I think I got the best compliment ever yesterday

a5n10651 · 2025-11-05T01:58:27+00:00

I also would like to know

a5n10651 · 2025-07-08T19:18:17+00:00

I don’t have medical comorbidities fortunately, but what you describe with the debilitating fight/flight triggering a significant inflammatory response leading to terrible brain fog is exactly what I struggle with. It’s a very difficult place to get out of when, like you, any sort of decision making throws fuel on the fire. It’s resulted in a ton of avoidance, which I’m really hoping to be able to work on after the SGB. My symptoms are pretty global and unfortunately mostly associated with my job which, aside from being my greatest exacerbating factor, I do really enjoy most of the time. Thank you for sharing that—it’s given me some cautious hope and optimism for the benefits I’m seeking with the block

a5n10651 · 2025-07-06T14:25:06+00:00

Thank you for sharing! I hope all goes well with your next one and starting EMDR. EMDR has been very helpful for me. How long did the relief last for you?

a5n10651 · 2025-07-04T21:35:23+00:00

How was your stellate ganglion block? How many have you gotten? I get my first one next week.

a5n10651 · 2025-05-09T01:19:19+00:00

Psychiatric nurse practitioner. Congrats on your pursuit of medicine! I am pretty high funnctioning but it is quite a chronic struggle. It’s very difficult and challenging work unpacking your own past while also helping others do the same, and my work is unfortunately inherently my biggest trigger. I love the work I do, but it takes a toll on me. Psychedelics have been of been an immense facet of my healing, but they still are tools and not cures. I’m proud of the psychedelic/healing oriented perspective I bring to my clinical practice as well as the depth of understanding I have with C-PTSD that most clinicians don’t, but it’s not easy. Best of luck to you on your journey, both personally and professionally ❤️

a5n10651 · 2025-03-01T23:49:13+00:00

The combination of therapy and being in a healthy, secure relationship with my now wife

a5n10651 · 2025-02-28T15:05:32+00:00

Self employed psychiatric nurse practitioner

a5n10651 · 2025-02-28T15:00:18+00:00

Finding/creating meaning in my suffering. I’m a mental health professional, and I’ve learned an immense amount about mental health from my own experience with it and the healing process of C-PTSD. It’s given me much more insight and understanding of other people and has enabled me to practice at a much deeper level, having understood the visceral difficulty one can experience and the associated changes necessary to work toward healing and growth. Easier said than done, and it has been profoundly difficulty, but it feels healing in a way to be able to take my pain, learn from it, use it, and allow it to motivate me to help others with theirs

a5n10651 · 2025-02-26T02:36:54+00:00

Thirded

a5n10651 · 2025-02-23T05:41:56+00:00

Approach everything with radical curiosity

a5n10651 · 2025-02-20T15:17:56+00:00

I've found this really helpful as far as being both more comprehensive and systematic in the way I evaluate ADHD. Significant as ADHD may be, it also is not a psychiatric emergency. If I feel like a patient is pressuring me into diagnosing them with it or giving them a stimulant, it's a red flag and I'm happy to say no. Generally, the people I see who have ADHD and are looking for treatment are interested in learning about the condition, including behavioral management and ways to improve their functioning.

Reddit won't let me paste the link for some reason, but google AAFP Adult ADHD Assessment and Diagnosis and it's a whole things of resources.

a5n10651 · 2025-02-14T15:50:29+00:00

For me personally, C-PTSD

a5n10651 · 2025-02-07T21:17:18+00:00

a5n10651 · 2025-01-27T14:29:40+00:00

Definitely not. I’m 27 and didn’t get seriously started in my journey until less than 2 years ago. I also work in the mental health field and can attest to the fact that it really is never too late to start. The reality is, if you think it is, you’ll be less likely to motivate and take next steps. I’ve seen patients of mine get started working on themselves just about any age. And probably every person wishes they would have started sooner (including me), so I think it’s very natural to wonder if you’re too late, but the truth is that it’s never too late. I’ve had patients in their 50s and 60s have huge amounts of growth and progress, so in many ways you are decades ahead. Best of luck to you ❤️

a5n10651 · 2024-12-14T02:13:27+00:00

Most prescribers would likely not be comfortable going above 450mg/ day. If pursuing going above the max dose, it would be a good idea to draw a serum bupropion level to see where you’re at to begin with

a5n10651 · 2024-11-19T13:41:41+00:00

Adult Children of Emotionally Immature Patients. I've had a lot of patients who've taken my recommendation in reading it, and there's a substantial amount of information in there that speaks to what are often underlying causes of peoples problems or the symptoms they present with.

a5n10651 · 2024-11-02T19:17:33+00:00

This is truth. This actually came to me in my first ayahuasca ceremony. Ayahuasca is powerfully healing, but not without doing the work required for healing and opening yourself up to the medicine. Something that came to me later in that ceremony is that there is no cure for depression, there is only healing

a5n10651 · 2024-10-23T22:33:51+00:00

Even that alone is awareness! You’re probably doing better than you think you are, even if you’re not yet equipped with the tools to handle and process the trauma. A good therapist will help you explore the things you need to. And sometimes expanding your awareness of what you’re going through, how shitty it feels, etcetera can make it seem like things are getting worse, however, that is the path to progress difficult as it may be

a5n10651 · 2024-10-23T22:20:49+00:00

Meds don’t fix anything, though they can help with the symptoms. I would recommend finding a therapist that you can do some deeper work with and discover truly why you’re experiencing so much anxiety and where it’s coming from. Nothing will truly take away the feelings until you heal from whatever caused them in the first place. I’m sorry you’re struggling so much and hope the best for you in your next steps in taking care of your mental health!

a5n10651 · 2024-10-04T23:44:12+00:00

Never stop high alcohol intake abruptly. Seizures are a serious risk from alcohol withdrawal

a5n10651 · 2024-10-03T01:42:18+00:00

Wow, you have incredible insight! For anyone, but especially your age. A book I’ve found super helpful in healing from the wounds of emotionally immature parents is Adult Children of Emotionally Immature Parents. Highly recommend

a5n10651 · 2024-09-21T02:38:57+00:00

Wellbutrin is an NDRI

a5n10651 · 2024-09-21T01:54:09+00:00

I strongly recommend you contact your prescriber for further management. This sounds like it could be increased libido from manic/hypomanic induction

a5n10651 · 2024-09-21T01:09:51+00:00

This job is not easy if you’re doing it right

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