in person vs online

I am currently picking my right to choose provider from a list my gp gave me - after doing some research im between skylight psychiatry and dr j and co.

the reason for me being stuck is indecision over would in person be best. dr j and co operates fully online, while skylight has you come in for the ados assessment. i think i like the idea of an in person assessment, especially as i think my stimming behaviours would be more clear to see in person - like rocking, i do it a bunch, but its quite small movements, so i worry stuff like that wont be so easy to see on camera. unfortunately, the nearest skylight clinic id need to travel to is 1.5 hours away by drive. in addition, while if the waittime on adhduk is right, id be at home and could be driven, if its several weeks later actually then i would be off at uni - my closest skylight clinic for there is 2 hours away, and id have to take trains on a new route that i am unfamiliar with, which feels very stressful, and i worry idk how that would affect my behaviour in the assessment

reddit.com
u/Old-Entrepreneur-456 — 3 hours ago
▲ 6 r/TMJ

neck tightness - struggling to swallow - any advice?

a month ago i had an anxiety spike and then my muscles in my shoulders, neck and jaw got really tense. i already previously had trapped nerve in my shoulder (due to tight knotty muscles linked to fibromyalgia), and tmj.

tmj wise this caused headaches which have been constant for the past month and get worse when the back of my head touches anything, and right side jaw throbbing and such.

im a uni student, and while im off for the summer now its july i have a couple essays to do. im not too stressed about the content/making of them, its not like im really stressed about them specifically. but when i sit at a computer, even just to begin, my neck muscles are tensing up a lot. even at different desk/chair heights and stuff. this isnt something ive had a problem with before. its uncomfortable and painful. not only that is its making me nauseaus, i think through muscles putting pressure on the stuff in my neck, and is making it more difficult to swallow - i can still swallow liquids just fine, but solids and especially small things take much more concentration. i feel like a faulty vaccum cleaner that you have to hoover over a certain patch multiple times before it will suck up the debris. this neck tightness is noticibly worse on the side that my tmj is worse

i havent currently had treatment for tmj, im on a waiting list but that wont be for another 4ish months before i get seen because nhs wait times

any advice? note im in the uk so whats available to me is restricted by what the nhs is willing to give

reddit.com
u/Old-Entrepreneur-456 — 2 days ago
▲ 11 r/TMJ

TMJ and muscles tighter on one side

I have suspected tmj (on a waitlist rn, but nhs wait times are long), and if that is what this is ive had it for about 6 and a half years, ever since i had braces and began to have jaw stiffness issues.

It is considerably worse on the right side, and i wonder if this is what has caused some other issues. My muscles in my jaw, neck, down into my shoulder, are all a lot tighter than my left side. Resultingly, already tighter muscles on the right side combined with developing fibromyalgia have left me with extremely painful trapped nerves by the tightness on the right side, that have not responded to physiotherapy. this is a big problem as a lot of actions that require repetative movement trigger the nerve pain, like typing, washing up, eating, etc. it also gets majorly triggered when wearing even a light coat or light bag (both backpacks or wearing a single strap on either side). so you can see why i want to get rid of this issue, its ruining my functuality in life.

do you guys think that anything specific alleviating tmj wise, releasing tension there might also help the whole line of muscles down my upper right head/neck/shoulder to relax a bit? or is this a bit of a pipe dream.

reddit.com
u/Old-Entrepreneur-456 — 5 days ago

what housing budget and mortgage is likely with low salary but good deposit?

I currently earn a pretty low salary (25k), and live on my own. I also have the possibility of buying a house or flat as I have about 100k for a deposit from inheritance. What final budget would likely sound safe/sensible?

Preferably I'd love to get a ground floor flat or a house with a garden (pet wise), preferable a two bed. I work in Bristol, which pretty expensive but I'm not wanting to live towards the center itself, moreso thinking South Gloucestershire, North Somerset, West Wiltshire.

I'm also wondering how leasehold stuff flat wise would/should affect my budget and to what extent regarding service charge and ground rent?

Is buying at my current status reasonable? Or mortgage wise would I need to get a higher salary first?

reddit.com
u/Old-Entrepreneur-456 — 8 days ago

What do you guys do when you have loads of energy but not the physical ability to exert that energy?

