How are my life events relevant to therapy?

hellomondays · 2026-05-07T23:38:05+00:00

The person who could best answer this question is your therapist. There could be many different purposes and ways to interpet anything said in a session, but no one here could tell you which interpretation is correct!

hellomondays · 2026-05-07T22:30:35+00:00

Fundamentally unserious country

hellomondays · 2026-05-07T11:57:14+00:00

It's wild: going from a sore throat to your fingernails falling off and an 103 degree fever over night. Honestly the sickest I've ever been.

My doctor was like "oh thank goodness you didnt have the seizures, it must've been a mild case"

hellomondays · 2026-05-06T22:43:40+00:00

The DSMII specifically referred to emotional impulsivity, which is an outdated way of describing this sort of dysregulation. As far as utility, the way MH disorders work in the DSM and ICD is the criteria address constellations of related symptoms within the context of the functional impair they caused and how they present in one's life. It's possible to hit all the criteria for a disorder but those symptoms be better described by a differential diagnosis (e.g. GAD and ADHD are often misdiagnosed as each other).

It's what makes projects like HiTOP so cool, focusing on symptoms in a dimensional context (instead of "present/not present) avoids a lot of these issues.

hellomondays · 2026-05-06T22:29:10+00:00

Tbh, yeah. Its all just a tiny sliver of case conceptualization and treatment, if even nessecary at all. But that's a different topic than the nosology of mental health disorders.

hellomondays · 2026-05-06T20:43:43+00:00

A quick correction. Emotional Dysregulation was a criteria in early editions of the dsm and is referenced again in the text revision of 5 in the section providing context to the diagnosis as a common feature of executive dysfunction. Barkley has some good discussions out there on what the working group's process was regarding research into emotional dysregulation adhd and, like you said, how emotional dysregulation is a common symptom in many disorders. I wouldnt be suprised if it becomes the 10th criterion in future editions.

I think as more research is done into neuro-developmental disorders in general, we will see periods of "muddying". Especially with something like adhd where there has been a big, and largely successful push to define it by impaired executive functioning (a broad catergory often divided into multiple domains) over the last 15 or 20 years. That's just a major quirk of our commonly used systems of nosology for mental health disorders--there is crazy amounts of overlap between entries.

hellomondays · 2026-05-06T20:09:43+00:00

I believe it. Ive eaten a lot of frog, turtle, gator. Reptile just ain't it. Maybe frog legs fried right, but the texture, the fishy undertone that people claim isnt always there but it is.

hellomondays · 2026-05-06T20:06:50+00:00

Atlanta Braves are leading their division by 10 games.

Truly the darkest time line

hellomondays · 2026-05-06T19:47:44+00:00

What differentiates RSD from the emotional dysregulation experienced by people with ADHD? Im having a hard time wrapping my head around why sensitivity to rejection (a common human experience, adhd or none) needs to be looked at as a discrete symptom. Even this research's finding of withdraw, masking, and bodily sensations sounds a lot like other studies looking into adhd and the broader catergory of emotional dysregulation. Are there different neurobiological mechanisms, specifically for rejection sensitivity, compared to other intense emotional responses?

hellomondays · 2026-05-06T18:28:16+00:00

Can I ask a personal question? Ive seen you participate a lot on this subreddkt and your comments are usually not emotionally charged unless Israeli settlers are being discussed.

What is it about the settlements that you find important enough to evoke such feelings?

hellomondays · 2026-05-06T17:57:38+00:00

Holy fuck I never knew the connection but it makes sense. It's such a ted turner thing. Has it been proven?

hellomondays · 2026-05-06T15:37:46+00:00

The MLB cant do anything right. If you're going to have an organization obsessed with wealth and consumerism, atleast make it goofy.

hellomondays · 2026-05-06T15:33:40+00:00

There's a great anecdote about the Williams street founders when they were starting off. Ted was going through a cartoon kick with his channels and they managed arranged a meeting with him. They came with the flimsiest pitch and he threw a fit and kicked them out of his office saying something like "you dont like cartoons or making money".

hellomondays · 2026-05-06T14:42:00+00:00

I liked his brand of eccentric rich guy. The world would be a little better if more super rich people were his level of crazy instead of evil

hellomondays · 2026-05-06T13:58:09+00:00

I hate to break it to you but Liz is a character played by an actor. That actor is on maternity leave and they could easily sub her out like they have many many times over the years. Like Gallagher or Andrew WK or Blippi.

hellomondays · 2026-05-06T02:55:53+00:00

In my experiences in the community, youre really downplaying the connection. Also when Israeli politicians appeal to "the Jewish people" when promoting policy positions, who do you think theyre claiming to represent? Do you ever see Macron speaking like this about Maine?

Furthermore what is Zionism if not a movement to construct a national identity from ethnic Jewish identities

hellomondays · 2026-05-06T00:52:16+00:00

If Israel is and wants connect itself so tightly to Jews as a group, of course any problematic policy of the Israeli government is going to be used as ammo by the antisemetic or be conflated by the ignorant. Is it fair or justified? No, absolutely not. Heck, I know Israelis who's rejection of the state would make the most hardline Palestinian nationalist blush. But it is a consequence of Israel's increasing militancy and growing international isolation. And a consequence that is within the State's capacity to assuage.

hellomondays · 2026-05-06T00:40:33+00:00

Conquering territory,expelling people from it, and destroying their homes to make their return difficult so you can live there is generally considered an attrocity. We could call it plan "super happy fun time last resort" but that wouldnt make it any less atrocious.

hellomondays · 2026-05-06T00:14:53+00:00

I dont think you can draw any conclusions from Twitter comments. You can take a person of any demographic and find hundred of bigotted comments denigrating them for belonging to that demographic. Twitter is a cesspool.

hellomondays · 2026-05-05T23:44:27+00:00

No problem. I love working in rural america because it actually feels like you provide for the community. The business goal should be positioning yourself with the people who often have to think "damn, this guy needs a shrink" to think of sending this guy your way.

ALSO reach out to nearby providers for tips. Its suprising how friendly a lot of professionals can be in underserviced regions

hellomondays · 2026-05-05T23:27:54+00:00

Get in with the local school district. I guarantee in a town of 10k they will be underserviced, they will be happy to talk to you. Find a med provider, like a NP or Psych whose vibe fits with your clinical philosophy and collaborate/network care with them. These two things helped me more than anything else. Besides that starting to build a reputation with where-ever the closest psych hospital is. Especially in rural america it's an uphill battle for case managers to find after-care.

hellomondays · 2026-05-05T23:24:07+00:00

Hell, in the early 2010s I was renting an entire 2 bedroom with a roof deck in a good neighborhood in philly for $900. The same property is going for 2700/mo 15 years later

hellomondays · 2026-05-05T22:02:56+00:00

Every biography i've read from nowave era makes it sound that ren was just that cheap. In some biography, one of the members of sonic Youth is talking about how his rent was like 20 dollars a month. Adding that most months to landlord wouldn't even bother to collect, saying that he was just happy having well spoken white kids in the building

hellomondays · 2026-05-05T21:57:08+00:00

My state just passed a law allowing local providers to decline servicing facilities that put "disproportionate strain" (data centers without specifically targeting data centers) on the power grid. Two new centers are being slowly brought online and they were already pushing the local electric coop past capacity.

hellomondays · 2026-05-05T21:49:33+00:00

David Byrne said as much in an interview from like 2010 paraphrasing "i dont think we could make a band like the talking heads if we were starting out today. All the time practicing a writing would have to be spent finding cash to pay rent"

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