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Mental Health/Addiction
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If you or someone you care about is suffering from mental illness or addiction, you'll find knowledgable, compassionate advice here.

Answers
  • How can I learn better self control?
    Office_054_small

    Well, can't help you with crying at movies, as I practice tai chi and qi gong daily and am still a sucker for those cheesy moments.
    But, when I was in your shoes I did a lot of experimenting with different practices such as yoga, meditation, etc. There are all sorts of great free classes and groups around Seattle such as Shambala on Thursday's and Insight society on tuesdays. Try a couple practices and see which one feels like a fit. Then, pick a time each day to practice for 10 minutes and dedicate yourself to doing your best to stick with it for two weeks.
    I also highly recommend The Mindful Way Through Depression as a great resource for effective introductory practices as well as awesome writing about how low emotions effect our body/mind.

  • Should I force myself to wake up at a reasonable time?
    2008_0522stuff0016_small

    One of the symptoms of depression is disturbed sleep. However, disturbed sleep can also lead to depression. Do you snore or thrash, by chance? If so, tell your primary care provider as you might have a sleep disorder. Also, does your doctor know about your use of melatonin? It can interact in weird ways with antidepressants, so please discuss with your doctor to make sure that you aren't experiencing side effects.

    Do you exercise? If not, you should, and if so, do it earlier in the day, like right when you wake up. It'll temporarily wake you up, but you'll be more tired by the end of the day and in theory better able to sleep. If you exercise hard enough, you'll be too tired to ruminate, which is probably what you do before you go to sleep.

    Light therapy is another option. If you get a therapy light on a timer, you can get some more sun-like light, which should help you adjust your schedule back to a more normal one, and it'll also help with SAD.

    You're getting your 8 hours, just not in the best time of day to sleep. Transitioning to an earlier bedtime and waking time shouldn't be done abruptly, but you don't want to get to the point that you're naturally on 3rd shift if you can avoid it.

  • What is the meaning of being "tiered" in the King County mental health system?
    Office_054_small

    In my outpatient mental health job it means the level of services that the county is paying the agency for. There are 3 tiers that we use: 3B, 3A, and 2X and it just means how many hours of mental health counseling and case management you get per month from around 20 down to 4 or so. Tiers are determined based on need. I'm not really sure how it related to inpatient hospitalization...

  • What to expect at AA?
    Horse_ass2_small

    You don't have to talk. That is never an obligation. You don't have to do the: Hi, I'm ____ and I'm an alcoholic. Go to an open rather than closed meeting at first (which means other people who aren't alcoholics can go, like friends and family, random people off the street, whoever). Go to a large one rather than a small one if you can, makes it less intimidating if you are just one small part of a crowd. Agnostic is fine, it depends on the group and where you live but generally there is just the Serenity Prayer thing they do at the beginning and after that whatever people say about their beliefs etc is up to them, most of the people there tend not to be very much on the religious side where I'm from anyway. The belief part is generally interpreted not as a specific belief in God in the Christian sense but as a belief in some positive force outside yourself. There are lots of different meetings so if you don't like one group, go to another. You can show up late and hang out in the back and leave before it's over if you are that allergic to the serenity prayer thing, it also minimizes other contact. Depending on the group they may make some effort to reach out to you (esp. if the meeting is closed, if the meeting is small) as they will assume you are there for some kind of help. Usually they will encourage you to come back, or call anyone on their list of people to call if you need some help, and if you show up more than a few times probably encourage you to find a sponsor if you want to seriously work on things. If you don't want to deal with this you can say you are there to better understand a family member/friend or are just there to listen and are really shy, and duck out. I went to AlAnon myself for a year or so and never spoke (and it was small groups), and I'd go to AA meetings to better understand a family member from time to time, and never got talked to either (my choice though). People are very respectful of body language, and they are trying to very hard not to scare you away. There is often also a snack/coffee break where people might casually talk to you (or not), you can try to avoid this by going outside, though a lot of AAer's smoke too, so if you are terribly socially phobic you may have to leave at this point, or hide out in the bathroom. There are different formats for meetings, and different topics they work their way through, but if you are lucky enough to go when someone is telling their personal story at length it's usually worth sticking around - the AAer's have MUCH better stories than the AlAnoner's.

