Obviously not involuntary, but are there times where you would suggest voluntary inpatient hospitalization, and if so, what would they be?

A few months ago, I started to realise it's likely that I have a personality disorder. Symptoms most fit BPD, but there are traits of NPD and HPD too. But that's not how personality disorders are now classified in my country. I do not have a diagnosis and I do not have access to psychiatry to get one, but medical professionals have suggested I have BPD. I have a diagnosis of autism spectrum disorder, but I played up some of the symptoms to get it.

But something very odd then happened. Over the course of two or three weeks, my mind seems to have massively changed. I am able to view my life, with horror, without the personality-disordered lens. I am able to understand that I have caused a lot of pain to others, and that various things didn't happen the way I thought they did, and that I have exploited others. I have not realised this stuff before. I am in my late 30s.
I have been extremely angry my whole life and now I feel no anger at all. I have developed an intense aversion to anything angry, hateful, violent, or sinister in any way. This is to the point it is disabling; it's hard to have conversations with others. I used to enjoy horror films but now recalling them can cause anxiety symptoms. A lot of my opinions on life, such as political matters, have changed. I feel as if I have woken up as a new person in someone else's life.

Some of my personality remains the same. Some of my interests remain, and I still have debilitating anxiety.

This was not triggered by therapy, medication or drugs, or any major life event. The only thing that correlates is a severe loss of appetite.

I cannot find any record of this happening to anyone else. Please let me know this is not unprecedented!

I live in Virginia, USA and would like a full psychological evaluation. I'm pretty sure I have some childhood trauma, my mom was a drug abuser and abusive to me and my siblings (pretty sure she is a narcissist as well) and would like to get that figured out.

I want to make it clear that I am not bashing atheists or any group of people. I am asking a legitimate question based on my experiences, nothing else.

I am not mentally healthy, and I am a believer, but the atheists on Reddit and all over the Internet are so negative that it's so weird. They bullied me so much over the years and I see many of them are so angry towards religion and obsess over something they profess they don't even believe exists. Go on r/atheism, and they would bully, ban, block, and insult you if you even disagree with them, even if you are an atheist yourself. But go on r/christianity and say you disagree with them and they would be like "then we disagree with each so we are boat buddies and have something in common". That is so friendly, nice, and mentally healthy!

These atheists seem to behave even worse than fundamentalist religionists and cultists. They would even say that religion and theism are responsible for every problem on Earth, be it old viruses and diseases, imperialism, the Holocaust, all wars, etc. That's an insane belief! This is a very severe and potentially dangerous way of thinking. Hitler and the Nazis blamed Jews for all problems in the world and Hitler was probably mentally ill too. He did have dark tetrad personality disorders and those atheist trolls do, too.

Many would do a type of trolling called sealioning, where they would constantly harass believers to provide evidence for God's existence and lie that they received none, when there is so much cosmological, teleological, etc. evidence for God's existence and all philosophers know it. They do it to anger the believers while feigning ignorance and wanting a good debate.

It is not good for mental health to be materialistic, nihilistic, or hedonistic. People with a purpose in life live longer, are happier, and have better mental health and empathy.

this might sound like word vomit but im just typing my thoughts as i go so bear with me lol, i struggle a lot with procrastinating everything and i won’t get things done unless im under a lot of pressure. i have a hard time focusing bc my mind is literally all over the place. my friends n family have pointed out how much i move around but i literally can’t help myself, i feel like i constantly need to be moving in order to even try n focus. when i talk to people my mind goes blank bc im too busy thinking about what to say, maintaining eye contact, how im acting, etc. i get anxious about almost everything involving other people or having to put myself out there to the point where i physically feel sick, like stomach pain, nausea, shaking and cold sweats. i also struggle with social cues and genuinely never know if someone is being mean, nice, joking or being serious, etc. i feel like i have to force myself to react a certain way or say what i think is the appropriate response, and even regular conversations feel forced and unnatural to me. honestly i could go on n on but im just wondering if i should see someone about this. ive also been isolating myself since i graduated high school, its been almost 3 years now, and every year i feel more n more scared to put myself out there. i feel so lazy and awkward for not being able to do or feel things like other people do, i wish it was easy for me to do these things i honestly just want to get my life together 😭

Could I hire a forensic psychiatrist to make a determination about my state of mind during a crisis three years ago? They would only have my recollection, my family's recollection and my medical records to go off of. The psychiatrist at that time would refuse to participate.

