How I Got My Brain Back
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As I said, for me depression also manifested as a set of very negative sensations (you’re almost dead, feel like sort of hangover). After doc said that I can fight it, I became very angry at it and wanted to punch it in its face even with my numb hands, and that was a big part of that morning momentum buildup. It wasn’t a positive motivation, like “If I do some aerobics I will feel better”, it was more along the lines of “I hate your rule and you will die with me”. Thinking of it more, you’re right, it is motivation, but with a non-trivial connection to the result.
He probably knew me well enough to suggest the right plan, or it was just a good guess. Because anger and revolt are my base personal traits, and depression couldn’t take it from me that easy. E.g. being sometimes anxious, I often make self-exposition just to spite these feelings, instead of fleeing from their source. (Please don’t think I’m non-civilized though, it is completely internal thing.)
As of formal diagnosis, yes that was completely it, in an acute form (i.e. not chronic).
Edit: also I listened to Jocko Willink speeches in that state and understood them sooo well. He was so obvious. Now when my usual reasoning returned, they sound a little funny. It’s like two completely parallel worlds.
One of the hardest symptoms of depression to treat is anhedonia, meaning blunted or no responses to positive emotions. Having severe anhedonia is both difficult to treat pharmacologically and therapeutically.
I'm in the same boat as this author with habits/productivity, but with severe anhedonia, that only gets you so far. You can't use cheat codes, you only really know what to avoid. Since you don't really respond to rewards or dopamine hits everything is kind of messed up. You can maintain a momentum and it's better than sinking into oblivion but it always just kind of feels like treading water because the alternative is worse. I have to force myself to do everything, even things I "like" doing and it's very exhausting.
So anyway glad that this author found a way out of his situation but just as an alternative viewpoint this form of depression is more common and has a better prognosis. Some people have other forms of depression for which this approach is lacking something because if you don't naturally feel positive emotions regardless of what's going on (and regardless of treatment modality, hence treatment resistant) stuff gets pretty messed up. You can change your actions and habits but not how you feel and if you're always trying to compensate by not having an innate positive feeling or drive about something you can get a momentum but then you're stuck there. It's better than the alternative and you make peace with it but it will always be kind of a broken system.
And what got me back on track was 7000 steps and strictly down regulating social media feeds and learning a few self regulating tricks and awareness of the brain going funky to then apply the self regulating tricks (therapy).
The 7000 steps alone got me back to a better sleep cycle, the complete pack to a good sleep cycle.
https://books.google.de/books?id=HrWquMzPvwcC&printsec=front...
In my case it wasn't PAWS or anything like that for me but I had a lot of psych meds forced on me as a teenager and young adult which could have had an effect.
In fact it's been kind of hard to get psych treatment because the assumption often is that there is very strong comorbidity between addictive behaviors and long term mental illness but for me I've never had issues with habits/behavior like that and having to reprogram my brain after.
That doesn't sound so bad until you've experienced it. It's a deficit of life at the most fundamental perceptual level.
I prefer sorrowful depressive states, because at least you're alive even if the pain is crippling. Anhedonia? The thing crippling you is mercurial, illusory. It's an absence, not a presence.
But I fully agree with you about it being a deficit, an absence. Large portions of the human experience are simply cut off from you, and it isn't something I would wish on anyone.
[0] (maybe grief causing blood flow problems and brain ischemia.. I don't know)
Right now, it's somehow back. I don't operate keyboard at the same speed as I used to but I have normal finger sensations (I can sequence fine and subtle finger patterns without brain freeze, which is what made me feel so bad before). I assume it's mostly due to bike commute strengthening my cardiovascular system and brain blood flow (or maybe it's something different.. I have no scientific data)
I wish I had the input of a neurologist though.. I do have to see one next month but for something totally unrelated (dysmorphic hallucinations) I may ask her/him just in case if there's enough time.
May I ask what you've tried nutritionally?
