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Tips for the depressed

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Re: Tips for the depressed

#61
post #19

I largely agree with all the advice here. I dropped out of college due to depression, then I torched my tech career with a manic episode that led me straight from a FAANG SWE job to an involuntary psych ward patient for a month, which was followed by a half year brutal depression. I’ve done a lot of research and I think psychiatry is pseudoscience and antidepressants are largely placebo. I’m really on the mindfulness…

>I’ve done a lot of research and I think psychiatry is pseudoscience and antidepressants are largely placebo.

Care to link any of them? I have a hard time believing they are placebo, as they fundamentally alter neurochemistry.

Re: Tips for the depressed

#62

Drink more water. Sleep more. Exercise. Stop listening to depressing music. Listen to happy music. Focus on the good things in your life. Force yourself to think about them at least daily. Stop comparing yourself to others. Stop feeling envy. Be creative and do something that's fun. Buy a note book, write all your problems down and work them out that way. In fact, write everything in your notebook. Journal. Plan. Dra…

>... do something that's fun. There is NO fun in depression.

I know what you mean. I've been there.

And yet, from my own experience and the little I have read, the bigger problem is that there is no anticipation of fun. Thinking of fun activities does not bring me joy when depressed. Doing them brings lesser joy, but there is still joy, however little.

Re: Tips for the depressed

#63
post #52

Things that help me when I feel depressed: - Listening to upbeat, energetic music and avoiding depressing music, which tends to make me feel worse - Walking outside on a clear, sunny day - Eating my favorite food - Playing a good game to get my mind off whatever it is that I'm obsessing about - If I am able to concentrate, reading something by a favorite author, listening to a good podcast, or watching a non-depressi…

What did Nietzsche mean by that?

He never said. Nietzsche wrote very aphoristically, and it's often up to the reader to make sense of it.

For me, this saying resonates because I've found that when I think of suicide I feel better because it makes me think that after my death I won't have any more of the troubles that plague me in life. It'll be a relief. In a way, it's hope.

It also, I think, for a time gives me the feeling of control over my life.

The trick, though, is not to actually act on one's intention. I guess I'm pretty good at procrastinating, which has hurt me a lot in many other aspects of life, but it's good in this one sense.

Re: Tips for the depressed

#64
2 cents: Get off / moderate your social media, news media, TV show service intake - stop giving in to the comparison game that you can never win. When you play this game, you are living vicariously through the lives of others instead of realizing the incredible opportunity you have in each moment to maximize your own potential and be the best version of yourself.

For a long time a source of my discontent in life came from comparing my small steps towards big goals to the empires and platforms of the top performers in the same field. It made me feel irrelevant and like my efforts were pointless. I got out of that trap by taking extreme ownership of my actions and what I create, and I started viewing my progress solely relative to who I was yesterday, rather than to external benchmarks. I forget the exact quote, but it's similar to something like: "the best way to improve something is to start measuring it." and this really crystallized for me when I read a blog post by James Clear: "The Domino Effect." Momentum is important in our behavior - harnessing it to your own benefit becomes like a super power once you can appreciate how useful it is.

Re: Tips for the depressed

#65
post #25

AFTER FIFTY YEARS, billions of dollars of intensive marketing campaigns, and tens of billions of dollars of profits for pharmaceutical companies, it is still far from clear that antidepressant drugs are any more effective than placebo. The only group of people who have demonstrably benefited from the widespread use of antidepressants are pharmaceutical executives and investors. I don't think this is accurate or helpf…

It's partially accurate, but it's mostly misinterpreted.

"No better than placebo" sounds like the drugs don't work at all, but that's not true. Placebo is unreasonably effective at treating depression, and strangely enough placebo is getting more effective over time: https://www.psychologytoday.com/us/blog/straight-talk/201803...

Take a look at the response chart for placebo vs. SSRI some time and it will become very clear. Placebo treatment is literally so effective that it's difficult for actual antidepressants to significantly separate from placebo. That doesn't mean they work, though.

So why don't we just give everyone placebo? Ignoring the moral issues, active treatments are still superior to placebo and the results tend to last much longer than placebo. And for the most severely depressed patients, active treatments perform much better than placebo.

The placebo effect cuts both ways. If someone goes into an SSRI trial convinced that SSRIs are a garbage conspiracy pushed by Big Pharma after reading anti-psychiatry posts on the internet, they are much less likely to see depression remission.

