Ohhhh, so it's this DNA thing and not the fact that my Daddy didn't love me?
I'm making light of my own situation. That's where I am in my own healing journey. This commnet is about me, my experiences, and my father. It is not a suggestion of what your father may have been like. If your father is great, great!
Also, as much as this comment might strike a cord with people, there is a great deal of truth to it. Just as there is a great deal of truth to your brother's experience. Attachment trauma is real. Trauma related to a primary attachment figure is a real source of pain for people.
That's the whole point of antidepressant medication. It alleviates symptoms in someone who is sick, but otherwise has no effect on someone who is healthy.
Trauma, especially childhood trauma related to primary attachment figures can absolutely cause depression.
CBT has the same impact on the brain as antidepressants after only 3 months (assuming the cient is committed to CBT, most don't follow through).
Not being loved by a primary attachment figure doesn't just make people sad. It causes a great deal of emotional distress.
Most of the SSRIs were less than worthless for me, though finding the one that worked was life changing.
> CBT has the same impact on the brain as antidepressants after only 3 months (assuming the cient is committed to CBT, most don't follow through).
That's just another way of saying that CBT doesn't work for everyone. People following through for three months is a very self-selecting subgroup.
And of course you have to follow through. No treatment work without follow through.
I'm glad you found an SSRI that works for you. It's great when that happens. That said, being on the wrong SSRI can cost a life. Being that they are effective as often as they are ineffective, they need to be perscribed with care. Care that is not taken.
Long term treatment plans should centre around psychotherapy. SSRIs can offer some assistance, but again, the risks are too high and people end up on them for far too long. If you want to change your brain, it takes focused intentional work. Therapy is great for that.
I fully agree with your perspective. Being a human is hard.