Carrie Underwood – Silent Night (2021 Opry Live: USO Holiday Special)
Melinda
Melinda
The post talks about how positive thinking and affermations help with Bipolar Disorder, the truth is everyone can benefilt from the post. What we think and say is what our brain believes.
Words — whether spoken or thought — carry incredible weight. They are capable of healing or harming. The unkind phrases people tell themselves so often can easily turn into beliefs, shaping an unfair and cruel view of who they are.
If words hold so much sway, why, then, can’t they be used for good?
What if your words and what you tell yourself hold the key to a better life? Imagine if, instead of riding along with the usual negative stream of consciousness, you said aloud: “I am worthy.” “I have the strength to overcome any challenge.” “I have come this far — I am capable.”
Appropriately termed “affirmations” or “self-talk,” these are positive statements that can help you confront and overcome self-sabotaging and negative thoughts and beliefs. When you repeat them often and believe in them, you can start making positive changes and rewriting your story.
Most people spend much of their waking time talking to themselves, although they might not always be aware of it. And that internal chatter is much more influential than many realize. Mood is created by the balance of chemicals in the brain — neurotransmitters like dopamine, serotonin, endorphins, and so on.
Yet even your thoughts or self-talk can alter your brain’s chemical reactions, shaping emotions and behaviors. What you say to yourself has real-world consequences.
“What you tell yourself is how you are programming your internal navigation system,” says Jill Sylvester, LMHC, MEd, who has a private practice in Hanover, Massachusetts, and is the author of Trust Your Intuition: 100 Ways to Transform Anxiety and Depression for Stronger Mental Health.
In this way, a person’s inner speech functions much like an internal compass or brain-based GPS. The tone of this self-talk influences our feelings, judgments, self-esteem, and actions — guiding them to move forward, change course, or settle into the status quo.

Sylvester’s metaphor is fitting and raises an important question: If someone isn’t paying attention to their self-talk, who is at the wheel? And where, exactly, are they going?
Repeated often enough, this silent self-address ultimately establishes a person’s default or foundational beliefs about themselves, those around them, and the world in general. So, in a sense, engaging in mindless self-talk is a lot like living on autopilot.
Even so, anyone can take back the controls. That voice in your head, after all, is your own.
The notion of thinking good thoughts is at the center of much psychotherapy, in fact. Reframing your negative thoughts is a powerful way to heal from past trauma. Furthermore, thinking positively to make yourself feel better is not self-deception, says Gregory L. Jantz, PhD, founder of the Center: A Place of Hope, one of the leading facilities for the treatment of depression.
In his book Moving Beyond Depression, Dr. Jantz writes that positive self-talk is “not mentally looking at circumstances with eyes that see only what you want to see. Rather, positive self-talk is about recognizing the truth in situations and in yourself…. [It] allows you to discover the obscured optimism, hope, and joy in any given situation.”
Lorenzo L. of New York City knows this firsthand. In his youth, Lorenzo struggled with “massive mood swings” that much later would be recognized as symptoms of bipolar disorder. Showing wisdom beyond his years, Lorenzo lifted himself out of depressive states by slowing his breathing and using positive affirmations.
With regular meditation, Lorenzo has learned to quickly identify his state of mind. Once he is fully aware of his current mood, he directs his self-talk accordingly: “When I’m coming down from mania or hypomania,” he says, his mantra is, “‘Don’t doubt yourself today. It’s okay that you don’t feel as joyful or productive today.’”
“When I’m cycling up to mania or hypomania,” he continues, “I say, ‘Try not to get too carried away. Use all of this extra energy for productive and healthy activities.’”
And when he is feeling balanced, he uses positive, encouraging inner speech to continue his sense of stability: “I can sustain this mood for more than this moment or day.”
“Self-affirmations,” Sylvester explains, “are positive statements that put a person in the driver’s seat of their life and create a path from which to grow.”
And grown he has. Working full-time and studying to become a certified public accountant, the 37-year-old Lorenzo credits his healthy mindset to meditation and cognitive behavioral therapy (CBT). With the help of his psychologist, he has solidified his initial forays into mindfulness and self-affirmation into a practical, tried-and-true strategy that improves his mood and alleviates his symptoms.
