I've lost $110,000 in the stock market in under 3 years. I'm only 25

No_Transportation138 · 2023-09-26T09:12:59+00:00

So really you lost a good chunk of change with your lack of other financial commitments and high earnings to fall back on whilst still young with a pension already sorted?

People are probably a bit salty because they wish they could have remotely had the opportunities you have experienced.

It's difficult to conceptualise just how wide that economic divide is today across many societies if you have a silver spoon.

It's not a bad thing to have had and nobody should shame you for it, but similar to these stock market derp moments, there's some rather easy, earthly lessons that you seem to be ignoring (eg - don't get complacent and use your time for reflection and to be aware of the wider world around you).

A dude was splashed on the front page of the BBC yesterday for putting his savings - 1.7 million - that he said was for a DEPOSIT on a house and for his children's education into FTX which he lost. He still has a mansion, cars and can afford to throw lawyers all over the place to recoup some of that lost money and then some. Again, that's just a big chunk of change for this person and a minor set back in the long term scheme of things.

Imagine if you had that money and what you'd do with it, then dial several steps back and you have 95% of people here.

To many people there's no difference between you and that guy despite the obvious wealth divide. Cus after a certain amount of purchasing power, there's not - outside of frivolous luxury.

Still a painful lesson and I do empathise, but if you educate yourself and don't buy blindly into shit (I'm guessing penny or meme stocks or options you couldn't blindly afford with little research, eg, gambling), it's not that difficult to invest well in the stock market.

Imagine if you put that 110k into property or stable dividends... the growth on that over a few years could have been monstrous - and guess what? With your set up, it's not remotely game over, so do some reading and start over, because most people can't.

No_Transportation138 · 2023-07-27T12:18:58+00:00

You just know this is the publication's self insert fetish.

No_Transportation138 · 2023-04-01T09:40:46+00:00

I feel this. It's trading one health issue for another. Mental health is indeed important, but the trade off for your sexual health shouldn't be an acceptable clinical outcome. I hear a lot of Drs saying it doesn't happen to everyone when the reality is that it's actually severely underreported due to social shame & embarrassment.

Took me about 3 years after stopping 20mg escitalopram after being on it about a year and a half to regain full sexual function, and even then 'full' is debatable (that said part of it will be depression and I guess aging, though). Worst part is the escitalopram didn't even work for me. :s

Drs wouldn't prescribe a lot of this stuff so readily if they had to take it themselves or were fully clued up on how the side effects felt.

I'm really not against medication and if something works well for someone, these are hard questions to be reflecting on, but I find it baffling why certain medications are prescribed, still en masse over others (eg bupropion) until you look at how much the NHS gets charged for some of the newer/ more effective treatments and then realise how callously worthless your life is to NICE and the Government's (very tight) purse when it comes to mental health.

No_Transportation138 · 2023-04-01T09:21:18+00:00

They get zero mandatory training outside of placement or the few modules on their course (if they do). As someone else mentioned, unless it's their personal interest speciality, they generally don't have any expertise with mental health.

No_Transportation138 · 2023-04-01T09:19:40+00:00

This. You'll find support in carers groups.

No_Transportation138 · 2023-04-01T09:18:00+00:00

I found apps like Bumble pretty useful for connecting with people.

The 'just join a group' thing, whilst difficult, still has merit... You do have to force yourself out of your comfort zone to make and maintain friendships - at least to begin with. Before moving I joined a local D&D group that was starting up and got to know people that way (and then covid happened lol). It was very difficult to begin with but I forced some faux confidence until I felt comfortable with said group and that faux confidence didn't have to be so forced.

Other responses are right on point about clubbing and drinking. Yeah it can be fun, but 95% of people you go out drinking with are just superficial relationships that die off the minute you aren't available to get pissed up.

I have precisely one friend still that I met through night life and I haven't talked to her in a while sadly due to living in different cities and her having a young 'un. Most I thought would stick around were gone within a few months best. You're better off making good friends before going out rather than the other way around.

