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Excellent post!
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me too lol.credit issues
I realized the most damaging thing to my memory and cognative abilities was my depression, anxiety, poor sleep (related to ADHD, RLS, PLMS), etc. Yeah weed clouded my head. Yeah taking DXM 100+ in highschool (never really more than once a week, besides a few time) had a slight effect on my memory, but hell I passed calculus with no problem. A lot of it was in my head being a teenager growing up, being real self critical, and all the non-drug related problems I've had all my life. Of course dissocaitives have decreased my short term memory temperary with abuse, and of course opioids along with benzos do the same, but not in the scale that my non-drug related problems have effected me. Stress causes more damage to your NMDA receptors than occasional NMDA-antagonist use. However, when you combine them both together, the deficits are real noticable.
Now that I'm not depressed anymore, am on medication + doing non-pharmacological therapies to help me sleep better, reduced my anxiety, etc, I feel so much more on top of things. I'm not as constantly losing things, or forgetting things through out the day that I need to remember to do, as I used. It took some time and effort, but I'm 100x times happier.
You're jokin' right?
To be frank I don't believe there is such a thing as a good psychiatrist.
They're all quacks fumbling in the dark.