One sleepless night can rapidly reverse depression for several days in mice

Try the carnivore diet for 30 days. Eat eggs, beef, butter, plenty of salt, greek yoghurt, blueberries, walnuts. Drink only water (with a slice of lemon to break the monotony) and green tea.

Thank me later.

This is not my experience at all. There are different types of therapy with wildly different approaches. What I worked with my therapist were recurring negative thought patterns, the associations and actionable concepts to get better, as well as going through my moderately traumatic family history. Part of that is self-validation, for sure. It helps to hear from a professional that the stuff you've gone through and feel has traumatized you, has been pretty bad and yes, probably has traumatized you. It does not cure the trauma, but naming a condition helps to recognize it's effects in ones thinking, which again helps in modifying ones thought patterns around it.

It's really hard to recognize and work on your own negative thought patterns. Like, you can't clean your face without a mirror. You can't comb your hair very well without a mirror. A good therapist in a way works as mirror to your thought, and helps you to clean that stuff up.

If one is moderately well functioning then there is nothing left to fix and yes, a therapy may seem somewhat useless.

My therapy probably saved my life, and I'm not exaggerating.

While it may take a while to sync with your therapist, it's plausible the chemistry between you two just isn't working, or, that the style of therapy is not helpfull to you. There are tons of different types of therapies. Some try to figure out what makes you tick, and work through that. Others just try to analyze your current state and then simply offer actionable tactics to modify your current mood and thinking. I used the latter. Would have absolutely hated the former. But suitability seems to be really personal.

My therapist was purely interested in objective actionable items, negative thought patterns, underlying trauma, etc, and what strategies we could use to try to help me. These things are deeply personal and subjective, but similar issues come again and again between different people, and an experienced therapist can try many different things.

One aspect of depression feels that there are bunch of negative thought patterns and their strong negative associations, which feed eachother. A part of my healing was not giving energy to these things - letting them pass over me so to speak, and find ways to alleviate occasional bad spots (deep breathing etc). We worked with therapist with many of these things. Lots and lots of small actionable nudges.

"They can't fix any of the stuff that is making me depressed, "

I don't know your situation so I would not imagine trying to offer suggestions. I can tell what my bad stuff was though. My parents died, my wife became sick and unable to work and my son turned out to have really bad adjustment problems at school. More or less at the same time. And, I was fairly displeased with my job. That came on top of childhood trauma of parental alchoholism, depression and suecide attempts.

My therapist really could not fix any of that, nor did they try. What we worked instead was trying to give slight adjustments to my thinking and perception, lifestyle and relationships. Small nudges, here and there, over a long period, in combination with SSRI:s.

None of the issues have been fixed. None of them can be fixed. But at least for myself I can again find joy and happiness in a broken world. I truly hope the same for you.

I was really lucky finding a suitable therapist early on, but I understand finding suitable therapist can take some time. To my understanding ”therapist shopping” is a normal part of the process, and if you feel your therapist relationship is not working out right now, it might be a good idea to raise this topic with them.

Thankfully I wasn’t on Benzos, but my mother has been and they definitey can do a lot more harm than good.

Sorry, in hindsight my comment was unreasonably broad and unclear.

I think it's obviously true that someone might feel anywhere from "a bit weird" to "really quite unwell" for a couple of weeks after discontinuing an antidepressant. I don't know how effective GPs are in communicating that, but you're right that it's there in the patient information leaflet.

What I don't see as particularly plausible are the extremely long withdrawal syndromes reportedly lasting many months or years, or the extremely prolonged tapering regimes that involve tiny fractional doses. I cannot conceive of any plausible biological mechanism for these symptoms, or a plausible mechanism by which a tiny fraction of a clinically relevant dose might alleviate them. Prolonged post-withdrawal effects are reasonably common with GABAergic drugs, but the mechanism and mode of action of these drugs is radically different.

If someone has been taking 20mg of escitalopram, it's perfectly sensible to step down to 10mg and perhaps 5mg over a few weeks to allow their serotonin system to upregulate without too much drama. If they're a year down the line, they're taking 0.2mg and they feel suicidal if they miss a dose, I don't think there's a biochemical explanation for their symptoms.