this post was submitted on 31 Jul 2026
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Mental Health

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lol hi I’m new to actually trying to get a grip on my psyche so please bear with me

I’m a man in his mid-twenties who has gone through some nonsense. I’ve historically been able to brush off and move past intense family dysfunction, poverty, weird friendship dynamics, stress from extracurriculars and university, anxiety about the world and my future in the tech industry, and came through getting furloughed from my first gig out of college relatively unscathed. I’m finally settling back into work which on paper isn’t too far off from my interests, I’ve finally become financially stable, and I recently ended a long-term relationship that had become mutually platonic in a pretty gentle way.

Seemingly out of the blue I’ve started waking up at night with sensations of intense dread, my heart rate sometimes spiking and there being very little I can seemingly do to affect it. A few weeks back I was sent to the ER after a heart rate of ~160bpm at rest for 40 minutes. Doctors don’t believe there’s anything physiologically wrong, but ever since I’ve had weird, off-feeling sensations where I know I won’t be able to relax. If I keep busy I’m fine, but this has absolutely been wrecking my sleep. Exercise has helped to some degree, but like, what the hell brain?

Taking any and all advice, I’m a generally anxious and stressy person but this is completely new to me. Talking myself down from these types of situations doesn’t seem to work, what do I do?

edit: ty for all the responses and for letting me thought-dump for y’all, it’s actually been nice to just write this all down as well

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[–] fieldswork@sh.itjust.works 1 points 21 hours ago (2 children)

lol, i don’t want to dig at my PCP but when i asked about referrals i got the impression they thought therapy was just paying to get talked at

I… will take a look at that, my insurance isn’t phenomenal but if I can’t figure this out that’s what I’ll try next.

[–] the_abecedarian@piefed.social 3 points 20 hours ago* (last edited 20 hours ago)

I never say "don't listen to your doctor", but your PCP isn't a mental health professional and you need to be your own best advocate. Not every Psych works for every person, but there is very, very likely one that works for you who your insurance will cover. Since you have executive function now, it's good that you're taking action now. If you ever run out of executive function, reach out to trusted friends and family.

In an emergency, call 988 if you're in the US or otherwise look up your local mental health crisis hotline now and write the number down.

[–] fieldswork@sh.itjust.works 1 points 21 hours ago* (last edited 21 hours ago)

oh god I hadn’t considered that listening to news could cause psychic damage