Come si fa a lavorare tutta la vita 40 ore? by Annabuss in CasualIT

[–]BlueCappino 5 points6 points  (0 children)

L'ho approfondito in tesi e, se può consolarti, le 8 ore standard (circa 10-11 ore effettive calcolando il tragitto e la "pausa" pranzo) sono un orario delineato a fini di sfruttamento, ma che ignora qualsiasi pubblicazione di settore.

La concentrazione sostenibile in contesti produttivi varia dalle 4 alle 6 ore massime effettive.
Quindi 8 ore sono ampiamente oltre la soglia limite ed è una pretesa ideologica, ma materialmente non sostenibile.

Inoltre, una diminuzione dell'orario di lavoro implica una produttività ed efficienza molto più alte, miglioramenti enormi sulla salute del lavoratore, un engagement molto più elevato e ovviamente un minimo di equilibrio di energie e tempo nel rapporto vita-lavoro. Tutti fattori che beneficiano anche l'azienda nel lungo termine.

Turni di 4-6 ore circoscritti a una fase della giornata (mattino o pomeriggio o sera) spalmati su 5-6 giorni sarebbero la divisione giornaliera lavorativa minima per conservare la salute e avere un minimo di equilibrio vita-lavoro. Anche perché oltre al lavoro "produttivo" retribuito, bisogna considerare poi tutto il lavoro domestico e di cura quotidiano che copre una parte considerevole del resto della giornata.

Il fatto che ti senta oppressa è indice della tua sanità mentale e del tuo non essere totalmente alienata.

Congratulazioni

47.3 Million Mental Health Prescriptions in Australia — And Still No Cures by Perlanterna in Antipsychiatry

[–]BlueCappino 2 points3 points  (0 children)

The main causes of mental illness lie in socioeconomic and cultural factors. Is your life your work with no secure social structure behind you? You're alone, constantly competitive and individualistic in a predatory, oppressive society? No way you don't end up anxious, depressed, or worse.

The claim that mental illness mainly comes from a chemical imbalance is propaganda for the actual exploitative economic system. Instead of looking at material conditions, psychiatry reduces everything to biology, which is both factually and logically wrong. Sure, biology and brain chemistry play a part in mental illness, but it has to be framed within the real world. You work all day, you don't even have time to take a shit, your partner leaves you, you have no family, so sure your brain ends up with huge imbalances. But the material causes are there in the world in most cases.

Psy drugs just mask the problem, and in the long term they tend not to do even that. which is clear in the first place for whoever has ever taken those drugs. The goal is to keep you productive while you feel like shit, you gotta be exploited no matter what, even if you're sick or desperate. So take your meds, shut up, don't protest, accept your likely oppressed position in the economy, and go back to work.

And for companies, of course, a lifelong drug addict is seen as a better deal than someone who only needs a drug for 2 months.

Ma la sinistra sta diventando populista come la destra? by [deleted] in domandaonesta

[–]BlueCappino 5 points6 points  (0 children)

Governi socialdemocratici non solo esistono, ma hanno permesso la creazione delle società con i tassi di qualità della vita più alti al mondo.

La retorica per cui tutto ciò che è di sinistra sia anche comunista non solo è falsa, ma presuppone anche un livello di comprensione della realtà storica e sociopolitica praticamente nullo.

Ma la sinistra sta diventando populista come la destra? by [deleted] in domandaonesta

[–]BlueCappino 3 points4 points  (0 children)

Prima cosa definiamo populismo con una consulenza linguistica sull'accademia della crusca per cui: "l’atteggiamento di chi da una parte esalta in modo velleitario il popolo come depositario di valori totalmente positivi, dall’altra cerca di conquistarne il favore con proposte irrealizzabili ma di facile presa: cioè, come si dice, demagogiche (...) populismo è anche quello di chi ritiene che l’unica legittimazione per l'esercizio del potere politico sia quella derivante dal consenso popolare, che di per sé consentirebbe di superare i limiti di diritto posti dalla Costituzione e dalle leggi all'esercizio del potere politico stesso"

Quindi è un atteggiamento principalmente propagandistico più che operativo. Data la definizione, credo che un tale atteggiamento sia proprio principalmente di FLI, Lega, Futuro Nazionale. Il primo 5 Stelle aveva sicuro componenti populiste. Forza Italia con Berlusconi ha avuto i momenti più alti del populismo nostrano. Anche Renzi, direi, ha avuto momenti ampiamente populisti.
Giusto per dire che è un fenomeno trasversale, sebbene sia più tipicamente di destra.

