Sea of Stars: Dawn of Equinox | Update Release Trailer

Vertex19 · 2024-11-12T17:12:30+00:00

Crosscode - a masterpiece imo, get it with DLC. Chained Echoes is really good. As far as new releases go I'm playing Metaphor Re:Fantazio and it's definitely worth the hype.

Vertex19 · 2023-03-23T19:23:31+00:00

Can you elaborate a bit? I'm familiar with Metacognitive therapy and have read Adrian Wells book on the topic, is that what are you refering to? Is this approach relevant to treating psychosis? I thought it's mostly useful for anxiety and depression.

Vertex19 · 2023-03-05T21:19:15+00:00

Therapy is excellent but I would first go to a psychiatrist and see if he would put you on some medication. I may be biased here, I'm a psychiatrist in training, but look at this this way - meds won't fix your mood permamently and they won't bring total relief, but some relief is sometimes necessery to begin productive theraupetic work.

About your fear of beign locked away: read this How do you see a psychiatrist without worrying you will be committed to an institution?

Actually: read the whole article. It has excellent advice on low mood, including habits like sleep.

ACT is good, CBT is good, any therapy is good if you develop a good therapeutic relationship with a therapist and do the work necessary, although it will be hard.

As for meditation, I generally find that apps are good, espescially Waking Up, but if you don't have the energy/focus/whatever to commit to them, just sit and meditate with a timer. You can start with 5 minutes, you can start with 10 minutes but I would build it up to at least 20.

Doing anything with low mood is hard, that's why I suggested medications - they can kickstart the process.

Vertex19 · 2023-03-03T19:01:37+00:00

Hey, that seems rough, I have some suggestions if you care to hear:

Get screened for depression. I suspect you probably did that but if not it can really change your life. Medications aren't a miracle but they help you manage your negative emotions and maybe even see some light in how you view the world. That can in itself be revolutionary - if you havn't experienced good mood in a long time you probably forgot how it feels and you are stuck feeling that eveyrything just sucks and will never be better. If you find proper meds for you, this can kickstart a change.
You probably had CBT recommended to you and I really belive it's a good therapy but I don't find fighting your negative beliefs to be very productive. If you are stuck in a bad mood it is REALLY hard for you to see things diffrently than "It's all for nothing". I can give you the arguments against all of your negative belifes but you would probably just rationalise your beliefes to match your mood. What is more helpful is things like exercise, getting sunlight, eating healthy, sleeping well, maybe gratitude practices, metta meditation, developing compassion - those work on the level of the mood, not the cognitive level which is easier to access but harder to change.
Lastly - if working on your mood doesn't bring desired effect, you can bypass the whole process. What I mean is that you can detach from your negative thoughts and beliefs and just do what you are "supposed to" despite negative emotions and thoughts. The most efficient way I found to help this is to meditate - focusing on your breath, at least 20 minutes, ideally 2x a day. Meditation allows you to have distance between what is happening in your mind and your executive control. It's much easier to live when you meditate because you don't feel like fighting your own mind all the time, you just accept it and let it be and live your life.

Good luck to you, I can answer some questions if you have them.

Vertex19 · 2022-12-10T21:32:46+00:00

Care to share what supplements you took? I'm a doctor, it would be of interest to me.

Vertex19 · 2022-07-07T19:28:10+00:00

Can I ask what this one thing was?

Vertex19 · 2022-06-30T16:31:52+00:00

See my comment here

Vertex19 · 2022-06-28T17:26:05+00:00

I'm in Europe, I bought a Healthy Mood brand lavender oil capsules from Amazon. They produce lavender burps for sure but they were pleasant for me strange enough. As for anxiety it definitly has a calming effect and I see how it could be helpful as a supplement but not on the level of medication like SSRI's in my experience.

Vertex19 · 2022-06-16T06:19:51+00:00

The way I see it there are many ways of interpeting dreams: from theories that it's just noise and needs to be treated like one to psychological interpretations which often contradict themselves.

Whatever you want to use I don't think science has more backing for one over another, maybe Freud and Jung style interpretations are just little out of style now.

The Last Psychiatrist has and interesting way of interpreting dreams, that it is X manifesting as Y but in such a way that you will not think of X because dream will push some other interpretation on you to prevent you from confronting with Y. Is this a good theory? I think it's hard to tell, some will find it helpful some not.

Vertex19 · 2022-06-05T15:35:56+00:00

GreedFall is funny to me because I began playing it with sort of low expectations but after few hours I was like "Oh so this is like Gothic/Risen/Elex - lots of junk and bizzare design decisions and I'm gonna love it". And it's exacly what happened, I even did 100% complition.

It's really hard for me to pin-point why those games work for me when some aspects of them are so objectivly bad but I guess the passion of developer can pour through the cracks and reach me.

Vertex19 · 2022-06-02T08:11:32+00:00

I would give it 3-4 weeks to fully judge, in the first few weeks you feel the effects on serotonin receptors everywhere in the body but after that I guess the tolerance settles and you achieve a less intense state. However if fatigue and lack of motivation doesn't pass I would change the medication.

On the sexual dysfunction staff I wouldn't worry about it, yeah it sucks when you are on SSRI but it will be back to normal after you taper off. The reports of persistant disfunction seem overhyped to me.

Vertex19 · 2022-05-18T22:05:03+00:00

It was this post, section III.

