Living Well With Depression And Anxiety
Living Well With Depression And Anxiety
  • 36
  • 46 550
SSRI-induced delayed orgasm (DE) and anorgasmia - Dr Pastuszak's paper
In this video I go over a paper by Dr. Alexander Pastuszak MD PhD exploring the treatment options for delayed ejaculation (DE) and anorgasmia. In this paper, Dr Pastuszak summarises the literature and presents an overview of the neurotransmitter systems involved in the orgasmic response in men.
PDF: Anorgasmia: From 'No Go' to Go!
grandroundsinurology.com/wp-content/uploads/2018/09/2018-9-12-SDU-Innovations-Male-Anorgasmia-From-No-To-Go-FINAL-Pastuszak.pdf
bit.ly/anorgasmiaslides
Original video:
czcams.com/video/Um24ajmB2is/video.html
@GrandRoundsinUrology
#Anorgasmia #sexualdysfunction
--
This channel represents my small attempt to reduce the stigma surrounding depression and anxiety, particular among younger males. If you're curious about me, or want to get in touch, please feel free to do so via my personal website (danielrosehill.com) or through my main CZcams channel (danielrosehill.com/youtube).
zhlédnutí: 272

Video

My Experience With Ambien And Seroquel For Sleep Difficulties /Insomnia
zhlédnutí 1,9KPřed 8 měsíci
My experiences so far trying ambien (zolpidem) and seroquel (Quetiapine) for sleep difficulties and insomnia. Timestamps Disclaimer - 00:00 Fluvoxamine update - 00:50 Trying ambien - 03:15 Ambien to Seroquel - 05:21 About Seroquel - 05:46 Seroquel munchies - 07:14 Trazodone - 08:50 By: Daniel Rosehill (@DanielSRosehill) This channel represents my small attempt to reduce the stigma surrounding d...
Medication change: fluoxetine (Prozac) to fluvoxamine (Luvox)
zhlédnutí 691Před 9 měsíci
Medication update: changing from fluoxetine (Prozac) to fluvoxamine (Luvox). - This channel represents my small attempt to reduce the stigma surrounding depression and anxiety, particular among younger males. If you're curious about me, or want to get in touch, please feel free to do so via my personal website (danielrosehill.com) or through my main CZcams channel (danielrosehill.com/youtube).
Ruoxinlin / Ansofaxine: SNDRI Pending FDA Approval
zhlédnutí 546Před 10 měsíci
Toludesvenlafaxine (trade names: Ruoxinlin, Ansofaxine) is in stage III of US clinical trials and may become the first triple reuptake inhibitor / SNDRI (serotonin-norepinephrine-dopamine reuptake inhibitor) to come to market for the treatment of depression, anxiety, and other mental health conditions. This channel represents my small attempt to reduce the stigma surrounding depression and anxi...
Lexapro to Prozac Switch - Day 1 (Escitalopram to Fluoxetine)
zhlédnutí 2,6KPřed 10 měsíci
This year has had a lot more twists and turns on my medication journey than I would have expected. Although Lexapro (escitalopram) was a great drug for my anxiety and depression, it's caused me a bothersome side effect. So now I'm switching over to fluoxetine (Prozac). The cross tapering process will take three weeks! Video by: Daniel Rosehill (@DanielSRosehill) Disclaimer: This video is made a...
SSRI Switching Table (psychiatrienet.nl)
zhlédnutí 98Před 10 měsíci
A useful resource: SSRI switching table. Disclaimer: This information is made available for informational purposes only and is not intended as medical advice!!! Table: www.psychiatrienet.nl/switchtabel/show?id=SwitchAntidepressants By: Daniel Rosehill (@DanielSRosehill) This channel represents my small attempt to reduce the stigma surrounding depression and anxiety, particular among younger mal...
Quitting Trintellix, Starting Lexapro - How The Cross Taper Went
zhlédnutí 609Před 11 měsíci
My experience in cross tapering between Trintellix (vortioxetine) and Lexapro (escitalopram). Dosages: 30mg Trintellix to 20mg of Lexapro. Disclaimer: for informational purposes only. This channel represents my small attempt to reduce the stigma surrounding depression and anxiety, particular among younger males. If you're curious about me, or want to get in touch, please feel free to do so via ...
High Dose SSRIs: Some More Trials And Evidence
zhlédnutí 118Před 11 měsíci
Some more clinical trials and evidence supporting the usage of SSRIs dosages above FDA maxima in specific situations. Intro - 00:00 APA OCD guidelines - 01:00 Abstract 1 - 03:07 Abstract 2 - 06:20 Letter 1 - 09:05 Studies High-dose escitalopram for the treatment of obsessive-compulsive disorder pubmed.ncbi.nlm.nih.gov/18090508/ High-dose sertraline strategy for nonresponders to acute treatment ...
Lexapro (Escitalopram) High Dosages Above FDA Max: Some Evidence
zhlédnutí 275Před 11 měsíci
A couple of small studies showing improved efficacy in patients with OCD and MDD (major depressive disorder) trialling dosages of escitalopram (Lexparo, Cipralex) above the conventionally understood maximum dosage of 20mg. Depression: This video is made available for informational purposes only and is not intended to constitute medical advice. TImestamps Intro - 00:00 Abstract 1 - 00:50 Abstrac...
The History Of Antidepressant Medications (MAOIs, TCAs, SSRIs)
