, and uh.....people having things they like or like to do, as much as is humanly feasible, only becomes MORE of a necessity the more stress involved in their day to day life, not less).

Meaning by the time I even get to posting, like.....as much as it may look like I do a lot of it, the speed at which I write when I have any kinds of spoons to apply to posting or composing thoughts at ALL means I actually pour out a lot in a little span of time.....BUT that’s not like, a Skill so much as its a Fact. Its just the way I am and it comes with its downsides as well as its upsides....Im good at banging out a lot in a short amount of time, but ONLY when I just....let it go, versus try and regulate it all or squeeze it out bit by bit. I’m a sprint poster these days rather than a marathoner, even if the length of my thoughts makes it LOOK like the latter.....the reality is for me it tends to be all or nothing, its whatever I can get on the page BEFORE I lose my breath or train of thought. So that’s why it looks the way it does, because that was the only form it was coming out at the specific time and space when I had the energy and brainpower TO get it out, and going back in hindsight and editing it for clarity or brevity AFTER I gasp it all out requires energy and breath I do not have PAST that point, so it becomes a simple equation of well do I want a post to exist here at all or not at all.....and I err on the side of posting. This isn’t a defense because there’s nothing to defend, mind you, I’m simply explaining my way through my thought process, approach to things, and realities of my day to day existence for you to do with whatever you want. Its just a perspective you may not have had before. Whatever.

Of course, even this doesn’t exist in a void. Something that’s always a factor in my awareness when posting is like......I’m lucky enough to have a large enough following that cares enough about what I have to say for whatever reasons or puts enough value in what I have to say or the things I write and create, that I’ve been able to supplement my financial needs when absolutely necessary at times, by way of donation posts. I try not to lean on them more than necessary because I am keenly aware that they are a gift from people, many of whom I do not know and will likely never meet, and as such, not something I have any form of expectation for. I make donation posts when and where I do not in the anticipation of getting them met, but simply for a lack of any other options whatsoever. I’m limited in the work I can do, and the time and energy I can devote to finding more of that same work. There’s not a ton of other career paths I can pursue even from behind a computer due to my lack of a college degree, and the fact that even when I’m qualified skill or knowledge wise, I lack the specific credentials for verifying that I possess those skills or knowledge in a way employers are inclined to recognize and/or validate. Going BACK to school to get said credentials is an expenditure of time, finances, and other resources I do not have to spare at the moment or any time soon, especially not in the name of shoring up a lack of all that in the present term.

I dropped out of college freshman year after my gaybashing and rape. I never went back to it for a variety of reasons that were only half about resources and half about intent. My family is not a presence in my life and hasn’t really been in any significant way since I was eighteen, so college in the first place was something I had to be entirely self-sufficient about....I was only able to afford to go the year that I did go by way of academic scholarships that were dependent on grades I couldn’t keep up in the wake of what happened to me, and that I couldn’t exactly ever get back without a foundation to build upon, like high school and my initial academic career. Then in the half that was about intent, I eventually moved into pursuing my actual interests like writing, graphic design and acting. One of the things I’ve always loved about those is that output and portfolio nets you more than credentials most of the time....they ARE your credentials. I was actually pretty damn successful as an actor for years, not in the way that leads to being someone that people would recognize, but in the way that leads to being able to support yourself doing what you love. All the skillsets that I have but could not back up with things like a diploma were still useful to me as an actor in a way that they’re not in terms of getting things like tutoring or teaching jobs.....I speak multiple languages but I’m self taught, I have a black belt in karate, I’m a classically trained pianist, I know a whole lot of shit about random shit that I just learned because I wanted to, and all of that got me the kind of work that I was looking for and meant I COULD work and make a living off those things for years throughout my twenty....work that I would not have been able to get if I had been back sitting in a classroom instead. The primary currency of my years as an actor were life experiences and I had those in spades, and I was very good at what I did, if I do say so myself, and the reasons I never advanced further career wise tended to have less to do with whether or not I booked the roles I auditioned for and whether I got the auditions at all......

I’m getting a bit off topic here but I’m just saying there’s definitely a convo to be had at some point, about the roles and opportunities I turned down because I wasn’t willing to sleep with someone or put up with their advancements in order to do so. Something that’s a dime a dozen in Hollywood and the thing is.....I was a sex worker, for years, before I moved to Hollywood and started working as an actor. But there’s a distinct difference between the way people talk about, interact with and perceive someone who’s gotten roles because of sex, advanced up a corporate ladder because of sex...versus, gotten paid because of sex. I didn’t turn down offers of roles for sex because of my hang-ups about sex but rather other peoples’......I had a problem with various parts of the industry that would have thought nothing about me getting a role because a producer wanted to sleep with me, but would have turned up their nose at me because I slept with someone to get money for groceries before. Basically I’m just saying the specific bullshit Hollywood has not just about sex but predatory behavior got in the way of my career advancement because there were some games I just wasn’t willing to play....which hails from the very life experiences that oftentimes made me so good as an actor in the first place.

Which brings me back again to my main point......none of this exists in a vaccuum. Being the sum of our life experiences and variables means being the SUM of that, at ALL times, both in large and small ways. We are never just a LIST of identity traits or experiences. They all constantly loop back around and feed into each other and inform where we are at every second of every day and where we GO in each second, what we DO with our days and the choices we make.

Which is where so much of my discontent with fandoms, on social media in general, with PEOPLE in my day to day life comes from: this desire people have to compartmentalize, to ZERO IN on specific factors or variables or instances and act like it even CAN be divorced from all other influences. Its not that you can’t FOCUS on one thing at a time, its just even when you do that, that doesn’t like....snap all existing connections that thing has to everything outside of your area of focus.

As an example, my attitudes on being a survivor and various kinds of fiction get me a ton of pushback from various corners, and its all geared around the same premise: don’t like, don’t read. Put a wall up between you and it. Focus on just what you’re doing and forget what everyone else is doing.

But it doesn’t work like that. It CAN’T work like that. And this commitment people have to pretending it does just because that pretense has been working for them, THAT, I’d argue, is the true wedge in fandom spaces.

