I happened on the Mind website (I am deliberately not linking to it). I had been there other times, when I was very depressed and desperately in need of help, and found nothing, not even a useful phone number.
Today I had a better look, thinking that as a lifelong depressive, I might at least find advocacy interesting.
Well, I had a look at their literature.
"Making sense of antidpressants" tells you that antidepressant medication is no more useful than placebo, that it is addictive, and that depression "goes away on its own".
"Understanding depression" has the same message, with such gems as:
What can I do to help myself?
Depression has one major characteristic that you need to be aware of when thinking about what you can do to defeat it. It can feed on itself. In other words, you get depressed and then you get more depressed about being depressed. Negative thoughts become automatic and are difficult for you to challenge. Being in a state of depression can then, itself, become a bigger problem than the difficulties that caused it in the first place. You need to break the hold that the depression has on you.
An important thing to remember is that there are no instant solutions to problems in life. Solving problems involves time, energy and work. When you are feeling depressed, you may well not be feeling energetic or motivated to work. But if you are able to take an active part in your treatment, it should help your situation.Translation: get over it. Depression is a "life problem". And you should "take an ative part in your treatement".
I have no words for how angry this makes me feel. Depression is not a life problem, it's a
sickness. It's not a moral fault, and "getting over yourself" is not a solution. People have life problems all the time and they don't get depressed. People with a genetic predisposition react to the same stressors by developing depression. It's not their fault, they are not stupid, weak, lazy or unable to cope with life.
It then goes on:
Fighting negative attitudes
Try to recognise the pattern of negative thinking when you are doing it, and replace it with a more constructive activity. Look for things to do that occupy your mind.This is true but incredibly unhelpful. A whole therapy, cognitive behavioural therapy, exists exactly to help people do this. A facile "try to fight negative attitudes" only succeeds in reinforcing self-criticising attitudes that are part and parcel with depression. CBT in part devoted precisely in fighting these attitudes. As for looking for things to do that occupy your mind - this guy has obviously never been in a major depressive episodes. I don't even know where to start. People are not only unable to work, they can't get off their beds, can't eat, can't even watch tv when they are depressed. It is one of the
markers of depression that people lose interest in activities and tasks that they previously enjoyed.
Activity is good for the mind
Although you may not feel like it, it’s very therapeutic to take part in physical activities, for 20 minutes a day. Playing sports, running, dancing, cycling, and even brisk walking can stimulate chemicals in the brain called endorphins, which can help you to feel better. (See Mind guide to physical activity.)This helps when you are able to do it. And even then, it's at best an ameliorating factor. Exercise does not cure depression. I wish it did. And I speak from the point of view of somebody who has a very good understanding of exactly how helpful it is - a lot.
Caring for yourself
You need to do things that will improve the way you feel about yourself. Allow yourself positive experiences and treats that reinforce the idea that you deserve good things. Pay attention to your personal appearance. Set yourself goals that you can achieve and that will give you a sense of satisfaction.
Look after yourself by eating healthily. Oily fish, in particular, may help alleviate depression. Don’t abuse your body with tobacco, alcohol or other drugs, which make it worse.
Pay attention to your personal appearence. Right, this guy has not even
seen anybody in a depressive episode. And as for not beating up on yourself, how about not phrasing the good advice about acohol and drugs in a way that is not as fucking judgemental? "Abusing", right. The issue here is not abuse, it's that alcohol is a depressive, that it can compound impulsivity and poor judgement, and that people with depression are more easily prey of addictions. Same goes for drugs. Tobacco is bad for you, but it's hardly worse for depressives than for other people.
And then we get to the real therapies. Which one is the first?
Alternative and complementary therapies
Practitioners of complementary and alternative medicine concern themselves with the person as a whole, and don't merely treat their symptoms. They can take more time with you than a GP can.
Practitioners may offer treatments such as acupuncture, massage, homeopathy and herbal medicine that many people with depression have found helpful. St John's Wort is one of the herbal remedies that have become very popular, and may help to lift your mood. But if you are already taking other medication, it may not be safe to combine them. Consult your pharmacist or GP for more information.
I am speechless. Totally speechless.
Then we get to the treatements parts. I won't bore you with the whole lot, save to say that antidepressants are constantly put down. I will just insert another reason to hate NICE:
The National Institute for Health and Clinical Excellence (NICE) published guidelines on the treatment of depression, in December 2004. These suggest that, for mild depression, antidepressants are not appropriate because the hazards outweigh the benefits. Suggested treatments include watchful waiting – a recognition of the fact that depression often goes away without treatment – guided self-help, short-term talking treatments such as cognitive behaviour therapy (CBT), and exercise programmes. I hope NICE revised their guidelines according to more recent research, but I suppose not. In fact, "mild" depression is still depression, and although it is true that
a depressive episode goes away of its own, leaving depression untreated increases the likelihood of episodes recurring, becoming more serious, more protracted and the intervals between them shorter.
Depression is a physical sickeness, and leaves scars, it leaves physiological modifications in the brain that can be seen at the cellular level. They are progressive and irreversible. This is why treating depression early and completely is now seen as the more prudent course.
For more severe depression antidepressants are appropriate, and selective serotonin reuptake inhibitors (SSRI)s are suggested because their side effects are usually better tolerated than those of the alternative types of antidepressants. However, combining a psychological treatment with medication maybe the most effective course for severe depression.This is more or less the only factually correct information I can find in the whole page.
Now, what is the first book on the "Further reading" list?
Beyond Prozac: healing mental distress without drugs Dr T. Lynch (PCCS Books 2004)
What can I say? Drugs saved my life. I have had it all - psychotherapy, psychoanalisys, hospitalization, CBT. I have read extensively on depression and I have seen my own experience. The only thing that worked were CBT and drugs. I am not putting psychotherapy down, it's useful and helpful. But it does not cure depression - in fact, it may well be that depression cannot be cured. The fact that pharma companies make an obscene amount of money out of antidepressant is not a good reason to consider them inappropriate.
The fact is, a chillingly high proportion of people with depression, and major depression at that, are not treated at all. A lot of these kill themselves. A lot of those who are treated are non-compliant. (This is particularly true of bipolar and manic depressive sufferers, where suicide is a high risk and noncompliance common).
The last thing people who suffer from depression need, from the charity that is supposed to advocate for them no less, is the message that pills don't work, they are not necessary, they are bad for you, and that there is no effective treatment for depression.
I mean,
I have felt discouraged reading this stuff,
and I bloody know better.
This kind of "information"
kills people.