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l1ablemistakes

l1ablemistakes

Tragic disappointment
Feb 16, 2026
70
I don't think most providers actually understand what it's like to be suicidal. Last time I genuinely reached out for help, nothing happened. I managed to convince my psychologist not to call an ambulance on me but she referred me to be admitted to a private psych ward. My referral got rejected for being too high risk and they told me to go to the ED. What's the ED going to do? I've been depressed and suicidal for 10 years. They can hold me involuntarily for 24 hours. When I go home, I'll feel the same. So I can't even talk to my psychologist about it. If I talk to my friends they'll tell me to ask for help like I haven't already done that countless times. Can't go to the hospital for a prolonged admission- I have a job (at the hospital). They'll just up my meds again or change them again and the cycle will repeat. I'm so sick of it. I'm so glad I found this forum so I actually have somewhere to talk about it.
 
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Captive_Mind515

Captive_Mind515

King or street sweeper, dance with grim reaper!
Jul 18, 2023
675
I realised quite some time ago, that it was pointless telling most people. It's almost viewed as a contagious disease that people are afraid they might catch or something. lol

The fact people have to routinely lie just to get out of a psych ward, should really tell you all you need to know. We have to pretend not to be suicidal, so that society can pretend they've solved the problem. And then they wonder why websites like this come into existence. It's just head in the sand stuff.
 
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SufferingDev

SufferingDev

The Prince of the Earth's Last SN Stronghold
Aug 4, 2024
117
The problem is - meds are just meds - they are to help you get better, but they are not THE solution. To actually get better you need to combine them with therapy - and well...the problem is we have too few therapists and so many people that need help - here and right now.

It all comes down to logistics problems really - if we had enough people to handle it, believe me we all would get better help.
 
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l1ablemistakes

l1ablemistakes

Tragic disappointment
Feb 16, 2026
70
The problem is - meds are just meds - they are to help you get better, but they are not THE solution. To actually get better you need to combine them with therapy - and well...the problem is we have too few therapists and so many people that need help - here and right now.

It all comes down to logistics problems really - if we had enough people to handle it, believe me we all would get better help.
I've been in therapy consistently for 6 years. It's my third attempt and 5th psychologist (a few changed jobs and transferred me to their colleagues). I've been on 7 different antidepressants. I used to be very physically active until study and chronic illness took over. I have tried so hard and I feel like no 'help' can relieve my situation, even if the system was better.
 
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SufferingDev

SufferingDev

The Prince of the Earth's Last SN Stronghold
Aug 4, 2024
117
I've been in therapy consistently for 6 years. It's my third attempt and 5th psychologist (a few changed jobs and transferred me to their colleagues). I've been on 7 different antidepressants. I used to be very physically active until study and chronic illness took over. I have tried so hard and I feel like no 'help' can relieve my situation, even if the system was better.
I feel you - the thing with mental health is that is is so individual that some psychologists just cannot help - and it is a normal thing.

Doesn't have to do with how "good" they are or how much experience they have - it's just that this requires a lot more than physical injuries that are more or less the same across all of us.
 
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U

Uncounted1846

Member
Jan 17, 2026
67
There are several cold hard truths I've discovered through the process of therapy, like for example my "mom" and "dad" are awful, narcissistic assholes. How do you cope with that? where do you go to fill the mom or dad void? I've been searching my entire life and so far I haven't found an appropriate substitute.

I've also been on various medications since becoming an adult. I've plateaued on two and I'm at my wits end. I can't do anymore medication management review appointments. And new prescriptions plus new side effects for no real changes. I still struggle with anxiety and depression, the pills just make me feel a bit more muted.
 
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witchcraft

witchcraft

it's too painful to live but I'm too afraid to die
Nov 27, 2024
96
Because it's an inherently flawed system in my opinion.

For clarification, I don't buy into this notion that people are just randomly cursed with depression because of genetics and muh chemical imbalance. Except in rare cases, I believe that brains are reacting logically (if not perhaps more sensitively than some) to real immutable circumstances. It's not inexplicable magic. Cognitive reframing is often double-speak for gaslighting... speaking as someone who really tried therapy and several different therapists for over a decade before I became too old to be covered under parental insurance. It's hypnotism with extra steps and the clout of a degree.

