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Depression lies

wilwheaton.net

131–140 of 242 posts

Re: Depression lies

#131

What I'm not able to reconcile is if the despair and anxiety resulting from nihilism is something that should be treated . I'm a staunch believer in existential nihilism (and hence believe life is inherently purposeless and pointless), so time to time it gives a sharp tinge of sadness on the lines of _why am I existing at all_. It's not a suicidal feeling, but very close to it. I have (rightly, so) convinced myself o…

Your despair and anxiety don't result from your philosophical beliefs, which should be trivially obvious since lots of people share your beliefs and do not regularly suffer from despair and anxiety. You can feel how you please, but you aren't being faced with the binary choice of "believe X and be sad" or "disbelieve X and be happy." You also have the choice of "change whatever weird thing in your head correlates a b…

[deleted]

Re: Depression lies

#132
post #3

Earlier quoted context omitted.

Knowing you "have a problem" doesn't mean you or anyone understands the problem or what to do about it. And even if you know what to do, doesn't mean you can do it either, the psychological, social or just practical barriers can be impossible to climb. Medication has a statistical significant effect, but is often marginal at best, and most of the effect is placebo. And this assumes an accurate diagnosis, and don't co…

I can't read the full article (paywalls...grumble...), but this[1] would indicate better-than-placebo performance for those with major depression. Please don't spread unsubstantiated rumors on this topic. As many of us know from personal experience, the results of giving people an excuse to say "that medicine doesn't work anyway" can be devastating. 1. http://psycnet.apa.org/psycinfo/1991-19312-001

"Please don't spread unsubstantiated rumors on this topic."

You're the one spreading misinformation. How about you actually read some books on the topic before attacking others.

Re: Depression lies

#133

I thought I was depressed and anxious for almost two years. It turned out I just had a chronic sinus infection. I'm suspicious that a lot of what gets considered as psychiatric problems are really physical health problems. Anecdotally, a lot of people switch to a nutrient dense diet and cut out potential allergens and wind up feeling all better.

> Anecdotally, a lot of people switch to a nutrient dense diet and cut out potential allergens and wind up feeling all better.

I agree with you, but also, the placebo effect is very powerful.

Re: Depression lies

#134
post #44

Can't let Robert Sapolsky go unmentioned: http://www.youtube.com/watch?v=NOAgplgTxfc

Came here to post this, in this lecture he makes the point that major depression is the most devastating disease you can suffer. He also compares major depression to diabetes in that you can't will yourself out of either one.

Re: Depression lies

#135

Earlier quoted context omitted.

I would hope your girlfriend would have the maturity and care for you that this wouldn't put your relationship in danger. You know 50% of sexually active people are in a relationship where their partner is less interested in sex than they are on average (inevitable logic, not statistics) and if you break it down to year by year interest that number must go up (again logic). That said, I'm going to make the brash coun…

In other words: satisfying each others' sexual needs isn't a valid and important part of a relationship?

In a sufficiently long relationship, there will be periods during which "satisfying each others' sexual needs" is difficult or impossible.

Couples I know have had trouble due to depression, childbirth, work-related travel, injury, and a year-long coma. While sex is a valid and important part of the relationship, it's also important to be able to weather periods of difficulty.

I should also note, depression tends to make one less capable of meeting other important relationship needs. If treatment causes a temporary drop in libido but improves those other areas, that should be a net positive. Thus, I submit that if a relationship gets derailed by such treatment, there were deeper issues in play.

Re: Depression lies

#136
post #55

Has anyone ever explored the idea that depression is a western disease?

It's a global disease, it just receives much, much more attention in the west (for example, all the antidepressant ads during prime-time television).

Re: Depression lies

#137
I am rather disappointed by much of the discussion in these comments.

The HN community has always taken pride in being careful, analytical and data-led. If someone were to advocate an unproven cancer therapy based on anecdote, they would rightly be harshly criticised.

The evidence base for SSRIs is extremely poor. The most favourable metastudies indicate only a very mild benefit, similar to that of many non-drug interventions like exercise or conversation with friends. Other metastudies show only a weak effect in the most severely depressed patients. There is known to be a very serious problem of publication bias, with major statistical irregularities indicative of the non-publication of unfavourable trials.

