u/Lower-Natural-337

In 2022, a doctor who was clearly neither honest nor transparent told me that I needed filler in the front part of my cheeks (not the lateral cheek area). I trusted him. He used a cannula and injected the filler, but I wasn't given any real explanation. He gave me the product label, and since I had no experience with fillers, I didn't know what questions to ask.Immediately afterward, I noticed irregularities on the left side. I was told to massage the area. Within a few months, the irregularities disappeared, but from time to time I still noticed something "strange" under my left eye—very subtle, almost imperceptible.

Then, in the summer of 2024, I woke up one morning with a swollen lower eyelid. The swelling has never gone away since.I had a high-frequency ultrasound performed by an experienced physician who specializes in both ultrasound-guided filler injections and ultrasound-guided hyaluronidase treatments. He told me there was no residual filler visible, but the ultrasound showed "alteration of the tissue planes above and below the muscle, more pronounced on the left side, possibly representing the aftermath of an inflammatory process." He advised me to be patient, take bromelain, and possibly use corticosteroids if necessary.

Well, I've been patient for two years, and nothing has changed. That's why I don't think ongoing inflammation is the explanation anymore. I believe the migrated filler may have obstructed the lymphatic vessels around the eye area. I find it very difficult to live with the way I look now. In my country, an oculoplastic surgeon has described this condition as late-onset chronic edema, which, according to him, can appear even up to ten years after filler treatment. He treats it with hyaluronidase, but in his published articles he also states that about 60% of patients are dissatisfied afterward because of volume loss. For those patients, he reinjects a filler specifically designed for the under-eye area using a particular technique called the G-Point technique. However, after reading so many stories about complications from hyaluronidase, I simply can't bring myself to trust it.

The swelling is not severely disfiguring, which makes me wonder: if I do nothing, is there a risk that it will get worse, as this surgeon suggests?Has anyone experienced filler migration causing swelling years after the original treatment? I'm considering getting another high-frequency ultrasound from a physician who specializes in filler complications. The ultrasound costs $300, and the consultation is another $200. But I keep wondering: what if the only treatment she recommends is hyaluronidase?

I've also had COVID-19 four times since 2020 and suffered from long COVID twice—once in 2020 and again this year, lasting about six months. I wonder whether this could make adverse reactions more likely. I'm feeling better now, but I believe my immune system has been very fragile since 2020. This year has been especially devastating. Are there really no alternatives to reduce the swelling besides hyaluronidase?

I haven’t read Lacan’s seminars yet, but for now I’ve read books on Lacan’s thought. What strikes me deeply—and what I find absolutely pertinent—is that Lacan places somatic delusion at the center of schizophrenia, placing specific emphasis on the body. I find this pertinent because I have, in fact, known people with schizophrenia for whom the body was indeed the site of the most terrifying suffering. Not just fragmentation, but invasion, movements, co-sensory disturbances, “too much skin,” bodies being punched, bodies that don’t belong, bodies without boundaries, bodies felt to be deformed, bodies in excess—and I could go on. Yet, in the classic definitions of schizophrenia, (in psychiatry but in other psychoanalitic schools) very little is said about somatic delusions in favor of visual or auditory hallucinations. Why, in your opinion?

This is my first time playing a gacha game, and I don't really want to spend a lot of money. I really loved the Eastern-themed banner, so I bought a first €4.99 pack (it gave me 6 items, including the carpets, and there were no duplicates). Then today I bought another €4.99 pack. It gave me the carpets again, along with the tickets/currency you get when you receive duplicate items, but... I can't find the carpets anywhere in the whorehouse! Shouldn't I have a duplicate copy of them? Please help me, I am new