  • six month anti-depressant treatment
    Photo_on_2012-01-03_at_17

    Everyone reacts to antidepressants differently, but if you are in a serious and possibly suicidal funk, then you should definitely consider anti-depressant treatment without question.

    Know also that it may take some time to feel any benefit from the antidepressant and/or you may have to switch to a different anti-depressant. Every medication works differently with each person.

    I would also recommend seeing a specialist for medication management: a psychiatrist (MD) or psychiatric mental health nurse practitioner (PMHNP). Regular family doctors don't usually have the experience working with the medications for psych problems like the specialists do. Too often you find people taking the wrong psych meds, because they are seeing a general practitioner instead of someone who knows more about what they are doing.

    Can anti-depressants really help? YES! Absolutely, but they don't work for everyone. I have taken several different kinds of anti-depressants and have been on Zoloft (among other things) for about 11 years. I also recently started taking Abilify, because I was having severe motivation/mood problems and it has made an amazing difference! I've been on Abilify since January. I feel a lot like I'm getting my life back. It is pretty fricking awesome!

    However, you have to be serious about doing what is best for you. If you don't take the medication as prescribed or if you are going to load yourself down with other drugs and/or alcohol, then anti-depressants will probably not work. You have to give them a fighting chance to work. That also means that you would hopefully get some talk therapy as well. I really think that part of depression is biological/chemical and at least a little bit of it is cognitive. If the meds help you feel better, then it is easier to figure out the cognitive stuff.

    Honestly, I think people worry WAY too much about the side-effects of anti-depressants, and often go on to have debilitating depressive symptoms, because they are too afraid of whatever side effects there might be. Of course, there can be side effects, but wanting to blow your brains out from mind-numbing depression is, in my humble opinion, a far worse thing. Even if you aren't super suicidal, being miserable every day should at least be taken seriously. You don't have to live like that. That isn't what life has to be about.

    Life is too damn short to spend in misery/unhappiness.
    Depression sucks donkey balls. Your life doesn't have to, thank goodness for modern medicine!

  • I'm doing well so far in my math classes, but how can I let go of the math anxiety?
    Qlandav2ex_small

    Math anxiety can arise from a number of different sources.

    In general, the daunting issue with any math problem is that there is generally, a RIGHT answer, one right answer, and lots of ways to arrive at an answer that is not correct if you don't use the appropriate process in solving the problem.

    Mathematics is a different language, expressions written in non spoken language symbols that if you are not familiar with how to "read" them creates a disconnect for the strictly language oriented person. In your studies learn to recognize what equations are 'saying'. If you can put more language to the symbols and remember the steps in solving the problem in a list of language explained processes then you can approach the seemingly confusing symbols in a logical fashion and work through them to an answer.

    If you are studying pure mathematics strictly from equations and presented problems then learning and using the logical steps taught to you is the key.

    If you are taking on "word" problems (those written out story problems) you have to learn to discern the critical information from extraneous facts that have been inserted to possibly confuse the problem solver. Make a list of the information you glean from the text. First, circle the facts as you run through the reading and then in the second reading cross out those you know you don't need, and make your list from that. Talk through it in your head, putting spoken language to the process helps many people.

    When taking tests, realize that you are working with a quantity of separate problems. Work through the ones that you immediately see how to solve. Don't let any problem stymie you or cause you to slow down and lose confidence. Often a later problem gives you some experience or jog your memory as to how to solve one you skipped in the first run through. When at the end of the test go back and start again working on the ones you skipped. Your confidence will be higher and having answered a bunch of problems already, you know you have scored points to a passing score. You may still skip problems in the second run through as you solve ones that previously vexed you. Continue the process until you have come to the end and then go back again to the ones skipped twice. Make you best effort on all of the problems from then on out. Finally look back at the test from the beginning and observe your work, this is where you may catch an error in logic or even something simple in the arithmetic of generating an answer.

    Math skills generally build from simple processes to more complex thinking. If you haven't gained mastery at one level you may have difficulty working with the processes at the next. Be willing to say you need more practice and get a tutor that you feel you can communicate with. Practice is the key. With a tutor, formal or informal, think out loud as you work with a problem so they can see where you might be lacking in understanding or in missing critical steps.

    By your own admission, you are doing well. Good for you and keep up the practice!
    I hope this helps.