Most suicidal individuals, in my estimation and personal experience, are reacting deeply to societal and economic factors beyond any individual's control, including the therapist's.

Meds are there in an effort to unnaturally force you to "tolerate" it. Think soma from Brave New World.

When someone I know is struggling with making friends, I do not recommend they hit up ChatGPT.

When someone I know is struggling with dating or in their sex life, I do not recommend getting a hooker.

I fail to understand why a therapist is treated differently. It's an expensively cheap substitute that doesn't address the underlying problem that leads people to seek them out in the first place.

Therapists are the perfect scapegoat for the average person to sleep with a clean conscience that they "did the right thing" by telling someone to call a hotline or talk to a therapist. They can sleep soundly without any need to authentically confront the very dark struggles and lived experience of someone else. Just tell them they're thinking wrong and go to a thinking doctor to learn how to think right, and you've done your good deed as a stand-up citizen for the day. Fuck off.

But the question then remains: what do you say to them? What do you do for them? If it's not appropriate to insist they seek out the equivalent of a fake-friend or hooker or hypnotist, then what else?

I try to be as kindly but bluntly honest as possible. Speaking from my own experience, welcome to reality. This is how it is. Few care, and those who do have no substantive answer for you. They can't change the structure of society itself. They can't bend time. There are losers and winners, but the winners get to live in the fairy tale of a "Just World." The world isn't just. Most do not deserve their success any more than anybody else, nor are they necessarily undeserving; it just is. This reality makes those people uncomfortable, so they come up with copes, platitudes, ignore survivorship bias and any inconvenient thought. They live in their bubble and they don't want you to pop it. They will go through all manner of mental gymnastics to avoid the cold and often unforgiving truths.

Nobody wants to live with survivor's guilt. Nobody wants to feel that their worth seemingly comes at the expense of others. They will vehemently believe they earned that shit. That they deserve it, every single bit of it. They conjure up concepts like meritocracy. Someone is suicidal or depressed because they're weak, they're lesser, they didn't try as hard they did. An easy to pill to swallow, the idea that anyone and everyone can just have that life, the good life, if they take a pill or talk to someone who read some psychology / sociology textbooks and got a piece of paper to prove it.

The world is way more complicated. We live in a world where if you are frustrated over not being rewarded for being a good person, you are shamed and lambasted, not consoled or given reparation. There are Cains and Abels in the world, but unlike the Bible, the distinction in real life is completely arbitrary. Bad people get ahead. Bad people get rewarded. They Abels are not all good, pure, saintly. Far from it. They are often no better than you are me. For the most part, we are all equally shitty. So the inequality cannot be explained by some ideal of ethics or morality. It does not take a fucking rocket scientist to see this. And so it is no surprise to me that people lose in this casino so badly and repetitively that they want to leave.
 
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l1ablemistakes

l1ablemistakes

Tragic disappointment
Feb 16, 2026
70
For clarification, I don't buy into this notion that people are just randomly cursed with depression because of genetics and muh chemical imbalance. Except in rare cases, I believe that brains are reacting logically (if not perhaps more sensitively than some) to real immutable circumstances. It's not inexplicable magic. Cognitive reframing is often double-speak for gaslighting... speaking as someone who really tried therapy and several different therapists for over a decade before I became too old to be covered under parental insurance. It's hypnotism with extra steps and the clout of a degree.

Most suicidal individuals, in my estimation and personal experience, are reacting deeply to societal and economic factors beyond any individual's control, including the therapist's.
I'll probably sound dumb and I'm not trying to be special here. Sorry in advance. I think I'm one of those genetic people. There's a long line of mental and physical illness in my family and I've inherited practically all of it.

I can't point to what in my life is wrong. Capitalism sucks, sure, but my parents are rich. Like, loaded. Money isnt an issue. I'm with my high school sweetheart of 6 years. My friends are awesome. I love my job. I don't know what is wrong with me but I keep getting more depressed even as my life gets objectively better. I feel like I've reached the end when it comes to medication, I've tried like 6 antidepressants and none have come close to helping. I guess the next step is to zap my brain with magnets. Probably won't make things worse I guess.