When the terrain is rocky and you’re struggling to stick to your wellness plan, positive self-talk can help you persevere by encouraging you to become proactive instead of reactive. In fact, you can harness your inner monologue to promote what psychologists call “self-regulation” — your ability to exert conscious control over emotional and physical responses to external situations.
You can strengthen your self-regulation by consciously distancing your thoughts from your experiences. One way to do this is to switch your self-talk from first person (“I,” “me,” “my”) to third person — using your own name instead.
An older randomized controlled trial found that doing so during times of stress fosters a sense of perspective, with net benefits including decreased anxiety, improved performance, and faster, more complete emotional recovery.
So, if you’re feeling anxious about an upcoming event or want to gain a bit of emotional separation from an experience to change your response, consider replacing “I” with your name when speaking or thinking your affirmations.
In times of overwhelm, it can be helpful to remind yourself who you are and what defines you as an individual. From there, you can make better decisions.
When Cheryl W. M. faces negative thoughts, she tells herself, “I don’t sweat the small stuff.”
By linking her desired mindset to her self-image in this way, she makes it easier to follow through with her goal of not letting minor inconveniences or difficulties become roadblocks.
Cheryl explains that her affirmation “helps to keep me centered and positive.”
Science supports Cheryl’s experience. In one study, participants with high levels of chronic stress showed reduced problem-solving ability. However, those who engaged in a brief self-affirmation activity performed significantly better on challenging tasks than those who didn’t.
This suggests that self-affirmations can protect against the negative effects of stress, such as impaired creativity and problem-solving.
Confirming the importance of linking affirmations to your identity, Sylvester says that empowering affirmations work best when they begin with “I am,” such as “I am true to myself,” “I am capable,” or “I am smart.” Set in the present tense, they “affirm that things are happening in the present, versus in the future.”
This is when first-person self-talk can prove beneficial, eliminating the emotional distance between your identity and what you want to affirm.
Kim S., understands the power of using self-talk in this way. Every time she looks in the bathroom mirror, she tells herself that she loves herself; then she says, “I am surrounded by love. I am strong today. I can make it right now, just for right now.”
In addition to using “I am” statements that focus on the current moment, Kim, who’s in her early sixties, also imagines being surrounded by white, healing light and beautiful hearts. “And if I have to,” she continues, “I repeat this five times per day.”
When you’re dealing with bipolar depression, it might feel inauthentic or untrue to say to yourself, “I am happy” or “I am capable.” Depression feels heavy and can often rob you of the belief that you can get out of bed, continue with your routines, and return to happiness. At these times, it’s essential to remember that your brain is mistaken.
Clinical psychologist and author of Overcoming the Destructive Inner Voice, Robert W. Firestone, PhD, identifies the “critical inner voice” — the stream of negative, self-defeating, and highly critical self-talk — as the “enemy within.” He writes that this enemy can be overcome only by recognizing it and actively working against it.
By distancing yourself from the “enemy within” and aligning with your true identity through positive, emotionally charged affirmations, you can move toward a more balanced and uplifting state of mind.
That sense of control can feel especially empowering when your mood seems to dictate your days.
Because internal self-talk influences both beliefs and behavior, cultivating awareness of that inner voice enables more intentional, affirming thought patterns.
Lorenzo says, “I know it’s difficult. If you’re struggling, there are ways to adapt your lifestyle and cope with difficult emotions. Such as, for me, affirmations and positive self-talk.”
“It’s a journey,” he says, “for sure.”
There are many ways to increase your sense of personal power and inject some positivity and affirmations into your daily routine. Here are a few to get you started.
Our mental health stays balanced from many forms of help and we need to look at all angles.
Melinda
Reference:
Around 9,400 of CreateOn’s Crayola-branded pip-cubes have been recalled
This story has been updated to reflect that the manufacturer of the recalled toys is CreateOn, not Crayola. The recalled pip-cubes were Crayola-branded, a representative for Crayola confirmed to PEOPLE.
A recall has been issued for toys that could potentially kill or injure children.
The Consumer Product Safety Commission (CPSC) announced in a news release on Thursday, Dec. 4, that CreateOn’s Crayola-branded pip-cubes are being recalled after “posing an ingestion hazard to children.”
