Please put an NSFW tag on this. I was on the train and when I saw this I had to start furiously masterbating. Everyone else gave me strange looks and were saying things like “what the fuck” and “call the police”. I dropped my phone and everyone around me saw this image. Now there is a whole train of men masterbating together at this one image. This is all your fault, you could have prevented this if you had just tagged this post NSFW.
The only time I’ve seen something like this is when my doctor really wanted me to try an anti-depressant, so he gave me a perpetual supply of free samples.
It depends on what you mean by “start working.” The first time I took a sertraline, I felt absolutely baked, but I feel like it took weeks for the desirable effects to take hold.
Then again, my doctor also told me that something like 60% of the effects are a placebo.
Regardless, yes, he would give me like a month of these individal samples at a time. I’m not sure how he swung that. It was like 2003 or 2004.
For classical antidepressants Chemicals tend to function pretty fast but the effect is designed to be subtle because you need to live a normal life, capable of dealing with and feeling both ups and downs. not be perpetually smiling or brain dead.
After some time “a few weeks” of taking a daily dose your body and mind adjust to the subtle changes causing a stable therapeutic effect. At least thats what I understand is the idea.
But lately there is also sm of a psychedelic renaissance of medicine and they work entirely different where a single dose within a therapeutic setting creates a longer lasting feeling of increased well being.
Nasal Ketamine seems to receive allot of attention, near instantly improving the condition. They tend to need 1 dose every 5 weeks so its less addictive then classic medicine. But i do admit it instant improvement for treatment resistant medications is a bold claim and still subject of more research.
The side effects can last for weeks. It’s like a really shitty onboarding process. For some, the side effects are not bad. Personally I can say that the first 2 to 4 weeks are usually filled with nausea, extreme fatigue and exhaustion.
The way that these sorts of meds have been described to me is that “they give you a leg up”, meaning it gives you just enough of a “boost” that you might actually follow through on therapy and the strategies it offers.
It has been years now, and still no luck. I’d love to live a normal life, whatever the fuck that means lol
A doctor said this and it was such a good metaphor: imagine that you have a 3000 year old machine (which no one understands anymore) with a bunch of cogs and gears, and you’re looking down at it from above. You’re trying to fix a gear that is slightly out of alignment further down in the machine, you can’t really tell which one it is but you know roughly which area, and to fix it you drop a rock into the machine and watch it fall down.
That’s what we’re doing with SSRIs. We’re dropping a rock that manipulates our serotonin, which gives a bunch of effects but not the one we’re after. The one we’re after is somewhere down the line. It’s affected by processes that are affected by the serotonin somehow. We’re not exactly sure which one it is, but we know that if we drop the rock in there it will make the gears align sooner or later.
Which is why it takes time, and why it has some odd effects on people sometimes.
edit: added a detail I missed, to make it clearer.
There’s other antidepressants that don’t do that. Mirtazapine for instance helps sleep, and has no real impact on sex. It’ll make you hungry, though. Buproprion will mess with your sleep but not sex, but you’ll have no appetite. They all have their own unique collection of side effects, well worth looking into other options if SSRI’s aren’t well tolerated
Friendly reminder that sexual side effects of SSRIs are incredibly common, some medications effect more than one in four, but it is something that’s typically wildly underreported unless the practitioner brings it up, specifically, first. Not just “any side effects”.
There are multiple treatment options for people who encounter those side effects. They can range from poor libido/drive, to inability to obtain an erection or adequate vaginal moisture, to delayed or absent orgasm. All are common and all are frustrating. All can occur alone or with one or more partners.
If it’s impacting treatment or quality of life or your ability to stay compliant with meds, it’s absolutely worth discussing with your provider. There are other medications or alternative schedules to taking SSRIs. There are other meds that can be prescribed alongside SSRIs to accommodate for the side effects.
I totally understand that this is a necessary process for anti depressants but damn it sounds scary as fuck. “Eat these brain chemicals and come back and see us in a couple weeks”
“How does it work?”
“Fuck if I know it’s kind of like throwing a rock at an old machine. Just make sure you let me know if you experience any of the long extensive list of potential side effects!” Like damn im for sure not a doctor but that sounds like russian roulette with brain pellets to me. If Ecstasy (which was invented by a pharmacutical company to be medication) can permanantly fuck up your brain I would bet money that these pills certainly do the same. I bite my tongue anytime someone mentions they are considering it or talking to a doctor about it, their choice. But man it scares the fuck out of me. Ill just continue to sleep all the time and stay angry lol
SSRIs definitely work for some people. It’s just that everyone’s brain chemistry is extremely different and complex. Doesn’t make it less scientific. Making the best guess is math and science.
I would say it even works for many people. We’re aware of the fact that it works, and we’re aware of the fact that it effects serotonin. We also know that serotonin isn’t what does the work. There’s something down the line that is affected by the processes of the body that just happens to react in the chain from the serotonin manipulation.
