Comment author: riparianx 10 March 2015 12:12:51AM 4 points [-]

If anyone is interested in actually being part of a support group of sorts, let me know- if enough people are interested, I'll see if I can find a good way to do it.

Comment author: spriteless 09 March 2015 04:21:43AM 2 points [-]

Just getting rid of stuff is one way to stop a trigger. Building up a way to deal with it is another. Like, you could come up with a plan for your finances, and practice bringing up your finances and saying that plan, so you build another association with your finances that isn't a loop of anxious thoughts. Like role-play therapy, where you plan out and practice your reactions to someone saying something before hand.

I am assuming a heluvalot about you with that advice though, sorry if that doesn't even make sense.

Comment author: riparianx 10 March 2015 12:11:16AM 1 point [-]

Well, I'm not the only person who struggles with anxiety, much less mental illness in general, so while your advice may not apply to me it probably applies to someone else. Focusing all of the discussion of mental illness on the one mentally ill person who started the discussion is... well, not exactly what I started the discussion FOR. So, any advice you have is totally welcome and appreciated.

Comment author: ChristianKl 08 March 2015 10:40:43PM 0 points [-]

It's not like I don't give out any internet based advice.

In this thread I did make a point to recommend gratitude journaling. It's good even if you don't do it in a group. I haven't heard from anyone messing themselves up with gratitude journaling.

Another recommendation would be meditating. Meditating is more risky. It makes suppressed emotions come up and you have to deal with them. I have no way of judging to what extend a person like you will handle that, because I don't know much about you. I know that on average meditating is great, but it's not without risks.

The standard advice would be to find a good local meditation teacher but I can't say anything about the quality of your local teachers.

I don't think it's impossible to give good advice via skype in principle but it's not a skill in which I'm well trained.

Comment author: riparianx 10 March 2015 12:05:13AM 0 points [-]

I meditate regularly- not quite daily, because when I get into a meditative state, I tend to not want to come out. When I do meditate, I'm still and quiet for at LEAST an hour. If I try to meditate for, say, 30 minutes, I end up setting another timer because I didn't get deep enough into quiet state. Meditation doesn't bring up suppressed emotions for me, though.

I do journal, but not gratitude journaling. I haven't tried that one because it seems more suited to a sad, apathetic person than a person who cares too much about everything and tends to minimize the good and maximize the bad. I like tracking the anxiety, though, and writing down thoughts lets me temporarily remove them from my mental state.

Comment author: ChristianKl 09 March 2015 04:15:16PM 1 point [-]

Anxiety transcends a normal thing and enters mental illness when it becomes pervasive and unreasonable.

If the thought of asking out a woman for a date raises anxiety in me I don't care at all whether or not that's "reasonable" or "normal". It's a trigger that I don't want to have regardless of whether it's classified as a mental illness.

Maybe "mental illness" is a bad frame, but at the moment, do we really have another to work with?

Yes. I have multiple different one's.

In Danis Bois perceptive pedagogy an answer might be: "You have problems with anxiety and worry about what you said last year because you constantly feel that you have to prove that you exist. If you would have a strong feeling of existence, your issues with anxiety would simply clear."

In NLP it might be: "There are a bunch of situation where you are ineffective triggers that produce unproductive emotions. Let's do the Fast Phobia Cure on all of them and get done with the problem."

Lefkoe Method would say: "You might have 40 limiting beliefs that produce that problem like "I'm not lovable", let's go and clear those beliefs by spending 30 minutes on each of them with the Lefkoe Method."

I haven't been at a CFAR workshop so I don't know their exact answer, but part of it seems to be: "Let's get clear about how our emotional desires differ from our intellectual one's and train comfort zone extension."

That's no complete list.

But when we go back to how to discuss the issue on LW, framing the issue as being around anxiety is likely more productive than framing it as being about mental illnesses in general.

Comment author: riparianx 09 March 2015 11:37:22PM 0 points [-]

Interesting, I haven't heard of most of these. When I get the chance I'll have to do some research.

Anxiety CAN be a good response. The fear-response that anxiety basically is can be a good "oh crap, I'm in a bad situation here." Getting nervous when asking someone out is uncomfortable and kinda useless. Getting nervous walking down a street at night when someone seems to be following you is normal, and helps you respond properly. The pervasiveness is a major part. If the anxiety is infringing on your life in a lot of useless ways, you probably have an anxiety problem. If a minor problem causes extreme fear, like an unbearable fear of close spaces, you might have a problem- almost everyone has to get in an elevator at some point, and having a panic attack because of it would be inconvenient and unpleasant.

Perhaps tackling specific problems at a time would be more effective. But considering the sheer number of kinds of problems here, I'm not sure. If I wanted to write a sequence on "general mental illness" (sorry, I'm going to continue using that phrase because it's not confusing and it's a good, simple term that doesn't require a lot of terms and you all know what I mean), and wrote, say, one article per mental illness... Well, I could say goodbye to ever getting anything else done. The research alone would take a lifetime, just on what we know now. Writing something worth having on LessWrong is a pretty big endeavor.