Everything about me is connected to something else. I’m a childhood abuse and incest csa survivor. When my therapist asks me to picture a moment from my childhood when I felt safe or protected, I got nothing. I don’t have that resource. I don’t know what that feeling is meant to feel like, because I never felt it. And that connects directly into the fact that when I was gaybashed in college, after they dumped me in a fucking park, bleeding and covered in writing, I didn’t even think about going to the hospital, the police, let alone calling anyone like my parents, I just picked myself up and walked back to my dorm, cleaned myself off as best I could, and went to class next Monday morning. That’s fucked up, I shouldn’t have had to, but its what I did, and there’s no divorcing that from any of the contexts of WHY that’s what I did, and why I didn’t think there was any other logical recourse or option for me then. Just like all of that also links back to growing up in the closet and entering high school the same month Matthew Shepherd was attacked, and then when he ultimately died two months later, and watching everybody’s reactions to that informed the fact that I did not remotely feel safe in the aftermath of my attack, disclosing what happened to people around me, or just like I didn’t take it on face value that even if they said appropriately sensitive things to me to my face didn’t mean that like when I was a freshman in high school and everyone was reacting to that, they wouldn’t revert to callous jokes about fags the second they felt a little less out of the spotlight or in the right company for those jokes.

And all of that directly links into my feelings not just when people write rape and gaybashing scenes that make no attempt at any kind of catharsis but rather only appear to exist for the fetishization, the glamorization, the VALIDATION of the idea that in the right context, those kinds of scenes can be hot to the right audience rather than demoralizing to the figure who’s pain and humaniliation is required for everyone else’s entertainment....but it also additionally plays into the reactions and attitudes I have when people look at me going “wow, really don’t like the lens you’re using here or the environment you’re creating around an experience that is never anything BUT painful and traumatic for someone who lived it, like I did” and choose to respond to that by saying things that amount to “well you’re basically just like conservative southern assholes who hate free speech when you say stuff like this,” cuz y’know.....that’s describing my literal oppressors. That’s lumping me in with the actual literal kind of people who are the SOURCE of my trauma there, all because you felt butthurt and defensive about how I said I wasn’t comfortable with the kinds of jokes and output you were making about scenes that aren’t that far divorced from my own personal reality, and that I shouldn’t HAVE to divorce from my own experiences just to exist within certain fandom spaces.

And just like the fact that being an incest survivor is directly relevant to the fact that my stepmother always made an effort to keep me at a distance because not wanting to admit to what happened to me and how it played into our family entanglements was directly linked back to the fact that she and my aunt were both incest survivors who never got the opportunities to deal with what happened to them, which in turn directly plays into the fact that ultimately my aunt ended up taking her own life a few years ago, which also very much informs my attitude towards people interacting with incest ships as something cutesy and uwu, as my aunt was literally the only person in my family I ever WAS close to or comfortable with. And there’s no divorcing any of that into nice neat little compartments that make it easier for anyone on the outside looking in to just peek through ONE window to see what they might see, and try and act like it doesn’t matter what’s in any of those other boxes because it has nothing to do with the only one they want to concern themselves with.

And my lack of resources and emotional state post gay-bashing led directly into my sex work for various reasons, which led in various ways to better things for me in some respects, while compounding certain traumas of mine in other respects, and there’s no divorcing any of that from the rest either. There’s no ‘my time as a sex worker was good’ even though some of it was and there’s no ‘my time as a sex worker was bad’ even though some of it really was. And a lot of the attitudes of some of the rich assholes who paid me for sex and viewed me as a plaything they could do anything to directly informs my resistance to letting powerful assholes in Hollywood hold roles over my head in exchange for sex, even though the latter could have advanced my career in huge ways and led to me being a lot more financially stable and self-sufficient by the time my physical issues emerged due to the jaw joint on one side of my head eroding through and snapping completely just like that in turn was a long-building repercussion of not just my gaybashing, but my decision to never go to the hospital and get checked out after it.

None of this can be cut away from the rest and trimmed into neat little pieces that don’t color outside the lines or impact anything else. Just like my gaybashing itself can’t be divorced from my white privilege, and the fact that it played into the fact that I survived that night in the first place. Something I say not in some weird white guilt kinda way like people try and project onto others for even acknowledging white privilege, like no its not like I fucking wish I died to prove some kind of weird point, what I’m talking about is just the simple basic AWARENESS that multiple and even contradictory factors exist in even the most extreme of situations. And its never anything BUT self-serving to pretend that you can frame it as otherwise.

And so when I talk about being a survivor, just like with all the rest of this, I’m not talking about some arbitrary status of survivorhood that exists in a specific point in time and is only relevant to some singular event I survived, its applicable to everything about my life big and small. I’m a survivor every single day I’ve survived, every day I wake up and keep moving forward despite the pain and stress and lingering trauma of what was done to me one night sixteen years ago, I’m surviving what they did every bit as much as I survived it that night and in the morning after as I dragged myself back to my room. Just like my status as an abuse survivor stemming from childhood directly informs everything about not just my coping mechanisms but my entire freaking worldview as someone who grew up throughout childhood learning to view the world through a lens in which he was simultaneously not safe due to the presence of victimizers in his own home, while at the same time still having certain protections that others don’t have in life in general due to not just again my white privilege but my male privilege, my cis privilege.

And that’s what makes it so laughable and so offensive when people act like I’m defining myself by being a survivor as some kind of singular identity trait whenever I raise it as something of relevance in fandom discussions that have EVERYTHING to do with stances of abuse apologism and homophobic ideas that directly play into why I was so unsafe in certain parts and times of my life, because who the fuck is anyone else to tell me how my experiences as a survivor and how they shaped me are or are not relevant to ideas pertaining to those very things, when brought front and center and face to face with me in various fandoms due to the insistence of fandoms at large on KEEPING these things front and center in almost ALL fandom discussions? Like, the hilarious irony of people who have so wholly centered certain types of ship and content in terms of their own personal fandom identities that they can’t help but feel personally attacked when someone so much as says “I don’t like the ideas you’re broadcasting alongside your choice to amplify and signal boost this kind of content because you’re not JUST signalboosting the content itself, but these specific perceptions of it and ideas in support of and in apology for it.”....like, turning around and saying IM too defined by my views stemming from my existence as a survivor. The call is coming from inside the house, lolol.

Again, none of this can be divorced from the rest. It can be focused on one piece at a time, but its connections to everything else that informs it in various RELEVANT ways, can not be made IRRELEVANT just because you don’t like the picture that forms when you’re forced to look at the WHOLE picture instead of just willfully condensing the frame to just the part you like or want to talk about.

