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Hello - I joined this forum as I suffer fro MDD and a bit of SAD, normally triggered by life events and having a 'fragile' personality. I primarily want to share my experiences to help, bearing in mind that I am not a professional (sometimes not a bad thing).
I've criticised the drugs available and the lack of a simple but effective process to help people come out of bad depression using drugs, advice, life changes and CBT - all in a simple format that a severely depressed person can manage. Some of the posts simply highlight the lack of support for someone put on a drug for the first time.
Enough said criticising the current system. GPs, in particular, have a hard job and the fact they have a list of pills they try one at a time is not altogether wrong. Change needs to happen from higher above. My experience of GPs is that they are willing to see you frequently and suggest different drugs. Unless you believe you have a particular problem do not waste your money going private. I was on Valdoxan which I believe will be a thing of the past fairly soon.
It's maybe a cliche - but happiness comes from inside a person - NOT what happens to him or her. Depression is often caused by stress and it's important that stress factors are identified and reduced or removed. However, depression is also caused by our expectations of life. If you believe your life is missing several things then we become inward thinking, disappointed in what life has given them. This is why CBT is so important - to change ways of thinking is the most powerful tool you will ever have to lead a happy life. But it takes discipline to become adept at CBT - hence my previous comments - start small - even one thought at a time and gradually develop the skill. It may take months but someone who has mastered CBT techniques has put in the effort and will benefit throughout life. Another cliche - enjoy the small things in life. People are looking for a rush, or experience things that make them feel wonderful all the time. Life allows us these moments - it's when we rely on them for happiness we become depressed. Without being too deep 'the pursuit of happiness is NOT the pursuit of happiness' Maybe think about that one. It comes back to our ability to enjoy small things in life - again we have to rewire our thoughts sometimes to do this. But a person who gets enjoyment from little things does not crave excitement that very often people waste time trying to achieve.
Another expectation is what ADs will do. Those who feel they will feel on top of the world after a week are very often disappointed. ADs do not give you a rush (if it does contact your doc). Their purpose is to lift your mood to a level where normality is restored and a person is more able to review and make life changes. If people want a rush then illegal drugs will do that. It would be good if we could take a pill that made us feel superb for a couple of hours, maybe to get through a tricky day etc. Unfortunately those drugs will eventually make our lives even worse.
Life grinds on. There are ups and down throughout. By balancing the different aspects of our life and using medication/CBT etc when required help us through those lows. By all means make goals but the person who is realistic as to what life will provide is more likely to be happy.
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