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Wellness Wednesday for May 13, 2026

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:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • 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.

  • 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.

  • 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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Any reason why?

There are millions of them. The median salary is shit. Hundreds of thousands are desperate to move abroad.

If you think getting out of India as a doctor is hard, oh boy...

Now this is my shit right here. How do psychiatrists gauge whether they’re more or less on path to following a proper diagnosis? I still imagine there’s a rigorous process in place that’s more than just professional guesswork (although I’m sure sometimes it seems that way, it’s multidimensional).

I'm really sorry, but a proper answer here would take more time than I can reasonably spare. I really shouldn't be here in the first place :(

TLDR:

  1. We see if our diagnoses are consistent between different doctors for the same patient
  2. Standard psychometry, reliability and validity work. Does the written test that says you're depressed come back strongly positive for someone who is about to neck themselves? Oh god don't get me started on construct validity etc
  3. Do the drugs work? Do they reduce symptoms? The answer is mostly yes. Even antidepressants, where the Number Needed To Treat is between 5-7 when compared to. placebo.

Do you think it’s possible to have something like blood tests for depression in the future?

We mostly use blood tests to exclude other physical causes for depression, like hypothyroidism, anemia etc.

Technically? You can use low 5-HIAA levels, but nobody does, probably for good reasons I don't have time to Google. Maybe @reo or @Throwaway05 can show up and do the dirty work for me. Help a brother out, ya know.

Neuroimaging isn't entirely useless either, in the sense that there are things in the brain we can observe changing in the depressed. But it's not very reliable. Same with OCD, autism or schizophrenia.

You got this, 😤 ❤️ 👊.

So I hope. So I hope. Thank you.

There are millions of them. The median salary is shit. Hundreds of thousands are desperate to move abroad.

Is this due to over saturation? Other countries having first mover advantage? Corruption / nepotism? Etc. What are the high paying careers and positions over there, or is more of a problem of economic mobility?

Over saturation? Definitely. Anyone can get a CS degree, and it's not even strictly necessary. Medicine, on the other hand, is strictly regulated and there's a limit on the number of doctors entering the workforce.

The best paid programmers in India usually work for FAANG or adjacent companies, at the Indian branches. Some freelance, earning Western wages while at home. The majority just get by working shitty jobs for long hours with average pay (which means pitiful pay by Western standards). The worst off are TCS code monkeys, who really have nothing going for them.

Keep in mind that this isn't necessarily worse than many other professional careers. Engineers in India aren't enjoying themselves either.

The easiest way to get career or income mobility is to get hired by a foreign company, establish a reputation, and apply for a transfer to a foreign branch. I have a cousin in ML who makes big bucks (by Indian standards, which means close to my UK salary). He's been offered roles in the US, but only on a temporary "put out fires" basis, and not at comparable wages to what someone living and working there would make. I've encouraged him to take it, or simply apply directly at American companies for local full-time roles (H1B route, probably). He entered ML well before it was cool or over saturated, even if he wasn't involved in LLM work. That means he's extremely lucky/forward thinking, probably the latter. I remember him installing weird vision models on my gaming PC when he used to visit, back in 2017. Good for him, I want him to get out while he still can.

And yes, the quota system for H1Bs only worsens things. Everyone is desperate to get one of those.