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#causes of depression anxiety bipolar disorder
opens-up-4-nobody · 8 months
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#hmmm. was just looking at the results of my bloodtest from earlier this week and im all normal apparently#so my thyroid isnt fucked and the hypomanic episodes r in fact just coming from my brain as expected#and the doctor did slap me with a bipolar II diagnosis. which is still find dubious. but also he would have to i guess in order to#prescribe me an antipsychotic but like. sounds like a thing that would increase my insurance rates lol#whatever. i just find the idea of me being bipolar to be so wild. i mean like yes. i guess technically if u look at the word bipolar#unipolar would b a depressed and normal mood range. and bipolar would b depressed and elevated mood#and yes ive spent a lot of my life being rather depressed. sometimes treding near the point of not being able to function#but like usually its not that bad and im so anxious i cant just not function. the ocd keeps me afloat lmao#and yes i have these infrequent little peaks of high energy and even more infrequent instances of elevated mood#so i guess yes that does count as a bipolar mood profile. but is the underlying cause bipolar disorder or is it that i make myself so#miserable with my compulsive behavior that it sends me into spirals of depression or overheats my brain into fits of hypomania#i suppose it doesnt really matter if the presentation is still on thr spectrum#idk i guess i just find it annoying not to fit cleanly into a box. im more a: the spectrum of human experience type person#i guess its better to struggle a lil bit with a number of things than b all consumed by one single thing#i mean. im a lil all consumed by the compulsive behavior. but again its not exactly thr classic presentation of ocd. which i find#frustrating bc i like to characterize and understand things. ugh#well see what the psychologist has to say when i show her my insane mood tracking figures#lol last time she told me to track my anxiety but not make a chart abt it. and i was like god dammit shes onto me#listen. i do research. i like data 🙄#unrelated#also the docor i saw was like yea its joy normal to get 3hrs of sleep and not b tired#how abt a week of 5-6hrs of sleep and not being tired??? how bout that?#also not good fyi. i csn feel my brain fraying#me: shut up im normal. also me not sleeping and getting increasingly unhinged#ive got 1tachi levek eye bags 😭#also i kno its a thing they have to ask but everytime i start describing how i would charactize my intrusive thoughts doctors go:#hm. do u even hear voices telling u do do these thing? and its like no theyre my thoughts but also they feel like they come from outside#of my body. which when i say it sounds crazy but like idk how else to say it. its like theyre projected into my head but i kno it comes#from me. ya kno?
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Hey again, I'm the anon from before about those tough thoughts. No need to apologize for your rant, my initial ask was basically an invitation for that even if I didn't outright say it. That seems like such a difficult situation and I'm truly sorry you're going through that. I know how isolating things like that can feel, and how hard it is to miss people. Are you okay after the accident? And is there something in the future you can look forward to? That's helped me in the past, though I know things feel bad right now
I'm tryin SO hard to not dump so much on you, Anon.
I won't lie, it's taken a lot to even say on here that I'm feelin this way. I still have some toxic masculinity to unlearn and to ask for help. I personally feel weak and not the same.
I was the strong one.
The one to help with the weight mentally and physically. Slowly, it's (mentally) been deterioratin every day I wake up with no hope.
I know nobody wants to hear this when they've been through worse. Who wants to hear this shit when it's all I've been thinkin of these thoughts every day.
Yea, I got hit by a car (I was tryin to get to the bus to go to work) but I feel like that's nothin compared to what others have been through.
I shouldn't be this weak.
I shouldn't feel bad for what I went through. It was my fault for it and I probably even traumatised the poor bastard who hit me for my own stupidity.
I was trained to get back up and go on with life without a scratch to bring me down.
I was trained to not talk bout this and keep it in; nobody wants to hear the little thing that has happened and the thoughts comin from it.
Strong minded.
Strong physically.
It's not suppose to be this hard to go through and to just forget bout it.
I don't know what to say in words on how I feel without it goin on and on with dark shit. That's just how it is in my own family. Never speak of it and keep it all in. We're all messed up cause of it and it's been goin on for five generations.
I want to end this with a little happy note for your last question in your ask:
I REALLY am lookin forward for this scar to heal up and get a tattoo to cover it up. It'll take at least a year for it to fully heal (it REALLY hurts to lay on my stomach or move on it if I'm lookin for somethin under a couch or a low place at home) and I plan on gettin bees that looks like it's comin out of the scar like in the ‘92 film ‘The Candyman’ from that one scene when bees were flowin out of his mouth.
I'm sorry for the word salad, I'm in the middle of a mental breakdown and just tryin to get high to numb it.
Thank you for this ask, Anon. I really do appreciate you. If you or anyone is interested, I can show what the scar looks like now since it's almost been three months (got hit on the 7th of February and was in the hospital for a week with my family basically beggin me to come back home. But it's not safe for me there and I'd rather honestly get hit again by a car then to go back home).
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health-focus1 · 8 months
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Depression ( Major Depressive Disorder).
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Gloom is a temperament problem that causes a steady sensation of bitterness and loss of interest. Likewise called significant burdensome issue or clinical sadness, it influences how you feel, think and act and can prompt various profound and actual issues. You might experience difficulty doing typical everyday exercises, and here and there you might feel as though daily routine does not merit experiencing.
Something other than an episode of the blues, despond ency isn't a shortcoming and you can't just "snap out" of it. Melancholy might require long haul treatment. In any case, don't get deterred. A great many people with misery feel improved with prescription, psychotherapy or both.
Symptoms
In spite of the fact that downturn might happen just a single time during your life, individuals ordinarily have different episodes. During these episodes, side effects happen the vast majority of the day, essentially consistently and may include:
Sensations of trouble, sorrow, void or sadness
Unexpected eruptions of fury, crabbiness or dissatisfaction, considerably over little matters
Loss of interest or happiness in most or each and every average activity, similar to sex, relaxation exercises or sports
Rest agitating impacts, including lack of sleep or napping exorbitantly
Sluggishness and absence of energy, so even little errands require additional work
Reduced hankering and weight decline or expanded longings for food and weight gain
Nervousness, fomentation or anxiety
Eased back thinking, talking or body developments
Sensations of uselessness or responsibility, focusing on past disappointments or self-fault
Inconvenience thinking, concentrating, deciding and recollecting things
Incessant or repetitive contemplations of death, self-destructive considerations, self destruction endeavors or self destruction
Unexplained actual issues, like back agony or cerebral pains
For some individuals with sorrow, side effects generally are adequately extreme to create recognizable issues in everyday exercises, like work, school, social exercises or associations with others. Certain people could feel usually miserable or grieved without genuinely knowing why.
Depression symptoms in children and teens
Normal signs and side effects of sadness in kids and young people are like those of grown-ups, yet there can be a few distinctions.
more youthful kids, side effects of wretchedness might incorporate bitterness, crabbiness, tenacity, stress, a throbbing painfulness, declining to go to class, or being underweight.
In youngsters, side effects might incorporate trouble, touchiness, feeling pessimistic and useless, outrage, terrible showing or unfortunate participation at school, feeling misconstrued and very touchy, utilizing sporting medications or liquor, eating or snoozing unnecessarily, self-hurt, loss of interest in regular activities, and avoidance of social coordinated effort.
Depression symptoms in older adults
Sorrow is definitely not an ordinary piece of becoming older, and it ought to never be trifled with. Sadly, misery frequently goes undiscovered and untreated in more established grown-ups, and they might feel hesitant to look for help. Side effects of gloom might be unique or more subtle in more seasoned grown-ups, for example,
Memory troubles or character changes
Actual hurts or torment
Weakness, loss of craving, rest issues or loss of interest in sex -not brought about by an ailment or prescription
Frequently needing to remain at home, as opposed to going out to mingle or doing new things
Foolish thinking or feelings, especially in additional laid out men
When to see a doctor
On the off chance that you feel discouraged, plan to see your PCP or psychological wellness proficient in a hurry. If you're reluctant to search for therapy, banter with a buddy or treasured one, any clinical benefits capable, a certainty boss, or someone else you trust
READ-More
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catboybiologist · 3 months
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About to fall asleep ramble time, this has been kicking around in my brain for a bit and I need to get some form of this thought out
I was diagnosed with ADHD and gender dysphoria one day after the other back in August. Extremely stereotypically zillenial of me, I know. Handling both of these has dramatically improved my quality of life. yes yes insert discourse about how much you need to have dysphoria as a diagnosis, it's just a tool for the medical system that's ultimately meaningless, that's not what this is about.
There's one thing that was really, really weird about the experience of getting care for both of these.
