I *am* generalizing Fearmongering about addiction and dependency is bad, the medical gatekeeping it has led to has caused a lot of harm, and I'm opposed to it
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Replying to @arthur_affect @unwitod and
You are not *generalising*, you fucking automaton. I’m having to repeat the same damn thing for every medication you drag into this. “What about paracetamol for headaches? Ok, what about paracetamol for tooth-ache? What if you’ve stubbed your toe?” It’s the same fucking question!
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Replying to @Shatterface @unwitod and
No, I'm generalizing and you're refusing to do so, it's kind of obvious I'm generally against medical gatekeeping and you're throwing a tantrum about how medical gatekeeping is obviously good in some areas and obviously bad in others
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Replying to @arthur_affect @Shatterface and
I mentioned SSRIs *specifically* as a well known, widely accepted counterexample to your bullshit claim that HRT for trans people is the only time anyone ever prescribes a drug that creates a future dependence on that drug
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Replying to @arthur_affect @unwitod and
You don’t prescribe SSRI’s *in order to create a dependence on SSRIs* - you prescribe them for depression or OCD. Almost all children with gender dysphoria will grow out of it; puberty blockers and cross-sex hormones turn dysphoria into a life-long medical condition.
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Replying to @Shatterface @arthur_affect and
And we don’t just prescribe SSRIs willy-nilly, and as a permanent solution. We try to determine the root cause; we also try out alternative, non-medical solutions. The point isn’t to perpetuate depression, it is to eliminate it.
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Replying to @Shatterface @unwitod and
Oof, this is the part where your opinion becomes almost as terrible as the one about trans people
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Replying to @arthur_affect @Shatterface and
This is extra terrible because we were JUST TALKING about the fact that if you start SSRIs you need to be prepared to take them lifelong because they have withdrawal symptoms, that's what killed David Foster Wallace
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Replying to @arthur_affect @Shatterface and
You don’t need to take them lifelong because of the withdrawal problems; there are several ways around that. You need then lifelong because your brain is faulty. We don’t know why or how to fix that but we can ameliorate it. Thus SSRIs.
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Replying to @MKKare @Shatterface and
Yeah it's not that it's impossible to go off them but the risk/benefit analysis of doing so is greatly affected by whether you think chronic depression is likely to be permanently cured by a change in circumstances (the evidence is most of the time it's not)
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In DFW's case the issue was he was in the high risk category for heart problems based on the combo of meds he was on so his doctors thought it was worth the risk of tapering off because his life circumstances were so different from when he started (famous writer, married, etc)
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