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

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

#381

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The worst doctor still passed their exams, and has way more medical knowledge than the average person I wouldn't discount design advice of a qualified engineer because of the musings of a random person, so why would I do the same for a doctor. Too many people in this thread are just going "software developers don't know what they're talking about. I had a bad experience with software once, so no developers have a clu…

Medicine drop out rates: 15-18% Engineering drop out rates: 40-50% Math drop out rates: 47% Dumbest doctor is stupider than avg math/eng. They just tend to be less autistic on avg. "The American Society for Engineering Education (ASEE) found that between 40% to 50% of engineering students drop out or change their majors." "So, what is the dropout rate for medical school? In a standard, single four-year program, that…

You have to complete a number of prerequisites to be considered, never mind accepted, into a medical school. For engineering the barrier is much much lower, hence the higher dropout rate.

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

#382

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Tone down expectations. This is the silver bullet in my opinion. How do you define fairness, rethink it and tone down your expectations. How do you define love / relationships? Rethink it and tone down your expectations. How do you define work / career / success? Rethink it and tone down your expectations. I honestly believe this is a huge help. A therapist who is a good fit for you is very hard to find. Learning abo…

>Tone down expectations. This sounds absolutely terrible. Something not to far from victim blaming. Don't have a home? Learn how to be happy homeless! Husband gave you a black eye? Tone down your expectations!

"expectations are the thief of joy".

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

#383

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The past two years opened a ton of eyes regarding the fallibility of the medical community. Turns out most doctors prescribe what is recommended by the professional organization they’re a member or the CDC. I can’t count the number of times I’ve been at my daughter’s pediatrician’s office and the doctor either hands me a print out of the CDC website or actively googles something in front of me during a visit. Sometim…

This is beautiful and very much on point.

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

#384

Earlier quoted context omitted.

Medicine drop out rates: 15-18% Engineering drop out rates: 40-50% Math drop out rates: 47% Dumbest doctor is stupider than avg math/eng. They just tend to be less autistic on avg. "The American Society for Engineering Education (ASEE) found that between 40% to 50% of engineering students drop out or change their majors." "So, what is the dropout rate for medical school? In a standard, single four-year program, that…

You have to complete a number of prerequisites to be considered, never mind accepted, into a medical school. For engineering the barrier is much much lower, hence the higher dropout rate.

The prerequisites is a very American thing. Most of the world just does medicine as an undergrad, and physicians are just as good. The US pre-req system, as well as the control over residency spots is just supply management to ensure compensation remains high.

However, with supply management of physicians, comes responsibility to ensure reliabile supply to replenish ranks to avoid surprises, and thus all efforts are made to ensure that students can pass. You simply can't have 70% fewer graduates one year, and 170% next.

"With an admit rate of 7%, it is easy to understand why the Johns Hopkins School of Medicine is sometimes viewed from the outside as highly competitive."

"Massachusetts Institute of Technology/Acceptance rate - 7.3%"

If you have good memory, and not a total dolt, you can be a physician. Analytic ability is a tertiary concern.

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

#385

Earlier quoted context omitted.

>Tone down expectations. This sounds absolutely terrible. Something not to far from victim blaming. Don't have a home? Learn how to be happy homeless! Husband gave you a black eye? Tone down your expectations!

"expectations are the thief of joy".

misquote.

The correct quote is ”COMPARISON IS THE THIEF OF JOY.” – THEODORE ROOSEVELT

"Comparison is the thief of joy" - As quoted in Becoming a Great School (2013) by Cooper, Gustafson and Salah, p. ix"

Nothing wrong with expectations, ambitions, drive.

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

#386

Earlier quoted context omitted.

> Anti-depressants, if dosed and chosen properly, have basically no side effects WTF is that bullshit ? SSRIs destroy libido and possibly permanently (see r/pssd) MAOIs have many side effects NRIs are not effective NDRIs can cause tinnitus. Stims are cardiotoxic and usually not prescribed for depression. TCAs are not an action mechanism and therefore fall in the above categories. Atypical mechanisms are not better ei…

This is the reason why some people suggest not to listening to any comments. A lot of stuff here are factually incorrect: 1) MAOIs are safe, and Parnate specifically is extremely effective. However, requires a special diet to adhere. 2) Stimulants ARE prescribed very frequently to augment antidepressants in difficult cases, especially in people with serious illness. 3) Moclobemide has every effect of an MAOI in effec…

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

#387
post #124

I am on anti-depressants. They are life changing for me. As close to a miracle drug as I can imagine. They let me function

What are you on and how did you find your way to it if you don't mind sharing?

