Originally Posted by
Anal_Hershiser
My brother in law, who is about as smart as 408 moved to ND about 3 months ago. He had no money, no real work experience, not really anything. Within 2 weeks he had found steady employment with Union wages working for the railroad loading and unloading who the fuck knows. Sure, he has to live in ND, but they really are desperate for people. It's perfect for people like 4PoeSteaks, but you have to be willing to move away from mommy, which we all know Steaks isn't willing to do.
This is insanely long. But insanely important for Mike to read thoroughly. This advice if followed will eventually save Mike. I spent a lot of time on this simply because I waste a lot of time on Mike in bits and pieces. I will never waste any more time on Mike again. It is sad situation, and it must end. I'll never read a single post he makes or make fun of him ever again. I am going to stop trolling and do the right thing, because the solution is so fucking obvious. Mike please read thoroughly. Post once when you do. ONCE MIKE. I don't read your repetitive blabber. I don't shoot over to your next thought with you, I scroll down like everyone else. The only exception to you being ignored are people that read your multiple post sessions purely troll your manic, worthless thoughts.
In response to Azzclown, Mike is not stupid. He is a bi-polar methhead drug addict. There is no way he will be able to keep a job there are anywhere else until he is properly treated. Your moronic inlaw is like a fucking fortune 500 company CEO compared to Mike's value to the North Dakota labor force.
When someone has a mental illness and a drug problem at the same time, getting treatment is very hard. it really is the biggest challenge in the mental health profession. There is no way to treat the mental illness whatsoever until all drugs and alcohol use cease. the vicious circle is that the mental illness is almost always responsible for the drug use in the first place. We don't recognize that in our society enough. Most crackheads we know from our hometowns or whatever, the drug is almost always blamed for their demise. However, the reality is that the drug abuse started as a method of coping with their mentall illness. Its not the drug, its the person. Most recreational drug users can handle their drug just fine. But the most fucked up people simply can't. There are plenty of exceptions like meth for instance, but people don't just start off with meth anyway so the point is moot. Meth users can rarely function recreationally as their drug of choice simply fucks up their sleep schedule too much too be productive members of society, even recreationally. But you don't just jump into that out of the blue.
Bottom line:
It's not the drug's fault, taking away all his drugs won't fix Mike. That's why he and his family have failed.
There has to be a two stage comprehensive approach to Mike's problem.
1. He must quit all drugs and alcohol with the understanding and intent that the next step will be then treating his mental illness.
2. He must fully and religiously follow all the necessary treatment that will be suggested by medical professionals. He will need to see a MD Psychiatrist AND a PhD Psychologist at the same time to be properly treated. His issues are that complex.
He will have to follow all suggest treatments to the letter. Sometimes one drug might not work at first but work later. Typical excuses to not fully follow advice with prescription treatment to the bitter end is: A. Its not working. B. The side effects of drug X are too bad and C. This drug worked great I'm better now. I don't need to do the psychotherapy stuff with that psychologist anymore. I feel great! I don't need this medicine. Guys like Mike do just that. They don't understand that the doctor is trying a comprehensive solution with many facets. They become their own doctor. They think they are too smart. Mike is exactly that guy. I'm certain he has dabbled in both mental health care as well as tried prescription medicine and has probably even quit drugs many times. But he has never done it with the full understanding of what is going on. He has never once understood that that his mental health path is not determines by him at all, but by a doctor. His job is only to follow the advice to the letter, take his medicine, make all his appointments, and simply report any issues to the doctor honestly and thoroughly. Then let the doc decide. People like Mike have a hard time doing what they are told. They don't know that some drugs take a long time to be fully effective. They don't know that the doctor may want to switch drugs around simply to test certain reactions, not necessarily to provide immediate relief to the symptoms of their disease. Lithium for instance can take a year before the proper levels are in your blood and working. people like Mike fail because they don't understand that some drug treatments have a much higher chance of working concurrently with other types of treatments. treatments that seem silly, but are not.
