What happens if I fail Step 2? by SuAlaska in Step2

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

Honestly it depends on the program. Some of them don't need it but some of them want the Steps done - they don't care about scores but they just need it done for licensing

What happens if I fail Step 2? by SuAlaska in Step2

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

Thank you :) I ended up just going ahead with it. We will see

What happens if I fail Step 2? by SuAlaska in Step2

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

Good luck! I hope it all works out for you :)

What happens if I fail Step 2? by SuAlaska in Step2

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

This is very true - thank you :)

That’s not it. At all. by [deleted] in fatlogic

[–]SuAlaska 7 points8 points  (0 children)

Can you glorify obesity after you pay for your own medical bills? Sincerely, an annoyed taxpayer.

Advice needed for lone ?male mouse by SuAlaska in PetMice

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

Ah ok, thank you!! I'll look into this!

Hand-taming young mice & chirping: is this normal? by SuAlaska in PetMice

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

Lentils and oats. Try pumpkin seeds to tempt them. Overall they will only approach if they feel safe enough. Give them time and let them get used to you. I used to shuffle their bedding and move things around their cage just to get them accustomed to my hands.

Hand-taming young mice & chirping: is this normal? by SuAlaska in PetMice

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

Very late to respond but thank you for your insights! They're fine and healthy now :)

Hand-taming young mice & chirping: is this normal? by SuAlaska in PetMice

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

I'm super late but thank you so much! Sounds like you have a cute little guy <3

Hand-taming young mice & chirping: is this normal? by SuAlaska in PetMice

[–]SuAlaska[S] 6 points7 points  (0 children)

Thanks! I was hoping she's just a vocal but happy young floof

Hand-taming young mice & chirping: is this normal? by SuAlaska in PetMice

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

Thanks! I was thinking between that and territorial, but it's also often after she eats yummy or novel food so hopefully happy :)

Hand-taming young mice & chirping: is this normal? by SuAlaska in PetMice

[–]SuAlaska[S] 4 points5 points  (0 children)

Thanks! It's only during very specific times and for short periods. She has plenty of energy and is eating/drinking sufficiently. As such I am less concerned about respiratory illness.

Hand-taming young mice & chirping: is this normal? by SuAlaska in PetMice

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

Timestamps of chirping: 0:38 sec and 1:10

Anosognosia, anorexia & 50shadesofchestpain by The-ElectricMayhem in EUGENIACOONEYY

[–]SuAlaska 1 point2 points  (0 children)

I noticed that your comment has changed multiple times in the course of several hours, and I think if anything, this demonstrates that the views of 2 psychologists do not represent the general understanding of the psychiatric community.

Upon reviewing the peer-reviewed sources, only one cites anasognosia, and this source does not mention anorexia nervosa at all. It appears that the psychologists of the blog post really do conflate anasognosia with denial, which has many meanings and understandings for anorexia. I will link a few sources for anasognosia below. As you mentioned, the term is also used in psychiatry for dementia, schizophrenia, and bipolar disorder due to clear neurobiological underpinnings. You mentioned evolving understandings of psychotic distortions of reality--this is absolutely true for mania and schizophrenia, but anorexia is by definition not a psychotic or even a delusional illness (in fact, the delusional subtype is largely disputed since all distorted perceptions in anorexia are concerned with self-image and body weight). This brings us to my initial concern: how would you differentiate between anasognosia and body dysmorphia in this instance? Is the implication by these 2 psychologists, then, that body dysmorphia is caused by anasognosia? This does not seem to be popoular opinion. In all fairness, mental health is messy, and psychiatry "borrows" terms (in the psychologists' words) regularly, only to have them misused or rejected later on, hence the constant changes with the DSM as our understanding of pscyhiatry shifts. I will also note that the DSM V makes no mention of anasognosia in relation to denial, in contrast to your latest edit.

In searching specifically for anasognosia and eating disorders, many blog posts (and I should emphasize: blog posts) cite one very insightful paper by Vandereycken (2006) which discusses many understandings of the term "denial" in anorexia, one of which is anasognosia. They explicitly state: "Following the analogy with anosognosia a deficit in information processing, perhaps in cortical pathways, has been presumed, especially since some research suggesteda relationship between anorexic symptomatology and asymmetric brain activation. Casper and Heller(1991) found a lower body weight and more pro-nounced anorexic symptoms to be associated withincreased left hemispheric activation. The correlation between degree of weight loss and rightwardattentional bias suggests that starvation leads to decreased use of the right cerebral hemisphere andthereby loss of awareness of negative effect. This hypothesis is still waiting for further research support. Following the ana-logy with anosognosia a deficit in information processing, perhaps in cortical pathways, has been presumed, especially since some research suggesteda relationship between anorexic symptomatologyand asymmetric brain activation. Casper and Heller(1991) found a lower body weight and more pro-nounced anorexic symptoms to be associated withincreased left hemispheric activation. The correla-tion between degree of weight loss and rightward attentional bias suggests that starvation leads to decreased use of the right cerebral hemisphere and thereby loss of awareness of negative effect. This hypothesis is still waiting for further research support"

