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Post-SSRI sexual dysfunction

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Re: Post-SSRI sexual dysfunction

#241

Post by ciphol »

mjevans wrote: post #211
FFRefresh wrote: post #118

Earlier quoted context omitted.

I do wonder if there's a culture-wide bug/meme with regards to mental health (and beyond) that makes it hard to push for lifestyle changes at scale. I think one such meme is around agency, with the underlying meme being that humans have no control over their circumstances or mental state. They have anxiety or they have depression. It's part of their identity, and these seem to be thought of as immutable diseases. And…

Consider a hypothetical solution. There's a place similar to 'college' but focused on adults. Admittance to that college is free. Anyone can attend. Room, board, meal plan. At least some classes must be attended; though the term 'class' is vague. For some a class might just be seeing a councilor to talk things over, or some other doctor prescribed treatment routine. Some of the classes should be group activities that…

The problem is that college selects for intelligent, functional, successful people. Whereas this institution (yes I used that word) would select for dysfunctional people. So it would be less pleasant, and the likelihood of making high-quality friends lower.

Re: Post-SSRI sexual dysfunction

#242

Post by ciphol »

LorenPechtel wrote: post #196
n8cpdx wrote: post #113

As someone dating in their 20s, it is getting hard to find people who aren’t having SSRI-related dysfunction. Recently met an older (early 30s guy) and it was seriously cool having a sexual experience that didn’t end with “don’t bother I’m just not going to finish no matter how long we go.” They really seem to be handing out these serious, almost-impossible-to-withdraw medications like candy on Halloween. They don’t…

The doctors don't seem to care about the side effects. All the psych drugs have horrendous side effects which get basically ignored. I've even seen multiple suggestions that mass shootings might be a rare side effect from them.

The doctors care. They just don't have any better treatment options.

Re: Post-SSRI sexual dysfunction

#243

Post by ciphol »

cma wrote: post #222
ivraatiems wrote: post #74

I think this article is a little alarmist. Warnings like these scared me away from SSRIs for a long time despite their likely efficacy in helping treat my symptoms. I sent a number of articles like this one (and several of the medical publications it cites) to my psychiatrist. To her credit, she read them, and her response was that she agreed this kind of permanent change is possible, but it is extremely unlikely. (A…

> Alexander has his issues, but this is an area where he's actually an expert and his approach to the topic helped me a lot. He has a major conflict on this topic in particular though. Livejournal-era Scott (squid314) expressed eugenicist views on the mentally ill (paying schizophrenics to get sterilized): https://www.twitter.com/ArsonAtDennys/status/136101934712109... So I would not trust his claimed views whatsoeve…

That comment is 9 years old and Scott is still a relatively young guy, so hopefully he has grown out of such ideas.

Re: Post-SSRI sexual dysfunction

#244

Post by marcobarco »

Can one sue a psychiatrist who prescribed me drugs not telling me about any side effects despite me not having any disease? The psychiatrist just concluded that if I have somatic problems and trouble sleeping I must be mental, turns it wasn't that. No one ever told me about any side effects (it won't hurt your liver I heard, you will remain cured even after stopping the treatment). I repeatedly told him I see no difference, and he interpreted unrelated life changes as results of the drugs. Or perhaps I could sue the company who produced it?

More reading: https://en.wikipedia.org/wiki/Anti-psychiatry https://www.goodreads.com/book/show/6943460-the-emperor-s-ne...

Re: Post-SSRI sexual dysfunction

#245

Post by beckman466 »

_ktx2 wrote: post #193
FFRefresh wrote: post #118

Earlier quoted context omitted.

I do wonder if there's a culture-wide bug/meme with regards to mental health (and beyond) that makes it hard to push for lifestyle changes at scale. I think one such meme is around agency, with the underlying meme being that humans have no control over their circumstances or mental state. They have anxiety or they have depression. It's part of their identity, and these seem to be thought of as immutable diseases. And…

I was on SSRIs for a time until my thoughts became so irreversibly cloudy that I weened off and stopped. After that I coincidentally stopped drinking, my weight dropped, and now I've stopped using weed for the most part. My anxiety doesn't go away, even if I go ride my bike for hours. The things that give me anxiety are largely social. How people think of me at work, my appearance, what women think of me, and how the…

thank you friend for sharing your experiences and stories.

> I've noticed relying on my friends to vent just sours relationships. As much as people gloat about support systems, it's mainly a farce. People will only tolerate hearing so much of your internal dissonance, concerns, and stressors.

i resonate with this a lot. have you heard of the author Francis Weller?

“At the core of this grief is our longing to belong. This longing is wired into us by necessity. It assures our safety and our ability to extend out into the world with confidence. This feeling of belonging is rooted in the village and, at times, in extended families. It was in this setting that we emerged as a species. It was in this setting that what we require to become fully human was established. Jean Liedloff writes, "the design of each individual was a reflection of the experience it expected to encounter." We are designed to receive touch, to hear sounds and words entering our ears that soothe and comfort. We are shaped for closeness and for intimacy with our surroundings. Our profound feelings of lacking something are not reflection of personal failure, but the reflection of a society that has failed to offer us what we were designed to expect. Liedloff concludes, "what was once man's confident expectations for suitable treatment and surroundings is now so frustrated that a person often thinks himself lucky if he is not actually homeless or in pain. But even as he is saying, 'I am all right,' there is in him a sense of loss, a longing for something he cannot name, a feeling of being off-center, of missing something. Asked point blank, he will seldom deny it.”