Mental health care in this country gets a bad rap. Especially pharmaceutical treatment. It is largely unfair. Because something like 85% of the people on them do not fully follow their treatment advice.
The treatment fails not because drugs don't work or that they have bad side effects, the treatments fail because the patient is not intelligent enough to understand that the doctor is 10 steps ahead of them and is attempting a comprehensive solution that must be followed. the doctor will know when it is not effective and switch. But sadly, too many patients try this on their own. They adjust the level of medicine based on how "they feel" at a small sample size of time, instead of following the goddamn doctor's recommendations.
Then they lie about it. They lie to their friends, family, doctor, and themselves. Studies show that people that complain of an ineffective treatment are lying 90% of the time about whether they truly followed all recommendations.
They blame the drug, instead of themselves. They blame the "stupid doctor". They blame things in their personal life. But I'm telling you when someone tells me they tried so and so drug and it didn't work. I know they are almost certainly full of shit. That isn't the whole story. Studies have shown that the biggest single problem is
the length of time they follow the regiment of pharm treatment. They simply give up too soon. This is the exact same problem with dieters. The diets will work, longterm. But fat people want quick results. They build up 100 extra pounds over ten years but want a diet that takes off 100lbs in three months. They declare the diet a failure sometimes in weeks! That's fucking insane. Almost all diets would work if they were followed for a year. All of them.
Human nature in weak individuals basically causes similar results in both dieting for fat people and in treatment for the mentally ill: FAILURE. Fat people stay fat. The mentally ill stay mentally ill.
GOOD NEWS FOR MIKE
The good news for Mike is that he has shown the ability and discipline to maintain a strict diet. This is a difficult and commendable achievement. If he applies this same discipline to mental health treatment, he will eventually be successful. Like he would have a 90-95% chance of success. This is not a exaggeration. There is a treatment out there for Mike. There is some combo of drugs and psychotherapy that will work. He just has to fail a few times to find it. He must follow the treatment. To the bitter end. Or it will be the end of Mike.
The way many people get clean is to go to prison. Why? Not because they "learned their lesson" as commonly offered, nor is it because they "wanted to turn it around" more than they did before prison. It is because it is difficult to maintain an addiction in prison. They break that addiction there.
Then and only then are they able to get treatment. They must break the addiction first. No mental health treatment will work with drug use. Ever. That is where most people fail. They don't fully quit. Remember, even slight deviations from the treatment fuck it up. The doctor simply cannot determine what is working and what isn't. He often is not told about the weekend binge his patient went on,
and thus every bit of advice after that is bad medical advice. But not because the doctor is at fault. Its trhe patient like Mike again believing that a little coke, meth or especially alcohol didn't really effect his treatment. They have no biological understanding at just how severe a depressant like alcohol effects mental health progress. Even just one night of birthday drinking can cause a shift in effectiveness so severe that the doc might get someone off a drug that may have been successful and on a new one that has a much lower chance of success. What is so sad is that the correct and life altering "magic" treatment or drug might never be tried again. The alcohol use of even one night can completely fuck up everything your doctor and you had tried so hard to achieve. It actually would have been better if there was no treatment at all in the first place.
I can't stress this enough:
1. Mike must have a plan to get better with specific steps and a full understanding of the value and utter longterm effectiveness of comprehensive treatment, along with fully accepting 100% responsibility for treatment failures in the past.
It must include the knowledge that he has never fully followed any treatment 100% and that a treatment plan followed religiously will eventually work. Whether it is two months or 5 years, it will work. He has to understand that. He has to understand that nothing worked in the past because he never followed a treatment plan for long enough. This is the key, he must recognize that it will never be Mike that decides his treatment has been successful or not, it is his doctor. He must be honest with himself and everyone around him if he fucks up even slightly, even one time. But most importantly he must be honest with his doctor. People hate telling their doctor about their "one little fuckup" but that always snowballs to the point where the patient finally stops seeing the doctor entirely. This is because noone likes explaining to their doctor that not only have they been lying for a few weeks, but that the lies have gotten grander and grander. So grand that now the doc will know, so they just stop going. He must understand this and more to form a successful plan of action.