Around 9,400 units of the toy product are affected, according to the CPSC, as they contain magnetic building cubes “that can become loose if the seams separate.”
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“When high-powered magnets are swallowed, the ingested magnets can attract to each other, or other metal objects, and become lodged in the digestive system,” the CPSC said.
This potential hazard can cause perforations, twisting or blockage of the intestines, blood poisoning and death, according to the organization.
The recalled pip-cube sets sold for around $20 at Michael’s Stores across the U.S. and online at Michaels.com and Amazon.com from May to July.
The affected products were sold in sets of 24 or 27 “Bold Colors” packs containing red, green, blue and yellow cubes, and “Glitter “packs containing purple, pink, blue and green cubes.
The brand name “Crayola” is imprinted on the left side of each cube. The model/UPC numbers of the recalled toys can be found on the bottom of the product packaging, according to the CPSC.
Consumers are being advised to “immediately stop using the recalled magnetic building cubes” and return the product using a pre-paid label provided by CreateOn. Replacement pip-cubes are also being offered.
Melinda
Reference:
Melinda
Another recall! Maybe it’s time to grow our own food and make everything from scratch.
Costco, which was among the impacted retailers, previously issued a warning in November
Thousands of cases of salad dressing have been recalled following concerns that a “foreign object” could be inside.
In a newly released exposure report from the Food and Drug Administration (FDA), the federal agency announced that 3,556 cases of various salad dressings from Ventura Foods had been affected in multiple states across the country.
The California-based company warned the public that “foreign objects (black plastic planting material) in granulated onion” might be found inside its products.
The alert was assigned a Class II label, which refers to “a situation in which use of, or exposure to, a violative product may cause temporary or medically reversible adverse health consequences or where the probability of serious adverse health consequences is remote.”
Impacted condiments include Creamy Poblano Avocado Ranch Dressing and Dip, Ventura Caesar Dressing, Pepper Mill Regal Caesar Dressing, Pepper Mill Creamy Caesar Dressing and Hidden Valley Buttermilk Ranch.
Two Caesar dressings specifically sold at Costco are also impacted.
“Costco and Ventura foods are announcing the recall of select Sell By dates of Item #19927 Caesar Salad and Item #11444 Chicken Sandwich w/ Caesar Salad due to the possible presence of plastic foreign material in the salad dressing of the items,” the brands said in a joint statement in November.
After sharing the “sell by” dates of the affected products, customers were urged to “Please stop eating the product and return the item to your local Costco for a full refund.”
In the most recent recall, the FDA said Ventura Foods had distributed the products to seven retail customers across 42 locations.
Affected states include: Arkansas, Colorado, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, Texas, Virginia, Washington and Wisconsin.
Melinda
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Melinda
Here are a few products my husband & I are using right now and a few main stays. I hope you find a product to add to your wellness routine. The list may also give you ideas for a surprise for friends, and family. Most products are found on Amazon however, I’m not an Amazon Affiliate and I make no commission from you using the links. Each link takes you directly to the items Amazon page.
Up to 12 Hours Temporary Relief of Mild to Moderate Pain, Backache, Sore Muscle, Sprains, Bruises. Clinically studied & effective to temporarily relieve mild to moderate pain.
Contains two powerful pain fighting ingredients, menthol and methyl salicylate (an NSAID – a nonsteroidal anti-inflammatory drug).
Rounded corners that resist peeling and flexible fabric.
Discreet and Comfortable: Thin, flexible design conforms to your body, making them suitable for use at home, work, or on the go.
Visit the Sleep Innovations Store
Featuring pressure-relieving TEMPUR-Material™ and our adjustable blend for the ideal balance of comfort and support. 5-Year Warranty, Adjustable fill for personalized sleep, and This item features a removable, machine-washable cover so you can refresh your sleep space as often as you like.