Most treatment and public talk of transition and motivations to transition are about misery. How much despair your birth sex gives you and how gender affirming care is the only stopgap against suicide (oftentimes, used as a barrier to entry that it should only be given when it's at the suicidal point). How crushing dysphoria is.
In contrast, most of the public perception of ADHD is this cutesy, "omg look I'm so quirky" kind of thing. People talk of ADHD "superpowers" and how neat it is to have hyperfixations (I'm low key starting to dislike that word, even though it's an accurate description of many things- it's very overused).
My actual experience has been almost exactly the opposite.
I absolutely had gender dysphoria, and still do, and misery associated with being AMAB. But is that what defines my trans experience? No, and in fact, it feels like a more incidental blip in it. My trans experience has mostly been defined by joy, by feeling my mind and body slowly make me more and more content with my default existence day after day. And the exploration of it all! The social roles, the romantic dynamics, the friendship dynamics, even small aesthetics like clothes and makeup, and again, the body and mood changes. It's incredible and it brings me joy so much of the time. That, more than anything, has defined my trans experience.
In contrast.... ADHD has objectively made nearly every aspect of my life more miserable. Working with my therapist and my pysch, as well as feeling what it's like to be properly medicated, have shown me extremely well how much the constant feelings of misery I always seemed to have were caused by ADHD. ADHD means being unable to receive a baseline level of dopamine to function under normal circumstances, so your brain starts looking for any way it can get new sources. And wouldn't ya know it, novel stimuli are a perfect way to do that. Keep in mind that dopamine isn't just "the pleasure molecule" it's a neurotransmitter with a broad range of functions. If you don't have ADHD, or even if you do, I want you to think about how miserable of an existence that is. Your default state is depression and inability to do things. It has been for me for most of my life. Additionally, anxieties creep into your head and distract you far more easily. You're less functional. You can't do simple things most of the time. You're distracted and have anxiety spikes easily. Continuous tasks are hard. And day in, day out... You are miserable. Almost constantly.
Oh also, you're easily addicted to extreme novel stimuli. For me, it was self harm. And when that stopped working... Well, I was in a state of mostly background depression that was only punctuated by spikes of massive, overwhelming anxiety that my brain hooked itself on. At a certain point, I just wanted it to end, by any means necessary.
It's been almost ten years since that day, and at this point I can genuinely say that I'm glad I'm still here.
But it wasn't dysphoria that did that (it contributed a bit, but still wasn't the biggest factor). Or a depressive disorder. Or bipolar. Or whatever the big, more "scary" mental illnesses or neurodivergencies are. They tried to treat me for some of them, and it ended horribly. My symptoms fit mixed presentation ADHD perfectly, including my physiological response to stimulants. They don't fit anything else. I likely don't have any strong comorbidities, unless you count the symptom-level anxiety and depression. ADHD did all of that to me. The "cute and quirky" one.
By the time I got around to a diagnosis, my pysch was astounded that I made it as far as I did with symptoms as severe as mine. Tackling ADHD has removed so much misery from my life, it's indescribable. Adderall has been the only thing that has ever actually gotten rid of my constant anxiety.
It's not fucking cute. Keeping with this being the flip side to my dysphoria, I do try to keep it light most of the time, and I join in on all of the classic "whoopsie doopsie my ADHD" trains and jokes. You don't have to stop making those, hell, they're fun. There are cute and funny parts to having ADHD, and ways it's made my personality what it is. But don't forget that this is also something that makes people genuinely suffer well beyond the "oopsie I'm such a procrastinator!!!" Type thing.
Idk where this thought is going. It's just kind of an observation that's been kicking around in my head for a bit. So uh. Hope it at least generates discussion? Feel free to add your experiences if you think it'll help you. But fuck I need to sleep lol
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syrena-del-mar · 3 months
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A couple of hours ago I wondered what the other medications Non was using besides Lorazepam and on rewatch I realized that they did let us know a second medication Non is on! He's also prescribed Quetiapine Fumarate (Seroquel) which can be used to treat a whole list of psychiatric disorders, such as schizophrenia, major depression, bipolar, PTSD, but can also can be prescribed for insomnia and anxiety.
Also important to note that Lorazepam is usually a short-term medication (since it's a benzo), so it may be only prescribed to be taken during active panic attacks, while Seroquel can be used for everyday use to manage anxiety.
Now taking Lorazepam and Quetiapine at the same time? For a teen? Wild that he's even awake, because the combination can cause major drowsiness if he's taking them at the same time.
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sysboxes · 4 months
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It's possible for alters to have their own mental health!!! Alters can have personality disorders that other alters don't have, I think what you're talking about is autism, ADHD and other disorders similar! (As those affect the brain and therefore affect the whole system, but personality disorders are a different sort of thing, so one alter can have a PD and the others might not!) We can provide links if you'd like ^^ /nm /info
Hey there Anon! Thank you for the offer. We also received the following anon from (probably) another user, which I'd like to address here as well:
Alters can have personality disorders: (link) “✘ MYTH: ALTERS CAN’T HAVE THEIR OWN MENTAL HEALTH ISSUES IF THE MAIN SURVIVOR DOESN’T HAVE THEM. They actually can, and many do. It’s extremely common for individual alters to battle depression, anxiety, OCD, bipolar, eating disorders, self harm, etc., while other members of the system experience no such thing. Some extremely differentiated systems may even need that system member to come forward and take medications that the rest of the system does not need and will not get. ..and their brain’s neurology responds accordingly. But, make no mistake, most expressions of mental illness amongst alters are incredibly real and valid and should be treated as such.” (cut up a little, the source is above, we're pretty sure the source is reliable, it seems so. We've also had other systems say this too, and to us that's how it works, as only one of us as far as we know are affected by NPD)
Firstly, I feel the paragraph that was cut out of the Beauty After Bruises section is very important for further context and explanation. It's quoted here below:
One note about some disorders, however. Non-verbal, poor eye contact, savant-like, or sensory-processing-disorder alters can be extremely common traits in DID systems. However, it’s important not to just jump to calling these parts “autistic” if the system as a whole is not autistic. It’s possible for alters to behave in ways that mimic their understanding of SYMPTOMS in other disorders they know about, while not actually possessing the neurology for them. This is a complicated subject we could try to elaborate more on at some point, but it’s just an encouragement to pause and not automatically label some parts as having certain conditions just because they show a few traits of them. It can cause a great deal of conflation and misrepresentation of those illnesses. It may also be purely based on discriminatory or uneducated stereotypes of those conditions that were adopted into a young child’s mind. So, it’s just helpful to check for that possibility first!
As Beauty After Bruises is saying here, neurology takes a place in this discussion. It seems as if this resource is mostly stating that alters can all struggle with mental illness, and can appear to struggle singularly with those illnesses symptoms -- in which case, the "This alter is a symptom holder" is exactly the language we feel comfortable with. Until we are able to research more, we're wary about spreading potential misinformation about how brains work.
As mods, we absolutely want to do our best to avoid spreading misinformation. From our understandings, NPD and similar personality disorders are caused by a structural shift in the brain -- something physical and concrete. Here's some of our resources we found on NPD.
Source 1: “They analyzed a total of 34 test subjects, of which 17 suffered from a narcissistic personality disorder… Using magnetic resonance imaging (MRI) methods, the scientists measured the thickness of the patients' cerebral cortex… The findings revealed that those subjects suffering from narcissistic personality disorder exhibited structural abnormalities in precisely that region of the brain, which is involved in the processing and generation of compassion.”
Source 2: “The decreased brain white matter microstructures among three clusters were found in the association, projection/thalamic and connection pathways of white matter in young adult males with NPD. The abnormal white matter brain regions may be one of the neuropathological basis of the pathogenesis of young males with NPD, and it may be related to white matter development in early adulthood."
Based on these sources, the moderators are most comfortable using the language of alters being symptom holders. Both sources indicate that NPD affects the structural nature of the brain, which would impact all of the members of the system. However, like Beauty After Bruises was suggesting, that doesn't mean that various alters don't reflect those symptoms in different ways. It's absolutely possible for alters to struggle more or less with disorders, or even seemingly not at all.
I hope this clarifies our perspectives. Thank you!