  • Have you ever met anyone with Dissociative Identity Disorder aka Multiple Personalities that you know of?
    Dinolock_small

    My mom spent ~25 years at the VA as a psychiatrist on the "lock down" units (very sick people). I asked her this question one day.

    She said in all her time working at the VA and teaching at a nearby research university, she had met only 1 person who she truly believed had authentic multiple personalities.

    I guess that puts her on the skeptical side of the controversy.

  • How is your family member doing with the schizophrenia?
    Spaceship_small

    No, I don't mind your asking, since I opened the door some weeks ago.

    I hesitated to respond, as this is a public forum instead of a private e-mail, and I almost deleted the question... but then I thought, the hell with hiding mental illness in the shadows. People NEED to know that it's present and the LOTS of familes are forced to deal with it.

    So, to answer your question, the family member is not currently on Haldol, but instead returned to Resperdol (sp?) which has worked!

    Unfortunate side effect is tremors, but they have asked for something to help deal with those awful tremors,and the doctor has agreed to adjust with something else. (Sorry I'm vague here, I wasn't present for the discussion...just third hand info to relay.)

    I would argue that the DRAMATIC improvement from Resperdol is absolutely worth the price of tremors. It's good to get my family member back from the brink, even if it means the sacrifice of enduring constant tremors.

    Hopefully, others will benefit from our discussion here....

  • Highly Sensitive People?
    Qlandav2ex_small

    Our nervous systems are basically "excitable" systems, that is, they are designed to get inputs through all of the senses, all the time. In order to keep the information manageable there is functional parts of the circuitry that serve to block or "ignore" constant noise coming from our senses that serves no immediate purpose. For instance, before reading this complete sentence you probably had no real awareness of what your shoes feel like on your feet at this moment - but now you do, because you are paying attention to it with this reminder. People that have a less than fully active inhibitory system to block this "noise" are bombarded by the overstimulation of the information coming in through hearing, smell, visual movement and light, etc. to the detriment of being able to selectively concentrate on the task at hand or to a preferred channel of sensation. Certainly you can see how this would interfere with being able to function in some "busy" environments.

    People who work with persons with autism are familiar with the a cheeky but descriptive term to judge sensitivity to these kind of environments known as the "Wal-Mart test" (read the section with the heading "Locked In, Locked Out"). Basically this is where some environments are judged to be so chaotic that keeping normal demeanor is very difficult for some people.

    Children that are diagnosed as having Attention Deficit Disorder (with or without Hyperactivity) are often individuals that have these lower levels of functioning of inhibitory functions in their brains which is why some very specific stimulant drugs that boost those inhibitory functions work to improve concentration and selective attention. (Hence answering the seeming paradox of why giving a stimulant to some hyperactive children works to calm them and make learning and their concentration to task easier).  

    Now I am not suggesting that you fall into any of these diagnostic categories. There is a wide range of normal on the continuum of considering any human ability and traits and you obviously are falling towards the end of being on the more sensitive side. Finding out if there are specific triggers to exacerbating your specific sensitivities can be a long process. You may find that some foods, drinks, or chemical sensitivities contribute to your heightened responses to general stimuli. Additionally you will discover other techniques that help you limit the confusion of overwhelming input from your senses. Also recognize that some sensitive individuals are highly prized. There are folks out there that are paid big bucks to apply their super sensitive taste buds or olfactory abilities as food, coffee, and scent testers and experts, for just one example.

    However, goth jenny's response to your question is less than helpful. She demonstrates the "it's all about me", "oh, just be normal", and "get a life" thinking that demonstrates no real empathy that someone else's life and internal state could possibly be different from their experience. These folks represent just some of the hurdles you have to deal with. Good luck on your journey.

  • Suicidal because I can't stop procrastinating (seriously).
    Finn3goof_small

    First of all: Relax. As much of a fuck up as you think you are there are millions of people out there who are far more fucked up.

    I, too, am a serious fuck up. The thought of suicide has gotten me through many difficult nights. It’s comforting. Is that fucked up? Yes. Is it dangerous? No, not really. Thankfully I’ve always been way too lazy to even go through with suicide. It would take me months just to write the note. And then there’s the how. Guns seem too violent and messy. And I don’t have one. Pills are too precious to blow on such a thing and are one the few things I actually enjoy. I’m afraid of heights. I have an electric stove. Hanging seems way too uncomfortable. Self immolation is beyond my ken. My mother is still alive. Etc.