https://www.tempurpedic.com/shop-pillows/cloud-hybrid-pillow/v/4346/
For Body Muscle Pain Cramps Relief, 6 Heat Settings Machine Washable Electric Heating Pad. Soft Multi-Function Heating Pad: Heating pads for women are made of ultra-fine plush and can be used on double sides, It is extremely soft and gives you unexpected gentle care. Electric heating pad can achieve rapid heating within a few seconds, and provides overheating protection, auto shut off, timing and other safety protection functions, allowing you to enjoy the happiness of pain relief without worry
6 Heating Levels & 4 Timing Settings: Warmth and pain relief in one heating pad with 6 heating levels from 104℉(40℃) to 149℉ (65℃) and 4 timer settings (1h/2h/4h/6h). Whether it’s a mild to strong and lasting hot compress effect, or keeping warm in the cold winter, large heating pad can help you choose the most appropriate heating temperature and timer according to the degree of physical discomfort at any time
My husband and I can’t live without these products, they have improved our life and especially our sleeping.
Reference:
Melinda
Thank you for joining me for this week’s Friday Quote.

Melinda
Food allergies cause 2,000 hospitalizations and 150 deaths in the U.S. annually
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Holiday chocolate sold at Aldi stores across the U.S. have been recalled.
Silvestri Sweets Inc. announced a voluntary recall of its 5-ounce bags of Choceur-branded Holiday Barks sold at the stores, as it may contain “undeclared allergens,” according to a release from the Federal Drug Administration (FDA).
Silvestri Sweets Inc. said the recall was initiated after it was discovered that the Pecan, Cranberry & Cinnamon Holiday Bark had been packaged in Cookie Butter Holiday Bark packages and vice versa.
A subsequent investigation by the company indicated the problem may have been caused by a “temporary breakdown in the company’s production and packaging process.”
Due to the mixup, the company said its Choceur-branded Cookie Butter Holiday Bark may contain undeclared pecans. This means that anyone who may be allergic to pecans could have a “serious or life-threatening allergic reaction if they consume these products.”
That product comes in a light blue packaging and shows a piece of the light-colored bark surrounded by holiday-inspired illustrations. At the top, the words, “Choceur Cookie Butter Holiday Bark” can be seen. The company noted that the bag had a best buy date of “05/2026,” printed on the back.
The company also noted that its Choceur-branded Pecan, Cranberry and Cinnamon Holiday Bark may contain undeclared wheat, and those who are allergic to it could also run the risk of having a “serious or life-threatening allergic reaction” if they consume the product.
Those bags are a dark red color and have the words, “Choceur Pecan, Cranberry & Cinnamon Holiday Bark,” above a piece of light brown bark decorated with pecans and cranberries. The bag is framed with holiday decoration illustrations including pieces of cranberry and twigs. These bags have a best by date of “08/2026” printed on the back.
The company said that the products were distributed nationwide through Aldi grocery stores, and noted that as of Nov. 26, no illnesses have been reported in connection with this issue.
Customers who purchased the products are urged to discard them.
Melinda
Reference:
https://people.com/holiday-chocolate-bark-sold-at-aldi-recalled-due-to-undeclared-allergens-11870006
Carrie’s voice is angelic and perfect for this song. Her range blows me away.
Melinda

The lone star tick, notorious for spreading disease and causing a red meat allergy called alpha-gal syndrome, has long plagued the eastern United States.
Now, UC Davis researchers warn it may be edging closer to establishing itself in California.
Their study uncovered seventy-six lone star ticks reported across the state, including recent finds in the Bay Area and San Clemente. While field teams in 2024 and 2025 didn’t recover any during surveillance, climate models show coastal California offers prime conditions for the species.
Experts say the tick isn’t officially established yet, but the risk is real. With climate change and increased movement of animals and people, scientists caution that Californians should stay vigilant, check for ticks after outdoor activities, and report unusual sightings.
Click here to read the study in the journal Ticks and Tick-borne Diseases.
Melinda
Reference:
Welcome to Wordless Wednesday, I’m gald you stopped by.

Melinda
This is a great hostess gift, great for parties, or makes an inexpensive gift for someone at the office.
Tea sachet/Cheesecloth
Spices
Dry red wine
Pot/Slow cooker
Orange slices
Honey/Sugar (optional)
For a cozy beverage to have by your side, fill the tea sachet (or a square of cheesecloth) with cloves, star anise, cinnamon sticks, and peppercorns to simmer in some wine. Or attach these sachets to a bottle of wine for a holiday gift.
