Honestly: go and talk to a doctor you trust. My opinion (not a doctor): What is wrong in your life? Are you: + Working too hard + Commuting + Not exercising and taking care of yourself + Eating a diet with lots of processed foods + Using drugs and alcohol as a crutch + Overweight + Not resting regularly + Sleeping poorly + Have other health issues not addressed + Without genuine friends + Without a good partner + A c…
Ask HN: Beating depression with or without anti-depressants?
81–90 of 388 posts
Re: Ask HN: Beating depression with or without anti-depressants?
#82> For these reasons I am completely shit-scared of them. I see them as my option of last resort but increasingly I feel my options running out. I was in the same boat. Don't listen to the haters. Anti-depressants are amazing. Most of the people who 'cured' their depression through some kind of cheap trick turn out to have been self-diagnosed. Anti-depressants, if dosed and chosen properly, have basically no side effe…
Dangerous advice. Anti-depressants are band-aid solutions. Depression isn't an imbalance of "chemicals", it has been marketed that way for decades to sell pills. As soon as you are off them, you will likely relapse back into depression. While it can help someone that is in immediate risk, it does not solve the core issue of what depression is which requires a holistic, non-conventional view that Western medicine shun…
Please be careful; this attitude places the blame on the person experiencing depression, and feeling guilty about being depressed is a vicious cycle that can have catastrophic effects.
There are some for whom depression is a product of their environment. For some of those, a "tough love" approach may work. But there are also those for whom depression is a physical condition that requires medical treatment
Re: Ask HN: Beating depression with or without anti-depressants?
#83> For these reasons I am completely shit-scared of them. I see them as my option of last resort but increasingly I feel my options running out. I was in the same boat. Don't listen to the haters. Anti-depressants are amazing. Most of the people who 'cured' their depression through some kind of cheap trick turn out to have been self-diagnosed. Anti-depressants, if dosed and chosen properly, have basically no side effe…
My advice is try it. Talk to a psychiatrist and go on a minimal dose for a few months. Get therapy while you're going. If it doesn't work, it doesn't work. But it really could change your life.
Re: Ask HN: Beating depression with or without anti-depressants?
#84Re: Ask HN: Beating depression with or without anti-depressants?
#85Earlier quoted context omitted.
You may be correct about not trusting mental health with strangers. But at the and taking anti depressant or not taking it up to you. Doctor cannot weight pros and cons of taking anti depressant for you.
A doctor can definitely weigh it for you, that is practically the whole job... A doctor can (most of the time) not "make" you take medicine, but again, that is not the point either.
Re: Ask HN: Beating depression with or without anti-depressants?
#86PLEASE do not read any of these people's advice. Talk to a MEDICAL PROFESSIONAL, preferably a DOCTOR. DO NOT trust your mental health to strangers on the internet, be it reddit, or hacker news, or whatever. If you are based in the US and live nearby a university they usually have good counseling services and the infrastructure to refer people even if you're not attending the school. Search "{school} counseling servic…
Re: Ask HN: Beating depression with or without anti-depressants?
#87Long term use is typically associated with the worst side effects - both the well known things as well as how some may (edit: at least partially) block one's ability to develop and change/grow (1). Further, long term use is not associated with any meaningful enhancement of quality of life (2) and can often be a crutch - because while it alters mood it does nothing about the underlying cognitive patterns which are so ruinous for one's social life.
(1) Through antagonism of 5-HT2AR - see the "cognitive flexibility" section of https://www.frontiersin.org/articles/10.3389/fpsyt.2021.6612... - and more generally through inhibiting natural regenerative processes https://www.amazon.com/Myth-Chemical-Cure-Psychiatric-Treatm...
(2) https://www.sciencedirect.com/science/article/abs/pii/S01650... and https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1399-5618....
Re: Ask HN: Beating depression with or without anti-depressants?
#88Earlier quoted context omitted.
Dangerous advice. Anti-depressants are band-aid solutions. Depression isn't an imbalance of "chemicals", it has been marketed that way for decades to sell pills. As soon as you are off them, you will likely relapse back into depression. While it can help someone that is in immediate risk, it does not solve the core issue of what depression is which requires a holistic, non-conventional view that Western medicine shun…
Everyone experiences depression differently. SSRIs made a tremendous difference to me and my mom where therapy and various other treatments did not. Please be careful; this attitude places the blame on the person experiencing depression, and feeling guilty about being depressed is a vicious cycle that can have catastrophic effects. There are some for whom depression is a product of their environment. For some of thos…
I did not put blame the person experiencing depression, like OP described, he finds SSRI questionable and is open to be without it and he is justified in doing so. He is completely in his right to question and trust his intuition by seeking second advice on here, most of which I'm appalled to say reads more like logical, academic explanations.
I simply described an alternative that has been increasingly viewed positively by the scientific community lately and there is nothing in that suggests I am guilt tripping them for being depressed.
Coming from SSRIs, I can tell you that the alternative I suggested that has already been downvoted into oblivion created a lasting change and it is consistent with other people who have previously been exposed to SSRI.
If depression was the product of their environment then there really is no need for any SSRI, the external situation can be changed. Doctors would be prescribing plane tickets to Bangkok but instead they hand you out pills. It does not appear to be what OP is describing and your argument is shaky at best.
Finally I will add, go ahead and try SSRI but it is not something you go on and off on without paying penalties for it. You don't know what you will be like weeks, months, years after it. You don't know what habits, lasting side effects you might develop during and after. It's not the job of the drug to know or care, it does what it is described as.
Just remember at the end of the day, your doctor is more than happy to prescribe you whatever anti-depressants sales rep incentivize them to. It's not his job to care nor is he is trained to by profession.
Re: Ask HN: Beating depression with or without anti-depressants?
#89PLEASE do not read any of these people's advice. Talk to a MEDICAL PROFESSIONAL, preferably a DOCTOR. DO NOT trust your mental health to strangers on the internet, be it reddit, or hacker news, or whatever. If you are based in the US and live nearby a university they usually have good counseling services and the infrastructure to refer people even if you're not attending the school. Search "{school} counseling servic…
My opinion, doing both is good. Consult a professional and read about other people's experiences.
At the very least maybe somebody mentions a form of therapy that you've never heard of that you can ask your doctor about, or find a therapist that specializes in. If you ignored everyone's advice online you'd never even hear about that.
Personally, I'm starting Internal Family Systems therapy, which has seemed more promising for my psyche than many other modalities. But there are countless others. CBT is a good place to start, but doesn't work for everyone.
Re: Ask HN: Beating depression with or without anti-depressants?
#90PLEASE do not read any of these people's advice. Talk to a MEDICAL PROFESSIONAL, preferably a DOCTOR. DO NOT trust your mental health to strangers on the internet, be it reddit, or hacker news, or whatever. If you are based in the US and live nearby a university they usually have good counseling services and the infrastructure to refer people even if you're not attending the school. Search "{school} counseling servic…
I DISAGREE. For this reason: I was given antipressants by my (former) doctor for a moderate anxiety "phase". It was escitalopram. And it did well for me - within a day! When it came to end the medication, I was told to just stop taking it. Which I did. But I should not have - I had anxietiy "echoes" over the following YEAR, really weird stuff. So I started to read about the medication: Studies have shown the longer y…