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freesia-writes · 5 months
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Lil Life Update for Y'all <3
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I've been a lil cryptic or back-n-forth, I think, and just wanted to share a little bit about what's been going on. I say it's not for attention but who knows what motives lurk under there, LOL. It's mostly because I love you all and want to let you in, also hope that it's encouraging or connective for anyone else who's experienced the same, and also I just miss the community I have sooooo loved here. 🥹
I'm a 34yo female with 2 kids aged 4 and 7. I had depression like crazy during and after my second pregnancy especially. In Aug 2021, my primary doc suggested I try something like Zoloft since I'd been complaining of irritability, no capacity, constant worry, and other anxiety symptoms. When I did feel some relief and felt encouraged that I could "feel like myself" again, I pursued solutions for other issues I was noticing. Over the last year and a half, it's been quite a ride. ADHD symptoms led to Adderall for 4 days, then Wellbutrin for a few months, then Buspar for a few months, then Strattera (tapering up and then back down) for about 3 months, then Ritalin for 1 month, which I thought was helping until we realized that the entire month of October was basically an increasingly manic episode.
Whew.
We're talkin 2007 Britney here (ok I didn't shave it but I cut my hair off into a pixie). Spent thousands on a new wardrobe of the "dark academia" style. Bought Disneyland tickets. Invested in a photography mentorship. So much energy and inspiration. Then we realized it was getting out of hand.
I had also been tapering off a lot of the meds over the last two months, so it was just a crazy cocktail of chemicals that made my brain finally go kaput. I finished the last dose of Zoloft on November 5th, and that was the last of the meds, so now I'm off everything. My therapist thought the mania was medication-induced due to all the changes plus the addition of the stimulant, so the goal was to try to allow everything to settle down and see what "baseline" is for me right now.
And it has been frickin HARD.
Cervical vertigo. All-or-nothing sleep and appetite. Extreme sensory sensitivity. Random itchiness. Racing mind. Total inability to focus. And the worst part has been the mood swings.
I'm basically having all the symptoms of bipolar disorder in a rapid-cycle format. It may be cyclothymia, or it may be the withdrawal effects from all the meds, but regardless... It's been quite the roller coaster. The nerd in me has been fascinated by the experiential knowledge of it all, since I majored in Psychology and have always loved learning about it, but the overall negative effects on me and my family have been difficult.
I'm someone who has always relied completely on being highly capable and in control. I find my worth in my productivity and competence. And it has caused increasing stress throughout my life. I've been praying for years that God would break me of it, and I can see how he is using this to do precisely that -- lovingly trying to answer my request to be freed of this relentless pursuit of the illusion of control. He's inviting me to simple, joyful life of trust. The perspective shift is so freeing when I realize that I don't need to have it all figured out because he already does, and I can just rest in his loving guidance and look to him for the next step instead of trying to plan out every possible outcome and strategy. I went on a reflective retreat in the Santa Cruz mountains and just felt so encouraged and loved in the way he invited me to let my shoulders down and to ground myself in his warm provision and care.
But the change doesn't happen overnight.
So in the middle of a total storm of bipolar symptoms -- days of mania followed by days of depressive episodes and being so new at it all that I don't know how to navigate "normal life" with all of that -- I'm also trying to rewire 34 years' worth of the way I think and act. BUT it's a blessedly simple process: the only thing I have to worry about is this moment. I can't affect the future or the past. So all I have is right now, and I can turn to God for guidance, encouragement, insight, or anything I need in this moment, and he is so faithful to give it. But man, it's easy to forget. ;)
Literally me with that right now, trying to figure it all out on my own before I remember I can't and don't need to:
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Anyway, this got LONG, surprise surprise, but I've always enjoyed being vulnerable for the sake of connection and potential encouragement. And selfishly, I'd LOVE to hear from any of you who may have had similar experiences. Right now the fixation of my [very limited] capacity is on my photography business, but I've been feeling drawn to writing more and more, and have attempted a lil drabble here and there. So I'm just patiently waiting for the inspiration to return. :)
I have so appreciated the love from you all. I also haven't been as active with reading/reblogging/supporting/etc as I was, and that's just where I'm at right now, but please know that my heart is with you even if my brain is not, LOL.
If you made it this far, you get a gold star. Or a Howzer hug. Or somethin. :)
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aurpiment · 1 year
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Possibly one reason why everyone suspects they have adhd is because the best-known symptom is executive dysfunction. But executive dysfunction can also be associated with everything from depression, anxiety, disorders that cause anxiety (like OCD), and autism to schizophrenia, bipolar disorder, Parkinson’s, and brain injury.
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honeybee2807 · 1 month
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When I first read Cursed Child at 12, at the time, I was aspiring to be a psychologist and was researching a lot on depression and anxiety(especially for kids and teens since I wanted to help them the most). When I read Albus' character, I kept seeing many signs of him being depressed. The way he seemed to neglect himself(there was a line that described his face as sallow[which is a word used to show unhealthiness and self neglect]), his bouts of anger and lashing out, and his general upset and low self esteem. And since bullying and family issues were top reasons for a child to be suicidal, I was convinced.
Now I'm realising that he's more likely of a candidate for a personality disorder(cough... bipolar ...cough). I admit, I'm not as well-versed in personality disorders(so feel free to point out if I'm wrong).
I remember the first time I read CC, I was a bit confused at Albus' sudden mood changes which I deemed to be unrealistic. A classic example was during his third year. He fought with his dad and got angry to the point that he burnt his hogsmede permission form and had a rant, but the moment he saw Scorpius, he instantly went all cheery and exclamation marks??? Normally it takes a while for someone to calm down from a fight and it would be fine if Albus was relieved or just slightly happy. But he went full on exclamation marks and he def wasn't angry at Scorpius.
But that didn't convince me that something could be wrong. The fact that did was the whole time travel plot. Albus read to me as downright cheerful and his insane plot to travel time couldn't even be discouraged by his bestie who claimed multiple times that this was a bad idea and Albus lost his mind. It was like a switch had flipped and he was opposite. Albus was still Albus sure but he acted different than what was told to us. Of course that could be also because he wasn't in Hogwarts which was a major cause of his distress.
But here me out. Once Rose and Hugo got deleted out of existence, it would be a sensible thing to realise that time travel is not a good idea. Scorpius certainly realised it(tho he was skeptical from the start). But Albus didn't and decided that it was a good idea to try again. Either he was a complete idiot or delusional. Then he gave a monologue how losers have powers and abilities(err wot???) and managed to convince Scorpius to try again.
Albus finally seems to come to his senses afterwards(thank god!).
I was incredibly confused for years. Then I read this fanfic where Albus was portrayed as bipolar and then it clicked. All of Albus' overly cheerful behavior and crazy ideas could be described as manic. And I don't think really need to explain the depression part to y'all.
Again, I could be wrong. I'm extremely sorry if I misunderstood bipolar disorder and mixed it up. But yeah, that was my interpretation.
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By: Tamara Pietzke
Published: Feb 5, 2024
For six years I worked at a hospital that said all teenagers with gender dysphoria must be affirmed. I quit my job to blow the whistle.
I know from firsthand experience what hard times are. Though I had a happy childhood, raised as the middle child by working-class parents in Washington State, my mom died of ovarian cancer when I was 22. 
After that, my family fell apart. I felt lost and alone. 
I decided to become a therapist because I didn’t want anyone to go through what I had, feeling like no one on this planet cares about them. At least they can say their therapist does. 
I earned my master’s in social work from the University of Washington in 2012, and I have worked as a therapist for over a decade in the Puget Sound area. Most recently, I was employed by MultiCare, one of the largest hospital systems in the state. 
For the six years I was there, I worked with hundreds of clients. But in mid-January, I left my job because of what I will go on to describe.
The therapeutic relationship is a special one. We are the original “safe space,” where people are able to explore their darker feelings and painful experiences. The job of the therapist is to guide a patient to self-understanding and sound mental health. This is a process that requires careful assessment and time, not snap judgments and confirmation of a patient’s worldview.
But in the past year I noticed a concerning new trend in my field. I was getting the message from my supervisors that when a young person I was seeing expressed discomfort with their gender—the diagnostic term is gender dysphoria—I should throw out all my training. No matter the patient’s history or other mental health conditions that could be complicating the situation, I was simply to affirm that the patient was transgender, and even approve the start of a medical transition.
I believe this rise of “affirmative care” for young people with gender dysphoria challenges the very fundamentals of what therapy is supposed to provide. 
I am a 36-year-old single mother of three young kids all under the age of six. I am terrified of speaking out, but that fear pales in comparison to my strong belief that we can no longer medicalize youth and cause them potentially irreversible harm. The three patients I describe below explain why I am taking the risk of coming forward.
* * *
Last spring, I started seeing a new client, who at 13 years old had one of the most extreme and heartbreaking life stories I’ve ever heard. (For the sake of clarity, I am referring to all patients by their biological sex.)
