Let's talk about #meditation and chronic illness:
1) It's not gonna cure your medical conditions.
2) It might improve your life in some ways, IF you're committed long term and have reasonable expectations for what it should do. 🧵
There are many types of meditation. What I'm talking about here are calming & insight meditations, aka the types @Headspace uses. This involves lots of focusing on bodily sensations, paying attention to breathing, & noticing when thinking or feeling gets in the way of that focus.
This might sound like a nightmare. "Focus on what's happening in my body? When I feel like shit?!" I get it. That's what I said too. I was VERY hesitant, especially bc doctors gaslit me in the past by suggesting meditation & saying my physical health problems were "just anxiety."
And at first, I did feel worse. Meditating made me recognize every little negative sensation inside my body. Nausea, pain, numbness, itchiness, weird breathing, lightheadedness... Not ideal. Not calming.

For months, I meditated & felt worse. But I stuck with it bc I'm stubborn.
I also read a lot about how meditation is a practice, which means you gotta...practice. It's not a magic pill. So I stuck with it. I used Headspace (student discount) daily for ~4 months before seeing any positive changes. Eventually, I noticed things shifting:
1. While meditating, I was able to recognize chronic illness sensations/symptoms in my body, note that they were happening, & return to focus on something else (like breathing). This is a contrast to the fact that when I started, I would fixate on these sensations and feel worse.
2. By forcing myself to "sit in the ick" of those sensations without trying to change anything about the sensations, I got practice in feeling icky without trying to treat it. That made me less anxious in situations where I was symptomatic but didn't have meds or an escape hatch.
3. There's a focus on not labeling sensations or thoughts as good or bad, but rather just acknowledging that they exist. This seems WILD bc chronic illness sucks and is full of "bad" sensations. But by reframing them as neutral parts of life, I'm able to avoid spiraling.
4. I find myself generally less frustrated by negative things--related to chronic illness or the rest of life. Setbacks don't seem as drastic. They're just part of what is, and life moves on no matter what. "Life as it comes," as they say. (Back to that not judging/labeling.)
Now that we covered what meditation DID for my life, here's what it did NOT do:
1. Cure any of my chronic illnesses or diseases.
2. Stop all anxiety.
3. Make me rich and famous.
4. Allow me to stop taking meds or treating my illnesses.
For me, meditation is one tool in a bigger toolkit. It's not a substitution for treatment of any disease.

On that note, you (friends, family, people of the internet) should NEVER ask someone with chronic illness if they've tried meditation. Just don't.
And if you're a healthcare provider, don't ever push meditation as a frontline medical treatment. Meditation *might* help your patient cope with chronic illness (one of many things that could help), but don't sell it as a treatment. It's not one. And it can make things worse.
As always, your mileage may vary. I'm posting this thread so we can have a more nuanced convo about this topic, which is pretty taboo (for a good reason) in chronic illness communities.

No gaslighting in the replies. No being a jerk. But feel free to share experiences or ask que
-stions. Apparently that part of the word didn't make the cut.

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More from @SaltySicky

Jan 4
A real life #NYC horror story. 🧵

I was watching Netflix with my cat laying on the couch. All of a sudden he got up, eyes wide and ears forward, and ran over to the wall. 1/
Now this cat is not a playful guy. He's a couch potato. So I paused the TV and followed him. He was staring at a spot on the wall, then up slowly moved his gaze toward the ceiling. Then he started walking around my apartment, looking up and chirping. 2/ A white cat standing on a red Persian style rug. He has gree
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Sep 11, 2022
It's #WorldSuicidePreventionDay!
As a suicidologist and someone who has experienced chronic suicidality since age 9, I want to offer some insights that mainstream prevention orgs don't often share. 🧵
Suicidal ideation does not mean a person needs to be immediately hospitalized against their will. A significant portion of the population experiences suicidal ideation and never acts on it. I'd argue that it's a "normal" response to many difficult life situations.
Suicidality isn't always episodic. That means that for some people, the desire to die never goes away. We wake up, think about it, and carry on with our day. I've seen this called "grey suicidality" online and it's fairly common. Again, not an emergency.
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Jul 31, 2022
The journalist that interviewed me for this article said he wanted to better understand the criticisms of 988. In addition to talking to me, he spoke to @LizWinston9, a survivor of involuntary psychiatric care. Her quotes have since been removed, at her request. 🧵
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Our posts are NOT misinformation. In fact, I offered to send the journalist peer-reviewed articles that demonstrate the long-term harms (including increased suicide rates!) stemming from involuntary psych care. He never followed up. We also talked about how the UN has classed...
Read 11 tweets
Jul 18, 2022
My research as a critical suicidologist means I often critique nonconsensual (carceral) psychiatric care. Lots of people have asked what I recommend as an alternative. 🧵
First of all, this is a fantastic question! While we critique oppressive systems, we also need to build and support better alternatives. Here are some ideas:
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Thoughts from a suicidologist on the new 988 crisis hotline:
1. Having a simple number is good.
2. Having more trained crisis teams is good.
2. It's still linked to nonconsensual active rescue which means they can & will trace your call & send police if they deem it necessary.
This is hugely problematic & a barrier for folks who want help. They won't call if they know it's not truly confidential. This is for a good reason, as people can & do get fired from jobs, lose housing, lose access to their kids, etc. after being deemed a danger to themselves.
Second, police kill people with actual or assumed mental illnesses at very high rates, and they're rarely trained for mental health crisis intervention. They're also an organization based on containment and punishment, not care or healing.
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Jul 21, 2021
#AcademicTwitter: What are the best ways you've made and/or seen college instructors make courses more accessible?

Some peers asked me for tips so I’ll start with my own, but please add to the list! I’m always looking to learn about more best practices and ideas. 🧵
The biggest tip:
1. Don't wait until a student hands you an accommodations form to start thinking about accessibility.
2. Don't require doctor's notes for absences/makeup exams. They’re expensive and create unnecessary appointments. Just trust your students. If they're lying, it'll catch them someday.
Read 21 tweets

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