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Cake day: June 12th, 2023

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  • Yes and no (and a disclaimer: I’m only a nurse). There are several herbs that work similarly to Selective Serotonin Reuptake Inhibitors (SSRIs). The issue being that they therefore have the same risks as SSRIs: the two big ones being serotonin syndrome (all your vital signs shoot up until it kills you) and less dangerously but not really less unpleasantly, mania and/or psychosis if that’s something your genetics have predisposed you do. These are both a lot less likely with herbs than medications because they’re much weaker, but it’s still possible, and especially if you take them WITH an SSRI. There are also some recreational drugs (shrooms, lsd, MDMA) that can cause serotonin syndrome when you take too much or take them with other serotonin boosting medications. I don’t recommend you play with this kind of thing without medical supervision. I actually had one of our severe bipolar cases come back to us high as tits because they swapped their mood stabilizer for a serotonergic herb, it was a mess.

    Anyway the big three are St John’s Wort, Ashwaganda, and Moringa. L-tryptophan is also known to boost serotonin, but that’s just because it’s one of the building blocks your body needs to make it. Melatonin can also help your serotonin because it and serotonin turn into each other as part of the cycle of your circadian rhythm but be careful not to take too much of it because you’ll start having extremely bizarre nightmares.

    But like I said, you’re better off talking to a doctor about this before you find out you’ve been bipolar II this entire time when the herbs you bought on Amazon turn it into bipolar I and you spend a month in a psych ward thinking your you’re the second coming of Christ and putting chess pieces in your ass to fight the demons.



  • Tylenol + caffeine + an NSAID (advil/motrin/aleive/aspirin) is the usual OTC drug combo, assuming you don’t have any disorders that prevent you from taking them any of those things safely. You can also usually buy them as a combo pill under the brand name “Excedrin” (I think it has aleive specifically, also called naproxen).

    Lifestyle: drink plenty of water, reduce your stress, get plenty of sleep.

    Alternative/holistic:

    Pinch your daiths. Some people get them pierced to prevent migraines.

    Press your “third eye” pressure point, it’s the spot between your eyebrows or where an Indian woman would wear a bindi. Idk about the liver or whatever else pressure points, but I can feel this one taking the pressure off.

    I had a friend who swore by this pressure point for occasional nausea, if you’re having that too.


  • It could be something as harmless as being photosensitive or motion sickness. It could be completely benign and you might live for years with this one weird quirk.

    You could also be having seizure auras, small strokes, having a psychotic break, or something else out of 500 other possibilities of things that will hurt, kill, or just generally terrorize you for years to come if not treated.

    Go to a doctor. I would start with a neurologist, but depending on your locality and if you do or don’t have health insurance you may need to see some kind of generalist first like a family medicine doctor/general practitioner. There’s also a lot of overlap between them and urgent care clinics these days. You would just ask if they can write you a referral.

    I know, for instance, American health insurances sometimes won’t pay for a specialist visit until a family medicine doctor/General practitioner says it’s fine because somehow having to see two doctors is more efficient and saves more money. I’ve given up on sense in such things. My faith in the system finally took its last breath when I drove my fiance two hours to try to get insurance to cover a test and several hours of bureaucratic nonsense later they still wouldn’t pay. At the time he had medicaid, which in our state is overseen by a branch of one of the state’s existing Healthcare insurance companies. (You get one randomly assigned but you can change it if you fill out a really long form and get it mailed in within 90 days or manage to log into the website that only works when Jupiter’s in the fifth house). Does that sound corrupt as fuck? It really, really is.

    My fiance needed a specific test, and the insurer said we needed to get it done through his primary care physician and said the preassigned one was on the back of the insurance card that my fiance had gotten a year or so before when he successfully qualified for medicaid. We could also call and have the primary doctor changed… after finding a primary care physician who could afford to take new medicaid patients! (ha)

    Anyway so the preassigned doctor was two hours away from my fiance’s home address, which was still the same from when he had applied and qualified. I figured they just didn’t have any doctors who would take medicaid that were closer. I thought maybe that was just me being pessimistic, but no. American insurance companies have a gift for malignant apathy. My assumption that they just didn’t care was disturbingly generous. No, they were actively fucking me with the apathy. It sounds impossible, but American insurance companies are out there braving new frontiers of malicious apathy every day!

    When we arrived, the receptionists informed us that this doctor had not taken medicaid in years as in multiple as in before the Medicaid distributor had ever printed the card. They apparently had a list somewhere of doctors that at some point in the last decade had taken medicaid, and they were just scrolling down the list assigning them at random. And they were never calling anyone to see if they still took their insurance or, I don’t know, checking it against their own fucking books.

    And again, you WANT to think it’s apathy and it probably is at the low levels like claims and customer service representatives. They probably beat the empathy out of those workers. But the company is taking a government check for each medicaid recipient under their domain and flossing their asscracks with the money. Then the recipients eventually give up on navigating through 15 pages of a cyberpunk DMV of a website with a sitemap that’s inscrutable to anyone but the highest of bureaucrats and a phone tree where when you get a human to talk to they fill out the same form again and give you a case number that the next person you talk to will have no idea what to do with.

    …and then they just get to keep the money that they were supposed to be using to get people healthcare. They provide less care, and they get to keep more money. They literally net MORE money the worse and harder to use their product is. The only thing middlemen have going for them is to maybe provide convenience and they’ve still figured out how to make more money from having the least convenient product. And Medicaid patients who can’t afford to drive far, or a lawyer, or even to just miss a day at work, make GREAT targets. Add a mental illness into that mix, the kind that are way more likely under the stresses of poverty and also way more likely to lead to it. The mentally ill aren’t dumb, but executive dysfunction is a motherfucker. Put a few forms and phone calls between them and mental health professionals? You just eliminated most people with anxiety.

    Get money -> frustrate people into not making them spend it on Healthcare.

    Infinite money glitch.




  • I have a lot of really REALLY fucked up ones. I’m an acute inpatient psych nurse but I’ve also had 4x inpatient stays of my own so I have a bunch of jokes that would leave my patients AND my coworkers speechless.

    “Well I had a nuchal cord x4 (umbilical cord wrapped around the neck 4 times) so if you think about it, I’ve actually been trying to kill myself longer than I’ve been alive.

    “So then they restrained me and gave me a B10&4 (twice the amount of medication usually given for agitation) and I woke up in a state hospital with my back seized up from the Haldol and anyway that’s how I found out they were hiring!” 🎉

    “I’m almost definitely more suicidal than my patient right now.” - Me (who’s had chronic low-grade suicidal ideation since I was like 12, sitting “suicide watch” on a patient who most likely just said they were suicidal so they didn’t freeze to death overnight on the street. Honestly I respect the hustle, if the psych hospital counts as comfortable to you I probably don’t even wanna know what your other option was. The mental health crisis in America won’t go anywhere until the housing one does).