There is little material available on the psychoanalytic approach to patients with psychotic features. Lacan was very clear on what “should not be done” and what “should be done,” even if he perhaps never explains it entirely well (but basically not the direction of the cure but a treatment with a warmer setting, no cut of the session, and attempting to construct a symptom/sinthome if one is absent). For Freud, it was simply impossible to do so, and he also considered transference impossible with a psychotic. Although he later believed that what destabilized Schreber was precisely the transference with his psychiatrist, so who knows. Regarding Winnicott, Bion, Klein, and the others, I have many more gaps in my knowledge. But if I’m not mistaken, Winnicott believed that in the case of psychotic patients, there had been even less holding and also severe traumas (I can confirm this). I know that—perhaps a legend—he had kept a very seriously ill patient at home to protect her during a phase of extreme vulnerability. So more warmth, as Lacan believed?That said, questions remain: on the one hand, many psychotic subjects are referred to other forms of therapy, so there is less experience in the field. On the other hand, it seems to me there are very different approaches to managing the setting. Personally, I believe the setting should be more flexible and warm. The distance from the analyst acts as a “driving force” in neurosis, but in psychosis? I have the feeling that a worsening of the condition is more likely, and (on the post-traumatic side) symptoms of retraumatization. Furthermore, if there is a significant psychosis (such as melancholic psychosis or others), or if there is a bipolar pattern with a risk of self arm attempt —in this regard, I have never understood how psychoanalysis would interpret bipolar disorder; perhaps by considering *Mourning and Melancholia*, likely specifically in terms of the melancholic psychotic aspect. But It Is not the point. But I’m also thinking of patients who are “on the edge,” considered borderline, or patients with a history of suicide attempts? Don’t you think that in these cases the analyst’s role should be more one of “containment,” perhaps even ensuring the possibility of contact between sessions, provided it is agreed upon? Or do you think that, in reality, an even more regulated and rigid setting is needed? If you have any articles or references, I would appreciate it if you could point them out to me.

I’ll try to explain this clearly since I’m not a native speaker. I’m relatively new to Hearthopia, but my language isn’t available in the game, and there aren’t any videos or tutorials in my country, so there are a lot of things I haven’t understood.

As I built, I realized I could save my “current home” to a slot, and then eventually move it using the Blueprint. Every time I made changes, I saved another “current home,” and yesterday, after spending a whole day building my dream house—starting from an empty slot and clicking “Edit”—I built it and then saved it for the first time at some point. By then, I only had 3 empty slots left, all filled with old saves of previous houses. Then today I did other things, created greenhouses and rooms, and spent many hours furnishing them. At one point I wanted to save the new changes, and not knowing how to do it without taking up yet another slot, I clicked on Blueprint, and when I exited, the house was still a work in progress. I’m on edge, but I want to ask you guys before I do something else stupid and get back to work.

1. Can I delete previous houses from the saved blueprint slots? I can’t find any options, but many of them are really useless. It would be enough for me to keep the second-to-last one. If so, how?

2. If I go back to working on the house now, do I have to save the changes in a new slot in “Current Home,” or is there a way to save/overwrite it?

Please help me!

*I report this because redditt blocked me the previous post I don't know why. I also Say that I am in major depression from months with hypersomnia. After a thing happened with my therapist, fram 3 days I have switch in a completly insonnia: I can be awake till 7 am. Then I take some meds tò sleep. I am not switch ed in mania because my mood Is totally the same. But I am a bit worried.

The post:

Am I the only one who doesn’t experience psychosis during hypomania but only during depressive episodes?

When I broke down and lost control, I actually felt unworthy and guilty for simply existing—to the point of thinking I deserved to be in prison—and I was hospitalized for the first time after and episod like this one. My analysts diagnosed me with melancholic psychosis (which emerged right in the middle of analysis, due to a “misguided approach,” believing my symptom was neurotic in nature; instead, I was pre-psychotic, and that very symptom allowed me to lead a fairly normal life, despite having experienced phases since childhood that I would now describe as mildly depressive and mildly hypomanic). I then experienced alternating long phases of major depression—though often bordering on delusions—and genuine hypomanic phases; but in reality, during those I had no psychotic symptoms. On the contrary, I seemed almost more normal, even if accelerated, hypersexual, self-assured, hypercreative, etc., and then I’d switch and reconnect. Here I see almost everyone talking about psychosis in mania and never the opposite.

