In some states, saving her life would have been illegal. Many women rightfully fear living in such states even if they are not currently pregnant because it’s a dystopian nightmare. It’s literal body horror. Imagine being raped, getting pregnant, being forced to carry the baby, then one day the pain is unbearable and the bleeding won’t stop but the doctors just sit there and watch you die. Some might risk giving you a painkiller, others fear even that could put them at risk.

It’s not that it’s illegal to move to another state. But it might be a death sentence.

Sounds similar to my journey in some ways. I’ll share a bit on the off chance that some of my experiences might be useful.

I always had headaches and mental health struggles. Hopefully you don’t. I sought help for both. My mental health issues were misdiagnosed (I’m AuDHD, the other stuff mostly stems from that) and for the headaches I was just told to lose weight. Easier said than done, and the headaches got worse while I tried. I used pain meds and developed chest pain that got diagnosed as heartburn. Prescription omeprazole (prilosec) keeps it in check.

I finally lost enough weight for them to take the headaches seriously and get referred to a neurologist. We can’t be sure of the exact cause, but a good bet is anxiety - a very sensitive/overactive nervous system as a result of C-PTSD and autism. I take topiramate to calm it a little, edibles 1-2 times a week, quarterly injections, and I do a somatic meditation. This is a great exercise for pain without a physical source, caused by things like my overactive nervous system.

If your pain is made worse by anxiety, it may help to get in the habit of practicing a quick somatic meditation focusing on the pain whenever you experience it. Otherwise, just keep advocating for yourself until you find a doctor that will help. I hope you find something that works for you soon.

Also, on brain meds: they’re all multi-function, so if it’s anti-anxiety that’s more of a happy accident. They wouldn’t give you a nerve blocker just for anxiety. Side effects tend to lessen the longer you take the drug, but not always, and the time scale is a bit different for each. At 2 weeks it should be starting to get better, at a month if it’s not better it’s probably not going to get much better. Hang in there!

This is the quintessential McDonald’s experience. Every time I give in to that random pang of nostalgia, I know I’m in for some kind of disappointment. It might be a broken ice cream machine, an item that’s just out that day or been removed from the menu permanently, or something as mundane as having my order screwed up. In that, ironically, it rarely disappoints.

That’ll be $28.73 at the second window.

I don’t have a source handy, but from what I remember: yes, a feral child can learn language later, but never to the same level of fluency. It’s more like learning a second language. Also there is extremely limited data because it mostly comes from horrifically abusive situations.

If I remember right, the most interesting data came from a study that gathered deaf children from areas where they had no sign language. The young children rapidly developed sign language, but the older children (teens) had a hard time keeping up and did not reach the same fluency.

The term narcissist is somewhat overused, though there are also a lot of them these days. To echo a bit of what others said, thinking average high schoolers are dumb is not a sign of narcissism. Average high schoolers are notoriously foolish. Even if you feel like it’s more than that and it’s a serious problem, that alone does not make a narcissist.

Actual narcissists are unstable. They need the adoration of others to feel good about themselves. They’re prone to fits of rage when anything damages their ego, and they can take just about anything as criticism then decide to fly off the handle.

If that is you, get help from a professional who specializes in it. If anyone reading this knows a person like that, read up and find a way to save yourself.

Well, I hope this wall of text helps at least one person. For you or anyone else who needs this and happens to find it: yes. There are many treatments beyond traditional antidepressants that are only a last resort because insurance is a pain in the dick. All of them are different methods of increasing neuroplasticity, making it easier to form new neural pathways instead of staying stuck in the same “comfortable” depression. It’s like depressive thoughts are a paved sidewalk and happy, healthy thoughts are overgrown, covered with branches and weeds. With enough persistent effort you might be able to clear out that other path, but it’s a hell of a lot easier if someone clears out all the weeds first and gives you a machete. That’s neuroplasticity with appropriate therapy.

The main treatments available are ketamine (IV), Spravato (ketamine nasal spray), ketamine troches, TMS (transcranial magnetic stimulation), and psilocybin (still illegal in most places). I can give details on each, but specifics will likely vary a bit by treatment center.

• IV ketamine therapy

is guided therapy while under the influence of IV ketamine. It’s the most helpful form of ketamine. Both the dosing and therapy are more targeted. The therapy part may be covered by insurance, but the ketamine rarely is and that runs roughly $400 a dose. Sessions are once a month.

• Spravato

is well covered by insurance because they were able to patent it. That also means it’s slightly different: it’s only the S-ketamine enantiomer as opposed to racemic ketamine, which is a racemic mixture of both S- and R-ketamine enantiomers. Studies funded by the drug company say that’s better. Other studies are less clear. But really, there’s just far less data in general because it’s new. Treatment centers may vary, but mine just put me in a room with no guidance or therapy and had me do drugs.