Once again, the problem is the sheer complexity of the problem. If we only tackled the really common ones (depression, anxiety, bipolar disorder, etc.) we might be able to do some good work, though.

Comment author: Daniel_Burfoot 09 March 2015 02:26:44AM *  3 points [-]

It's hard to give good advice on the topic of mental illness without falling into the trap of Other-Optimizing.

Comment author: riparianx 09 March 2015 12:41:51PM 1 point [-]

Agreed. But mental illness is such a weird and complex thing that it's even hard for trained professionals to help with. A lot of the posts here about Akrasia helped some, didn't touch others. I suspect we'd see the same results with this.

Comment author: Ishaan 09 March 2015 04:44:58AM *  4 points [-]

I think cognitive delusions often maintain themselves by being non-falsifiable, and an explicit knowledge of epistemology might help people better use logic to compensate.

I managed to get a schizophrenic acquaintance who had anxiety-causing delusional ideas which originated in mind-body dualism to reject mind-body dualism, after carefully explaining why parsimony is a good way to distinguish between the various non-falsifiable hypotheses and how one can roughly approximate what is and is not parsimonious and why the mind instinctively gravitates to mind-body dualism even though it's not necessarily true. After I finished explaining she kind of laughed and admitted there really was no good reason for her to believe those things. I might be imagining it, but she seemed relieved as well as amused.

We unfortunately lost contact, so I'm not sure if it stuck. This is the most extreme example, but I've seen other, less extreme cases where talking people away from odd beliefs was helpful to them. It's important to be convincing in these talks, and appealing to epistemically sound reasoning (as opposed to just dismissing it as most people do) is a good way to be convincing. Healthy people can instinctively tell that a delusion is silly, but for those whose instincts aren't working properly and take delusions seriously it's important to be able to explicitly explain why it's silly.

Comment author: riparianx 09 March 2015 12:39:23PM 6 points [-]

For some reason, your first sentence gave me the urge to hug you. I suspect it was a reaction to the fact that someone understood that. I've never been able to explain to anyone why "but it isn't your fault" doesn't let my brain believe it's not my fault.

Interesting. I suspect it did, except in particularly strong attacks (if her schizophrenia was periodic rather than constant).

Comment author: RomeoStevens 09 March 2015 06:50:25AM 6 points [-]

Reminder that CBT workbooks for specific problems have been shown to be almost as effective as in person therapies and that you can just buy them on Amazon.

Depression: http://www.amazon.com/Cognitive-Behavioral-Workbook-Depression-Step-/dp/1608823806/ref=sr_1_4?ie=UTF8&qid=1425883773&sr=8-4&keywords=CBT+workbook

Anxiety: http://www.amazon.com/Cognitive-Behavioral-Workbook-Anxiety-Step-/dp/1626250154/ref=sr_1_5?ie=UTF8&qid=1425883773&sr=8-5&keywords=CBT+workbook

referral link is for Slate Star Codex if you're wondering.

Comment author: riparianx 09 March 2015 12:32:47PM 0 points [-]

Ooh, cool. I did not know that. Thank you for posting these!

Comment author: [deleted] 09 March 2015 11:42:37AM 6 points [-]

May I ask a stupid question? How do people find out they are mentally ill? Obviously, I mean the not too severe cases. Let's take this GAD or tamer panic thing. During your childhood and youth you have reactions that people call "timid", "nervous", high strung" or "cowardly", depending on the situation and on them. I see four possible courses there.

A)One is you don't give a damn, you just accept it. It makes you less than happy but why would you ever expect to be happy? So you just accept some aspect of your life sucks.

There are two possible sub-courses here. As it is hard to put up with suffering in the long run A1) you can end up with self-medicating with drugs or booze A2) you become a "compensation monster", constantly climbing rocks and suchlike to show yourself and others you are not timit or not a coward.

B) You hate yourself for it, because you consider yourself screwed up and less worthy than others, but you don't realize this is something doctors may be able to fix, because you are used to people being very judgemental about this. I.e. instead of seeing someone who needs help, they see a person who is a bad and should feel bad.

C) You realize (or maybe your parents did) that it is fixable by doctors. This is obviously the best solution although A2 is doable too, but how do people get to this?

Just yesterday, I had a little shock, my wife told me that things like me being unable to dance coordinatedly, beat out a simple drum rythm, or draw beyond kindergarten level, or even to write cursive readably, is not simply "ha ha I am clumsy" thing but probably a childhood neurological, neuromotoric (or maybe ADHD) development issue and if my parents paid attention and seeked help it may have been fixable .I am still dealing with this idea that I am not simply clumsy but in a certain sense "ill".