Is there anyone here like me?

Am I the only one who doesn’t experience psychosis during hypomania but only during depressive episodes?

When I broke down and lost control, I actually felt unworthy and guilty for simply existing—to the point of thinking I deserved to be in prison—and I was hospitalized for the first time after a suicide attempt. My analysts diagnosed me with melancholic psychosis (which emerged right in the middle of analysis, due to a “misguided approach,” believing my symptom was neurotic in nature; instead, I was pre-psychotic, and that very symptom allowed me to lead a fairly normal life, despite having experienced phases since childhood that I would now describe as mildly depressive and mildly hypomanic). I then experienced alternating long phases of major depression—though often bordering on delusion—and genuine hypomanic phases; but in reality, during those I had no psychotic symptoms. On the contrary, I seemed almost more normal, even if accelerated, hypersexual, self-assured, hypercreative, etc., and then I’d switch and reconnect. Here I see almost everyone talking about psychosis in mania and never the opposite.

Is there anyone here like me?

Why is it that the more plots you have and the further back your house is, the further away your pets stay and the more they stay indoors?

When I had a house that was “closer to the street,” my cats and my dog would stay inside, climb onto the beds—the dog would even follow me up to the third floor if I went there (he’s clingy). Now that I’ve created a large front yard, not only do they no longer come inside, but they’re always out on the street.

I know it sounds silly because it’s just a game, but I’ve grown attached to my little pets, and now it’s practically as if they weren’t there :(

Two months ago, I wrote here that Latuda, which I had been taking for 3 years, had made me incapable of crying, laughing, or feeling any emotions. I was taking 20 mg, but on an empty stomach with just a coffee (no one had ever told me that it must be taken with 350 calories). Even though I had already been in a major depression since October, my psychiatrist suggested a 50% taper. However, scared by such a drastic reduction and having just found out it needed to be taken with 350 calories, I cut the dose in half but moved it to after lunch. Ten days later, I experienced a week of severe irritability, which eventually subsided, but at this point, I don’t know if it was caused by that shift.

At the next appointment, she told me to taper another 50%, essentially down to zero. That seemed like too much of a risk to me, so I did this instead: I take half the dose, but with just coffee again. Therefore, I believe the real withdrawal/taper is happening right now. I am crashing even further, with thoughts that I am now at the end of the line. I even asked my partner—who since October had been doing all the cooking just by himself—to go back to his own place, just so he wouldn't have to see me in this state.

Despite suffering from Bipolar 2 and CPTSD, or affective/melancholic psychosis, I wasn't taking Latuda (of which I was clearly absorbing only 10 mg) for depressive relapses, but rather for post-traumatic anxiety. However, I’m not experiencing a rebound of that anxiety, but a worsening of the major depression. In fact, I haven't been able to get out of bed since October, but right now I feel absolutely zero instinct for self-preservation. And yet, I have been taking 300 mg of Lamotrigina for years, and it’s doing absolutely nothing.

Has anyone else experienced such a severe crash during discontinuation? These feel like withdrawal symptoms to me, not a rebound, because I wasn't taking it for the depressive component. I don't understand anything anymore, but I am all alone, shut inside the house, and I can barely manage to eat. Not a single friend has said 'I'm coming over to visit you,' even among those who know I'm struggling to eat. Living like this, I just don't see what the point is anymore.

