#Depressive Disorder Treatment

[baysidementalhealthandwelln]

Millions grapple with the invisible chains of depression. Yet, with professional help, recovery is within reach. If you’re in the area, behavioral health care in Clearwater, Florida, can help illuminate a path to relief.

[samarpanhealth]

Samarpan offers a wide range of personalized depression treatments in Mumbai that utilizes evidence-based methods to meet the needs of each client that can be treated through various methods, including, medication, therapies, and other supportive services. Depression is a complex mental condition that causes severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, or working. Get the most effective depression treatment plan for your specific needs.

[neuroticboyfriend]

do you have "treatment resistant depression" or are you just fundamentally living a life that would make anyone depressed?

are you just dealing with abuse, poverty, and oppression? are you just dealing with a lifetime of trauma? do we just live in a society where peoples basic needs are neglected, and the completely understanble response to that is pathologized? on purpose? so that it's just an individual problem and people arent Trying Enough... so nothing about the system has to change?

...do you have "treatment resistant depression," or do you just need real community, support, resources, and protection?

[growing-home]

i spent nearly two decades of my life severely depressed and suicidal and for so long i believed wholeheartedly that it was my fault. i believed that the reason no medication or therapy had ever worked for my depression was because i wasn’t ACTUALLY depressed— i believed i was just lazy, bad, manipulative, and just using depression as an excuse for the inherent badness i thought was inside me. this was a story that was told to me and reinforced over and over again by treatment providers.

this past summer, i tried my 30th+ psychiatric medication, not expecting to see any results. the day i realized it was working was the day i realized that i was…planning my future???suddenly i no longer wanted to stay in bed all day and never go outside. i no longer wanted to isolate. i wanted to see people, talk to people! i started spending more time with friends and facetiming people and talking on the phone, things that i rarely did in the past. when i had been depressed, the only movies/tv shows i could focus on were super intense, fast paced, and scary or disturbing because that was the only way to hold my attention. after starting this medication, i started enjoying SITCOMS! i no longer felt like i was fighting to just get through every single day of my life.

there was such a clear and measurable difference in the quality of my life that i started to question why i believed that my depression had been my fault. it became very clear to me that a large part of my depression had been biological. i had not been lazy or bad. i had been sick. my brain was sick the same way other organs get sick sometimes. this brought up a lot of grief for me— grief for all the lost time that i’d spent trying to find something that worked, grief for how much pain i had been in for so long. but it also brought up sheer FURY at all of the therapists and psychiatrists who had treated me like i just wasn’t trying hard enough to get better.

i had been labeled treatment resistant, of course, and the only recommendations i had received after being given that label were TMS, Ketamine, and ECT. once i had tried all three with no success, i believed i was just a lost cause. i thought i was out of options. i was made to feel that way by so many treatment professionals. i was told that nothing was working because of my complex trauma and that once i healed from that then i would stop being depressed (as if it’s that easy to just fully recover from CPTSD!) i was told that i just needed to do more DBT, i just needed to live and breathe DBT skills and then i would get better, even though i’d done intensive DBT programs for years with no improvement to my depression. (yes, it helped me to change my behavior and quit self harm, but behavior change isn’t necessarily indicative of a change in mood. i could do all the right things all the time and still be in excruciating mental pain.)

i was told that i just wasn’t trying hard enough, or that i must have a personality disorder, or that i just needed to exercise more, or eat less, or eat MORE, or eat differently, or get a job, or get a dog, or do yoga, or acupuncture, or biofeedback, or find purpose in my life— psychiatrist after psychiatrist looked for something to blame everywhere but in the mirror. instead of admitting that they weren’t equipped to help me, they made me believe that it was MY fault i wasn’t getting better. and i believed them. for SO long, i believed them.