My patient’s mother has bipolar disorder and was so abusive to my patient that the mother was given a restraining order. My patient was sexually assaulted by an older cousin, by one of her mother’s boyfriends, and also once at school by a classmate. Her diagnoses include depression, PTSD, anxiety, intermittent explosive disorder, and autism. She is being raised by her mother’s ex-boyfriend (not the one who assaulted her).
The year before I started seeing her, when she was 11, she was hospitalized for talking about committing suicide. Later that year, a pediatrician diagnosed her with gender dysphoria after she started to question her gender. The pediatrician referred her to Mary Bridge Children’s Gender Health Clinic, whose clinicians recommended she take medicine to suppress her periods and that she think about starting testosterone.
Mary Bridge, MultiCare’s pediatric hospital, runs the gender clinic for minors and employs nurses, social workers, dietitians, and endocrinologists, who provide gender-affirming care, which includes prescribing hormones to young patients who question their gender. In order to get that prescription, patients first need a recommendation letter from a therapist. Because Mary Bridge is a part of MultiCare, their patients were often referred to therapists like me who were in their system.
In an April 2022 blog post, a Mary Bridge social worker wrote that the gender clinic’s referrals increased from less than five a month in 2019 to more than 35 a month in 2022. In May 2022, the clinic received a $100,000 donation from Patient-Centered Outcomes Research Institute “to study health care disparities” in transgender youth.
The clinic operates in Washington, one of the states with some of the most lenient legislation on gender transition for youth. In May 2023, the state legislature passed a law guaranteeing that youth seeking a medical gender transition can stay at Washington shelters—and the shelters are not required to notify their parents.
Because of my patient’s autism, it was difficult for us to engage in introspective conversations. During our first visit, she came over to my desk to show me extremely sadistic and graphic pornographic videos on her phone. She stood next to me, hunched over, hyper-fixated on the videos as she rocked back and forth. She told me during one session that she watched horror and porn movies growing up because they were the only ones available in her house.
She showed up to our therapy sessions in disheveled, loose-fitting clothes, her hair greasy, her eyes staring down at the ground, her face covered by a Covid mask almost like a protective layer. She went by a boy’s name, but she never raised gender dysphoria with me directly—though one time she told me she would get mad at the sound of her own voice because “it sounds too girly.” When I asked her how she felt about an upcoming appointment at the gender clinic, she told me she didn’t know she had one.
In between scrolling through videos on her phone, she told me how she cried every night in bed and felt “insane.” She described a time when she was eight years old and her mother nearly killed her sister. She remembered her mother being taken away. At times, she would “age-regress,” she told me, by watching Teletubbies and sucking on pacifiers.
When she started seeing me, she had recently threatened to “blow up the school,” which resulted in her expulsion.
I knew I couldn’t solve all of her problems, or make her feel better in just a few therapy sessions. My initial goal was to make her feel comfortable opening up to me, to make the therapy room a place where she was heard and felt safe. I also wanted to try to protect her from falling prey to outside influences from social media, her peers, or even the adults in her life.
With a patient like this, with so many intersecting and overwhelming problems, and with such a tragic history of abuse, it took our first three sessions to get her feeling more comfortable to even talk to me, and to understand the dimensions of her problems. But when I called her guardian last fall to schedule a fourth appointment, he asked me to write her a letter of recommendation for cross-sex hormone treatment. That is, at age 13, she was to start taking testosterone. Such a letter from me begins the process of medical transition for a patient.
In Washington State, that’s all it takes—a few visits with a therapist and a letter, often written using a template provided by one’s superiors—for minors to undergo the irreversible treatments that patients must take for a lifetime.
I was scared for this patient. She had so many overlapping problems that needed addressing it seemed like malpractice to abruptly begin her on a medical gender transition that could quickly produce permanent changes.
The MultiCare recommendation letter Tamara was given for approving the medical treatment of minors with gender dysphoria. I emailed a program manager in my department at MultiCare and outlined my concerns. She wrote back that my client’s trauma history has no bearing on whether or not she should receive hormone treatment.
“There is not valid, evidenced-based, peer-reviewed research that would indicate that gender dysphoria arises from anything other than gender (including trauma, autism, other mental health conditions, etc.),” she wrote.
She also warned that “there is the potential in causing harm to a client’s mental health when restricting access to gender-affirming care” and suggested I “examine [my] personal beliefs and biases about trans kids.”
When Tamara outlined her concerns about giving a patient testosterone to her manager at MultiCare, she was told to “examine your personal beliefs and biases about trans kids.” She then reported me to MultiCare’s risk management team, who removed my client from my care and placed her with a new therapist.
A risk manager’s job is to minimize the hospital’s liability, but in my case, they deemed that my concerns posed a greater risk to my client than giving her a life-altering procedure with no proven long-term benefit.
I shouldn’t have been surprised by this. Just a few months earlier, in September of last year, I was one of over 100 therapists and behavioral specialists at the MultiCare hospital system required to attend mandatory training on “gender-affirming care.”
As hard as it is to believe given my work, I hadn’t heard about gender-affirming care before that moment. I needed to know more. So each night in the week leading up to the training, I searched online for information about gender-affirming care. After putting my kids to bed, I sat glued to my computer screen, losing sleep, horrified at what I found.
I discovered that neither puberty blockers nor cross-sex hormones (testosterone or estrogen) were approved by the Food and Drug Administration as a treatment for gender dysphoria. In fact, prescribing these treatments to kids can have drastic side effects, including infertility, loss of sexual function, increased risk of heart attack, stroke, cardiovascular disease, cancer, bone density problems, blood clots, liver toxicity, cataracts, brain swelling, and even death.
While gender clinicians claim hormonal treatment improved their patients’ psychological health, the studies on this are few and highly disputed.
I found that those experiencing gender dysphoria are up to six times more likely to also be autistic, and they are also more likely to suffer from schizophrenia, trauma, and abuse.
The research also implies that the dramatic rise in these diagnoses across the West likely have a strong element of social contagion. In children ages 6 to 17, there was a 70 percent increase in diagnoses of gender dysphoria in the U.S. from 2020 to 2021. In Sweden there was a 1,500 percent increase in these diagnoses among girls 13–17 from 2008 to 2018.
Yet, countries that were once the pioneers of gender transition medicine are now starting to backtrack. In 2022, England announced it will close its only gender clinic after an investigation uncovered subpar medical care, including findings that some patients were rushed toward gender transitions. Sweden and Finland undertook comprehensive analyses of the state of gender medicine and recommended restrictions on transition of minors.
I decided—though it was potentially dangerous to my career and to me—to ask questions about the findings I discovered.
The training I attended laid out an affirming model of gender care—from pronouns and “social transition” to hormone treatments and surgical intervention. In order for children to be diagnosed with gender dysphoria, the training stated, patients must meet six of eight characteristics, ranging from “a strong desire/insistence of being another gender” to “strong preference for cross-gender toys and games.”
Tamara and her MultiCare colleagues were trained to diagnose gender dysphoria among their young patients when they met six of the eight above characteristics. It was made abundantly clear to all in attendance that these recommendations were “best practice” at MultiCare, and that the hospital would not tolerate anything less.
When the leader of the training brought up hormone treatments, I shakily tapped the unmute button on Zoom and asked why 70 to 80 percent of female adolescents diagnosed with gender dysphoria have prior mental health diagnoses.
She flashed a look of disgust as she warned me against spreading “misinformation on trans kids.” Soon the chat box started blowing up with comments directed at me. One colleague stated it was not “appropriate to bring politics into this” and another wrote that I was “demonstrating a hostility toward trans folks which is [a] direct violation of the Hippocratic Oath,” and recommended I “seek additional support and information so as not to harm trans clients.”
In the training, gender-affirming treatment is presented as “suicide prevention.” As soon as I closed my laptop, I burst into tears. I care so deeply about my clients that even thinking about this now makes me cry. I couldn’t understand how my colleagues, who are supposed to be my teammates, could be so quick to villainize me. I also wondered if maybe my colleagues were right, and if I had gone insane.
Later, my boss reached out to me and told me it was “inappropriate” of me to raise these questions, telling me that a training session was not the proper forum. When I tried to present the evidence that caused me concern—the lack of long-term studies, the devastating side effects—she told me she didn’t have time to read it.
“I am speaking out because nothing will change unless people like me blow the whistle,” Tamara writes. “I am desperate to help my patients.” In retrospect, this ideology had been growing in power for a long time.
I remember in 2019 seeing signs of how gender dysphoria arose among many of my most vulnerable female clients, all of whom struggled with previous psychological problems.
In 2019, I started seeing a 16-year-old client after her pediatrician referred her to me for anxiety, depression, and ADHD. When I first met her, she had long blonde hair covering her eyes, to the point you could barely see her face. It was like she was going through the world trying to be invisible.