Maybe that's why therapy is useless. There's nothing to therapise.
 
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NameOfAction

NameOfAction

Do as I say, not as I do
Feb 12, 2026
87
Meds are there in an effort to unnaturally force you to "tolerate" it. Think soma from Brave New World.
If meds could unnaturally force you to tolerate anything, none of us would be here. Meds work if there is an imbalance. @l1ablemistakes suggests family history and suspects such an imbalance.

I'll probably sound dumb and I'm not trying to be special here. Sorry in advance. I think I'm one of those genetic people. There's a long line of mental and physical illness in my family and I've inherited practically all of it.

I can't point to what in my life is wrong. Capitalism sucks, sure, but my parents are rich. Like, loaded. Money isnt an issue. I'm with my high school sweetheart of 6 years. My friends are awesome. I love my job. I don't know what is wrong with me but I keep getting more depressed even as my life gets objectively better. I feel like I've reached the end when it comes to medication, I've tried like 6 antidepressants and none have come close to helping. I guess the next step is to zap my brain with magnets. Probably won't make things worse I guess.

Maybe that's why therapy is useless. There's nothing to therapise.
A case could be made that the 6 antidepressants tried did not touch the neurotransmitter needed (where the 6 meds across all classes? Were atypicals tried?) Glad you're considering TMS!

To @witchcraft, kindly, what you're saying is basically black pill.
We live in a world where if you are frustrated over not being rewarded for being a good person, you are shamed and lambasted, not consoled or given reparation. There are Cains and Abels in the world, but unlike the Bible, the distinction in real life is completely arbitrary. Bad people get ahead. Bad people get rewarded. They Abels are not all good, pure, saintly. Far from it. They are often no better than you are me. For the most part, we are all equally shitty.
Such thinking festers and rots like an infected wound. Please stop. Many people are good and many people are happy. Good and bad aren't fixed or clearly defined concepts, nobody is rewarded or condemned. Humans are neutral, sapient animals with complex social structures. Thankfully, divine intervention isn't on the table, so we do our best with just our minds and our tools. We are deeply social and capable of remarkable compassion and ingenuity. We are also capable of many horrors. We aren't usually malicious. Just doing our best, and that can look differently for different people.
 
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l1ablemistakes

l1ablemistakes

Tragic disappointment
Feb 16, 2026
70
case could be made that the 6 antidepressants tried did not touch the neurotransmitter needed (where the 6 meds across all classes? Were atypicals tried?) Glad you're considering TMS!
I've tried fluoxetine, sertraline, citalopram, venlafaxine, quetiapine, and atomoxetine, so mostly SSRIs and SNRIs. I don't know why they keep putting me on more of the same shit. I'd happily try atypicals, that's probably the next step.
 
U

Uncounted1846

Member
Jan 17, 2026
67
I've tried fluoxetine, sertraline, citalopram, venlafaxine, quetiapine, and atomoxetine, so mostly SSRIs and SNRIs. I don't know why they keep putting me on more of the same shit. I'd happily try atypicals, that's probably the next step.
I've also been on a cocktail of SSRI and SNRI meds with Cymbalta being the one I've plateaued on/am still taking. My NP wants to switch it to prozac and I passed on that. She got offended that I questioned her judgement and I had to see her colleague, who is much kinder and more open to dialogue instead of "I'm the nurse so that means don't ever question me again". Just when I think I've experienced it all in the mental health system, I have another appointment and am disappointed all over again it seems.
Atypical being TMS, Ketamine, those types of therapies?
 
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hellstar_paradox

hellstar_paradox

they/them
Feb 18, 2026
3
Because like 99% of people involved in mental health treatment are either ableist as fuck or only in the industry to make them feel good about themselves and don't actually give a shit about anyone else.

From my experience it really feels like people go through med school and can't get a job treating people with "real" problems so they get a job in the mental health field so they aren't putting their fuckass paper to waste and are mad about it, and have no problem taking it out on everyone else.