and now after finding a medication that works for me, i see everything so much more clearly. psychiatrists need to put their enormous egos aside and actually treat patients with treatment resistant depression instead of blaming us for suffering from a (partially at least) biological illness. if you’re a doctor and you know that a patients illness is outside of the scope of your abilities, either do more research and get more training to help them or refer them to someone who specializes in what they need. don’t keep them around letting them pay you thousands of dollars while you make them try the same thing over and over and over again and expect to get a different result. people act like things like ECT are a last resort option, and in doing so make people believe that if it doesn’t help then you’re out of options. but nobody ever tried me on tricyclics. nobody tried me on MAOIs. nobody told me about how some dopamine agonists like Pramipexole have had some success in treating treatment resident depression. instead i was made to feel like asking to not be suicidal daily was asking for too much. if you’re a clinician who thinks that’s asking for too much, you’re in the wrong profession. we can do better than that. we NEED to do better than that.

in my experience, out of every profession, doctors have some of the biggest egos i’ve ever seen. i say this as someone who is both mentally ill as well as physically disabled. many doctors HATE it when you do your own research. they HATE it when you have suggestions, or when you ask for what you need. it’s almost as if they feel threatened by it, like they need to believe that they are superior to their patients because of how much time and money and energy they put into going to med school— they need to believe they hate their hard work was worth it so they have a tendency to dismiss any ideas their patients might have. i don’t care how many years you’ve been in school. you do not get to tell your sick patients that it’s their fault they’re sick to justify your laziness and refusal to learn new things. put away your god complex and actually listen to your patients.

and the strangest part to me is that the longer you have been suicidal for, the less seriously they take it. the same way that the more chronically ill you are the less people believe you. it’s bizarre— when people see pain that is beyond what they can fathom, instead of feeling empathy, they tell you you must be faking it or that you must be looking for attention. i’ll never understand this. it’s as if they think that suicidality doesn’t need to be taken seriously unless the patient has successfully completed suicide. and i think it’s very clear how that logic is flawed. i was treated like i just wanted attention whenever i asked for help with my chronic suicidality and it made me terrified to ask for help with ANYTHING. i still constantly am afraid that if i’m too honest with clinicians then they’ll think i just want attention. attention isn’t a bad thing to want, all human beings need some degree of attention, but regardless that doesn’t negate the severity of a person’s suicidality. i wasn’t attention seeking by asking for help. i was STRONG. i was really fucking strong, far stronger than i should’ve had to be. i fought for my life every single day and i am lucky to still be here but it’s not luck that got me here. it’s ME that got me here.

i don’t want to make it sound like i speak for everyone who has suffered from TRD, because i don’t think that would be fair. i can’t tell you if there’s a med out there that’ll work for you. all i can tell you is that most psychiatrists prematurely tell chronically suicidal patients that there is nothing they can do to help them or that they’re out of medication options. if you’re a psychiatrist or doctor and you feel yourself getting defensive while reading this, i invite you to get curious about where that activation is coming from.

and if you are someone with treatment resident depression or chronic suicidality reading this, i am telling you now: your illness is not your fault. i don’t know if it’s going to get better or not, but i can promise you— it is not your fault and it never has been.

[fenrichaita]

Can we talk about how psychiatry has a pattern of using treatments for mental illnesses and disorders that cause brain damage and then labeling the direct effects of that damage as "healing"

[briarmae]

So, I have autism. One aspect of autism and/ or adhd is RSD, or Rejection Sensitive Dysphoria. It's used to describe a type of emotional disregulation.

I accidentally made a relatively popular post (for me). (It currently has 2,900 notes. My next most popular post has 100.) 2,900 notes, and of them, only about 12 people who responded were negative and/ or confused. I was CONSUMED with feelings of anger, anxiety, rejection, and sadness about those 12 people. 12 out of 2900.

RSD is ridiculous.

But my psychiatrist added a new antidepressant, and suddenly those feelings are blunted, and I can let go of things that cause me anxiety. But I can still experience joy, etc. It's like... my emotions are less overwhelming, but I can still feel them? I hope I'm describing it well enough.

Is this how *normal people feel?

(*Normal, of course, is relative. In this case, it refers to people who are neurotypical and/ or do not suffer from mental illness.)

