maddening that there is a common medical condition whose symptoms consist of massive long-term loss of mental and physical functions, due to the incredibly damaging effects of prolonged stress overextending the mind and body by pushing it into survival mode beyond enduranceâand that there is no medical term for it. despite the fact it's so damn common that everyone knows of someone suffering from "burnout."
While there are many reasons to be experiencing burnout nowadays, there is a very real possibility that, in the wake of COVID, you are not suffering from just burnout, but from something called ME/CFS. Itâs something you can get from any number of sources, but itâs gained recent notoriety as a part of Long Covid.
Unfortunately, I donât currently have the spoons to attach resources (because I have the condition myself đ) - but in the meantime, thereâs some info under the readmore that might help? Iâd give it a look if you think you might be suffering from burnout, just to check.
EDITED ON MAY 12th 2026 WITH CORRECTIONS, INFO, AND RESOURCES. Edits in blue!
itâs worth doing a little research yourself and acquainting yourself with the symptoms. Here are a few:
Post-exertional malaise: this is the big one. This is what makes it so much like burnout. Basically, you tire out much easier from exertion - your ability to recover is sabotaged, and takes a lot longer. Practically anything can count as exertion if youâre sick enough - exercise, talking to friends, reading, video games⌠massive pain in the ass. And weird, shitty, seemingly unrelated symptoms can pop out of nowhere the sicker you get.
Brain fog: another form of fuckery. Cognitive impairment. Your energy levels are lower, so your brain doesnât cooperate the way it should. This leads to trouble recalling things, trouble making decisions, lack of coordination, and many, many other frustrating things.
Immune system problems: these are a cluster of symptoms that can vary quite a bit from case to case. I hear your immune system can get underactive, and you can get diseases more easily, among other things? (Fact check this.) EDIT: While Iâm uncomfortable writing this off completely, and I havenât fully fact checked this, itâs looking a lot more like an overactive immune system is part-and-parcel of ME/CFS. My mom and I, on the other hand, have overactive immune systems, and we get lovely symptoms like food sensitivities from out of nowhere. Like eggs? Good source of nutrients? Fuck you, stomach donât like them anymore, have headaches and gastric agony from the pain dimension.
Generalized muscle and joint pain: I donât have the research in front of me, but from what I can remember, lactic acid builds up more easily in the muscles of those with ME/CFS. Basically, it doesnât take much effort for you to get sore, and you have achy spots on your body that improve with massages but donât seem to go away completely or permanently. (My mom and I both get sore in our lower backs)
These are just some of the symptoms you can get. Still with me? Good.
Think you might have it?
Things can be done about this. Really smart people have been working hard to find a cure, and thereâve been some really promising discoveries.
Now, ME/CFS is a real sonuvabitch to diagnose because so far, thereâs been no way to test for it directly - you have to use process of elimination instead, and rule out other conditions. This is a long and annoying process.
EDIT: There might just be a blood test for ME/CFS on the horizon, which would make things SO much easier. In the meantime, it still helps to rule out other conditions (as frustrating as it is), and there is a certain exercise test which produces a unique result for people with ME/CFS. This test is called the CPET test, and it may be worth talking to a doctor about. More info on this test and other stuff in the reblog.
Unfortunately, I canât speak when it comes to other forms of health insurance in the United States besides Medicaid. But what youâll wanna do is basically take various lists (which are part of a packet that my mom put together - Iâll link said packet on a reblog) to different specialists, and test for the conditions on those lists. Rule âem out, make sure you donât have them.
Again, this is arduous and difficult. But getting a diagnosis can be very helpful when it comes to getting support or benefits.
That said, there are things you can do without having to get a diagnosis. Certain medications have been known to help with the symptoms. Iâll list a couple that have helped me here.
DO NOT TAKE MEDICATIONS WILLY-NILLY WITHOUT CONSULTING YOUR DOCTOR. MAKE SURE THEYâRE SAFE FIRST.
I recently had an incident where I took one of these meds, and some potentially deadly complications came up. It got resolved, I was able to continue taking it, but you canât be too careful!
Metformin has helped some people with ME/CFS. I happened to have other reasons for taking it, but once I did, I noticed that my energy levels raised a bit and I had less brain fog.