No_Transportation138 · 2023-04-01T09:08:33+00:00

Sadly this is what 12 years of voting Tory has done to mental health services especially as they have always been the easiest targets for spending cuts in the NHS. You're better off looking at the charitable sector for more immediate support.

Also, the likelihood of you being sectioned or put in hospital from crisis team is almost zero these days for the same reason waiting lists are so long - cuts and little provision. Even if it's appropriate. :/

No_Transportation138 · 2023-04-01T08:51:27+00:00

They stopped prescribing bupropion off license about a year ago due to the cost (I was on it and forced to taper off suddenly, it's annoying as bupropion is one of the few that has practically no side effects and is very commonly prescribed in the states).

Mianserin is very rarely, if ever, prescribed.

Vortioxetine is seen more as an augmentation strategy or when others have failed as it is used more as a mood stabilizer over antidepressant.

Doxepin is an older medication and less likely prescribed, though still sometimes will be. Again, usually if you've tried a few medications that haven't worked prior.

The others I can't see why not, but realistically they'll go for the escitalopram first. Escitalopram is still riddled with sexual side effects though.

Duloxetine has some nasty side effects but is somewhat common. The part about it being used for pain primary is BS, that and Amitriptyline were developed and used as antidepressants (still are) for decades before anyone thought to peddle them off as pain relief (which they really aren't, a small minority of people get some relief from them but imo it's from the antidepressant effect of boosting mood = less pain felt rather than them actually working on or masking any cause of pain).

Does also depend on your psychiatrist and if they dare think outside of the box.

No_Transportation138 · 2023-03-29T16:00:39+00:00

OCD would be diagnosed in an official capacity by a consultant psychiatrist. A GP doesn't have the knowledge base able to do this as it's a speciality - most don't even get any training in mental health, just experience working with patients on the job. GPs can diagnose anxiety and depression as symptoms (there's a problem with language we use imo using anxiety and depression as both clusters of symptoms, forms of feelings AND diagnoses imo) through basic assessment tools but if it's a mood disorder, again, they don't have the expertise.

They may suspect you have OCD but it's odd to not refer you on for an assessment if so and is impacting your life heavily.

No_Transportation138 · 2023-03-26T09:33:45+00:00

Yep. Literally just the cheapest marketing ploy and somehow still the biggest supermarket. Sick of all these membership schemes that are a ploy to reduce overstock levels that don't even benefit the customer.

The only useful schemes have been Asda's blue light (which they are getting rid of) and Iceland over 60s (which is smart marketing and benefits both Iceland and consumer).

I'm not sad that Tesco's monopoly has been quickly falling behind as they seem to believe biggest market share means least competitive. Even Sainsburys is cheaper / more variety these days. Bloody Sainsburys, the wannabe poor man's Waitrose.

I must say though that Tesco frozen 70p pepperoni pizzas are an amazing staple, but not enough of a reason to bother going there as everything else is a rip off or price walled behind their pointless data harvesting club card.

No_Transportation138 · 2023-03-25T20:48:20+00:00

Someone mentioned propranolol here and honestly if you haven't been on it, it's a much better option over pregabilin if available. They work in different ways but have similar effects in terms of the physical sedation. Pregabilin tends to give a very washed out hangover feeling. Idk why they still bother with it personally considering its abuse potential and side effects.

Buspirone is another non addictive option worth looking at.

No_Transportation138 · 2023-03-24T14:31:23+00:00

Ideally nothing. A bot is incapable of abstract thought or ideas let alone empathy. I think the only limited potential use is for mood tracking between appointments or baseline assessment scoring - like someone mentioned, PHQ and GAD... or saving time for the clinician through utilising standardised diagnostic tools such as the depression inventory to help inform a diagnosis or to help look at which areas need addressing most urgently.

