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Ask HN: How to cope with depression

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Ask HN: How to cope with depression

#1
I'm struggling with depression, and don't know how to manage it.

Just to get my background out of the way :

I'm a programmer and have been severely under performing at work (to the point of almost being fired), and routinely question whether or not I deserve to be alive. As a result of my difficulties, I've begun seeing a therapist and psychiatrist. Both feel that I should be on anti depressants, and I am not opposed to this.

Short of medication, however, they haven't really offered any strategies I can implement. Perhaps that will come later, but for now I was hoping to hear about what may have worked for others. All the logical advice (exercise, go to sleep on time, live a healthy lifestyle) are things that I struggle to find the motivation for. Perhaps the medication will help in that department. However, I'm concerned they will dull my focus (which is a bit silly, considering I can't focus at all right now).

edit :

I am sincerely grateful for all the thoughts that have been shared. I've read every post in this thread. A few follow ups :

1. I understand the limitations of asking for advice about mental health online, and I want to reassure any/everyone concerned that I will not make any treatment decisions without the input of the specialists I'm seeing.

2. Related to the above, reading about the (mostly successful / positive) experience others have had with medication has been very reassuring. I did have some lingering skepticism about SSRI's (which may or may not have come through in my original post), and I am very glad to hear that medication has worked well for others. Maybe it's a bit silly to have an opinion partially validated by a peer group, but so it goes.

3. This is probably as emotional as I've been in weeks : reading through the responses here makes me feel like I'm not alone. Thank you, very, very much.

Re: Ask HN: How to cope with depression

#2
Take the meds; if you aren't able to feel like you can do the other things, your depression might be too severe for those to help anyway. I didn't realize I was depressed for a number of years, until my wife forced me to go. I am now on medication and I feel much improved.

The wrong medicine will dull your focus (I had a very bad sedative reaction to Lexapro) but the right ones will make you feel more normal. My work is the same as it was before, except I am happier now.

Re: Ask HN: How to cope with depression

#6
Take the meds.

Expect this to be a journey - you have to try several and you may end up on a combination (I take four). If you're dozy at work as for some ritalin to help. I hope you have health insurance :( Also, if you go through 'high' periods you're not depressed, you have bipolar 2.

Take the meds. This shit literally saved my life.

Re: Ask HN: How to cope with depression

#7
I was in, or am in, a very similar spot. I've struggled with depression to the point where I got almost nothing done with work. I had the same fear you did about dulled focus, but you're right: it is silly to worry about that if you aren't productive already.

A few months ago I went on Prozac. I still struggle with focus and getting work done and there are some other negative side effects, but crucially I am able to think more clearly about the situation. I'm now working on strategies myself to get myself to a better place long term.

I'd advise taking the medication -- it's unlikely to put you in a worse spot, and very likely to put you in a better spot. From that better spot you will see more avenues you can pursue.

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