And to bring it all home, looping back up to what I opened with:

Do you know how often I hear people say shit about the length of my posts or the rambling nature or in various ways act INCONVENIENCED by various things about how they have to interact with my posts when that interaction itself is still completely voluntary?

Taking in everything I said in this post, the way it all interconnects and informs other things, I’d like to ask anyone who has ever objected to some post somewhere or derided one because of something as ultimately nonconsequential as the length of it, something where its literally just like....scroll a few more seconds......do you apply the same energy and scrutiny to posts that cross your dash that are filled with various things like racism, transphobia, rape or pedophilia fetishization or abuse apologism, or do you let that slide by without acknowledgment before looking at a post that makes you sigh because of how fucking LONG it was and think...this, THIS is what I’m gonna choose to speak up about?

Because that’s ultimately what this is all about. Here’s the kicker with everything I said....my life could be better, I want it to be better, from the biggest aspects of it and pain issues to stuff just like.....the fandom communities I immerse myself in for my own attempts at having something to counterbalance real life stress. But at the end of the day, there’s no my life sucks or my life rocks....its still just...my life. And it has its good as well as its bad, and that ultimately hails from my choices, and the fact that like....even while there are choices I literally CAN’T make, I can be comfortable with the ones I DO make.

And so like......would my life be easier in some respects now if I’d gone back to school and gotten a diploma and had more job opportunities available to me? Yeah, for sure. But that awareness doesn’t mean I regret my choice NOT to go back to school when I DID have more opportunities for that, because the acting career I had at those times instead was the choice I made, with intent, and its one I’m still glad for making. Those experiences still matter, still meant something and still mean something to me.

And do I wish that I’d coped with what happened to me in college in different, healthier ways that would have given me more tools for how I interact with my trauma and who I became after that, rather than how I did? Yeah, sometimes, for sure. But not without losing my awareness that the choices I did make at the time were not made in a vacuum, and can not be edited in hindsight....there were reasons I made them, reasons that were informed by everything that had happened to me previously and stemmed from a lot of things I still didn’t have control over and as such always placed a cap on the range of choices that were available to me back then, because there’s a difference between choices that exist in theory versus choices that exist as something that might viably be chosen at a particular place and time.

The world is big and complicated. Life is big and complicated. WE are big and complicated. And nothing about understanding any of that is IMO benefited by putting most of our effort into SHRINKING our worldviews, constructing artificial frames that don’t just focus us in on specific aspects of it for finite periods but attempt to then treat that as its own individual thing utterly disconnected from anything else that might be going on OUTSIDE that picture frame.

So if you’ve read this far and you’ve taken anything away from this big long rambling post that could be a lot shorter, could be a lot less rambling, but could also just not have been posted at all and I’d rather have it exist in this form than let everything in it go unsaid.....

My request would be that your takeaway be this: to look at your choices in regards to some specific finite interaction in even just one of your fandoms, and see what happens when you open the frame back up. If you widen the scope. If you let other things into the picture. Are you still comfortable with the choices you make or don’t make in light of THAT image, are they any different from the ones you made or would have made when keeping things as small and contained in your awareness as possible, just because that was easier for you to conceptualize, easier to navigate around, just....less COMPLICATED?

Because things aren’t made less complicated just by the mere fact of WANTING them to be.

And if your choices are more born of what you’d say or do IF the world were as finite or as limited as its sometimes easier to pretend it is......is that really the approach you want to go with and the reasoning you want to stand by?

And similarly, if there are choices you make and that in ORDER for you to feel comfortable making them, you feel a need to tighten your focus or shrink your worldview around one specific element or area and leave out all the rest and only then are you truly comfortable with doing or saying something, like......

Its important to remember that this isn’t the only option you have for making yourself more comfortable with things you say or do or think, or even just have in the past.

The other perfectly viable option exists: you can simply....make different choices.

#this is a post #im not entirely sure how else to describe it #just that it is not necessarily the post that it looks like beneath the cut that it looks like above the cut #so all I've got is: this has been a post #make of it what you will #lololol #its....whatever #ANYWHO

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seesarahaccomplishstuff · 3 years ago

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So this morning I feel great.

Not sure what all I’ve actually posted about my medication. Sorry if I repeat. I’m still on a bit of a hiatus but I’m so focused on my health rn so I keep checking back here. This is an all around health blog though so I’d like to keep y’all informed.

So basically my depression finally reached the point where my therapist was like “your lows are too extreme. You’re learning great coping skills, but you can’t apply them when the lows are like that. We need to start talking about antidepressants.” This was also primarily prompted by the fact that I’d stopped doing basically everything. I’d miss days of work sometimes. I’d have an important task but “if I do anything it should be cleaning or working” then would do nothing for three hours instead. I thought that was executive dysfunction. Turns out it’s textbook depression.

So I got a primary dr and went to the physical and told him about my issues finding a psych and my therapist‘s concerns. They did some evaluations and he said my anxiety was extreme too. I’ve always lived with anxiety and everyone around me always seemed to have it more severe so I downplay it a lot. Turns out it’s pretty bad. So I can’t go on a stimulant like Wellbutrin. So he put me on Lexapro since it’ll treat both issues. “It’s really for youneed people and already suicidal men”. Bet. (I’ve already noticed it helping my anxiety)

I started it Monday, 10mg daily and after a week I step up to 20. Day 1 exhausted me. Like really knocked me on my ass. It’s an AM pill, but some people said they had to take it at night. So I began pushing it later in the day. But I felt a little better those days. the med makes me not sleep, so I think that’s why I think it makes me tired during the day. So I’m pushing it back earlier, two hours at a time and it leaves me feeling buzzed for about 8 hours. Which… is a pain, and makes me worry about when I do take 20 in a few days. But this morning I feel really good. Really lucid, really comfortable. So I’m thinking it should adjust a lot better once my time is consistent.

Right now the goal is working as much as I can around the fog and watching my food and exercise. Lexapro has a number of side effects that they say go away after three weeks. Like the nausea and overheating. Im starting a two week shred from hell that I think I still need to post and am trying to eat a little better, but there’s an issue with liking food despite being hungry when the brain fog is bad. But I’m doing my best.

I’m typing this in web browser and it is not novel-friendly so I’ll end it here but that’s the update. My shitty breakfast pic won’t upload but know it was nutrient packed and healthy.