Naltrexone is a medication best known for treating cravings and addictions. In smaller doses, it can help diminish the negative impact of the symptoms. (However, itâs been known to amplify the effects of some other medications - this is what I had trouble with earlier. Be cautious and pay attention to your body!) EDIT: Youâll want to start with an extremely small dose - less than a milligram. Then, if youâre finding that you need more, start increasing the dose gradually, bit by bit. If you experience a lot of tightness in your head, neck, and shoulders, itâs too much.
Trazodone can be used in small doses to help with sleep issues, including those caused by ME/CFS - more lovely symptoms that I didnât mention earlier. Again, pay attention to this one, because it can cause problems if youâre not careful - especially if you take a lot of medications.
Youâll notice that use of these medications are generally off-label, as theyâre usually prescribed for other reasons.
Now, donât create more problems for yourself or lie to your doctor(s), but if you happen to have the problems those medications are intended to treat (i.e. you struggle with cravings or sleep problems), then by all means, use those problems to get the help you need!
âŚ
This is a lot of information, I know. And Iâm sorry. This entire disease is bullshit.
I have one final piece of advice. The most annoying, frustrating, and yet important part of all this.
The most consistent way you get better - improve your condition, become less sick - is by resting.
It is the hardest fucking part.
Because there will be things that you will want to do. Or need to do. Or have to do. Some of those things will be unavoidable, and you might take a hit when you do them. But otherwise? Youâre going to have to rest.
Youâre going to have to listen to your body when it tells you âno.â Even if it means not hanging out with friends. Or doing something that would normally be really good for you. Or, hell, even just getting outside of the house. There will be times where you have to lie in bed and just⌠do nothing.
And you will fuck up sometimes, because you want to live and exist in the world. Thatâs okay - donât beat yourself up about it. Just do the best you can. The whole game is rigged, and you shouldnât have to play it in the first place, but that doesnât mean you canât win.
All of that up there - the more intense stuff - that can be avoided if you take care of yourself and start resting up early, before things get too bad. But if not, donât give up, you can make it through this.
Hopefully no part of this comes across as unhelpful or pretentious or anything - if this helps at least one other person, I consider it a success. But hopefully itâll help more people than that.
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I think part of getting better is complete ego death. Like youâre not above setting a timer for 5 minutes and focusing on a task. Youâre not above doing a very simple 3 minute workout to start. Youâre not above reading for 10 minutes a day when you first get out of your reading slump, even if you used to read for hours. Youâre not above starting slow and then building up to where you want to be/where you once were. What you are above is total inertia. Doing something really is better than doing nothing. Radically accept where you are, radically accept your limits, and go from there. Donât let your ego get in the way.
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Comic #355 : Chronic pain is isolating - Website links here ~
Here's a comic for the spoonies, the suffering and the lonesome. Let's take ibuprofen together đťđ That's right it's a double length comic! I had a lot to say that wouldn't fit in 4 panels đĽ˛
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So I remember reading about this study in grad school where they have a bunch of clinically depressed people and a bunch of non-clinically-depressed people a game that was partially chance and partially skill, and asked them to estimate how much control they had over the outcome.
The depressed people were far more accurate in estimating how much influence their actions had on the outcome of the game compared to their nondepressed counterparts, who consistently overestimated the effects of their own choices on their chances of winning.
Then I remember this other study (CW animal testing) where they put rats in a bucket of water that they couldnât get out of, so theyâd have to swim. There was a fairly consistent point at which the swimming rat would falter, and stop swimming, fated to drown.
Except that thatâs when the researchers would pull the rat out of the bucket, give it a nice rest warmth and a meal.
When those SAME rats who had been rescued before were put in the same situation again, they swam much LONGER than they had before.
Why? The risk was the same either way- drowning. Youâd have thought that the fear of drowning would keep them swimming to their maximum length no matter what.
The researchers conclusion was that the rescued rats had something they hadnât had the first time- they had more hope. A miraculous rescue could come, and that let them swim for longer, just in case.
I think we do microdose delusion because sometimes that little overestimation of our chances, of our luck, keeps us swimming that little bit longer, just in case something good happens. And sometimes, that little margin really does make the difference.Â
âAll right," said Susan. "I'm not stupid. You're saying humans need... fantasies to make life bearable."
REALLY? AS IF IT WAS SOME KIND OF PINK PILL? NO. HUMANS NEED FANTASY TO BE HUMAN. TO BE THE PLACE WHERE THE FALLING ANGEL MEETS THE RISING APE.
