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>who you are can absolutely be changed by external circumstances

Yes, but that's focusing on the very unlikely external circumstances and defeating the point. 99.99% of the daily stuff that seems important actually is not and it's healthier to live a model assuming it's not important rather than worrying that everything could be that devastating brain tumor or IED taking out your bus.




In the US alone, for TBI alone, there were almost 3 million TBI-related emergency department visits in 2014[0]. One in 4,000 babies born in the US have hypothyroidism[1]. At the lower bound, there is 0.25% of the US population subject to schizophrenia[2]. If we go and look at things like Generalized Anxiety Disorder (GAD), 2.7% of US adults have had it in the past year, 32% of which had serious impairments associated with it[3].

I would invite you to seriously challenge the formulation of your idea: it's not that 99.9% of stuff "seems important and it's not", it's that not 99.9% of people have the ability to deal with it through just the one therapeutic aspect of self-talk. Moreover, there is a propensity to share these words because they are inspirational, yet there is very little put forward for the people who do need more than that - and who, in turn, tend to suffer from ailments which in many cases could be alleviated if as a society they were more acknowledged.

If you re-read my message, I hope you do see that I am appreciating the original words, and simply highlighting additional options to people out there who need more than that. That's all.

[0] https://www.cdc.gov/traumaticbraininjury/get_the_facts.html

[1] https://www.rightdiagnosis.com/h/hypothyroidism/stats.htm

[2] https://www.nimh.nih.gov/health/statistics/schizophrenia.sht...

[3] https://www.nimh.nih.gov/health/statistics/generalized-anxie...


I believe you and hear you. Not all events are under our control, and not everyone is able to lead a pain-free life. The general audience here may have some skewed (and perhaps limited) experiences.

Those of us fortunate to have good health and the ability to improve our circumstances should be glad for those opportunities, not take them for granted, and try to extend them to others.


Nicely written : )

> Those of us fortunate to have good health and the ability to [...]

And it's not easy to see from the outside if that's the case for another person -- I think often they'd want to hide things like anxiety and depression. Or me, when I had those anxiety and sadness problems -- I spent most time at home alone


Among women, about 5% have hypothyreosis, and depression/sadness and anxiety are some of the consequences (varies from person to person). And 2% of the men.

@pathseeker wrote: "very unlikely external circumstances"

But it's not just 1 - 99.99% = 0.01% that needs medication and other help than "just" meditation. Looking only at hypothyreosis, it's more like 2% or 5%.

@cmehdy it seems to me that you 1) work with health care, or 2) you have something like hypothyreosis or GAD yourself or people you know? or 3) you're a researcher? or 4) TBI happened to someone you know? (If it's too private then obviously no need to reply : ) And best wishes with your work)


Without getting into the details: kind of a combination of things, indeed :)

I just think it's time we as a society accept and understand that having support and medication for things that relate to our mental health is fully part of the toolbox of healing, and not a fringe thing that remains on the sidelines for an insignificant proportion of people.

Most people will spend some amount of time in a hospital or clinic in their lives, for a broken bone, a disease, or some functional change to their teeth, or whatever else. It's all pretty accepted, nobody thinks that it's a fringe thing.

We should accept that the way we look at psychiatry or targeted support for mental illnesses should be similar to surgery for broken bones: if you have a sprain just take good care of things at home with basic knowledge, but if there's a chance you have a fracture you won't make your bones heal well by praying or by finding a blog post, you need professionals for however long that situation lasts. And there are way more mental fractures out there than people like to admit to themselves and each others.




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