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Ask HN: Beating depression with or without anti-depressants?

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201–210 of 388 posts

Re: Ask HN: Beating depression with or without anti-depressants?

#201

Depression runs in my family but daily exercise completely reverses it. I’m referring to 60m+ of cardio average per day. Anytime I go more than 2 days without exercise, I’m immediately under a dark cloud. I’ve heard plenty of people say it doesn’t work for them. I have to assume they’ve actually tried it for a length of time and it’s true. But it’s at least worth finding out of it works for you before resorting to me…

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Re: Ask HN: Beating depression with or without anti-depressants?

#202

Depression runs in my family but daily exercise completely reverses it. I’m referring to 60m+ of cardio average per day. Anytime I go more than 2 days without exercise, I’m immediately under a dark cloud. I’ve heard plenty of people say it doesn’t work for them. I have to assume they’ve actually tried it for a length of time and it’s true. But it’s at least worth finding out of it works for you before resorting to me…

That’s a lot of cardio. Especially as you age? Do you have a contingency for injuries?

Not GP, but I'm integrating lower impact cardio into my routine both to prevent injuries now and to get myself into good habits for when running may not be possible (or reasonable). Right now I run or walk (I took the winter off from running, so I'm getting back into it) and row each weekday. I have a bike and a trainer for it, which I will put next to the rower soon (I have had too many close calls to be comfortable with road biking anymore). There's a gym with a pool across the street from my house so I also plan to get back into swimming, but I need to work on shoulder strength and mobility first.

Re: Ask HN: Beating depression with or without anti-depressants?

#203
post #181
post #168

Earlier quoted context omitted.

> Have you ever talked to a _medical_ professional about depression or any mental health issue? They generally don't know what they're doing. And you think a random stranger knows any better? I know firsthand that the medical profession has serious limitations in its understanding of and ability to treat depression, but no way in hell am I taking some rando's advice over that of any of the many doctor's I've seen.

That makes no sense to me, if you're trying to deal with mental health problems and struggling you're going to be looking for new ideas from any source. Doctors are good at giving garden-variety medical advice that's validated by studies, but there's so many other ideas out there that they're not going to know about. Their background gives them expertise on what medicine says about mental health, not about the human…

Strangers on the internet are usually pretty good at helping you self-justify whatever it is you want to do, because no matter what position you take, whether it is a really good idea or not, there is always someone on the internet who agrees with you.

Re: Ask HN: Beating depression with or without anti-depressants?

#204
post #134

Earlier quoted context omitted.

Doctors aren't infallible, and most are probably not reading research papers. That's aside from the fact that psychiatric drugs aren't even that well understood by how they actually work. If you understand basic stats and read white papers on drug efficacy that are looking for correlations with your personal attributes, that's probably really useful info to know, and much more in depth research than your doctor will…

So you think, "Don't take medical advice from strangers on the Internet" (what I said) is equivalent to, "Don't obtain any second opinions or question you doctor" (what you seem to think I said)?

That's not what you said at all.

What you have down is this: "so we're at a point in the Internet where random people feel confident enough to tell others to disregard professional medical advice in favor of their own "research""

Which is in response to a post saying that they disagree with another parent who says that none of these anecdotal experiences or advice given by other posters should be read.

Regardless, I think it's important for people to trust their own judgement, and weigh anecdotal experiences and advice from regular people, with the understanding that all advice comes from a certain context.

That being said, after the fact of having such a bad personal experience and afterwards seeing that actual academic literature shows such a big rift with what I was told by a licensed professional with many years of experience, I have to advocate, especially in the field of psychiatry, to make one's own best judgement, regardless of whether a doctor agrees or not, and only give them the authority of what they can logically provide as an argument for why you should follow a certain treatment.

Re: Ask HN: Beating depression with or without anti-depressants?

#205

What’s mildly infuriating about these threads are people’s concepts on “what you should do if you have depression”, and the things they list are like, eat right, get enough sleep, take vitamin D, exercise… like, no shit! If you are truly depressed, you often have to do those things just to meet a baseline. You don’t have the luxury of _not_ doing at least some degree of self-care. No overcaffeinating, undersleeping,…

I agree with the concept of having to do the basics in order to reach a "baseline" that others take for granted.

Thank you for sharing your experience.

Re: Ask HN: Beating depression with or without anti-depressants?

#206
post #107

1. There are genetic markers that can inform the choice of medication for depression. We are starting to see better effectiveness than just the shotgun try each one until you find an option without too many side effects. 2. I took Prozac for a 3-4 years and felt like it helped a bit, and I had very limited side effects - even good side effects. A close friend is trying Zoloft/Stratera and is having annoying side effe…

Why’d you stop Prozac? I’ve been taking it about the same length.

reasons:

0. A few well placed acid trips helped me decide that I should follow my passion instead of toiling away at The Normal Path which brought me nothing but sadness. Acid beats a lot of cognitive distortions.

1. Root of my depression was trying to do 4 years of college courses that bored me to tears and required a ton of homework. So, I dropped out to go work in tech.

2. Much of my social anxiety was gone after the time and I had learned a lot of missing social skills.

My depression is back since COVID kinda wiped out all the good stuff that was going on in my life and reset things back to a lonely state. Considering starting therapy & treatment again while I figure out the life changes I should make.

Anyways, take drugs thoughtfully is my best advice.

Re: Ask HN: Beating depression with or without anti-depressants?

#207

PLEASE 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…

now that everyone thinks covid is over (hopefully it is), we can go back to having a healthy skepticism towards healthcare under capitalism. this is a good thing.

asking for advice and personal stories regarding navigating an issue as complex as depression and the way it's treated is not only prudent, it's smart.

a good healthcare provider is one that is fully willing to discuss unorthodox strategies found via independent research. take advice from the internet and find a provider who is willing to discuss it with you.

Re: Ask HN: Beating depression with or without anti-depressants?

#208

Eat healthy, go for walks, talk to a professional, open up to family and friends. Don’t be afraid of taking medication or changing your career. Don’t be afraid of admitting to yourself what you actually want out of life. Don’t expect it to be easy. The nice thing about medication is if you forget to take a pill today it is very easy to take one tomorrow. You can also stop when ever you want. Best case, they are a cru…

"Don't be afraid" is something that doesn't really work as advice. If I could just not have fear, what's left is just work. I feel like the majority of the effort I have to put into things is overcoming my own brain. Whenever I get my brain to agree with what I want to do and that doing it it is worthwhile, the rest is easy . It's ignoring the billion stupid reasons my brain generates why I should not do something I…

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Re: Ask HN: Beating depression with or without anti-depressants?

#209
post #129

PLEASE 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…

This is really weird advice. Yea it's mainstream and to be expected under legaleeze circumstances. But it's not the kind of advice I would give to a friend whom I'm genuinely concerned about. Have you known anyone who was depressed and managed to get better by following the advice of a generic "profressional"? I haven't. Quite the opposite. I've seen people get worse in one dimension or another by taking medication o…

Probably many people you know have seen a doctor for depression and gotten better, they’re just not telling that to the guy who says things like you did in your post… Very stupid take here man…

Re: Ask HN: Beating depression with or without anti-depressants?

#210
Try exercising.

> In MDD, larger effects were found for moderate intensity, aerobic exercise, and interventions supervised by exercise professionals. Exercise has a large and significant antidepressant effect in people with depression (including MDD). Previous meta-analyses may have underestimated the benefits of exercise due to publication bias. Our data strongly support the claim that exercise is an evidence-based treatment for depression. https://pubmed.ncbi.nlm.nih.gov/26978184/

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