zhlédnutí 205Před 11 měsíci
Medications used in the drug therapy of depression (pharmacotherapy) have undergone several waves of innovation and evolution since their inception in the late 1950s. This video presents a little bit of history about the main phases of evolution in this process of advancement. Timestamps Intro - 00:00 Disclaimer - 00:30 MAIOs - 02:48 Parnate - 03:00 Tyramine issues - 04:00 Tricyclic antidepress...
Starting 20mg Of Lexapro (escitalopram) - after Trintellix cross-taper
zhlédnutí 251Před 11 měsíci
Starting out taking 20mg of Lexapro (the maximum FDA dosage) after a cross taper from Trintellix / vortioxetine. A couple of notes on the experience so far. Video by: Daniel Rosehill (@DanielSRosehill) Timestamps Intro - 00:00 Disclaimer - 00:24 Trintellix to Lexapro cross taper - 01:05 Starting 20mg of Lexapro - 02:40 Up to 30mg of Lexapro - 03:15 Startup anxiety on SSRIs - 03:55 Benzodiazepin...
SSRIs And Sexual Dysfunction In Men - Types
zhlédnutí 790Před 11 měsíci
While many patients take selective serotonin reuptake inhibitors (SSRIs) without adverse effect, sexual dysfunction can be a prominent side effect of these medications for both male and female patients. In this video I wanted to share the various forms of sexual dysfunction that men can experience. While it's important to discuss these with your doctor if they develop, it's also worth knowing t...
Every Psych Med That I've Ever Tried! (SSRIs and ADHD Drugs)
zhlédnutí 181Před 11 měsíci
Finding the right psychiatric medication - or a combination of them - can be quite the journey. Here's everything that I've tried so far! Disclaimers: 1: This video is made available for informational purposes only and is not intended to be used in the diagnosis or treatment of any mental health condition. 2: Don't try this at home! Keep your medications in their original packaging, especially ...
Quitting Trintellix, Starting Lexapro (Cross Taper)
zhlédnutí 620Před 11 měsíci
After sharing my journey with Trintellix (vortioxetine) so far, I felt like it wouldn't be right not to include the last chapter in the journey. After working my way up to and beyond its maximum dosage (30mg) I decided, with my provider, to switch over to Lexparo (escitalopram). The cross tapering process will take a full month! Timestamps Disclaimer - 00:00 Starting Trintellix - 01:55 My exper...
Switching Between SSRIs: 3 Methods Doctors Use
zhlédnutí 718Před 11 měsíci
3 different methods that doctors commonly use when transitioning patients between two different drugs within the SSRI drug class. Timestamps Intro - 00:00 Disclaimer - 00:15 Cross taper - 00:36 Example cross taper protocol - 01:00 When cross tapering isn't used - 01:30 Cross taper protocols - 02:00 Cross taper duration - 02:10 Method 2: direct switch - 02:30 Sample direct switch protocol - 02:4...
SSRI Dosages Higher Than The FDA "Max" Dose / Limit
zhlédnutí 103Před 11 měsíci
SSRI Dosages Higher Than The FDA "Max" Dose / Limit
The Half Life Values Of Different SSRIs (And Trintellix)
zhlédnutí 73Před 11 měsíci
The Half Life Values Of Different SSRIs (And Trintellix)
Is Trintellix (Vortioxetine) An SSRI?
zhlédnutí 1,8KPřed rokem
Is Trintellix (Vortioxetine) An SSRI?
Is there an anti-medication / pro-therapy bias in mental healthcare?
zhlédnutí 41Před rokem
Is there an anti-medication / pro-therapy bias in mental healthcare?
Clinical trial data: Vortioxetine (Trintellix) at 30mg - 40mg
zhlédnutí 1,1KPřed rokem
Clinical trial data: Vortioxetine (Trintellix) at 30mg - 40mg
Trintellix / vortioxetine at 30mg (month 1)
zhlédnutí 1,6KPřed rokem
Trintellix / vortioxetine at 30mg (month 1)
What Does Being On Antidepressants / SSRIs FEEL Like?
zhlédnutí 3,9KPřed rokem
What Does Being On Antidepressants / SSRIs FEEL Like?
Discussing Suicidal Ideation With Mental Health Professionals
zhlédnutí 61Před rokem
Discussing Suicidal Ideation With Mental Health Professionals
Vyvanse Water Titration Method For Granular Dose Control
zhlédnutí 2,5KPřed rokem
Vyvanse Water Titration Method For Granular Dose Control
When Therapy Becomes A Financial Stress
zhlédnutí 51Před rokem
When Therapy Becomes A Financial Stress
2 months on Trintellix (vortioxetine) - my experience so far
zhlédnutí 19KPřed rokem
2 months on Trintellix (vortioxetine) - my experience so far
Sexual Problems From Antidepressants? Talk To Your Doctor! (SSRIs)
zhlédnutí 105Před rokem
Sexual Problems From Antidepressants? Talk To Your Doctor! (SSRIs)
Making Peace With Needing Medication For Depression - Mental Health Video Blog
zhlédnutí 88Před rokem
Making Peace With Needing Medication For Depression - Mental Health Video Blog
Tips For Those Taking Medication (Psych Drugs) Based On My Experience
zhlédnutí 38Před rokem
Tips For Those Taking Medication (Psych Drugs) Based On My Experience
Why Self Medicating Sucks (For Treating Depression And Mental Health Conditions)
zhlédnutí 49Před rokem
Why Self Medicating Sucks (For Treating Depression And Mental Health Conditions)

