158 karma · joined January 27, 2022
Now consider the poor response to available medication (IIRC 30% remit and 60% respond, which leaves roughly 40% with a potential deadly disease without medication). Some symptoms of depression occur in other mental illnesses, like the similarity between bipolar and unipolar depression. Maybe the disease we currently call depression is acutally a cluster of diseases. That's the reason to look for biomarkers that separate those different diseases and the develop treatments specifically for one disease. Similar to the development of brexanolone for postpartum depression.
If you mean ECT by electroshocks, then yes, it's reliable but poorly tolerated with possible memory loss and cognitive impairment. It's still unknown how it works. TMS is very different from tDCS as the power in the brain is very different.
There are at least two possible alternative explanations for your experience:
- Similar people group together. You said you have depression, so you tend to affiliate with similar people.
- Biased perception. You tend to notice the things your mind is revolving around. Like people with a pregnancy scare seeing children everywhere.
In addition surveys showed that most people have a positive hedonic tone and report being happy. I won't argue against the rising prevalence of mental illnesses in developed countries. However it seems that those numbers are just more diagnosed cases that did go unnoticed. In general. There are contributing societal factors like inequality, loneliness, etc. that make the US have higher rates than europe for example.
Effects don't last that long (long enough though to get someone out of debilitating depression or mania and time for proper treatment) and need repeated courses to sustain.
There are still issues with memory, where one looses maybe a few days, but also could loose years.