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Thetexashammer

Certifiably Surly
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Everything posted by Thetexashammer

  1. Just being ROTC doesn't get you financial benefits. You have to accept, and be worthy of, a military obligation to get the money.
  2. If you divide by a half, or a third, you are doubling or tripling your cost. #math
  3. This is another reason I hate the Brits. They talk like fags and their shit's all retarded.
  4. It's literally just amazing. If there were crimes, they would have been included in the impeachment. People here actually believe there are crimes, but the Dems simply declined to include them.
  5. But seriously, 9mm is so much better than 40 caliber.
  6. Oh, I apologize. It's not fair to you. I won't make fun of you anymore.
  7. Spiked wrote an excellent article about your kind. #twominuteshate https://www.spiked-online.com/2020/02/03/the-remainer-elites-are-the-true-bigots-of-brexit-britain/
  8. I've changed my mind. These are the people who should run my medical care and manage my retirement savings. They know what's best for me, even when I don't. They are competent, caring professionals. They only want the best for me and mine. I trust in their good motives. Their promises are as good as gold. Sign me up.
  9. Slow your roll there Jive Turkey. At least Bernie's been there. On his honeymoon. To the Soviet Union. Have you ever been to the Soviet Union?
  10. I don't really care if you suck your boyfriend's dick after he fucks you in the ass. That's your business, I don't judge.
  11. Was this post to me? It doesn't make any sense.
  12. The hundreds of people who have been released from death row make it a statistical certainty that we've executed many innocent people. I've been somewhat surprised that they haven't identified an actual innocent victim yet, but it won't change the argument all that much. A significant percentage of people who get convicted of all crimes are innocent.
  13. Is the diagnosis at this time strictly clinical? It doesn't appear they have any serology or PCR yet.
  14. TwiceHorn's comment was important because the misunderstanding of depression is what often leads people not to get help. The common understanding of depression is situational. That is true of clinicians as well, they themselves are unclear on the distinction. So they overtreat, throwing meds at everything. Which is a commonly held view among people who could be called subject matter experts. Call it a Type I error. I am a member of more than one profession where a diagnosis of depression can be a career limiting, or a career ending, maneuver. Unsurprisingly, there is an concentration of suicides within these groups. They don't get treatment. They feel empowered not to get treatment because they think they push through it. If you can just keep going, it'll work out. But it doesn't. Lives are ruined or ended because people don't get meds. Those same people would never think they could push through a torn ACL, or a tibia fracture. But the common cultural understanding is the depression is mere weakness. The reality is it is a medical illness that requires medication. You are helpless against the illness. Your patients have sought help, often not voluntarily. Of course they're on meds. It's the patients who need meds and don't get them that I am concerned about. From my foxhole, there's a shitload of those people. And many, many of them have bad outcomes. Put simply, the more you tell people that depression is a medical illness, and meds are the treament, the more lives will be saved. All the alpha males and females that think they can push through it are wrong, and they are risking their lives. Jevan Snead, it appears, did not have CTE. He was, very likely, an alpha male who did not seek treatment but did kill himself. The article does not disclose that he receieved any medical treatment for what was likely to be a serious medical condition, or that he had a real diagnosis, so who knows, but if he had been pharmacologically or otherwise treated, most likely they would have mentioned it. So I don't think it's off topic, I think it's entirely on topic. I think he's exactly the situation I'm describing. Anyway, that's my opinion from my foxhole. Many people who need meds aren't getting them and bad outcomes are happening. Type II error. You can treat a problem that occurs at the neurosynaptic level with talk therapy all day long, ut people need meds. But let's not just put it in the water supply, but let's find those folks who aren't seeking help and treat them. I want popular culture to understand it is a medical illness for which medical treatment is required. If they do, they'll get better and lives will be saved.
  15. UDon't, I had a friend who killed himself a couple of years ago. Wife was eight months pregnant. I don't want to put words in your mouth, so I won't. I don't know what he was or wasn't being treated for at the time. Most likely it was nothing. When you say it "we give everything to everybody and the distinction doesn't matter", I get very uncomfortable. My friend needed meds. In my head I picture him getting CBT or whatever. The meds save lives. You can't talk someone out of depression, and as I pointed out, you can make it worse if you fail to treat the underlying condition. Again, not talking about mild depression, for reason you know. You seem to be suggesting there no distinction between needing meds and not needing them. I think there is.
  16. This is what I find concerning. If someone has a medical illness (MDD), your talk therapy is not only useless to cure the underlying problem, but by providing a treatment doomed to fail, and this was my personal experience, you make the underlying medical illness worse and delayed necessary and important pharmacologic treatment. You can assume I'm not talking about mild depression. That is an entirely different subject. People who need avoid meds out of ignorance and because of the stigma. That is why Twice's point is so important.
  17. What medical problem do you solve with talking? I don't doubt you can make people feel better, that wasn't the point. The same thing is true of talk therapy for people who aren't depressed, you can ask them afterwards and say they they'll feel better. Twice's point was that there is a medical problem, and a nonmedical problem. He's correct.
  18. Twice Horn is mking a hugely important distinction. If you get a diagnosis of stage 4 cancer, you're likely to be pretty depressed. But meds are going to be entirely useless for you. If you feel like something is wrong and that your whole world has changed and that you can barely get out of bed and you don't know what's going on but death would be a relief, that's brain chemistry and you need meds and talk therapy is useless for you.
  19. You know, there isn't anything wrong with fish and chips. But Long John Silvers has better fish and chips and 95% of what you actually get served in England.
  20. Fuck butterteeth in his ass with a rusty pus infected razor wire baseball bat.
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