Komentáře

  • @Yasen1791
    @Yasen1791 Před 4 dny

    What are you take now which tablet ??

  • @KennethNordin
    @KennethNordin Před 10 dny

    You forgot moclobemide/Aurorix

  • @KennethNordin
    @KennethNordin Před 10 dny

    Buspirone could be a good adjunct . Mirtazepine and mianserine are common used as "boosters" . Good luck!

  • @X-FILESCHILE
    @X-FILESCHILE Před 14 dny

    Pregabiline is really good for sleep

  • @user-tm3xp9ph2v
    @user-tm3xp9ph2v Před 14 dny

    Thanks from India.i am 57 had acute anxiety since I was 25 .I find your symptoms similar to mine.i am on lexapro 20 and ambien 12.5 since nothing will make me fall asleep. I wish everything works well for you.

  • @tommyorange4270
    @tommyorange4270 Před 22 dny

    I took 20mg a day. Didn't do a thing for me.

  • @tayadawn4161
    @tayadawn4161 Před 23 dny

    Yay pill doctor 😂😂

  • @Yasen1791
    @Yasen1791 Před 24 dny

    What are taking now

  • @adamsuleiman5635
    @adamsuleiman5635 Před 28 dny

    Lexapro affects libido, sex drive not good

  • @richking4705
    @richking4705 Před měsícem

    Couldn’t you just take half a tablet of each. ,get the best of both worlds brother , king of the jungle

  • @richking4705
    @richking4705 Před měsícem

    The main thing I noticed about Trintellix is that it has a big set of balls

  • @andreascevaroli92
    @andreascevaroli92 Před měsícem

    I tried ambien, rivotril several years and I came off thanks to a addiction center. Now I take trazodone for sleep and it's good! Not addicting, wake up good, sleep 8-9 hours. It's the extended release. I've tried antipsicotics but I dislike them so much

  • @andreascevaroli92
    @andreascevaroli92 Před měsícem

    I took fluvoxamine but I was sleepy all the day and I could't focus on things

  • @andreascevaroli92
    @andreascevaroli92 Před měsícem

    Bupropion (Wellbutrin) is the only antidepressant that really worked for me... Lifechanging. Feels natural, few side effects, introusive thoughts gone, anxiety almost gone, self esteem improved

  • @chrisgoldsmith4397
    @chrisgoldsmith4397 Před 2 měsíci

    How's the sexual side effects on this new medication?

