#Fucking god fucking damn it

[vergess]

An adult human in my vicinity went for ADHD dx. She had a call that had a lot of standard ND screening questions and got a prescription for both Wellbutrin and Zoloft, and told that she needed acomputer test for a proper diagnosis and actual ADHD meds, plus blood work. Is that normal? Do you know anything about antidepressants and ADHD?

I mean, it's definitely normal, yes. Whether it's good is much more debateable.

But it's extremely normal, because we live in a fuckign hellscape and the government in this country likes to arbitrarily gatekeep life saving medications like pain relief and stimulants to prove they're "tough on drugs" even though it literally makes the problems of addiction, street drugs, and overdose related death much much much MUCH WORSE.

/ahem

Anyway, it's very normal for a medical practice to either say outright "we don't treat ADHD here at all sorry" or to put access to stimulants behind a bunch of weird obtrusive hoops. For example, I have to go to my doctor every three months for a physical, a mental health screening, and to sign a stupid fucking contract that says I'm Contributing To Society In The Legally Mandated Ways before I am allowed to get the medicine that literally allows me to feed myself or clean my own body.

The computer screening in particular sounds Very Legit to me, because a lot of the time they're going to end up using the same diagnostic exam you can fucking take online, but monitoring you while you do. Advise your friend to always describe their most extreme ADHD symptoms when taking the screener. If they've ever "forgotten an important work task" she needs to put that she constantly forgets them, like the maximum fucking amount. Stuff like that.

Okay the actual question now.

Wellbutrin+Zoloft is a common enough treatment for ADHD when your doctor is averse to stimulants for whatever reason. In a normal society, this would be "because you have a history of heart problems or have tried stimulants and found them unhelpful," but we don't live in that world. It's what's called a second-line treatment, which basically means it's supposed to be tried second, after first-line (stimulants) have failed.

ADHD is generally believed at this point to be a fault in the way neurotransmitters bind to neurons in the brain. They take 'too long' to bind, and end up getting cleaned up instead of transmitting their message. Since the cleanup system is being constantly triggered, you also make less of these neurotransmitters since there's an apparent oversupply. (This is a WILD oversimplification)

Stimulants cause you to make more neurotransmitters, bringing production up high enough that the transmitters have a chance to bind before the overzealous cleanup systems eat them.

Wellbutrin slows down the cleanup process of one neurotransmitter (noradrenaline, I believe). Zoloft slows down the cleanup of a different one (serotonin). So, they're often prescribed in concert.

But, they literally cannot help you produce more neurotransmitters so they fundamentally have limited overall utility in ADHD. Not no utility. Plenty of people who cannot take stimulants find this combination adequate to live with.

But in almost all cases stimulants will work fucking better.

The fact that our goddamn War On Drugs bullshit has made it this difficult to get them is disgusting and is also specifically the fault of Joseph Robinet Biden, who takes great personal PRIDE in having created this medically destructive hellscape during his pre-presidential career and now seems to take great joy in doing nothing to clean up his own goddamn mess.

Okay so!

Yes, SSRIs, NDRIs, and other reuptake inhibitors (cleanup slowdowners) are definitely An Option for ADHD, but they're SUPPOSED TO BE A SECONDARY OPTION FOR A FUCKING REASON AUGH

ETA: You can also be prescribed secondline treatments in addition to firstline ones, if you for example need stronger management of symptoms, etc etc there's a lot of nuance this is a rage fuelled over simplification.

#Medical ableism #medical gatekeeping #war on drugs #Fucking god fucking damn it #My doctor is relocating to a larger town btw #And the nurse replacing him is 'willing' to fill my prescriptions for the 3 months on my latest checkup #BUT THEN WHO KNOWS ITS A REAL MYSTERY #FUCK YOU JOE FUCK YOU ENTIRELY DROP DEAD YOU FUCKING FILTH MONGER

[edgebug]

the thing that sucks most about Joanne Rowling being a terf is that she is actively hurting real life trans people every day.

