Is bluesky not instanced? Cant you just run Bluesky PDS?

My experience is purely anecdotal but for me it seems to make me more anxiety prone and more paranoid even when sober and thats been a lasting effect so far. Im still for legalization and I know it affects people differently. Sadly for me its mostly negative for now

Quick edit: if anyone knows more about this effect im really interested in finding out more. My doctor hasent really been that helpful