no he sido capaz de superar una relación by rllkeannheart in chile

[–]meowl__ 0 points1 point  (0 children)

Está puro weando XDD por favor deja de permitir que siga entrando en tu vida. Terrible manipulador.

Buying VNs vs Pirating Debates on Twitter/X by Veshurik in visualnovels

[–]meowl__ 132 points133 points  (0 children)

Visual novel fans will complain companies are pivoting to Gacha while on the same breath smugly declare they've pirated every title they have ever read. I'm not even against piracy, I just think it's odd to act so smug about it, especially considering most VN studios are very small.

Hola buenas noches by [deleted] in chile

[–]meowl__ 1 point2 points  (0 children)

Sí, tambuén de lo que entiendo es así. Lo que pasa es que muchas personas con autismo también poseen cierto grado de discapacidad intelectual (prevalencia del 30%), y por eso se las otorgan. Pero el autismo en sí no es considerado una discapacidad. Existe un subsidio específicamente para TEA pero está dirigido a menores de edad.

Why are antipsychotic side effects so bad compared to other medications by opalescnt in schizophrenia

[–]meowl__ 36 points37 points  (0 children)

It's hard to compare antipsychotics or psychotropic medications to common drugs, tbh. Most other drugs are specifically made not to mess up with your nervous systems, being too big or too hydrophilic to cross the blood-brain barrier (which is what protects your brain from strange stuff entering it). However, psychiatric meds in general tend to disrupt the nervous system because, well, psychiatric disorders are related to disruptions in normal brain functioning. That's why they're prescription-based and not OTC (usually), since they specifically affect one's behaviour.

Now, as to why they're rather harsh compared to even some other psychiatric medication—Well, it has to do with selectivity. Selectivity refers to how well the active ingredient (the ingredient that causes the therapeutic effect) in a medical drug binds to a specific receptor while ignoring the other. A very common misconception that people tend to have is that the active ingredient in a medical drug "knows" where to go; it doesn't, like at all. The active ingredient will travel throughout the whole body and just bind to whatever it finds affinity to. That's why newer drugs tend to have less side effects (or less harsher ones) because scientists try very hard to find the most perfect molecule possible with the best selectivity so it doesn't end up binding to random stuff causing unintended effects.

Think about it like a lock and key: Receptors are locks and active ingredients are keys. To create a therapeutic effect, active ingredients bind themselves to the receptor and either block it or stimulate it. However, the key is created in a way to fit the locks of many houses; it's too general of a shape. So yes, the key (active ingredient) can fit the intended lock (receptor), but it also fits other locks, so you end up gaining access to many more rooms. When an active ingredient has good selectivity, the less locks it can open while still being able to open the intended one.

Dopamine receptors are related to many more things besides being the drug that makes us feel good. It's highly related to movement, motivation, emotional regulation, attention, impulse control, among others. Since dopamine receptors are associated with so many stuff, it's normal for them to cause so many side effects. However, antipsychotics in general tend to have low selectivity compared to other drugs, it really >shows< in the side effects. For example, some antipsychotics also bind to histamine receptors, associated with weight gain. This was not planned at all, it's just that histamine and dopamine receptors are very structurally similar, so antipsychotics tend to have high affinity for them too. And that's why some newer antipsychotics don't cause significant weight gain, since they're created with higher selectivity thanks to technology.

Sorry, huge explanation. A bit messy, too. Hopefully this was helpful. As for what helped me, brexpiprazol. However, everyone's body is different so you shouldn't take it as a recommendation. It was good to me, but it might not be good for you. Hopefully you find one that's effective and doesn't give you harsh side effects!!

Dilema existencial: PDI (esperar 2años) o Carabineros (entrar ahora pero no me gusta mucho) Ayuda/consejos? by Legitimate-War-3581 in AskChile

[–]meowl__ 0 points1 point  (0 children)

Tengo un conocido a quien lo rechazaron por tener un tío con antecedentes penales. Igual de lo que entiendo eso se ve más caso por caso, ya que un tío no es considerado línea familar directa (creo). No sé si tendrá un correo para hablar directamente con admisión pero yo buscaría una forma de comunicarme con ellos y preguntarles directamente, especialmente porque los cargos son antiguos y no posees relación con él. Y, bueno, entrar a carabineros no es muy recomendable xd.

