u/BUTTERSBRAIN

Hi All:

I've got a pretty crazy med history and I have kept my med/psychology notes in my notes app. Each individual note may start off on one day and terminate two weeks later when I move on to start and new entry. The old entry sinks below the new one and so over 3 or 4 years they are a little messed up chronologically.

I'd like to import these entries somehow into AI so that I can drill down into trends etc. Can I ask if one Chatbot/method is best for this? And if anyone has done something similar I'd love some pointers.

Thanks so much

Nothing I have will cast them well or give the right action. Some Youtuber is suggesting a MH Jigging World retro rod. Daiwa might have one also. Love to hear some suggestions! TIA

I hate the height of the trailer (Malone Ecolite) at the ramp but I like having it as a fishing workbench in my driveway. I bought some 5' bunks hoping I could hang them on the rear so they would tilt down for loading and continue using the Malone megawing on the front for support.

This would allow me to keep the height and some ability to use the trailer for cargo after the season.

However even without the high crossbars I don't see a way of doing this. Please let me know if anyone can see a solution...thanks in advance :)

PS I don't have the means for significant drilling or cutting metal.

https://preview.redd.it/1z2e8z8vib9h1.jpg?width=4284&format=pjpg&auto=webp&s=e13208d9d9b6576f53d7ea6aa50a8076f3713bb1

Hi all: I'm doing TMS and the psychiatrist providing it decided the OCD/anxiety route was better than the straight depression protocol. During treatments I'm supposed to think about thoughts/feelings that become intrusive in certain situations, and then switch to more positive reframing of the situation. It's how I remembered EMDR, which didn't work.

She wants me to elicit stronger and stronger negative feelings, but I can't do it on demand, there's a kind of performance anxiety. So we end up talking through individual situations, and then she suggests more positive options, but I constantly refute her based on data and my experiences ("you're trying to convince me I'm not a monster but good try, here's the evidence"). To the point that we don't ever settle on a positive reframing because I end up outsmarting myself.

I'm wondering if I'm actually reinforcing the negative somehow. Just the same, I find myself in a better mood and ruminating less. I'm also a little less interested in connecting with people and fishing and playing music. Maybe they are obsessive lol. Also having memory and spelling problems.

The boost in mood is driving my urge to drink also. I'm only have a beer or two a few times a week. This is not new to me though....feelings of accomplishment and newfound hope/joy drives me to seek more dopamine.

TLDR: Am I doing the self-talk wrong? will the fog and apathy pass? Is the occasional drinking a really really bad thing? Thanks all.

Right now my kayak rides in the center of the trailer I bought last week. I was about to buy a used 8' Thule Adventure for my rods and gear and have them side by side. Malone ecolite trailer....Will it throw off the weight distribution too much?

https://preview.redd.it/7id90hjh247h1.jpg?width=4032&format=pjpg&auto=webp&s=8a5584d6a6703c239e1464d3f1a82cca8d7d4132

https://preview.redd.it/pcf74hjh247h1.jpg?width=4032&format=pjpg&auto=webp&s=b400a6cf5f09b566988a22828bbf498204108d92

I love my Salty but I feel so cramped in it. I also don't love the stability in open ocean wind chop and standing. Hull slap bugs me when trout fishing also. I'm buying a trailer tomorrow so portability is less of an issue.

The obvious alternative is the OT 120 pdl (sportsman?), but I'm looking to move outside of Hobie and Old Town. Might even add a Bixpy or comparable motor for range.

I'd love suggestions from y'alls. Thanks!

I'm starting Caplyta at an ultra-low dose next week hoping to really only get the 5ht-2a antagonism so as to offset some of the agitation, apathy, and obsessive thinking, and sexual side effects I get from my Celexa/Lamictal combo.

I hope to do this by taking half a 10.5 mg capsule to start. In my thinking that should largely leave the D2 receptors alone. I'm also hoping that it's impact on glutamatergic tone might offset my obsessive side effects from Lamical.

I have a ton of diagnosis' that have been tossed around, including MDD/anxiety, ADD, BPII, BPD, PTSD, etc. The newest is OCDPD and my therapist said people tend to respond to low-dose atypicals well. Rigidity in thinking, extreme distress with uncertainty, and shutdown of all emotion except irritability.

I've been noticing more and more how Lamictal, in me at least, creates rapid obsessive thinking loops and criticality. It also dampens deeper vulnerability and presence in favor of executive function, motivation, and boldness.

I have read that the improval of NMDA signaling by Caplyta might help offset the Lamictal obsessiveness and rigid thinking.

Can any psych/pharma nerds tell me if my thinking is close to correct here? Thanks.

I’ve been on Lamictal for 20 years and it took me some time to realize it definitely increases my ruminations and hypervigilence, among other things. As soon as I pop in the shower, the knives come out and I obsess about all my faults and actions, and get hypercritical of everything in the outside world, planning for upcoming battles and slights.

I don’t know if this is the default mode network or not. But I think it’s funny we are trying to tamp down the DMN with ketamine and then I take my lamictal which does the opposite.

Obviously lamictal has its own antidepressant qualities and it sometimes turns up my motivation. It also makes me feel less traumatized and hyper vulnerable dealing with groups and people. I’ve become useless and suicidal the two times I tried to come off it completely.

So I’m wondering how other people taking ketamine experience Lamictal. Cheers.