  • @VividYouth
    @VividYouth Před 2 měsíci

    I have had this for 3 years even tho im bipolar type 2 and a half (bd 2, 1/2).. not good trying to quit now

  • @maximilianolopezdobarro2694

    Did it help you with Insomnia ?

  • @TheMidnightHag
    @TheMidnightHag Před 2 měsíci

    Have you had genetic testing for determine what meds might be more beneficial and which are likely to be poorly processed? I did genesight and it’s been validating. I had an ok time on Prozac, it didn’t ramp up anxiety or give me nausea, which is good because I had really bad anxiety at the time. It did interfere with libido and ability to climax. I didn’t notice it doing anything good for me, but in retrospect I can see from the way I interacted on social media that it had a positive effect, I was more patient with people when they were irritating. I was less reactive. Unfortunately I was asked to go up to a higher dose (doctor didn’t think I was at a beneficial dose) and as soon as I did that I started having tremors so badly I couldn’t work or even feed myself soup, so shaky! It’s been ten years since I’ve been on any meds and am about to start over (to cope with pandemic/climate/recession stuff, but also manage adhd traits like executive dysfunction and fatigue) which is how I found this video. My new doctor wants me to try Luvox and then add in Adderal. He is basing this on the genesight info and his years of experience with neurodivergent people, but I’m scared to take anything that might give me anxiety or weird side effects like that. That being said, my psych nurse who is the one actually helping me with the med journey thinks I should start back on Prozac again since it’s “the devil we know” and see if I have a better time of it since things may have changed for me. We see it as a jumping off point to to open the door to trialing other meds if it doesn’t fit just right. I’m at a crossroads, and was hoping to understand the difference between the two as she said one is much like another and it didn’t really matter. My doctor disagrees and said that’s why we did the gene test and why I came to him as he has the most experience. He is probably right. 😂

  • @brandonm8131
    @brandonm8131 Před 2 měsíci

    I get zero sleep, so id take some next day tiredness. Im starting at 25MG.

  • @hfud11
    @hfud11 Před 2 měsíci

    Antidepressants cause PSSD

  • @edgarhermosillo8865
    @edgarhermosillo8865 Před 2 měsíci

    How’s it going with Luvox? Cant wait for your update

  • @user-jn7ob4gi5v
    @user-jn7ob4gi5v Před 2 měsíci

    Thanks You

  • @OreElect1
    @OreElect1 Před 2 měsíci

    DANGERS OF BRIDGING Interaction between the two drugs creates risk of developing serotonin syndrome. Switching to another drug does not necessarily stop antidepressant withdrawal. The person may switch to new drug and still develop Protracted Acute Withdrawal Syndrome from rapid discontinuation of the old drug. A doctor may misdiagnose withdrawal as a mental health disorder and apply more drugs. The new drug(s) also cause(s) dependency and will need to be slow tapered. Repeatedly going on and off psych drugs can "kindle" or sensitize the nervous system making future discontinuation attempts more challenging. The best way to minimize withdrawal symptoms and reduce the risk of developing protracted withdrawal is through a slow taper with decreases no greater than 5% of the previous dose holding at least 14 days between drops. The general rule of thumb is to add up the time you have taken any antidepressant, and divide that time in half to know how long you should take to wean off while working to rebuild your ability to metabolize serotonin. If you've been on longer than 5 years, a 1.3 year taper for every 5 years on. As a conservative harm reduction approach, tapering no more than 2% to a 5% reduction every 2-4 weeks. EACH PERSON IS DIFFERENT AND SOME CAN GO FASTER THAN OTHERS. Most doctor's are clueless about tapering off these drugs. 1. If a doctor tells you that antidepressants are not addictive or do not have a host of adverse effects, that is incorrect. 2. If a doctor tells you to skip days or go every other day, that is wrong. 3 If a doctor tells you to simply stop taking any antidepressant that is not only wrong but dangerous. With the exception of a diagnosis of Serotonin Syndrome you must cease with taking the antidepressant/offending drug. 4. If a doctor tells you withdrawal only lasts two weeks and isn't that bad, s/he is misinformed.