Basically, that’s it. I had started because in other forms of therapy (psychoanalysis) I felt “alive” and like myself—and, incidentally, as a recognized artist, I worked in a state of semi-trance (not pathological! It was my “method”), but I felt I was continuing to destroy myself because of the severe trauma I had suffered. I kept repeating the pattern in abusive relationships. A past of childhood sexual abuse, violence, psychological abuse, a rape, and toxic relationships as an adult. And I thought: I’ll try CBT with this doctor who claims to be an expert in trauma. I felt safe with her, and it’s certainly true that she didn’t trigger any post-traumatic reactions in me. She certainly didn’t have an abusive personality and was supportive. But year after year I lost pieces of my personality, and whenever I mentioned a trauma, she seemed completely taken aback. “Your mom did that? How strange, and why?” Damn it, because she was a psychopath! “I don’t understand why you’re afraid of your brother; you hardly ever see him.” Christ, he threatened to kill me, sexually abused me, and is a severe pathological narcissist! During a relationship with a manipulator, I had her read some messages, and all she could say was, “My goodness, what a heavy-handed man!” I could list many more; these mostly sound like the words of an ignorant therapist. But everything I felt was, in fact, exaggerated.Or, under psychological abuse. “Why don't you just leave? It's not like you have a gun to your head.” Jesus, do you even know what emotional dependency is? And yet I only saw his kind, motherly side, and I let myself be fooled by this stupid need of mine for love, for being looked after like a little girl.

My art? The first time she asked me, “What’s one thing that makes you feel safe?” I said, “When I go into a trance and paint.” Her response was, “You mustn’t dissociate.” I haven’t painted since. It was my work, my life—perhaps the only thing that gave me a reason to live. When I told her I felt that something had broken with the therapy and that phrase, she told me it was impossible and that it couldn’t have anything to do with it. (But it did; I did a lot of research.) She strongly convinced me to get institutionalized, pushing me to apply for disability, so now I have a label my abusive family can use against me: “She’s the sick one, she’s a psychiatric patient” (these idiots have confused my terrified withdrawal from the world while I was in a retraumatizing relationship with negative symptoms of schizophrenia...) . I think I’ve racked up at least 15 diagnoses in my entire life. The therapist had figured out it was C-PTSD, but geez, did she really know how to work with it? Her first sentence, knowing I’d had self-harm issues, was “let’s make a deal: I don’t know how to make it hurt because you can’t do therapy with a dead person.” Without considering that this line was cookie-cutter and could be found in a manual, the paradoxical thing is that yes, I didn’t hurt myself anymore. But in the end, she did therapy with a dead person: a living dead person.

Maybe I was a little strange, but I was alive. Now, for years, and getting worse year after year, I live in bed, shut away in my house, incapacitated. Was this the price I had to pay for trying to become “normal”?

Cognitive behavioral therapy can really reduce a person to a machine that needs fixing. And in the attempt to do so, it takes the machine apart and leaves it that way, destroyed. I hate all of this. I can’t go back. I was a good little girl, adapting to her when she told me to speak “down-to-earth” instead of in my own way. But it was my way! I hate myself for letting myself be reduced to simply nothing. And I’ve also been left alone.

I gain as a reward in Gourmet life the receipe of restaurant servono cart. I had the backpack full, ok. So I found in the mailbox as usually if it happens, I claimed but there is not! There is not in the fornitures receipes, no in building modality, nore in kitchen receipes (it should be very strange but I tried all I could try). What can J do?

The extreme ME-like fatigue has decreased significantly; I only experience crashes every now and then. Even the constant fever now only returns occasionally. POTS, however, is still present. I’ve had alopecia since my first bout of COVID in 2020. For some time now, however, gastrointestinal symptoms have also appeared. Foods that didn’t bother me at all before now trigger either severe nausea and headaches, or vomiting (this recently happened with game: after a dinner, my stomach was swollen as if I were six months pregnant, and at 3 a.m. I woke up vomiting everything up), or intestinal pain and alternating constipation and diarrhea. I get gastritis if I drink wine or coffee. I’m almost certain this is another symptom of long COVID. As soon as one symptom goes away, another one starts. It’s as if my body has become extremely fragile. Do you think it makes more sense to see an allergist to see if histamine is involved, or to see a gastroenterologist?

