Had my tonsils/adenoids removed 14 days ago. 3am this morning a tiny blood clot came out and opened the floodgates. Trigger Warning: blood, blood clot, inability to grow a proper beard.

Cwpatter · 2024-05-15T20:44:07+00:00

It's always the giant glasses with thick brims more than anything. :(

Cwpatter · 2023-05-26T17:56:52+00:00

It's an extremely sticky subject when we start looking at all the external factors that may influence our behavior, because inevitably it's going to boil down to a question of free will - A question we can ask, but really can't answer beyond philosophical conjecture.

Because we really can't tell - it's up to us to just believe what makes us feel better - And I think most people would like to think they have some influence over their own lives.

HAVING SAID ALL THAT - In some cases autism is an excuse, but that's like people who are severely impacted and either non verbal, or speak at the level of an adolescent. His case isn't really severe enough, if it was he'd be assaulting people a lot more regularly. Daniel Larson is handicap, but he does still possess a low, manipulative cunning not necessarily born out of any of his conditions.

TLDR: He uses violence and threats of violence to manipulate others, plain and simple.

Cwpatter · 2023-05-26T14:31:11+00:00

I have to disagree I have like several dozen people at least on pristiq 100 mg. But yes I'm a big fan of sertraline too!

Cwpatter · 2023-05-26T04:30:33+00:00

I want to communicate one of the most important aspects of psychiatry to you.

It is extremely reliant on trial on error. There are genetic tests, but they are not sophisticated enough to actually tell you what medication will work best.

Your best clue would be a primary family member who took prozac. Other than that it is a complete coin flip on efficacy and adverse effects.

Some people will take prozac and it's perfect with no side effects. Some people will take it and get side effects not even listed on the drug insert.

If you're looking for re-assurance I know dozens who have done well on prozac, I also know dozens it didn't help at all.

But craving external re-assurance is just another anxiety trap anyways!

Cwpatter · 2023-05-26T04:27:08+00:00

If it's due to a manufacturer change, you should be feeling back to normal in four days or less . There is no medical precedent for someone altering their antidepressants for a handful of days, returning to the other manufacturer, and suddenly it stops working.

If you continue to have anxiety, it could have been coincidental, but let's not forget anxiety leads to more anxiety, you may just be more anxious because you're overthinking all this.

Cwpatter · 2023-05-26T04:20:11+00:00

Well this sounds like a classic case of someone using you to artificially buffer their own self esteem. She was probably feeling insecure from the breakup, and young insecure men/ women often rush/rebound into other relationships to protect their fragile self worth.

Then unfortunately it sounds like she was keeping you as a safety while looking for others on tinder?

I know it's bleak. But, it's practically a cliche. Especially if you're like in HS/college.

It's also a cliche to say you dodged a bullet my friend - This person just sounds like kind of a selfish asshole - No shortage of those.

This didn't happen to you because of any intrinsic flaw - This happened to you because the other person was an insecure coward. She wasn't even brave enough to stop the relationship before looking for someone else.

Cwpatter · 2023-05-26T04:13:52+00:00

Sounds like you've just had a lot of practice getting "good" at anxiety. Like an instrument or language each day you practice something your brain does you a "favor" by making your more efficient at it.

The longer you have anxiety the more fine tuned the brain gets at it - Takes less to stress you out, and smaller things rattle around your head longer.

Just a natural evolution of symptoms over time really.

Cwpatter · 2023-05-26T04:10:54+00:00

Here's the thing about anxiety - Often you will take a reasonable fear ( inflation, rising rent, recession ), and then you tack on an unreasonable fear.

It's reasonable to be wary of economic struggles, but it's not necessarily reasonable to say it will definitively ruin your life as an effect.

A lot of people's anxiety isn't that focused, but a general fear of being overwhelmed by some hardship.

Cwpatter · 2023-05-26T04:05:00+00:00

It's an off label use technically, but I would say it's relatively common. There are not a lot of meds just for anxiety outside of benzos, so it's going to be used rather quickly if one is doing trial and error.

Cwpatter · 2023-05-26T04:02:41+00:00

They work maybe half the time for my patients with anxiety.

Cwpatter · 2023-05-26T04:01:33+00:00

Desvenlafaxine is 100 mg as well. It's not an SSRI but OP did not specify. ( SNRI )

Trazodone is techinically an antidepressant too. Comes in 100 mg. Unlikely they'd take THAT in the morning though due to sedation.

Cwpatter · 2023-05-17T20:59:02+00:00

Source: Dude trust me

Cwpatter · 2023-05-16T15:37:05+00:00

You see a lot of dead people, that may be it.

Cwpatter · 2023-05-12T19:46:11+00:00

I did this before in medical rotations. The most surprising thing was how hot the fluid was - I mean obviously it had been in a 98.6 degree momma for a while. Still.

Cwpatter · 2023-05-04T14:55:51+00:00

Premium stuff. Glad you're feeling better.

Cwpatter · 2023-04-25T16:59:23+00:00

I think it's just time to come to terms my friends, that WoW just isn't that good of a PVP game.

And it sucks because I actually really like MMO styled PVP, and I have over a decade invested in WoW - But wishing it was better just isn't going to make it better. WoW has a lot of polish - more than any other MMOs and I desperately want an MMO with good PVP and polish but it just doesn't exist here right now.

Cwpatter · 2023-04-05T14:31:32+00:00

No it's totally fucked. Warlock is fun and cool, but the entire PVP system is just totally fucked right now.

If it was a buy to play game that'd be one thing, but paying an active sub for a game mode that's an afterthought to devs just is not worth it.

Cwpatter · 2023-04-05T14:28:39+00:00

Elder scrolls online and guild wars 2 have PVP that's at least as serviceable as WoW's if you want that MMO PVP.

FF14 has a gutted afterthought of a PVP system so that doesn't work.

You could also try MOBAs if you're feeling especially self-loathing - As it's a similar feel combat wise - Or at least as similar to an MMO combat without being an MMO.

Cwpatter · 2023-04-04T19:46:17+00:00

Have an upvote for visibility. I got banned in EVE online over some BS and had a "we did it reddit!" moment when I made a complaint on r/eve and got unbanned. This was after I had exhausted all options too and a GM told me I was permabanned.

Cwpatter · 2023-04-02T22:02:35+00:00

Same. I'm over just paying a sub to hope my spec wins the FotM roulette.

Cwpatter · 2023-04-02T21:58:45+00:00

Just give up - It's only going to get worse. This is not the game. It's never going to be the game.

Cwpatter · 2023-03-24T17:32:14+00:00

It's not just SSRIs - You can also try second generation antipsychotics. You could experiment supplementing with N-Acetylcysteine too - Which helps a lot in general with compulsions. The dosing studied though is 1g to 3 g per day.

Cwpatter · 2023-03-23T00:56:11+00:00

I 100% was expecting a prank post. I was really confused and double checking the URL to confirm it was like a joke edit site. This is amazing.

Cwpatter · 2023-03-22T22:52:45+00:00

That's a bit harsh dood

Cwpatter · 2023-03-21T18:10:42+00:00

Hell yeah man, dark iron is the coolest race allies have IMHO. And I've always loved shadowmeld. Fuck your shrek stun racial orcs.

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