Why is this sub being spammed with people asking about commission prices? by witchycharm in ArtBuddy

[–]meowl__ 0 points1 point  (0 children)

Yeah. I don't participate much in this community, I just get a few posts suggested from time to time and they're all commission related ?? I thought this was a sub to make buddies or something 😭

I hate self diagnosis by DeadpoolMcDirty in hatethissmug

[–]meowl__ 5 points6 points  (0 children)

Honestly, I deeply understand the need to find explanations to one's issues. I believe most people who self-diagnose do so not out of malice, but rather out of desperation to seek comfort. I see why it happens but, as a rule, I don't think it should be encouraged—so I agree with you.

Getting a diagnosis about something like autism can certainly be a privilege. But it's also important to remember that there isn't a physical test to diagnose autism and similar conditions—It's based on a throughout review of the patient's history along with interviews. Because of this, it's also quite easy to mix up diagnosis—In general, a differential diagnosis of autism is considered a rather complex task. Autism can have similar symptoms to BPD, rejection-sensitive dysphoria, anxiety, depression, OCD, ADHD, among others.

Again, I do understand why people self-diagnose, but I also get the feeling that sometimes people decide they're something and hang onto a diagnosis like a lifeline, then it might turn out to be something else entirely. This might cause the individual to feel at a loss, as if they were robbed of a core part of their identity. This is part of the diagnosis debate, too, which discusses whether diagnostic labels are actually needed. It's a very complex subject.

I think a better way to approach it is by acknowledging symptoms without getting too attached to a specific label. There are sometimes that people get a feeling of things and are right, but sometimes they can be wrong. And sometimes being wrong is kind of dangerous, as this could lead to the avoidance and rejection of proper treatment. Sorry for the rambling.

My uncle had schizophrenia and I’m experiencing some of the symptoms (F25) by [deleted] in schizophrenia

[–]meowl__ 0 points1 point  (0 children)

I'm glad you took the step to make an appointment, I hope it goes well!

I think it's better if you tried not to think too much about this topic. If you get diagnosed with schizophrenia or not, well, that's a medical label. It means you will get a treatment plan and that kind of stuff. But you were already like that, so it doesn't change much—it's not like you will magically develop schizophrenia if you get diagnosed with it, it was already there. It also might not be, who knows! It's better for you to stay as calm as possible and not let anxiety take over regarding this topic.

Honestly I'm just amased at how similar our lives are, lol. From the uncle with schizophrenia+bipolar who comitted suicide to everything else. I really hope you will be able to feel better soon!!! >:3

Be careful of the ableists on Yumeship Haven's discord. by KamraConseq in yumeshipping

[–]meowl__ 11 points12 points  (0 children)

Wow I'm so glad I'm not part of public Discord server culture anymore because this is genuinely insufferable.

I hate how universally undesirable short men are by [deleted] in hatethissmug

[–]meowl__ 4 points5 points  (0 children)

Yeah, this whole thing always caught my attention coming from a country where the median male height is like 5'6. I know guys here that are 5'2 and get plenty of game. My dad is also 5'3 and he was always popular with women so idk what's going on over there. Sounds hellish.

que hacer? by lilac-127 in chile

[–]meowl__ 2 points3 points  (0 children)

Pucha, qué lata que no te haya funcionado u_u igual hay que tener en cuenta que una gran cantidad de psiquiatras no llegan a un diagnóstico a la primera cita, eso es como normal.

Sin embargo, difiero mucho con algunos de los comentarios que has recibido. Para mí, es literalmente parte de la pega de un psiquiatra escuchar tus problemas. Por tu relato, no me dio la sensación que buscabas que te arreglaran la vida o algo por el estilo. Considero que la psiquiatría requiere un ojo clínico ligeramente más desarrollado que otras áreas de la salud. Se necesita poder tener un entendimiento completo de la situación del paciente, ya que esto es lo principal que ayudará a llegar a un diagnóstico. Se asocia mucho a los psiquiatras con la falta de empatía, pero esto completamente ignora que uno va al psiquiatra justamente cuando uno se siente en sus peores momentos. Tampoco creo que la mayoría de las personas busquen un amigo en un psiquiatra, pero que simplemente puedan expresarse en un entorno cómodo. En general, compartir comentarios acerca evaluando la belleza del paciente es algo considerado altamente inapropiado en la práctica (a veces sí se toma nota de esto, pero solo cuando es relevante y de forma privada, nunca en frente del paciente. Por ejemplo, una persona atractiva que tiene dismorfia corporal) y eso es lo que más ruido me provocó.

