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Ask HN: Are you lost / confused / stuck? I can try to help

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Re: Ask HN: Are you lost / confused / stuck? I can try to help

#71

I'm very interested in this type of reading, for my situation and for others. My single post ( https://news.ycombinator.com/item?id=27739957 ) details where I was 9 months ago, and things have only degraded from there. I did indeed quit my job (which was the correct decision), but never received any decent help (not for lack of trying). I've gone through many doctors and 13-15 different anti-/depressant/anxiety/ + sl…

I was severely depressed for ~10 years, saw a bunch of therapists and tried a huge variety of medications. Also did a bunch of group therapy which has shown me other people's journeys. I've successfully helped more than a few people out of their depression in the years since I got better. While I used to have a whole shpiel I would give people I mostly just point them to this document now: https://astralcodexten.subs…

Interesting. I love Scott, but I didn't know there was a draft on ACX. The official page is on his website: https://lorienpsych.com/2021/06/05/depression/ I'll have to see how the articles differ...

1. Yea. It was hard to find someone with availability period, and our insurance isn't very good. You're probably right that I should just pay out of pocket, but I'm honestly pretty convinced that I have an actual brain chemical issue, so I'm dubious of the benefits to therapy

2. I think I do a decent enough job at this. I don't necessarily eat the best food, but at least I'm eating some fruits and vegetables and not Doritos all of the time. I don't really exercise much, but at least I go on 30+ minute walks every other day or so. I probably sit in my chair to much, but I imagine most on HN do that...

What led you to getting better? How were you able to function in such suffering for 10 years? Not to turn it into talking about me again, but I'm increasingly worried that I've wasted a year and may waste many more to this nothingness, which is quite concerning. How do you look back on your 10 years and say "it's OK, I needed to go through that/I'm happy I'm better now"?

Re: Ask HN: Are you lost / confused / stuck? I can try to help

#72
post #50

I'm very interested in this type of reading, for my situation and for others. My single post ( https://news.ycombinator.com/item?id=27739957 ) details where I was 9 months ago, and things have only degraded from there. I did indeed quit my job (which was the correct decision), but never received any decent help (not for lack of trying). I've gone through many doctors and 13-15 different anti-/depressant/anxiety/ + sl…

Your case seems pretty serious, so I may not be the right person for this. That said, it seems that you've hit a roadblock with regards to formal treatment (so far), so maybe sharing my perspective won't hurt. I'm open to having a longer extended conversation about your situation to get a better understanding of the underlying issues. I read through a bit of your other post and can see that you're married. How's that…

I've emailed. At very least, thank you for caring.

Re: Ask HN: Are you lost / confused / stuck? I can try to help

#73
i think that talking groups for and by engineers and founders are a great idea and would help me personally … i have tried talk therapy and my therapist was so far away from my world and complexity of issues, which you typically have as a tech founder … so in the end it didn’t work out.

Re: Ask HN: Are you lost / confused / stuck? I can try to help

#74
I have learned some things that help me tremendously, amid the regular and irregular problems of life, which I have tried to write in a skimmable way. One's worth definitely does not depend on comparisons with others, or with what seems popular. There are permanent truths one can grasp and keep, for peace & stability amid the hard times that we all can have; even joy.

I wrote some things at my web site about purpose in life (in profile, no ads or sales), whether one is religious or not. (If you want details and can't find them, you can email me--it is in the site footer.) It revolves around learning (personal growth in ability to serve one's family and others), and then service. There are important things to learn about the nature of life that also help.

One site that helps with the service part (ie volunteering) is justserve.org , which is free for individuals to participate and/or organizations who could use help, coordinated by location etc. And there are others like it. Unselfish service, helping others in good ways, brings a unique kind of enjoyment and real satisfaction.

I have learned for myself that God is real, cares, life has a purpose and extends before & after this mortality, questions have answers, each person including you is of infinite worth, and you never truly have to be alone. If we really try to make good choices, things can and will be very good, better than now. All real best wishes.