Also the people with this kind of Saint complex that hear about people's struggles with mental health so they get a psychology degree because they can't wait to have their feet licked by everyone for being so holy as to help the troubled folk or whatever tf

Although I'd imagine it's hard for people in the mental health industry to actually know how it feels to be severely depressed or wanting to ctb since the severe depression to 4+ year degree and a full time career pipeline probably isn't great, unfortunately
 
witchcraft

witchcraft

it's too painful to live but I'm too afraid to die
Nov 27, 2024
96
If meds could unnaturally force you to tolerate anything, none of us would be here. Meds work if there is an imbalance. @l1ablemistakes suggests family history and suspects such an imbalance.


A case could be made that the 6 antidepressants tried did not touch the neurotransmitter needed (where the 6 meds across all classes? Were atypicals tried?) Glad you're considering TMS!

To @witchcraft, kindly, what you're saying is basically black pill.

Such thinking festers and rots like an infected wound. Please stop. Many people are good and many people are happy. Good and bad aren't fixed or clearly defined concepts, nobody is rewarded or condemned. Humans are neutral, sapient animals with complex social structures. Thankfully, divine intervention isn't on the table, so we do our best with just our minds and our tools. We are deeply social and capable of remarkable compassion and ingenuity. We are also capable of many horrors. We aren't usually malicious. Just doing our best, and that can look differently for different people.

I'm not looking to argue with either you or the OP about my experiences or your experiences. Your experiences are yours and mine are mine. For that reason, I stopped reading your comment before I was even done with it; not because it isn't worth reading, but because I don't want my personal lived experience to feel invalidated, and then feel the need to justify my experience (or beliefs, whatever) to you. I just woke up half an hour ago and really, really not looking to already get pissed off about something. Have a nice day.
 
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violetforever

violetforever

Mage
Dec 24, 2025
565
my "mom" and "dad" are awful, narcissistic assholes. How do you cope with that? where do you go to fill the mom or dad void? I've been searching my entire life and so far I haven't found an appropriate substitute.
i was just thinking about this exact issue yesterday or the day before. i havent found anything or anyone either. im sure that i never will. i dont know how to live like this. its caused me so many problems. i see it in my own dad too. his dad caused him trauma and abandoned him. hes been an alcoholic for decades. we probably wont ever speak again. literal generational trauma.
 
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Uncounted1846

Member
Jan 17, 2026
67
i was just thinking about this exact issue yesterday or the day before. i havent found anything or anyone either. im sure that i never will. i dont know how to live like this. its caused me so many problems. i see it in my own dad too. his dad caused him trauma and abandoned him. hes been an alcoholic for decades. we probably wont ever speak again. literal generational trauma.
And it's always been so awkward being in social settings hearing others talk about their harmonious nuclear family and not being able to participate. It always felt like a knife in the heart.

One day someone asked about my parents. I always find it so uncomfortable to talk about. Because of decades of continuous manipulation and emotional abuse and being abandoned when I needed help the most I don't speak to or see my parents. Most people don't have that experience and it scares them off. Or I don't speak to my dad because he thinks of me as a pathetic person who will never amount to anything just because I'm "a fag" (his words).

How does one cope with all this? I'll tell you how I've been doing it, badly. And I want it all to end.
 
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katara

katara

tiktok.com/@katara3250
Mar 17, 2022
642
The problem is - meds are just meds - they are to help you get better, but they are not THE solution. To actually get better you need to combine them with therapy - and well...the problem is we have too few therapists and so many people that need help - here and right now.

It all comes down to logistics problems really - if we had enough people to handle it, believe me we all would get better help.
I never understood how ppl get help from therapy. From my experience it's literally a waste of time.
 
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l1ablemistakes

l1ablemistakes

Tragic disappointment
Feb 16, 2026
70
I never understood how ppl get help from therapy. From my experience it's literally a waste of time.
Yeah, lately I've been considering quitting. I'm just talking about the same shit over and over and over. I feel like I'm getting nowhere. Why am I paying $200 to cry and beg someone not to call an ambulance on me? Feels like a waste of both of our time. Plus my psych changed her hours and now only does saturdays. Couldn't get an appointment til august. I don't even know if I'll still be here by then.
 
