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Re:Prozac 'no better than placebo' for treating children wit... by fragrom on Thursday November 20, 2025 @08:01PM (#46000022)
This is what my psychiatrist more or less warned me about when I went on medication; that a lot of people who are suicidal lack the energy and ability to plan their suicide, and medications can sometimes undo those particular symptoms and people manage to end themselves.

I'm not sure what kinds of studies have been done about it, but I've had a few therapists same similar ideas. If it's not a studied phenomenon, then it has folks that believe it exists.

Re:Prozac 'no better than placebo' for treating children wit... by doubled112 on Thursday November 20, 2025 @08:40PM (#46000247)
Sometimes willpower improves before mood.
Re:Prozac 'no better than placebo' for treating children wit... by autumnstwilight on Thursday November 20, 2025 @09:05PM (#46000413)
I'd like to make the point that even if this does occur, it doesn't mean, "therefore this medication shouldn't be used/is worse than doing nothing," just that awareness and caution is needed.

I went through a frankly terrible few months on my current meds because they removed the emotional numbness before removing the bad feelings. However, once that was over they effectively gave me my life back after 10+ years of continual exhaustion and brain fog.

Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Thursday November 20, 2025 @11:44PM (#46001309)
Almost like depression is an acute toxicity caused by physiological variance (or infection related) detox inefficiency!
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Thursday November 20, 2025 @11:46PM (#46001321)
This gets even more interesting when you realize many SSRIs are antibacterials.
Re:Prozac 'no better than placebo' for treating children wit... by JumpCrisscross on Friday November 21, 2025 @03:09PM (#46008403)
It gets less interesting when one notices that social animals are much more prone to depression.

Inflammation and depression are linked. Infection causes inflammation. It doesn’t follow that depression is caused by infection.

Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @03:26PM (#46008581)
Correct.

It’s caused by inflammation,

one of the causes being: detox inefficiency.

Re:Prozac 'no better than placebo' for treating children wit... by JumpCrisscross on Friday November 21, 2025 @03:29PM (#46008613)
> It’s caused by inflammation

No, it’s not. Depression can be influenced by inflammation.

This thread is a good example of the GIGO pitfalls that researching with chatbots entails.

Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @04:30PM (#46009217)
Yeah, “linked to” is better than “caused by” here, for sure.

Not often this kind of thing comes up on HN, so I was replying in haste at a stoplight!

I’ll ignore the slight, which you should know better than.

Re:Prozac 'no better than placebo' for treating children wit... by amanaplanacanal on Friday November 21, 2025 @04:58PM (#46009462)
It seems pretty common for people to read "linked to" and interpret that as "caused by". It feels like media had kind of pushed that for a long time.
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @09:05PM (#46011396)
Stopping back in, because I unironically came across someone's almost-surely AI assisted summary that does a better job than I have summarizing the processes being discussed:

== === Why the Sick Get Sicker Most people think illness progresses because of pathogens, toxins, or genetics — but the deeper truth is that tension, stress, and breathing patterns control the trajectory of health more than anything else.

When the body is stressed, the breath changes.

When the breath changes, the lymph stagnates.

When the lymph stagnates, toxins accumulate.

When toxins accumulate, inflammation accelerates.

And that is how sick becomes sicker.

Here’s the breakdown:

1. Stress Immediately Changes Your Breathing Pattern

When the nervous system senses stress — emotional, physical, mental, or energetic — breathing becomes:

• shallow

• rapid

• high in the chest

• tight in the ribs

• limited in diaphragm expansion

This cuts oxygen supply, raises cortisol, and signals the body to brace.

Bracing = stagnation.

2. Your Breath Controls Your Lymphatic System

The lymphatic system is the body’s drainage system, and it has no pump of its own.

It relies entirely on: • diaphragmatic breathing

• muscle movement

• fascia softness

• a calm nervous system

Shallow breathing = no diaphragm movement.

No diaphragm movement = lymph stagnation.

When lymph stagnates:

• waste can’t drain

• toxins recirculate

• inflammation builds

• swelling increases

• the immune system gets overwhelmed

This is why people in long-term stress decline rapidly.

