Your questions seemed rather rhetorical to me. As long as you act on the premise that there’s no solution, any conversation about the topic - including this one - is a monumental waste of time. So let’s just leave it at that.

Ah, a doomer. So let me guess, there’s nothing we can do and every form of activism is useless?

Just go on with your day then. This protest certainly isn’t about you. They didn’t hurt you personally, so why not just let them do their thing. The people who believe solutions exist can continue to search for them and you don’t have to bother.

Or do you actually have something helpful in mind?

How do we stop evil corporations? With political action. How do we get political action? Either by voting or collective activism.

There’s no solution that doesn’t require ourselves to spring into action, even if it’s “mostly the fault of a few corporations and their executives”.

That sounds really good. Glad to hear it.

Ah okay. So deinstitutionalization in that context was meant to include psychiatric institutions into general hospitals? Because that I can totally get behind.

Based on the other comments I got the impression that there simply is no inpatient treatment plan for mental health in the US.

My experience does not come from movies. I am an outpatient psychotherapist (in a country with a reasonably functioning psychiatric system). I have repeatedly seen patients slip into psychomental crises where outpatient care is no longer sufficient. The local psychiatric clinics were sometimes real lifesavers. That’s why I find the idea of healthcare without emergency institutions confusing. I would find it terrible not to be able to offer my patients anything in such emergencies.

Bleak.

I don’t quite understand how deinstitutionalizing was supposed to work here. That’s like dissolving the fire department because we want to avoid cars. Was there no way to reform or replace the institutions? Just getting rid of an emergency service seems kinda like the situation you’re describing was part of the plan.

If you live in the US and experience a psychotic episode, a suicidal crisis, or another mental health emergency - where do you go?

And to think I bought a Japanese car specifically because of Dieselgate… well.

They’re all corrupt, aren’t they?

Aktuell wird doch ne Stromtrasse durch BW gebaut. Diese lächerliche Nummer von wegen, wir hätten gerne Strom, aber keine Trasse, war eine astreine CSU Nummer.

This idea of “actually, all Germans secretly think this way” is a common excuse of modern day Nazis to justify their increasingly brazen behaviour in public. Just so you know whose talking points you’re reproducing here.

Insane. Thanks for sharing.

I am a psychotherapist. Mental disorders are often curable. Our mind, our psyche, our brain develop and change in every waking moment, one small increment at a a time. A good indication for this are mental disorders themselves. Their emergence is proof of our mind’s capability to change - for the worse, in this case, but change nonetheless.

So in theory it should always be possible to change the other way around, to get significantly better to the point where the disorder is no longer present. (If you define a episode of mental health and wellbeing after a depressive episode as “managing” a still present disorder, then sure, they are incurable, but that’s because that’s part of your definition to begin with. The symptoms of a mental disorder can definitely disappear.) A more difficult question would be if our surroundings and social realities allow for so much change to take place. And sometimes, unfortunately, this isn’t possible, since our society can be a fucked up place and economic constrains have an unavoidable influence on our capability to shape our own path.

Still, in my personal experience working with hundreds of patiens in different therapeutic setting, most people can (and do) reclaim their mental health, given supportive surroundings and adequate treatment. From your pessimistic outlook at mental health I will cautiously assume that you don’t have those widely available to you. In this case you’d be somewhat right: Under such circumstances the possibilities to cure mental disorders are limited. Another complicating factor might be mental disorders themselves though. The feeling of “this is never going to get better, I’ll never be happy again” is one most people with depressive disorders know all to well. So if we ask the affected people directly we will often arrive at the conclusion that the disorders are in fact incurable. And that’s a horrible feeling for sure. I find it important to remember though that what our thoughts tell us in those dark episodes isn’t necessarily the truth. In this case I’d argue it isn’t. I’ve seen too many examples of the opposite, luckily.

It’s going to be hard for her partner, friends, and family, but it would be so much worse and so traumatic if she didn’t have help or had to hide the desires until she took her own life regardless of the laws.

I’m not sure that’s true. Losing someone to suicide is in itself quite traumatic. One relief many people have is when they wrap their head around how a self destructive impulse in the heat of an especially devastating moment could have led to it. But living with the fact that your daughter/wife/sister/friend very consciously decided she would rather be dead than to share in this life with you - that’s tough. It’s not unusual with relatives of suicide victims to struggle with feelings of intense anger towards the person they lost, which in turn can lead to feelings of guilt and shame. It’s hard to work through something like that. And I don’t think it gets any easier if the circumstances are as emphasised as in this case.

I think there are very valid use cases for assisted suicide. Personally I doubt that depression is one of them, because suicidality is such an inextricable part of the disorder itself. At the end of the day this is a suicide, just with extra steps and a stamp of approval by a national agency. The people surviving her will not only have to work through the fact of her suicide but process the official approval as well.

The only advantage to a “regular” suicide I can think of is avoiding the trauma of the person finding you. (Although there are probably ways around that anyway.) But I guess she has her reasons to have chosen this specific method and setting.

After I got diagnosed with some weight related shit, I turned my entire life upside down, am at a much healthier 150 lbs (68ish kg), and feel so much better, both physically and mentally.

Something disillusioning from the field of psychotherapy research: Our best, most interdisciplinary, low-threshold therapeutic strategies allow people to, on average, lose and hold the loss of up to 7-10% of the weight they’ve started with. Which isn’t even enough to get most people out of the obesity range. What you’ve been through is exceptional. By far most people will never manage to lose that much, not even with professional help.

To put it this way: If we look at obesity like a mental disorder it’s one of the hardest to overcome, harder than depression or anxiety.

I get why so many people share your opinion on this, I just feel like it’s missing context. Because sure, physiologically its possible for a depressed person to “just go out more” or an anxious person to “just stop breathing so fast” or an overweight person to “just eat less and move more”, but this is such an oversimplified way to look at how humans work and why they do what they do that is simply stops being correct. Every now and then you’ll meet someone who managed to do all this just like that, but for the vast majority it’s an unrealistic and unfair thing to ask.

Obesity is a chronic disorder and will continue to be until we get better treatments.