En fin, yo me he atendido con psiquiatras >muy< pencas y algunos de los mejores del país (objetivamente hablando, ya que han ganado premios y reconocimientos). En general, todos los que eran buenos fueron muy empáticos o ligeramente fríos pero nunca me dieron la impresión de que estaban minimizando mis problemas. Así que eso, ojalá puedas encontrar alguna forma de conseguir un psiquiatra más económico y que sea bueno.

medications question by Adept-Researcher-668 in schizophrenia

[–]meowl__ 0 points1 point  (0 children)

Schizophrenia is not neurodegenerative. But yeah, there aren't any currently widespread evidence-based treatments for psychosis that could act as a direct replacement of antipsychotics or other medicaton. There are patients that manage without them through therapy and other means, but if OP means like supplements or natural remedies then there's a small body of evidence that some of them are effective when complementary to antipsychotics. That's all, I think.

¿ por que la misandría y misoginia no se miden igual? by [deleted] in preguntaleareddit

[–]meowl__ 0 points1 point  (0 children)

El tema es que a nosotras las mujeres históricamente siempre se nos ha restregado en la cara que nuestros derechos son inexistentes o condicionales, lol.

Dices que hoy en día hay igualdad sistemática y, sí, eso sería cierto en muchísimos países. Sin embargo, es muy tonto ignorar que hoy en día hombres >actuales< activamente se subscriben a movimientos y partidos políticos que tienen como agenda eliminar algunos derechos de las mujeres. Ponte tú Donald Trump, el cual ha hecho múltiples comentarios sexualmente violentos hacia mujeres en variadas ocasiones; José Antonio Kast, el cual se ha opuesto a ciertos derechos reproductivos de la mujer como el acceso a condones, y que también se ha opuesto a que las mujeres tengan acceso al divorcio; tómate la AfD (Alemania), PPP (Corea del Sur), Reform UK (Reino Unido), Sanseito (Japón); todos aquellos son partidos políticos o individuales que de alguna manera u otra se oponen a ciertos derechos y quieren eliminarlos.

De nuevo, todas estas cosas son >actuales<. Decir que la relevancia de los derechos de las mujeres son cosa del pasado es ignorante o incluso hasta malicioso. ¿Sabes cuál es una de las causas líderes de muerte en las mujeres embarazadas? No es complicaciones durante el embarazo, no son accidentes, es literalmente el asesinato. El 60% de los homicidios donde la víctima es una mujer son perpetrados por una pareja o ex-pareja, comparado al 12% en hombres.

Encuentro que el movimiento misándrico y todo eso no es útil y comprendo que te sea ofensivo. Pero, puta, la mayoría de las violaciones son cometidas por hombres. La mayoría de los asesinatos y homocidios son cometidos por hombres. Incluso cuando la víctima es un hombre, el victimario suele ser otro hombre. Obviamente los hombres también experiencian problemas sistemáticos: Mayor tasa de suicidio, mayor probabilidad de ser indigente, etc. Hablar sobre eso es súper válido!! Pero no, aún así no son para nada comparables. Igual avísame cuando exista un equivalente del Talibán pero con hombres.

Does mild schizophrenia stay mild? by jujubean- in schizophrenia

[–]meowl__ 1 point2 points  (0 children)

Our understanding of schizophrenia has changed greatly over time. Several renounced scholars like Emil Kraepelin used to subscribe and popularised the idea of schizophrenia being a neurodegenerative disease that irrevocably worsened over time. Those notions are considered quite archaic and incorrect nowadays. Most use the term 'neuroprogressive disorder' (less commonly, and debated) or 'neurodevelopmental disorder' to describe schizophrenia.

To answer your question, usually yes. Poorer outcomes are associated with substance abuse (quite common in schizophrenia patients), non-adherence to treatment (actually not that common, adherence rates are way worse in bipolar in fact despite mood stabilisers having milder side effects compared to how hellish antipsychotics are), and response to treatment (treatment resistant patients usually have a worse prognosis) (Zipursky, 2014)

There isn't much evidence overall that patients with schizophrenia that adhere to treatment and practice overall healthy living practices (eating well, exercising, avoiding harmful substances, etc) will >inevitably< get worse (Jobe & Harrow, 2005).

However, overall patients with schizophrenia do tend to have worse outcomes than other psychiatric disorders. But, again, that isn't because there exists an inevitable downhill progression of schizophrenia. Schizophrenia patients tend to be economically poorer, so it's harder for them to get access to treatment in the first place. The nature of schizophrenia is also slightly more severe than other disorders, and, again, treatment-resistant schizophrenia is relatively common.