#Depression #Lexapro #Fitblr #Health #Mental health #Healing

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crows-murder · 5 years ago

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ADHD Mac

oh yeah im doing this

there are two things im 100% about Angus MacGyver

1 he is a bi disaster

and 2 he has ADHD

before elementary school, no one really thought anything was out of the ordinary with Mac. his parents thought his hyperactivity and inability to focus well was normal for a toddler.

even if they got suspicious, Ellen got sick and she became a priority, not Mac’s odd behavior.

after Ellen MacGyver’s death, James couldn’t even look at his son, seeing his late wife in his blue eyes and blond hair, much less worry about his son’s attention problem that were increasingly frustrating the teachers.

Mac’s teachers in first grade aren’t too hard on him and his wandering attention and inability to sit still for too long since his mother had died recently.

they blame it on the trauma of losing a mother and dismiss it, though get more frustrated with Mac.

as early as second grade, Mac shows signs of having an exceptionally sharp mind, but his teachers are frustrated with him because he can’t seem to concentrate in class and struggles with his homework. Mac gets exceptional grades despite that.

his grades are so good the administration bumps him up two grades.

Mac starts fifth grade at 8, but it doesn’t get easier for him, or less frustrating.

he has occasional emotional outbursts, he’s always fidgeting, leaves a lot of tasks unfinished and has problems focusing. the other students find him weird on top of him having skipped two grades and he has no friends other than Bozer.

Mac works on his homework for hours, trying desperately to focus long enough to finish it, missing obvious details and getting reprimanded by the teachers.

his father becomes more secluded so Mac can’t ask him for help, and instead tries to force himself to study until his head hurts and the words swim around the paper like unintelligible squiggles.

Mac’s teachers complain about his poor organisation skills, unable to understand that this “mess” is Mac’s own version of organized.

Mac feels like no adult believes him when he says he can’t focus in class, that he couldn’t finish the homework, so he stops trying to convince them and instead takes it in.

he’s in sixth grade when his dad leaves for good, and it makes Mac’s already low self-esteem worse and wonders guiltily if James left because Mac struggled with simple tasks.

and so he works even harder, makes more efforts, tries harder.

it’s a real struggle that drives Mac’s frustration to tears many times, but it never feels like it’s enough. he still struggles working in group projects, he procrastinates, he loses track of time.

sometimes he can’t even physically bring himself to do his homework and ends up rushing it in the morning.

and of course, sometimes he gets lost in a personal project for hours on end without even realizing it.

Mac was always fidgeting, and started twisting up paperclips to keep his hands occupied and found that it helped focus his mind on the task ahead.

people thought he was distracted, but twisting paperclips meant that he was actually focusing much more easily.

as Mac grew older, he still couldn’t take criticism well. only Bozer really knew this, and even light criticism could make his low self-esteem plummet.

this paired with Mac being often bored and under-stimulated (mainly in school) made Mac’s school experience difficult.

he graduates at 16 and goes straight to MIT where things slightly get better, feeling like some of the stress of grade school finally leaving him and giving him more room to breathe.

when his grandfather's call came, Mac was 18 and finally felt like things were going right.

he went to join the Army, hoping his history of lack of focus won’t hinder him much.

in Afghanistan, Mac is (usually) able to put all his focus on the IED and forget the world around.

the other soldiers think he’s just a really good EOD tech who can ignore the gunfire surprisingly well, but it’s actually because oh his hyper-focused brain.

when he and Jack are discharged and hired by DXS, Mac starts to suffer from secondary depression.

he finally goes to see a doctor who gives him his diagnosis and prescribes him antidepressants and suggests he sees a mental health professional.

Mac does and he gets diagnosed with ADHD and his prescribed ADHD medication and his doctor even suggests seeing a therapist.

despite Mac's hatred for pills, he still takes his antidepressants, but refuses to take the ADHD meds, refusing to be dependent on pills for the rest of his life.

he manages to keep it a secret from everyone, even Bozer.

but Mac decides a therapist would be helpful, and so he schedules a meeting.

and then he keeps going, every week.

therapy helps.

a lot.

though he felt like he was back to square one, like in school, feeling under-performing, but only this time with mild depression.

his therapist explains that the depression was caused by his brain being constantly under-stimulated, and of course war didn’t help.

over the months, Mac slowly gets better and feels like he’s finally moving forward, and talking to someone about a mental issue he never knew he had really helped him.

he feels guilty not telling anyone, but he isn’t ready to tell them yet.

months later, Mac decides to tell Bozer and sits him down and explains to his best friend how he was recently diagnosed with ADHD (Bozer told him it explained a lot) and mild depression because of it

Bozer understood and respected Mac’s wish to keep it under wraps and tells him that if Mac needed anything, he could always (always) come to Bozer. Mac felt even more grateful for his best friend (I love their friendship oh wow--)

no one but Bozer knew for a long time.

it wasn’t even added to his file, so not even Patti (later Matty) or Oversight (screw him anyways) knew.

after fifteen months on antidepressants Mac’s therapist decides he could come off the medication.

the withdrawal is… rough

but Mac refused to take any days off (despite what his doctor said), lest he roused suspicion.

Mac just powered through the intense stomach cramps, sweating, shivering and nausea as best as he could.

Jack was suspicious, but Mac assured him it was just a stomach bug, and Jack let it be since he could see no physical wounds that could cause this.

Mac’s withdrawal lasted a little over three weeks, and Bozer was trying to be there for his best friend as best as he could.

Mac would sleep in fits, threw up every other night and couldn’t stand eating or even looking at anything salty or sweet

when Mac started to get better, looking and feeling more healthy, Bozer took him out to one of the best restaurants in LA as a way to celebrate and made Mac pancakes for breakfast all week.

Mac told him it was entirely unnecessary, but Bozer cut him off by telling him that if someone could beat depression, it was worth celebrating.

it effectively shut Mac up and made him wonder for the thousandth time how he was lucky enough to meet someone like Bozer.

for the whole week, Mac is in a much happier and brighter mood than he’d been in in a long time.

it took everyone by surprise and caused Jack to ask if he was okay. Mac had just smiled and said that he’d never been better.

Bozer was just glad to see Mac act the way he used to when they were still in grade school. he missed this version of Mac.

Matty being Matty found out bout Mac’s therapy sessions and his antidepressant prescription and ADHD diagnosis and asks him about it (more worried about his well-being than his performance in the field)

Mac apologizes for keeping it a secret but told her that he’d gotten off the antidepressants months ago (to Matty’s relief) and that the ADHD was nothing to worry about.