I supplement food based C, D+k, iron as well as a methylated B complex with extra methylated riboflavin + benfotiamine + 15mg l-methylfolate + b12 (in sublingual form). Magnesium malate, Zinc carnosine and vegan DHA + EPA and some form of glutathione I have on hand. Try to do PQQ, selenium, CoQ10 daily as well.
Not daily but fairly regularly with breaks or every other day: TUDCA, reshi, lion's mane, AHCC, cordyceps.
On and off, ALCAR, ALA.
I've had good success with antioxidants like dragon's blood and shilajit (when I say success in terms of pain/energy, not mood) but these days I keep it simple just with megadosing vitamin C every so often
have experimented with ashwaghanda/bacopa, not for me, still sometimes take ashwaghanda but rarely. Currently giving Polygala tenuifolia another whirl, despite all the hubub doesn't seem to help much so my next new experiment may be trying low dose lithium orotate again.
Sounds like you have some health issues beyond the mood stuff. So that would complicate things.
You take glutathione? Not a glutathione precursor?
Is there any of this done specifically because you thought it was supposed to help with anhedonia? Because my impression is this sounds like you believe these are healthy, basically.
I am a 35 yr old male, and few months back found that my Testosterone levels were in the 150-300 range among different labtests (acceptable range being 300-1100). In males Estrogen is created from free testosterone. Because of my low testosterone, my estrogen levels were in immeasurable range (it just said less than 10). I faced different side-effects of almost non-existing Estrogen like dry skin, facial twitchiness, dry irritating eyes, low libido. Also had anxiety, depression, and low drive/motivation because of the low testosterone.
I have been trying different methods to raise my testosterone levels, clomid/TRT/Hcg. all the methods make me feel better than my previous self. I am trying to figure out which method will help me maintain optimum hormone levels in the longterm with less side effects, I think most likely it will be a combination of cycling through all of these three methods. Planning to use Enclomiphene instead of Clomid, the next time I try a SERM.
Not saying it's the case here, but there's more flavors of depression than just major depressive disorder. There's a secondary form called atypical depression that has a few different features - you can still experience positive emotions and feelings, but those feelings are pretty fleeting.
Thanks everyone for reading and sharing thoughts. I expected responses would fall along these lines and I had my qualms about posting at all (which I mention in the piece). Ultimately, after lots and lots of feedback and contemplation, I decided that, on the balance, it would be probably be more helpful than hurtful to post. And I'm glad I did.
To address the questions about whether it is fair, or accurate (whatever that means), to characterize my state as depression, I can say that 1/I was formally diagnosed by a clinician 2/ I was severely suicidal (though it would have require a close read to have picked that up) and 3/this clinician and I were seriously exploring hospitalization. My depression was and is not chronic.
I am well-aware depression looks different for everyone and was clear about representing anyone else's experience in the post. I don't mean to be snarky, but I would hope that after all this time on the internet, encountering all kinds of people in all kinds of places, we might be able to grasp the diversity, variation, and nuance in the human experience. I think it's worth reflecting on whether or not you believe someone else's experience has to match your own in order to have validity.
Most importantly, though, my heart goes out to any and all people who are hurting, in any way shape or form.
Ignore the naysayers :-)
I'm inspired by the Post-It notes idea...
If you are suffering from depression, chronic or otherwise, first, I am sorry to hear that. It is a difficult place to be. I wish I knew of a technique that worked for everyone but unfortunately I do not.
I recently recovered from a long bout with depression myself. I'm not entirely certain what caused the difference after so many years. One potential thing is that I went through an experience that reset my gut bacteria. It sounds a little strange that that might be the thing, but it seems to be the most logical explanation.
I don't know if it will work for others, but I'm putting it out there in case it does.
So the people responding the advice can still be helpful aren’t actually responding to the many people including me with issues with the post.
Logging? Journalling? I'm having trouble enough getting out of bed and putting one foot in front of the other. I don't have energy for any of that.
To be clear, I'm not actually in a depressed phase now, but when I was in the past, that was my experience. Anything but the simplest of to-do lists was too much overhead.
> I committed to doing the activity for three days in a row before evaluating its candidacy.
