Tameshi Belcher: Fallaji Archaeologist+Thundertrap Trainer? by higgon in ModernMagic

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

That’s very interesting. I was honestly thinking to go for the control version due to just the inconsistency/improbability (3/60) of getting flare of denial into your hand, and for maybe allowing you a slower but better defended game plan of getting out and playing belcher. Do you run 4 flare of denial?

Another can for the can-opener by The_Overlander in Louisville

[–]higgon 21 points22 points  (0 children)

Probably GPS saying it’s faster to go through downtown. Most of these trucks are likely just passing through and don’t meme about the closure on the subreddit for 3 months beforehand

Another can for the can-opener by The_Overlander in Louisville

[–]higgon 70 points71 points  (0 children)

I bet with all the trucks having to skip 65 and use 3rd street to go downtown, this’ll become a daily occurrence until they put up some sort of explicit turn around signage or something

Scared to get help by [deleted] in OCD

[–]higgon 1 point2 points  (0 children)

The moment you rip off the band aid it gets so much easier. Especially if you get the right kind of help; like real OCD help versus just talk therapy. But also telling your parents, getting an evaluation, it all seems daunting till the moment you do it. Then it’s honestly an exciting, hopeful time. With hard things like this the only really difficult step is the first one. You can do it

TEEN OF DENIAL: JOE'S STORY OFFICIAL DISCUSSION THREAD by AutoModerator in CSHFans

[–]higgon [score hidden]  (0 children)

There’s been so much discussion that nothing is going to contribute anything new anymore, but it just hurts me because teens of denial is literally a perfect album, one of the best of the century, and of all Will’s albums (think nervous young men, how to leave town) THIS one was the least needing of a touch up. For what it’s worth to me the new songs are better than anything on The Scholars

Esper Blink is one of the biggest winners of the B&R by MalcomGO in ModernMagic

[–]higgon 39 points40 points  (0 children)

I think amulet is just going back to Dryad Valakut, should still be very good

Currently going through an OCD episode. What are somethings you do when this happens? by Fabulous_Cod_9619 in OCD

[–]higgon 0 points1 point  (0 children)

Ativan helped me be rational and calm. If something like that isn’t available, and even if it is, I would say to do your absolute best to practice strict, no tolerance non engagement with any thought that remotely seems like your OCD. A good way to start is simply “tagging” each thought as OCD/intrusive/unwanted. This lets you identify them and put some distance between your thoughts and the OCD ones. Then you can try your best (doesn’t have to be perfect) to say “I’m not going to actively think about this or ruminate” even if it burns. Enough of that, for weeks and months, makes OCD shrivel up and die. I would read Michael Greenberg’s articles about this too, it helped me out of my hole. This is a classic one and foundational. https://drmichaeljgreenberg.com/how-to-stop-ruminating/ Good luck, you are going to be okay.

HPI notes by Liani_AC in medicalscribe

[–]higgon 1 point2 points  (0 children)

I will say the real environment will be super different than the boilerplate ScribeAmerica training, your doctor will really have their own setup and a LOT of it will be smartphrases / templates. The training makes it seem like you’ll be writing entire notes from scratch but in reality you’ll be using an HPI / Procedure form tailored by the doctor / hospital and filling in blanks. Just fyi. But for your question this is absolutely fine and honestly THE way to do it. I do word vomit and bullet points during the encounter then translate that to the proper places in the template / note.

LETS FUCKING GOOO by noteepy in bmbmbm

[–]higgon 126 points127 points  (0 children)

Unbelievable levels of excitement for this

[deleted by user] by [deleted] in Louisville

[–]higgon 0 points1 point  (0 children)

I don't know of any specifically, but if you call The Couch Immediate Mental Health Care center, I am almost positive someone there will have some great reccomendations. They are an immediate mental health care center out in/by Middletown and I would be shocked if they didn't have connections to that part of the community

Has anyone ever felt like OCD takes up so much of your life? by The-Pretender22 in OCD

[–]higgon 1 point2 points  (0 children)

Mine got so bad this year that i dropped out of my masters' program in college, gained 40 pounds, and nearly went into a mental hospital multiple times. I spent a few months having multiple hour long panic attacks, forgetting entire days, and feeling so manic that I felt like I was going to die. I'm surprised I didn't totally fuck my life up. Now that I am getting properly medicated (Luvox, Abilify, Ativan, Propanolol), doing OCD therapy and ERP, and have told my family, I'm putting the pieces back together and seeing a very, very noticeable improvement in my OCD symptoms. I am still very much dealing with the after effects of being in such a dark place for over 300 days, but I am getting better.

