OutaniJapan
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昭和の人しかわからないと思いますが、オレたちひょうきん族というお笑い番組がありまして、鶴太郎をたけしとさんまが羽交締めにして、熱せられた熱いおでん(演技)を無理やり口に入れられて鶴太郎が熱さに苦しむのを視聴者が楽しむコントがありまして、そのコントがある翌日は学校でじめられっ子が歯がいじめにされてストーブで熱せられた鉄定規で体を焼かれていました。違う学校では制服の金属のボタンをストーブで熱してそれをいじめられっ子に焼印をする事件がありました。当時は教師が隠蔽して教育委員会も知りませんでした。お笑い芸人がPTAが苦情を入れるので面白い番組が作れないとよく嘆いていましたが、今思えばPTAは正しかったです。
私はかなり低めの鬱気味です。
持ち上げたくてセントジョンズワートを飲んだことを
AIに言ったら注意されました😰
目安でしかないですけど、皮膚科学会の専門医がいるところで、 円形脱毛症にエキシマライト治療をしているか確認してOKだったらそこへ行くことをお勧めします。 自分は改善しています。 https://www.dermatol.or.jp/public/
Thank you for your reply. I understand how it is—when you try to convey all your suffering within a limited time, you naturally end up speaking faster. It’s frustrating when that is automatically labeled as a sign of mania. In Japan, while the first appointment is long, follow-up visits usually only last 3 to 5 minutes. If I take more time than that, many other patients in the waiting room will be stuck waiting because of me. It must be an unbearable struggle to be diagnosed with bipolar disorder and have your freedom restricted even though you haven't experienced major mania. There are times when I also consider stopping my treatment. However, when I remember that I have bipolar disorder rather than standard depression, I hesitate to quit. What I do is write down my current struggles in a Google Doc while I’m in bed, print it out on A4 paper, and hand it to my doctor to read. This allows both the doctor and the patient to communicate effectively in a short amount of time. I sincerely hope that you will be able to lead a peaceful life.
Thank you for your reply. I’m really glad to hear that you found an antidepressant that works for you and that you’ve finally reached a stable state. I hope this stability continues for you. Since hypomania in bipolar disorder can't be detected by things like blood tests, doctors probably face a difficult dilemma. They surely want to prescribe antidepressants to improve the patient's Quality of Life (QOL), but they are likely torn by the fear of triggering hypomania and causing trouble.
Thank you for your reply. Your words—that 50% is the medication and the other 50% is up to your own effort—really hit home. The reason I haven't reached remission might simply be that I’m not trying hard enough. I might be blaming my doctor to run away from facing my own shortcomings and lack of effort. However, even though I appreciate your advice, my body feels so heavy that I can't move. I feel like I can’t even stand at the starting line, let alone start running. As I write this, I’ve realized something: the concept of "stabilizing at a low mood" (treatment to keep the mood stable even if slightly depressed) might actually be a convenient excuse for a patient like me who is neglecting the necessary effort. It allows me to make the excuse: "The reason I'm not in remission is just because the treatment aims for stability at a low level," rather than admitting it's my own fault.
A small note is fine. You can even draw a simple graph on paper. Please record your waist size and weight once every two weeks. Show that paper to your doctor at every appointment.
When the doctor sees your record, they will recognize that “this treatment is gradually causing weight gain, and continuing like this may lead to diabetes or other obesity‑related illnesses.”
Please hand the record to your doctor at each visit.
I failed to report this myself. My doctor also failed to notice that my body size was steadily increasing. As a result, I developed diabetes. The cost of diabetes treatment is very high, and it has been difficult for me.
There are cases where doctors continue prescribing medication that causes weight gain until the HbA1c level becomes dangerously high. Showing your doctor a written record of your gradual weight gain and telling them, “I’m worried that I might develop diabetes if this continues,” is very important.