  • @Catchupnow1
    @Catchupnow1 Před 2 měsíci

    Thank you for sharing that mate, I hope you are doing well now

  • @BBFCCO733
    @BBFCCO733 Před 3 měsíci

    I will try this, the crash is horrible, I dread going back to it after being off meds for a few days.

  • @heatherboughton5936
    @heatherboughton5936 Před 3 měsíci

    I'm still waiting for the magic to begin, to be honest. I was on 5mg for a month and have increased to 10mg a week ago. What I have noticed is that I am able to get out of bed as soon as a wake up, and I can get on with the day, but I still feel quite sad. Not as depressed but just flat...feel like crying a lot of the time. No anxiety but then anxiety wasn't the issue with me... it was MDD. No side effects at all. I just wonder if it is going to work. None of the SSRIs helped me and I had awful side effects.

  • @lexmo7993
    @lexmo7993 Před 3 měsíci

    Same here.. Trying first time brintellix... Because all the other antidepressants cause serious problems in my sex life..

    • @hassankarama9166
      @hassankarama9166 Před měsícem

      Can you tell me about your experience with Brentlex, which caused you erectile dysfunction?

  • @CliftonG-qe2xv
    @CliftonG-qe2xv Před 3 měsíci

    Yep thanks for this, I tried what I read the other day and it was mind blowing to see her writhing with pleasure and ready for anything. It started when I learned to last at least 30 minutes go’ogling the latest in Greyzar Drinbo's PE Solution and now she just can't have enough

  • @joshchafinjr.5520
    @joshchafinjr.5520 Před 3 měsíci

    Man I can relate on the Lexapro. It was a game changer until it gave me delayed ejaculation then it took my orgasam then my erection and sex drive. It was progressive. Like you I've tried about every other antidepressant. I just started trin.

  • @SchizoaffectiveMindset
    @SchizoaffectiveMindset Před 3 měsíci

    Im 2 weeks into it and feeling much better than i did on Lexapro.

    • @jrman413
      @jrman413 Před 3 měsíci

      Depression? Anxiety?

    • @SchizoaffectiveMindset
      @SchizoaffectiveMindset Před 3 měsíci

      @@jrman413 depression here, I struggle with BiPolar and mild Autism, I've had SI most my life and on this medicine I don't jump to suicide so often.

  • @user-co7ri4xh4r
    @user-co7ri4xh4r Před 4 měsíci

    Have you tried Mirtazapine for sleep? far less side effects than Seroq & Trazo and is used in conjunction with SSRis quite frequently.

    • @j-uk2189
      @j-uk2189 Před 3 měsíci

      Isn’t mirtazapine basically the same as qutiapiene though? It hits pretty much the same receptors?

    • @user-co7ri4xh4r
      @user-co7ri4xh4r Před 3 měsíci

      @@j-uk2189 I am not sure, but what I do know is that Mirtazapine hits the Histamine receptors I think they're H2 receptors, whereas Quetiapine/Seroquel is an anti-psychotic medication Mirtazapine is not.

  • @user-sd4dr8rp5l
    @user-sd4dr8rp5l Před 4 měsíci

    A dziala wogole na zaborzenia lekowe w dawce 5 mg?

  • @gabor_kov
    @gabor_kov Před 4 měsíci

    What do you think about controlled MDMA therapy sessions? It seems very promising. I had taken it without therapy and still had relief from depression for a long time, kinda like a quick rest in your brain. Obviously it's not something you can take regularly but combining it with therapy like 2-3 times a year could benefit people who suffer from depression and PTSD.

  • @germainedenon311
    @germainedenon311 Před 4 měsíci

    How can you be on so many drugs without brain injuries?