We feel confident in making statements about the nature of depression, but in truth we know almost nothing with any degree of confidence. The long-held serotonin hypothesis has proven to be completely baseless and there is no good evidence that depression has a neurochemical etiology. fMRI data is often used to make the case that depression has neurological rather than psychological origin, but this is very poor reasoning; The brain is not merely a passive vessel for the mind and environmental influences can cause substantial structural changes to the brain, as seen in chess players, sportsmen and myriad other groups.

It is entirely possible that the idea of depression is itself a cause of depression, in much the same way that the western presentation anorexia nervosa has been imported into Chinese culture and is slowly replacing the far more common indigenous eating disorder, which presented as idiopathic digestive problems rather than a psychological aversion to food based in body image. It is entirely plausible that the belief that low mood is a medical disorder which cannot be ameliorated by the patient is itself pathological.

I believe that the only statement we can make about depression with any confidence is this: We aren't sure if "clinical depression" describes a phenomena that can be meaningfully thought of and treated as a disease, but we do know that if you do something that you believe will make you feel better, you will feel better.

Re: Depression lies

#138

One thing that helped me was additional vitamin D. I did some quick research and found out that one must be careful, as overdosing will bring back the same symptoms, but after adding an additional 1000 IUs a day, I am not getting as depressed as I used to. Please note that my depression was minor, more of the "there is too much going on, I can't get started on anything, I don't feel like working, I think I will just…

It's my understanding that "overdosing" on Vitamin D is very difficult. I take 5000 IU every morning. Do you have links to the research you found?

From Steve Gibson's Vitamin D 'fan page' http://www.grc.com/health/vitamin-d.htm:

John Jacob Cannell, M.D. and executive director of the Vitamin D Council has this to say about Vitamin D Toxicity: http://www.vitamindcouncil.org/vitaminDToxicity.shtml

The Merck Online Medical Manual ( http://www.merck.com/mmpe/sec01/ch004/ch004k.html ) has the following to say: “Because synthesis of 1,25(OH)2D (the most active metabolite of vitamin D) is tightly regulated, vitamin D toxicity usually occurs only if excessive doses (prescription or megavitamin) are taken. Vitamin D 1000ug (40,000 IU)/day produces toxicity within 1 to 4 months in infants. In adults, taking 1250 ug (50,000 IU)/day for several months can produce toxicity.”

Re: Depression lies

#139
post #105

I'll preface this with the fact that I know that people will see me as being cold or just generally not agree with my opinion but I am going to share it with you all anyways. I have experienced this first hand. I have attempted suicide twice in my life and have gotten help for it. Because of my experience, I think I have come out of it with a different view which is this: Suicide is somebody's choice and theirs only…

The best description I've seen of depression-induced suicde is "a permanent solution to a temporary problem."

For someone who has suffered depression for 35 years continuously (almost all my life) and had tried talk therapy, CBT, and over a dozen different drugs ranging from SSRIs like Prozac and Paxil, to Tricyclics like Tofranil. I'd hardly call it temporary. The only meds I haven't tried are MAOIs, but I've been resistant because side effects.

Re: Depression lies

#140
post #74

Earlier quoted context omitted.

I read Seligman's book about optimism as well. He studied insurance salespeople for a time, which I think influences a lot of the advice. The best salespeople had a modicum of self-preserving delusion. Not enough to ignore correctable problems with their own performance, but enough to endure all the rejections one gets as a salesperson. This advice is clearly more applicable to sales than to, say, spacecraft design.…

So, for a lot of the social professions, success is realizing that other people have minds of their own who may or may not agree with you, and that if they don't, that doesn't necessarily reflect on you or mean you're doing anything wrong. So if you blow an interview, it doesn't necessarily mean that you're stupid, it could just be that you drew a bad question or a bad interviewer or just weren't what the company was…

> I think that's a lot healthier than to phrase it as "blame others" - you should respect others, but realize that what they want is not necessarily what you want.

The seduction community (/r/seduction to be specific) calls this outcome independence. A great deal of emphasis there is put on overcoming rejection.

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