Jesus that's a lot for someone going through depression to muster.
At times I did literally nothing for days at a time until I was forced to. I didn't eat anything that wasn't already in the house and that I could just open and consume.
I remember thinking to myself "maybe playing on the PS3 will cheer me up" but the PS3 wasn't setup and so for three days I didn't get it from upstairs and set it up on my TV. Instead I just lay on the sofa and watched shit on tv thinking about setting it up but never actually doing it because just getting off the sofa and walking upstairs to get the PS3 was too fucking much for me to deal with. I would have to actually move and go upstairs, I would have to find the console, then find the controller, then the HDMI cable and power cable and the USB cable to charge the controller as the battery would be flat. Then find my games. And oh god pick a game from which meant making a choice from several options. If I managed to do all of that I would still have to move the TV so I could hook it up, was there a plug socket for the PS3 free? If not I would have to find somewhere else to plug it in or find an extension cord. It was all emotionally too much.
That was depression for me. Being overwhelmed at just the idea of hooking up a PS3 to the TV. Trying to do any kind of cognitive introspection and writing a list wouldn't have even registered.
People give all kinds of advice trying to help but you can tell those that have actually been diagnosed with depression and those that self-diagnose from the advice they offer.
Go for a walk. Do some exercise. Make an action plan. Try meditation. Cook a meal you love. Do something you have always enjoyed like watch you favourite movie or play your favourite game.
Sorry I know people are trying to help but when you are in that deep depression there is no "favourite" movie or book or video game anymore. There is the depression and nothing else. It is a void. An anaesthesia of your emotions and executive function while you remain awake but reaction-less.
Edit: I also wanted to say that while I disagree with a lot of what Brie wrote in her article I don't want to come across as invalidating how she was feeling.
Obviously we all experience things differently, however as far as I can tell she was not officially diagnosed and so while it is very possible she would have been diagnosed with depression it is also very possible she was "in a funk" due to how Covid changed the world the past ~20 months.
I know many people that suffered from very 'depression-like' problems after their lifestyle was changed without their desire or permission with lockdowns, working from home, not seeing friends or family as usual, etc. While they were very down they were not depressed and everyone I know that experienced this managed to find ways, like Brie, to handle the unexpected and unwelcome changes to their lives during the pandemic.
Reading the article comes across more of Brie experiencing this "Covid funk" (for want of a better name) than full on depression. Of course I could be wrong but without a proper diagnosis at the time Brie could also be wrong and I find it a bit uncomfortable when people describe themselves as depressed then proceed to say how going on long runs and being highly organised with post-it note systems helped them break their depression and "get their mind back".
The few times I actually found motivation and time to play, it just added layer of frustration on top of whatever I was feeling. Fwiw, the Nintendo Switch mitigated a some of these issues (not all) and I eventually found the Zelda game to be helpful.
It would be nice if the blog post was more aware of their situation vs the situation for actually [clinically] depressed people. The word depressed does not have a firm meaning in society. This benefits the blogger in that their feats sound impressive and make depression not seem to be such a big deal.
I don’t see how this is gate keeping.
Because you don't get to decide whether someone is clinically depressed.
With all due respect, invalidating someone else's lived experience and telling someone that did something that worked for them that they shouldn't share it because it doesn't fit your definition of "suffering that much" is, quite literally, gatekeeping.
I said it should be clearer that the person is in a rut.
To give an extreme example, if the person said they had [high level] autism for a few months and did this stuff to get better. I’d think it is fair for people to get offended at that.
What is this, the depression Olympics? Give me a break.
She does not carefully say she possibly was not that depressed. At no point did she think how would [clinically] depressed people feel with this written and equivocating her experience with theirs.
I wrote in a sibling reply, there would likely be universal negative response if she said she had [high level] autism [for a few months] and did stuff to fix it. Which would be the correct response.
Just as a physical-therapist can sometimes suggest an exercise that you'd never have thought of (That tingling in my fingers is related to a muscle in my back? What?), a good therapist will be able to help you navigate this rough spot in your life.
