Ask Lemmy

Short answer: Try medication (which worked)

Long answer:

I have clinically diagnosed depression, Major Depressive Disorder. Known it from first year of college, symptoms started way earlier probably around middle school

Psychologist from a few years ago recommended me to read the Feeling Good Handbook. I ended up reading the entire thing end-to-end... Most of it I don't really recall anymore at this point. But the book did mention about how there are two gold-standard forms of therapy: "talk-therapy" (usually what psychologists do, most popular one I think is CBT), and antidepressants/medication. And the people who respond most effectively to these two options are almost anti-correlative with each other

It turned out I was among the smaller group of people who don't respond very well (if at all) to talk therapy, but respond very well to medication. I was quite mentally against antidepressants up until that point, but I decided to just bite the bullet and give it a shot... So I talked with my psychologist, who then connected me with a psychiatrist who helped me get a prescription for Fluoxetine (Prozac) and monitored my progress every 2-3 months. It was basically a miracle drug for me. MDD can't be cured, but me taking prescribed antidepressants, along with me getting adopted by two cats at that time, almost "cured" my depression for good. I was on a very low dose too, only 10-20 mg/d

But to echo what others have said. Therapy is work. I was very committed to finding an intervention. Even though CBT didn't work very well I still managed to visit my psychologist every month and self-reflect afterwards, and that continued several years onwards even when most of my symptoms were greatly reduced after medication. No one forced me to read through a several hundred page book either, or to overcome my mental barrier of taking medication... I chose to partake these actions on my own

But yeah I think therapy does work if one is willing to put the effort into it