Mac knows that he won’t be able to keep his therapy sessions and ADHD a secret from everyone forever, but still doesn’t feel ready to tell anyone.

Mac told them one by one, all at different times

he told Jack first, who was concerned for his partner but couldn’t bring himself to be mad at Mac for keeping it to himself.

telling Riley and Cage took a while, but he finally got it out, and felt relieved that he didn’t have to keep it a secret anymore.

after season 3, when Mac gets reinstated, his first order of business is to schedule an appointment with a therapist (Nigerian villages, as it turned out, don’t have therapy clinics)

James MacGyver tries to be the dad he hasn’t been to Mac since he was five, but missed a lot and doesn’t believe his son’s claim to have ADHD.

it destabilizes Mac’s firm belief in the diagnosis and sends him spiraling

Matty is not happy.

you do not want Matty to not be happy with you

whether or not you’re her boss.

she and James have a heated discussion when James says he wants to remove Mac’s ADHD from his personal file.

let’s just say Mac’s mental health is something no one talks about unless they want to really go at it with James.

and Mac tells them to drop it. he doesn’t have to listen to his father’s opinions (as he is an adult himself) and doesn’t want anyone fired on his behalf.

idk if it’s just me really liking the idea of Mac seeing a therapist (boy needs it)

or just thinking that it would explain a lot about Mac (his habit of playing with paperclips, his hyper-focus, etc...)

but i like the idea of ADHD Mac.

also it would make a lot of sense idk

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littlebabycrybtch · 5 years ago

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im sorry but sometimes it is so see through that you fake and corrupt ‘pro recovery’ people are literally just so frustrated and annoyed with nd people and thats all your mindset revolves around. like you’ll throw one or two fucking random self care tips at us and we’ll rightfully say ‘that doesnt work for me’ and yall instantly go on these absolutely unnecessary and brutal TANGENTS you were saving up abt how we’re ‘’’’wallowing’’’’ and that therapy takes ~Actual Effort~ so if ur special universal tips arent working for us we’re ‘’’being difficult’’’ and ‘’’’lazy’’’’ and ‘’’’hurting ourselves’’’’’ like. idk man sure i am sorry i cant ‘take a shower to feel better’ bc my symptoms make the task more stressful actually and take away from my other more necessary tasks, im sorry i forget to take my vitamins and drink enough water bc i just dont feel a difference anymore, im sorry i rely on medication instead of therapy bc therapists also teach me things that dont seem to work, except im trying, which means no matter how hard i might seem to be failing, i am ‘pro recovery’. idc how the fuck it Looks to you personally, i deserve your support. and i shouldnt Feel the Need to apologize to a stranger who claims to be my ally for experiencing mental illness symptoms and not being able to immediately correct them ! if i could do that i wouldnt be mentally ill !! i especially should not be made to feel ashamed to even Talk about my struggles just bc i know yall will try to put a bandaid on it and then guilt me when i say it didnt work. smfh like. ur children. sometimes things just have deeper rooted problems and u dont have to take it personally that you specifically cannot cure me.

ik it blows ur fucking goddamn mind but yes actually some people just Do really struggle to shower, to drink water, to take their meds, as in it takes actual personal efforts for them it wouldnt take for you and they have to work harder than you to accomplish them, and there are in fact some things nd people personally Cannot do and will Never be able to do without going backwards and sacrificing their happiness and quality of life exhausting themselves for an unattainable goal. only they know their limit, and pushing yourself past your limit is unarguably damaging. this ugly ass assumption you cannot be happy enough while still ‘allowing yourself’ to experience some symptoms... the idea that its just laziness and ‘anti recovery’ to openly struggle with what you view as the ‘easy’ or ‘beginning’ steps of recovery... is an inherently ableist and Harmful mindset you are all falling victim to and fucking over this community with. to be perfectly frank you are not ‘pro recovery’ when you demonize and shame people who are not ready for recovery. bc that doesnt do anything to help them recover. its genuinely just your excuse to hate and bash ‘severely’ nd people bc ur uncomfortable with them and wanna claim theyre doing it on purpose so you feel rightfully angry abt it. when you throw tantrums over us Being Mentally Ill and not ALREADY recovered like good boys or w/e all you are is pro nd people conforming to your standard of functioning and shutting the fuck up abt their actual identity and symptoms and experiences until they reach that level when ur comfy listening to them again. you’re pro neurotypical people, or those pretending to be for your comfort. its literally starting to border on an eugenics attitude by claiming the only healthy end goal is to be virtually indistinguishable from a neurotypical and match their functioning as best as possible. not all nd people Can do that, would be Happier doing that rather than accommodating their issues in other ways, and nor should that be the default goal to push on all nd people. also a lot of the shit yall push at us for even nts dont always conform to, so why is it us being made to walk on eggshells? why when i skip a shower am i evil and destructive but nt bob can go a week without one and no one bats an eye or they just joke about it???

lbr recovery doesnt look the same from person to person, you cant apply one broad standard like this, not to mention its not always an uphill battle, which doesnt just mean; ‘oops i relapsed :(((’. it means breakdowns, it means self harm, it means slacking off, failing hygiene, forgetting things, missing things, bad behavior, risky behavior, things that are Going to inconvenience you. and the second you forget that or decide to no longer care about those people, when you decide to have a baseline where you stop respecting or supporting nds for not trying hard enough to be like you, when you Drop them until they meet your standards as if they arent still nd people who need you on a basic level, ESPECIALLY IF YOU’RE A FUCKING NEUROTYPICAL WHO DOESNT HAVE THE RIGHT TO CHERRY PICK AT US LIKE THAT (!), is when you have inverted and ruined your own fucking cause by corrupting it with selfish conformist ableism.

