24/7 complain zone

no projective identification please

[adaloveslace]

everything is going to hell this week but my lovely daughter just fell asleep in my lap without a fight. she is very good and just seeing her makes my life better

[socialistexan]

French-Iranian author Marjane Satrapi, author of 'Persepolis', dies of 'sadness' at 56

French-Iranian author and illustrator Marjane Satrapi, best known for the book and film “Persopolis”, has died of "sadness", members of her

This one hurt, her work had such a profound effect on my life, thoughts, and politics.

May her memory be a blessing

[adaloveslace]

i want to post usefully about some psychotherapy things and recent interesting organic psychosis presentations but im afraid everything in my life is happening at once (again) so useful posting will have to wait approximately 20-25 working days

[stillnaomi]

"the cruelty is the point"

*looks inside*

it's material interests and the dominant ideology that emerges from them shaping actions

[probuccalfat]

people will describe their incredibly nebulous sexuality to you that they’ve never been able to define and the whole time you’re thinking that sounds like bisexuality brother

[adaloveslace]

baby has been in bad form all day (slept badly last night after going to sleep early after a little but scary fall, also was probably too warm given the weather) but has been mollified by her grandmother being around to indulge her so has averaged out to an okay mood. im praying for an ok time with slightly early bedtime tonight bc i am exhausted and solo parenting until wednesday

[adaloveslace]

i went to see a play at the weekend and generally enjoyed the production, and the costumes were sort of between not great and really excellent - they fit the feeling of the piece quite well but there were a couple of moments where the fabric choice and quality was a little jarring (for a wilde play). anyway overall i liked it and today there was a piece on the costumes in the paper and im looking at this guy's illustrations - for some of the outfits that i really liked - and man they are just appalling. are costume fashion illustrations bad now? is that a general thing or just this one guy

[ape-of-naples]

you could call the way people tend to ascribe power to pornography that it does not inherently possess the "pornography fetish" if you want to be really confusing and annoying

[adaloveslace]

i sent an email i didn't want to send and now i would like to be exempt from doing the rest of the work i need to do today, please and thank you

[adaloveslace]

i'm in a moment where a lot of very good things are coming but are gated on things partly out of my control (banks understanding my working circumstances/the guy buying our apartment committing/finding an additional supervisor for my phd and getting programme approval) but these things come with financial and time constraints, in a time when i am already under substantial financial and time constraints (more commonly described as 'my lovely baby') and the fear caused by almost-realised desire is spoiling almost every part of my daily enjoyment right now

[adaloveslace]

ok i super absolutely do not have time to get into this but: nmda receptor encephalitis is a usually post-infective (or even from a tumour) nightmare autoimmune disease that causes psychosis. it's sort of well known in that it's like a classic med school gotcha question but it's fairly rare and lots of clinicians will not have seen it or only seen one or two cases. of the two patients i have been involved in the care of with it, one had a clear and established autoimmune disease at the time of onset so the pre-test probability was higher. there are several features of the presentation that make this a more likely diagnosis than a typical first ep of developing schizophrenia - sudden onset with no prodrome, seizures and other neurological symptoms, autonomic instability - but given the low base rate it does get missed. in most cases the result of that is not like the awakenings picture that makes a good public interest piece - the patient will continue to acutely deteriorate and ends up on a medical rather than psychiatric ward abd is eventually treated (though of course, time is brain).

the other pieces are much less clear cut - we don't know the mechanism of the doxy piece, for example - it's not as straightforward as saying it's reading an infection, as doxycycline has weird properties: https://pubmed.ncbi.nlm.nih.gov/36843128/ it may itself be serving a neuroprotective function here.

the mcas/other nonspecific inflammatory process stuff is messy because it's been kind-of known for some time, in things like pandas or post-gastro eating disorders. the issue with this is mainly that it's not a neat single mechanism - likely there are several different processes here (this a unsurprising as it reflects the overall genetic picture for mental illness anyway). most of the severe ocd we see in practice has a - forgive me - 'organic' feel, and this is probably the disorder i'm most convinced could be prevented or treated effectively at this level for many patients

i don't say this to be discouraging - i personally agree that the nutrition aspects are low hanging fruit with few downsides and have several times voiced my opinion that we should be doing more baseline physical investigation, which i fortunately am in a position to argue for every day in my current role - but to be clear that the miracle cure antihistamine/etc that works for one person is unlikely to have a similar effect for any given person with a similar mental health complaint

[creekfiend]

How autoimmune conditions can unexpectedly drive mental illness

Antibodies mistakenly attacking the brain are linked with conditions including schizophrenia, dementia and OCD, prompting a revolution in ho

it may interest some of you to know that there is likely an autoimmune/inflammation component of many mental illnesses that we do not fully understand yet. the immune system and the nervous system are very connected both to each other and to all our other systems in ways that, again, we do not fully understand

reminder that psychology is both a very new and also a very SOFT science. if someone in psych is confidently positing that science understands the way the brain functions and malfunctions, they don't know enough to know how little they know. we do NOT understand the brain like we act like we do.