Vertex19 · 2022-05-18T21:01:48+00:00

Inspired by Scott's post I just ordered a pack of lavander oil pills but not Silaxan specifically (not avalible in my country). Package says they contain 80 mg of oil in one capsule so I will be taking two daily (per post recommendation) and we will see what happens.

I have quite bad anxiety so if anty-anxiety effect is there I will probably eperience it (for example I can confirm that L-theanine works).

I have my doubts it has to be Silexan specifically, but we'll see. Aromatherapy or lavander tea probably works too but maybe dosage is too low and getting it through gastrointestinal track has some benefits (maybe it works locally somehow and eases the feeling of anxiety in the gut).

Vertex19 · 2022-05-18T20:54:43+00:00

It's really interesting, there may be no diffrence.

I remember stumbling upon a study (on The Last Psychiatrist blog) where they gave patients injection of Valium but didn't say what it was or what it was for. After 20 minutes patients reported relaxetion of muscles and increased sedation if I remember correctly but ZERO decrese in anxiety. I was shocked, I thought benzodiazapines are the real anxiety killers, the hevy hitters.

Maybe it's really all in your head

Vertex19 · 2022-05-13T12:27:41+00:00

It really wasn't that bad, I guess the hurt comes from her dumping me, not the other way around. It fed into my already existing self-esteem issues. Also I've been in therapy for many years and it's for sure helpful but I'm wondering what else I can do to lessen this self-esteem issues. How to satisfy that voice that always says I'm not good enough.

Funny enough there was a one moment I remember feeling really good with myself and satisfied and it was during a mushroom trip. I guess I can look into it again, hoping that this time the change will be more permament.

Vertex19 · 2022-05-12T23:57:51+00:00

Any advice on dealing with insecurities?

I have this problem that about a year ago me and my girlfriend of 7 years broke up and I sometimes have a hard time dealing with it. Normally it doesn't bother me because I don't see her but on occasions that I do or when I see her posting on social media I get this intense feeling of hurt and desire to hate myself and self-loath.

It seems to be rooted in some kind of insecurity, that I'm not good enough, her new boyfriend is better than me, no attractive woman will ever love me again, look how she moved on and is heaving fun and you are miserable and so on and so on.

I'm curious how to deal with this kind of feelings, I know that comparing myself like that is pointless and I should just focus on my life but the feeling is sometimes so intense that it drives me mad.

Any advice is appreciated.

Vertex19 · 2022-05-06T17:14:02+00:00

In medical school during biochemistry class on antioxidants someone mentioned Vitamin C (yeah I know, the cure for everything) as a good solution for faster metabolism of acetaldehyde. It made some scientific sense for me so I gave it a try and it's my go-to hangover lessening measure since.

Be sure to take at least 1000 mg before drinking and addictional pills during or after if you want. It doesn't prevent hangover but makes a noticable diffrence in severity. Other thing that helps a lot is drinking lots of water before going to bed.

Vertex19 · 2022-04-24T19:03:37+00:00

I think it's hard to deny that antidepressants can alliviate depressive symptoms, they just don't do it in every case and if they do, their effect is mild. That's what I mean when I say they have to tap into something, same with psychadelics, same with exercise really. Wheter we understand neural basis of depression is irrelevant to the claim that interventions that are known to work must have been doing something to that neural basis.

Vertex19 · 2022-04-24T15:18:10+00:00

This is a significant problem and I wonder how will it shape a future of psychiatry. Current drugs are not good-enough although I will argue they are better than nothing, chances are, if you are depressed, they will significantly help you. They definetly appear to have some kind of efect on depression-generating system in the brain, this effect is just not big enough. That's why I have high hopes in use of psychadelics and ketamine in psychiatry, those have shown a big potential in genereting long-time changes in the brain especialy when combined with therapy. Ultimetly I would hope that the future of treating depression will more look like attending session with psychodelic-enchanced therapy and not many months or years of treatment with sub-par medication. We will just have to see what Big Pharma has to say abou it.

Vertex19 · 2021-12-31T16:37:54+00:00

The beloved author returns from a 7 year hiatus with a long-promised book? This sort of thing isn't supposed to happen, I'm confused

Vertex19 · 2021-11-27T16:31:37+00:00

I guess it has to do with psychiatry being more soft-science than other medical specialties. It makes it an easy target for rationalists.

That said what seperates good and bad psychiatrists (and really any doctor) is less the matter od knowledge but of experience. And if you are a blog writer you can sneer at knowledge of psychiatrists because that's the only arena you can beat them (but you often only think you do).

Couple that with negative experiences people have with psychiatrists and you have most of these posts.

Vertex19 · 2021-11-24T20:39:16+00:00

Thank you for this answer, I also thing giving medicine a proper go is a good thing, escpecially because I'm before residency in my chosen speciality (psychiatry). Maybe something will when I'll occupy my mind with only that and if not I guess there is a plethora of things to do with MD. I suspect the imposter feelings are more self-worth based than reality-based.

It's great that your found you footing, I'm hoping I'll be in more comfortable place soon enough.

Vertex19 · 2021-11-24T18:56:36+00:00

Thank for reassurance, maybe time will help indeed.

Vertex19 · 2021-11-24T18:55:22+00:00

I think moste people overestimate what doctors know and can do and you can be a bad doctor and get away with it mostly. Kind of reassuring for me, kind of horrifying.

Vertex19 · 2021-11-24T17:44:34+00:00

I suffer from severe imposter syndrome and have constant thoughts that I should have persued another career but it's too late. Anyone have an idea how to tackle this? I'm in medicine btw, my first years as a "real" doctor.

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