Practices
Every practice in the library, in one list. Narrow it by how long you have, who it is written for, and where you are right now.
Narrowed down
7 practicesArea · Low mood and hard feelings
How long you have
Who it is written for
Where you are right now · Getting ready for something
On your own, or with someone
Approach · Medical and treatment
If stopping has been harder for you than it seems to be for other people, that is worth taking seriously rather than reading as a flaw in your character.
Some people are working against more than a habit. The thing they are giving up was quietly doing a job for them, holding attention steady or keeping…
There are medicines that make stopping smoking easier, and one of them can sometimes cover a mood or attention problem at the same time. That is a fair thing to ask a doctor about.
All of them carry side effects, so the conversation is a weighing up rather than a yes or no. Go in with what you already know about yourself: how…
Set small rewards for staying off it and let them grow the longer you go, so the next one is always near and a slip costs something you can feel.
A vague future benefit competes badly with something available right now. A jar you add to daily, a treat at day three and a bigger one at day ten, a…
Four things carry most of the difference within the class: how much it sedates, how much it activates, what it does to weight, and what it does to sex.
Before anything is chosen, write down which of the four you cannot live with. Almost nobody is neutral about all four, and the one you will not…
Match the tablet to the person rather than to the diagnosis. For someone flattened and slowed who has said clearly that they will not accept sexual side effects, paroxetine is close to the worst choice available.
It is the most sedating in the class, the least activating, and carries a high risk of exactly the effect they ruled out, with weight gain and the…
If you are the therapist, hand the prescriber the profile and leave them the pick. What you hold that they do not is what this person is like across a week, and what they will absolutely not tolerate.
So write those two things down and send them: the presentation, in plain description rather than jargon, and the non-negotiables. Not a drug name.…
If a treatment reliably produces strange sensations, describe them beforehand. Expected strangeness is far easier to sit through than strangeness that arrives unannounced.
With esketamine, feeling oddly detached from your body or the room is the drug doing what it does, not a sign of harm, and it usually clears within a…
There is more about low mood and hard feelings than the practices: the low mood and hard feelings area has the themes and the courses too.