I'm currently in a flare, and any not careful or gentle movements feels like it completely jolts my body and causes a bunch of pain.

At the same time, I'm also today a bundle of energy! the kind where you want to burn off the energy by going for a big run or doing stuff high energy intense kinda thing.

For me, when I feel like this normally, and especially before developing fibro, I would dance. Ive been a dancer all my life, I love feeling the music and moving with it, all different styles. I'm also in a choreographing mood and every time a song or piece comes on my brain is imagining both group and solo work that I desperately want to immediately do, use up my energy with, but I don't have the physical capability right now.

The loss of this freedom is one of the things I most mourn.

Right now all I can do is the most gentle, basic marking of different steps. Ugh. Which is not energy exerting and feels like I'm working against my brain which is going Run! Jump! Spin!

Has anyone got any recs for getting pent up energy out while in a flare? All my body wants to do is exert energy but the flare is meaning I can't and making me feel trapped or itchy under my skin

I wish I could atleast like find a group of 10-15 people I could like tell them what to do and choreograph them so my brain could be satisfied in part by seeing the pieces performed and the steps visualised (I'm not that visual a person - I can feel the steps more than see them in my mind, and the bits I can see are only flashes, not the complete movements and transitions, so I can't see if irl the choreo would actually look smooth and natural like it feels).

reddit.com
u/Old-Entrepreneur-456 — 19 days ago

This meme pretty much sums up my experience

a few months ago was put on duloxetine (depressed and have fibromyalgia). only lasted 4 days on it lol ​because this happened on the fourth day, starting only 15-20 mins after I took that day's dose. safe to say the ​doctors agreed I needed to stop taking that medication.

the suicidal thoughts lasted 10-15 mins or so, but the weird ​mental state lasted longer - thankfully I was with it enough to realise my thought processes felt wrong and unnatural after like half an hour. and then gradually it decreased over the day, but the emotional state would surge for a couple seconds and I would involuntarily giggle/grin and my head would drop back heavily then move chin ​forward, like a weird tick. not a fun experience, would not do that again.

by next day (by then had talked to nurses about stopping the medication so I didn't take it that day) emotional​ state had mostly gone, but I would still have the head drop back tick thing for a few days (minus the grin/giggling, which got gradually less extreme over the day)

idk if anyone had a similar experience?

u/Old-Entrepreneur-456 — 25 days ago
▲ 1 r/TMJ

How to help constant week long headache?

Had a constant headache for 6 days now, it's doing my head right in.

I reckon it's because I've been really anxious (medication induced/side effect of other condition's medication), my muscles back and neck been tense. so my jaws been stiffer and I've had a constant headache. the headache mostly tension type round the back/bottom of skull with occasional stabbing bits near eyes and that common ear pressure/itchy pressure thing I get. whenever the back of my head touches a surface (e.g. a pillow, lying down, or just if I touch it) headache gets worse

I can't take ibroprophen due to acid reflux issues, paracetamol isn't doing anything.

any recommendations on how to deal with/get rid of this? I'm used to multiple daily headaches but I feel like I'm going insane with this, it's so incredibly draining, especially combined with a little bit of fibromyalgia fatigue I've got flaring atm too. and yeah i feel ready to pull my head off I just need a break or atleast a way to decrease this. I'm in the UK if that affects things (ik weve got less access to certain medications the USA can access easily)

reddit.com
u/Old-Entrepreneur-456 — 28 days ago
▲ 1 r/TMJ

Possible tmj for nearly 7 years

I've had chronic headaches everyday for as long as I can remember. A bunch different kinds. I thought it was normal, so didn't see a doctor about it.

after looking into things, I think its possibly tmj. I have had issues since I got braces at 12/13 with my jaw - it used to get stuck, and even now it clicks if I move it down and to the right, I can feel the jaw moving on the left when ​i open my mouth slowly, and I havent​ been able to have chewing gum or toffees, nor have I been able to lean on my hand without my jaw going stiff since I've had the braces, even though I've had the braces off for 6 years now. my headaches and other pains fit into alot of tmj criteria/symptoms I've seen when researching online

online said tmj should be temporary in most cases, but ive had this for nearly 7 years. have I got any hope? have my long ago braces fucked me up for life? will I be able to fix things?