[sailormoonsailorstars]

Any advice for treatment resistant depression from fellow people with PTSD, MDD, and DID? It’s also important to note that I have tachycardia (and it’s suspected to be POTS) as well as H-EDS

I’ve been on a plethora of medications since I was 13 (so ~7 years of trials and hospitalizations)

Some of those meds have included Lithium, Seroquel, Abilify, Wellbutrin, Buspar, Trintellix etc

Basically any of the first options doctors jump to I’ve tried already

I don’t want to do any electric or metal therapy because my sister did it and has severe memory problems because of it - I also can’t do weed related treatments because of my age and I don’t want to as they trigger psychosis and paranoia for me

I know there’s stigma about Ketamine treatments but I was wondering if any of you have tried and if it’s been successful

In terms of therapy I’m doing good with that I just need medication that helps and doesn’t have terrible side effects. Lamictal has been somewhat successful but I am not hungry at all and struggle to eat on it which is terrible because I also have ARFID

Any advice helps, thank you

[semiotomatics]

lol. i think ive reached my limit.

[doomreed]

So after 7+ years of misdiagnoses and undertreated/untreated symptoms, I finally know what's going on with my brain and have a treatment plan for it.

🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳

[bipolarmango]

I cannot stress this enough: it's important not to push someone with a trauma to process it faster than they can. I am looking at you, mental health workers.

I once was at a mental health institution due to a major depressive episode that presented as a part of my bipolar-2. I am a grownup, over 30, so I mentioned to my doctor that I am not on the best of terms with my family and gave them a brief overview of my childhood. I also said that most of my childhood feels like it belongs to someone else, like I've read it from a book (I'm totally emotionally disconnected from it), and I have massive gaps in memory.

For unknown reasons, instead of focusing on the current events, such as the physical health issues I had been diagnosed with, the pandemic, my ex leaving, you name it, the doctors and psychologist decided to focus on digging as deep as possible on my childhood literally everyday hours after hours. On top of that, my psychologist and I didn't really get a long well.

During the first week of these sessions, I had some of my typical dissociations, these vague feelings like you're living what I call a movie moment -- a moment stolen from a movie. Not quite real, not quite unreal, but in between. Moments when you suddenly are not sure if your hand is really your hand. They got worse as the week progressed.

After a week, on Friday, I found myself sitting on my hospital bed, and suddenly a feeling like I was a little scared toddler took over me. I had to hide. I crawled under the bed, just like little kids do when they're afraid. If someone would've tried to talk to me, I'm sure I would've sounded like a toddler, I would've behaved like a toddler. My whole mind went back to the same mode it was when I was that small.

When the toddler episode ended, the next stage started. By Friday night, I was in so deep in dissociation that I literally saw these light grey, mostly transparent curtains that separated me from the real world, and behind me, there was another set of deeper grey curtains that separated me from another world. I knew it was another world, and I could just open the curtains and step in and disappear if I wanted. I literally wasn't part of the real world, I was following it behind a curtain, ready to completely disappear if things got even a little bid worse.

Luckily, my whole team was off for the weekend, so the concerned nurses alerted a more senior doctor who sat me down and asked me question about what's going on. He called off the questioning about my childhood as he concluded the stress was just too much for my brain to process at this speed. I was placed under constant supervision. My symptoms kept developing. I started having auditory hallucinations that my own medical team dismissed for some reason. I also had minor visual hallucinations that also got dismissed by my own team for some reason. I started getting random symptoms that I didn't know if they should be accounted for mania or something else (ie. I felt a massive urge to take a wheelchair and run with it through the hallway, push it through the massive window and fly with it from the fifth floor to the ground, not to die but to fly and to, just, well, just to do it. I also wanted to "run away" and literally jump off the walls, scream at the top of my lungs, climb to the roof of the hospital just because. Mind you, I am usually very quiet and withdraw person, and my hypomania doesn't include this kind of behaviour).

It took a month for all these symptoms get back to normal (I do often have dissociation but not on the level when I had at the time, auditory and visual hallucinations I haven't had for years). My own medical team made me understand that they believe I was faking it for attention.

I got a new medical team soon after.