In 2020, during the pandemic, she told me she had started reading online a lot about gender, and said she started feeling like she wasn’t a girl anymore.
Around this time, her anxiety became so debilitating she couldn’t leave her house—not even to go to school. After taking a year off school during the pandemic, she enrolled in an alternative school for kids struggling with mental health. I was relieved that she was making friends for the first time, and seemed to be feeling a lot better.
Then she started using they/he pronouns, identified as pansexual, and replaced the skirts and fishnet stockings she often wore with disheveled and baggy clothes. Her long hair became shorter and shorter. She started wearing a binder to flatten her breasts. She tried out a few different names before settling on one that’s gender neutral.
The official diagnosis I gave her was “adjustment disorder”—an umbrella term often applied to young people who are having a hard time coping with difficult and stressful circumstances. It’s the type of diagnosis that doesn’t follow a child forever—it implies that mental distress among kids is often transient.
She came out as transgender to her family in 2021. Her mother was supportive, but her dad wasn’t. Regardless, she went to her pediatrician seeking a referral to a gender clinic.
In 2022, she went to Mary Bridge Children’s Gender Health Clinic for the first time, where the clinicians informed her and her parents that if she didn’t receive hormone replacement therapy, she could be “at increased risk for anxiety, depression, and worsening of mental health/psychological trauma,” according to her patient records. Her dad refused to start his daughter on testosterone, and so all the clinic could do was prescribe birth control to stop her period due to her “menstrual dysphoria,” or distress over getting her period. Which is something I thought all teenage girls experienced.
Five months later, she swallowed a bottle of pills and her mother had to rush her to the emergency room.
By early 2023, my client logged on to our weekly session, which we started doing by Zoom, and she told me she identified as a “wounded male dog.” She explained to me that this was her “xenogender,” a concept she had discovered online, which references gender identities that go “beyond the human understanding of gender.” She said she felt she didn’t have all of the right appendages, and that she wanted to start wearing ears and a tail to truly feel like herself.
I was stunned. All I could do was silently nod along.
After the session, I emailed my colleagues looking for advice. “I want to be accepting and inclusive and all of that,” I wrote, but “I guess I just don’t understand at what point, if ever, a person’s gender identity is indicative of a bigger issue.”
I asked them: “Is there ever a time where acceptance of a person’s identity isn’t freely given?”
The consensus from my colleagues was that it wasn’t a big deal.
“It sounds like this isn’t something that’s ‘broken,’ ” one colleague wrote me back, “so let’s not try to ‘fix’ it.”
“If someone told me they use a litterbox instead of a toilet and they were happy with it and it’s part of their life that brings them fulfillment, then great!” she continued. “I might think it’s weird, but then again, not my life.”
After learning that one of Tamara’s patients identified as “a wounded male dog,” a colleague replied: “If someone told me they use a litterbox instead of a toilet and they were happy with it and it’s part of their life that brings them fulfillment, then great!” I was baffled and alarmed by her unquestioning affirmation. At what point does a change in identity represent a mental health concern, and not something to be celebrated and affirmed? Fortunately, my client never brought up her “xenogender” again. She also isn’t on testosterone due to her father’s disapproval. So I kept these thoughts to myself, and ultimately, in order to keep my job, I let it go.
Another female patient, who transitioned as a teen, serves as a warning of what happens when we passively accept the idea that gender transition will entirely resolve a patient’s mental health issues.
This client, who I started seeing in 2022, is now 23 and rarely leaves the house, spends most of the day in bed playing video games, and envisions no path to working or functioning in the outside world due to a variety of mental health problems. In 2016, this patient was diagnosed with autism, anxiety, and gender dysphoria. Later the diagnoses grew to include depression, Tourette syndrome, and a conversion disorder. In 2018, at age 17, the Mary Bridge Gender Health Clinic prescribed testosterone, despite the fact that this patient is diabetic and one of the hormone’s side effects is that it might increase insulin resistance. The patient’s mother, who has another transgender child, strongly encouraged it.
This patient now has a wispy mustache and a deepened voice, but does not pass as male. It turns out that testosterone, which will be prescribed for life, did not relieve the patient’s other mental illnesses.
My biggest fear about the gender-affirming practices my industry has blindly adopted is that they are causing irreversible damage to our clients. Especially as they are vulnerable people who come to us at their lowest moments in life, and who entrust us with their health and safety. And yet, instead of treating them as we would patients with any other mental health condition, we have been instructed—and even bullied—to abandon our professional judgment and training in favor of unquestioning affirmation.
I am speaking out because nothing will change unless people like me—who know the risks of medicalizing troubled young people—blow the whistle. I am desperate to help my patients.
And I believe, if I don’t speak out, I will have betrayed them.
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https://www.tandfonline.com/doi/pdf/10.1080/26895269.2022.2100644
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Amidst the scandal, Mary Bridge Children's has deleted the above blog post by self-professed "they/them," Aytch Denaro. However, the internet doesn't forget.
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chronicallycouchbound · 9 months
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Guide to interacting with people with psychosis spectrum disorders and psychotic symptoms
If someone who has psychotic symptoms is talking to you about their hallucinations or delusions, do not suggest:
That they are inherently violent or dangerous Why: Statistically, people with psychosis are more likely to be victims of violence, not perpetrators. They are more likely to be killed by police than people without mental illnesses.
That their hallucinations are actually reality and everyone else can’t experience it Why: this can cause further dissonance between reality for the person, especially if they’re actively experiencing symptoms. It can lead to derealization and depersonalization, and exasperate or trigger hallucinations and/or delusions.
That they are a prophet, god, all powerful, etc. Why: along with the above reason of causing further separation from reality, many people with psychotic spectrum disorders experience delusions, one common type of delusion is called delusions of grandeur, which is a specific delusion around perceiving oneself or one’s accomplishments as greatness or of higher status than others. This specific delusion can be dangerous because it can lead to the person believing that they are immune to consequences, including physical harm to oneself. By affirming beliefs of the person being god-like, it can trigger or exasperate this delusion. This is especially common with people who have Bipolar type 1 with psychotic features and they are in manic states.
That they should just meditate Why: Meditation often isn’t safe for people with psychosis! Studies show that unguided meditation is especially risky, because without focusing on reality, people with psychotic symptoms are more likely to have hallucinations, or have depersonalization/derealization.
That you can see/hear it too, when you can’t/lying to agree with their hallucinations Why: This will absolutely exasperate symptoms, also it’s lying and is wrong and a genuinely horrible thing to do. This one should be obvious.
That they should just use cannabis or other psychoactive drugs Why: THC and other psychoactive compounds, can trigger psychotic episodes in people who have or are predisposed to psychosis, and trigger anxiety and hallucinations, which can exasperate symptoms. That being said, individual experiences may differ greatly, and they may be able to use psychoactive substances with no issues, but to suggest it as a cure-all or without a proper understanding of its possible negative side effects can be dangerous. Also, many antipsychotics and other psychiatric medications interact with many psychoactive drugs, so it’s important to know if it’s physically safe for them to use both at once.
Things you can say/do instead!
When actively experiencing symptoms/episodes:
Maintain a calm and steady tone of voice, don’t yell.
Explain what you’re doing before you do it, and try to avoid sudden movements which can scare or jump someone
If they have an action plan, follow it. I also urge you to remember that they’re scared right now. They likely don’t want to hurt anyone, but they’re terrified. Find ways to be safe, preferably that don’t involve police (there are lots of statistics around why this is unhelpful and can be dangerous)
“I understand that you feel scared right now, let’s find ways to be safe through this.” Be supportive! Psychotic symptoms are similar to symptoms of any other mental illnesses, when someone is depressed or anxious, we often reach out with kindness, remember that people with psychosis also need that compassion and consideration.
“We are at [location], I am [name] we are [relationship to person], we are safe” Talking about reality can be really helpful, most people with symptoms need some guidance around basic understandings of reality, affirming what is real can help them distinguish what is and isn’t. An important note, reality checks can sometimes be more harmful than helpful. Usually, a person who needs a reality check will just ask the questions: “Who are you?”, “Where are we?”, Etc.
Sometimes, doing reasonable things to help them feel safer is necessary to help them calm down enough that they stop having severe symptoms. For example, someone who is afraid that people are watching them might want to cover windows and lock doors, help them create a safe space for them mentally by doing that. Some requests might be a bit odd, but harmless, like putting salt in the doorways so demons can’t get in, you can do that, or find alternatives to help them feel safe. It’s important to try to create this safe space while also affirming reality.