To make spiced wine, pour a bottle of dry red wine into a pot or slow cooker, and place the sachet into the wine. Add a few orange slices and simmer on low, do not boil, for about 45 minutes. Sweeten the wine with a few tablespoons of honey or sugar, if desired.
Serve in mugs with garnishes like cinnamon sticks or star anise.
Melinda
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Melinda
This recipe sounds so good, I could use one right now!
2 black tea bags
2 cups full-fat coconut milk
1 tsp. raw honey
1 tsp. pure maple syrup
1/2 teaspoon ground cinnamon
1/4 tsp. ground ginger
1/4 tsp. ground nutmeg
1/4 tsp ground cardamon
1/4 tsp. ground cloves
1 tsp pure vanilla extract
Steep both tea bags in 1 cup of hot water for 5 minutes. Remove and discard
Meanwhile, warm the coconut milk in a small saucepan over medium-high heat to your discard bags
Pour the warm milk into a high-powered blender and add the brewed tea, honey, maple syrup, cinnamon, ginger, cardamom, nutmeg, cloves, and vanilla extract. Blend until the latte is combined and slightly frothy, about 1 minute
Pour into two cups and enjoy.
Melinda
Reference:
The recipe is from Kristin Cavallari’s cookbook True Comfort.
Repost
I’m sure you’ve heard the news about kids being expelled from school because the parents have an Only Fans sticker on their vehicle, the sticker is so big it covers the entire back window. One woman not only had the sticker but was advertising her page.
These parents are advertising a porn site at school and they know their kid will be expelled from school. How would you feel if your child was exposed to a porn site at school? I bet you would blow a stack!
The schools have told parents with the sticker to park on the street but they refuse. The school needs to call Social Services to visit the parents, if they determine that the kid is in an unhealthy environment they will take custody of the kid. The school needs to take photos of the license plate and the sticker to show Social Services. No telling what a visit from Child Services will find.
I don’t play around when it comes to kids, I go for the throat.
The kids are innocent. Can you imagine the stress, anger, and mental health of the kids? I want to know how many kids have committed suicide after being expelled. To kids, their world has crashed down on them. That’s my homework for today.
I can’t imagine a parent more interested in making money instead of the student’s education and the stress it causes. Today alone I’ve read two stories about kids being expelled for what their parents are doing.
What is wrong here?
One kid was expelled because he was looking up people on Only Fans on a school computer. In this case, the kid made a very bad decision and knew better. The school said they would reconsider having him back but not right now. That kid should be kicked out. In this case, it was a private Christian school with strict rules and the parents signed a document saying they would comply with the rules, which includes the student’s behavior.
They will go as far as showing up to pick up their kid, the parents are warned and the next day come back with the Only Fans stickers still on there and will continue to come back and their kid gets expelled from school. What is wrong with this picture? What kind of example are they teaching their kids.
I think it’s time to punish the parents, not the kids. There are many options like banning them from entering the school campus, having off-duty police at the entrance of the campus who will keep them from entering, a restraining order, and going to the police to report pornography and advertising to underage kids. I would also look to see if they can be charged for trespassing. When the police hear pornography and kids they will be very interested. I would also look to see if the parent can be charged for trespassing.
I would also call Child Services so the parents clearly understand they could lose custody if they continue. Harsh? Hell Yes!
That’s what it is going to take. We can’t let our kids be expelled from school because their parents are self-centered. The kid’s education and mental health will suffer.
https://www.youtube.com/watch?v=fPud8KhQqZU
The information in the video is on YouTube. I have not vetted the video as accurate information but that should not stop you from watching, it’s eye-opening. I had no idea who they were, I’ve seen the stickers but never went to their website until yesterday.
Even though the site says over 18, there are many ways kids are getting membership, including using their parent’s credit card or fake documents.
When I went to the site, on the first page it showed people having sex, it was hardcore pornography. They get paid based on how many people visit their page and it costs to look at their site, every time. The same goes for any page you look at. Some go as far as offering a membership to their site for a monthly fee.
I would not want my kid to be exposed to pornography until they leave home and they can make their own decisions. If they are old enough they already know about porn from their friends.