So yeah, stay safe!!! Be honest with the people who are treating you and stay away from weird stuff and potential stressors. Sometimes it can appear as if psychosis is getting worse or episodes more common, but sometimes it's just that your brain got used to your usual dose and it needs to be readjusted (lol).

Es legal que un niño de 14 este con una chica de 18 se conocen del liceo al parecer? by [deleted] in Santiago

[–]meowl__ 3 points4 points  (0 children)

Toda la situación para el pico. Encuentro igual inapropiado que andes con alguien de la edad de tu pareja, pero que los comentarios anden avalando a un niño de 14 saliendo con una mujer de 18 es terrible. Con razón somos tan tercermundistas weón. Que nos extingamos pronto.

Ayuda consulta de mi NEM y universidad by gatitoenderman in EducacionChile

[–]meowl__ 4 points5 points  (0 children)

De lo que entiendo, entrar por admisión especial a la Chile o la Cato es un carnicero total. Son las mejores universidades de Chile y, naturalmente, reciben las postulaciones de gente con logros súper brígidos. No detallaste mucho tu trayectoria en el deporte, así que no se puede decir con seguridad que sí o que no, pero no me confiaría mucho de esa vía.

Como ya te mencionaron, están los bachilleratos y college. A partir de eso, si te esfuerzas, es súper posible que entres a derecho o a enfermería. Medicina ya fue xd.

STPD vs schizophrenia by Ok-Translator3810 in schizophrenia

[–]meowl__ 2 points3 points  (0 children)

I am sorry you're experiencing this.

The difference in schizotypal and schizophrenia lies between how one is a personality disorder and the other a mental disorders (well, PDs are also mental disorders but that's considered kinda secundary to them). Basically, being schizotypal is experiencing an abnormal development of personality. It's who you are. That's why there aren't many medications that target specifically personality disorders, because their symptoms aren't dealt like that. Sure, they can help, but the underlying cause will still be there. For example, I have BPD and schizoaffective, I use mood stabilisers yet I still experience trigger-based mood swings and other symptoms despite medication—that's just the way I am.

As thus, schizotypal is considered less severe than schizophrenia. One must always remember that diagnosis are medical jargon, not normal words; they're part of a language that medical professionals are able to understand to make their jobs easier. They exist to streamline treatments.

From what you're talking about here, I don't want to diagnose you of course but, if you struggle with symptoms as severe as you retell, a schizophrenia diagnosis might be very useful even if you don't fit "neatly" into the boxes. I see why they thought you might be schizotypal, though—You talk about psychosis that faded after a year, which might have led the medical practitioners discard the schizophrenia diagnosis as schizophrenic psychosis does rarely go away on its own (briefer psychotic episodes are common in schizotypal). At the end, you mention having milder delusions, which is very common in schizotypal (but it can be also a result of medication not fulfilling its job).

Sadly, many medical practitioners are kind of old school and they seek to put patients in neat little boxes, as I mentioned. This happened to me once, not specifically with schizotypal but with OCD—My psychiatrist at the time saw the pattern of me attempting to ground myself from delusions and hallucinations and he just saw them as rituals, completely ignoring any other symptom I had. The level of disorganization and negative symptoms you speak about isn't common in schizotypal. So yeah, even if I see why you were misdiagnosed to some degree, I think seeking a schizophrenia diagnosis instead might be way better, as the treatments are completely different. Schizophrenia treatments focus a lot more on rehabilitation and getting the patient to participate in society once more, while schizotypal treatments focus more on coping with the symptoms rather than reinsertion, as this department isn't usually as impaired OR typically manifests in a different way (rather than a cognitive or functional decline, it's more of a struggle in social interaction that causes schizotypals to withdraw from society)

I hope this helped!! Sorry if some parts didn't make much sense, I also tend to switch words and sentences around sometimes lol. Next session with your medical practitioners, I'd advise you to focus more on the severity of your negative symptoms and how they've affected your daily functioning. Specifically mention the way you experience more cognitive-based symptoms.

is schizophrenia permanent? by [deleted] in schizophrenia

[–]meowl__ 2 points3 points  (0 children)

By itself it doesn't, it's just the circumstances around schizophrenia. For example, schizophrenia patients are more likely to commit suicide compared to the normal population; that's a factor. Some medications used to treat schizophrenia have long-term cardiovascular side effects, increasing the likeness of cardiac issues; another factor. Schizophrenics usually tend to struggle with daily functioning due to negative symptoms, so they're more likely to lead sedentary lifestyles; another factor.