But all the other things that are affected in that chain can also do weird stuff to you if you’re unlucky. That’s why it’s important to have good communication with your physician during the process.
This is one thing where so many people I talk to got unlucky. For me, SSRIs were super lucky in that they helped alleviate depression caused by my anxiety which then helped me find other roots of the anxiety. Turns out undiagnosed ADHD is terrible for your anxiety - got diagnosed though!
Side effects for me have included stomach issues and weight not coming off even as my physical condition improves as I’ve started running again. I’ll take it for now until I start weaning off in the future. I wouldn’t say they were a lifesaver but they helped immensely.
I always recommend trying it if the doctor recommends it (and if you want it) even though I was unlucky and turned paranoid three pills in. I stopped taking them and it was over in a couple of days. So many people get helped by them and never say a word. People you and I wouldn’t ever assume were on them.
SSRIs were super lucky in that they helped alleviate depression caused by my anxiety which then helped me find other roots of the anxiety
You hit the nail on the head.
SSRIs are terrific at clearing some of the noise and making you more receptive to other therapy (namely talk therapy) and striking at the root of what’s causing the issue. I wouldn’t have even thought about talking to a therapist a year ago and it’s been revolutionary understanding my behaviors (especially those that I learned in childhood) and how I’m inadvertently passing them down to my kids.
Consequentially I’ve also been more aware of my wife’s behaviors and how she’s passing them down to the kids and she’s not quite as receptive to the criticism as I’ve been.
It really is eye opening to have a good long conversation about what’s troubling you with someone who understands the intricacies of how the mind works and how it pieces things together.
Berkeley wants to turn the park where homeless people are staying into housing for homeless and undergraduates… While refreshing 60% of the park.
Why are people upset about housing homeless and undergrads? Is this some NIMBY shit but people dont think it’s NIMBY because it’s their park this time?
NIMBYs care about all sorts of things and are staunchly against progress and housing the young and poor alike. This is entirely NIMBYism dressed up in progressive aesthetics and language.
Since there are already buildings there and between zoning, tearing down existing buildings, building height limitations, parking minimums, moving tenants out, and possibly no net gain in units after new buildings are constructed what is accomplished?
Anyways miss me with the tone and do some actual investigation into this complexity.
It’s truly incredible how ignorant you can be about this while also feeling you can talk down. I hope you one day take an actual real look at the very real and brutal housing issues around us.
Berkeley is a public school. They’re building government housing. But, it doesn’t matter to the groups who see outrage as a virtue and stall the progress they neverendingly clamor for.
My internet is 1.5MBytes per second download… And 200kbytes upload, there was a torrent that i was able to save from dying, i remember the poor mf that downloaded that file from me for a whole week; to download 16GB since then he’s been seeding that file; the sheer tenacity that man had.
That poor MF have been me a couple of times. I hate being interested in niche content sometimes… On the positive side, I have a strict no-delete policy on any public torrent with less than 5 in ratio or private torrents, so I carry forward the gesture so the previous seeder can take a break.
Yeah, have done that a few times. Used to have a 20MBit/5MBit cable internet, it was hell to be honest. Still I’ve managed to seed well over 500 or 600GB a month on that thing (I never turned the PC off 😂). Now I got 50/50. I used to seed about 3 or 4TB a month, but I can’t have my PC on like that any more, the electric bill was too high 😔.
Not only that, I have reconstructed dead torrents from files I’ve downloaded elsewhere (file sharing sites). If the files and filenames are the same, the hash will match, thus the client will start to seed it 😉.
lol what? It’s a fairly common name in all the Nordic countries at the very least, and fairly sure in Britain as well. The post is obviously American, but that name is not an uncommon one.
Anecdotally I know of at least three, two adults and one just starting school.
I’d suggest that a couple replies here took my response too literally but don’t want to have to come back and explain that I’m not accusing anybody of stealing.
It’s amazing what toxic assholes say to try to “prove” that posts are fake. I wish you and everyone else would have left that dumb, cynical shit at Reddit.
All the people watch commercials, but it wouldn’t surprise me if there was a correlation between the kind of person that can watch stupid reality shows for hours on end and the kind of person who watches those ads and it actually translates into them spending money on the things in the ads.
Probably so. I don’t know if home shopping channels are still on the air, but there were people who watched those religiously. I remember when TV switched over to digital broadcast, there was a big to-do in the town I lived in because a bunch of people watched a low-power broadcast station that broadcast a home shopping channel 24/7 and they wouldn’t be able to watch it anymore since it couldn’t afford the upgrade.
You looked at the original blueprints for hot dogs and said “too much protein, not enough carbs” instead of “I refuse to make two identical sandwiches in parallel”. Both fascinating observations :)
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