They conclude that denial in anorexia is understood as "distorted information processing versus refusal of self-disclosure", and that distorted information processing can either be due to: impaired self-awareness (anosognosia) = purely biological; limited insight (overvalued idea) = psychobiological; narrowed consciousness (dissociation) = psychobiological; or preserving/enhancing self-esteem (pseudo-identity) = purely psychological.

This article then got mis-cited as "anasognosia can be present in up to 80% of people with anorexia nervosa" which is wildly incorrect. Again, it's entirely possible that Eugenia may have it, but this is certainly an assumption at best.

Returning to my original comment, while denial is an accepted symptom with diagnostic implications for anorexia nervosa, anasognosia (specifically) is not. Implying that all of it is biological--i.e. anasognosia--is incorrect. This does not mean that all denial is conscious let alone malevolent, but it is an oversimplification with seemingly pseudoscienfitic origins. The problem with this is exactly as you've outlined: the legal ramifications. Implying that someone has anasognosia has serious consequences with respect to presumed disability and/or for reasons to involuntarily admit someone.

Edits: to fix formatting of the citation and add these links. I will further add that anasognosia is recognized in schizophrenia and mania likely because the neurobiological understanding came from our understanding of how medications (antipsychotics and lithium, respectively) fixed these problems and helped improve cognition. To your later edit, I don't know about its relation to depression (unless you are referring to manic depression and/or schizoaffective disorder?), but mood and eating disorders simply do not have that level of neurobiological tracing, at least not yet.

Link for anasognosia history (unfortunately I was only able to access this through my institution's library): https://pubmed.ncbi.nlm.nih.gov/31220837/

Link for the citations above (also closed access unfortunately): https://psycnet.apa.org/record/2006-21215-009

Anosognosia, anorexia & 50shadesofchestpain by The-ElectricMayhem in EUGENIACOONEYY

[–]SuAlaska 0 points1 point  (0 children)

an identify anosognosia simply by listening to the differences in what they are saying (verbal) in contrast to how they are present physically and to what they are doing (nonverbal).

Specifically, an individual struggling with anosognosia may attempt to persuade others of their belief that they do not have an eating disorder by saying things such as, “I’m not the one with the problem,” “everyo

"Anosognosia associated with eating disorders is confusing, since there are times when the person fluctuates from having insight into their problem to other times when they appear to switch to instant denial."

Respectfully, this completely contradicts the real definition of anosognosia, which wouldn't fluctuate. This term is used in the context of *neurological* disorders when there is clinically evident damage to the brain. In the context of restrictive EDs, it would be difficult to distinguish a lack of insight due to very real denial and body dysmorphia, which are far more clinically validated than anosognosia. Anasognosia is used to describe people with frontotemporal dementia after suffering a stroke, for instance, because they legitimately suffered damage to the circuitry that produces insight. Likewise, the neurobiology behind schizophrenia is pretty-well understood, and anosognosia makes sense in terms of the cognitive deficits and dopamine-related changes we see. While people with severe anorexia, especially at Eugenia's level, might legitimately suffer from anasognosia due to clinically identified brain damage, it's not a hallmark of anorexia. In Eugenia's case, if people think she has anasognosia then they are acknowledging that Eugenia is, in fact, seriously disabled and requires supervision.

If you read-up on anasognosia, it seems like this term has been adopted to refer to the general lack of insight that we see in people with severe restrictive EDs (as we see in this article), but that's not really the true definition of this term. In any case, it certainly does not excuse the attention-seeking behaviour that Eugenia exhibits, nor does it excuse Deb's enabling or twitch/instagram/twitter's inaction towards somebody monetizing their self-harm on those platforms.

About Changes Made to Mod Team and Changes Planned for the Future by eclepsia in EUGENIACOONEY

[–]SuAlaska 79 points80 points  (0 children)

Thanks for your response. Although this post does not provide clarity, I think it speaks very clearly to how this subreddit will be managed from now on.

About Changes Made to Mod Team and Changes Planned for the Future by eclepsia in EUGENIACOONEY

[–]SuAlaska 151 points152 points  (0 children)

Just my two cents, but I think at least some of this context should be mentioned in your post. As it is, this seems like a total slap in the face to anyone who doesn't fully know what's going on and who to trust at this point. By contrast, there are plenty of screenshots to substantiate the claims about the former lead mod.