皆さん、こんにちは。私は **の創設モデレーター、** です。
ここが、[双極性障害、躁鬱病、病院に関すること、
薬に関すること、治療方法] に関連する色々なことを
語り合う新しい場所になります。
ご参加いただいたことをうれしく思います。
投稿内容
コミュニティに興味を持ったり、役立つと感じたことなら、
何でも投稿してください。
海外の双極性障害のスレッドに
日本の双極性障害のスタンダードな治療方法である
「低め安定」と言う軽躁にならないように意図的に
鬱状態を維持する治療法を書いたところ、
海外の方々から驚きの反応がありました。
この治療法を受けつつも少しでも
QOL(生活の質・人生の質・生命の質)**を
上げるための工夫を
お互いにシェアできたら嬉しいです。
質問や吐き出したいことを気軽に投稿してください。
コミュニティの雰囲気
フレンドリーで、前向きで、包容力のある
コミュニティを目指しています。
誰もがストレスなく意見を伝え、
交流できる場にしましょう。
細かいルールは後々作っていきたいと考えています。
私たちと一緒に第一歩を踏み出してくださり、
ありがとうございます。
ともに を
素晴らしい場所にしていきましょう。
When I tell my psychiatrist, “My depression is very painful. I can’t get suicidal thoughts out of my head. I just want to be in a state that is neither manic nor depressed,” he responds by saying, “You are seeking a hypomanic state. Once someone has experienced the pleasure of hypomania, they seek it again. You don’t realize that hypomania is a dangerous state.”
In Japan, treatment for bipolar disorder focuses on maintaining a depressive state to reduce the risk of switching into mania. Because of this, when a patient says, “I’m suffering from depression,” it is considered a sign that the treatment is going well.
When I tell my doctor that I decided to go to the gym to build a healthier daily routine, he suspects hypomania. When I say I’m thinking of starting volunteer work, he suspects hypomania again. It feels as if I’m being told, “Stay depressed and don’t do anything unnecessary.”
It’s painful to be suspected of hypomania by my psychiatrist. All I want is to be able to take a shower, go outside, and take a walk. I just want to slightly improve my quality of life, yet I’m treated as if I’m seeking hypomania, which is very distressing.
I believe your father may carry a sense of guilt, thinking, “I ruined my child’s life because of my illness.” To help ease that guilt, perhaps you could enjoy your hobbies in front of him. Showing him, “I’m enjoying my life, and I don’t feel burdened by you. I’m proud of you,” might help lighten his emotional load and make him feel a little more at ease.
Even for psychiatrists, it is difficult to distinguish whether a bipolar patient appearing energetic is in a hypomanic state or simply in a normal state. It is even harder for those without medical knowledge to judge. That sounds very painful for you. I once harmed myself and was hospitalized in a general hospital's psychiatric ward via ambulance. A friend I made in the ward had Bipolar I Disorder. He had experienced a severe manic episode where he went on a rampage in the city and was brought to the hospital in a police car. He hid his true thoughts for a long time. When I was being discharged, he finally told me what he really thought. He said, "I am an existence like John Lennon. John Lennon was called a weirdo. People around me call me a weirdo too, but ordinary people cannot understand a genius." I realized the severity of Bipolar I Disorder, seeing symptoms exactly as described in textbooks. Since I have Bipolar II, I haven't experienced major failures like being arrested by the police, spending my entire fortune, or being so rude to those worried about me that no one is left. I haven't had experiences that make me think "depression is better than mania." Doctors see many bipolar patients causing trouble and regretting it. Therefore, keeping me in a depressed state to prevent hypomania isn't because they hate or dislike me. It is to protect me. I sincerely hope that you and your father can spend peaceful days.
This "low-level stability" policy—keeping us depressed to prevent mania—seems to be the absolute standard here. While I haven't done a formal survey, my own doctor says it, many patients on X (Twitter) tweet about being kept in a fixed depressive state, and famous psychiatrists on YouTube explain this concept as the norm. Doctors here claim that because patients have experienced the "high" of hypomania, we crave it and mistakenly believe that being hypomanic is our "normal" state. But here is my reality: When I tell my doctor, "I want to have enough energy to shower every day" or "I want to be able to go to the gym," he dismisses me. He tells me, "You are just seeking hypomania." I am terrified to push back. I am scared that if I express dissatisfaction with this "low-level stability" treatment, he will simply hand me a referral letter and tell me to find another hospital. And the reality is, finding a doctor in Japan who rejects this "stay depressed" philosophy and prioritizes a patient's Quality of Life (QOL) is incredibly difficult.