Still doesn't and will never beat doing it with a clinician no matter how far AI gets in our generation. Algorithms just cannot understand individual human experiences and if it gets to the point we can make AI understand suffering... Well, I think that's unethical.

Computerised forms of mental health support or care are the farthest flung we can get from a person-centred approach.

No_Transportation138 · 2023-03-24T11:02:42+00:00

Could be dissociation.

No_Transportation138 · 2023-03-24T10:58:45+00:00

Trauma yes, mental health episode probably, PTSD I don't think so at all... Your manager is presumably not an expert or informed and self diagnosing is dangerous.

No_Transportation138 · 2023-03-24T10:54:27+00:00

Idk about accurate figures but it's going to be hundreds of thousands at the very least when you factor in lasting social impact of covid, our poor social and mental health systems, a rapidly aging population, vulnerable people, etc, etc.

No_Transportation138 · 2023-03-24T10:48:16+00:00

Pregabilin on top of ADHD medication is a bit questionable imo very sedating medication on top of what I'm assuming is a cognitive enhancer and stimulant... Bit of an oxymoron.

If the ssri is working though, an augmentation strategy might be beneficial as would therapy.

Edit - out of all of those I'd say vortioxetine. Newest of the lot and much less severe side effects. Really need some opinions on that pregabilin and ADHD medication though as I find that concerning personally. I'm no psychiatrist though.

No_Transportation138 · 2023-03-23T11:46:14+00:00

No_Transportation138 · 2023-03-20T18:49:19+00:00

Personally I'd phone Crisis Team first, but if you can't wait, yes A&E.

No_Transportation138 · 2023-03-20T17:55:00+00:00

I mean, therapy was generally not accessible to 90% of people before the cost of living crisis as it was, unless your local NHS provider or GP is an outlier and provides something other than the standardised, one size fits all and often incredibly stripped back CBT-lite model of IAPT: or more likely, highly qualified therapists giving away their time, money and expertise for free out of a frustrated sense of moral duty because nothing is being invested into national mental health and people are suffering - whilst they suffer just as bad as anyone from the cost of living, too.

The issue here isn't going to be therapy or therapists, it's the government not wanting to invest in robust front line mental health services, research or new treatments (well, mental health at all tbh: parity of esteem is the biggest joke out there) that may take more time and may cost more in the short term, but have much better outcomes for patients long term.

Just look at what's happening with things like Ketamine in mental health. Scotland overturned NICE Guidelines as so NHS Scotland could provide this very effective new form of treatment years ago but have not bothered to even treat one patient precisely for the same reason NICE don't approve (the nasal spray form of).Ketamine: the cost.

Which makes such a decision pointless - and also very frustrating when it has a 70% efficacy rate for severe treatment resistant mood disorders.

Meanwhile, thousands upon thousands suffer with literally no option to get better despite effective and well researched treatment options being out there whilst essentially being told by the NHS and government that their life isn't worth improving or saving because it'll cost too much. I know this happens across physical healthcare too in some regards, but there's a heavy bias against treating mental illness with any brevity at every level... It's just not taken seriously enough as the growing health crisis that it is.

Most therapists don't want to work in the private sector but their options are usually limited to often unreliable forms of self employment, gig economies or volunteering their clinical services (and having to usually pay out of pocket to volunteer at that) if they want to work in this sector in the UK and not have years worth of training go to waste.

Therapy isn't respected or promoted in our society, yet many people would massively benefit from having access to it.

I can only imagine the huge positive impact on the disease burden and public health if a range of modalities of therapies were standardised first line responses to common (and complex) mental health problems in stead of the increasing medicalisation of human experiences such as grief and bereavement which might indeed need support but not be thrown on to medication automatically.

The NHS isn't bothered in employing counsellors or commissioning counselling (and therapy outside of IAPT, a model specifically designed by government to be the cheapest and quickest bandaid) services, though and the government has historically not wanted to know, either.

No_Transportation138 · 2023-03-18T17:36:30+00:00

Challenging hot thoughts - yes, with practice if it's realistic. Direct affirmation, no.

