As an American it's not surprising at all. Six figures of student loan debt, job insecurity, healthcare insecurity, rampant poverty / homelessness, the most despicable president to disgrace the white house (who didn't even win the popular vote), stay-at-home orders because the U.S. couldn't manage the crisis, lack of community (doesn't help that 99% of the country is sprawl), rampant obesity, and general lack of hope…
As a non-American, why do you care about who is in the white house so much? How does it affect your life concretely? Try watching less talking heads/browsing Twitter less, maybe, and you'll feel better?
A third of Americans now show signs of clinical anxiety or depression
341–350 of 469 posts
Re: A third of Americans now show signs of clinical anxiety or depression
#342Earlier quoted context omitted.
Not OP but I'm consuming a mostly carnivore diet, I struggled with gout for years and since I went keto and then pretty much carnivore I haven't had a flare up. I eat meat, fish, eggs, cheese and cauliflower (my stool seem fine with or without fiber but a little bit makes me feel more "flushed out", lol). The biggest culprit for gout is definitely carbs (sugar) and dehydration in my opinion and the carnivore diet and…
> The biggest culprit for gout is definitely carbs (sugar) Citation? Because isn't gout generally thought by the medical establishment to be caused by high-protein, low vegetable diets that raise uric acid?
If you have a deficiency of, say, magnesium - that won't be fixed by eating more meat or less sugar, but it might give you strange cravings or bad moods. And if you have a gut that is working inefficiently, it might not adapt well to a high fat diet. And this translates into "bad and good diets", because eating differently reduces the symptoms.
But if your body is generally taking in things efficiently, its macronutrient requirements are going to be mostly proportional to your energy use, and then you can have relatively more protein or relatively more carbs without many ill effects.
So IMHO a decent starting place for dietary change is not really diet itself, but to take a multivitamin, start intermittent fasting, and to get some daily light, full-body exercise. These things start up the flywheel of reducing ongoing deficiencies and increasing selective pressure on the gut.
Re: A third of Americans now show signs of clinical anxiety or depression
#343Neither does the breakdown by age surprise me, with it being worst amongst 18-29 year-olds, and declining with age. I would love to see a finer breakdown in that category. Here is my hypothesis:
For the youngest of adults, especially those just now entering adulthood or their professional careers, this is probably the first societal shock they've experienced. They did what they were supposed to according to The Plan of How The World Works. They persevered through the soul-crushing hell that is high school, and got the best grades they could, and applied for colleges, and are ready to become adults. Or maybe they didn't get quite so good grades or dropped out and were banking on being able to support themselves with some kind of basic labor or service job. Or maybe they've taken out all the student loans to go to college, and are coming into what's supposed to be the beginning of their professional career to an economy that's about to collapse. Or if they haven't graduated, now there's the uncertainty if whether or nor they'll be able to finish their degree, with there being question about when/if campuses will open back up, or whether the online classes offered as substitutes will actually do any useful teaching. Regardless of the myriad variations available in the above, the basic situation remains the same: here they are, their life finally about to begin, and now the economy is collapsing, everyone's dying, a fascist oompa loompa controls the government, and generally the world is over. Well, shit. Now what?
I speak somewhat hyperbolically in describing the above, of course, but I stand by my basic point: The youngest adults are beginning their adulthood in fairly bad situation. And unless they're old enough to remember the previous societal shocks that were supposed end the world, but didn't, it's all to easy to come near the despair event horizon or even cross it.
Compare those who are a little older, or hell, a lot older. They've seen the Housing Crisis, War, 9/11, the dot-com bubble, and so on and so forth. And yet, they didn't die and are still here. Odds are, at least one of the previous crises made their life worse for a time, or messed up what was supposed to be a bright future or golden opportunity. And yet, they didn't die, and are still here. And the older they are, odds are, the more times they've seen that the world was about to end, and then didn't. And the more likely they've internalized the lesson that in crises like these, how well they come out of it depends largely on their attitude and how they apply themselves to getting through it. And so we see that with the older and older age groups, the anxiety and depression numbers are lower and lower.