Re: Ask HN: Are you lost / confused / stuck? I can try to help

#75

Earlier quoted context omitted.

My plan was non-profit, corporate sponsorship, plus voluntarily member donations. Used the term 'startup' just because it's short for 'big complex IT project based on some assumptions'. Besides my own issues, I simply found too many holes in my original idea — where this idyllic utopia could go wrong. I still keep the idea on the heap — currently evaluating an idea of professionally supervised chat groups. But I'd be…

Could you please elaborate more on the business idea that you have if you don't mind?

Nothing is finalized yet.

Re: Ask HN: Are you lost / confused / stuck? I can try to help

#76
post #47

> I'm not trained with any formal credentials Get trained with some. There is a massively growing demand for therapists. World events and changing culture are creating the conditions for widespread personal crises. This has a big effect on the economy and is really an underlying root cause problem for many other visible socio-economic problems. Science now strongly backs modern psychotherapeutic practice, and it can…

Couldn't disagree more. The piece of paper isn't some magic wand that makes you able to help people. Assuming this person already has a career they are happy with, and they already feel they can help people, this doesn't add much value.

> Couldn't disagree more.

No. You're definitely wrong about that.

Re: Ask HN: Are you lost / confused / stuck? I can try to help

#77

I'm very interested in this type of reading, for my situation and for others. My single post ( https://news.ycombinator.com/item?id=27739957 ) details where I was 9 months ago, and things have only degraded from there. I did indeed quit my job (which was the correct decision), but never received any decent help (not for lack of trying). I've gone through many doctors and 13-15 different anti-/depressant/anxiety/ + sl…

Looks like there is some kind of hopelessness that you feel. Probably will need more details to find the root cause because there is insufficient information at the moment. That will probably be a much longer conversation.

You can send an email. See past comments in profile.

To describe:

1. The writers block

2. Your ambitions, the projects and startups you dream of

3. Roles you took on in which you were the single point of failure

4. The first time you were burned out that happened earlier in life

5. What have you done about things, what worked, what did not work

6. Do you get bored when people talk gossip about a mutual friend, like new relationships started

Re: Ask HN: Are you lost / confused / stuck? I can try to help

#78

Earlier quoted context omitted.

I was severely depressed for ~10 years, saw a bunch of therapists and tried a huge variety of medications. Also did a bunch of group therapy which has shown me other people's journeys. I've successfully helped more than a few people out of their depression in the years since I got better. While I used to have a whole shpiel I would give people I mostly just point them to this document now: https://astralcodexten.subs…

Interesting. I love Scott, but I didn't know there was a draft on ACX. The official page is on his website: https://lorienpsych.com/2021/06/05/depression/ I'll have to see how the articles differ... 1. Yea. It was hard to find someone with availability period, and our insurance isn't very good. You're probably right that I should just pay out of pocket, but I'm honestly pretty convinced that I have an actual brain ch…

> I don't really exercise much, but at least I go on 30+ minute walks every other day or so

I strongly recommend something more intensely cardiovascular for 20ish minutes a day (I go on runs). There's a lot of clinical evidence for aerobic exercise improving concentration and mood in a way just walking does not.

> How were you able to function in such suffering for 10 years?

I didn't function terribly well for that time period. I kept going mostly out of a desire to not hurt those I love. I was fortunate to have a supportive family and to be smart enough to coast through life while functioning at a massively reduced level.

> What led you to getting better?

I think some of it was just the maturation process that occurs between 20 and 30, but a few things stand out:

1. Really increasing the self-awareness of what I need to maintain my mood (the humans are complex houseplants bit). For example, if I'm not productive for a week I feel bad. If I'm tired I'm not productive, and thus I'm very pro-active about taking caffeine if I feel tired in the morning. This requires a lot of mindfulness and self evaluation, zen meditation can help here though I don't think it's required.