  • @RealRobertBrownieJr
    @RealRobertBrownieJr Před 4 měsíci

    holy crap the nausea from my sertraline is insane, I stopped taking my medicine for a while (about 3 months) don't do that seroiusly just keep taking it if you are prescribed it, trust me you do need it and if you forget dont let it go too long and think you are fine without. im taking 50mg ( I was on 100mg but im using a cutter to try and adjust to the sertraline again while i wait to see the doctor) and last night it felt like someone was cutting my head in half with a chainsaw, I was waking up basically every hour and had such a sour stomach, im on day 2 but sorta just looking at the pill and trying to decide if the suffering is worth it if you get what I mean

  • @blackswan1983
    @blackswan1983 Před 4 měsíci

    This drug lifted me out of a deep psychotic depression that was treatment resistant. I can read again, my house is clean, my life is becoming organized, and the delusions are gone. It's been 24 years of trying 20+ meds, and this one made me cry in relief.

    • @jrman413
      @jrman413 Před 3 měsíci

      Did it help anxiety?

    • @christiancly9652
      @christiancly9652 Před měsícem

      when you say you can read again, did it help you focus? or do you mean the negative self-talk seized?

    • @adamsuleiman5635
      @adamsuleiman5635 Před měsícem

      which one trintellix?

  • @rhiannaloft3158
    @rhiannaloft3158 Před 4 měsíci

    How do i ask doc ro give me ambien isuffering Quetiapine is not doing it

  • @rhiannaloft3158
    @rhiannaloft3158 Před 4 měsíci

    I need ambiam

  • @KennethNordin
    @KennethNordin Před 4 měsíci

    First want to say that I appreciate your videos, a lot because I am in much the same situation. But, thought to mention that the fact is that Zimelidine (under the name Zelmid) was the first SSRI to be developed. The work on it was led by the Nobel laureate Arvid Carlsson (a Swede just like me) and the pharmaceutical company, which was then only called Astra. Due to a very rare effect on the liver and nervous system, it disappeared from the market quickly. I think it was launched in 1982. Vortioxetine by the way, I now take 15 mg for depression and generalized anxiety, and I, unlike you, respond well to them. In addition to manageable anxiety, the most important thing is that I feel clearer in my head with better concentration and memory. Before Fluoxetine, I just felt numb from it, the famous looking glass phenomenon many experience with SSRIs. Hope you find a medication that will help you in the future!

  • @Emil-zy8wy
    @Emil-zy8wy Před 4 měsíci

    Hey.Wondering do u take any supplements alongside medications to augment them or for anxiety support?

  • @justmadeit2
    @justmadeit2 Před 5 měsíci

    Problem is waking up at 3 am and then awake for the rest of the day. Had about 2 months of this and I’m currently in a psychiatric unit with severe depression

  • @margaretlane3325
    @margaretlane3325 Před 5 měsíci

    This was banned in 2002

  • @ndjako6012
    @ndjako6012 Před 5 měsíci

    Hi....Did yuo get stomak pain and nousa like me ?

  • @katrinamenzies9398
    @katrinamenzies9398 Před 5 měsíci

    Heather Ashton manual

  • @lovinmommylife3910
    @lovinmommylife3910 Před 5 měsíci

    I feel like my depression has gotten worse. But it’s only been a little over 2 weeks. But the nausea and headaches aren’t fun. Anyone else experiencing this?

    • @realitywinner7582
      @realitywinner7582 Před 5 měsíci

      outrageous nausea and triggering of 'flight!' mode for full month..had to stop as the simplest things were daunting. Back on the Lexapro now ..seems the best of the lot !! God Bless.

    • @realitywinner7582
      @realitywinner7582 Před 5 měsíci

      same here-had to stop after a month and resume Lexapro .

  • @Love369A
    @Love369A Před 5 měsíci

    what about psylocibin treatment?

  • @jasond626
    @jasond626 Před 5 měsíci

    I've taken 3 tablets (vortioxetine) and noticed that it's made my tinnitus worse. Not impressed so all ssri/n/modulators massage theirs worse or cause it? I had tinnitus years ago and just off switched off to it however i took 2 duloxetine tablets last march and they've brought my tinnitus back, very unhappy with this and it's distressing the noise and now the fear i can't take tablets without worry about making tinnitus worse or not permanent.. any ideas etc

  • @Love369A
    @Love369A Před 6 měsíci

    are still taking it today?

  • @jasond626
    @jasond626 Před 6 měsíci

    When's it out in the UK?

  • @Peter-xo6bn
    @Peter-xo6bn Před 6 měsíci

    NO two people have the same reaction. The symptoms can be total opposite. Plus contrary to popular belief they do not know how they work its all guessing.