The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:
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Requests for advice and / or encouragement. On basically any topic and for any scale of problem.
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Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.
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Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.
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Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).
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This website seems to be frequented by a lot of mentally ill people. Let's discuss the torture that is life!
In late 2022, I started to feel a confusing lack of happiness and willpower. There was no apparent reason for me to feel bad. I was making zillions of dollars at work, was acclaimed as the most diligent and most innovative employee in my office, and was on track to retire at age 33. But the enjoyment that I was able to extract from my hobbies (primarily, playing video games and converting PDF and print books to HTML) and my tolerance of work gradually dwindled. I tried going to bed an hour earlier than usual, drinking more water (even though it tasted disgusting) rather than my usual drink of grape juice mixed with seltzer water, and taking relaxing walks of three to seven miles (five to eleven kilometers) on weekends. But those efforts had no effect. By late 2023, I was experiencing intermittent testicle aches and literally 24/7 headaches (both of varying intensity, from mild to severe), and semi-frequently couldn't even force myself to work after sitting down in my cubicle. After searching for possible headache causes online and getting a testicle ultrasound that revealed nothing suspicious, I was forced to conclude that I must be suffering from depression.
My doctor prescribed 5 mg/d of escitalopram to me. After a month, no effect was apparent, so the dosage was increased to 10 mg/d. And the clouds parted! My headaches and testicle aches receded to the background, and sometimes even disappeared entirely. I regained the ability to feel happy and to tolerate the taste of plain water. The only side effect was perhaps a month of intermittent severe stomachaches before those too receded. I genuinely felt like the Zoloft blob.
My willpower still is trash. I would say it has recovered from one-third of normal to two-thirds of normal. (I just upgraded today to the maximum escitalopram dosage of 20 mg/d, since the headaches have been returning a bit. I didn't do so previously because I was leery of having the severe stomachaches return.) But I just have to hold out for two more years so that I can retire, embark on fifty years of undiluted relaxation in my custom-built house, and finally recover enough willpower to convert the entirety of For Want of a Nail (including all the footnotes and bibliography entries) to HTML!
I'm deeply jealous that antidepressants actually worked for you, and the very first one you've tried!
For someone who prescribes or oversees the use of plenty, I've had shit luck with them. Fluoxetine, buproprion and vortioexetine for about 5 years in the past 10 with no noticeable (positive) effect.
I did, however, start mirtazapine last week. I can attest to the sedating effect, which paradoxically is the maximum at the lowest dose. Let's see if that makes a difference, but I did feel much better when I fled Scotland after 5 months to spend a couple weeks at home. I've been back to work for a week or two, and things have been mildly looking up.
(What I'd give to retire by 33. Ain't happening with UK doctor wages I'll tell Ya)
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