This post might sound a bit ranty, and like I am projecting, and I'd be lying if I tried to claim there weren't threads of that woven through it. But it is not my intention for this to be just a "toughen up you whippersnappers and get off my lawn!" type post. No, if I had to have a message for the youngest of adults, it's this: I get it. The world just got turned upside down an nobody knows what's coming next. But, the future is not over, and things will get better. There are still opportunities to be found, and you _can_ come out of this stronger.
Re: A third of Americans now show signs of clinical anxiety or depression
#344Shit, our terrible healthcare system's given me what'd probably qualify as clinical anxiety for longish periods several times in the last few years, and that's despite being well into the top 20% most economically-fortunate Americans, consistently having health insurance , and not having really serious or chronic medical problems in my immediate family.
Re: A third of Americans now show signs of clinical anxiety or depression
#345Diagnostic criteria for anxiety and depression are very broad because they are necessary as tools for practicing doctors seeing patients (as opposed to applying them to a random selection of people). If you turn the process back, and just ask how many people in the population fit under them, you'll always, even in normal times, get an unexpectedly large number. That doesn't imply that anything is wrong or that anythi…
> This is approximately the same phenomenon that causes medical students to self-diagnose themselves with every disease they learn about Could you say more about this? It seems pretty counter-intuitive that medical students could look at some diagnostic criteria—which I assume often contain some fairly straightforward things like, "green spots on armpits" or whatever—and come out convinced they have the disease. When…
Say you have a test for someone having a heart attack that is 99.9% accurate. If someone comes in complaining of chest pains, and the test says they are having a heart attack, then it is pretty certain they are having a heart attack.
Now, if you gave that same test to everyone in the United States, and you see that you have been diagnosed with a heart attack, most likely you AREN'T having a heart attack.
If you give this test to 300 million people, and 1 in 1000 tests give the wrong result, you are going to get a lot of false results.... 300,000 or so, in fact.
Given that the vast majority of people are not currently having a heart attack, the vast majority of those false results will be false positives.
This is why knowing the prior base rates is so important for diagnostic tests.
Re: A third of Americans now show signs of clinical anxiety or depression
#346Re: A third of Americans now show signs of clinical anxiety or depression
#347Earlier quoted context omitted.
I also relate to this. My hope for cultural change post pandemic is that the shift towards remote work will persist after it's over. I love being an engineer but I can't stand working in an open office or commuting 2 1/2 hours a day.
For a while I wondered if I'm the outlier since I feel substantially better now than I did before going into isolation. Then some of my close friends who were on anti-depression or anti-anxiety medication told me the same. They actually stopped taking the medication for months with no signs that the symptoms are coming back. It's anecdotal and I have no idea how widespread this is or why it happens, at least to peopl…
Re: A third of Americans now show signs of clinical anxiety or depression
#348As a person with a history of depression and social anxiety I really do feel calmer since the crisis started, as if my state of mind was made for this kind of life. Less people on the streets, it's quieter, no one breathing down my neck in the supermarket, home office, no expectations on how to pick my clothes, how to behave, no trying to hide the weird stuff I eat (carnivore, high meat, raw, cooked and aged whatever…
Re: A third of Americans now show signs of clinical anxiety or depression
#349I have ongoing anxiety over the fascist coup that has taken place in the US, as well as the fact that we're cooking the planet and being actively blocked to try to remediate that. I don't know how to be at peace with that.
Re: A third of Americans now show signs of clinical anxiety or depression
#350Earlier quoted context omitted.
> DSM-5 is a handbook for how to blame society’s failures on individuals I staunchly disagree with this, this has never been my experience with any of the psychologists/psychiatrists I have seen (I've seen somewhere around 6 over the course of my life). Blame has never been a component of any psychiatric treatment I have experienced. The DSM is a book of diagnostic criteria to identify the issues you are experiencing…
> "and you can't change society, so you're stuck like this" I think OP meant that psychologists/psychiatrists don't recognize the social nature of mental illness at all. Just because you can't change society doesn't mean you should tell patients that they can lift themselves out of depression through sheer willpower, healthy eating habits, and exercise. Those things can help but if you don't know how you're going to…