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kitkatt

kitkatt

Possumpwincess
Feb 17, 2026
73
I don't think most providers actually understand what it's like to be suicidal. Last time I genuinely reached out for help, nothing happened. I managed to convince my psychologist not to call an ambulance on me but she referred me to be admitted to a private psych ward. My referral got rejected for being too high risk and they told me to go to the ED. What's the ED going to do? I've been depressed and suicidal for 10 years. They can hold me involuntarily for 24 hours. When I go home, I'll feel the same. So I can't even talk to my psychologist about it. If I talk to my friends they'll tell me to ask for help like I haven't already done that countless times. Can't go to the hospital for a prolonged admission- I have a job (at the hospital). They'll just up my meds again or change them again and the cycle will repeat. I'm so sick of it. I'm so glad I found this forum so I actually have somewhere to talk about it.
I think mental illnesses needs to be reclassified as terminal not because we will all end it but because that's what it takes to be taken seriously in most cases. I'm terminal I'm getting use to saying it because I've tried everything for almost 30 years. Possums are only supposed to get one good year in the wild no wonder my life's crap
 
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Forever Sleep

Earned it we have...
May 4, 2022
14,795
It confuses me too really. Especially psyche holds. I guess maybe they work for someone who has experienced some kind of episode where they have tried to commit impulsively but, what can they do for those who have experienced ideation longer term? I get the sense that a lot of people lie in order to be released.

Really then- only a longer- term session of therapy would seem appropriate to me. But then, (some) therapists seem so afraid of patients experiencing ideation. Likely that they will act on it and, they'll receive the blame. I tend to think it's this culture of blame that creates these problems.

Plus- that we aren't able to discuss suicide openly. If people aren't made aware that plenty of people experience ideation long- term, I suppose it makes sense they may see it as a temporary phase.
 
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kitkatt

kitkatt

Possumpwincess
Feb 17, 2026
73
It confuses me too really. Especially psyche holds. I guess maybe they work for someone who has experienced some kind of episode where they have tried to commit impulsively but, what can they do for those who have experienced ideation longer term? I get the sense that a lot of people lie in order to be released.

Really then- only a longer- term session of therapy would seem appropriate to me. But then, (some) therapists seem so afraid of patients experiencing ideation. Likely that they will act on it and, they'll receive the blame. I tend to think it's this culture of blame that creates these problems.

Plus- that we aren't able to discuss suicide openly. If people aren't made aware that plenty of people experience ideation long- term, I suppose it makes sense they may see it as a temporary phase.
That's why I stopped spending money on therapy because I couldn't talk about how I really felt without fear of being committed. I've wanted to commit suicide since I can remember remembering things so YOUNG and I know statistically I'm not the only one who started suicidal ideation's so young
 
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l1ablemistakes

l1ablemistakes

Tragic disappointment
Feb 16, 2026
70
It confuses me too really. Especially psyche holds. I guess maybe they work for someone who has experienced some kind of episode where they have tried to commit impulsively but, what can they do for those who have experienced ideation longer term? I get the sense that a lot of people lie in order to be released.

Really then- only a longer- term session of therapy would seem appropriate to me. But then, (some) therapists seem so afraid of patients experiencing ideation. Likely that they will act on it and, they'll receive the blame. I tend to think it's this culture of blame that creates these problems.

Plus- that we aren't able to discuss suicide openly. If people aren't made aware that plenty of people experience ideation long- term, I suppose it makes sense they may see it as a temporary phase.
I've been in therapy for like 6 years now. Every time I even vaguely mention suicide I have to convince my psychologist not to call an ambulance. My psychiatrist is a bit more chill. She actually seems to understand a bit

I know it's all about professional liability. If I mention being suicidal then I kill myself and they didn't call an ambulance, it's their license on the line. So it's just easier to spare them the trouble and skirt around it.

It really seems like there's no good options for when it's chronic. It's not like they can promise it'll get better. There is plenty of evidence to the contrary.
That's why I stopped spending money on therapy because I couldn't talk about how I really felt without fear of being committed. I've wanted to commit suicide since I can remember remembering things so YOUNG and I know statistically I'm not the only one who started suicidal ideation's so young
Me too unfortunately, I was about 12 when it started and I'm 22 now. Youd think my lack of urgency would give professionals a reason to let me talk about my feelings honestly. I'm really considering quitting therapy. Why bother paying hundreds of dollars to cry about things I always cry about while convincing a stranger not to call an ambulance.
 
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