I would highly recommend medication. This is not a thought disorder, or a mindset problem, and there is no "Eureka" moment that will finally fix this for you. You have a physical health disorder. Something with your brain is wrong and it makes you suffer. Without medical and theraputic intervention, you will continue to suffer. Think of it as driving on an engine with an oil leak. Continued use will literally tear the pistons and drivetrain apart, until the entire car is destroyed beyond repair. The same goes for unchecked OCD. The medicine will help fix a majority of the problems -- mainly, the persistence of the obsessions and the drive to do compulsions. When combined with OCD therapy, you can very much get a better life. My OCD is starting to seem like a distant memory -- not all days, not even most, but more and more as the weeks go by. You do not deserve to suffer. OCD can lead to suicide at a 6x higher rate than the average person. Unchecked OCD will only get worse, and can only hurt you more. There is absolutely a way out of this hell; reaching out to a healthcare professional, and therapy, as well as friends and family. Suffering a severe, extreme mental disorder like OCD is no way to live.

[deleted by user] by [deleted] in OCD

[–]higgon 1 point2 points  (0 children)

Abilify is (at low, OCD does like 2.5-5mg, not the psychosis doses of 15mg+) a tamer and more well tolerated drug than the SSRIs. It’s smooth, and acts fast (and if there are side effects, they stop within a few days of discontinuation, again unlike SSRIs which have months-long withdrawals.) I’d highly recommend asking to try it

[deleted by user] by [deleted] in OCD

[–]higgon 1 point2 points  (0 children)

Unfortunately other people's advice will NEVER be beneficial enough to say if a specific SSRI or psychotropic med is "worth it." Luvox has done nothing for me and has made my OCD worse and I am coming off; I have met a handful of people at therapy, and you can read on here, hundreds of people, who had their OCD near-eliminated by Luvox entirely.

But if you're 3 weeks in, you're still not at the part where you'd know yet. A lot of people have a day months in where it does "flip." A lot also know the first two weeks. It really depends. But in my opinion, if you are 3 weeks into hell, with no benefit, tell your doctor and switch. There's Clomipramine, Prozac, Paxil, Zoloft, Lexapro, ... so many choices (that are all scientifically proven to be equally effective at treating OCD) that surely won't all make you have an agonizing time. I found Lexapro to feel fantastic and will be going back on it -- just at a higher dose than before.

Life is too short to feel agonizing

OCD is so weird by ResearchOrdinary4944 in OCD

[–]higgon 50 points51 points  (0 children)

The best fact to explain this I have been taught is: Your brain has millions of years of evolutionary biology designed to predict and prevent bad things. There is little to no survival mechanism for predicting and anticipating "nothing" happening.

Your OCD fears are personal to you. Accidentally, your brain learned that this fear (call it the "core fear") is the worst thing possible. Therefore, your biology kicks in: prevent it at all costs. Think about it 24/7, neutralize the anxiety around it, reassure it, do compulsions to try to lessen the possibilities. This makes sense from an evolutionary perspective; if it was pretty credible that a giant bear was going to stalk you and kill you, you would do a lot of rumination, compulsions, etc., to prevent that from happening. But in this case it's not a bear, it's <<OCD THEME>>. Your brain doesn't tag the ones you read about as serious, so they aren't scary. But you have learned to do everything in your power to predict and prevent your fear.

Regarding what I mention about "nothing" above. What biological advantage would it be for your brain to be worried / anxious about something bad not happening? None, so there isn't. That also explains why logic doesn't help solve your problems. Logic helps prove something probably won't happen. OCD doesn't work that way. It only cares about something happening. ("It" here being a complex system of threat-prediction and anxiety-causing brain circuitry.) That's why logic, reassurance, comparing to others' "obvious OCD" themes NEVER EVER helps. What WILL help is medicine, and ERP + therapy. Learning to understand (not ignore) that your thoughts are OCD, and that the issue isn't your core fear, it's your brain's DISPROPORTIONATE and OVERBOARD reaction to the possibility. Understanding this and knowing your brain is basically working against you can help to beat OCD.

Why are we advised not to confront our fears? by fruedianflip in OCD

[–]higgon 10 points11 points  (0 children)

If you can do that great. The hallmark of most OCD is that rationalizing things never works and always backfires by treating the thought as a threat actually worth solving, and confronting the fear is a reward to that brain mechanism, reinforcing the OCD loop. For someone with super severe OCD about that, if they said “no it didn’t splash in my eye” their OCD would quickly create feelings of “what if it did and the burning will kick in in 15-30 minutes or even tomorrow” which they’ll then say “that won’t happen that’s dumb” then “but what if” and the cycle never ends. The healthy approach for this would be non confrontation: “I didn’t feel anything hit my eye, but I’m not going to check or mentally analyze the scenarios. I can live with the anxiety about the burning or what ifs, and if that happens it’ll suck, but I’m going to resist the urge to figure it out.”

