navigating a world which feels like gravity is working in reverse

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Doctors and other helping professionals treat society, not you.  If you are high in society you generally get medication to treat anxiety and pain (this Atlantic Monthly writer doesn’t have any trouble getting anxiety medication).  If you are not, you don’t.  The most extreme example can be found with people dependent on the VA being told to play mind games and seek eastern medicine instead of getting pain medication.  If you’re bipolar you might not get pain medication at all.  This brings up an interesting thought experiment, the mental health medications are prescribed to keep the patient from being a danger to society but society doesn’t accrue any benefit for treating people’s pain.  In fact pain medication can make people function more poorly in society.