3. Chronic Tension Physically Constricts Detox Pathways

Tension in the shoulders, neck, jaw, abdomen, and ribs acts like a clamp on the lymphatic system.

Chronic tightness:

• blocks lymph nodes

• stiffens fascia

• shuts down circulation

• compresses nerves

• restricts oxygen

• slows detox

The body becomes a closed loop where waste can’t leave — so it begins leaking into tissues, joints, and organs.

This accelerates aging, pain, brain fog, and inflammation.

4. This Is the Progression From Sick → Sicker

When breath + lymph + fascia are blocked:

Phase 1 — Shallow breathing

Fatigue, anxiety, tight chest, poor digestion.

Phase 2 — Lymph stagnation

Swelling, puffiness, inflammatory symptoms, chronic infections.

Phase 3 — Detox recirculation

Migrating symptoms, rashes, headaches, histamine issues, chemical sensitivity.

Phase 4 — Systemic overload

Autoimmune symptoms, mold sensitivity, debilitating fatigue, hormone disruption.

It appears “mysterious,” but physiologically it is predictable.

Re:Prozac 'no better than placebo' for treating children wit... by JumpCrisscross on Saturday November 22, 2025 @04:39AM (#46013469)
Please don't do this.
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Saturday November 22, 2025 @10:59AM (#46015678)
Please don't do this.

You've contributed nothing curious to this thread whatsoever, just threw some doubt in, then buggered off during the replies – more or less communicating "stuff I can't directly or completely refute is AI slop".

That's....disappointing.

I saw this textpost made by someone else, and literally thought of you, JumpCrisscross.

Re:Prozac 'no better than placebo' for treating children wit... by purple_turtle on Friday November 21, 2025 @03:56PM (#46008898)
Can you link any evidence supporting this claim? This term sounds like a standard-issue woo.
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @04:44PM (#46009342)
Replied to your other request too: see other comments, ask for what’s missing for you.
Re:Prozac 'no better than placebo' for treating children wit... by purple_turtle on Saturday November 22, 2025 @12:51AM (#46012456)
Links to materials that would support your claim.

And at least mention terms you used.

Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Saturday November 22, 2025 @02:00AM (#46012748)
Do you not count depression as a mood disorder…?

Do you often require people you’re chatting with to have three copies of the same conversation?

Re:Prozac 'no better than placebo' for treating children wit... by Modified3019 on Friday November 21, 2025 @04:27PM (#46009179)
I’m not quite following the previous conversation here, but your comment brings to mind that one theory of a possible “function” of depression, is as a “sickness behavior” to help isolate a sick animal from others to protect the group. A sheep or cow getting sick and going off on its own is a common thing.

I’m not sure if it has a technical name or if it’s been rigorously studied, but it’s a common observation which even I’ve seen (and reported to growers I work for).

A casual mention here: http://www.sheep101.info/201/behavior.html

Re:Prozac 'no better than placebo' for treating children wit... by JumpCrisscross on Saturday November 22, 2025 @04:38AM (#46013458)
> but your comment brings to mind that one theory of a possible “function” of depression, is as a “sickness behavior” to help isolate a sick animal from others to protect the group. A sheep or cow getting sick and going off on its own is a common thing

It's one explanation of the phenomenon. I'm not remotely convinced by it, but that doesn't mean I think it's untrue.

What I do think we can conclude is that we have no evidence depression is caused by infection. (Singularly and universally, as OP implies.) With higher confidence I believe I can conclude that interrogating chatbots designed to keep your attention is a poor way to resolve this.

Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Saturday November 22, 2025 @11:14AM (#46015785)
> we have no evidence depression is caused by infection

Besides talking to patients and reading case files.

You can wait another decade or three for someone to spend the money on a specific study that meets your individual criteria (I'm sure very high), for doing obvious things like:

1.) Treating known infections, testing for others,

and

2.) Addressing nutritional gaps, as well as tracking circadian/endocrine, and nervous symptoms (which often intertwine with depression symptoms!)

but I will not wait.

I'd prefer to no longer be depressed, and/or unwell.

So I'll do the obvious things – even if they're not obvious to you, yet.