Try not to focus on the specific hallucination, but rather on their feelings, for example instead of talking about the demons or details about the demons, talk about their feelings about the demons, and how you can make them feel safer. It can help them feel secure to have someone in reality helping them stay safe while they cope with these scary symptoms.
Ask permission before touching, consent is particularly important for people with psychosis, we are often stripped of our right to consent while in episodes.
Offer snacks, stuffed animals, or other comfort items
When talking about their experiences, diagnosis, or when not in episodes:
Ask how you can be supportive, both in and outside of episodes, some people need help with remembering medications, or someone to call when they’re scared and having symptoms. Sometimes it just helps to be able to explain what they’re going through and have someone just listen. They know their needs best.
Help them come up with a crisis/safety plan for when they have episodes, it can literally save their life, or at least make it more manageable and sometimes less scary.
Check on them if they seem off, have life changes, or are isolating.
Learn their warning signs and help them stay safe before they have episodes, and hopefully prevent them from happening or being more unmanageable.
Offer to do reality checks if that's something that helps them
Offer to do medication reminders ( if you're able to)
I was diagnosed with Bipolar 1 with Psychosis when I was 18. I have many psychotic symptoms including hallucinations, delusions, derealization, and depersonalization. This was written from my own experiences, research, and recommendations from providers. I highly recommend seeking out more information and experiences about psychosis to gain a more comprehensive understanding of it. No guide is one-size-fits-all, and this is definitely incomplete in many ways, but hopefully, this provides some insight or education for you.
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smutracha · 10 months
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Volume XI
rewind <3 fast forward
Mafia!SKZ Yandere!SKZ Afab!reader Poly!SKZ
tw: violence, blood, guns, knives, nicotine, drugging, alcohol, ptsd, sexual harrasment, mentions of self harm, depression, anxiety, bipolar disorder, depictions of death and gore
smut warnings: anal, oral(f), sex toys, filming, pet play, degradation, praise, squirting, shower sex
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Monday – Minho
Waking up with Minho was always so pleasant, he would softly wake you up with a gentle voice and a light hand rubbing your back until you looked into his eyes and he could kiss you. He never said good morning, he would just kiss you before he climbed out of bed and piggybacked you into the kitchen where he would sit you down at one of the barstools so you could watch him cook. He’d always make you something extra when you woke up with him.
Partially to show his affection without having to say anything at all. Partially because it meant that you could take your pills and be fully functioning by the time the rest of the boys joined the two of you. Today it was apple and cinnamon oats, something he noticed you particularly enjoyed.
As you finally started coming to your senses, Chan walked into the kitchen in nothing but gym shorts. Hi princess, hi Lino. What’s breakfast today?” “I got oats and veggie sausage and mushrooms and an egg.” “Ooh the oats look yum.”
Minho went to grab a bowl for Chan to have what was left. “Mm, she’ll need the energy.” “Oh yeah, good luck little princess, he’s a bit of a sadist. And a major ass man.”
After breakfast, Minho led you to the shower where he washed your body with gentle flicks at your nipples every so often but when he decided he couldn’t handle just looking anymore, his mouth followed. His lips sucking and biting and gently teasing you had you whining for more. “Ask properly, little kitty.” “Please give me more, need more.” “Master, that’s what you will call me.” “Master, please give me more.” “Good kitten.” He was on his knees before you in no time, hooking a leg over his shoulder so that your wet, puffy folds were right in front of his eyes. “So wet already kitty.” “All because of master.”
He slid his tongue gently over your slit, repeating the process again and again. Tongue starting lower, every time. And like that he sat there, lapping at your ass, while his fingers toyed gently at your clit. The feeling sending you to a newfound bliss. “Master, please.” ”Please what, kitty?” “Fingers please, master.” “Where? Where do you want your master’s fingers?” “In my…” you were too shy and ashamed of yourself to even say the word. “Where, kitty? Could it be here?” he says poking gently at the hole his tongue had been so focused on just before. “Say it, kitty. Say it for your owner.” “Please put your fingers in my ass, master.” it was a shy whisper. “Say it properly, dumb kitten.” “Please finger my ass, master.” “Good kitty.”
“Here you go.” He snickered, plunging a finger inside, the feeling making you cum immediately. It was a whole new world of pleasure. “Oh poor kitten. My dumb little anal whore kitty. Did you cum from just that? Perfect.”
He shut off the shower, quickly wrapping you in a fluffy towel before picking you up and taking you to his personal room. “On the bed, all fours.” You got into the position he wanted, facing the headboard. You couldn’t see as he rummaged behind you but soon enough he came over to sit next to you. He set down a plush cat tailed butt plug, some lube and a dildo. “This dildo is special, my pet. Wanna know why?” you nod with large eyes staring at the blue cock. It was long and curved and an average girth. It had you drooling already, “Drooling over your master’s cock already? Dumb whore, this dildo is special cause it’s modelled after me. We got these so that you could have us when we aren’t able to help you. But look how handy they are.”
He wandered back to where he was and came back holding a pair of cat ears and a collar with a bell. Black and pink. it was all so co-ordinated. He adorned you with the items as he settled his hand roughly on your throat, digging the leather of your baby pink collar into your neck. “You’re gonna suck on this cock while daddy gets you used to your new tail, kitten.”
He placed the fake cock on the headboard for you to suck and drool on. After settling in behind you he pumped some lube onto your sensitive hole. The sudden cold making you jerk forward in shock but the second you felt his fingers rubbing over it, you moaned around the beautiful dildo in your mouth. “Good girl. Just relax.”
But that’s as far as his sweetness went it seemed. Without any warning, he had two fingers pumping into your ass, stretching you open before he spat into it. A wave of cum spilling from your pussy. “Oh dumb kitty, you must love this. God you’re just so perfect, can’t wait to fuck you.” You were already cock drunk; his words hardly even registered. Immediately after his last word he added another finger, landing a harsh slap to your clit to wake you up, he laid out an instruction “From now on, you only cum when I allow you to cum.” You moaned out an agreement around his fake dick. He stretched and pumped and fucked your ass into oblivion with his fingers.
He pulled his fingers out after some time. You were so far gone that you hadn’t noticed the butt plug disappearing from beside you. The cold push of metal against your ass causing a shrill shriek to sound in your chest. But the sound was muffled, and he scoffed at how pathetic you were. He pulled your hair to bring you off of the dildo, “Wanna hear you.” the plug pushed halfway in as you moaned at the sensation. Then it was pulled back, he kept half-fucking you with the plug. He lowered his head and his lips wrapped around your clit, making you scream in pleasure. You could feel yourself getting closer and closer. “Master, master please. Need to cum, master. Master, wanna cum. M good kitty, cum.” You were a babbling, drool covered mess as he popped his lips off of your clit and yelled “Cum!” before shoving the plug fully inside of you. You squirted on his chest, colours dancing in your vision as you let the orgasm wash over you. “God kitty, might need to shower again. Let’s get you cleaned up.” He rushed off to get a cloth to wipe you down, before doing the same for himself. “Come on, let’s get you some cuddles. What do you need?” “Wanna watch Daria and want water and sweets.”
He'd dressed you in a tiny skirt that barely covered your plump ass, allowing the tail to be seen perfectly. As well as one of his comfy knit sweaters. “Oh my god, you’re so cute my little kitten.” You stopped by the kitchen on your way to the screening room. Turns out the boys had gathered there for lunch.
“Oh, oh my. That’s-“ “Hot” “Did anyone else just nut too?” “Ew” “Man you ruined it” “Yeah”
“Okay if you could stop being weird, maybe you could come join us for aftercare.” “How is it aftercare when my little Pixie’s ass is stuffed like that, she’s still new.” “New? Hah.” He scoffed leading you out of the room while the rest followed. “she came thrice, just from me playing with her ass. She’s just an anal kitty now.” You blushed as he fawned over you and how happy you were making him, if that wasn’t enough, the feeling of being so full and the plug moving with every step had you practically dripping.
“Gonna have to do something bout the mess she’s making.” Hyunjin adds while watching your slick thighs rub and jiggle with every step. “That reminds me, I gotta have my sheets cleaned.” You reached the room, and he led you to sit in his lap while he instructed I.N what to put on for you. Sitting in his lap only pushed the plug further into you, making a moan spill from you. The pleasure brought tears to your eyes. “Holy shit, that’s hot.” “We’re only halfway through the training kitten, you’re already so broken.” You mewled at his hands running up your sides as his lips found purchase on your neck. He broke away as the intro song started. 5 episodes later, he decided it was time to finish his training on you.