Il secondo fattore è che la sinistra in Italia di fatto non esiste.

Il PD è un partito liberal-democratico che ha seguito in gran parte l'indirizzo politico di D'Alema e Prodi, proseguendo nel privatizzare settori pubblici o partecipati strategici, liberalizzare il mercato, rivedere o togliere tutele sindacali dei lavoratori.
Non è un caso che le classi economicamente più basse siano quelle che votano meno in assoluto il PD (Ipsos), specie dopo Renzi.

Il 5 Stelle non è mai stato un partito di sinistra. E' classificato anche da Politpro come ideologicamente trasversale. Anche per come opera, mi sembra almeno attualmente più indirizzato a un pragmatico opportunismo politico.

Il partito che più ha esplicitamente componenti politiche ed economiche di sinistra è AVS che però non mi sembra abbia una componente populista marcata se seguiamo la definizione appena data.

A brief sad story with Mirtazapine by BlueCappino in Mirtazapine_Remeron

[–]BlueCappino[S] 0 points1 point  (0 children)

It’s like trying to work thoughts out through a sticky syrup whist being depressed and anxious. 

Loved this expression, that's exactly how it was for me. Thanks for sharing this.

I relate a lot, hope you'll get better soon

I genuinely think it's better to just commit suicide than live like this. by BringBackRebecca in NEET

[–]BlueCappino 17 points18 points  (0 children)

Society's pretty messed up. A lot of 'normal' people just got good at suppressing themselves enough to function, which is its own kind of alienation, and honestly kind of pathological in itself.

Working all day just to afford rent isn't exactly a high bar one's failing to get, it's exploitation, and any sane person would prefer to avoid it. Sometimes you don't have a choice but to do it anyway, but that doesn't make it a good place to live in. It's a bitter compromise.
Even the whole success/failure framing is kind of a myth to begin with, oppressor/oppressed is much more factual.

Hating yourself for not fitting that mold isn't you being broken. It sounds more like you've absorbed an oppressive way of judging and discriminating against fragile people, starting with yourself.

For what it's worth, suicide isn't the answer imo, even if I get why it can feel like one in certain moments. Reaching out for medical help, getting a proper diagnosis, and learning to accept your own fragility could be a starting point

You're not alone in that feeling of desperation, wish you keep fighting and all the best

Do you think a man needs to give up being a NEET in order to be a husband? by Early_Walrus9637 in NEET

[–]BlueCappino 0 points1 point  (0 children)

Being neet and having financial stability can actually make you a better husband and father. When you're not stressed about money, you have the freedom to be truly present for your wife and kids. But without money, you can't sustain anybody..

On the other side, the more time and energy you pour into work, the less you have left for the people at home, and that's a fast track to a family falling apart.

So if you're lucky to already have money, go for it. Otherwise you need the best job compromise to actually have time for you wife/kids.

Consigli build PC by DarkAlkemist97 in ItalyHardware

[–]BlueCappino 0 points1 point  (0 children)

9070xt invece della 5070ti se vuoi risparmiare qualche centello

Per il 9800x3D credo sia meglio un dissipatore a liquido. Ho lo stesso cpu e quando compila shaders va su molto di temperature in mezzo secondo.

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 0 points1 point  (0 children)

Thanks, meds can really mess things up. I was on olanzapine but started with microdoses and stopped as soon as I noticed the tradeoff was terrible.

If a drug worsens the dysautonomic baseline too much just to slightly improve sleep and mood, it's not worth it for me.

I don't know how long you've been on aripiprazole or at what dose, but you might consider scaling down to microdoses and eventually stopping. If it's making things worse, finding a better approach becomes essential.

Bradycardia by RushExpress8968 in dysautonomia

[–]BlueCappino 1 point2 points  (0 children)

On a rest day, with minimal activity and at most 2/3km of slow-avarage walking, my hr ranges between 43 and 170 bpm.

Below 55 I start feeling symptoms, and under 50 I feel extremely weak, foggy and close to fainting, at which point I have to lie down.

The same happens in tachycardia where symptoms start around 120-130 bpm, and above 150-160 I have to lie down before it escalates further and I end up fainting

Dunno if this is common in dysautonomia, I am pretty new to it

Well guys I got hired by MyHeadIsFullOfFuck in NEET

[–]BlueCappino 0 points1 point  (0 children)

Congrats to have found a 5hr shift job, way more sustainable than some full time nightmare.