Re:Prozac 'no better than placebo' for treating children wit... by Retric on Friday November 21, 2025 @02:59PM (#46008285)
Depression is likely to have many possible underlying causes.

It’s a description of a persistent set of symptoms not necessarily any specific biological process.

Re:Prozac 'no better than placebo' for treating children wit... by fsckboy on Friday November 21, 2025 @03:34PM (#46008658)
>Depression is likely to have many possible underlying causes

including adaptive evolutionary procreative success

Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @03:26PM (#46008588)
Correct.

and one of the leading causes is what I described.

Re:Prozac 'no better than placebo' for treating children wit... by SketchySeaBeast on Friday November 21, 2025 @03:34PM (#46008654)
You really have to unpack "detox inefficiency" because even a google search comes back with nothing.
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @03:45PM (#46008776)
When your normal lymphatic processes (and glymphatic processes) are slowed, or near-halted.
Re:Prozac 'no better than placebo' for treating children wit... by SketchySeaBeast on Friday November 21, 2025 @04:07PM (#46009002)
Is there a known correlation between lymphedema and depression?
Re:Prozac 'no better than placebo' for treating children wit... by purple_turtle on Friday November 21, 2025 @03:55PM (#46008889)
Can you link any evidence supporting this claim?
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @04:43PM (#46009332)
Beyond the links in other comments?
Re:Prozac 'no better than placebo' for treating children wit... by purple_turtle on Saturday November 22, 2025 @12:51AM (#46012454)
No, ones that would support your claim.

And at least mention terms you used.

Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Saturday November 22, 2025 @02:00AM (#46012752)
Do you not count depression as a mood disorder…?
Re:Prozac 'no better than placebo' for treating children wit... by criddell on Friday November 21, 2025 @03:51PM (#46008829)
It might be worth using those words rather than detox inefficiency because the latter conjures thoughts of woo peddlers.
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @04:25PM (#46009165)
Yes,

it turns out toxins (environmental, die-off and waste of cells from infection, dietary, lifestyle) are important to everyone,

not just vegans in Sandler movies.

Re:Prozac 'no better than placebo' for treating children wit... by Modified3019 on Friday November 21, 2025 @04:31PM (#46009230)
Calling it lymphatic impairment would be more straightforward.
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @04:43PM (#46009328)
Lymphatic inefficiency, maybe.

Impairment sounds too permanent, when this is often an intermittent, “on average” sort of issue - not a complete freeze.

Re:Prozac 'no better than placebo' for treating children wit... by mapontosevenths on Friday November 21, 2025 @03:29PM (#46008617)
What is "detox inefficiency"?

EDIT - I ask because the only results I get when searching are a Harvard article debunking it. I'd rather hear the opinion of someone that actually believes in it before I read about why it's all malarky. I believe in arguing against the best version of someones argument.

https://www.health.harvard.edu/staying-healthy/the-dubious-p...

Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @03:44PM (#46008758)
Re:Prozac 'no better than placebo' for treating children wit... by purple_turtle on Friday November 21, 2025 @03:54PM (#46008880)
Your first linked page has no word "depression" on it
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Friday November 21, 2025 @04:29PM (#46009202)
It wasn’t intended to.

It was just the best “every man” link I could provide for understanding how efficacy of toxin-clearing (toxicity) could be related to depression, other struggles with homeostasis.

Did you grasp the connection?

Re:Prozac 'no better than placebo' for treating children wit... by purple_turtle on Saturday November 22, 2025 @12:52AM (#46012461)
I am still waiting for something that would support your claim rather than mention something sort - of - related.
Re:Prozac 'no better than placebo' for treating children wit... by DANmode on Saturday November 22, 2025 @01:37AM (#46012645)
Do you not count depression as a mood disorder…?
Re:Prozac 'no better than placebo' for treating children wit... by hajile on Saturday November 22, 2025 @05:55PM (#46019077)
This theory is a science-free zone. It seems far more likely that the drug induced sudden, overwhelming suicidal thoughts than someone said "I feel the best I've ever felt and life is looking up. I think I'll kill myself and make all the good feelings go away".

Furthermore, if the latter were true, it would be an indication that depression was a symptom rather than a cause and the psychiatrist misdiagnosed and improperly treated the patient.