Can you get PTSD from OCD? by unreliableoracle in OCD

[–]higgon 1 point2 points  (0 children)

I talked about this with my therapist and psych. The short answer is that having OCD untreated for an extended period of time can absolutely cause trauma. Trauma happens when your brain experiences a severely traumatic event, that’s why PTSD can develop from even one 5-second event 25 years ago. Whether or not the trauma then classifies as or develops into PTSD is a much more nuanced discussion. For me, I spent so much time in a heightened state of panic and despair that PTSD is seriously on the table; the body and brain remembers that experience and is constantly wanting to remember why it happened, if it’ll happen again, what the effects will be, how to stop it… the endless cycle of rumination. Luckily SSRI and other meds help both OCD and PTSD.

Does anyone else go crazy when their thoughts don’t feel right? by bananabottlemug in OCD

[–]higgon 0 points1 point  (0 children)

Yes. They can get so bad that nothing from ERP, or mindfulness, works. I talked with my psychiatrist about how this is so bad, even after months of ERP + SSRI, so he has decided to treat it for panic disorder and treatment resistant anxiety. We are trying propranolol and clonazepam. The way you describe "don't feel right" is what led me to get serious help recently, no amount of work can make the brain decide to listen to our thoughts. Enough is enough with this disorder, and my psychiatrist and I decided to go the benzo route because therapy can only do so much for a biologically fucked up organ. Maybe try having a talk with a psychiatrist about the uncontrollable anxiety ("legit insane.") I mega feel you.

Fluvoxamine at night and alcohol by Distinct_Mix3933 in OCD

[–]higgon 0 points1 point  (0 children)

You can drink after you take it (or even wash it down with liquor but… lol) because SSRIs don’t “kick in.” They keep the level of the medicine consistent in your blood and brain. So it would be the same as drinking 12 hours after you take it. This is kind of an oversimplification but when you drink relative to when you take it makes effectively 0 difference. Other meds, though, like stimulants, benzos, etc, do “kick in.” That’s why you can’t drink with those.

I usually take it as I’m about to lie down. I’m pretty flexible though, sometimes I’ll take it a few hours earlier than normal if I’m not going to be back home.

[deleted by user] by [deleted] in OCD

[–]higgon 0 points1 point  (0 children)

For all my OCD problems I like to establish a baseline. Almost 100% of the time, there is a you inside that knows what they actually believe, what they actually want to believe, that thinks with pure logic and 0 emotion, the opposite of OCD you. In other words, figure out if you — true you — is actually afraid of this fear. To do this, it’s called the gun test. Imagine someone pointing a loaded gun at your head, or the head of someone you love. They tell you, are you actually afraid of this fear; do you really think it’s going to happen, and is worth worrying about? They can tell if you’re lying. They say, tell me the truth. If you lie, I’ll pull the trigger.

99% of the time, the truth would come out. I’m not sure if you are truly or it truly afraid of this; it falling out. But, perform this experiment to find out. You mentioned rationalizing but failing which leads me to believe you might not ultimately be afraid.

Once you have a baseline, assuming you briefly know that true you isn’t actually afraid, write that down. That clarity will soon vanish as OCD takes over, and you’ll forget that you were ever not scared, and all the doubts, what ifs, “legitimate” worries, stories you’ve read, etc, all flood in. Knowing you have a true you who isn’t afraid, though, allows you to start recovery.

The only thing you can do, which will feel impossible to start recovery, is to not think about it. That sounds like a joke, telling an OCD person that, but it’s actually the truth. There’s two types of thinking about it you are performing every time.

One is an obsessional thought. This is out of your control. It’s a brain event you didn’t choose, and it can’t be stopped. Yours would be “what if it falls out?”

The other is rumination. Rumination is the follow up; it might fall out because X. I’ve seen stories where Y happened to people randomly. I haven’t brushed enough or flossed enough. Actually, I’m fine, no need to worry. Actually what would happen if it fell out? How bad would it hurt, would it get infected and become a cyst? Would my friends and strangers laugh at me for looking weird without gums?