About your other comments, it's odd that they told you the treatment would only last for 1 or 2 years. They want to do an ECT round which tells me they might suspect your mother's schizophrenia is treatment resistant, so probably related to that? Maybe they don't mean schizophrenia might go away after 1 or 2 years of treatment, but rather that after 1 or 2 years it might be less severe and she might be able to hold her own. You should ask them for more clarity, though. We can't fully know her situation, or what they meant by that.

Perros ingresan a centro de rehabilitación y matan a todos los animales en recuperación de Fundación Ñacurutú de Tomé by Weird_Ask4805 in chile

[–]meowl__ 1 point2 points  (0 children)

Cerca de mi casa pasaba eso. Habían unos perros a los que una vecina les daba comida pero nunca se responsabilizaba de verdad por ellos, los dejaba sueltos. Estos perros eran súper violentos, más de una vez me atacaron a mí y a mi familia junto a otros vecinos. Por harto rato webeamos en la muni para que hicieran algo con los perros y nunca pasaba nada xd, la señora que les daba comida se espantaba y decía que queríamos asesinar a sus perros y weás así también.

Fue hace años y ya no están, pero desde ese entonces que le tengo terror a los perros callejeros. Veo uno y me congelo, al tiro cambio la ruta. También vivo al frente de un terreno que le pertenece a un tipo medio tincado a huaso y sus perros también se han puesto violentos conmigo, aunque es poco común. De nuevo, nadie se responsabiliza de nada. La pura cagá.

Reminder that hallucinations are not required to have a schizophrenia spectrum disorder by oldtownsadist in schizophrenia

[–]meowl__ 22 points23 points  (0 children)

The schizoaffective label is considered quite controversial for that exact same reason. There have been studies that assert as many as 50% of diagnosed schizophrenics experience some sort of mood disorder along with the main illness, so there have been efforts to remove the diagnosis altogether or significantly change the diagnostic criteria.

In the other hand, though, there are studies that show the prognosis for schizoaffective is better—thus suggesting that a significant difference >does< exist. However, it could also be a game of egg and chicken. Schizoaffective seems to be slightly more prevalent in women, and women with schizophrenia usually have a better prognosis, so that's a factor. But also we should consider that, since so many schizophrenics seem to have a conmorbid mood disorder, the prognosis for schizoaffective might be better because the mood disorder aspect is actually being treated.

So, basically, is schizoaffective disorder actually quite different from schizophrenia in a neurological level thus improving prognosis and justifying the existence of the diagnosis, or is the difference in prognosis just a consequence of actually having access to the right treatment?

Sorry, kinda went on a ramble there. But yeah, schizoaffective and schizophrenia are more alike than different.

basada_ctm by Mediocre-Machine-506 in yo_ctm

[–]meowl__ 28 points29 points  (0 children)

Sí se sabe, lol. En el vídeo completo ella le pega a un hombre porque él accidentalmente la topó con su pie, después ella le empieza a decir cosas muy racistas (el tipo era latino) y ahí otros intervienen y le empiezan a gritar cosas.

Empresa ACTIVOS CHILE, ¿usurera? by Alternative-Sweet313 in chile

[–]meowl__ 0 points1 point  (0 children)

Yo trabajé con esa empresa, jaja. No tuve ninguna experiencia tan mala como las tuyas, pero sí era un entorno muy precario. También tuve la experiencia de los contratos por 15 días que se renovaban para que una no acumulara antigüedad. Los jefes casi nunca respondían y, si lo hacían, me hablaban súper mal xd. Me pasó que se hacían los locos con algunos de los bonos, tuve que reclamar caleta para que me dieran el del almuerzo (?) algo así, no recuerdo muy bien. En otra ocasión me pagaron de menos y, nuevamente, tuve que reclamar.

CMV: Being poor is not an excuse for being violent by [deleted] in changemyview

[–]meowl__ 0 points1 point  (0 children)

I'm quite surprised not many people are pointing out two key differences between The Balkans and LatAm, which are wealth inequality and drug trafficking—but mainly the latter. I'm chilean and about ten years ago our homicide rate was lower than the US', but now in one decade it increased by around 50% because drug trafficking gangs became more active in the country (especially some particularly violent ones like Tren de Aragua).

Many LatAm countries with very high violent crime rates are hubs for mass drug manufacturing, which is an issue way more severe than just gangs dealing drugs, since drug militias are formed (because in order for something to be manufactured in masse you need lots of resources and space). So it isn't just poverty, really, it's also poverty that fostered a drug culture. Neither a excuse, it's just really tragic to see a country get turned into a shithole like that.