Joshua Davidson Therapy

23/07/2025

Aura Migraine, what is it and how to treat it:

Symptoms may be visual, body or cognitive.

Treatments are usually rest, pain relief and serotonin modifying medications. Dopaminergic and hormone therapy is often helpful.

The problem is, most GP's don't know about the 3 different types of aura migraine so usually assume it is the high Oestradiol version and avoid trialling oestradiol medication for fear of risking stroke. This is not only something that can be checked by blood tests and cycle tracking, but the risk is very, very low compared to many other medications for most conditions.

* If you mostly get migraines when you are in PMT or Menstruating, then you probably have the low Oestradiol version (try oestradiol contraceptives)
* If you mostly get migraines mid cycle or the week before menstruating, then you likely have the high Oestradiol version (avoid oestradiol contraceptives)
* If you mostly get migraines when you are exhausted and or have just pushed yourself hard, you probably have low neurotransmitter migraines (try Sertraline, Agomelatine, Clonidine and or ADHD medications)
* If your migraines seem to have no particular pattern, then your migraines are likely not related hormones or fatigue, so you may need to look at a referral to a neurologist.

21/07/2025

The pain is real.

21/07/2025

Autism is neurological. It is your brain. It is you.

But it isn't the only thing about you.

21/07/2025

21/07/2025

Wise words from Mike.

Sent by a friend!

This is a great way to unpack it. Insert your "ability cooldown voiceline" here.

I heard this in the male Blood Elf voice - how about you?

19/07/2025

Define what you think each point means...

19/07/2025

Which side of AuDHD are you today?

10/07/2025

Life is about trying to balance efficiencies.

Being present is good, but exhausting to do all of the time. This pushes us into active calculations, active solutions, active actions and active awareness. Wonderful if we are trying to learn a new thing, or make specific memories about something.

Switching to a more automatic mode when we don't need to pay as much attention means that we can more float on top of what is happening, which is much cheaper. This means we rely on prior solutions to give us the how to do a thing, and we rely on our reflexes to then do that thing. This is great if our instincts are right and our reflex actions work.

When do we switch modes?

If we are in too much of a floating daze, we may not realise that what we are doing is going wrong - so we can't chill too much. Every now and then we need to tune in and check if things are working. This can be challenging if we are disassociated or surviving on fumes.

We can also manually switch modes as we are approaching a known problem area, switching to manual mode so that we ensure that this next thing goes as well as we can manage it.

I name the automatic floating awareness version our Instinct Loop. We do what seems right with little thought, and so long as it worked well enough, we just do that. It is cheap, fast and easy.

I name the more specific present version the Intent Loop, where we slow down prior to assessing, adapting and overcoming.

These both have similar beginnings, and the warning flag to switch modes is that your emotions have got strong, you feel strong urgency to act in the absence of real and present danger, or you recognise that this action isn't working. You can also enter this mode prior to starting the task.

For the full write up, check out https://www.jomida.com/retraining-the-brain-its-habit-forming/