Live data from Hacker News

Depression lies

wilwheaton.net

151–160 of 242 posts

Re: Depression lies

#151
post #147

Earlier quoted context omitted.

Quite a few references refuting it as well.

Likely --- I haven't gone through them. I have no dog in this fight. I was merely offering the citations you requested, thinking you were genuinely interested in the topic. I won't make that mistake again.

Well that wasn't a very nice thing to say.

I was specifically hoping for a summary of results that discussed, among other things, experimental design. You gave me a vague Wikipedia article that points at a lot of specific studies I could probably summarize myself, as well as a lot of specific refuting studies I could summarize as well, but that's about it. And that's assuming I could get access to all the papers that it cites.

Re: Depression lies

#152

Earlier quoted context omitted.

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 m…

Sometimes it's unavoidable, but it's a concern that's worthy of consideration, and saying shit like "just don't have sex until you're married lol" isn't helpful.

Re: Depression lies

#153
post #95
post #75

Earlier quoted context omitted.

I was initially diagnosed with a Major Depressive Disorder; my first round of SSRIs sent me into a manic episode. That was enough to get me diagnosed with Bipolar II. I question whether that was an accurate diagnosis; my experience with bipolar medication was pretty awful, and with behavioral treatments (CBT and environmental changes) I seem to do okay without them, which is much more rare for people who suffer from…

I'm afraid the bipolar diagnostic is probably right. I would say the recurrence of the depression is a sign of that. Correlation with season variations is the most common, but not the rule. Medication efficiency and side effect are known to vary individually. In the end, the only thing that matters is that you find a treatment that helps you to feel and live better. I have heard lithium could help smooth the mood cha…

not even psychiatrists know about their diagnosis, since there's no scientific method at all there, just bullet point stories to try to match with the pacient... so I'd suggest not trying to diagnose people over the internet too

Re: Depression lies

#154

Earlier quoted context omitted.

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 m…

Sometimes it's unavoidable, but it's a concern that's worthy of consideration, and saying shit like "just don't have sex until you're married lol" isn't helpful.

The way you choose to build a relationship has a lot to do with how well you are able to sustain it through certain types of difficulty.

The comment you were responding to said something considerably more nuanced and interesting than "lol" in conjunction with the "don't have sex until you're married" part. It's OK if you disagree, but please do so in a more thoughtful way.

Re: Depression lies

#155

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 inte…

The politics of antidepressant medication is a political minefield, all the more dangerous because it seems everyone has to have a strong opinion, regardless of a professional or personal experience. While it's true that the efficacy of SSRIs is not an open and shut case, skepticism such as yours is not exactly the medical consensus either. Some of those meta studies with unfavorable results don't make much of an attempt identify where ordinary low mood ends and clinical depression begins, which further complicates the research.

With all due respect, as I'm sure you mean well, I rather doubt you have ever experienced anxiety or depression on the scale addressed in this post. Low mood, if not excessively acute and prolonged, is quite normal and probably won't see much benefit from medication. Clinical depression and anxiety can be absolutely devastating, and while it's not the only coping strategy, SSRI medication along with behavioral/talking therapy work wonders for a lot of otherwise desperate people.

People for whom getting out of bed every day is remarkable achievement of willpower, and who always seem to struggle to reach an emotional baseline. People who are almost constantly doused in worry, panic and despair, even when spending quality time with those they love. People who have tried everything else to no lasting effect. And yes, people who are so desperate to make the pain stop that they would consider killing themselves. Is this your life? Would you tell those with Bipolar Disorder or Schizophrenia that their suffering is simply due to a pathological awareness of the disorders themselves?

Warning the public against overmedication is one thing, but I for one am fed up with the stigma attached to seeking medical help for mental illness. The GP is reaching out to those for whom these treatments could literally save lives.

But I'm sure they just need more exercise.

Re: Depression lies

#156

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.

Did it make you congested? Could it have been sleep disordered breathing (sleep apnea)?