When I search for 「低め安定」 in Japanese on X, many tweets come up in which patients say their psychiatrist told them to aim for “low-stable.” If I search on YouTube, I find numerous videos by psychiatrists who explain the concept of “低め安定” in their videos. My own psychiatrist also says it is good for patients to aim for something like “low-stable.” I imagine that highly skilled doctors can keep patients in a state that is neither manic nor depressive—a stable zero, plus or minus zero. I think it is difficult to find such doctors in Japan. A person I know who is familiar with the standard treatment for bipolar disorder in the United States says that while this approach is standard in Japan, clinicians abroad prioritize improving quality of life, and that deliberately keeping patients in a depressed state in order to reduce the risk of mania—at the cost of lowering their quality of life—would be unacceptable and would raise human-rights concerns.
In Japan, many psychiatrists promote a concept called "Hikume-Ante" (Low-level Stability). The idea is that the safest "goal" for a bipolar patient is to remain in a slightly depressive state to prevent the risk of hypomania, which can lead to ruined relationships or financial loss.
Because of this, even when I tell my doctor that I am suffering from deep depression, he just listens with a troubled face. Deep down, he likely believes the treatment is "successful" because I am not manic.
Conversely, if I mention that I went on a trip, started going to the gym, or began volunteering, my doctor immediately worries that I am becoming "overactive."
As a result, even while I am on vacation, I suffer from self-doubt, asking myself, "Am I in a manic state? Should I not have come here?" I feel a heavy sense of guilt, as if I am doing something wrong. It is painful to feel like I have to hide my small joys and travels from my doctor just to avoid being labeled as unstable.
In Japan, many bipolar patients find themselves "fixed" in a chronic depressive state by design. Is this "better to be depressed than to risk life" approach common in your country? Do you also feel guilty for having good days? I would love to hear your experiences.
After 15 years of treatment-resistant bipolar, I've noticed my care team gets cautious when I start new activities—travel, gym, volunteering. They see it as "potential overactivity," even when I feel stable.
I'm trying to understand: How do you and your clinician tell the difference between healthy engagement and early mania? What signs make you (or them) pump the brakes?
Curious about different practice patterns worldwide. What's the conversation like in your appointments?
楽天モバイルのSIMとビックカメラのビックSIMをスマホに挿すデュアルSIM運用が一番良いかも。 ・楽天モバイルのパケット無制限の恩恵を受けられる ・家で楽天モバイルの速度が十分でれば光回線解約できる ・楽天モバイルのSIMを挿したスマホでテザリングすればパソコンも使える ・電話の通話料は無料 ・ビックカメラのSIMを契約する意味は楽天モバイルは23区でも普通に繋がらないことが多くてQRコード決済ができなくてレジに行列作ってしまうことを回避するため。 ・ビックカメラSIMはMNP契約をするとキャンペーンによっては13000ポイントもらえる。 ・1年くらい使ったらビックカメラSIMをエディオンSIMにMNPする。エディオンSIMはMNP契約をすると18000ポイントくらいもらえる。1年使ったらビックカメラSIMにMNPする。
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車の運転をすると、急に性格が変わり普段発しない乱暴な言葉を発したり、普段は協調性がある人が横柄な運転をするケースがあります。 そう言う人は、車を運転すると態度が横柄になり乱暴な言葉を発することによって自分自身を貶めることを理解していないからです。もし結婚目前の彼女とその彼女の父親を後部座席に乗せて、普段温厚な男が車を運転すると危険な人格に豹変することを知ったら、彼女の父親は結婚に反対すると思います。 この話と同じで、ネットに書き込む時も自分を貶めるような、自分の株を落とすような、書き込み履歴を他人に見られたら軽蔑されるような書き込みはしないと言う意識を持つことで、今のXのような惨憺たる状態にはならなくなると思います。
Thank you for your reply. Your analogy comparing how to interact with AI to the right brain and left brain was very clear and profoundly helpful. In my distress, I have a tendency to become dependent on anyone who will listen, and I had also grown dependent on AI. However, I have now come to realize that AI's capabilities have their limits. Using it as a substitute for psychiatrists or counselors not only fails to provide the answers I seek, but also carries the risk that incorrect responses could lead to negative consequences.