As an action item, a therapist at lyrahealth.com has been a key part of helping me manage stress/life-changes/pandemic in recent months. Many employers offer mental-health consultation services through their health plans -- the employer only sees aggregate numbers, not your personal information.
It is daunting to realize, "holy poops, I need a helping hand here". It is perhaps doubly-daunting to find a way over the hump to make the initial call/contact to a pro, but it is possible, and you can do it. There is a pretty good chance that someone at the other end can begin helping you work through life's challenges; they've already helped others in a similar situation.
It can get better!
It is proven in clinical settings. On one's own, doing a smaller dose for the first time with friends in nice weather with minimal stressors can be a huge learning experience and an enjoyable journey.
Its thought the Psilocybin caps the serotonin receptors constantly stimulating them in much the same way SSRI's work but this approach may still have its pitfalls.
https://www.vice.com/en/article/pkeqd8/what-happens-lsd-over...
If you want a good legal laugh, swap sugar for Glycine, its found in sugar cane anyway, about 22% of it is glycine, so spoon it into your hot beverages, sprinkle it on your food and sit back and enjoy like your haven't laughed since you were kid! You will also smell nicer. Word of warning, you might get into trouble laughing at things that require a sombre or serious attitude so dont blame me if you get sacked from your job! https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4955867/
Some SSRI's, not all, also work with Glycine in the brain. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4697779/
Depression can be caused by too much stress, too much cortisol is not good for us.
There are obviously other actions taking place in the body with Glycine, just like all chemicals perform multiple actions in the body, so nothing is a panacea.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8002905/ https://www.nature.com/articles/srep10434
https://sciencebasedmedicine.org/cupping-olympic-pseudoscien...
https://www.forbes.com/sites/stevensalzberg/2019/05/13/the-r...
I remember when we used to think of depression as a spectrum instead of discrediting people that struggle, even if their struggle isn’t the same as yours.
Is this another example of polarization of society maybe?
Not to mention having html { opacity: 0; } on content that's already there.
Thanks for sharing, I guess
I have a bunch of cards. More than 20, less than 30 of them.
All of my activities have been categorized into these cards. Such that I pick a card and go.
This makes it easy to log and do stats wrt/ mood (inside view), and activity (outside view). Also it helps with applying "Do what you can, with what you have, where you are".
Cards have limits on them. Time limits and space limits.
Spacey limits are "anywhere", "town", "out" and "in".
Timey limits are availability hours "from-to" and duration limits "from-upto".
There are four cards that are "anywhere" and "anytime". They are called "Burn" for time-limited aimlessness, "Drain" for interruptions and forced unpleasantness, and "Stop, wait" for forced idle time. Forced is unexpected and not initiated by myself in this case. There's also "Crash" for unscheduled or improperly initiated sleep. These are red cards.
There are two more cards that are similar, "Calls" and "Commute" that have two time-windows in a day and are "anywhere". These too are red cards.
There are green cards like "Cook and/or Eat" or "Garden", "Improve Habitat", "Washup or Cleanup", "Shower or Groom" and others that are "inside". Also "Code/Write" and "make Music/Play" that are orange "inside" cards.
There are blue cards like "Stock up" or "Job", "Socialize" that are "outside" and have hours attached.
And cards that are limited in time(window) but not space like "Sharpen Axe", "Walk or Sit", "Take stock and Adjust". Those are orange cards.
The "Exercise" and "Job" cards unlock a "Coffee and Smokes" card and a "Snack" card for one-time use.
Even just making these cards and following, using them for 10 days or so made my mind markedly different. Removed a whole level of underlying anxiety that I did not identify as a removable category. Made me appreciate myself in a different way.
And it is a thing you do if "You treat yourself as someone you're responsible for, responsible for helping".
It came from the idea that RPGs are systems emulating reality. So it should work in reverse, treating yourself as a PC character and categorizing the larger world around you as a game-board with cards.
Make your own cards. Very much worth the experience (and points).