"Tooth fairies? Hogfathers? Littleâ"
YES. AS PRACTICE. YOU HAVE TO START OUT LEARNING TO BELIEVE THE LITTLE LIES.
"So we can believe the big ones?"
YES. JUSTICE. MERCY. DUTY. THAT SORT OF THING.
"They're not the same at all!"
YOU THINK SO? THEN TAKE THE UNIVERSE AND GRIND IT DOWN TO THE FINEST POWDER AND SIEVE IT THROUGH THE FINEST SIEVE AND THEN SHOW ME ONE ATOM OF JUSTICE, ONE MOLECULE OF MERCY. AND YETâDeath waved a hand. AND YET YOU ACT AS IF THERE IS SOME IDEAL ORDER IN THE WORLD, AS IF THERE IS SOME...SOME RIGHTNESS IN THE UNIVERSE BY WHICH IT MAY BE JUDGED.
"Yes, but people have got to believe that, or what's the pointâ"
Iâm watching that documentary âBefore Stonewallâ about gay history pre-1969, and uncovered something which I think is interesting.
The documentary includes a brief clip of a 1954 televised newscast about the rise of homosexuality. The host of the program interviewed psychologists, a police officer, and one âknown homosexualâ. The âknown homosexualâ is 22 years old. He identifies himself as Curtis White, which is a pseudonym; his name is actually Dale Olson.
So I tracked down the newscast. According to what I can find, Dale Olson may have been the first gay man to appear openly on television and defend his sexual orientation. He explains that thereâs nothing wrong with him mentally and heâs never been arrested. When asked whether heâd take a cure if it existed, he says no. When asked whether his family knows heâs gay, he says that they didnât up until tonight, but he guesses theyâre going to find out, and heâll probably be fired from his job as well. So of course the host is like âŚwhy are you doing this interview then? and Dale Olson, cool as cucumber pie, says âI think that this way I can be a little useful to someone besides myself.â
1954. 22 years old. Balls of pure titanium.
Despite the pseudonym, Daleâs boss did indeed recognize him from the TV program, and he was promptly fired the next day. He wrote into ONE magazine six months later to reassure readers that he had gotten a new job at a higher salary.
Curious about what became of him, I looked into his life a little further. It turns out that he ultimately became a very successful publicity agent. He promoted the Rocky movies and Superman. Not only that, but get this: Dale represented Rock Hudson, and he was the person who convinced him to disclose that he had AIDS! He wrote the statement Rock read. And as we know, Rock Hudsonâs disclosure had a very significant effect on the national conversation about AIDS in the U.S.
It appears that no one has made the connection between Dale Olson the publicity agent instrumental in the AIDS debate and Dale Olson the 22-year-old first openly gay man on TV. So I thought Iâd make it. For Pride month, an unsung gay hero.
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I started using Head and Shoulders ten years ago for itchy scalp and dandruff, and then for ten years I have not had itchy scalp and dandruff, so I thought âwhy do I still buy shampoo to combat itchy scalp and dandruff when I do not have itchy scalp and dandruff,â so I stopped buying the shampoo for itchy scalp and dandruff and can you guess I have now? Can you predict what currently afflicts me? Itâs alright if you canât because apparently I fuckin couldnât either
Cutting something out of your life because you think you donât need it any more only to realize that it was in fact working as intended and preventing a problem that will return should you stop doing this is a good experiment to run periodically with something small like dandruff shampoo, lest you start to think it would be a good idea to do this with like letâs say public health and the social safety net and vaccines
I had a liver transplant when I was 14 and like six months later I was chatting with my surgeon and he said âthereâs gonna come a time, probably when youâre a teenager, where youâre gonna think, âI feel great, why am I still taking all this medication? I havenât needed it in years.â and youâre gonna want to stop taking all this medication. Guess whatâs gonna happen then? Youâre gonna go into rejection and your liver is gonna start failing, and youâre gonna be dying again, and weâre gonna have to find you another liver. So donât do that.â And I said âwhy the fuck would anyone do that?â and he said âpeople are stupid.â
every once in a while when I get annoyed by a pharmacy or donât wanna get out of bed to do my drugs I think âugh, this is dumb, why do I do this?â and that conversation slams into me like a truck and I remember that I am, in fact, stupid