Re: Depression lies

#157

I suffer from "mild" anxiety, which has lead to some depression. At times, it's hard to go to venues where there are huge amounts of strangers or even the office at big corporation X (it's not so great whenever you feel like you're choking); but I power through it somehow. I can't get rid of it, but I've found that heavy exercise (ideally both weights and cardio) really helps to mitigate both the depression and anxie…

Hey, sounds like you might have some (maybe mild, I'm not a pro) form of social anxiety. Talk to someone about it, since there are very good programs (e.g. http://www.bostonsocialanxiety.com/ I've seen lauded on reddit) to help you with that. I've seen people with social anxiety completely transformed.

Re: Depression lies

#158

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 inte…

Scumbag HN user

Talks about evidence and/or the lack thereof

Cites zero evidence (via links) towards his assertion that there is no evidence

Re: Depression lies

#159
post #69

Earlier quoted context omitted.

Does it really work? My guess is that's just how slim people tell fat people that laziness got them fat and so they should do more exercise, i.e. people that never suffered from a certain condition giving advice to people suffering from that condition. " I failed the test because I'm stupid " - that's just how I felt when I got rejected after an onsite interview with a certain company that's renowned for its hiring s…

Does it really work? Statistically, CBT combined with medication is currently the most effective clinical treatment for depression. Personally, having tried a number of sessions, I think it works very well for some, and not so well for others. If your tendency is to blame yourself for things that are beyond your control, it may be a great aid. If instead you want to understand the world so as to make it better, CBT p…

> My conclusion was that CBT is effective to the extent that you are willing to give up on the concept of truth. People who train themselves to see only the positive are happier than those that insist on truth. I decided that truth was more important to me than happiness, dropped the CBT, and stuck with the meds.

I think you may have gotten the wrong impression of CBT. The point isn't to delude and bombard yourself with constantly positive thoughts. In fact, that rarely works for us HN-types.

In fact, I'd posit that it's the opposite of self-delusion: It's about viewing plain facts as well as your emotional bias towards them, and the (maybe false or exaggerated?) conclusions that those biases lead you to.

It turns out that some of us have different cognitive biases such as badly weighted risk assessment, picking the worst possible conclusion etc. It doesn't help that these form a vicious cycle. Nor that these biased thoughts sometimes seem to happen automatically (rather than you consciously coming up with them) and appear to be plain facts, already assumed and taken as granted.

The point is, something that looks like a crisis to me may look mildly uncomfortable to someone else. The idea is to dig down and see why.

edit: Another point I forgot to make is, this arms you against future encounters. You know how your mind falls into certain pitfalls and you learn to recognize them. The next time, you're not fooled as easily. This is a very powerful notion: knowing your own faults. Not to mention the feeling of victory that you get when you catch your mind red handed :)

Re: Depression lies

#160
post #2

We have an incredible capacity for denial and self-deception. For years, I would periodically drop into severe depression; I would stop sleeping, stop eating, stop answering my phone or email. I wouldn't leave my room for weeks on end; on a few occasions I was so successfully reclusive that people worried that I disappeared or died called the police to investigate. A few times I almost did die; I think the biggest re…

I had the same problem. My depression had been latent since early HS but it really manifested when I began college, and my grades were horrible as a result despite having been a model student until then(well, until the last year of HS; college only hastened its development). I'm 29 and I've since gotten treatment but the effect on my professional development has been incredibly damaging. It's less a stumble out of th…

Comparing yourself to others is an easy way to think negatively and possibly even descend into depression. It's important to accept who you are and what got you there and not think that your life would be so much better "if only things had been different". Things weren't different. You were given the genes you were given from parents who you didn't choose and countless other variables influenced you to become depressed and then recover at the time you did. No need to feel bad about it.

I don't mean for this to sound like a personal attack. I'm in a similar position to you and I've found it incredibly rewarding to realize that it is useless to worry about the past and what could have happened.

Post reply on HN