I knew how to make the most of it anyway, but I felt really bad for the people who expect it to work like other medications they can just take and they feel better. You need to actually form the new pathways during the state of increased neuroplasticity. If you go this route, make sure you have a therapist appointment the day after treatment, preferably with a therapist who is familiar with it. Treatments are twice a week for the first month and once a week after. Each one lasts about two hours and must be done at the clinic.

• Oral ketamine troches

are not usually covered by insurance, but they are relatively affordable at $50-75 a month. You may have to shop around to find a compounding pharmacy that can ship to your state (if US) at that price. Ketamine is poorly absorbed when taken sublingually so the dosage is much higher and the side effects may be worse. However, in my case I had fewer side effects once I found a good routine. Even though the troches are affordable, you still need to check in with the doctor every month. If insurance won’t cover that it will probably be almost as much as IV therapy. Some therapists are willing to do telehealth therapy with you during treatment so you can have guided therapy.

In the interest of being as informative as possible for anyone that finds this: studies show similar rates of absorption between oral troches and suppositories, but anecdotally some patients report a greater effect from melting their oral troches and boofing them. You can find instructions for doing this with opiates and the process is similar. The troche just needs a bit of heat to melt it. A hair dryer or holding the (capped) syringe under hot water will work. Anecdotally, this does seem more effective and was a lot easier than trying to hold the troche under my tongue.

• TMS

is well studied, non-invasive, has a high rate of success, and is usually covered by insurance. Treatments are only a few minutes, but you need to go in four times a week. It’s like Spravato in that you will get the most benefit if you’re actively working with a therapist to take advantage of the increased neuroplasticity.

• Psilocybin

is probably illegal where you live. Studies are extremely limited because drug laws make it difficult, but the data we do have is extremely promising - moreso than ketamine. The only reason we do ketamine instead is it’s already used as an anesthetic, so using it for depression is just off-label, which doctors do all the time. There is a push to legalize psilocybin for treating depression, but it’ll still be a while. Until then, you have to either obtain it illegally or grow your own mushrooms (illegally).

When using mushrooms, state of mind and a comfortable setting are most important. If possible, be with someone who knows you and can keep you calm if you get anxious. Some people - especially those with severe mental illness and/or a genetic predisposition to one, such as schizophrenia - may have a bad reaction, sorta like how any medication has rare side effects and some people just get the fun of being especially unique. But for most people, the experience can be profound and life changing. Some may snap out of depression after a single dose, others may need regular treatments every couple months. Unfortunately, drug laws limit both the data and the accessibility of this treatment. However, it has the potential to be the most effective and the most affordable.

There is hope. Your depression can be cured. You can feel alive and content and so many other emotions again.

If there are questions, feel free to ask, but I don’t know if I get notifications so I may not see it. I have not personally done IV ketamine or TMS, but I have read up on them and gone over the details with a doctor when discussing treatment options.

Hell make it where I can go online fill in all my information and automatically every time voting is taken place in my area I received a package in the mail. We fill it out vote and mail it back.

This is exactly how it works in Washington state. You get the ballot in the mail, fill it out, seal it up, and mail it back or drop it off in a drop box. It’s worked great for years.

Steins;Gate. It starts slow, but once it picks up it’s amazing and puts all that slow build up to good use. Not sure if it technically counts though. Visual novels are a weird middle ground that aren’t really book or game, but there are some really good ones. Definitely the way to go if you’re in more of a reading mood but want some art and music to go with it.

Seconding Etymotic. And if you wanted to upgrade later, you can get custom ear molds from an audiologist and use those instead of the included foam or rubber tips. It’s among the best sound isolation you can get. I’ve also always had excellent experiences with their customer service.

My pixel (5a) only does adaptive charging if your alarm is set for the A.M. If you’re second or third shift, it doesn’t even try. There’s no way to turn it on even in developer options. It was a pretty big wtf when I figured that one out.

I would love to be corrected, but when I looked into it, it sounded like you’d probably want 32gb VRAM or better for actual chat ability. You have to have enough memory to load the model, and anything not handled by your GPU takes a major performance hit. Then, you probably want to aim for a 72 billion parameter model. That’s a decently conversational level and maybe close to the one you’re using (but it’s possible they’re higher? I’m just guessing). I think 34B models are comparatively more prone to hallucination and inaccuracy. It sounded like the 32GB VRAM was kinda entry point for the 72B models so I stopped looking, because I can’t afford that.

So somebody with more experience or knowledge can hopefully correct me or give a better explanation, but just in case, maybe this is a helpful starting point for someone.

You can download models on huggingface.co and interact with them through a web-ui like this one.