tldr i understand why statements like ‘just go to therapy’ ‘thanks im cured’ would frustrate you, but i also VERY MUCH understand and NEED for you people to TRY and understand why mentally struggling people would be adverse to going to therapy, and not bc they goddamn hate recovery and wanna be sad forever or w/e strawman youve come up with, but bc of their issues which are valid and Can hinder these types of decisions and even affect how much aid these coping skills actually provide, and they dont deserve your fucking Unbridled Malice and Shame over it bc they are not literally trying to be more mentally ill. its simply a symptom and consequence of their already existing mental illness. like i really... cannot fathom the level of disconnect you must be on with nd politics to take that and assume they are truly just rejecting the possibility of happiness for the sake of being unhappy. i truly think if you cant wrap your head around ‘mentally ill people, whos minds are literally experiencing sickness, are not always rational or able to help themselves, or sometimes it only appears that way and they just know better abt it than you do’ you just. arent even an ally. you’re an ableist in activists clothing. people struggling with the concept of recovery arent inherently ‘anti recovery’, yall are honestly just really fucking BAD at how you push for recovery bc most of you dont know shit and are just mean and wanna whine abt nds to be quite blunt with u lol. the whole ‘tough love’ mindset is Bullshit ok it isnt real your love doesnt have to be tough and callous and come with conditions you just wanna be abrasive to validate ur judgement and then excuse it as secretly helpful, just be supportive and 📣 LISTEN 📣 to us or get the fuck out honestly bc u arent helping anyone with what this shit has unfortunately become

#tw ableism///#a little rambly but tldr i love the concept of pro recovery but oh my god if uckgin hate pro recovery people so much u are all so stupid #i keep waiting for you ppl to be less stupid and u never are #like mam are you pro recovery or are you anti visible mental illness. take a sec to ponder ill wait #long post #and for me its like. i dotn trust ppl who feel they have to clarify and say that why cant u just say ur a disability/mental illness ally #why cant you just say you support us. why cant you say you want us to be happy. why do you ahve to put #literally ALL of our value in your eyes on our recovery aka how far we can stray from being nd

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lifecftheparty · 5 years ago

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━ ☾ ✧･ﾟ “ he was full of light, in whom is no darkness at all”

ʻ / let me introduce you to a prized member of our environmental club , FAZIL IMANI . this CISMALE CANCER has been a student at our institution for 4 MONTHS and is currently a 21 year old JUNIOR. through the halls , he/him has/have always reminded me of aria shahghasemi , but there is always more than meets the eye , like the fact that he sells his dad’s pharmaceuticals to fund his own drug addiction . coral cape has made their future just as bright as their smile , i assure you . ʼ ( muse 15 , aubrie , 19, pst, she/her )

↪ *:･ﾟ✧*:･ﾟ✧ 𝕗𝕒𝕫𝕚𝕝 𝕟𝕒𝕫𝕖𝕖𝕞 𝕚𝕞𝕒𝕟𝕚

BASICS:

nicknames: fazi

pronouns: he/him

age & dob: july 14, 1998 ( 21 )

origin: carnegie hill, new york

nationality: american

ethnicity: iranian

fluent in: english, persian & a bit of arabic

occupation: drug dealer freelance artist

height: 5′11

sexual orientation: ???

major: biology & art

clubs: environmental club

↪ *:✧ background

trigger warning ! drugs, drug abuse, car accident, death

IMANI PHARMACEUTICALS ━ a name you MIGHT recognize from the side of your zoloft bottle. from benzodiazepines to amphetamines, they specialized in at all -- A GREAT EMPIRE, built off of other’s sorrows and fazil was happily perched next to the throne. a family portrait, four heads adorning a thin-lipped line -- not a smile in sight. and just by glance, you could tell the family meant business. a serious group, all doctors, all their own achievements; a glistening image of PERFECTION, if not for the taint they liked to call FAZIL.

he didn’t mean to be a fuck-up, but alas, his body was completed with error and corrupted by bad decisions. THE FIRST BEING ━ his art. an adorable skill, at first. though, like a flower, it started to blossom into more than a childish hobby, and that was when they tried to uproot it from the ground. oh, how his family DESPISED his art ; oh, how fazil despised his FAMILY -- it was a mutual passage of hate. really, painting was the only thing he had ever felt ambition for, otherwise a foreign feeling to the sullied son. he could care less about doctorate programs, but it was the path he was set on since birth -- a forced burden he could NEVER get rid of.

he lived to reject everything his family represented; the happy-go-lucky, irresponsible, reckless boy mirrored the solemn and dignified imani clan. taking to extremes to separate himself from those around him, he dived head first into the deep end. he began to get involved with drugs -- and lots of them. cocaine, xanax, morphine, you name it ━ all were party favors in the new york night life, those in which he was more than eager to dabble in. the feelings of euphoria that would shine down on him where storm clouds once reigned, the wide smile that would stretch across his face, and the body, that almost felt weightless. the highs they produced were those of which he could not experience on his own, and like a foolish wanderer, he followed them down a rabbit hole -- their effects so tantalizing even fazil could not resist. OF COURSE ━ he could stop if he wanted, but what happens when the bleary-eyed teen refuses himself paradise? shivers, aches, pain so sickening it would spew from his mouth. no matter how much he didn’t want to admit it, he couldn’t stay away. it held him in a choke-hold, ever-so slowly draining his life.

the result of making an already irresponsible boy forget the bounds of consequence? a totaled ferrari and a DEATH-- no, no, no, fazil wasn’t prepared for that. an unforeseen causality in the war with his family. god -- his family, how ENRAGED they were, his father noting that he had wished it was fazil that was the one lying lifeless on the ground. a plan had to be put into place, NOTHING could ruin this family’s image; not fazil, and definitely not a murder. a cover up was devised, could you be surprised? the imani’s were saturated with money, and with money, bought ignorance. and to save face, he was booted out to live with his brother in maine, and made to attend CAPE CORAL. nasty habits die hard though, and fazil’s fought back, refusing to lie dormant. no way could he be sober now, but how do you maintain your ever-growing addiction? WELL ━ it’s crazy what a last name and a forged signature can get you.

↪ *:✧ personality

on the outside fazil presents himself to be this happy-go-lucky, fun-loving guy. which, to an extent, he is. however especially since the accident he festers a LOT of shame, embarrassment, and remorse. he is so full of regret and it really does haunt him on how things went down.

as said, he has a lot of shame. not only for the accident, but also his addiction and how bad it is. he would absolutely hate anyone finding out about either of those, and would probably get really aggro with whoever did. especially if said person tried to take his drugs away or something of that nature?? would not be a happy camper.

speaking of, he cannot go without his drugs, and will literally do anything to obtain a high.

while he tries to reject his family, it does hurt him that he cannot appease them, insecure about the fact he really doesn’t live up to the family name.

on a happier note -- loves, loves, LOVES painting. really is one of the only positive things in his life, will gush on about it for days. if he shows you his art, he’d lowkey be so anxious for approval ( though he wouldn’t admit it ).

plant dad™ loves plants and the earth. if he sees you liter he WILL pummel you.

total flirt, has commitment issues and doesn’t realize it. kind of a fuck-boy but isn’t so brazen about...which is kind of worse?

in general, he’s a pretty laid back guy, doesn’t care too much about status. but really what you see is what you get, he will not let anyone past the front he puts on!

