Is anhedonia just a circuit problem, or something therapy can help with?

The most debilitating part of depression for me is that I don't feel the want to start doing things, no future wants. And even if I force myself to do the presumably enjoyable activity (i got this advice to activatate without the want) , I don't feel joy, or basically anything dopamine related. I have been on 5 different antidepressants and addons, nothing helped. I also attend therapy. My question is: is it really just a brain circuit problem and would a "reset" , like ketamine, ECT or rTMS help? Or is it something therapy can help with? The problem with those more serious treatments is that they are done in a hospital setting, and need to be in a psych ward. Which I just can't do 🥺

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u/Eledrina — 2 days ago

Nem tudom mi tévő legyek, 14 éve depresszió

Igazából nem is tudom miért írom ezt ... Úgyse fogom a segítséget elfogadni 🥺 14 éve küzdök depresszióval, most vagyok 34 és semmi sem segített... Legalább 5 gyógyszer és kiegészítőn vagyok túl, de ezt a reménytelenséget és anhedonia-t egyik se tudta, még csak enyhíteni se. Mindegyik mintha cukorka lenne, se hatás, se mellékhatás.

Erre még rájön az is, hogy transz nő vagyok, de nem merek előjönni, mert nem akarom hogy megnézzenek (vagy rosszabb, megverjenek). Szóval olyanok, hogy osztályra befekvés teljesen ki van zárva... Ugye férfi szobába raknának. (Annyim meg nincs, hogy magán)

Emellett pedig ott van az a dualitás, hogy magányos vagyok, sose volt egyetlen barátom se egész életemben... De bárki is írna, valószínüleg nem válaszolnék, mert megöl a szociális szorongásom. A terapeutám javasolja, csoport terápia, vagy bármi féle társas kapcsolat, akár a legapróbb lépésben is, de nem megy. Egyszerűen lefagyok. Úgyhogy marad ez a sötétbe kiállítás 😭

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u/Eledrina — 3 days ago

Komolyabb pszichiátriai kezelés elérhetősége (ECT v ketamin) ?

Már kb 20 éve vagyok depresszív (jelenleg 34) és igazából semmi sem segített. Masszív szociális szorongás, egész életemben 0 barátom volt, anhedonia, de mégis maszk mögött funkcionálás munkába. (Munka, hazaérek, crash, alvás, másnap repeat) . Sajnos nem kaptam hivatalosan róla papírt, de rezisztens a depresszióm. Kb 4-5 SSRI / SNRI , és kiegészítőin (anti pszichotikum, Lamotrigine, Bupropion) végigmentünk a magán pszichiáteremmel, de semmi se hat. Mintha cukor lenne. Terápia szintén nem segít, mert nem is arra van, ugye a terápia segítségével magamat kéne helyre rakni. Mindezt még nehezíti, hogy transz nő vagyok, aki nem mer előjönni a szociális szorongás miatt. Szóval még egy jó adag dysphoria és dysmorphia (testképzavar) is rárakódik...

Ezért gondolkodtam már ezeken a komolyabb kezeléseken, mint az ECT. Viszont a pszichiáterem kb meg se hallja, amikor felhozom, hogy ezt lehetne-e. Váltani nem fogok, nem vagyok képes megmondani neki, hogy "szakítsunk" és ghostolni se akarom.

Gondolom ezek a komolyabb beavatkozások már inkább kórházi osztályon elérhetőek? Azzal meg az a baj, nem hiányozhatok munkából. 1 hétig beteg vagyok és bedől a cég (kis cég, én vagyok a mindenes, aki mindenhez ért). Elveszíteni nem akarom a munkám, akkor éhen halnék, mer újat keresni is nehéz számomra. Valami ötlet, hogy ezt magánba, 1 napokat kivéve hogy lehet, csinálják e?

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u/Eledrina — 13 days ago

What sort of problems are there, with the steam reviews?