Parents who will not take the Only Fans sticker off the car or park off campus, are selfish and don’t care if their kid gets kicked out of school. What kind of logic is that? I
A letter needs to be sent to all parents saying if your vehicle has an Only Fans sticker you must park off the school campus and park on the street. The parents already know but use stronger language and tell them that if continue there are serious consequences. No exceptions. Many schools have this problem and need to punish the parent, not the kid.
I don’t know what can be done but I want to find out more. The link is to a story about a kid who committed suicide because other students were showing him photos of his mother.
My cognitive impairment is worse, today, if something doesn’t flow or half of a sentence is missing, be gentle with me.
Melinda
Repost
Following Ribana is an all encompassing journey of travel, book reviews, creating recipes and so much more. When she shares a recipe, she walks you through the process in words and incredable photos. Be sure to visit her blog and go hungry!
Melinda
I don’t hope for people to think or say nice things about me, that’s not important. What’s important is what I think about myself and it’s a bonus if people think kindly of me. I’m thrilled everytime a blogger sends me a nice comment or appreciates a post, it’s an instant smile every time. People judge or have a perception of you based on many factors and it’s beyond our control.
Living an authentic life is how I live and people will form their own perception of me. I’m mostly talking about blogging because my close family members are no longer here and it’s hard to make friends when you don’t leave the house.
Living life wishing or worrying about what other’s think of you is a waist of time. My reply is not meant to sound negative, it’s my reality and everyone’s is different. The difference it what makes the world go round.

Melinda
Melinda
Enjoy!
Melinda
Melinda
Thank you for joining me for this week’s Friday Quote.

Melinda
Melinda
We’re back with another round of inspiring fibro bloggers who continue to write, reflect, and uplift despite the daily challenges of chronic illness. These storytellers offer wisdom, humor, and solidarity to the fibromyalgia community—and beyond.
Glenys writes with gentle honesty about home life, aging, and the quiet rhythms of living with fibromyalgia. Her blog is a space of peace and acceptance, where chronic illness is acknowledged but not allowed to eclipse joy.
“I write about home keeping, aging, peace and acceptance. My blog is a place to reflect on the small things that make life meaningful—even when pain is present.”
Fibro-related posts include:
Dale combines photography and storytelling to explore life with fibromyalgia. His YouTube channel and blog are filled with creative therapy ideas, including how photography can be a healing outlet.
“I use photography to express what words sometimes can’t. Living with fibromyalgia has taught me to see beauty in stillness and resilience in imperfection.”
Fibro-related content includes:
Carrie blends advocacy, art, and lived experience to illuminate life with fibromyalgia and also axial spondylarthritis. Her blog, My Several Worlds, is a vibrant hub for chronic illness awareness. From her home in Taipei, she writes with clarity and compassion, offering both practical resources and emotional resonance within Asian healthcare and the wider world.
“Blogging is a great coping tool because it allows me to vent when I need to. Plus, it’s a great way to meet other people in the chronic illness community.”
Fibro-related content includes:
Her work is especially powerful for those seeking validation in complex medical systems, and for anyone who needs to hear: you are not alone, and your story matters.
Melinda’s blog is a blend of advocacy, interviews, and personal reflection. Her “Blogger Highlight” series lifts up other voices in the fibro community, and she writes candidly about mental health and invisible illness.
“I want to shine a light on the stories that often go unheard. Fibromyalgia is invisible, but our voices don’t have to be.”
Fibro-related posts include:
Windy writes about her experience with fibromyalgia and physical therapy, weaving in reflections on faith and healing. Her blog is heartfelt and grounded, offering hope to those navigating similar paths.
“My connection to God has helped me through the hardest parts of this journey. I write to share what I’ve learned and to remind others they’re not alone.”
Fibro-related posts include:
We hope you’ve enjoyed meeting these five fabulous fibro bloggers. Their voices are part of a growing chorus of resilience, creativity, and advocacy. Stay tuned for the next spotlight in our Focus on Five Fibro Blogs series or review the previous one.
Sending a special thanks you to all the Fibro Warrior’s who contribute to Fibro Directory, speading awareness is critical.
Fibro Bloggers Directory is the brainchild of Lee Good, the community of Fibro Warriors contribute post focused living with Fibromyalgia. If you are interested in learning about how to join the group, reach out Firbo Directory for information.