<3
Those are very much advised.
Pretty sure using dating apps would have the opposite effect for most depressed men: would make them more depressed.
I find this kind of articles infuriating. All this narcissistic talk about how they handled it and whatever, signaling how they are above all that (the disclaimer at the bottom does not qualify, we are not that retarded).
After 30 years of suffering treatment resistant bipolar depression I just find all this diminishing of clinical depression really disgusting and paternalizing (did some editing here, I don't have anything personal against the author)
Yes, we depressed people are so retard. We don`t understand how exercise or clean eating benefit us, we cannot organize our lives, we like to suffer...and lose jobs...yeah, of course.
As I have said in other posts, this person was NOT suffering from clinical depression. They were at best suffering situational depression, otherwise called "sadness".
And these articles always come from these rich successful people because we all know once you make some money you know EVERYTHING about EVERYTHING and you get to write an article about it and make even more money.
So as you said, they wrote about this stuff and then people look at us and think it is all out fault. These neoliberal leftists are turning into the worst kind of people.
And so who listens to me? I have been studying, on my own Genetics, Nutrigenomics, and Mitochondrial Biology and by changing my lifestyle it has enabled me to get off of the 4 med cocktail I was on.
And then she briefly acknowledges her "financial security" as playing a role. Well let's see her trying to do it on disability, homeless, living in a van in the winter. I would say she was able to cure her sadness SOLEY because of her finances.
All people with Mental Illness need to push back hard on these articles because they create both inner and outer stigma that ruins us.
> They were at best suffering situational depression, otherwise called "sadness".
The blogger didn’t say sadness or mild depression much or at all. They said depression from the get go and made the symptoms seem decently severe at first. Tho again. That is not something that can differentiated from a period of sadness.
The OPs schizoaffective disorder does not change anything they wrote.
You might ask me to explain more and understand why people like me who suffer clinical depression have a problem with articles like this.
Take care.
I can literally tell people how something made me felt and they gaslight me and diagnose me!
I am having a hard time with the article, that is all.
A few observations first.
It is posted on a blog called "Superorganizers". What does being organzied have to do with depression?
The host stated; "It's an honest, and brave account of her struggle with depression", that is what I am disputing. And I can, because I have experience in the field and it was posted on HN.
To begin, talk to any psychiatrist and they will tell you there is a clinical distinction between sadness and depression. This is the only distinction I am making and I know any of you cannot understand that which is part of my problem both explaining why this is bad. And maybe my vulgarity towards the author was uncalled for but it signals my deeper frustration with the way Mental Health is often confused with Mental Illness and how comfortable people are with throwing around clinical tersm to describe ordinary mood changes.
We all get sad, it is human, and yes, there are skills to get through it. However, depression is DIAGNOSED when you cannot get out of sadness.
https://www.webmd.com/depression/guide/is-it-depression-or-t...
"Feeling sadness, loneliness, or grief when you go through a difficult life experience is part of being human. And most of the time, you can continue to function. You know that in time you will bounce back, and you do."
Brie went to a Therapist. Brie might have been diagnosed as depressed. But based what I have read from, Brie was likely misdiagnosed. There is no blood test for depression and therapists frequently over diagnose depression. This is probably more likely to happen to pateints who have money to spend on therapists.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6818431/ "Paris argues that major depression is seriously overdiagnosed. He notes that the term dates back to the DSM, Third Edition (DSM-III), where there was an attempt to distinguish depressive episodes with clinically significant effects on functioning from minor symptoms that are passing and not disabling. He notes that the percentage of the United States population taking antidepressants had risen to 11% by 2011, expressing concern about the frequency with which treatment for depression is pharmacological and does not incorporate psychotherapy."
So on to Brie's article, she wrote;
>"Just over a year ago, I was hit with my first and nasty—and I mean nasty—wave of depression."