I wana buy the game, looks interesting, and as a flight sim pilot, I'm guessing I can use my stick and throttle quadrant? However, I saw that its recent reviews are mixed on steam, usually meaning the devs messes up a recent update. But then again, steam users are known to reviewbomb games with even the slightest controversy 🙃 So, my question really, is the game still as good as older reviews and articles talked about?

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u/Eledrina — 27 days ago
▲ 5 r/Xplane

Question about the default Citation X and its VNAV system

Soo, I had this issue, as a first time simbrief flight in the default Citation X. I planned one from LHBP to LSGG, I loaded the flight plan, loaded a SID , a STAR and approach to rwy 22. I set my perf init , the climb, cruise, descent values, set cruise alt. However, for some reason it wouldn't give me a TOC and TOD on the progress page. I didn't have any discontinuities, the STAR set me altitude restrictions for the waypoints, so it should have been able to calculate a descent path down from cruise to that prescribed arrival altitude. But it didn't 🤔 Dunno what I missed. The thing was , VNAV did the climb perfectly, then also did a descent, followed the set 3° , but since I didn't know when to hit that VNAV (no TOD) i went over and had to FLC and force a steeper descent at the end 🙃 Oh, and I did set the altitude knob, cause i know VNAV won't bust those limits.

Edit: For those who come after 😝 The perf init page... The last page where you just see values it already knows, those are read only fields. Can't modify them. Except for one ... You have to click the fuel quantity button to copy its value, then click it again to insert it ... Makes no sense. Anyway, after that you get the confirm init, press that and its done!

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u/Eledrina — 1 month ago
▲ 6 r/Xplane

How hard is the Hot Start CL650 to fly?

After going up from piston to turboprop to jet I really love the default Citation X and was looking at something similar. You guys all seem to recommend the Hot Start Challenger 650. My question is about the realism part and the fact that someone said that it took them days just to start the engines 🤔 I mean if you follow the checklist the concepts aren't any different than other airplanes?

Oh, and I was wondering about that career mode they advertised, never played anything like that. Do i need some other addons to have that working or the purchase hands you all the plugins needed?

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u/Eledrina — 1 month ago

Is there a point to the new trucks without roads?

Like the title says. I love the new trucks, they are a great addition. However, I feel like using them without curved roads, ramps and crossings (or roundabouts) aren't really fun or interesting. Making 90° turns or making big square platforms for a bigger turn radius aren't visually appealing to say the least 😋 And so yea, the game wasn't really made for them I feel like, having to nudge ninja just to make a curve. And it wasn't even a curved ramp ...

Edit: I know they can drive off-road, and thats kind of their intended purpose, but I just need order (Will try to push my comfort zone with them maybe) 😋 And yea, after trying to make my own roads, realised how finicky nudging and hacking them is, I just downloaded a blueprint package.

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u/Eledrina — 2 months ago

I feel called out ...

For context, I work as an Audio-visual system engineer (and programmer 🙃) , and this rack arrived to us recently. Colleagues don't know that I'm transfem. Or they do , and put this deliberately at the entrance hall ... Sus 😳

u/Eledrina — 2 months ago

Well, we went our separate ways with my therapist today, because neither of us saw the use of me attending. I just never did my "homework". I'm basically too depressed. I don't feel like doing anything, so I didn't do any of the CBT, relaxation or schema excersises she taught me for my social anxiety. Maybe I have to get better and out of depression before therapy can work? The problem is, I tried about 6 different antidepressants and addons over a year , nothing worked.

Were any if you so deep , that you couldn't stick to therapy? What helped if you got out?

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u/Eledrina — 3 months ago
▲ 10 r/Xplane

I have been searching around, and found a ton of GA planes, but there are too many if them 😋 Which premium plane would you recommend, that just feel soo good and real. Kinda looking for a study level plane, to really get to the next level ☺️

Edit: Thanks for all the good suggestions, I will definetly check each of the out! 🥰

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u/Eledrina — 4 months ago