“Remember baby, cum when I say so.” You were on the bed once again, set in what he told you is called ‘humble’ position. You were to put your ass on display while your back arched as you rested with your arms stretched out before you. He tugged lightly at your tail. Sending a shiver through your body and making you mewl loudly while he started pulling the plug out. You felt the way your aching hole stayed open, he groaned at the sight. “God, baby. At this rate m gonna lose my mind. You’re really made for me, aren’t you. I need to have this ass.” “Master, m yours. All yours, please fuck me. Need master.” “Fuck kitty, you’re making this so hard. I’ll give you my cock soon enough. For now, you’ll have to take a copy.” He rounded you to stroke your cheek gently while his fingers pumped your puckering hole. “is that ok, kitten?” “Yes master.” “So good for your owner, here let me lube you up.” He went to look at your ass again. You felt his spit land on and mostly in your ass just as you heard the sound. Your hips bucked backwards at the degrading action. God he really had you a mess so soon. “And to think you were so innocent, so unbroken only a few hours ago. What happened, pixie?” You could only whimper in shame at his degradation, what was more is that you loved every second of it. “Did your owner do this, baby? Did I really turn you into a cock-dumb bitch?” “Yes, master.” “Well then, let’s give you more. Let’s really break you.” He suddenly shoved the dildo into you. The feeling was amazing. The way you felt every ridge, the subtle curve and the head of it brushing your wall with every thrust. You were gone, drooling and whining. Not a single thought in your head. He stopped for a second, the pause making you open your lust blown eyes, only to find his phone set in front of your face. “I wanna show the boys just how pretty you are, how good you are. And all this just for a plastic cock, whore.” He went back to viciously fucking you with his dildo. “Who owns you baby?” You could only whimper and whine in response. His thrusts only became more volet. “Answer me you cock-hungry slut.” You were screaming with the cruelty of his actions, the pleasure overwhelming every cell. “You own me, master!” You screamed out. “Cum for your owner. Cum for me kitty!” And like that you blacked out in bliss. White flashes bursting behind your eyelids as you squirted all over his arm.
“So good, baby. So good.” He gently rubbed your back, pulling you up into his arms as he picked you up. He grabbed his phone too before carrying you into the bathroom. He sat you on the bathmat. “Gonna run us a bath ok, angel?” He opened the faucet, while the tub filled he held you gently. “You did so good baby, so good.” Soft kisses peppered your face as you giggled in spite of the drowsy state you were in. He stripped himself of his clothes and you of your ears and collar.
As you both settled into the tub he laid you on his shoulder. “It’s ok baby, go to sleep.”
You were wakened as the sun settled over the horizon, to a gentle voice. Met with Minho’s soft smile, he told you it was time for supper. “Come, I’ll carry you.” And indeed, he did. The boys sat chatting amongst themselves as you entered the kitchen, being brought to a seat. Only your food was left at the table. Minho placed you on his lap so that he could feed you while the boys watched. Their soft smiles making you feel warm. “Why you all staring?” “Just heard some screams earlier. You have fun with Minho, little fairy?” Hyunjin asked you.
They all laughed at the blush you tried to hide in your hands. “You must be a bit tired huh, baby? Who you cuddling tonight?” “Want Seungie” “Me? Really? I must be the luckiest guy in the world.” “Minho just had her ass dude; I think that trumps cuddles.” “I haven’t had her ass till I’m actually fucking her full of my cum.” An unanticipated moan filled the room as you felt the wetness rush to your pussy. “Wow she really is cock-hungry for her master, huh?” Changbin chuckles at your state. “Oh my god, you showed them that?!” “I said I would little kitty. By the way, they lost their minds. I’ve never seen Felix so desperate before in my life.” “She doesn’t need to know, Minho.” “Look at you, but I couldn’t get a coherent word out of you while you lost yourself on my cock. All of that from one clip of your precious pixie taking it up her ass. My pretty Lixie.” “Hyune, you know that’s not fair; you really know how to use me.”
“Seungie, sleep?” You found yourself drifting off even as the boys teased and argued about their sexual habits and performance. “Come little pup. Let’s go.”
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melyasssy · 2 months
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— ✨ 🦄🕷⭐ 🎭 : I'm Yassy! This is my place of comfort.
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— Hyperfocus: Psychology, Astronomy, MLP, Gumball, Dinosaurs, Hazbin Hotel, Helluva Boss, Poppy Playtime, Fnaf, Music, Art (arts in general), Poems, Social causes, I like to show my tastes to people and sometimes I'm quite talkative! I'm sorry for this. 🐣🌟⭐✨🥳👾💫
— Diagnoses: Autism, OCD, IED, ADHD, Bipolar disorder, generalized anxiety, chronic depression, Bulimia nervosa and I also have problems with self-harm, I'm treating them all. 🤒 🌻⚧️🧃💧🍫🐥
— Curiosities (⁠^⁠^⁠): Practical age regression and pet regression, I'm 14 years old! I turn 15 on August 31st, he/they, I have a very good memory sometimes, I like it, I speak 3 languages! Spanish, English and Brazilian Portuguese, I non-binary & I use xenogenders, I'm a artist (in general), My favorite food is parmigiana & I love cats, snakes and bunnies.⚧️⭐🎨🎶🐱🍼
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DNI: Pro-shippers, homofobics, nsfw acc, ageplay, ddlg, abdl acc (etc), p3dos, z00s, maps, com-shippers, anti xenogenders & neoprounouns, anti agere & petre, racists & xenofobics, +21 people & Intolerant religious.
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🐾 I'm a minor, please, if you're a old, don't interact with me, I'm afraid.
🐾 I like to post often and I accept requests, but if I don't feel comfortable with your request, I won't make it.
🐾 I'm an artist and I'll post my art here sometimes, I make poems too.
🐾 I use a lot of kaomojis and "infantilized" lines, please, no nasty comments about that.
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Welcome everyone to my account ᥫ᭡
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This users...
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magnificentempress · 5 days
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my possibly unpopular opinions on therapy/psychiatry
- Just like suffering is not inherent to womanhood, suffering is not inherent to humans. Just like it is not okay to just expect that women will be subjected to suffering, it is not okay to expect that it will happen to anyone and it's just the way things are.
- Therapy is not inherently wrong for trying to alleviate the suffering, but I fail to see the doctors acknowledging the fact that the suffering is a collectively shared experience, and suffering is caused by someone. Moreover it is the whole point of therapy to focus on just yourself, "take responsibility"(for the harm that was done to you?) and seeing what you can make do. Basically because again, doctors cant really tell their patients to go overthrow the gvt or divorce their shitty husbands. Thus endless copium instead of, yknow... something actually meaningful.
- Antidepressants arent inherently bad but they cant cure you. They are just psychoactive drugs. Caffeine, tobacco, cocaine, they all are psychoactive in one way or another, and your brain doesnt really care if the substance is legal, illegal or prescribed. It modifies the symptoms but it cannot actually cure you. Or something. If you struggle with depression/anxiety related issues, I would highly recommend that you try to look for a way to alleviate them that is not just you popping pills for 10 years in a row.
- Our society is purposefully built to fuck us up. Just like "dyslexia" is not a thing in societies that dont have a writing system, "ADHD" or "depression" or "anxiety" are non-syndromes, they show only in very specific circumstances. It is possible to reform the world so that it doesnt force suffering and disabilities onto people.
- Psychoactive drugs that actively alter people's neurochemistry and may lead to both psychological and physical dependency are catastrophically overprescribed and one day the big pharma will be held accountable for their crimes lol
- I repeat that I do not oppose psychiatric medicines as a concept. Psychiatric disorders fuck people up, I know it personally. BUT. Sorry but there is a difference between a socially-induced disorder like anxiety, and a disorder of a purely biological genesis like bipolar mania or schizophrenia. I dont think depression or anxiety are easy. But consider what, someone suffering from delusions in mania cannot CBT their delusions away, they basically have to be on meds. MAYBE think really hard of the pros and cons here. You are lucky to have a relatively healthy brain, dont wash it down the drain.
- Medicalization and profiting off of any suffering is highly concerning. The transgender pharma will also pay for their crime of persuading (otherwise healthy) people that they cannot exist and will literally kill themselves without unnecessary medications and surgeries.
- If you have agreed on me on the previous points but my opinion on transness triggered you, consider unbrainwashing yourself? Idk? Can't you put 2 and 2 together? These are literally the same kind of phenomena.
- I say it all as someone who has been on antidepressants for a long time, and also who knows many people who were on antidepressants for a long time. I've seen both huge benefits and huge debilitating side effects.
