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Joined 2 years ago
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Cake day: August 2nd, 2023

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  • "Our youth love luxury.  They have bad manners and despise authority.  They show disrespect for their elders and love to chatter instead of exercise.  Young people are now tyrants, not the servants of their household.  They no longer rise when their elders enter the room.  They contradict their parents, chatter before company, gobble up food and terrorize their teachers.” -Socrates ~400BC










  • This is great. Some people think the goal of meditation is to maintain focus on one thing without getting distracted. It’s common, then, for a meditation practice to feel frustrating and discouraging; yet another activity for them to fail because they can’t stay focused. It might help to think of meditation as “practice of returning.” Through this lens we assume that we WILL get distracted, and once we notice we’ve gotten distracted, we practice returning to our breath/blank space, etc.



  • Ah, another interesting book I can recommend is called Crazy Like Us, about the globalization of the Western concept of mental health. They talk about execs at GlaxoSmithKline trying to figure out how to market antidepressants in Japan. In Japanese culture sadness and depression were seen as a normal part of the human experience. Like you said, the pharma guys had to get clever to convince their Japanese market that depression is an illness, and they had the treatment.

    I mostly disagree that diagnoses are helpful to therapists. Or rather, most diagnoses are not helpful to me. I can look at them as shorthand, so if a client has MDD in their chart I have a broad sense of some of the symptoms they’re experiencing. But I can just as easily, you know, ask the client what’s going on. There are a small few (ASD, bipolar, schizophrenia, OCD) whose symptoms are so discrete and disruptive that specialized treatment can be life-changing. Outside of those few, if insurance didn’t require it, I would never assign a diagnosis again.


  • I’m a licensed mental health professional but I don’t specialize in ADHD. I’ve been diagnosed with ADHD and take stimulants every day.

    ADHD is mostly genetic, but IMO the increase in diagnoses is partly due to the information overload from the digital age we’re living in. There are simply more things distracting us, more cognitive demands, such that even “normal” brains will struggle to keep up.

    I want to point out, too, that the DSM has serious issues with validity and reliability. Some of the criteria are so subjective as to be useless, and two providers diagnosing the same person can arrive at very different disorders. Allen Frances, chair of the DSM-IV (we’re on DSM-5 now) wrote a book called Saving Normal where he criticizes the APA’s trend of pathologizing basic human experiences. With each DSM edition the diagnostic criteria get more broad, to the point that I can argue that any given person meets criteria for SOME disorder. If everyone is disordered, then what’s normal anymore? How is that helpful?

    Most of the diagnostic criteria for ADHD describe someone who isn’t a “good student” or a “good employee.” It doesn’t consider context. If someone fucking hates their job, I’m not surprised they struggle to complete tasks that require sustained mental effort. Kids are reminded every day that the world is burning, so of course they’re distracted from their math homework. I’m not saying people aren’t suffering from what we call ADHD, I’m saying that it’s a normal human response to the state of the world right now, so why are we calling it a disorder?

    Edit: a word