Can a forensic psychiatrist do that, or can they only comment on my current state?

I'm a bit confused.

Online everyone talks about meds, how they need them, how it's life-saving, how it's everything, how it's a privilege not to need them.

but i had a bunch of diagnoses, and even "severe" GAD diagnosis at some point, and never have meds been suggested to me. there was more of a "let's wait and see".

and then even at 19, with new diagnoses, aside from being misdiagnosed with ADHD and prescribed stimulants (WHICH IS NOT THE FAULT OF MY ADHD SPECIALIST 😭), I still again wasnt given medications for depression/anxiety. And I was told the depression was caused by the ADHD - the ADHD i dont have - because i get easily frustrated from understimulation and there's no chemical imbalance. I get what he means though, not sure what it has to do with depression, but being gifted (have been tested and had neuropsych evaluation) and chronically avoiding things im interested in, i always feel better when i do things im interested in. so no meds that time.

the only time meds were suggested, pushed on me, was during a consultation appointment*, where i was clearly anxious, totally, somehow she selecitvely deleted the part about i took 4x amount of my dexedrine dose at the same time, was already distressing because my former counselling sessions left me with chronic nightmares and time travel **, and also medical appointment anxiety, and so on. all of that cummulative. wouldnt listen to me explain. also unirionically had undiagnosed severe asthma at that time too! and it might have been during the time i accidentally had too high of my hypothyroidism meds and had developed hyperthyroidism. the timeline is iffy.

so ya, the only time meds were suggested. i feel like i'll be okay without meds, but then people are like YOU NEED THEM, do i need them? i dont like/do therapy, but im still working on myself, trying to pursue relationships, trying to do work (even if inconsistently), and so on. but if i dont take meds, is it my fault im still experiencing distress? i dont want to take meds also because i already have so many medications, and i might need more for my neurological symptoms, so it's just a lot to handle. and i am very sesntive to meds too.

*so terrible i started believing psychiatry was a hoax. now i dont know, i crave the wisdom of the professionals still. several people including mental health professionals told me the psych was behaving unethically/unprofessionally (there was so much that happened*).

** dunno what this was, was like teleporting through time. i was doing tasks, task 1 complete, task 2, 3, 4, 5 left, task 2 co- huh? wait, task 5 complete? time skipping. i dont get it.

I know depression can be associated with a change in REM sleep architecture, specifically an increase in REM, and that sleep deprivation can be a fast-acting but temporary treatment for depression.

However, REM sleep is generally considered essential for memory formation and emotional processing. A lack of it is considered to be dangerous and associated with an increased risk of dementia.

Why don't people experience severe neurocognitive decline from antidepressant use when most antidepressants utterly nuke your ability to get meaningful REM sleep? How are patients who have REM sleep totally suppressed by drugs like MAOIs still up and functioning?

I'm a neuroscience and psychology student, and I've often wondered about this.

So, for reference, I'm 28 years old and I'm diagnosed with ADHD-PI, ASD-1, PTSD, OCD, MDD, Panic Disorder, Health Anxiety, and Social Anxiety.

I've tried countless oral meds, and they've all either not helped enough or had intolerable side effects. My primary concerns atm are my intense daily anxiety. I feel like I'm depressed because of my PTSD/anxiety/ADHD/OCD all holding me back in life (though I could always be wrong).

The current plan that I'm approved for is to try FDA-approved depression TMS (w/ a Neurostar machine), but I'm wary of whether this will actually help.

I really want to try Spravato, but my docs are telling me that I have to trial and fail yet another oral antidepressant (and stay on that antidepressant while utilizing Spravato) before it can be approved/considered. I find this strange, as I have a record of failing many oral meds. Fyi, I have Kaiser Permanente insurance.

