> We trained users to treat their devices like unruly animals that they can never quite trust. So now the idea of a machine that embodies a more clever (but still unreliable) animal to wrangle sounds like a clear upgrade.
I wish I didn't agree with this, but I think you're exactly right. Even engineers dealing with systems we know are deterministic will joke about making the right sacrifices to the tech gods to get such-and-such working. Take that a step further and maybe it doesn't feel too bad to some people for the system to actually not be deterministic, if you have a way to "convince" it to do what you want. How depressing.
Software is only deterministic if the software it relies on never changes. Forced updates make this impossible, so treating software as deterministic is actually wrong.
If you’ve ever spoken to employees of a public company that was sold to private equity, you’ll know how much of a difference there is. It is a significant difference.
If you’re really poor, you can get Medicaid. It’s the working poor who earn too much for Medicaid who are really shafted. The ACA tried to fix that for as many as it could, by expanding Medicaid to households making more money; the Republicans shut down the government to fight that expansion. It’s maddening.
Gov shutdown wasn’t about medicaid expansion, which is done at the state level. It was about expanding ACA subsidies to those making more than 400% of the federal poverty level.
This type of problem has very little resemblance to the problems I solve professionally - I’m usually one level of abstraction up. If I run into something that requires anything even as complicated as a DAG it’s a good day.
a) ok whippersnapper, b) new community members have the most energy. I’m not actually sure there’s much need for volunteer mods on HN tbh, but the best volunteers are often the newest folks around.
Well wagging the same finger twice in the same comment section on the same point is overenergetic in my book.
At least the second time it should have become obvious that the comments were voicing a common response of visitors to the site, so were constructive rather than nitpicking.
Fluoxetine has received FDA approval to treat major depressive disorder (8 and older), obsessive-compulsive disorder (7 and older), panic disorder (with or without agoraphobia), [and] bulimia nervosa...
Note that the black box warning has nothing to do with long-term effects of the medication. It was added specifically because kids were killing themselves within weeks of starting the medication.
> This is one of the most shocking things I have ever read.
Good grief. I hope you're exaggerating for effect.
> Note that the black box warning has nothing to do with long-term effects of the medication
What are the long-term effects of suicide?
A 7-year-old kid doesn't understand what suicide really means. Putting them on something that encourages a behavior that they don't understand and has completely catastrophic results isn't a risk I would take with my children.
I respectfully submit you might feel differently about it if your child were suicidal. When someone has to be watching them 24/7 already for fear they'll hurt themselves, the black box warning is a lot less worrisome. SSRIs prevent more suicides by far than they cause. It's that first few weeks where they can have a paradoxical effect.
Death is a long term effect. And I am not exaggerating. I did not feel the need to list any of the myriad other potential long term effects because death seemed sufficiently serious.
Edit: in case the OP is reading, I should say also that the package insert won’t mention many other potential long term effects addressed in the literature, like extra pyramidal symptoms (akathisia, Parkinsonism, dystonia, tardive dyskinesia).
Another edit: ask GPT-5 ‘What are the long term side effects of Prozac use which aren’t addressed in the package insert?’ for a list.
It sounds to me like you're saying suicidality in children either doesn't exist, or shouldn't be treated, or should only be treated with talk therapy. If what you're saying instead is "this SSRI is especially dangerous" then ok, you and I just disagree about what information sources are reliable, and that's probably not a difference we can resolve. But if you're saying suicidality in children shouldn't be treated with medication, I'm curious whether you've ever met a six- or seven-year-old who wants to die. It is terrifying. It needs treatment. And talk therapy in children that age is honestly a joke. In the OP's place I would give my child an SSRI without any hesitation.
right which is why they are treating the depression (which leads to suicidal tendencies) which is a symptom of depression, with prozac. that's what the prozac is for. to prevent death
How do you know an anxiety pill is treating symptoms only? What if the cause is physiological, and the pill treats that? It is entirely possible to sit in your therapist's office and mutually shrug because neither of you can find an underlying reason for your anxiety. Sometimes anxiety just is.
I had severe anxiety/depression and majorly recovered from the anxiety component through a year of dilligent transcendental meditation. It changes the brain structure and neurochemistry.
I was on medication during that period and it complemented my practice, provided a stable base to apply meditation and other recovery protocols.
I had panic attacks every morning before school. God, I hated school. Mainly because of the other kids, and when I was older, because of both the kids and the teachers. I remember telling my IT teacher I am using Linux (I forgot why I told her) and she was very condescending. I have a lot of other stories but yeah, school was an anxiety-inducing nightmare.
And for some specific somebody, fixing the problem is their whole job. It’s definitely not my whole job. Maybe not even my job at all (if it’s something I just use as part of a personal hobby.)
I wish I didn't agree with this, but I think you're exactly right. Even engineers dealing with systems we know are deterministic will joke about making the right sacrifices to the tech gods to get such-and-such working. Take that a step further and maybe it doesn't feel too bad to some people for the system to actually not be deterministic, if you have a way to "convince" it to do what you want. How depressing.
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