In this case, I really just mean unrestricted. As in, you just eat any sort of unprocessed food. Not arguing that it has to be balanced but rather that the benefit mainly comes from cutting processed foods, not from cutting out fruits and grains.
Ah okā¦ Iād still cut fruits and grains though.
Considering the medication prescribed for these illnesses are in general metabolic nightmares, Iām not surprised keto may have worked. Another confounding reason this project may have been successful is someone actually served them every meal. I question the practical application of this in real life. Some people with these disorders are unfortunately not that compliant to lasting medication, as they quit taking it when they are feeling better, thus relapsing.
Slowing down the tempo in which the brain works through keto sounds nevertheless interesting.
I listen to a lot of comedy radio. My favourite comedians are guys like Bargatze, Mulaney, Carr, Jeselnk, Gaffigan, Regan, Glaser, Bamford, Schlesinger, Fluffy, Giraldo, Attellā¦
But tonight I was listening to Anita Renfroe. She was talking about Barbie dolls. Said if a 5ā10ā women had the same proportions, her measurements would be 36-18-33. Youāve probably heard this before. But then she made two other claims.
- That none of Barbieās accessories has ever been food related, and that the Dream House did not have a kitchenā¦and
- That women in general are enamoured with shoes largely since they are almost always likely to fit
Of course comic license gives one leeway, but it struck me that both these things are fairly plausible. Do you think there is some truth to these?
(Maybe this is stretching psychology, but it aināt worth a separate thread, soā¦)
I can tell you that women absolutely have strong feelings over feet that are ātoo bigā and that some women will wear shoes that are tight because they donāt want to size up.
As for Barbie, I feel like Iāve seen some sort of sweets shop (donuts, maybe?) but I canāt pull it into focus (was it a pet store instead?) and donāt want to look it up.
I donāt know about the measurements, but Iāve seen the āif she were realā thing a number of times. The issue is not just how thin she is (waist circumference) itās that her chest and hips are unusually large given the small waist. However, she was developed back when women still wore corsets, which would have impacted how a busty, hour glass-shaped woman would have appeared. I also lived as a very slender young woman with a 32DD chest, and found it impossible to find cute bras as I guess the market wasnāt there for not-fat or big-boned women with big boobs. I was excited when boob jobs became more common because the market expanded for girls like me. So Barbieās shape might not have been usual, but add a corset to someone like me at age 20-25 and I may have looked somewhat alike to that. Except, you know, not plastic and jutting.
Itās certainly a fact that women are screwy about size and everything else to do with appearance. At the same time, here we all are at TN, anguishing over our bodies - and weāre at least 90% male.
The DSM was developed primarily as a tool for communicating (common language). The overlap between psychiatry and psychology - and generalist medical people and clinical social workers - is that they both treat these disorders. So I treat people with bipolar disorder behaviorally - strategies for managing the disruption it causes, say - while a prescriber prescribes. We both bill for our services under the DSM-IV code for bipolar disorder. Thatās all.
In my role as a talk therapist I certainly do refer to med providers, because behavioral work takes time, as you are aware because itās such a focus for you. My goal always being, for disorders that allow for it, removal of meds at some point. Anxiety and depression, for example, may need work on communication skills, boundaries, organization, etc, but when someone is drowning in fear and sadness meds are the quickest way to feel better. They can allow me to do my work with someone who is now better enough to begin experimenting with cognitive or behavioral strategies. When theyāve got boundaries and a morning routine and are not shrieking at their kids and are just feeling good and happy and proud, they may start thinking about titrating off of meds.
I always use diabetes type I vs type II as a metaphor - type I is often diagnosed in childhood and will always need meds. Itās a broken system and can only be managed, not cured. Type II is often considered a lifestyle disease. People go to their doctors with symptoms, are dxād with type II and put on metformin or whatever, and go home to make one of two choices: they can either continue on as they were, with the crap food and tv watching, in which case they will eventually be like an uncontrolled type I and lose sight and feet and etc, or they can change their diet and start exercising, in which case they will probably be able to come off meds and be, essentially, cured.
Mental illness is like that. āType Iā sorts of disorders would be schizophrenia, bipolar d/o, etc. This category (this is only my language, though, there is no type I/II) might include depression and anxiety (agoraphobia is a beast and will not be resolved without meds) or it might not. Many people are depressed and anxious because their lives are not going well. So thatās where therapy comes in.
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To be fair, Iām in it for the strength following an introduction to weight training for sports early on 
Having muscles is a nice effect though.
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Peggy Hill had huuuuge feet
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But she is a cartoon, a fictional character, whereas Barbieā¦
ā¦erā¦ never mind. Renfroe is not my favourite comedian, but maybe she has a point. And maybe she donāt.
I really like Anthony Jezelnik. Dark, brutal comedy. That dude cuts straight to the bone and keeps on hacking.
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Iāve used this metaphor too!
I agree.
I know a non-zero number of people who think that therapy is the drugā¦ that they can just go and make 0 lifestyle changes and expect results.
How often do you have patients who show up and not make progress?
You sound like a very productive therapist. Most that Iāve met - are not.
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I think comedians are the modern-day incarnation of philosophers.
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Donāt forget Mitch Hedberg, he was hilarious but sadly died way too young from lady H. It would have been amazing to watch his career develop over the years, but in his short time here he still was special.
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He was awesome, I was lucky enough to see one of his shows before he died. The other comedians were aggressive and dramatic, but he was just laughing at himself while doing his set.
Lady h? I thought it was coke.
Yeah, my list isnāt very complete. I love listening to Mitch Hedberg. Heās absolutely unique. Iāve seen a few of my favourites. But unless they come out with some hideous AI versionā¦
I could add Mason, Pinette, Norm Macdonald, Dangerfield, Theo Von, Seinfeld, Ronny Cheung, Jo Koy, Burr, Patrice OāNeal and many, many othersā¦
I wouldnāt do comedians dirty like that. Theyāve brought joy into the world.
I think theyād appreciate it. Think about Dave Chapelle and Diogenes. Or Christopher Titus and Voltaire. Or Joe Rogan and my best friendās older brother who sold us weed and insisted that the Mayans invented cellphones.
The list goes on and on.
It is observations of the human condition, so I agree.
I thought of a new one. Mitch Hedberg talked about āsmacky the frog,ā died from smack, and itās theorized that Homer wrote the Batrachomyomachia, which features the frogs destroying themselves. So Hedberg and Homer.
āComedy too can sometimes discern what is right. I shall not please, but I shall say what is true.ā ~ Aristophanes
āSmacky The Frog is the fire prevention representative in England. They donāt have bears in England. They aināt ever heard of Smokey The Bear. Bears are scary. But Iāve never been scared of frogs. Frogs make me feel hopeful. Look! Here comes a frog! I hope he lets me play with him, then I can put him in a jar with holes to breathe and one leaf, like he is used to. Smacky The Frog is a better system. I think we should adopt it.ā
~ Mitch Altogether (Paraphrased)
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