    All in all suicide seems to be just the sort of pain in the ass I’ve always steered away from. I’d like to say that I’d probably fuck it up anyway but with my luck it would be the one thing I manage to get right. Ultimately, at least in my case, suicide is just an expression of my own self obsession and selfishness as much as it is about my self-loathing. And the self loathing itself is pre-emptive. There is nothing that anyone can say or think about me that I haven’t said or thought about myself. So their mockery and disgust can’t touch me.

    I did have one advantage over you and that is parents who didn’t have shit and were raising three other boys anyway. I didn’t have anyone I could ride. No one was going to take care of me or let me live in their basement. That is a bit of a kick in the ass so I managed to accomplish a few things. Like graduate from college. And then I got busted for weed. And I went to jail. For weed. For six months. In a jail in Hackensack New Jersey that was built for 350 inmates but housed over 1100. It was one of those turning points in life that I was lucky enough to get. But not because of the usual narrative, I don’t think.

    Going to jail didn’t necessarily just make me look at how fucked up I was or how I disappointed so many. It did, but there was more. I was really pissed that I was going to jail for a couple of ounces of weed. This was New Jersey in the late eighties. Brutal. I had ignored the risks for years and now it was time deal.

    What really impacted me more than anything were the other inmates at the jail. I met people I never would have met. And I lived with them in over-crowded dormitories where you had just enough room to lie down with a crappy mat, a pillow and a blanket. Some of them were good fellows. Many were very bad. I mean stone cold bad mother fuckers. Before I got locked up I had stopped believing in evil and saw the idea as being juvenile and simplistic. I was wrong. Some of these men were evil. Fuck the “Dead Men Walking” type bullshit. There was no redemption in many of them. And many of my fellow inmates were crazy. All were poor. Nearly all were ignorant to extremes I would have found laughable just a few months earlier. The living conditions were sub-human. The food was garbage. The stench was foul. And I couldn’t fucking leave.

    Luckily, I’m over 6 feet tall and weighed around 240 pounds at the time. And I am the oldest of 4 boys all close in age in a rough and tumble New York Irish Catholic family. I was no easy mark. So my physical well being was only rarely at issue. But I was outraged, shocked and humbled.

    I was outraged for a lot reasons. Being in jail to begin with. The conditions. The heat. The boredom. The terror of watching other inmates get beaten down (by inmates and guards). The terror of realizing how Kafkaesque anyone’s life can get. I was shocked at the poverty of thought, scruples, and empathy as well as the general economic doom that seemed just around the corner for so many of the inmates. I was humbled because so many of them would have had completely different lives if they had half of what I was given. I no longer loathed myself as a passive, lazy piece of shit but I was now outraged that I had let myself both be the mindless and thankless recipient of all the benefits of being in a white middle class well educated social strata while also letting myself become one of its “victims” (there’s probably a better word, but it fails me).

    So I took honest stock of myself. And by honest I mean I tried very hard to recognize what I considered to be good qualities about myself as well as the usual bad ones I was already intimately familiar with. This let me recognize what it was I needed to do to make my life a life worth living. I began to realize what I wanted my life to look like given the assets and liabilities I have.

    For example, one of the things I recognized was that I was lazy. I already knew that. I was a classic under achiever and only did as well in school as I did because I was smart and knew how to just get by. Whatever it was I managed to get it done with a borderline level of competency. Thing was, it didn’t really matter how difficult the job was. If it was an easy task, I did an OK job. If it was a very hard task I did an OK job. Doing an OK job on a hard task is much more fulfilling than doing an OK job on an easy one. I began to challenge myself by taking advantage of everything I could. I was the first person to ever be let of that Hackensack jail every day on a work release type program so I could go to grad school. I cleaned the shit out of that dormitory after the last riot because that was job I was given. That particular riot was nasty and was the result of the inmates not getting the toast we were accustomed to on Sundays. Really. they ripped out all the toilets for that. The toilets! Our toilets!