I believe that the stress of trying to force me to process the trauma to fast caused me a massive dissociation, hallucinations, and possibly my first ever mania that should have changed my diagnosis from bipolar-2 to bipolar-1 had I have a team that took me seriously.

[savageboar]

i can't stop thinking about how insidious it is, these advertisers demanding the censorship of even uttering the word suicide. like. as someone who suffers from suicidal ideation you know what kept me from opening up about it and my depression and seeking medical help for so long? people treating it like a forbidden taboo subject you're not supposed to ever talk about. all this will do is actually cause more people to suffer and die. we gotta kill capitalism.

[cosmicwindmillcomplex]

When even your therapist says “nothing seems to be working 🤷🏻‍♀️ You do okay for a little bit and always end up back at square one”……..like thanks??? I know??? Definitely not at all discouraging to hear when we already feel hopeless nothing will ever improve 🫤

[not-poignant]

Hi! You absolutely don't need to answer this, I just wanted to stop by and say that depression definitely sucks, and I'm sorry you're going through it — I hope you feel better soon 💛

Absolutely no rush on posting, please don't feel like you need to stick to any particular schedule for posting or replying to comments. Especially for fic, which should be fun!

Take care — I adore your stories, I think they're incredible, but I'm always happy to wait for them (and I suspect the vast majority of your readers feel the same way 💛)

Ahhh thank you anon this is so kind <3333

My depressive episodes are always pretty heavy, I've been taking the mornings off the past few days to just watch some TV and do cross-stitch and zone out (normally I sit down and get to work immediately, like, 'sit at my computer eating breakfast getting to work.') It's been great to kind of chill out, though I never really stop thinking about the characters or the stories, but I'm more than okay with that.

I'm definitely going to be able to keep to the schedule, it's the 'socialising' side of things that can get harder. But sometimes just little breaks here and there make all the difference. Sometimes even just telling everyone I need a break, ironically takes a lot of pressure off me and then I need less of a break. I guess in a way, that means just communicating helps a lot, which seems really obvious in retrospect!

But you know, it's kind of 'frowned upon' in many professional circles. Tumblr is a weird space, where it honestly feels more natural to be open and authentic, instead of button up my personality and just present a 'WAHEY LET'S READ SOME WRITINGGGG' - I mean I know I do that too sometimes, but honestly, sometimes my vibe is also like 'hi I am pressure cleaning objects in this video game and tired and a bit sore in my brain how's everyone else doing.'

We all get sore in our brains sometimes sdlkfja

The fic is still fun! I love replying to comments. I just do need to take breaks sometimes, especially during times that are supposed to be breaks. I have some particular internal red flags that are like 'oh shit, you're depressed, get offline now' which I never see coming, but once they're there it's like... easier to listen to.

Tomorrow morning and the next morning I'll probably do more of the same - watch TV, do cross-stitch, think about what I'll do for the rest of the day. Honestly that serves as a bit of an internet break too, and frankly I have really needed to just check out a bit more, even for a few hours, but I'm sure many folks know sometimes that's really hard to do until you start making yourself <3333

[powerrangersystem]

@lexxxxicon asked how ketamine treatment works, so this post will explain it very basically from what I understand.

According to Yale Medicine, esketamine, which is the form of ketamine used in therapy, "triggers glutamate production, which, in a complex, cascading series of events, prompts the brain to form new neural connections".

So basically, the thought is that ketamine therapy triggers your brain to create new neural pathways. If you guide this pathway production in more positive directions, the thought is that you will be able to form more positive outlooks. This is something that more traditional antidepressants have not been shown to do.

You can do ketamine therapy by yourself or with a therapist present. I have done both and both have been helpful. With a therapist present, we set an intention before the session to guide the pathway formation in a positive direction. I now also do this when I do the therapy alone as well.

The Yale page also mentioned that "In several studies, more than half of participants show a significant decrease in depression symptoms after just 24 hours. These are patients who felt no meaningful improvement on other antidepressant medications," so that's encouraging.

Hope this helped! Let me know if any of you have any more questions.

[bunnihearted]

🧸🧃⛈️

[kingtankgirl]

get your therapy up get your money up