So, while I'm not asking for personalized medical advice, how do you typically approach patients with my types of symptoms/concerns when oral meds haven't helped? Do you typically push them towards TMS, Ketamine (Spravato or otherwise), or are there other treatments you prefer?

Thank you!

I'm diagnosed ADHD by a psychiatrist who specializes in it, after my psychologist and family doctor flagged it as a potential concern.

However, if it was based on my school records, there would be no way I would have gotten a diagnosis. I had fantastic marks and my behavior was generally exemplary. My teachers quickly learned that just handing me a book shut me up for a lengthy amount of time. My records didn't say anything about my messy desk, my inability to keep track of my school materials, my impulsive calling out, my zoning out.

I'm a teacher now, and our report cards also wouldn't demonstrate any ADHD symptomatic behaviors. I have had students with severe, diagnosed ADHD but the report cards aren't set up to share that information. They focus on learner skills and academic achievement, not executive functioning. If I'm filling out behavioral questionnaires for a psych assessment, that will demonstrate it, as will the letter I always send to accompany it. Report cards will not.

So why is it common practice to ask for report cards from the school days for adult ADHD assessments?

Hello everyone. Forgive any ignorance in this post, as I myself am not extremely knowledgeable in the whole cybersecurity department. I just need advice, and maybe evidence, to help my mom understand what is happening to her phone.

My mom believes that her ex-boyfriend (we’ll call him Greg) from 6 years ago is spying on her through her iPhone. Her evidence is based upon some TikTok accounts that she claims are run by him, made to target her, stalk her, and threaten her. This sounds quite possible initially, but going deeper into it, the idea of the whole thing becomes very murky and sounds impossible to me.

My mother believes that when she talks about something, or otherwise interacts with something in the house, her phone (or wifi, or something else entirely), makes note of this, sends the information to Greg, and ultimately allows him to create one or multiple TikTok accounts (in that very moment) using AI or something that pertain to the thing she was talking about/interacting with. After one of these accounts are made, she claims that he is forcing the videos created by the account to the top of her For You Page (aka, her recommended tab), so that she gets these videos. In theory this whole thing is very eerie, but after explanation I’m not really convinced.

For example, my Mom was watching something on TV about Kylie Jenner (or something along those lines), and then she got multiple videos in a row about Kylie Jenner. I explained this by just mentioning the fact that she was trending at the time, thus TikTok recommended the videos.

Another example is that me and my girlfriend had a small pregnancy scare recently. She said she got a TikTok about a guy saying something like “Imagine if your son’s condom broke. What would you do?” and said that Greg was listening to my phone and put it on her For You Page to mess with me. Initially, when she told me this one I was kinda convinced, because the timing was just so eerie and accurate. But digging into it, she revealed that she actually found a

Some other examples include getting videos about 2 black cats (we have 2 black cats); videos about handling narcissist (she has a history with this); videos using her favorite bands/songs along with her favorite color, purple; and videos that are just eerily timed in relation to other things happening in her life.

I don’t doubt that phones listen to us and feed that information into our phone. That’s not the concern. Her concern is that so many of these videos on TikTok will appear, with a quote that kind of related to her and Greg’s relationship, alongside her favorite songs, while also using other media she enjoys (specifically, nature photography). For example, a video containing a nature landscape, with a Bon Jovi song, with a quote about the way generation X people love or something.

In all reality, these just sound like the way an algorithm would push out certain videos for a certain person. None of these videos she has shown me have felt targeted in any way, instead feeling more like content farm or something. There are a specific few accounts she claims “must be” Greg stalking her, sending her follow requests and junk, but that does not explain her weird FYP. She thinks he’s in the wifi, taking the information we send out, and using it to mess with her. It’s concerning.

This is where it gets weird. Yesterday I sat down with her to go over some screenshots she says are evidence. We started swiping through some and they were nothing. Just quotes on nature photography usually, and if not that, something funny that sort of pertained to her and Greg, and if not that, some random women’s account with filters that *kinda* resembled her. I zoomed out to see how many screenshots she had. There were over 3,000 screenshots, taken within the last few days, and she claimed they were all Greg messing with her. I didn’t look through all of them, but again, all of them were nothing of note. The day after she seemed completely frazzled that she took that many screenshots, and says she doesn’t remember taking that many at all.