2. This point merges with (1) slightly but is worth breaking out, realizing the motion usually precedes emotion. When I'm feeling really bad it's often because I've failed to maintain the habits necessary for me to feel good for a while and usually it's going to take at least a week or two to work back to feeling good. As an addendum, any psychological tricks you can play on yourself that prompt the kind of action you know you need intellectually but can't bring yourself to do emotionally are gold. (I often tell myself I'm going to workout for 10 minutes to get myself up to 40-50 minute workouts).

3. I learned that while taking time to think about what makes you sad and unhappy is initially useful as you process your emotions, there comes a point where you are just wallowing in the misery. A depressed mind often gets caught in "loops" that are hard to break out of where you run through a negative line of thought over and over again. If you spend 60 minutes thinking about something wrong in your life that you've often thought of before and found no new insights, you've probably just made it a little harder to break out of your depression. Learning to short circuit these trains of thought really improved my mood.

4. As a personal thing, the realization that I was never going to be as happy as an adult as I was as a child and that that was actually ok (I was raised to believe being happy was all that mattered in life). I learned that feeling fulfilled was a good substitute for feeling happy and now feel life is worth living. It doesn't sound like this is a problem you have though.

> How do you look back on your 10 years and say "it's OK, I needed to go through that/I'm happy I'm better now"?

I don't. In retrospect with the right conversations I probably could have gotten out of the funk in 2-3 years. But going back to point 3 of the list I've learned there's not much point wallowing in it (I still do occasionally, I'm not perfect). So when I find my mind wandering to that thought I move it to something else.

Re: Ask HN: Are you lost / confused / stuck? I can try to help

#79

I'm very interested in this type of reading, for my situation and for others. My single post ( https://news.ycombinator.com/item?id=27739957 ) details where I was 9 months ago, and things have only degraded from there. I did indeed quit my job (which was the correct decision), but never received any decent help (not for lack of trying). I've gone through many doctors and 13-15 different anti-/depressant/anxiety/ + sl…

Check out David Burn's latest book[0] about modern CBT techniques. Burns originally popularized CBT with his writing in the 80s. "Feeling Great" is an updated modern version with the latest techniques. You might find the content itself useful, or the descriptions a good guide for techniques to try with your therapist or strategies for finding a therapist you might work well with. Sorry you've been feeling this way. G…

> Burns originally popularized CBT with his writing in the 80s.

Some people who popularized CBT before the 80s:

https://en.wikipedia.org/wiki/Aaron_Beck

https://en.wikipedia.org/wiki/Albert_Ellis

https://en.wikipedia.org/wiki/Wayne_Dyer#Criticism

Re: Ask HN: Are you lost / confused / stuck? I can try to help

#80

Earlier quoted context omitted.

Interesting. I love Scott, but I didn't know there was a draft on ACX. The official page is on his website: https://lorienpsych.com/2021/06/05/depression/ I'll have to see how the articles differ... 1. Yea. It was hard to find someone with availability period, and our insurance isn't very good. You're probably right that I should just pay out of pocket, but I'm honestly pretty convinced that I have an actual brain ch…

> I don't really exercise much, but at least I go on 30+ minute walks every other day or so I strongly recommend something more intensely cardiovascular for 20ish minutes a day (I go on runs). There's a lot of clinical evidence for aerobic exercise improving concentration and mood in a way just walking does not. > How were you able to function in such suffering for 10 years? I didn't function terribly well for that t…

I tried HIIT for a period of a few weeks, but ended up stopping it as my motivation decreased (both from the depression and towards the HIIT in general). I didn't notice any real improvements, but I probably didn't do it for a long enough period...

Thank you very much for your perspective. You've given me several things to process. I definitely do get stuck in loops; they've almost become invasive thoughts. I don't care to think them, but they are there anyway, and they won't leave me alone.

I don't know how to feel fulfilled either, and I think happiness in some way stems from that as well.

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