[Dr. K Explores Sh*t Life Syndrome](https://www.youtube.com/watch?v=1-iV9HhFzpA&ab_channel=HealthyGamerGG) - Shit Life Syndrome: Have 15 different disorders. Idea that you'd have 15 concurrent pathologies exceedingly rare. Lives so bad, that as they survive, they rack up diagnoses. - Where there's no chance of a 1 hour therapy session once a week producing positive changes. - Depression consequence of past, but causes negative future outcomes. - Deaths of despair: majority of people suffering same mental health arising from systematic problems. - Systemic problems have systemic solutions. - Not future oriented, reactive to situation. - If we grow up in a situation without autonomy/circumstances control future. Lose ability to plan for future. P - EG: PoW- thinking about future useless. - Adaptions to survive prevent us from thriving. Become problematic in the future. Q: is this mental-health (not reflective of life), or is my life bad (congruent depression)? - Mental illness often consequence / adaptation to challenges. EG: if traumatised, body geared to high arousal state. - Paper: The Combined Cognitive Bias Hypothesis in Depression (Everatt, 2012) ![[Pasted image 20260117142558.png]] - Entitlement/High Socio-Economic Status: Have assumption they are allowed to shape the environment = huge difference in behaviour/beliefs. - Adaptations - A belief you can change your environment/life. - Stop jumping to conclusions (particularly disempowered ones) - Sex Perception based on attachment theory - Securely attached: expression of love. - Anxious preoccupied: way to feel loved. - Avoidant: way to avoid feeling of love - Karma: 99% in mind, the way I allow myself to think determines so much about the future. - Other people are shaping our thoughts than any time before (echo chambers; internet; ) - Bad stuff happens in love, but we are given the tools to manage the badness. - Change requires - Manipulation of information - Spacing - Timing - Depressive realism: where depressed people are more able to accurately predict outcomes than healthy counterparts. - Q: where is the line between accepting and giving up? - Stubbornness and perseverance are the same characteristic. - High IQ risk factor for mood disorders; ADHD, diseases related to immune regulation.  - DK: this is losing the forest for the trees, we aren’t adapted to be good judges of reality. The **ideally working organism is somewhat divorced from reality. We are calibrated to be out of touch with reality. Have intrinsic, healthy biases which help us succeed in the world**. - EG: don’t think probabilistically in terms of bad outcomes; buying lottery tickets as we think  we are likely to win. - Narcassistic defence mechanisms are often adaptive to see world in a favourable light. - Not seeing world as it is is inportant for procreation: EG not seeing red flags helps with procreation. - With people who are depressed: we will attempt to restore their disconnection with reality. - High self efficacy beliefs reward positive behaviours. - DR: healthy patients are more accurate with self-evaluation. DR may make better at judging outside world, but worse at judging yourself. - Moving from SLS to happy. - The worse your situation is, the more internal work you have to do. - Improving people’s circumstances objectively improves their MH - Lottery: relative to match controls people who win the lottery gain sustained life satisfaction which persists for over a decade and show no signs in diminishing - Impact on MH/happiness smaller - It’s way easier to change you than change your environment  - Changing yourself far more effective. - How thoughts shape actions - Mental action/karma: what is the action you take in your mind that starts the cycle. - To make an avalanche of change, through changing the snowflakes of thoughts - A revolution in life is made of tiny little things