the second worst thing about joanne being a terf is that the Harry Potter intellectual property is So Much Larger than her. look at the credits for just one of the harry potter movies. every single one of those people put YEARS of time and effort and dare i say love into those films. think of all the people involved in theme park design and operation who put together the wizarding world park lands and detailed them so lovingly and fully

and yet even though the intellectual property of harry potter is so much larger than joanne, she's poisoned the whole well

i feel so. so immensely sorry for every person involved in the harry potter ip who isn't jkr. doubly sorry for every trans person involved. it's fucking sad

#fuck harry potter #I just feel sorry for danrad and etc. who just. god. god damn #imagine putting that much work into something and then. yeah

[greelin]

it is literally called a “happy” trail for a reason.. If you feel any emotion other than joy upon seeing it you should be sent to live on a deserted island by yourself forever. or blow up. either way get out of my presence

#‘i hate hair on the human body where it grows’ like grow the FUCK UP!!!! god DAMN!!!! get TASTE!!!! #this is about all genders baby. Hair is good and normal and also soso sexy

[forgetful-nerd]

We've all talked about Leo and his affinity with being thrown through windows, but has anyone else notice how frequently Raph get eye trauma?

#seriously what the fuck is up with the constant eye trauma for this Turtle #I know we don't see the worm actually bury itself in 2012 raph’s eye but I think we all agree that is what happened right? #like god damn this boy can't keep both his eyes to save his life #tmnt #tmnt 2012 #teenage mutant ninja turtles #rottmnt #tmnt 2003 #2012 raph #2003 raph #tmnt sainw #sainw #sainw raph #rise of the teenage mutant ninja turtles #rise raph #rise of the tmnt #tmnt raph #raph #raphael

[bixels]

Just gonna have to wait and see, right? Just wait and see! Just gotta wait and see! Who knows, we'll just have to wait and see! It's anybody's guess, we'll just have to wait and see! The future is exciting, we just gotta wait and see!

#personal #my art #Fuck your fake ass 'i am very smart!' intellectualizing “observations” and open your god damn ears. #do something for fucks sake. it's sickening seeing videos of ai crap and seeing rows and rows of repliers using their one brain synapse #to type “wow! very exciting!” “haha this is kind of scary! but in a really interesting way!” #and then they go about their day without a second thought while creative industries burn around them #i go to one of america's top tech schools too and it's enough to make you wanna tear our your hair #every day it's seminars and talks about “the potential consequences of ai!” when the consequences are happening NOW #NO MORE DISCUSSING NO MORE INTELLECTUALIZING NO MORE SOCRATIC SEMINARS NO MORE DEBATING. ACT YOU COWARDS #people are getting hurt RIGHT NOW. stop pretending to care when you clearly don't! just be honest and say you wanna make money #my time here has really made me hate academic spaces. you people are so god damn useless and cowardly.

[1hellofacookie]

Do... do you like

...the colours of the sky?

please tell me nobody did this yet 💀💀

#i PUT SO MUCH FUCKING EFFORT INTO THIS #please let it be worth it #also god fucking damn it tumblr is pixelating this so fucking much #ANYWAYS #pls look at this its funny #my art #zelda #tears of the kingdom #zelda totk #totk #tloz #do you like the color of the sky #we're not mentioning any proportion or formatting issues here #this took long enough #but hey look at the shading

[puppyeared]

these two are so interesting to me

characters belong to @canisalbus

#clenches fists. im so sosososo normal about them. i think about them a normal amount (lying) #actually the 2nd image is based on some sort of anime couple pose template(?????) that i saw a while back and wanted to draw them in it #but i swear to god i CANNOT FUCKING FIND IT. i was literally knee deep in yuri and yaoi fanart for hours trying to find that god damn photo #but i dont even know who the characters were and pinterest just shows me bakugou and deku making out sloppy style whenever i try #so i gave up an tried drawing it from memory and cried the whole time. i hate anatomy.. but they look so happy so its fine #god whenever i see Lore or sweet little tidbits for these two i want to tear into something with my teeth and throw something /pos #i genuinely want to study these gay little renaissance dogs under a microscope #what fucks me up is the fact that we all know it ends horribly but u cant help loving them anyway.. they are so. incoherent hand gestures #my art #myart #others ocs #vasco #machete #vaschete #furry art #fur #anthro