― Francis Weller, The Wild Edge of Sorrow: Rituals of Renewal and the Sacred Work of Grief

this a great conversation with Weller that i seem to return to about once a year: https://charleseisenstein.org/podcasts/new-and-ancient-story...

Re: Post-SSRI sexual dysfunction

#246

Post by shlant »

sizzle wrote: post #97
aserdf wrote: post #77

Earlier quoted context omitted.

(not op) for reference, 39g of oats contains 28g of carbohydrates. https://www.hsph.harvard.edu/nutritionsource/what-should-you... - The biggest influence on blood cholesterol level is the mix of fats and carbohydrates in your diet—not the amount of cholesterol you eat from food. - Although it remains important to limit the amount of cholesterol you eat, especially if you have diabetes, for most people dietary choles…

What’s up with the conflicting info on carbohydrates? Should I skip the bowl of oatmeal every morning?

any nutrition advice that makes sweeping statements about entire macronutrients (protein/fat/carbohydrates) should be ignored and is mostly used to sell fad diets. "Carbohydrates" could be HFCS or leafy greens. "Fats" could be shortening or avocado. The nutrition of the individual food is much more important than the macronutrients.

Re: Post-SSRI sexual dysfunction

#247

Post by dang »

vettedvat wrote: post #158
iammisc wrote: post #157

Earlier quoted context omitted.

> Yikes, now we're just on to blind speculation. Not at all. More educated people tend to be more anxious and more depressed. https://www.originsrecovery.com/wp-content/uploads/2020/10/H... The fact that we trust those more prone to depression to solve depression should not be discounted. When it comes to 'dysthymia'. The only reason we find it to be a disease is that we expect people to be happy all the time. We've…

Your study says that some of 3715 mensa members were depressed. Not that "many psychiatrists, by virtue of their education, are part of a class of people who are themselves more prone to depression and anxiety." So yeah, blind speculation. > When it comes to 'dysthymia'. The only reason we find it to be a disease is that we expect people to be happy all the time. Completely wrong, again. You can experience situationa…

I've banned this account for breaking the site guidelines. Please don't create accounts to do that with; it will eventually get your main account banned as well.

https://news.ycombinator.com/newsguidelines.html

It's particularly important not to be an asshole when you're arguing for a position which is actually true. Doing that discredits the truth, and that hurts everyone.

(I don't know if what you're arguing here is true, but since you seem to be sure that it is, you should be treating it more carefully.)

Re: Post-SSRI sexual dysfunction

#248

Post by kodah »

beckman466 wrote: post #245
_ktx2 wrote: post #193

Earlier quoted context omitted.

I was on SSRIs for a time until my thoughts became so irreversibly cloudy that I weened off and stopped. After that I coincidentally stopped drinking, my weight dropped, and now I've stopped using weed for the most part. My anxiety doesn't go away, even if I go ride my bike for hours. The things that give me anxiety are largely social. How people think of me at work, my appearance, what women think of me, and how the…

thank you friend for sharing your experiences and stories. > I've noticed relying on my friends to vent just sours relationships. As much as people gloat about support systems, it's mainly a farce. People will only tolerate hearing so much of your internal dissonance, concerns, and stressors. i resonate with this a lot. have you heard of the author Francis Weller? “At the core of this grief is our longing to belong.…

That quote really resonated with me, I appreciate you sharing it. I think it's something I'll stock away and read from time to time.

I don't think I've ever seen someone so eloquently paint the picture of the world I see.

Re: Post-SSRI sexual dysfunction

#249

Post by tonyarkles »

antiterra wrote: post #54
tonyarkles wrote: post #34

Earlier quoted context omitted.

One thing I find super interesting is how that side effect is pretty inconsistent even in the same person. I’m currently on Wellbutrin/Zyban/Bupropion as a smoking cessation aid and am not having that side effect this time. But last time I was on it for the same reason… oooooohhhhh boy, yeah, it’s a good thing that I had a partner who was good with that!

It’s possible some of the variation is from the specific manufacturer or manufacturing process. In the case of Wellbutrin XL, generic brands have even been recalled due to not being bioequivalent ( https://www.medicinenet.com/script/main/art.asp?articlekey=1... ) I have been told by a doctor that effects appear inconsistent across brands or places of manufacture, even with non-recalled generics. You should always con…

That is super super interesting, thank you!

Re: Post-SSRI sexual dysfunction

#250

Post by forgotmypw17 »

ghostbrainalpha wrote: post #142
iammisc wrote: post #123

Earlier quoted context omitted.

You're absolutely right. This is an unpopular opinion, but I don't think anxiety or depression are mental illness. They are just feelings. Your feelings do not make you ill... People attribute it to a 'chemical' imbalance, but your brain being run by chemical fluctuations, everything is a 'chemical' balance, including this comment I'm typing right now. What we've done is taken these brain fluctuations, and labeled th…

What are the traditional tools we can use to get ourselves out of depression? Exercise probably?

In one of her books, Atwood describes a community which allowed people to be in a "fallow" state for as long as they needed it, taking care of their basic needs, being supportive of them, but otherwise allowing them to ruminate and do nothing as much as they wished.

I think depression is an evolutionary response to situations which demand too much of us. It sends us into a state where we must take an extended rest to recharge and rebuild ourselves internally: physically, mentally, emotionally.

I think not allowing for this is a huge shortcoming of our society, which considers continuous and stable productivity not only the norm, but a requirement.

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