    I also made a list of my ideals. Of what I want. My values. I wrote essays to myself to clarify my thoughts. I applied for jobs I knew I didn’t qualify for because they seemed so cool. And I actually got a few of those jobs. Doing things like watching a nest of bald eagles in Arizona. Great job if you're lazy. Leading birding walks as a naturalist in the Berkshires and White Mountains. Awesome job if your lazy and most of the folks on the walk are senior citizens.

    I can assure you I am still lazy. I can still make the Dude look like an ambitious, ruthless man of industry. I am still inclined to corpulence and prefer to read about life threatening adventures than actually do them. I still go through bouts of doubt and self loathing. But I had gotten to my bottom and I had nothing to lose. Like you. Mine was a bit deeper, maybe, or more intense; certainly more based on terrifying legal consequences than where you find yourself at. Nonetheless, my advice is the same. Take stock. Determine what it is that will make you happy. I think it is self respect that will make you happy. So take chances. Big chances. You say you are suicidal. That means you have little to lose. You are free to do what you want even if what you want to do is nothing. But doing nothing is rarely the path to self respect so pick the next thing.

    Sorry to ramble a bit. I didn’t mean to be so verbose. But I recognize much of myself in your post so I hope you may be able to benefit in some small way from my story, as abbreviated as it is…

  • Why are my psychiatric medications mixing so strangely with alcohol?
    Kendo_20dog_small

    I'm not a doctor, so you should probably check with a real one (and not Dr. Google either--go to an actual, live doctor) to verify this information. Here's what I remember from high school biology class about what happens when alcohol and prescription drugs mix:

    1) If Abilify is processed by your liver, the alcohol might be staying in your system longer without being broken down. When you keep drinking at a steady rate throughout the night, you might keep getting more and more drunk because each shot takes longer to leave your system.

    2) Many antidepressants are synthetic versions of the same feel-good chemicals you get when you drink (the names I remember are serotonin and dopamine, but there are more). It's a complex and delicate system, which is why you probably had to go through a long process of finding the right medication and dosage for you. Pouring a bunch of alcohol on top of those carefully balanced chemicals can have unpredictable results.

    3) The effects of mild drunkenness could be combining with some of Abilify's side effects (drowsiness, maybe?) to produce a severe reaction.

    Tl;dr answer: Stop drinking, and if you can't stop, talk to a doctor about whether another medication would be a better fit for you.

  • What are your opinions about taking medications to get rid of nightmares? Have you tried them or known people who have tried them?
    Photo_on_2011-05-23_at_16

    I have been prescribed meds to help with nightmares.
    I believe it was called Clonidine (sp?), which is a medication usually prescribed for high blood pressure. I took it before bed, and it makes you drowsy. I took it at night with a pill called Abilify. I think it's usually for people with schizophrenia. Anyway, it's kind of like magical mind control medicine: it makes your brain think of mostly positive things.
    So, I took these in my very first year of college, so I was binge drinking a whole lot. That was not so good. Once I started drinking alcohol, it interfered with the medicine and I feinted twice within just a couple of weeks. Alas, I stopped drinking and the feinting stopped.
    As for the nightmares, they didn't stop completely but they were a lot less disturbing. I was able to finally get some good, restful sleep until I didn't need the medication anymore, which was due to things like therapy and lots of self help books and meditation.
    I'm not the kind of person that likes the be on medication. At this time in my life, things were really freaking crazy and I really needed some sanity. I don't know what your situation is, but if your dreams are so bad that you're afraid to go to sleep, I would highly recommend going to a psychiatrist and a counselor. It will take time, but it seriously helps.

  • What's the best way to approach someone who's drinking seems to be getting increasingly out of control?
    Spiders_1a_small

    I've been having this same issue with a work friend, so I could use advice on this too, but I would approach him when he is sober and use "I" statements. I told my work friend, "I'm worried about you, it seems like your drinking is getting out of control at times. I feel frustrated when your girlfriend and brother call me late at night worried if you are okay. I need you to stop at a drink or two and think hard about whether you want to continue because I don't want to be concerned about whether or not your will hurt yourself or someone else while you're drunk." I also forwarded voicemails I'd gotten from others about this so he could hear how worried other people were about him. I think it's important to a least say something so he knows people can see what's going on.