>"I’m on the other side of it now. And, from this admittedly fortunate position, I can say with confidence that I’m grateful I went through it. Having my back against the wall forced me to understand more about what makes me tick, shuts me down, and picks me up. And it forced me to make some big changes in my life to get acquainted with and comfortable accommodating them. I wish I had done a lot of this work sooner"
She is on the other side, she "bounced back". That by definition means she was not depressed (clinically). This is the human condition called sadness, it is not a disorder. This is just a definition and I have no idea why people feel hurt that I insist on calling it sadness instead of depression. I have a reason for insisting on this distinction and I will get into this later.
But, to go on, her sadness was situational;
>"My depression came on a few months into the pandemic when the uncertainty of it all was at its height. "
I am not bringing it up to make the sadness less real, but situational sadness/depression, are different from Clinical Depression of unknown origin. She can literally point to when it began and what triggered it. There is no way I can do that.
Why is this a problem for people who have Clinical Depression or people like me with Schizoaffective Bipolar Disorder? Because none of what she offered will work for us. NONE OF IT. That is why they wanted to electrocute the sadness out of me at one point. Our condition is not simply situational. (I can make an argument that clinical depression is also situational but that is more complex and not solved without clinical testing).
But you see, SHE got through her "depression" with these "hacks" and her "Proactive Tracking System". And she has a sections called "Time To Get Happy" where she puts it all together.
Only people who are sad can tell themselves it is "time to get happy". When my depression comes I try to kill myself. It is a scale, i know, and that scale needs marks to measure it by. She is sad, I was depressed. It does not her expeience less true, it was jut not depression.
Now, here is my problem which many of you will not understand because you probably do not have depression and what you can only relate to sadness.
People will read that article, see the word depression, and suggest all these "hints and tips and hacks" to me when I tell them I take Prozac. It happens all the time, even from strangers (I am open about my disorder). And when I say they do not work they refuse to believe it and they blame ME. I am too lazy, I just have to get out more, or do 45 minutes of HIIT and throw some sticky notes on the wall. When people ask me why I am on disability they suggest maybe not working that is causing my disorder!
And that, you see, is how stigma is born. All the Mentally Ill who are homeless, why are they homeless? Because society thinks they are worthless. And that idea incubates in articles like this.
And it is not only stigma from others, it is the self-stigma which is probably the worst. There are many people with clinical depression who will read that article and try her "hacks" and they will fail (because these thing do not help people resolve clinical depression). So then they feel like even more of a failure. This happens EVRYDAY. So how does that help depression? You see, if Brie has a mental illness, and SHE can get over it, then I must be REALLY bad. No hope but the rope.
Articles with this poor choice of wording will most likely increase self-stigma and suicide.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077239/
"People with a high level of self-stigma agree on the societal preconceptions about individuals with psychiatric disorders and thus are convinced of their inferiority or untreatability of their mental problems. Self-stigma frequently leads to dysphoria and decline in self-esteem and quality of life (QoL). Social avoidance or other forms of potentially maladaptive behavior are also common. Self-stigma might also lead to suicide. Self-stigma may also have a deleterious impact on the treatment efficacy in mental disorders."
https://www.nami.org/Blogs/NAMI-Blog/February-2021/The-Many-...
What I am literally doing is fighting to keep people like me alive. It took me 20 years of therapy to see through this bullsht and I refuse to let it continue.
Her article was not a "brave account of her struggle with depression". It was a bunch of tips on how to distract yourself because COVID took all your fun away and mad you sad.
COVID caused a lot of people to suffer with actually having to look at themselves and I do not think they liked what they saw. But that is not depression, it is the sadness of seeing how empty your life is.
She uses "depression" to describe her sadness because it sounds so much more romantic and a heroic struggle that they overcame with sheer grit and ingenuity. And best yet, she actually falls in LOVE!!! What an ending!
If she substituted "sadness" for "depression" in that article I would have had no complaints. What, is sadness not bad enough?
But why is she really writing this article? She wrote it because she is a writer.
>"That learning turned into conversations with lots of people I admire, which turned into a series of consulting projects. And that turned into a capital J Job that I absolutely love and that pays the bills. I hope I do this work forever, and it looks like I might just get to."