バイク関係のユーチューバーがいまして根は真面目なんですがちょっと感覚がズレたところがありまして、超注目されて発売開始されても入手困難と予想されるバイクがありまして、そのバイクをディーラーの知り合いにいくらでも金は出すから俺に一番に売ってほしいとお願いしたと、絶対に隠すべき事なのに自ら公表して不公平だと苦情が出て、ディーラーは謝罪してユーチューバー本人は自らズルを公表するくらいですから心象を悪くすることをした自覚がないので、ディーラーに苦情を入れた人が全て悪いと言う論調で渋々謝罪をしてキャンセルしました。その件の動画のコメント欄をみましたら99％のコメントがそのおかしなユーチューバーに同情したり男らしいと褒めるコメントでした。それをみて思ったのは、まともな人は黙って閲覧しているだけで書き込みはしないと言うことです。 これはXに当てはめても言えることだと思いました。 罵り合ったり喧嘩している人はごく一部の人でほとんどの人は 見ているだけか見もしないのではないかと思いました。 Xを見ると煽り運転の晒しツイートや特定の国の人に日本人は 迷惑を受けていると特定の国の人を非難するツイートが多いですが 実際は外出するたびに煽り運転の被害にあったり 、外出するたびに特定の国の人に迷惑をかけられる事はありません。
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As a PerplexityPro user dealing with treatment-resistant bipolar disorder (TRBD), I've been relying on its AI capabilities for support. A strength of PerplexityPro is the availability of many different AI models/inferences.
After asking which AI was best suited to which topics, I was advised that Claude was best for illness-related questions, so I made a point of consulting it for serious discussions. Many AIs, when consulted about my TRBD and told I was feeling depressed and struggling, would listen empathetically and offer encouragement.
One day, when I consulted the Kimi K2 inference about my illness, it calculated the duration of my medication and suggested that my daytime depression, fatigue, and lethargy might be due to my anti-anxiety medication and sleeping pills being too potent. I was surprised because it was the first time an AI had focused on this specific point.
Later, when I continued the thread, the response felt different. When I specifically asked, "Is this still Kimi K2?" the reply was "No, it is not." I had definitely selected Kimi K2 Inference from the dropdown menu.
When I opened a new chat to ask for an explanation, Perplexity informed me that even if I select a specific model (ChatGPT, Gemini, Grok, Kimi K2) from the dropdown, that model does not necessarily provide the final response.
I was shocked to learn that while I trusted Claude and consulted it, a cheaper AI might actually have been providing inappropriate answers to my sensitive health questions.
The analogy I came up with is this: It felt like going to see a highly-rated doctor, only to find out a cleaning staff member in a white coat—who happens to be knowledgeable about mental health—was giving the advice.
Is this common practice for Perplexity? While Perplexity's strength is advertised as offering multiple AI options, If the service is designed this way—where a specific, high-cost model is selected but a cheaper model answers—I feel this is fundamentally misleading to users.
If selecting an expensive AI's reasoning results in an inappropriate answer from a cheaper AI instead, it severely damages the reputation of the selected, high-quality model.
Perplexity's final advice to me was to only use their platform as a search engine, or to use the native applications if I truly wanted a response from Grok, Claude, Gemini, ChatGPT, or KimiK2.
What are your thoughts on this? Has anyone else experienced this?