↪ *:✧ wanted connections

i want to say, first off, i am REALLY up for anything. pls feel free to throw any ideas my way i am sure we can work something out <3

best friend !! : someone that he just connects with more than everyone!! while he wouldn’t disclose much about his past, he’d probably let them in on more than he does with everyone else. and i mean lets be honest...there will be a point they find something out. imagine the angst....

someone he fools around with : i mean...im sorry he really is a fuckboy. he doesn’t mean to be though!! i think it’d be interesting to have someone he has a strong flirtationship with or something a little more ifyaknowwhatimsayin. i think it’d be cool for it eventually reach an unrequited love type of thing..whether that’s on his part or your muse. unless you just wanna keep it like they both kinda know what it is..and they’re both okay with leaving it like that. really up for whatever!

frenemies : yOU ALREADY KNOW!! the banter!!! the bickering!!! the annoying the hell out of each other!!! I WANT IT ALL

deep romantic connection : aka someone that really makes him tap into his feelings/emotions. really tests him as a person, and forces him to just really care?? this would be a slow burn thing but again....imagine the angst....

someone who knows/finds out about his secrets : this can tie into plots and doesn’t have to be just it’s own standalone ( if that makes sense ). but i think i’d really like someone just eventually figuring it out and kinda being like fazi ??? what are you doing ?? now this can come at an angle of concern OR maybe your character finds out somehow and hangs it over his head. I would also like to note that fazi came into the school randomly, showed up in the middle of the school year like nothing, and when asked about it he has a bullshit excuse. so mayhaps someone tries to really look into it and pesters him about it. and it makes him turn into the panic emoji

customer : someone he sells drugs to, which btw! would only be over the counter meds his father makes !! the harder drugs he buys himself for his own collection

anyhoot, that’s all i could think of rn but i’m sure i’ll add more in the future! and like i said, i am open to ANYTHING. please please hmu <3

#this was way too long i am sorry ;-;#about.#capecoral:intro #drug tw #drug abuse tw #death tw

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macgyvermedical · 6 years ago

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3-Quinuclidinyl Benzilate is My New Favorite Chemical Weapon, A “Mason+Cable+Choices” Medical Review

This episode. This freaking episode.

First of all, Charlie Robinson, who I really thought was going to stick around in this version of the series after he survived his first episode, had to go and become the instrument to someone else’s revenge scheme. We also got to see a relatively hard side of Mac in the interrogation room, and I’m not sure whether to applaud it as character development or feel like they’re going too dark.

From a medical and whump standpoint, this episode sure has a lot of things covered- the gunshot wound, the neck needle, the 3-quinuclidinyl benzilate poisoning (Yay!), the heart needle/antidote, and the toxic smoke. I'm warning you now, most of this review is about the 3-quinuclidinyl benzilate poisoning.

The Gunshot Wound

Honestly, there’s not a lot to be said about the gunshot wound- it was to the outside of Charlie’s thigh, so while it would have been painful and probably would have bled some (the duct tape wouldn’t have helped stop the bleeding) it probably wouldn’t have been enough to really threaten his life. If he hadn’t later plummeted to his death, he might have needed some antibiotics, professional medical attention, and physical therapy.

Neck Needles

Neck needles aren’t a thing, but I’ve talked about those in previous posts.

3-Quinuclidinyl Benzilate Poisoning

Oh hey look, we’re already at 3-quinuclidinyl benzilate poisoning! And fam? this is where I really did my research.

If you’ve been on this blog long enough you know I like my chemical weapons. Not in a “kill everyone” way but in more of a “strong academic interest I may one day write a thesis about” way. And man, do I love having access to an academic library again. Whoo buddy. This was fun.

In the episode, Mason uses a chemical weapon called 3-quinuclidinyl benzilate (also noted in the episode as “BZ”), smuggled in a false tooth, to subdue Mac before making his escape from the interrogation room. The tooth contains QNB in an aerosol form, which when released forms a visible cloud in the room. Mac breathes the aerosol, which appears to instantly paralyze or possibly sedate him, while Mason takes advantage of the small amount of uncontaminated air in Mac’s water bottle before making his escape up the air vent. A security team makes their way to Mac, Desi calls for a med team, and Mac is revived with an antidote delivered by a needle straight to his heart.

When someone mentions chemical weapons, most people think of mustard gas or nerve agents. But poisons designed to torture and kill people aren’t the only things that fall into the category of chemical weapons. In fact, there’s a whole class of them, called “incapacitants” that are specifically designed to take people out of commission without a high risk of death or permanent disability.

Let me just say, Jim Adler is a writer after my own heart. He wrote both this episode and “Mac+Fallout+Jack” and considering both were absolutely gut-wrenching and contained reasonable choices of incapacitating agents, I really, really appreciate what he’s done for the canon. He didn’t get everything right here (*cough cough* neck and heart needles *cough cough*), but he clearly understands enough about drugging people to buy some literary license. Not all of it, but some.

Now, as I’ve talked about in other posts, drugging people into unconsciousness isn’t a particularly safe thing to do. Unconscious people can’t protect their airway, and most drugs that render people unconscious significantly impact their respiratory rate, blood pressure, or both. Unless the party doing the drugging is prepared to devote at least one trained person to monitoring and management of the drugged individual, there’s a chance that person could suffocate and die. Paralytic agents have a lot of the same issues.

This becomes even more problematic if you’re trying to incapacitate multiple people. Case in point- in 2002 a small group of Chechan rebels held over a 1,000 Russian civilians hostage in a theater in Moscow. After several days, in order to end the stand-off, Russian military personnel used what was probably an aerosalized opioid* to render everyone in the building unconscious. They then stormed the building and rescued the hostages. Unfortunately, even though antidotes were available and used, about 1 out of every 10 hostages ended up dying due to the mass drugging, which didn’t win any PR points for the use of incapacitating agents.