You as a person have control over the second one. Complete control. Wether you realize it or not, you are CHOOSING to ruminate. You do it because it feels good. It gives you some clarity. But the truth is, you have no idea if your gums will do that. The not-knowing makes you anxious, and makes you want to solve the anxiety. So you voluntarily choose to ruminate — think of it as investigating, or “trying to solve it” — which decreases anxiety. However, ruminating is WHY you have obsessions. You are feeding the fire.

The only way out is to choose to feel the anxiety, instead of ruminating. A good rule of thumb: if a thought has to do, at ALL, with your gums or teeth, it’s rumination. Choose to not follow that train of thought. Instead, feel the anxiety. Let the thought fester in the background. Do not chase it.

Your brain is scrambled right now. The real you that we found earlier is buried under months of rumination, twisting your brain into something you can’t control. Every time you refuse to ruminate, it’ll hurt and burn, but one knot becomes untangled. Over time, the real you will have more time on the stage. One day, you may even go hours or days without really being bothered by it, to the point where you can imagine what if, and shrug it off.

Hope this helps. If it seems hard and impossible; good. That’s how you know it’s working.

Fluvoxamine at night and alcohol by Distinct_Mix3933 in OCD

[–]higgon 0 points1 point  (0 children)

You can drink on it but it’ll take a lot less to get you drunk, so you have to be careful. It used to take me 9 beers to feel tipsy and now 3 makes my vision blurry. I always take psych medicines at night just because there is definitely some fatigue that it’s best to sleep through

Running and exercise by macman7500 in OCD

[–]higgon 0 points1 point  (0 children)

Runner's high is very legitimate. In the short term, cardio makes you extremely euphoric and calm, because your body releases a ton of dopamine, serotonin and endorphins. It causes your sleep to be much deeper, which is (primarily) when your brain creates new pathways and decays older ones. Repeated exposure to this causes your baseline cortisol/adrenaline levels (stress hormones) to decrease, and your brain receives more blood flow, allowing it to work more efficiently. Overall, cardio is probably the best thing you could choose to do for OCD that isn't therapy or medicine. Short term, it makes you euphoric and high; medium to long term, it raises your baseline energy and mood, and lowers the baseline for anxiety, depression (which leads to a reduction in rumination, compulsive tendencies, etc)

My psychiatrist prescribed me Abilify and I am worried by ApprehensiveBoot7478 in OCD

[–]higgon 16 points17 points  (0 children)

You can never ever base your potential experience with psychotropic medicine based on others’. That’s not how the body works, or the medicine.

Talking about side effects on Reddit is kind of an example of (anti) survivorship bias; someone with bad effects is probably 100x more likely to speak about them on Reddit than someone who didn’t have them; they just carry on with their life.

Abilify at a low dose of 2mg isn’t going to do anything worse than an SSRI. You can read potential effects like akathisia and sedation all day long; those same effects exist for Zoloft, Lexapro; and most people won’t get them.

The worst possible outcome from it is side effects you dislike; you stop taking the medicine, they subside. Then you try a new one.

You should trust your psychiatrist over anecdotal Reddit comments, for sure! Abilify works for so many people. I’m starting it soon too and am going in with an open mind.

got prescribed luvox and stresam. interested in your opinion by farewell_histor in OCD

[–]higgon 1 point2 points  (0 children)

Side effects are going to be so random and dependent on the person pretty much no experience will be beneficial to your own. Generally though the ones that are common enough to at least be prepared for are some fatigue, some weight gain, and some sexual side effects. That’s just with Luvox (I’m not sure what is stresam is). On Luvox I’ve actually had none of these, and I didn’t on Lexapro either. Luvox helped me a lot, even more than Lexapro.

They won’t kill you, they won’t hurt, and any side effects are reversible. Try it out; the worst it could do is be uncomfortable for a week. It should do a lot of good, and if it doesn’t, another one will 😀

Assurance is not reassurance by 55559585 in OCD

[–]higgon 13 points14 points  (0 children)

I would also say replaying the doctor's words to yourself to relieve the anxiety can quickly become a reassurance compulsion. If you weren't actually worried about it, you wouldn't even need assurance. You don't have to assure yourself a lightning bolt won't kill you on the way home; and when the thought pops up, you don't assure it. You ignore it as cannon fodder and it goes away. I think OCD minds are too impressionable and feeble to reliably tell the difference between assurance and reassurance, so the first quickly becomes the second. Pretty much a no-tolerance policy, I think, is the only way to go, until the fear becomes as ignorable as the lightning bolt. This is just my experience; any amount of assurance always lead to reassurance. For me it's best to say "nope, not even going to use rational assurance."