The sounds are killing me 🥹

You just summed up 2026.

These pics are by Chelsea Jade Neil

It does have a lot of fiber but you also might be allergic to it.

https://open.substack.com/pub/naturespharmacy/p/does-yellow-dragon-fruit-cause-diarrhea

TIL I’m an average mammal.

It’s so beautiful when nature is healing.

Get that margussy, King.

Nice beaver!

Because this is a shitpost. Shitposts are not supposed to be nice.

The former. Upside down cat on top of a dog snout.

Like @yucandu@lemmy.world said, it would need to be an fMRI, which is primarily used in research as far as I know. And while it alone could not tell you definitively “this person has ADHD,” it could help rule out other conditions (like TBI, which can also present similar to ADHD). Ultimately, your doctor is right that a standard MRI cannot diagnose it.

I like to combine the checklist with interviews (like DIVA, Diagnostic Interview for ADHD in Adults) and computerized continuous performance tests, like QBTest. Of course, there is also a lot of observation and sometimes even asking humorous questions, like “Do you have The Chair^TM at home?”

The Chair^TM

Great question! To my knowledge, they are just starting to look into it, but with PTSD specifically, not CPTSD. There is this case study (n=1) and this pilot study (n=32) that show promise. They are recruiting people for more testing.

Preliminary evidence shows that it does help - and it makes sense. If cognitive deficits from PTSD are a result of an impaired executive function, then stimulants would help with those particular symptoms, much like in ADHD.

Here’s the thing though - the US healthcare system still doesn’t even have CPTSD as a diagnosis, so there is not too much research happening on the topic here. Considering how ADHD (especially in women) is also very understudied, there are so many variables we just don’t know or understand.

If you are interested in novel treatments of PTSD, I also recommend looking into blue light therapy. There is some promising results showing a reduction in symptom severity within 6 weeks of daily 30-min blue light exposure in the morning. Here is a systematic review that looks at 4 studies.

I would be down with that as long as it’s a viable way to diagnose (I don’t know enough off the top of my head about it).

Basically anything other than self-report and the clinician’s opinion would be nice.

I just started saying “guess you’re not going to heaven with that opinion” and walking away while their face gets red, steam starts coming out of their ears, and they start proving to you why they are the chosen ones.

For some reason it really bugs them.

Especially in women, like by a lot.

In my professional experience, it can be hard to tell between ADHD symptoms and CPTSD symptoms. The checklist is not a great way to diagnose people. We usually do a lot more assessments, I also use a computerized test to measure reaction time and error commission.

I wish we (therapists) at least had the option to order an MRI or recommend a doctor orders one in difficult cases (I can do the latter but they will just laugh at me).

It’s only true in the U.S. if you live in a food desert or somewhere rural with a single walmart. Which admittedly is a problem here.

But if you live anywhere with healthier stores like Sprouts and Whole Foods, you will find plenty of juice.

Even my regular local regular supermarket carries various juices.

Fetterman don’t need no stinking blackmail, he’s got brain damage.

He is conveniently one inch above the height cutoff.

Yes.