  • What's the easiest/most affordable way to get an Rx for ADD medication?
    Wa_usa_small

    No Doc is going to write you an Rx for an ADD drug without getting a thumbs up from a Mental Health Professional and verifying that you are not a habitual substance abuser. Most (not all, but MOST) ADD drugs are "Schedule 1" drugs, meaning they are classified by the FDA as the most likely to be abused.

    As such, any Doc who expects to keep her or his medical license for the long term will do her or his due diligence by sending you to a mental health professional for a screening before they will prescribe.

    Often, community health clinics will do this on a sliding scale and have the Doc refer you to an in-house Mental Health Counselor with a Master's Degree and specialized training in this area. They cost a lot less than Psychiatrists or neuro-experts.

    Find a doc that is willing to go this route, and based on your income and the sliding scale of the community health facility, you're probably looking at $40 - $100, not $500.

    Oh, and if you use any recreational drugs, stop. Most community health centers will make you promise not to use drugs and verify this with a pee test before giving you an Rx for a Schedule 1 drug.

    Good luck, and good mental health.

  • Is there such a thing as reverse-body dysmorphic disorder?
    Lookalikes_small

    When I look in a mirror, I tend to "adjust" myself so my reflection doesn't look grotesque. Because I don't see myself in the camera's viewfinder, the camera captures the slumped posture, the wrinkled clothing, the bizarre facial expression, the unflattering details that I rearrange myself to avoid in a mirror. For instance, I almost never look in a mirror without immediately standing up straighter and sucking in my gut, lifting my chin to get rid of the extra chins lurking beneath, changing my expression so I don't look tired and old, etc.

    I'm vain enough to have been known to do all this in a mirror before allowing a photograph to be taken. But still, I hate posing for photographs and I hate nearly every picture ever taken for me. I'm convinced I look better than *that*!

  • Is there something that is psycho-bio-chemically reinforcing going on when people have negative thoughts?
    11443802614723fe566385e_small

    There's psycho-bio-chemical reinforcement of any thought, every time you have it. The more you think something, the harder it is, in the ideas of connectivism, to break that attractor loop, and the more other things are going to gravitate towards that loop and be potential activators.

    On the subject of depression and negative thoughts in general: Jonah Lehrer (who writes a great blog found here: http://www.wired.com/wiredscience/frontal-cortex) wrote a piece about this which essentially argued that depression is often, not always, but often necessary and useful. If you're depressed it's because there's something you need to figure out, something you need to work through. You need to feel bad and focus on negative thoughts sometimes.

    The reason it can feel so much better to focus on negative thoughts when suffering from depression is simple familiarity and comfort. You know this state of mind. You know what it's going to do and where it's going to go. Even if you're skirting suicide on a regular basis, familiarity breeds fraternity. Any state of mind can become normal, and normal and predictability is what we crave most.

  • Are there support groups for people who have bipolar loved ones?
    Avatar_default_user_small

    Check with NAMI-Seattle's Family to Family program (see link below) - I've met people who did the NAMI-NYC version and it was life-changing. It is designed as a training, but also functions as a support group. Might be a good match, even though I don't believe it is specific to bi-polar. Either way if you call them they might be able to recommend something more specific.

    http://www.nami-greaterseattle.org/family

    "What is Family to Family?

    The NAMI Family-to-Family Education Program provides accurate, up-to-date information about brain disorders, treatments, and medications, as well as information about local crisis centers, mental health services and support groups. This 12-week program not only includes the education and resources to help families through these trying times, it also includes support and understanding from people going through similar experiences. Family-to-Family brings families back together.

    Learn more:

    Contact for more information or to enroll in a class:
    Anthony Blankenship, Program Coordinator
    office@nami-greaterseattle.org
    (206) 783-9264

    "

  • What can I do to help the "winter blues'?
    12849517g_small

    As has also been mentioned here, check out whether Seasonal Affective Disorder might be an issue and whether one of those special lamps might help. Apparently it affects quite a few people up in this area, last thing you want is for that to be holding you back from doing other things.

    If you can get past the commercialism of it all, enjoy the fun stuff that the pre-xmas season has to offer: check out the lights downtown and the gingerbread village at the Sheraton or visit some xmas lights or check out what's going on at the Seattle Center; go see one of the seasonal shows such as Dina Martina, Nutcracker or whatever else. Enjoy the xmas trappings while you can; once Jan 1 comes along, it'll be just as dreary, but without the xmas novelties to brighten it up.

