This is an important but deeply tragic point. I have friends who I would bet heavily will be unwellbeing their entire lives.

Even if it is true though, is it worth the total loss of hope that would accompany the resignation to the endless night? To me it seems worth the ups and downs of hope and defeat, if only that it promises some points of positive change whereas if you resign yourself to unwellbeing then you will limit the positive upswings you’ll experience.

Either way, it should be acknowledged that there is a small minority for whom these techniques are but an Advil to a splitting migraine.