(I also can't take nsaids due to gastro issues)

reddit.com
u/Old-Entrepreneur-456 — 29 days ago

Onset anxiety 8 weeks in

I started 2.5mg 8 weeks ago, moved up to 5mg 7 weeks ago. Physical side effects gastro and increased spots on my face.

Just before 8 week period suddenly feeling alot more anxious. I have anxiety, but it's not like super bad, it's the kind I've had since I was little and just known as a kid who was a worrier, not like a level it was treated. No, I was put on this for depression. But now suddenly I feel constantly on edge, like fight or flight, and like I'm overstimulated, or like I'm both over and understimulated. basically the anxiety is very overwhelming. has anyone else experienced this? I don't know why it came on so ​late if I was going to have negative emotional side effects, I thought that would be sooner. is this common? If you experienced it, did it pass?

reddit.com
u/Old-Entrepreneur-456 — 1 month ago

I found out that daily headaches weren't normal

Ive been having often multiple daily headaches for as long as i can remember, from atleast my tweens. Found out it wasnt normal as i thought it was - i just thought everyone was having it - recently, and have been told to keep a headache journal by the doctor. Since ive now being paying attention and tracking them instead of trying to ignore them, ive found i actually have a lot more than i thought. like yesterday, i had 6 - not including the ones that last less than a minute. and today ive only had one, but its been there most of the time ive been awake. its not always strong, and often ignorable most of the time, but its definetly there. my headaches also tend to move around alot, and seem to fit into multiple categories placement and pain feel wise that online graphics on different types of headaches show. in stronger throbbing moments/periods theyre sensitive to blue light but not other types of light. they also come with itchy ear pressure sometimes. im curious, is anyone else in the same boat on the vibe of headaches theyre getting?

reddit.com
u/Old-Entrepreneur-456 — 1 month ago

doctor won't up dose unless I'm having positive effects

I've been on Escitalopram for about 6-7 weeks now. I started on 2.5mg (half a dissolvable tablet) for a week or so, then moved up to 5mg (whole tablet.) I started on a very low dose because I've had very severe side effects with different anti-depressants in the past so we wanted to start slower for both peace of mind and to help my body get used to it/the change in chemical balance

I've had some side effects - a bit sweatier/spottier than normal and my reflux is a bit worse, but it's been way way more manageable than past antidepressants I've tried. i was looking to move up to a higher dose, as I haven't yet had any changes to my mood, but I was told because I've not had any change at all, they can't increase my dose? and they suggested that as it isn't working to stop this one and try a different one.

but also I'm aware that I'm on the lowest dose so it makes sense that I'm not really getting the possitive affects yet?​

what would anyone recommend me doing? I really want to give this one a chance, and I'm terrified of trying another antidepressant and having horrible side effects like has happened twice before, it took a lot of emotional strength even to try this third one

reddit.com
u/Old-Entrepreneur-456 — 2 months ago
▲ 36 r/PWHL

New to hockey this year, I originally picked Montreal to support because I liked their jersies best. When I began actually watching, Abby Roque quickly became my favourite player.

But while for now my allegiance has been to Montreal, I haven't got too attached because I'm aware that the league is majorly expanding this year (not that I get a hometown team - I'm not even on the same continent). I was wondering what the likelihood of Roque getting taken in the expansion draft is, especially since there are possibly 4 expansion teams coming in. I feel like I'm currently more attached to her as a player than Montreal as a team ​as my time so far here has been short, so I'm considering jumping teams if she gets traded to an (eastern) team (the west has too large ​time differences rip goldeneyes I love your aesthetic but you're so far away), but also i really don't know yet. but this might not even be an issue to consider if she's not likely to be involved in the expansion draft so I thought I'd ask about that.

so yeah is she at all any of these 3?:

a) possibly likely to be protected

b) likely to be snapped up by a team

c) it's really hit or miss can't tell at all atm

reddit.com
u/Old-Entrepreneur-456 — 2 months ago