As a matter of fact I am also completely normal and can be trusted w
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mrvenuspluto · 3 months
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PAIN UNSPOKEN
(DEPRESSION)
Right before your eyes we all see and deal with depression one way or another many are just better at hiding It. It gets overlooked and treated like everyone's symptom is the same. In many cases their not, there are so many different symptoms and signs of depression. Now their are some people who self afflict depression on theirselves by always wanting things their way or not being happy over what they were blessed with. The real cases are, clinical depression ( which can deal with appetite loss, energy loss, lack of sleep, self esteem, and suicide thoughts.) Persistent depressive disorder ( just like clinical but on a more milder side, also loss of sleep, appetite, energy levels, only different these symptoms are mild but can become long term in a persons life.) Bipolar disorder ( which deal with episodes of mood swings and lows and highs of manic highs, can make a person very indecisive in life and needs.) Also their is a bipolar disorder level 2 ( its the same as the original bipolar but it can make person have one particular depress state weeks at a time then jumping to another class depress state for a couple days, and make the person very irritable.) Postpartum depression ( called PPD, which a mom deals with after conceiving a newborn, she gets random mood swings, crying, anxiety, can last for weeks if not treated or recognized can become a long term illness.) The list doesn't stop, their are so many illness that we all deal with everyday, everybody brain haves something going, doesn't mean that you are crazy or you experience this symptoms like others. Everyone brain is unique in their own way, some just obtain knowledge faster or at a different capacity than other while many may need to break it down and compartmentalize different situations is sections to understand. We see people behaving at a maniac and abnormal way we are so quick to judge a person and classify them in such terms like they are a subject or a science experiment. When dealing with such people it takes patience, understanding, and knowledge to apply the care and healing. This all stems from are different genetic makeup, past-life, upbringing, natal alignments, aspects, and lifestyle you live. If you are familiar with astrology there are some placements that could justify these symptoms. The moon can cause depression, not the moon alone but its conjunction or if its debilitated. The moon deals with the mind, emotions and how you react to different situations everyday. also, Saturn, Rahu, Ketu, Mercury and Jupiter can also effect your mood. If the moon is your peace and solitude and Saturn is cold and heavy these two will cause your mental to be at a detached way of thinking and look at the world as cold and not inviting. You begin to make yourself feel unworthy and criticize your own thoughts, which would put u at a depress stage. When Ketu get involved it digs in your subconscious so if you have deep rooted issues and bad habits that never been corrected it can be brought forward by a conjunction, transit, or progressed planet alignment. The moon is so sensitive in our chart, its the place we run to for solitude and protection when the world seems to be cold and not comforting. So being said, if your moon is debilitated or in conjunction with a harsh planet can cause your brain and thoughts to stem from a dark and not rational place. Like the planets the natal houses play a major factor, since they represent the part of life actions take place. The 6th, 8th, and 12th are the Dusthana houses, which means difficulties and where life is faced with challenges, bring sorrows, suffering, and so on. By having one of these houses contributing towards a bad malefic can be detrimental. not saying everyone who has planets in these houses will have mental conditions or depression just stating it can be a cause to someones symptoms. We tend to let our emotions control our actions, and mind control our thoughts, when we should always follow our hearts.
Since the heart is the first organ made in us why not follow its rythum. Depression is a real symptom and some people cant or don't know how to accept it or deal with the symptoms that effects their brain and the way they make day to day decisions. We all have a complex brain and never really unlocked our full potentials, we cloud our brains more and more with technology and negative sensory thats helps contribute towards our unlaying illnesses. Everyone is out here crying for help in different ways we just tend to do it in our own subconscious ways. Alot of people shop , spend alot of money on items they dont need, eat alot of food, sleep excessively, and when it gets very serious some try to commit suicide thinking thats the way out. Statistics show that 7 out of 100 men and 1 out of every 100 women will go through with suicide thats crazy and messed up. This needs to change its too many people on this earth to let the next person walk by you and not try to understand these symptoms when they are shown in their body language, facial expressions, and conversations. At times their are people who are dealing with heavy cases of depression and you wouldn't even know. Thats why its important to ask a person " how you feel ? ", "how was your day ? ", " are you ok ? ", "you sure you are ok? ". These little actions can and could make a persons day better or even keep a person from trying or commiting suicide. Depression can even be a deep rooted family generational curse or bad karma that needs to be broken by you understanding its underlying habits. Medication only contains the symptoms but doesn't cure it, the more you take the meds the more you become dependent on it. These situations need to be addressed from a deeper biological way, even the foods we consume, energy we take in puts our mental health at risk to putting us in a global detriment to society. We our so caught up in our own lifes and problems that we don't acknowledge others issues, not that its your responsibility or obligation. I do feel we all have Dharma as a collective, so helping someone when their are down and uplifting them is a strong way to create a generational revolutionary change.
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crippl-hacker · 3 months
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Let's review the manifesto for Cripple Punk again! [Addressing the discourse]
With all of the discourse I see about who is/can identify with Cripple Punk or Cpunk I think it's time to take some time to reaffirm the basics and take some time to shine a spotlight on the Madpunk movement.
You can find the original manifesto here but I copied it down below
principles of cripple punk: -cripple punk is exclusively by the physically disabled for the physically disabled -cripple punk is about solidarity & is open to all physically disabled people -cripple punk rejects pity, inspiration porn, & all other forms of ableism
-cripple punk rejects the “good cripple” mythos. cripple punk is here for the bitter cripple, the uninspirational cripple, the smoking cripple, the drinking cripple, the addict cripple, the cripple who hasn’t “tried everything”
-cripple punk fights internalized ableism & fully supports those struggling  with it
-cripple punk respects intersections of race, culture, gender, sexual/romantic orientation, size, intersex status, mental illness/neuroatypical status, survivor status, etc.
-cripple punk recognizes that there is no one universal disabled experience
-cripple punk does not pander to the able bodied
———————— other rules:
-cripple punk is not conditional on things like mobility aids & “functioning levels”
-always listen to those w/ different physical disabilities & different intersections than yourself. do not speak over them
-disabled people do not need to personally identify w/ the words “cripple” or “punk” individually to be a part of cripple punk
-able bodied people wishing to spread the message may only ever amplify the voices of the disabled
-able bodied people may never use uncensored slurs themselves but never censor our language
-able bodied people must always tag things like reblogs with “i’m able bodied”
-physically disabled people wanting to be a part of the movement who are uncomfortable using the slur may refer to it as “cpunk”
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The thing is that there *is* an intersection between mental disabilities and physical disabilities but they are very different in my personal experience. That doesn't mean that one is worse than the other; just that their experiences are very different.
As someone who struggled as an adolescent with Ulcerative Colitis then spent my teenage years struggling with Treatment Resistant Depression, General Anxiety, PTSD, ADHD, and Bipolar Type 2, followed by my twenties being taken over from having to deal with Hypermobility Spectrum Disorder and GI issues again I have experience with both sides of the coin.
As a teenager my mental disabilities ruined my life. I struggled with motivation, suicidal ideation, hygiene, classwork and more. I found it hard to get out of bed most days. I struggled with insomnia. I failed half my classes freshman year due to undiagnosed depression. I cannot go to some places due to the loud noises, bright lights, and more that cause sensory issues.
What I have found to be useful for my mental disabilities is Madpunk. It actually talks about ways to cope with my mental issues and solutions. It talks about the negative and positive impacts of psychiatry.
However dealing with my physical disabilities is a completely different game. I have to think about whether public events will be accessible to me if I am using my rollator or a wheelchair. I get harassed by strangers for having a disability placard. I have to gauge my stamina and weigh the cost/benefits of going shopping. I am constantly using the bathroom - missing class time. Some days I cannot physically move out of my bed due to the amount of pain I am in. It can take me days to recover if I push myself past my limits. Sometimes my knees give out on me and I collapse.
Both my mental illness and physical illness have left me bed bound before - but the experiences are completely different. The treatment for mental and physical disabilities are different. The overlap of having a physical disability and then getting a mental disability is very common.
The cripple punk movement accepts the intersection between physical disability and mental disabilities. The definition of able-bodied is not having a physical disability. But if you only have mental disabilities and are able bodied there is space for you in the Madpunk movement. Mental Disabilities can be just as debilitating as Physical Disabilities - that is not in question. Just please don't be trying to take up space in a movement where we want to focus on our physical disabilities.
The Madpunk movement is under recognized and more people should help join in and further their cause. There is so much good discussion happening there - please go check it out! Talk about your personal experiences and help develop more theory.
The end message is that all disabled people are harmed by our current system. There should be more accommodations for mental disabilities. We need to focus on uplifting all of us rather than fighting each other and missing the real enemy.
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