To me the whole thing is a bit confusing. I associate illnesses with people being in bed and having fever. To understand other conditions as not screwed-upness, inadequacies, things other kids point a finger at and laugh because you are worse than them, but as medical conditions, is quite new for me.

In response to comment by [deleted] on Can we talk about mental illness?
Comment author: riparianx 09 March 2015 12:31:47PM 4 points [-]

The brain is an organ. Like any other organ, things can go wrong. It's becoming the consensus that mental illness is caused by imbalances of hormones and similar things. Dopamine and serotonin in particular. It's an invisible illness, though, and so sometimes it's hard for people to take it seriously. Parents who don't think of "clumsy kid" as a potential problem might just assume they'll grow into their limbs. That's what people thought clumsiness in childhood was for a while- uneven growth that would eventually normalize.

People normally find out they're mentally ill when they realize the people around them don't struggle like they do. When I realized that constant soreness and tiredness and sense of dread was a thing most people didn't have, I called in to make an appointment and started searching the internet. Also, it's not a stupid question. Personally, I'm a mix of B and C. I hope you realize that it isn't your fault, because I haven't gotten there yet.

Comment author: Lumifer 08 March 2015 10:34:24PM *  1 point [-]

Mayoclinic defines mental illness as such: "Mental illness refers to a wide range of mental health conditions — disorders that affect your mood, thinking and behavior. Examples of mental illness include depression, anxiety disorders, schizophrenia, eating disorders and addictive behaviors." This seems to be the standard definition.

Actually, I think the "standard" definition is provided by the current DSM. The Mayo Clinic definition is way too vague and general to be of any use.

If you like, we can taboo the "mental illness" phrase and instead use something like "badly defined and illogically based thinking patterns." ... Then it becomes pretty clear that "badly defined and illogically based thinking patterns" are really common and often not as specific as biases.

Sure, but then you are defining stupid people as mentally ill. Are you willing to do that for everyone with, say, the IQ under 85?

Honestly, I can't think of a single definition of mental illness that would say it's uncommon.

Go back a hundred years, for example. Under the definitions used then, was mental illness common?

common diseased thinking patterns.

"Diseased thinking patterns" is a dangerous concept. In the Soviet Union disliking communism was a diseased thinking pattern and people were actually put into mental hospitals for that. Not long ago being attracted to people of the same sex was considered to be a diseased thinking (and feeling, and behavioral) pattern, to be treated as a mental disorder. If I want to lose weight, is that a diseased thinking pattern and who will judge that? If I feel dissatisfied with life, is that a diseased thinking pattern and what kind of a pill will I be prescribed?

Comment author: riparianx 09 March 2015 01:56:53AM -1 points [-]

Vague, yes, but I disagree that it's useless. It at least is an extremely basic overview that someone can build on.

Hmm. I wouldn't call stupidity mental illness- low IQ doesn't necessarily mean they're an illogical person. it can mean they're slow, or challenged, etc. A person can be "stupid" and not, say, think the moon is made of cheese. Limitations on your complexity of thought doesn't necessarily mean the thoughts you have are wrong.

No, 100 years ago, a woman getting mad at her husband was a sign of mental illness. Mental illness was considered very common. People were put in asylums for anything from homosexuality to being too smart, or being transhumanist, or atheist.

I can see how the concept is dangerous, but only if misused. Cars are dangerous if misused. We use them daily. The idea isn't to toss pills at anyone unhappy or who happens to have different beliefs, the point is that some patterns are harmful and some people would like help with that. I think deciding for others what is harmful is, itself, harmful- if a person enjoys their hallucinations, and the hallucinations don't cause them to do harm, then honestly, we should leave them alone. If a person likes murder, we shouldn't. If you want to lose weight, you should get nutrition and exercise advice. It becomes a diseased thinking pattern if you think you still need to lose weight when you have a body fat index of 5%, or if you think no one will ever care about you if you weigh above 125. If you feel dissatisfied with life, the question is why. If you have everything going perfectly in your life and you're still constantly sad, that's a sign of a problem, and you should probably see a doctor. You might be prescribed therapy rather than a pill.

I think most people decide for themselves if they like their thinking patterns. I don't like mine. I'm seeking help. A person might be friends with the voices in their heads. A person might be tired of them telling him to kill himself. A transgender person may be miserable with their body-mind disjointedness and want therapy and/or a treatment plan to become what they want to be.

Comment author: Lumifer 09 March 2015 12:49:12AM 1 point [-]

We simply don't know enough to make one.

Do you think that such an "entry point" could be discovered once and for all, an unchanging truth like a constant in physics, or do you think that the answer will always depend on who's asking?

Comment author: riparianx 09 March 2015 01:42:12AM -1 points [-]

It's possible we could. I certainly hope so. But it's such a complex question that, at the least, we probably can't have a simple universal answer.

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