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Ask HN: What are the best hacks to fight depression?

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11–20 of 152 posts

Re: Ask HN: What are the best hacks to fight depression?

#11
Seek professional help.

Threads like these are typically filled with unverified claims, anecdotes, well-meaning tips and what others think helped them or someone they know in what they believe are similar circumstances.

Some people aren't diagnosed, but make their own assumptions. Others don't differentiate between a mood (sadness) and pathology (clinical depression).

TLDR: There are too many variables, unknowns and right-sounding wrongs out there. A professional third party is better suited to interpret your situation than anyone else - including yourself.

Re: Ask HN: What are the best hacks to fight depression?

#14
post #3

There are conventional things that you're going to get a lot of comments about. My conventional thing is running. The hacky part is the endorphins you get.[1] Other than the hack, you constantly set goals and achieve them, it makes you feel good about yourself. Micro goals like "I'll make it to the end of the street without stopping," and larger goals like "I'll run 5 miles today." Positive reinforcement during the r…

"At every level, from the microcellular to the psychological, exercise not only wards off the ill effects of chronic stress; it can also reverse them. Studies show that if researchers exercise rats that have been chronically stressed, that activity makes the hippocampus grow back to its preshriveled state. The mechanisms by which exercise changes how we think and feel are so much more effective than donuts, medicines, and wine. When you say you feel less stressed out after you go for a swim, or even a fast walk, you are." -John J. Ratey, Spark: The Revolutionary New Science of Exercise and the Brain

And another

"we sometimes lose sight of the fact that the mind, brain, and body all influence one another. In addition to feeling good when you exercise, you feel good about yourself"

Reading this book opened a door out of depression for me using the prescribed medicine, which is exercise and definitely wasn't easy.

Re: Ask HN: What are the best hacks to fight depression?

#15
post #9

Hard outdoor physical labor where you are up before dawn, work flat out all day, and fall asleep exhausted shortly after dusk. Do this 7 days a week and you won't have time to be depressed.

Do you have personal experience doing this?

I do, and it works great! I normally work a desk job, alternating between the two is amazing. Working that hard every day of the year isn't sustainable, but physical labor in shorts bursts of a week or so can boost my mood for months.

Re: Ask HN: What are the best hacks to fight depression?

#17
post #8

I've seen SSRIs (Prozac etc) make a life changing difference for my daughter, my brother and my ex. But not my son. My 2p, etc...

To get the best results from SSRIs it is just a bit more than showing up at the doc once and getting a prescription.

Most people will need to adjust the dose and probably try a few different meds. So your doc should prescribe you some pills and have you call back in two weeks to see how you are doing and decide if you want to change the dose or switch meds. While you are there you should also have your thyroid hormone levels checked and any other physical problems which could be associated with depression.

In terms of mainstream meds that are available as a generic and easy to get, the one that stands out as different is Venlafaxine, which binds to norephinephrine transporters as it does to serotonin transporters. It works better in more people, but it also makes some people get a blood pressure reading like 200/110. Thus you should be working with a doc, checking your vitals, etc. There are also non-SSRI antidepressants, some of them are very effective, but they tend to have more side effects, some of which can be dangerous. (For instance, tricyclic antidepressants can cause QT prolongation, a change your heartbeat that can lead to death.)

All that said, the great thing about antidepressants is that they are inexpensive and easy to try in conjunction with "everything else", of which I would rank exercise as #1 and then talk therapy at a distant #2.

Re: Ask HN: What are the best hacks to fight depression?

#20

To see a doctor ?

This is the only reasonable response in any thread on mental illness. Depression is too much of an important issue to not see a doctor, and unless we know OP's full history, any number of things could work or not work.

It is more complex than that.

For one thing, "which doctor?"

Primary care physicians prescribe SSRIs all the time. You probably want to see a primary care physician anyway and get a thorough checkup and blood work to rule out physical causes. Your family doc or internist should also be able to refer you to a psychiatrist (who will usually offer more complex drug therapy) or to a talk therapist or both.

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