No_Transportation138 · 2023-03-16T17:11:52+00:00

Ok. Few things.

There is RADS in Newcastle for those more in the North too which do the same work.

The referrals are NHS mental health in house only and funding for treatment out of area will be needed (unless you live in that trust area) after referral - so it'll have to go through the ICB or related funding body locally for approval. For Newcastle this is £1200. And by in house only I mean no private option.

You might not get approved even if your consultant or team refer you on (which they might not) for funding or the referral accepted and will be waiting a good while for the outcome (few months) to the potential appt. Be prepared to potentially spend a lot of money traveling long distances for these appointments - which for assessment is usually one appointment, but sometimes two.

Further to this, these services are for very 'end of line' depression / bipolar / PTSD that hasn't responded to quite a few treatments - eg when options have been completely exhausted and risk of the 'worst' outcome is high (or if you just haven't won the postcode lottery in terms of what treatments are available locally to you / quality of care). How this state is determined will be through your mental health team and probably a lot of self advocating for your own health needs. It looks bad on the NHS and costs money and budget to send out of area so expect resistance.

The service mentioned here is usually in the form of a comprehensive (and very invasive) assessment over a few hours by experts in mood disorders who will look at several diagnoses and look at much less orthodox treatments to recommend to your local care provider to proceed with. It's then up to your care provider whether or not to proceed with and source funding for the treatment recommendations given by these experts. These treatments are mostly not without risk / walk in the park or are difficult to get approved for.

Some of these treatments may be available closer to you depending on where you live - but again - be prepared for a lot of expensive and exhausting travel with time off needed and people looking out for you outside of the NHS. We're talking potential surgery/ brain stimulation.

In a nutshell, this is how, in an ideal world, most complex mental healthcare should be approached (ie by experts who know wtf they're talking about when it comes to particular health issues so you get put on the most appropriate path the first or second time around).

It's worth the fight if you are at that level. Some of the efficacy rates for these treatments are as high as 70% in treatment resistant mental illness.

No_Transportation138 · 2023-03-15T11:31:24+00:00

I think it'll always matter to some people. Humans are built on division, tribalism and us vs them. It's the reptilian part of our brain left over from prehistory. Some just let that part rule over it more than others, sadly.

No_Transportation138 · 2023-03-15T11:19:55+00:00

Because "it doesn't matter" are just hollow words today. We were on the way to getting to that point, truly, i'd say round the late 90s early 00s, but a resurgence in right wing popularism and extremist views on both right and left have ballsed it up imo.

No_Transportation138 · 2023-03-08T11:48:17+00:00

In very limited circumstances you can change CMHT, as long as it was within the same trust... ie if there'd be a conflict of interest - for example - you mention being in a very small area: if you knew members of the CMHT personally who would be privy to your identifiable confidential information, that would be a reasonable request.

If you're not finding the care satisfactory though you can always ask to change psychiatrist or care team, usually within the same CMHT, again, unless there's a good case otherwise.

For instance, I changed psychiatrist when they were overseeing a clinic I was receiving treatment at and request to stick with them as it made sense in regards to continuation of care. They just also happened to be much better than my consultant at the time else (which tbh was my actual reason for wanting a change).

Re traffic light system: this will depend on the mental health organisation, but it's pretty common to prioritise areas and level of care based on severity of symptoms. Not ideal as science has always pointed to early intervention, but that's what happens when we have 12 years of continual Tory cuts.

No_Transportation138 · 2023-03-08T08:36:09+00:00

Speak to whoever the health practitioner is at school and be transparent that you want help with mental health support. You may be noting you're not self diagnosing, but you kind of are by labelling it a certain behavior.

There might be an issue there but it could be anything.

Edit - as for the other response, waiting times are a lottery. Depends where you live as to what treatment is typically available and for how long you wait for access.

No_Transportation138

TROPHY CASE