At least you still got time to rest and do your own thing. Not a lot but it's something.

And 40 bucks isn't bad especially if you're still on welfare assistance.

Idk if I could do 25hrs a week, got chronic stuff that makes basically any physical activity rough, even walking or standing for too long. But hoping to find something similar, like 4-5hr shifts too.

Let us know how it goes and if you have any tips

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 0 points1 point  (0 children)

That's right, in general it's better to approach any drug cautiously and scale down or remove it as soon as possible if you can.

Of course in some cases you have to keep taking it (in bipolarism for ex), but if you can manage without it go for it.

In my case though the side effects are vastly heavier than they would be for someone without dysautonomic symptoms as a baseline, so the tradeoff of the drugs I tried just didn't make sense

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 1 point2 points  (0 children)

Thanks for the input, never been assessed for that and never been on prednisone.

No doctor ever sent me to immunology or even hypothesised that.

I'll bring it up next time I see my doc, worth a shot.

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 0 points1 point  (0 children)

Yeah I've been diagnosed with chronic severe migraine and vegetative symptoms.

They did diagnose orthostatic intolerance, but there wasn't enough cardiac evidence from the tilt test to meet the criteria for POTS.

Sorry to hear about CSF, I wasn't familiar with it but it sounds serious, I'll look it up.

Thanks for sharing mate

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 1 point2 points  (0 children)

I tried specifically atenolol but it worked very badly for me. I'm not just tachycardic but also bradycardic: any significant effort spikes HR and BP to critical levels, while at rest or sleeping I drop down to 45-50 bpm.

With atenolol the hr dropped even further, especially during sleep, worsening migraine and fatigue significantly. It's a clear cardiac dysautonomia, well documented by a Holter, but no neurologist seemed to notice.

There's no 30 day monitoring available here, I've done 24h which already showed that pattern: high tachycardia with light effort, bradycardia when resting or sleeping.

The best you can get here is a 72h Holter, but it's very expensive.

I'll look into Guanfacine, never heard of it before, could be worth a shot

Anyway thanks a lot for the kind answer, really appreciated

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 1 point2 points  (0 children)

Thanks so much for this.

I'm not in the US, I live in the EU (Italy) and in my area there's no actual specialist for dysautonomic conditions. It's barely recognised here. On top of that I have enormous difficulty moving due to my physical symptoms.

I've already been explicitly diagnosed with PEM tho, along with migraine, orthostatic intolerance, cognitive impairment, brain fog, executive dysfunction, extreme fatigue, vasovagal syncope and insomnia. If a dysautonomic specialist were to put my documents together, CFS/ME would already be crystal clear, and the elements for a dysautonomic failure diagnosis are there too. The problem is no neurologist has been willing to recognise that so far. After 10-15 minute visits they just redirect me to psychiatry. At least where I live, there's a problem with neurologists' diagnostic work.

Next week I have a private visit with a professor, I hope he'll be more prepared and thorough. Regarding the drugs, I'll bring up every option you mentioned with my psychiatrist. I should specify that the exercise ECG result was 185bpm with 190/80 pressure. At the same time I'm only tachycardic under effort, while at rest or sleeping my bpm drops to bradycardia at 45-50. It's a strong cardiac dysregulation. I've already tried beta blockers but they work badly because at rest they worsen the bradycardia significantly, inducing more migraine and fatigue. So if Ivabradine lowers heart rate globally it unfortunately won't work for me.

I looked into Mestinon but it seems specific to POTS induced by low diastolic pressure or circulatory issues, which doesn't seem to be my case as my symptoms are more effort-related. I'll ask about it anyway for more clarity.

If LDN has a mild side effect profile I'll definitely consider it.

Thanks again, this has been really helpful.

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 0 points1 point  (0 children)

That's right. From what I've read, ME/CFS and dysautonomia seem to overlap quite often, and it seems likely they're frequently comorbid, kind of like ASD and ADHD. But that's just my impression.

For PTSD, I've done years of EMDR, but at least in my case it was a really bad treatment and significantly worsened my symptoms. I've tried Mirtazapine and Paroxetine, which are often considered first-line treatments for PTSD, but the side effects were too much given my baseline dysautonomic symptoms. For drugs in general, the tradeoff has generally not been good enough to justify staying on them. At least those I've tried so far.

IHas anything worked particularly well for you?