>"I acquired many tools for dealing with low moments of any shape and size and maximizing the happiness and satisfaction in my life. "
Why he is the Henry Ford of Mental Health! Maximizing happiness and satisfaction! Just follow my tips on my new App! Read my next big thing!
And that is why I am angry with the article as well, because it seems like a ploy to try to profit off of people's sadness and depression.
The truth is SHE wanted to be seen as a victim of depression. It made a good story. She was sad, and that sucks, but it was not depression. If she talked about how she over came her sadness I would have not commented about the article.
I would not make a comment about the suffering of someone who was raped as a 12 year old, that whole part was a logical fallacy.
Obviously people who have more serious conditions may need different interventions, and needless to say there is a whole pharmacopeia of chemical tweaks to be explored above and beyond lifestyle modifications. Those are also valid and valuable.
What would people think if bloggers start giving advice on how to sort out cancer because they felt some lump in their leg, self-diagnose and decided to cure it with massage? Or giving advice on how to cure cirrhosis because their liver hurt for a couple of weeks. But with depression, for most, it's fine.
Clinical depression isn’t that serious or a condition for some people. It still isn’t the non factor the blogger had.
The author's description of her symptoms match pretty strongly to my experience of depression (I would say they match my experience when I'm at my "neutral baseline" - definitely not in my worse moments). From what she's describing it doesn't sound like chronic depression but more circumstantial. But it's definitely depression. She doesn't need to have a badge of "I've had this for 20 years" to have a perfectly valid, and tough experience of depression.
She clearly went into it with already established patterns like exercise and a high degree of self awareness, which has served her well during this period and allowed her to move forwards through it. Some of the ideas she talked about were extremely interesting to me too. I've been trying different things for decades and yet there were still a couple of new ideas here that I haven't considered before.
For people experiencing depression over a longer timeframe, the experience may be different. But neither experience is invalid, nor invalidates the other.
Hope you continue to push through your bipolar! I've been told my depression is "mildly bipolar" whatever that means, but I definitely don't experience the extreme swings on a regular basis that are typically described in relation to bipolar.
Getting a diagnosis from a psychiatrist that tells you that you have depression doesn't make your advice any more or less qualified.
When I was in my teens I answered like 5 questions on a piece of paper (on a scale of 1-10 type questions) and was instantly prescribed anti-depressants. That's the state of our medical system right now.
Amusingly(?) this was pretty much my diagnostic experience too.
Put another way - it’s like diagnosing cancer. Sometimes it’s so obvious that any doctor can see it. Sometimes it might be benign or malignant, and it might be hard to tell.
Regardless, I would be pretty skeptical of someone who said, “hey I have cancer and here’s how I fixed it” who was never diagnosed in the first place.
In this case it’s entirely possible the author had adjustment disorder/situational depression, which for many/most people will clear itself up, and it helps if you exercise, sleep well, eat well, etc. That’s a very different thing than persistent clinical depression, and telling someone that all they have to do is work out and eat well and get outside is almost cruel.
Except the author doesn't do this. They describe a system in which they track and observe what doesn't and what does work for them. Only someone that's living with a victim mentality would suggest that this is an attack on their own situation.
I'm tired of the suffering-olympics that people put on. "This person isn't as depressed as me. I've got a medical professional to confirm this, therefore what you've shared is unhelpful to anybody"
Surely you realize how ridiculous this position is?
We would be talking about how irresponsible it is - which in fact, we did on this very site:
https://news.ycombinator.com/item?id=21156916 https://news.ycombinator.com/item?id=14564547 https://news.ycombinator.com/item?id=3080176
To be clear - I am not a victim, I have never suffered from clinical depression. I don't care about the victim olympics. But there's a whole host of conditions where we immediately disregard people who say they fixed it themselves, or tried to fix it themselves. But take something like depression and we are saying that "hey this worked for someone else so we should consider it, and criticizing it is a victim mentality"
I struggle to see this as a negative. I’ve been officially diagnosed, maybe she hasn’t. Who cares? Her experience is still valid, the techniques and ideas are useful and frankly more people should be encouraged to write about their personal experiences like this without being admonished for it. I see no malice or ill intent in this article. Or even trivialisation, given the brief eluding towards suicidal thoughts.
