<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>ljm</author><text>I appreciate the concern but, honestly, it&amp;#x27;s exhausting to keep fielding &amp;#x27;have you tried...&amp;#x27;, &amp;#x27;have you looked into...&amp;#x27;, &amp;#x27;have you explored...&amp;#x27; questions.&lt;p&gt;I get that it comes from a good place, but I&amp;#x27;m sharing my experience, not asking for advice.&lt;p&gt;The best help you and others can offer is to just listen, instead of offering another solution.&lt;p&gt;There are two replies to me in the &amp;#x27;have you tried&amp;#x27; vein. I&amp;#x27;m not aiming it at you specifically, just trying to stop a pattern.</text><parent_chain><item><author>lost-found</author><text>You ever look into ketamine for treating depression?&lt;p&gt;Self medicated this past weekend and had some major breakthroughs with my long time depression&amp;#x2F;suicidal intrusive thoughts. Nice thing is you don’t have to stay on it unlike other antidepressants—I would never do a medication that you have to constantly take.</text></item><item><author>ljm</author><text>This was one of the factors that made me think twice about going back on anti-depressants, until I made peace with the fact that my ability to orgasm wasn&amp;#x27;t going to pull me out of the hole I was in. It&amp;#x27;s a shitty choice but the desire to not be suicidal forces your hand.&lt;p&gt;It&amp;#x27;s literally like flipping a switch. One day, the plumbing works. The next day, it doesn&amp;#x27;t. Many times I&amp;#x27;d just give up, out of boredom.&lt;p&gt;The side-effects are clearly stated but to use myself as an example, I vastly underestimated just how strong they would be.&lt;p&gt;That said, if you&amp;#x27;re dealing with the big black dog as it were, don&amp;#x27;t use it as a reason to avoid anti-depressants if you really need them. Keep your doctor up to date about the side-effects so they can adjust your prescription. And don&amp;#x27;t be shy just because you&amp;#x27;re talking about your private parts.&lt;p&gt;And make sure you have a therapist too.</text></item></parent_chain></comment><story><title>Post-SSRI sexual dysfunction</title><url>https://rxisk.org/post-ssri-sexual-dysfunction-pssd/</url></story>
<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>ghostbrainalpha</author><text>I just lost a friend to Ketamine, and there is another thread on the front page about someone famous who destroyed their life with it.&lt;p&gt;Ketamine seems like a miracle but a ton of people cant control their usage of it at all. Even if you think you know how addiction works, Ketamine sneaks up on you in a way cocaine, heroin, and oxytocin do not.&lt;p&gt;Please be careful.</text><parent_chain><item><author>lost-found</author><text>You ever look into ketamine for treating depression?&lt;p&gt;Self medicated this past weekend and had some major breakthroughs with my long time depression&amp;#x2F;suicidal intrusive thoughts. Nice thing is you don’t have to stay on it unlike other antidepressants—I would never do a medication that you have to constantly take.</text></item><item><author>ljm</author><text>This was one of the factors that made me think twice about going back on anti-depressants, until I made peace with the fact that my ability to orgasm wasn&amp;#x27;t going to pull me out of the hole I was in. It&amp;#x27;s a shitty choice but the desire to not be suicidal forces your hand.&lt;p&gt;It&amp;#x27;s literally like flipping a switch. One day, the plumbing works. The next day, it doesn&amp;#x27;t. Many times I&amp;#x27;d just give up, out of boredom.&lt;p&gt;The side-effects are clearly stated but to use myself as an example, I vastly underestimated just how strong they would be.&lt;p&gt;That said, if you&amp;#x27;re dealing with the big black dog as it were, don&amp;#x27;t use it as a reason to avoid anti-depressants if you really need them. Keep your doctor up to date about the side-effects so they can adjust your prescription. And don&amp;#x27;t be shy just because you&amp;#x27;re talking about your private parts.&lt;p&gt;And make sure you have a therapist too.</text></item></parent_chain></comment><story><title>Post-SSRI sexual dysfunction</title><url>https://rxisk.org/post-ssri-sexual-dysfunction-pssd/</url></story>