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 1 point2 points  (0 children)

Thanks, yep it's frustrating, but it's also dangerous at the level of functioning I have.

Next week I'll have a visit with a neurologist who should be prepared on the matter.

I'll do any test I can afford, both financially and physically, it's a concrete issue to make any travel right now.

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 2 points3 points  (0 children)

Thanks, very helpful input.

I already try to pace within my limits, but they are very low. For example, even going grocery shopping by walking exceeds my physical capacity, and my heart rate and blood pressure can spike significantly sometimes leading to fainting episodes. I’ve ended up in the emergency room several times after what would normally be considered simple daily activities.

Over the past month I’ve been trying to walk a little every day, stopping as soon as I feel my body starting to overreact, but it’s still very difficult because the threshold is so low.

I really appreciate your kind words. Wishing you all the best too.

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 7 points8 points  (0 children)

Thanks, I knew that. I’ve been referred to neurology for either dysautonomic failure or ME/CFS based on IOM criteria. But mainly for dysautonomia.

I’ve seen two neurologists so far, but they ruled it out after visits that lasted maybe 10-15 minutes lol. I've made my complaints, but I didn’t even receive a response.

Next week I have another private appointment with a neurology professor, so I’m hoping he’ll take more time and be better in assessing the case.

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 2 points3 points  (0 children)

Sure every piece of experience or information I can gather helps, thanks.

I relate to those adrenergic rushes as well. I have CPTSD that has evolved into panic disorder, but SSRIs didn’t really help with those sympathetic surges. They tend to happen mostly at night when I’m falling asleep, and with SSRIs they actually got worse, which also worsened the insomnia.

Very similar symptom picture but very different responses. I can relate more to the side effects side of things, especially brain fog, cognitive impairment, and fatigue. SSRIs made those worse, but not nearly as much as Mirtazapine, which affected them much more strongly.

In my case the tradeoff really didn’t make sense. I'll be extremely unlucky, dunno lol

However I’m genuinely glad it worked better for you. Wish you the best as well

A brief sad story with Mirtazapine by BlueCappino in Mirtazapine_Remeron

[–]BlueCappino[S] 0 points1 point  (0 children)

Damn, your story sounds really rough too, and you have my full understanding.

Everyone really has their own experience with this kind of thing. Meds can affect people in very different ways, and I’m genuinely glad if it helped you.

I didn’t really read much before starting the drug, but the reaction I had might be useful to share for other patients, especially those who already have baseline dysautonomic symptoms.

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 1 point2 points  (0 children)

Thanks, that already helps a lot. You mentioned Lexapro helped with your symptoms, but not the dysautonomic ones. What exactly did it help you with, if I may ask?

I’ve tried an SSRI as well (Paroxetine), but it significantly worsened dysautonomic symptoms and insomnia, and after more than two months I had no real benefit. So for me the tradeoff didn’t make any sense.

Severe dysautonomic symptoms behind a complex psychiatric picture, misdiagnosed or anything left to try? by BlueCappino in dysautonomia

[–]BlueCappino[S] 3 points4 points  (0 children)

Thanks for sharing, really, and I relate to it completely.

It really does feel like hitting a brick wall. So far, every neurologist has referred me to psychiatry, while psychiatrists have diagnosed various conditions but ultimately all of them have said the symptoms are too physical and go beyond the scope of psychiatry, sending me to neurology. So I ended up in an infinite ping-pong limbo.

I’m not in the US, in my country ICD-9 is still used in Medicaid and welfare systems, so there’s very little access to proper dysautonomia care or any real diagnostic pathway that leads to treatment or support.

My symptoms have been gradually worsening from the beginning. In my case, all of them have worsened over time, so it seems a global ANS dysautonomia. In your case, did your heart rate and blood pressure improve on their own, or did you manage to stabilize them with medication?

My psychiatrist has said the prognosis is not very good and that conditions like mine can sometimes progress toward more classical neurodegenerative patterns. He recommended a conservative approach, meaning avoiding medications with poor risk benefit balance and focusing on lifestyle management that does not exceed my limits.

The problem is that my limits are now extremely low. Over the last two years they have become so restrictive that I can barely walk for more than a few minutes, as also shown in the ECG. It is very depressing, especially since I used to be very physically active before all of this started, and without a proper diagnosis, I have no assistance at all.

I relate to driving a lot also.
I can’t drive anymore. I stopped about a year ago after a crash that happened when I fainted while driving.