2. Mike must quit all drugs and alcohol. period.
3. Now sober, it is time to execute Mike's mental health plan. First step he must see a Psychiatrist, who can prescribe drugs along with other treatments.
4. Next he must follow ALL advice religiously. Obviously he must make every appointment. This includes never ever having even one sip of alcohol. This is guaranteed to lead to failure for a guy like Mike. This is the step where most people fail. They fail because they didn't recognize just how important every single step the doctor suggested is. Not only what they say to do, but what not to do.
There is no other step. He must continue to follow his advice and make his appointments forever. The doc will say when. I know plenty of people who are done with treatment and medicine. All these people had the doctor stop the treatment. I know this because the ones that stopped on their own, failed. People still believe that doctors would continue treatment to make money off appointments. Like somehow one out of hundred's of patients money makes a shit difference to a doctor. It would be like a restaurant owner altering his menu for one customer. It ain't happening. Sadly, this is the number one reason people who actually are having a successful treatment stop. They think they are doing well and that further appointments are unnecessary and expensive. The truth is nothing is MORE expensive than stopping your treatment early.
Mike if you ever had treatment, it has clearly failed. And only one person stopped that treatment. You. Whatever your reason, excuse or rationalization is, I know you stopped that treatment. The doctor sure as hell didn't. You did. This is your fault. You need to take whatever reason you stopped and realize that reason is your single biggest enemy. That excuse has ruined your life. That rationalization has led to you be basically having conversations with gay men about being a gay male prostitute or not. You say you are not one, but the fact that it has even been
discussed tells you exactly where that excuse has gotten you in life. Do you think that any of us have even discussed, been offered or considered sucking dicks for drugs Mike? No. Noone has ever asked me if I would suck a dick. Ever. Why? Because of where I am in life. Where are you Mike? You are at the bottom of society. The ground floor. There is noone truly lower than you. Yet you spend your time giving others advice. Your advice is worthless even if it was the best in the world. Why? Because you are so low on the social ladder noone gives a shit what you think. If you recommended Burger King, i would go to Wendy's. You are utter trash. You are garbage. You are worthless. You need to accept this right now so you can improve and eventually make all those statements untrue. You can do this Mike. But you got to HATE all the excuses of your past. I don't want to hear them/ i don't want a fucking story about. Just realize you failed at treatment and it was 100% your fault.
The only exception to your words being useless is your knowledge on fitness. Ironically this ability to adhere to fitness may save you. You need to realize that the fitness of your mind is far more important than the fitness of your body. Your weak mind will eventually destroy your healthy body. It is doing it now already.
Lastly, know that your hero Scooter is in the exact same predicament as you. He will end up in the same place as you: dead or in jail. He is certainly "too smart" to fully adhere to a doctor's treatment. A doctor he believes (likely correctly) has a lower IQ,so he "outthinks him". problem is, he never went to medical school. He never interned at a psych hospital nor followed a successful psychiatrist around for 2 years to learn the trade. No matter how smart he thinks he is, he simply hasn't put in the years of being a doctor to be an effective one for himself. Even if he was a MD, he would make a bad doctor for himself. But as smart as he is, by not following treatments, he shows how stupid anyone can be. And Mike Scooter is 100 times smarter than you.
If he can't be a doctor for himself, why the fuck do you think you can? Even he needs to follow advice to the absolute letter. For a long time. That is just not possible for a guy like Scooter. So in conclusion, you have a much better shot of living a happy, normal life than Scooter. But your chances decrease every day that passes in which you don't start following the advice i gave you. Are you in or what Mike?
Good luck Mike. Let me know when you have a plan. I will read it, and I may even help you in finding/paying for a doctor. Once you are truly sober.
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