But if you get just slightly more creative, sedation and paralysis are not the only two ways to drug enemy combatants into uselessness. Turns out, a variety of hallucinogens and deliriants can achieve the same goal without the same risk of death by suffocation. If you can get someone to a state where they can’t remember what they’re doing or perform basic skills like reading or decision making, they can’t easily attack and kill your own personnel.

This is where 3-quinuclidinyl benzilate, (NATO code BZ, US Army code EA-2277, Soviet code Substance 78, and usually referred to as “QNB” in medical circles) starts to stand out. QNB is a deliriant and hallucinogen. Now, there are lots of drugs that fall into these categories- think LSD, ketamine, PCP, and atropine to name a few. QNB works very similarly to atropine, by selectively blocking the action of the neurotransmitter acetylcholine (think the opposite of a nerve agent), but with significantly more of its action concentrated around the mind-altering side-effects. It’s also safer, hardier, more versatile, and has a more ideal onset and duration of action.

The typical course of incapacitation with QNB involves:

An initial period of progressively worsening anxiety, restlessness, and confusion

A period of extreme drowsiness

Finally, more confusion, an inability to perform simple tasks, difficulty with movement, hallucinations, and bizarre behaviors including picking at things, which all gradually wane over the course of 2-4 days.

Here are some reasons QNB stands out as a particularly effective incapacitant (and all the ways the episode ignored them):

The first is therapeutic index. A drug’s therapeutic index is the difference between its effective dose and it’s toxic dose. If we say a drug has a “narrow” therapeutic index, that means there’s a very small difference between an effective dose and a toxic one, while a “wide” therapeutic index means that the two doses are very different. When drugging someone without their knowledge, no matter how you’re delivering the drug, it’s really hard to estimate the actual ingested dose. Because of this, you want the widest possible range of effective-but-not-deadly doses you can have- the best drugs for mass druggings are those with the widest possible therapeutic indices.

QNB happens to have a very wide therapeutic index compared to other possibilities for incapacitants. The lowest effective dose is about 150 micrograms, while a toxic dose is more than 650 times that at about 100 miligrams. In small doses, the drug doesn’t last as long and causes more sedating vs delirious effect, but is still very useful in lowering the effectiveness of an enemy force.

The second is its options for route and availability in an environment. How any drug is given is referred to the route of administration. These can include:

PO (oral- taken as a pill or liquid)

IV (intravenous- injected into a vein)

IM (intramuscular- injected into a muscle)

SC (subcutaneous- injected into fat)

IO (intrasseous- injected into a bone in an emergency)

Inhaled (breathed and absorbed through blood vessels in the lungs)

PR (rectal- given rectally)

Transdermal (absorbed through the skin)

Most drugs work best when administered a certain way, and some may only be produced for use by a certain route. Some, like ketamine or LSD, can’t be absorbed in the stomach, so giving them orally doesn’t work (LSD “tabs” are actually absorbed through the mucous membrane in the mouth). QNB’s advantage is that it can be given by any route. You want to drug food or drink? It works. Aerosolize it and pump it into the air? Also works. Inject it IM, SC, or IV? Yes but you might have to answer some questions. Coat something like a doorknob? It goes through skin too!

QNB is particularly suited as an aerosol, not because it readily evaporates, but because it’s odorless. No one would even know they were breathing it until it started working, and even then, they might not know what happened. It also stays in the environment for a long time- up to several weeks depending on conditions- and can survive extreme heat without degrading, so it could be disbursed via explosive (LSD would not survive). Bottom line, everyone that came into that room to rescue Mac was contaminated, probably enough to cause them problems. Also, so was Mason, so take that as you will.

The third is the drug’s onset and duration of action. In the episode Mac is almost instantly incapacitated when the spray hits his face. This is not how any drug works (even via the IV route, the quickest-onset drugs still take at least 15-30 seconds to be felt), but particularly not QNB. QNB has an onset time of about an hour, no matter the route. This is actually beneficial to the drug’s original purpose- if no one shows symptoms from drugging with an odorless aerosol until an hour after exposure, there’s no way to take protective measures. Suddenly everyone’s hallucinating and can’t do basic math. Sucks for that attack plan you were working on.

The fourth and final benefit that QNB provides is both it’s lack of (specific) antidote and the fact that there are no lasting effects. Some people point to physostigmine as a possible antidote, but it’s not perfect and has some incapacitating side effects of its own. As incapacitation with QNB is generally not life threatening, it’s probably better for most people to be cared for in a safe place and ride out the effects. Since it’s also not a carcinogen or mutagen, once the effects subside, there shouldn’t be any additional problems.

Phew. Okay.

Heart Needles

I swear I’ve talked about heart needles before, but I’ll do it again since it hasn’t been recently. In the episode, Mac is injected with an antidote directly into his heart. Now, like we said before, using an antidote wouldn’t really help him much, and its not really necessary. He’s just gonna have to ride it out (I don’t make the rules...).

But they chose to do it, so we should talk about it- in the pre-CPR era, intracardiac injections represented the only way of getting emergency medications like epi to the heart in the case of cardiac arrest. As late as 1992, there were still some groups advocating for it if the patient was in asystole (flatline) and IV or IO access couldn’t be obtained. Mac has excellent veins if I do say so myself, and he also wasn’t coding, so there’s no reason for this to have been a thing in the episode. It’s also never used today.

Also, I’m going to be particularly disappointed if that was just a callback to the similarly inaccurate Pulp Fiction scene. Because this show has already used epi to counter an acetylcholine-based problem, and you already only get to do that once. EPINEPHRINE IS NOT AN ALL-PURPOSE ANTIDOTE.

Jim Adler based on your other work I have to assume you know better.

Also it’s late and I’m not talking about the toxic smoke. See my many posts on cyanide and some time in the future come read my post on carbon monoxide.

*According to the book Chemical Warfare: Secrets Almost Forgotten by James Ketchum, who did a lot of the initial research on chemical incapacitants. Other sources reference the drug used as anything from traditional nerve agents to QNB itself, but the onset times and symptoms initially reported seem to match up better with an opioid than QNB.

R E F E R E N C E S

Awl - X-Ray + Penny - Duct Tape + Jack - CD + Hoagie Foil - Guts + Fuel + Hope - Wilderness + Training + Survival - Father + Bride + Betrayal - Lidar + Rogues + Duty - Nightmares - Seeds + Permafrost + Feather - Friends + Enemies + Border -

#MacGyver #mason+cable+choices #chemical weapons #neck needles #heart needles

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