Even medical professionals can’t agree on the exact definition of depression. And if you read the DSM you’ll see that many of the diagnostic criteria are at odds with current scientific knowledge and understanding (the official diagnostic criteria understandably lags quite a bit).
It’s not a perfect science. But we seem to just be debating whether this person has the right to call their condition “depression” or not. I’m gonna call it and say that she does.
It comes across as patronizing for those who know what things can or should give a mood boost, but lack the activation energy, or don't get much benefit from the outcome.
I think the thing I'm stuck on is how someone talking solely about their own personal lived experience during a low point in their life can possibly be patronising?
Is this not an interpretation that we as readers can choose or not choose? As opposed to something the author is doing to us?
If she was saying "depressed people should just do X, what's all the fuss about. Losers." then maybe I would feel patronised. But she's not doing that.
It's obviously a sensitive topic because a lot of people seem to share your view.
I also self diagnose myself with brain cancer and I will start posting advice on how to cure it using my strategies. Do you see the point?
That`s whats get me. Depression is an illness. People wouldn`t accept such take with other illnesses why?
This article, as others, perpetuates the stigma.
The top comment of HN discussions almost always seems to be a cynical takedown with the least-charitable interpretation of an author's words while assuming the worst intentions.
(I have bipolar)
And yeah, at one point, at the urging of a friend I went to Barry’s Bootcamp. Then I started going every other day. And then every day for two months. It wasn’t instantaneous. I was still worthless at work. But eventually I quit that job, accepted my losses (which is hard to do if you’ve always won), and moved on.
The lesson I learned from this article is different. This person needed these organizing skills in that moment. They needed that mental model in that moment. And they had it not because they developed it in the moment but because it was familiar.
Placed in an unpleasant situation, we all tend to the familiar. And for this person, the familiar turned out to be a useful tool.
Maybe one could turn it into an implied insult against one’s own behavior. Maybe one could treat it as arrogance to imply it is a fix for one’s own problems.
But I think the truth is that this article is intended in the spirit of something I, personally, greatly treasure: the honest human sharing of experiences in a way we can glean some truth about parts of the world we cannot observe. It’s a statement akin to “Here are the patches I’ve applied!”
And perhaps when you see those diffs you think “Fuck you! How dare you think this software is so shit that it needs those diffs” or “Fuck you! You think I haven’t thought of that?!” but maybe they don’t think that. Maybe they think it’s just that the software runs better on their machine with those diffs. And maybe they’re just sharing in that respect.
I absolutely commiserate with your frustration. I've struggled with ADHD and bipolar my entire life. I've been on all manner of treatments and seeing therapists/coaches on a regular cadence, and while I'm doing way better than my darkest times, I balk when people manage to just "be motivated" and do adult things reliably.
I do value the data she has provided, but it definitely needs to be tuned to the person and their current condition.
The author's experience of sudden onset, of sometimes not being able to get out of bed some days, but also able to hit the weights as a "low activation cheatcode" sounds much more akin to cyclothymia than general depression.
As others have pointed out, she does acknowledge this privilege and so on. Of course, yes everyone's experience is valid and what worked for them might work for others.
I guess part of the problem is that 'depression' is like a long road. Some people are only a little way along this road, some are all the way to clinical depression and beyond.
I can't quite imagine what my current mood or mental state would be like if I did not have the financial resources to at least mitigate or forget about things for a while.
To switch metaphors, some people are in a shallow well and say 'I just climbed out!' while others are in a much deeper well, with slippery walls, and weights attached to thier feet (or something).
If you wouldn't mind reviewing the guidelines and taking them more to heart, we'd be grateful. Note this one as well: "Please respond to the strongest plausible interpretation of what someone says, not a weaker one that's easier to criticize. Assume good faith."