[newreputations]

Mary Had Schizophrenia—Then Suddenly She Didn’t

Some psychiatric patients may actually have treatable autoimmune conditions. But what happens to the newly sane?

An additional article about this subject that also goes into life after experiencing these kinds of mental illnesses and its effects on the family.

[3liza]

Mast cell activation syndrome (MCAS) is an immune disease with an estimated prevalence of 17%. Mast cell chemical mediators lead to heteroge

"Daily hydroxyzine at a dose of 25 mg was initiated and increased to twice a day, along with 10 mg cetirizine daily. The patient reported significant improvement and near complete resolution of both her phobia of blood and obsessive–compulsive thoughts and rituals."

Doxycycline Use in Adolescent Psychiatric Patients and Risk of Schizophrenia: An Emulated Target Trial - PubMed

These findings raise the tentative but exciting possibility that doxycycline treatment may reduce schizophrenia risk in adolescent psychiatr

at this point, if i were a practicing physician or psychiatrist, i would give every patient that reported idiopathic and treatment resistant syndromes of this type a modestly-dosed magnesium pill, a vitamin c pill, famotidine and ceterizine for a month before trying anything else. i am going to say with confidence we will see a big swing back towards "actual real physical etiologies have been abandoned in favor of a purely psychological-traumagenic and individualist theory of mental illness and its treatment and this was a mistake".

obviously mental illness is real and exists, and it often responds to psychoactive medication, im not debating that. im saying there are also a lot of diagnosed-crazy people (not everyone!) including myself who are walking around with mast cell disorders, collagen disorders, occult infections and basic vitamin deficiencies which are, if not entirely responsible for the mood/personality/cognitive disorder, making things a lot worse.

[adaloveslace]

there's a few things being conflated in this thread that aren't quite equivalent and that case series is written by people whose private financial interest is mixed up in this - that's not a 'this hasn't happened' but just a caution on the evidence - but i know the first and final authors of that doxy paper and am low key obsessed with it

[adaloveslace]

got this presentation in half an hour. might be sick. wish me luck

[adaloveslace]

ok its done and im home and have had my little tizz and dealt with a convenient extremely distracting clinical call. im still vaguely annoyed by one interviewer but have to concede that the others were extremely kind and helpful and that overall the concerns raised were reasonable, except that it kind of sounds like they want me to change my proposal to involve me doing some of my own data collection which i extremely super do not want to in any way do

[retroactivebakeries]

this company is, somehow, not a thing I made up for a bit

[adaloveslace]

got this presentation in half an hour. might be sick. wish me luck

[adaloveslace]

see also opinions about school from someone who attended both good and bad schools

[elftwink]

theres a phenomenon that happens on here i have been calling "normalize loving parents posting" which is when you spend a lot of time on tumblr and are exposed to a lot of one specific counter-cultural narrative day in and day out until you start to forget what the dominant ideas are for most of the human population and thus feel the need to "defend" things that are widely accepted and popular. it's called this because of the time a bunch of text posts about shitty dads were circulating and then people with good relationships with their dad didn't feel included enough and started making "uhmmm can we normalize loving parents? not everyone has a deadbeat dad, MY dad is great" type posts, seemingly forgetting that good relationship with dad is a cultural norm that is expected and encouraged. i think its good practice, especially when im annoyed, to stop before i hit the post button and ask myself if this is a real issue or if im normalize loving parents posting. because often im about to try to normalize loving parents

[elftwink]

common examples of normalize loving parents posting:

support women who shave their legs and wear makeup every day

let's hear it for masculine men

reminder that two people of the same gender can have a close platonic relationship!! not everything is gay!!

skinny shaming is hurtful too guys

does anyone else think [ironic kink du jour] is strange and freaky and gross?

saluting our bravest warriors who aren't afraid to stand up and advocate for the status quo

[adaloveslace]

have to remind myself of this phenomenon every time i see a post that induces the desire to post about the positives of having children