11 Comments
Comment deleted
Sep 23, 2022
Comment deleted
Expand full comment

I am not sure how to look up your email from your username on my end but you can reach out to me at exulandback@gmail.com. I discerned I was sensitive to dopamine as both dopamine blockers and dopamine releasing agents exacerbate a medical condition I have. I am happy to go more in depth over email.

Expand full comment

"despite being given a very specific explanation at to why I live outside of Boston." typo---clarify?

Expand full comment

I've used it as a metaphor when explaining why I'm not autistic as it was explained to me by my assessors when I was evaluated and treated as a child and adolescent. Autism is Boston and I was pervasive developmental disorder not otherwise specified, sometimes described as "autism without the autism." Well they put the autism back in 2013 and moved the city limits so that explanation I've been giving is outdated. We were defined in part by having lower support needs and higher functioning levels than autism and asperger's.

Expand full comment

i have heard of children receiving the PDD dx, to often parents' frustration, but never knew why the rubric was given. nor is there near enough attention to how all people develop and change, from childhood into adult life, with various neurodivergences. only recently am i reading about how ADHD differently often manifests in girls, and how that shifts as we become women.

Expand full comment

that’s interesting. i was recently diagnosed w “autism spectrum disorder”, as it says on the paperwork. i would say i have pretty low support needs and a high functioning level. now i’m wondering what my diagnosis would have been 10 years ago.

Expand full comment

I start each day with Lexapro and I know it helps me function in ways that I couldn’t without it. I also live with chronic pain and that along with depression and anxiety ( I can’t remember a time in my life when I wasn’t anxious) has truly made all the difference for me.

Expand full comment

"A lot of psychiatrists are just bad" - understatement of the century.

Expand full comment

Yes scrap the DSM, and lets have, a publically available, diagnostic manual online, with the actual research linked to the diagnosis. Saving lives through education. I'm all caught up with your work. I love it when I see you've got new stuff up.

Expand full comment

CONTINUOUS pain. I have nerve pain from a spinal injury. They have this hilarious pain scale at the Department of Veterans Affaris where they want me to point to the happy or unhappy face on a ten-point chart. Ask me what my pain level is right now and it will be at least 3, maybe 4. Sometimes it will be bad, but 99% of the time it is 3 or 4. It was 3 or 4 this morning. It will be 3 or 4 tonight. It will be 3 or 4 when I wake up tomorrow. A 3 or 4 doesn't sound so bad until it's 24/7, which drives a person insane.

One amazing OTC thing I have discovered is Lidocaine pads. Placed right on top of the lumbar region where the nerve going down my leg is pinched by the crumbling of my disks. Better than hydrocodone. The relief starts at the bottom of the leg and creeps back up, which is kind of a wierd sensation at first. No muss, no fuss, no opiate sus. I'm wearing one right now because I pushed myself on a walk today.

Expand full comment

Why so many nervous systems? The portion referred to as the enteric nervous system is poorly understood. People with some types of chronic pain have been relieved of it from TENS units. I'd go with manual medicine if I developed any kind of chronic physical pain, after taking care of my gut. Integrative medical approaches are the future, hopefully!

Expand full comment

SSRIs are a life-safer for me. I appreciate you speaking accurately and thoughtfully on this topic.

Expand full comment