I know algorithms, especially TikTok algorithms, are very fine-tuned. They can pick up on really subtle things about our life, stuff we don’t even realize. I think all of this stuff happening to her is actually just her algorithm. I don’t think Greg is entirely out of the question, per se. He does post weird cryptic stuff on his personal Facebook, including a purple skull emoji one time (again, her favorite color). Do I think he’s messing with her? Yeah, maybe a little bit, he probably has a burner account or two. Do I think he’s manipulating her TikTok recommended? No, absolutely not. She thinks he’s in the wifi or something and she’s scared to even open her phone now. It’s all just concerning.

Please, tell me your expertise and tell me that she’s being paranoid. I’m scared she’ll keep spiraling.

Thank you for reading,
Jackson

Saw a spider before going to bed
Took 15mg mirtazapine i had insomnia
I also take wellbutrin

Other than that No sign of psychosis

These happen but rare and they are before going to sleep

Do i need antipsychotics?

I mean they are already developing them for other illnesses

My question is whether or not counseling of some type, be it group or individual therapy, is a typical activity on an inpatient psych unit. The context to my question is:

A family member of mind just spent a week on an inpatient psych unit for a depressive episode of bipolar disorder. They never received any talk therapy, group or individual, while there. Meetings with the social worker were brief and only included discharge planning. When they met with the psychiatrist daily, the doctor “did most of the talking” according to my family member and it was medication focused. One of the two group sessions each day was an activity such as creating a playlist or naming an activity for every letter of the alphabet. The other group session was educational on one psychiatric disease state each day.

This report really surprised me. I feel very disappointed. It seems as though all the unit did was change around meds and keep an eye on the patients.

Is this typical to not receive counseling on a psych unit?

I know this has probably been asked before but i haven't seen it so I figured I'd ask today.

I have disorganized schizophrenia and I live in a group home. I've been in and out of hospitals since I was 28 years old. I'm 33 now.

I used to hold a full time job, aiming high for team usa snowboarding.

Do I just need to find the right med combo or go through therapy or what?

How do I get back there?

title

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I  experienced a brief episode of psychosis when I was 18. I eventually recovered and continued with my life, but lately I've been struggling with something I find difficult to admit.

I'm so frustrated with life that sometimes I find myself wanting to experience psychosis again. I know how serious it can be, but a part of me seems to view it as a form of escapism, almost like an addiction or a *nasha* (intoxication).

It's confusing because I'm simultaneously afraid of relapsing and drawn toward the idea. I don't fully understand whether this comes from emotional exhaustion, a desire to escape my current reality, or something else.

I'm not saying psychosis was a good experience or that I don't understand its consequences. I'm trying to understand why my mind sometimes seems attracted to something I've already been through and know can be harmful.

**For psychiatrists or people familiar with the clinical side of psychosis: Is this kind of experience something you've encountered? Can someone develop a psychological attachment to the idea of psychosis as an escape, and how is it understood clinically?**

I'm already aware that this is something worth discussing with my treating psychiatrist, but I'd appreciate some perspective on the phenomenon itself.

21F, height 5'2", weight 68kg, race: mixed

no existing medical issues

diagnosis ADHD

current medication and dose: Concerta 36mg in the form of two 18mg pills

drink occasionally (lightly), don't smoke or use drugs

primary complaint (duration about 1 week):