Re: Tips for the depressed

#66

Earlier quoted context omitted.

For me, doing those small things did seem impossible and even when I managed to achieve it, I didn't feel the reward. There didn't seem any point in making the bed if I felt the same whether the bed was made or not. Eventually I reached a mental place where I could turn that around: If it doesn't make a difference in how I feel, why not make the bed? I had to more or less take it on faith that eventually the rewards…

Coincidentally, I really see no point in making the bed. I wonder if I'm depressed.

Is there anything else where you do see a purpose that needs doing? Maybe folding laundry, cleaning the kitchen, etc. That usually makes you feel more comfortable at home.

Whatever it is, you can start small. Fold one pair of socks. Clean one dish. Vacuum one room.

I think a lot of people don't see any purpose in making a bed.

Re: Tips for the depressed

#67
post #19

I largely agree with all the advice here. I dropped out of college due to depression, then I torched my tech career with a manic episode that led me straight from a FAANG SWE job to an involuntary psych ward patient for a month, which was followed by a half year brutal depression. I’ve done a lot of research and I think psychiatry is pseudoscience and antidepressants are largely placebo. I’m really on the mindfulness…

> I’ve done a lot of research and I think psychiatry is pseudoscience and antidepressants are largely placebo.

For you. There are many causes of depression, and many reactions to the depression and to the various treatments.

For me, the very day I started taking an SSRI I felt physically different. My brain felt slightly too large for my skull, and it felt "fizzy." That, and the loose stools, went away after a time. (We have serotonin receptors in our digestive system, to guard against swallowing poisonous seeds.)

And I immediately felt like cleaning the apartment.

While I still have depression, it's manageable, and the SSRI knocks it back enough that I can see and deal with bouts.

In other words, for me, I seem to have a chemical condition that SSRI is exactly designed to deal with.

For me.

Re: Tips for the depressed

#68
post #52

Things that help me when I feel depressed: - Listening to upbeat, energetic music and avoiding depressing music, which tends to make me feel worse - Walking outside on a clear, sunny day - Eating my favorite food - Playing a good game to get my mind off whatever it is that I'm obsessing about - If I am able to concentrate, reading something by a favorite author, listening to a good podcast, or watching a non-depressi…

What did Nietzsche mean by that?

I have interpreted it, and some similar comments, as a way to lessen the pain of expectations and feeling like you're falling short of your own life.

The emotional distance between "perfectly healthy and wonderful" is much much further than "I really could end it and it wouldn't be much difference".

At the worst points, looking at it from the bottom of the hole to just that little bit up, makes it bearable enough to eventually start something, and slowly work back up toward okay.

Re: Tips for the depressed

#69
post #17

There's some good stuff here, but it completely skips gratitude. Focusing on what you're grateful for is one of the more powerful and best proven methods to combat depression. I've been through clinical depression and consider it the key to my recovery.

[deleted]

Re: Tips for the depressed

#70
post #19

I largely agree with all the advice here. I dropped out of college due to depression, then I torched my tech career with a manic episode that led me straight from a FAANG SWE job to an involuntary psych ward patient for a month, which was followed by a half year brutal depression. I’ve done a lot of research and I think psychiatry is pseudoscience and antidepressants are largely placebo. I’m really on the mindfulness…

> I’ve done a lot of research and I think psychiatry is pseudoscience and antidepressants are largely placebo.

Please don't spread anti-psychiatry misinformation online. I'm sorry that it didn't work for you, but please don't dissuade others from seeking proper treatment.

Playing devil's advocate: Even if SSRIs are just placebo (they're definitely not, and we have decades of science to explain why that's a false statement), what would be wrong with that? Placebo is remarkably effective, and even placebo is even getting stronger with time: https://www.psychologytoday.com/us/blog/straight-talk/201803...

This is where people are mistaken when they conclude SSRIs are placebo. SSRIs still diverge from placebo, but placebo is so incredibly powerful in short depression studies that it's hard for SSRIs' superiority to reach a numerically large statistical significance.

> I’m really on the mindfulness bandwagon

Mindfulness is a common therapy technique within professional treatment. I think you'd find that a lot of the mainstream self-care practices are mirrored in professionally-guided therapy. However, some people just can't/won't trust professional institutions, so at least we have mainstream pushes for mindfulness and self-care to slip these techniques in the back door.

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