    Socialize if you need to; it's all too easy to stay in when it's dreary and drizzly, when the best thing is often to just get out there and *do* something; drag a friend to some Happy Hour or to 80's night at Neighbours or something. Or invite some folks over and make mulled wine.

    The best thing to do might vary depending on whether you're more of an introvert or extrovert; my take is that introverts like this time of year; it's a great excuse to stay in and get cozy with a book or movie; but if you're more extroverted, that may be a good recipe for cabin fever; instead you may need to take the initiative and get people together. Find whatever balance works for you.

    If you need a quick boost of bright sunshine, go to the Pacific Science Center and head straight for the Tropical Butterfly House; bright light, lush foliage, tropical temperatures, and some huge colorful butterflies flitting around the place; it's a world away from grey Seattle outside.

Questions
Recent Comments
  • Comment on Griffin's answer…
    2012-04-19_16-12-59_833_small

    Smoking my bad

  • Comment on protosaurus's answer…
    2012-04-19_16-12-59_833_small

    Thank you alot for responding i really hope to succedd wanna do it for self and fam.

  • Comment on HealOnCapHill's answer…
    Avatar_default

    I've also heard that hoarding is going to be added in a significant way, as a separate heading or a sub category under obsessive-compulsive disorders. Glad to hear that, and I'm sure it's due to shows like Hoarders and Hoarding: Buried Alive bringing more attention and awareness to this disorder.

  • Comment on Ed B's answer…
    Larry_2_small

    Own Your Own Life by Gary Emery is rather good, too. It's a sort of a self-guided cognitive behavioral therapy. It's out of print, but Amazon lists several used copies for under five dollars.

  • Comment on asteria's answer…
    P1000515_small

    I love Flux.

  • Comment on Kristin Bell's answer…
    Office_054_small

    I agree, its really hard to get through to acceptance of the medical definition for a lot of people I work with. It takes a lot of life experience and luck before folks end up accepting help too. I am fascinated that in some cultures people with psychosis are considered great candidates for healers. Any chance you can affirm that she is experiencing hallucinations but also help her find a sense of purpose in what is happening? I also agree that many people have to try a few meds before they find what helps them. Similar to therapy, once you find a good one, you've got to give it a while to help.

  • Comment on HealOnCapHill's answer…
    Office_054_small

    In the sense of not reacting to negativity yes, but there is the conscious choice about which stories to believe and build on.

  • Comment on HealOnCapHill's answer…
    Bierce1_small

    "I think it works when part of a holistic approach"

    But then it's not *doing* anything.

  • Comment on Kristin Bell's answer…
    Photo_on_2012-01-03_at_17

    ahhh, thanks!!! :)

  • Comment on Kristin Bell's answer…
    Cateyes_small

    Totally off topic, but Kristen, your new profile pic is really lovely and beautiful!

  • Comment on Russ Campbell, NWEBS's answer…
    Photo_on_2012-01-03_at_17

    And, yes, I agree that you should try to get her involuntarily hospitalized. Involuntary hospitalization saved my life many times.

  • Comment on Griffin's answer…
    2008_0522stuff0016_small

    Thanks for the mushroom, and good luck.

  • Comment on soundslikepuget's answer…
    Qlandav2ex_small

    Good point, Puget.

    I was under the weather with my first really bad winter cold this year and yet I couldn't shirk duty when one of my Greys was quite nicely trying to get me moving with her usually bright "Good Morning!" - which for her means "open my door and let's go to the kitchen and eat breakfast!"

  • Comment on internet_jen's answer…
    Jane_small

    Thanks for the advice... I actually live in a tiny studio and only have my bed as furniture. I don't think the bed is the problem though. I did not have this problem in the autumn in the same apartment with the same set up. I'm sure it's all mental since I'm about to finish an advanced degree and enter a shitty job market. I'll check out the alarm clock app you recommend though...

  • Comment on soundslikepuget's answer…
    Jane_small

    That is an interesting idea but:
    1. I am currently not where I would consider my "home". I'm in a teeny tiny studio and I plan on moving back to Seattle to be with my partner in a couple months when I am done with school. It's not a good time to get a dog.
    2. After having many problems moving with just a cat, I have vowed to never get a dog until I own my own place. Moving with a dog is no fun.