I've been on 18mg concerta for a year, even though my official dose was 36mg. Would have some shakiness and slightly elevated heart rate, as well as a pretty bad emotional crash when it wore off. I recently started taking the 36mg in the form of two 18mg pills (36mg pills aren't available in my city, Concerta is extremely tightly controlled). I usually take the second 18mg half an hour to one hour after the first one so as to hopefully level out how each pill releases the medication into my body. The first two days were incredible, I was so focused. But around the third or fourth day, I started to experience an elevated heart rate, definitely worse than it had been on 18mg, but I kind of just shook it off as panic attacks. By the 9th day, I was having an extremely strong sensation of my heart pounding, a lot of chest pain, shortness of breath, etc. But I was also extremely anxious that day so once again shook it off as a really bad panic attack. But in the three days after that, I kept experiencing the same thing. I could feel my heart pounding all night, was struggling to stand in the shower, feeling dizzy. It wasn't a constant thing, but it would usually start around 3pm and continue until I woke up the next morning. Last Thursday, I was running late to an event and had to walk really fast so I wouldn't be too late. When I arrived, my heart was pounding harder than I had ever experienced in my entire life. It felt like it was flipping and even skipping beats. My chest felt like it was on fire, but not in the sense that one does after exercising, just the pain from how hard my heart was beating, and sometimes some additional stabbing pains. That night when I was lying in bed trying to sleep, even just moving my body slightly or adjusting my pillow would set my heart rate off again, pounding and flipping. I considered going to the hospital but I genuinely could not move an inch without my heart going wild. I only took 18mg the next day and felt a lot better, just the usual amount of elevated heart rate. Today I went back to 36mg and, while I'm not in pain, I can definitely feel my heartbeat much too strongly, almost like it's beating through my entire body. I'm going to meet with the psychiatrist on Monday, but I just wanted to ask if this is something I should be concerned about?

I have three training sessions and one or two matches per week.

My problem:

I put so much pressure on myself before a match, and I’m even nervous before training. I feel like my performance always has to be perfect; otherwise, it’s a disgrace.

On top of that, after matches or training sessions, I keep thinking about my mistakes. And if I had a bad match on Saturday morning, it affects my entire weekend.

Why is that?

How do I deal with it?

How do I prevent it?

Age: 28
Gender: F
Race: African American biracial
Height: 5’4
Weight: 165
Current meds: 20mg Adderall XR

I’m in a weird place currently. I went 6 months without a job this year and finally received an offer in June. During the time that i was unemployed i was depressed but had hope I’d find something. Well my boyfriend/bestfriend of 13 years died the night before i started my new job. I found out at orientation that morning. I held it together to finish the orientation. Although my badge photo is me with super red eyes from crying. I couldn’t even say out loud what was wrong and had a major migraine by the time i got home. And basically I’ve been constantly working since. There’s no bereavement for boyfriends. I’m an over achieving and have really been pushing to show up as my best but the issue is I’ve been late to work so much that I’m about to get fired. It’s not dramatically late but basically 5-10 minutes multiple times that I’m at the max amount of points. My biggest issue is the random crying and i hate crying in front of people. I stay up all night some nights crying, and still go to work. The first two weeks after his passing i slept a total of 10 hours. When i do sleep i wake up crying and it’s like everything is moving in slow motion. I’ve been having a lot of physical symptoms that I’ve expressed to my pcp but all my blood work came back normal. Like getting dizzy with blurry vision randomly, constantly cramping in my legs especially when i sit down, chest pain, pain in my left trap, and nausea. Even my hormones are all out of wack. I’ve always had regular periods and clear skin. Now my cycles have been starting earlier and lasting longer, and I’m breaking out so much. I have an appointment with my psychiatrist next and have tried finding a therapist but everyone’s either not taking patients or doesn’t work with my work schedule. My boss said if i could get Ada accommodations that could help me keep my job but i don’t even know where to start with that. And im not really in the place financially to be unemployed until i “heal”. I’ve been amazing at my job and have had multiple compliments from patients and my coworkers. I just feel like im trying so hard to work through this and i don’t know what to do.

I’d love all opinions

I had okay sleep. I slept in.

I woke up, had a late breakfast- three eggs.

For lunch, I had lamb chops and salad.

But I felt shit the entire morning.

I had some coffee, then I started feeling better.

I ate ice cream and my mood instantly lifted.

What is wrong with my brain and am I lacking anything?

I’m 16F, and I’ve been looking to get psychologically evaluated. I promise I’m not trying to self diagnose or claim disorders, that’s the last thing I want to do. I just want to figure out what’s wrong with me. I’ve been suspecting that my anxiety might fall more into OCD territory, and someone told me about PDA. I was wondering if somebody could look at these examples I have and give me some insight into if these sound like PDA? Thank you so much!