If you don’t want to join at this time, you can visit for invaluable resources.
Melinda
Reference:
https://www.fibrobloggerdirectory.com/search/label/fibro%20bloggers
If you want to stay on top of Recalls, Safety Alerts and Adverse Reporting you can turn to FDA.gov for the most current trusted source for information.
On the FDA.gov website, all recalls are tracked to keep the public safe. Three key sections to look under are:
https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts
https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/major-product-recalls
https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program
Melinda
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Melinda


Melinda
Artificial intelligence (AI) has quickly become part of our daily lives. Whether it’s a chatbot answering questions online, an app offering mental health “coaching,” or a website summarizing medical information, the presence of AI in healthcare is growing rapidly.
For many, these tools feel like an easy, convenient first step when they’re worried about a symptom or seeking information. And used wisely, AI can indeed be helpful. It is essential, however, to recognize the limitations and pitfalls of AI.
AI tools are very good at providing general information. If you want to know the common side effects of drug “A,” the difference between two medications, or the meeting times for Alcoholics Anonymous meetings in your community, a quick query can often bring up what you need. A Google search uses AI. These tools can scan large amounts of digital information and summarize it in seconds.
They can remind you of questions to ask your clinician or point you toward community resources you might not have known existed. As an educational tool, AI can help us feel more prepared and informed for a medical visit.
Problems arise when we begin using AI as a replacement for the clinical judgment of an experienced care provider. Clinical skills are developed over years of training and experience in patient care. The expertise acquired involves integrating judgment, logic, and reasoning on a background knowledge of the patient and circumstances. AI lacks this “lived and learned” experience and the insight that emerges only through direct clinical practice.
AI cannot understand the nuances of your personal history, context, values, or medical complexity. It cannot look you in the eye, notice subtle changes in your mood or tone of voice, or sense when you need extra reassurance or immediate intervention. These human qualities are a cherished and vital part of the clinical appointment.
Most importantly, AI tools can, and do, make mistakes. They may sound confident and reassuring while giving incomplete, misleading, or even inaccurate health information.
It can be hard to know whether information, even when it sounds plausible, is outdated, incorrect, or completely made up (an AI “hallucination,” a term for when the system invents information that sounds believable but isn’t).
AI also lacks the ability to recognize emergencies. Someone searching phrases like “I can’t go on,” “I feel hopeless,” or “how to hurt myself” may receive generic wellness advice rather than the urgent, clear direction to reach crisis services. For individuals in distress, delays or misdirection carry serious risks.
Human emotions and suffering are enormously complex, and it must be recognized that a significant number of individuals who die by suicide have seen a care provider in the weeks prior. Suicide is notoriously difficult to predict.
Chronic and pervasive thoughts of wanting to pass from this world are common among those living with mental health conditions. What are the signs of imminent action? Many who spend time with a provider in the weeks before death by suicide do not reveal a plan. If they had, the provider would be expected to put in place the process for immediate help.
What they wouldn’t have done is what AI did in the past year, namely, helping write an explanatory letter about their upcoming suicide.
There is also the major concern of privacy. Most AI systems collect data, more than we users realize. What you type into a chatbot is likely stored, used in some way, and may be shared with other systems. It’s important to be thoughtful and cautious about sharing personal details.
So what is the safest way to use AI in mental health? Think of these tools simply as what they are: tools. Use them to gather background information, learn about treatment options, or locate community resources. AI can help you understand the vocabulary of mental health care, remind you of questions to ask your clinician, and empower you to participate more fully in your treatment.
But when it comes to making diagnostic decisions, adjusting medications, interpreting symptoms, or determining whether a treatment is right for you personally, AI should never replace the guidance of a trained clinician.
Mental health care involves listening, observing, collaborating, and understanding people within the context of their lives. Follow-up questions for clarification are the hallmark of an experienced clinician. No matter how sophisticated the technology becomes, these human dimensions cannot be automated.
AI is a useful tool, and I use it daily, as do many of my patients. But like any tool, it must be used carefully and wisely. Stay curious, stay informed, and above all, stay connected to the professionals who can provide the clinical judgment and personalized care that AI cannot.
Remember AI is a tool for basic information but is not factual.
Melinda
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