  • Comment on Kristin Bell's answer…
    Photo_on_2012-01-03_at_17

    Thanks Russ! :)

  • Comment on Kristin Bell's answer…
    Qlandav2ex_small

    Repetition, very good point - simple and powerful.

    Very nice photo avatar!

  • Comment on HealOnCapHill's answer…
    Avatar_default_user_small

    Belated thanks! That makes sense.

  • Comment on sublevelthree's answer…
    Rex_racer_small

    a good sponser can work with you on how to understand your need and want to change - you won't be alone and blind in this.
    and I gotta say-- you can still hang out with your fun loving drinking friends, after you get your head on straight about what you need to do vs what they need. some people in the program say this is poison -- but I say after 1 to 2yrs of sobriety, it's doable. also, getting sober can help you see those friends a little more clearly - - which ones are truly fun and which ones are only fun when they -or you- are getting your buzz on

  • Comment on BasementDweller3's answer…
    Horse_ass2_small

    This might be a better way to search for meetings -
    http://seattleaa.org/directory/protox.html

  • Comment on BasementDweller3's answer…
    Horse_ass2_small

    Glad that helped! If you feel like it, and you think it would make it easier for you, might also be a good idea to bring a friend along for moral support.

  • Comment on BasementDweller3's answer…
    Dupen_30sept11_03_small

    Thanks so much for your generous advice! I've bookmarked the site (baby steps, haha) and will take a look tonight to locate what's closest to me. It's really helpful to get your description of what goes on during a meeting. I'm sure that once I go to one, it will seem like not such a big deal, with the mystery of it removed.

  • Comment on sublevelthree's answer…
    Dupen_30sept11_03_small

    Thanks. That's very heartening to hear about your friend. I imagine that I'll see people in AA that I will admire for having overcome what they have and for having the will to transform their lives. I hope I can follow suit! Do I want to change? That's a key question, I guess. I know that I need to change and that I badly want what will come with changing, but I do struggle with giving up this thing that has been with me for so long... And I struggle with the idea of not being able to be among all the fun-loving drinkers that I'm accustomed to. I suppose it's a matter of commitment to a new lifestyle, and figuring out how to be a fun-loving non-drinker, haha... Thanks for your thoughts!

  • Comment on BasementDweller3's answer…
    Horse_ass2_small

    And good luck! I'm glad you are making your health a priority, you are off to a better start than most already! And the embarrassment/shame? Just go. You'll see.

  • Comment on BasementDweller3's answer…
    Horse_ass2_small

    Also, sometimes they do a "introduce/talk to the person sitting next to you" and some groups handhold during the serenity prayer. This is where standing in the back can be key.

  • Comment on RacerX's answer…
    Horse_ass2_small

    This might work in a city, but in most areas, there are far more AA meetings than other groups, and if it's something you need to go to every day, or several times a day, or as needed as in you need to be there right now, AA is a useful alternative if you can deal with it's quirks because there are simply so many options. If the twelve-steppingness bothers you, then yes, maybe not as useful, but I found simply listening to the stories of people like sublevelthree's friend to be of such value that even though I wasn't doing that part of it (they do it in AlAnon too), it was worth it to me to go. Maybe a combination of both?

  • Comment on BasementDweller3's answer…
    Horse_ass2_small

    Meetings are often in churches but this is coincidental, just a convenient open space that's free. Also, there is a bit of a rickety antiquated/cheesy/group therapy kind of format they have to get through before it gets to the valuable stuff, people just talking about what they've been through. Either come in late or just bear with it through the intro stuff, it is very much worth it. Here's the Seattle link for meetings, there are others for the area, this is just one:

    http://seattleaa.org/directory/directory_index.html

  • Comment on infernactual's answer…
    Rex_racer_small

    yay for chocolate!!

  • Comment on Kristin Bell's answer…
    Subcultureoftwo_small

    I actually asked my doctor about that. The increase in suicides sometimes seen in new antidepressant-takers is due to the fact that if the person is already teetering on the brink of suicide, the early good feelings from the drug give them the boost of self-confidence they need to actually decide to pull the trigger. The drug ITSELF doesn't make you want to die.

  • Comment on Kristin Bell's answer…
    Bierce1_small

    Right, correlations vs causative factors.