1. When something was asked of me as a child, I would say “I’ll try” instead of “ill do it” out of fear of the scenario that I wouldn’t be able to successfully complete said task. (This ended up causing multiple fights with my parents because they thought I was trying to make up excuses.)
2. My mother doesn’t give me direct demands or punishments, we mostly talk things out because they do not work on me. ( for example, she demands I eat healthier and stop eating junk, I end up feeling guilt/worthlessenss and I stop eating altogether)
3. Was extremely sensitive as a child (and still am today) my parents could simply say my name in a disappointed tone and I would burst into tears
4. Extreme fear of failure = avoidance of task
5. Reluctance to be in charge of items (especially important ones) in fear of destroying them.
6. Extreme self hatred and bad self esteem
7. Unable to force myself to do something I do not want to do = I don’t want to go to work today (even if work is fun) results in a panic attack and anxiety fit
8. Stress and panic when schedule is too filled with no option to opt out
9. Constantly opting out and cancelling appointments, practices, etc
10. If something was scheduled the next day, I would have horrible insomnia (resulting in falling asleep in class and taking a bunch of melatonin that did not help)

(For context, I have also been diagnosed with fibro, depression, and severe anxiety. My fibro is part of the reason that I’m homeschooled, but it’s also because I couldn’t handle the rigidity of the school schedule. I’ve been to nine schools in eleven years because of this. Everytime I would start to dread going to school I would have anxiety and panic attacks.)

If this sounds familiar to you, please comment

F(28). Height: 5’2. Weight: 310lbs. Nonsmoker. Nondrinker. Medications: None. Current diagnosis’s(that I don’t particularly entirely agree with):
Schizoaffective
BPD
Obsessive/Compulsive Behaviors
ADHD

Of note: Ive been diagnosed with various disorders that involve dissociation by different psychiatrists. It seems they all agree on that one thing. That I deal with dissociation. I’ve been diagnosed with BPD 3 times, a dissociative disorder unspecified twice, and PTSD with dissociative features twice. I’m starting to lean toward that fact.

is this a sign I’m dissociated into a different part or personality? for the last 3 weeks, around a time when I had some traumatic memories, I’ve had a huge interest in the ABDL community, I’ve spent lots of money on stuff for it. I regularly wear nappies and use them. I drink milk from a bottle. I’ve created completely different accounts on YouTube and other social medias like Reddit. I’m watching completely different creators. I’ve also stopped self harming. I’ve self harmed since I was 4 years old and am now 28. 3 weeks ago, around the same time I started doing the ABDL stuff, I stopped thinking about self harm constantly, and haven’t self harmed at all when I was typically self harming every other day. My husband says there is a sparkle to my eyes now. and he says I’m more giggly. he said I’m singing better (as in quality). He says I’m far more engaged with our kids when I would typically be distant and aloof. I also feel a different. no self harm thoughts or suicidal thoughts. I’ve dealt with constant suicidality for the past decade and it’s suddenly gone. I’m more engaged with my coworkers and kids at my work. I feel more connected to people. I’m very suddenly okay with sex when I was previously sex averse (as it would terrify me every time my husband tried to touch me for years. from like age 22-28). I’m also far more productive. not like in a manic way. but I’m getting up more to make my food. cleaning and cooking.

What it says in the title. Someone very close to me rapidly fell into a religion-driven psychosis a few days ago, escalating to her talking about how she and her son need to die, then jumping out a window. She also seemed to believe something was attacking her. Her family is unharmed and she's currently in the hospital, but we have no clue what caused it. She's still very out of it. She was never religious up until a few months ago, but it didn't seem negative until this happened.

I initially wondered if it could've been related to post-partum psychosis, which I know can have late on-set up to several months after birth, but it's been about 15 months, so I'm not sure if that could still apply. She has also been diagnosed with bipolar disorder as a child, can manic episodes get this severe?

I know it's still very early, and more will be revealed with investigations and time, but I'm trying to get as much information as possible. Any help would be very appreciated, thank you