[redactedcrowart]

0100001001001100010010010100111001001011010000010100111001000100010110010100111101010101010011010100100101010011010100110100100101010100

#me when i blind myself trying to get the fucking saturation on all these colours right #god damn it #eyestrain cw #my art #art #illustration #artist on tumblr #artist #digital art #marble hornets #mh #mh fanart #marble hornets fanart #tim wright mh #tim wright marble hornets #tim mh #tim marble hornets #tim wright #masky marble hornets #masky #mh masky #tim masky

[sylladextrous]

girl who loves chains and spikes and various textures

#god damn im looking so fucking good lately #my self-confidence has skyrocketed lately and im so fucking excited #trans #transgender #gpoy #chloe.img

[andi-o-geyser]

local gang of dnd players intimidate and viciously bully game show host sam reich, threatening to push his ass down the stairs like he's a 90-year-old grandma in a retirement home. more at 8

#another brennan lee mulligan monologue to go down in the books folks #this one is short but holy shit does it pack a punch #this threat like god fucking damn brennan #sam is on a plane to aruba rn planning to start his new life so that these three won't come to his house at night and murder him #gimme a minute a may pull a muscle laughing #also siobhan's little push on sam too is like asdfsjkhksjd im fucking cackling #game changer #game changer spoilers #brennan lee mulligan #sam reich #siobhan thompson #lou wilson #dropout #dropout tv #d20 #d20 cast #college humor #andis thought geyser

[heart-of-the-morningstar]

You guys wouldn’t BELIEVE how normal I am about this man, I definitely DON’T lay awake at night thinking about him…

#hazbin hotel #lucifer morningstar #hazbin lucifer #hazbin hotel lucifer #baby u r my angellllllll #i’m so god damn normal about him it’s not even funny! #everyday I stay further from God’s light #if you guys couldn’t tell I’m fucking lying :)

[sydmarch]

#fucked it up had to repost damn automatic duration being 1day #texticles #i love that muting a post in your notifications does nothing@ #turning off reblogs bcus i didnt expect this to get traction outside maybe mutuals of my mutuals & i dont want to have my feed clogged #by a million people telling me in the tags what song is stuck in their head im sorry but i trumy dont care god bless <3

[skywerse]

The Sun

#jrwi riptide #jrwi #just roll with it #jrwi fanart #digital art #jay ferin #i never tried this style before #but god damn #hades game inspired art style btw #gorjus #i found my new fucking calling

[wildflowercryptid]

the kalosian worms are quickly eating away at my brain, folks.

#enjoy my shitpost doodles i'll do more serious ones later #mjv!calem is so funny to me i want to study him in a lab #the most fucked up lil dude in all of kalos he's so god damn haunted #just girly things : when an evil ecofascist ceo tricks you into almost killing your friends by brainwashing you <3 #i actually need to talk about what happens in mjv!xy instead of just dropping wild out of context jokes about plot points aksflj #pokemon #pokemon xy #pkmn xy #pokemon serena #trainer serena #pokemon az #trainer az #pokemon calem #trainer calem #rival calem #pokemon shauna #rival shauna #pokemon emma #trainer emma #hc : (pkmn) mjverse #chara : serena vidal #chara : zephyrathes '' az '' vidal #<- fucked up in that hc post and forgot to write out his full first name oops #chara : calem durant #chara : shauna bellamy #chara : emma khalil #🎨 : mj draws #tw explosion

[mutatedleemon]

Please god forgive me

#luigi nintendo #Luigi #bowser #bowser nintendo #bowuigi #damn drawing bowser is so fucking hard oh my god #but also damn where did I put my monster fucker permit

[kaptainandy]

crying over bruce roasting jeff for breaking his trophy and calling him his "wanna-be, loser, ass hat friend." GET HIS ASS

#also shoutout barbara for sharing his insta #i knew he did architecture work but god damn he's fucking insanely talented #like go off art hoe #plus we get some crumbs like this #but he's worth following just to see his work and his antique artwork collection #we love a talented artsy king #reanimator #re animator #re-animator #bruce abbott #barbara crampton #jeffrey combs