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  1. For me it's a factor of severity x time. When it continues for a long time it becomes harder to bear. Moderate depression (what I have currently) is easily tolerable for a few weeks, acceptable (to me) for several months, but past 2-3 years it isn't. I have to extrapolate for mild depression, but I think that if there was a degree of depression that was so mild I could accept it forever it wouldn't count as clinical depression.
  2. I find it validating that someone else had the same problems with it that I did. Still I think there is a good chance that it will work well for you, @CrazyRedhead, and I'm crossing my fingers for you
  3. That was my guess as well, based on the assumption that this friend isn't usually unkind. I've been in a lot of conversations where "How are you?" was not really a question being asked, but just a generic conversation starter. So my guess would be that your friend said "How are you?" when she really meant "I just found out that I have cancer and I am freaking out". Then any response from you that wasn't going in that direction (a direction you did not yet know about) was upsetting to her Well, that rules out my initial guess of what she really meant, but I still suspect it was a variation on "I'm starting this conversation specifically to talk about my cancer". Which I think is a reasonable thing to want, but I do wish people would just lead with what they wanted
  4. In the most literal sense I think that quote is a true statement. This was not the way it was used in this case or a way I can even remember hearing someone use it. The part I agree with is that like physical health, mental health is something that affects everyone. With physical health most people have a decent frame of reference for the different types of poor health. The common cold is not the same as tuberculosis or diabetes. Sore muscles are not the same as a broken bone. Being physically somewhat out of shape is not the same as a heart attack. I think people generally understand how those things vary in terms of severity, whether they are acute or chronic, and that they need different types of treatment. I don't think that same understanding generally exists for mental health. Mental health has its own set of common ailments like stress, low self-esteem, grief, etc and I think pretty much everyone experiences some of those. I think it would be reasonable for the example mom to say that she had the mental health equivalent of pulled muscles and that walking was really helpful. That's useful for people who have a similar type of unwellness but if she had a better framework for the topic she might understand that it wasn't as relevant for people who have a specific mental illness (though some people are bad about this with physical health as well)
  5. I think this is very much a part of it. I think a number of people who would like to help feel pretty lost about how to actually do it. There are also people whose level of interest is high enough to share a mental health awareness post on social media but not much else. Those people suck. For the first group I think it could be really helpful to have some kind of checklist for all people involved. People who wanted to help could use it for ideas of things to offer and people who needed help could use it for ideas of specific things to request
  6. It's one of the many things that I've tried to implement over the years. I find it beneficial, but I experience the same thing that you describe. It's really difficult to push myself to do things and it's even somewhat hit-or-miss with how much I enjoy the activity while I'm there. All the lifestyle things I do collectively make the difference between me being severely depressed and moderately depressed. It requires constant maintenance and effort, but it helps my quality of life. If I'm going to be depressed anyway, at least this way I also spend time with my friends
  7. I use a tracking app called Nomie. It's extremely customizable and has a library of many, many premade trackers but also allows you to make your own. Having that much freedom makes a bit of a startup curve, and a slightly clunkier user experience, but if you are finding that other trackers don't have the options you want I'd say it's worth a look ETA: I just found out that the developer removed it from the app store, so I'm recommending something people won't be able to find. I read that there is now a web version
  8. I don't think becoming arrogant and vain are particularly big risks. If your self-esteem is currently very low then you are a long way off from overshooting healthy confidence. Your desire to not be egotistical will probably do a fine job of regulating your attitude as your self-esteem rises. I think daydreaming is a normal and healthy thing, but from my experience I'd say that relying too much on power fantasies can end up being a bit maladaptive if it's a substitution for pursuing the things you want IRL. Picturing yourself accomplishing things is a really important part of having goals and aspirations, but starting to take steps toward some of them is also necessary. If your daydreams improve your self-esteem, you can use that as fuel to start working on various goals
  9. Physical activity was one of the lifestyle interventions I tried while I didn't have a pdoc or meds. In my experience it helps some -- not nearly as much as fitness "influencers" claim, but enough to be worth the effort. I walked around inside my house and used a pedometer app on my phone
  10. I haven't used them personally. I included them in a list of possibilities in conversation with my pdoc and he said he never prescribes them as an adjunct for MDD. From my reading, not all pdocs share that stance. Stimulants do get included in some treatment guidelines as a (roughly) third-line adjunct treatment. The research I looked at had fairly mixed results, but I was running low on better options, so I wanted to consider it
  11. It was a while ago, so my memory isn't clear, but based on some receipts it appears that it was 5mg for a week then went up to 10mg and stayed at that dose for 4 weeks. At 5 weeks my pdoc stopped/changed the med.
  12. Trintellix really didn't agree with me, but it was quite obvious. I had a huge increase in hopelessness and suicidal ideation (a possibility for many antidepressants, but I hadn't personally encountered it before). I also had a sharp decrease in appetite to the point where I actively didn't want to eat.
  13. I use a patch for a different med and have found that my butt is a good location for that. I've just realised that I don't know if it's an "approved" location for mine, either. I'm having a hard time thinking why chest or upper thigh would be find but not stomach or butt...
  14. People have brought up different elements of acceptance in the conversation. There are pieces that I use and find useful. I avoid feeling resentment or self-pity about having depression in the first place. Those can be an enormous energy drain that don't give anything in return. I also expect that I'll have to deal with depression in the future and that I'll need to manage my mental health for the rest of my life. This reduces future anger or disappointment when a cure doesn't happen. If a fighting mentality feels like it's an energy drain, it makes a lot of sense to try something different. That approach has always looked a lot like buddhism to me, but I'm saying that from the outside since it's the part I don't do.
  15. I've been dealing with depression for 20 years now, and for the last 15 it's been very consistent with few pauses. I've talked to people about ACT and whether it could have benefits, but honestly I can't accept it. Accepting it feels very dangerous to me. Refusing to accept it is a pretty big component for me in keeping SU thoughts at bay, and continuing to push forward and do the things I need to do for daily life. I may be missing out on benefits, but so far I haven't been able to take the risk.
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