this is the biggest misconception when it comes to clinical depression... that you can or did beat it. You can never or will never beat clinical depression, only suppress it. Beating something is finite and means that it can never happen again. The author gives great advice in the article about what steps he did to suppress this bout of depression, though if he doesn't stay the course chances are it will come back. T…
How I Beat Depression
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Re: How I Beat Depression
#32Re: How I Beat Depression
#33Re: How I Beat Depression
#34Earlier quoted context omitted.
That's a false dichotomy. Ultimately all thoughts / brain function rely on "chemicals". The idea of purely "chemical" mental distress is also severely strained - consider "there is a 0% chance your current feelings are influenced by your environment / past". It's all a bit more of a spectrum. There is serious money behind the chemical mental-distress-as-an-illness interpretation. If it's a medical problem then you ne…
no... what you've saying is false. There is a HUGE difference in feeling sad about a traumatic or past event versus the chemicals in your brain not working properly. also this conversation is about true clinical depression and the difference between it and just feeling sad; it's not about some conspiracy theory of how every doctor wants us to be on meds or the fact that flushing medication down the toilet is poising…
So... there may not actually be a huge difference in feeling sad about trauma and chemical problems. Not all chemical problems are genetic.
Re: How I Beat Depression
#35Earlier quoted context omitted.
I came here to say something similar - you do not "get over" clinical depression caused by a biochemical imbalance in your brain. It does not get fixed without making biochemical changes to your brain. The advice the author gives is very sound advice (exercise, for example, does indeed induce biochemical changes in your brain), but without first becoming convinced of the advantages of getting treated, and taking the…
Except exercise _does_ make biochemical changes in the brain. One example: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3311131/
Re: How I Beat Depression
#36Cognitive behavioral therapy is also very effective in many cases (and can work on its own without medication, depending on the situation).
Though CBT doesn't seem to be more effective compared to other types of therapy for treating depression. It is still better than no therapy. [2]
[1] Chan EK-H. Efficacy of cognitive-behavioral, pharmacological, and combined treatments of depression: A meta-analysis.
[2]Hoffman et al. The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses.
Re: How I Beat Depression
#37Can anyone provide any advice on how to help a friend through depression? I met this friend about a month and half ago and he recently opened up to me about his depression. He's been in and out of depression since high school (about three years I think; he is currently on medications and getting help; he's reached out to me first (we're studying abroad in Asia) and I would like to help in anyway possible. My questions are:
1) How much do I reach out and ask to hang out/eat/etc.? 2) What are the boundaries I should be aware of? Should I bring up the depression and ask him how he's doing every day? other day? week? 3) Any general advice (I went through semi-depression for about 6 months, but it was not anywhere near as drastic) (I also helped a friend through depression last year which was almost suicidal)
Thank you. I appreciate any advice you can provide.
Re: How I Beat Depression
#38Moreover, the help of doctors, etc, that's all very well, but many times we forget, the society in general, it is very cruel, often with other friends.
This life, this world..
Comments on Ref. to Friend(s)..:
http://en.wikipedia.org/wiki/Aaron_Swartz
R.I.P. D.E.P.
Re: How I Beat Depression
#39I would say the suggestion to work with a doctor should be struck and replaced with a suggestion to work with a psychotherapist or psychiatrist. Doctors (other than psychiatrists) are not trained to deal with mental illness beyond diagnosis and prescription. You'll need to see a doctor if you want to try drugs, but the only reason to have an ongoing relationship with a doctor is so you can try different drugs if the…
In theory you should get a quick assessment, and then a referral to PCAT team (Primary Care Assessment and Treatment) - these people will either take you on for short form talking therapy (probably cognitive behaviour therapy) with possibly some medication; or they'll refer you on to a community team; or they'll send you back to the GP.
The doctor may skip the PCAT referral and send you straight to a community team. They'll do an assessment and either take you on, or send you back to the GP with advice for treatment.
If a community team take you on you'll get a care coordinator, a care plan, a consultant (psychiatrist), and access to different meds and different therapies. Frustratingly, you might not be allowed access to short form CBT while registered with a community team. If you need hospital you'll get hospital.
In an emergency the GP will just call the crisis team for you (in theory crisis teams are available to anyone who needs them at any time, but it's usually better to go though a GP unless the crisis team already know you). The crisis team will assess you for a stay in hospital (either informally (voluntarily) or under section of the MHA (detained against your will to protect your safety)).
Of course, that's the theory and often the practice differs.
And, you can avoid some of that process by getting a private psychotherapist. Look for BACP registration. (There are probably other good registration, but BACP is the one I know.)
About psychiatrist:
I've met lots of psychiatrists.
They've almost always been "odd".
To become a psychiatrist in the UK you need to do the regular medical school. That turns you from a medical student into a doctor. (But not a doctor that can practice unsupervised.) You then do Foundation Year One and FY Two. (This is practice, supervised, in hospitals etc.) You then become a registrar. Eventually you become a consultant in your chosen speciality, which gives you the power to practice unsupervised.
All of this means that you have great, up to date, in depth knowledge of modern treatments and medications. It also means you're a bit of a basket case to make it through that process. Your bedside manner is likely to be interesting.
I'd strongly recommend people avoid psychiatrists unless the illness is severe or resistant to other forms of treatment.
As always: I am not a doctor and I have no training and all of this is just my opinion and etc etc.