This. More, I fell so flat, with anedhonia and most of the time depressed, no emotions, no even capability of crying. Neither in a funeral. Neither in Major depressione, and I am in It from october.

So I asked to get out of this med. My doctor say ok (I take 300 mg of a mood regulator too), and She told me: you are on 20 mg, you can stop cold Turkey. WTF. I answered that I was scared, She told me One day yes One day off. I also asked her: but, Is It true that I have tò take Latuda with 350 kcal? No, Is not important. Because I have take It every morning from 3 years with a coffee only. It's ok, She said.

I asked her if I could cut the pill in 2 part instead of one day yes one day not, because of scare of mood disregulation (documented). She said ok.

It seem that she says ok to everything I say, so I wonder why I spend 80 dollars for 15 minutes of "ok". Is It more competent IA?

God, I read here that Is strictly recomended tò assume Latuda with 350 kcal! So the amount of Latuda I was takin for last 3 years was like 10 mg??

My doctor lives me alone in this tapering. I have decided to cut the pill in two part, but I started to take It after lunch. So...Am I taking the same amount of before now? I mean: for 3 years Latuda with a coffee only, now half of It but 350 kcal.

I am really confused. I have had withdrawal symptoms the second week, irritability, mentali acatisia and rage, then like normality (=Major depression that maybe Is worsening but I am not sure).

I am wondering now if It was Latuda that made/makes me without emotions or if It Is the High dose of Lamotrigine or of It Is my cptsd worsen or the wrong psychoterapy.

I am really confused now. I am on bed. The only sign I have received from my psychiatrist in this month of tapering has been, yesterday, the Bill.

I would like to come back in 2019 when I took only 5 drops of a sedative, 100 mg of Lamotrigine and klnopin. Now I am a zombie.

Bipolar 2, so most of the time depressed even if I take meds. But with comorbility with severe terrible cptsd symptoms that destroy me both if I am in depression both if I am not. Only in hypomania cptsd seems to desappear but it is a "fake". I live from 39 years in this conditions and I really can stand it no more. I have done severale form of psychoterapy, no one has helped me for cptsd. Bipolar depression is 9 months per year. It is not a life. Hypomania is only 10 days per year and not dangerous

Hi everyone, I started taking Latuda two and a half years ago. At first it seemed like it was simply helping me with post-traumatic distress, but over time I realized I had fallen into anhedonia, along with an inability to laugh, cry, or express emotions. Even in non-depressed moments, I felt very little. I didn’t feel like myself anymore. It didn’t even help with bipolar depression. I was only taking 20 mg, but I’m very sensitive to the side effects of all medications.

I spoke to my psychiatrist. She told me, “you can stop it.” Honestly, I don’t understand why most psychiatrists either reduce too quickly or even casually tell you to stop a medication cold turkey as if there were no risk. I told her I was scared to stop it from one day to the next, and she suggested taking it every other day for a month. Then I looked online and everyone says that doing it this way creates a harmful “roller coaster” effect for the brain—one day you give it one signal, the next day another. So I asked if I could cut the dose instead, and she said yes.

The first week was fine, but for the past two days I’ve been feeling very nervous and irritable. Today I feel really negatively activated, with anger—I feel like I could explode. I’m in an “environmental and relational” situation that makes me feel bad, but the feeling that used to accompany it was sadness and frustration, not anger. Also, before taking this medication I didn’t have this issue, so it’s clear this is a withdrawal symptom, not a rebound.

I’ve read that for some people it was hell, while for others maybe not. For those who have experienced symptoms like this or others, how long did they last? I’m more worried about causing distress and problems for others than for myself. Even though I warned my partner this might happen, unless someone completely loses control, it just seems like I’m “angry,” not that it’s due to the dose reduction. I also have a history of self-harm (many years ago), and I definitely wouldn’t want to turn this anger against myself.