I am on 20mg of Paxil. I suffered from some debilitating anxiety, and while I was still functioning day to day, I was in a fairly fearful mood. I spoke to my GP (Australian primary care provider doctor), and he made me do a "mental-health checklist", and that suggested I did in fact have anxiety. He then asked if I wanted to try some medication. He put me on 20mg of Paxil. Within 2 weeks I was feeling sooo much better. In conjunction, I saw a psychologist for 6mo to help me put things in perspective.

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

#388
Obviously, this goes without saying, but please do what you need to; don't put yourself into a corner by anything said by anyone. I'm just giving my experience as i think it is a positive one.

I have enjoyed depression (quite severe is an understatement) for about 14 years now. I'm 26, so that's a little over half of my life which has been interesting. It came about from some abuse here and there, some neglect there, and a lot of desperation as i had no support structures.

Never used SSRIs or any anti-depressants, never got therapy; currently a smoker and a recovered alcoholic. Alcoholism was one of the most destructive and damaging things I have ever done, it is why i smoke as it's deeply damaged my body and mind, it took years from me, i feel twice as old as i am and there doesn't seem to be anything i can do other than try to smoke less and take better care of my body, though i feel both physical pain and emotional turbulence every day.

I currently, at this point in my life, realize that while I may not be able to ever be cured, but i can improve my condition, one day at a time. I think life is beautiful and I think that while my illness is crippling at times, i try to remember to hang onto what is beautiful. When i start spiraling i have trained myself to listen to music i find calming, to move myself outside (i'll often lay in the grass just breathing in the smells and looking into the sky, it helps when you distract yourself from the pain). I'm dedicated enough to it at this point that even if i can't get out of bed, i will crawl just to get that fresh air, to see the beauty around me.

Another thing i would encourage, i doubt it's a popular opinion but i do care, and this is what works for me. Stay away from pr0n if you view it; i find that when i stay away from it I can feel spasms of genuine happiness as it's almost like by not scheduling my daily, or every-other-day, dopamine rush... even WITHIN a week i will feel more energy to achieve that reward through making music or exercising.. or even just an embrace from someone i love. It all means so much more when i'm not scheduling that dopamine hit, it's like I HAVE TO DO SOMETHING! :) Anytime i slip back into it i find myself loosing ground. I'm just saying, if this is something you do, try it; you might find you feel better.

But most importantly, whether you listen or not, or try anything i'm suggesting; you need to remember that you are not alone, and even when you are at your lowest that you can imagine, you are never too far gone to reach out and ask for help. And don't push yourself past your means, the worst thing you can do is take anyone's advice and hurt yourself in the process, ease into something, don't go full hog, you know?

Another thing i noticed is that you said you find that nothing solves the problem permanently. I can say for me personally that i don't think i can solve it permanently, however i stopped fighting for perfection and just had to learn to try to improve how i think about things. Once i learned a healthy way to not just cope, but to actually live (not just survive) with it, it started to become more like background noise, even though it still affects me daily, it seems easier. I do more, a lot more than i ever imagined, but i'm always tired, though it's worth it.

It might sound a little strange, but as someone who has suffered from chronic depression since i was young, suicidal for the first 10 but now i'm (finally) safe, I've stopped treating it as something i have to "fix" and more like something i learn to treat in my own way.

I'm now an insomniac who works ridiculous hours (at a great job), i have a nice car, i love my music, and i guess has finally learned that even though it's not optimal, it's the best i can do with what i've been given. I think it's wonderful that you are still being a functional member of a team; try to appreciate those achievements, people appreciate your hard work.

There are still many days that i find myself not being able to get out of bed for hours, so i set the alarm to wake me up earlier. There are days i don't want to see people, so i work myself up to go see my friends. I've learned to ignore my own emotions to some extent and just push, but not TOO HARD. Know your limits, know what is "uncomfortable" vs. "destructive" to your mental health.

This is just me, that's just what works for me. I'm an expert in the depression experience, nothing else, and there are those around me who have better ideas i'm sure.

I hope something i said can be of some use. Best of luck to you.

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