Depression Page 121

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  • sirtacos 7 Jul 2013 07:29:21 7,378 posts
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    Your point may be valid for some, but please tone down the smug condescension.

    75
  • sirtacos 7 Jul 2013 07:44:41 7,378 posts
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    A GP's only usefulness in this context is ruling out possible underlying conditions (thyroid problems, etc.) or giving you a referral to someone who can actually help.
    The good ones may also throw in morriss' priceless advice as a bonus.
  • morriss 7 Jul 2013 09:23:50 71,286 posts
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    I did qualify my statement with "most" not "all". I'm sure there are some people in here with real issues. They're outnumbered, though.
  • FWB 7 Jul 2013 09:35:48 45,578 posts
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    A GP isn't trained to deal with deep psychological issues and alas 10min is all they are allowed to give you on the NHS. Even with that they are working over 12hr a day.

    Edited by FWB at 09:36:17 07-07-2013
  • Mola_Ram 7 Jul 2013 09:39:28 8,254 posts
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    Exercise does help if you're down, particularly cardio. At least it helps me.

    But it's probably quite difficult to tell whether someone has actual clinical depression - or whether they're just temporarily really sad - from their postings on an Internet forum. I have no idea whether all or even "most" of the people on here have serious problems, but either way it's probably best that they seek advice from someone who isn't a random internet person.
  • FWB 7 Jul 2013 09:45:58 45,578 posts
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    Mola_Ram wrote:
    but either way it's probably best that they seek advice from someone who isn't a random internet person.
    Most definitely.
  • chopsen 7 Jul 2013 10:56:21 16,281 posts
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    sajasanman wrote:
    Yeah Id agree with that on the whole. Feeling crap can be fleeting and seem like it will last forever. In reality : a month of good sleep exercise food etc can do amazing good. ie you need the patience and insight to know how you work

    Whereas ten minutes with a gp no wonder they dole out anti deppressants like candy rather than refer you to costly therapy or properly look at your symptons.
    There is an argument not without evidence that anti-depressants are/were being prescribed for people who don't need them: i.e. the milder cases. We are currently in the late phases in the NHS of increasing access to psychological therapy for patients (called IAPT) which has involved massive investment and developement of a workforce for clinical psychologists to deliver CBT. So for those where psychological therapy is more appropriate, there is now a lot more capacity to deliver that care to them. Particularly for people with milder symptoms, antidepressants look like they don't do more than placebo, wheras CBT does help. This is still work in progress.

    For the people who are more depressed, they probably do need antidepressants. And for the *vast* majority of them, they can be untirely dealt with in primary care. It is really only the more complicated ones (non-response to treatment, diagnostic uncertainty, psychotic symptoms, or concerns about suicide risk) where consultant led services get involved with depression.

    If there are co-existing drugs and alcohol problems you'd need specialist treatment, and it could be argued that until that's sorted pretty much any other form of treatment isn't going to work. Again, there is actually service provision in this area within the NHS. The problem tends to be high-drop out rates from treatment, and I think it's because a lot of people have problems with drugs and alcohol not because of the drugs and alcohol but their underlying personality type. But that's anecdotal.

    There is no evidence that counselling is of any benefit (apart from in post-natal depression). I know there's a strong social stereotype that you need to go and talk to someone for hours on end about how your dad didn't love you and that's why you're depressed, but the evidence doesn't support that. If you're feeling low, talk to your friends. There's plently of anecdotal evidence to support counselling, but then people feel better after having a ncie holiday or whatever as well.

    There is some evidence that the benefits of exercise probably don't help either, actually. Though undoubtably sitting in the house moping on the internet isn't going to help.

    One thing I am certain that doesn't help is dwelling and ruminating on your problems in a negative, repetative way. Writing walls of text on an internet forum isn't going to help. I've said it before: this thread is awful. I'm sure that if you were genuinly despressed, this thread will make you worse.
  • MightyMouse 7 Jul 2013 11:20:15 1,144 posts
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    morriss wrote:
    I did qualify my statement with "most" not "all". I'm sure there are some people in here with real issues. They're outnumbered, though.
    It sounds like you just really want people to pay attention to you. The advice of everyone else in the thread is basic stuff like go to GP, whereas you're here diagnosing everyone. Not everyone here will benefit from medication, but that doesn't mean that you being a dick is helpful.

    Tl;dr
    There's nothing wrong with a thread being supportive.
  • morriss 7 Jul 2013 11:38:55 71,286 posts
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    Yeah, you got me. Me me me. There's also a fine line between supportive and pandering. The latter exacerbates the problem.
  • Jeepers 7 Jul 2013 11:51:09 13,311 posts
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    Says the expert on all things psychological.
  • morriss 7 Jul 2013 12:36:33 71,286 posts
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    My opinion based on experience with young people and their "depression" but yeah, let's get all prissy and personal like the grown-ups we all are.
  • MightyMouse 7 Jul 2013 12:41:03 1,144 posts
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    Yes yes, no one but you knows anything. Quite. As for talk about acting like grownups... the irony is palpable.
  • mumtoucher 7 Jul 2013 12:44:31 299 posts
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    Gonna do my best to make this thread a little worse. 2013 has been an awful year for me, I have lost absolutely everything i hold dear within the last 4 months. I made a huge mistake, I cheated on my fiancee with her best friend, ordinarily a nightmare situation except 2 days after this potential life wrecker I was diagnosed with Kidney Cancer. The last 2 month since the diagnosis have been an absolute train wreck for me. My fiance found out on Thursday and has thrown me out of our house, we have no kids which is lucky but I feel like a have nothing at an extremely vulnerable time. Fortunately I have had my left kidney completely removed and am on the road to recovery and have been told the cancer has not spread (will know for sure in a year). I am on citalopram for my mental health which is from what I can understand is a mild anti depressant - it has served to numb me through this period of drama. I appreciate alot of my problems I have brought on myself but fuck me I have suffered. I now have to rebuild my life, I'm young 32, have a good employer. In my case the medication has helped. I am also on alot of oxycontin for my pain, now there's a drug that messes you up.

    Wish me luck guys!

    Edited by mumtoucher at 12:46:04 07-07-2013
  • Jeepers 7 Jul 2013 13:03:40 13,311 posts
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    morriss wrote:
    My opinion based on experience with young people and their "depression" but yeah, let's get all prissy and personal like the grown-ups we all are.
    Sure!

    You supercilious, passive-agressive twat!
  • morriss 7 Jul 2013 15:09:46 71,286 posts
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    :)
  • MadCaddy13 7 Jul 2013 18:53:26 2,056 posts
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    @mumtoucher v glad to hear your battle with cancer was a victorious one... You cheating bastard! ;)

    I was on citalopram. Was on it for 6 months in 2012. Did the job for me
  • mumtoucher 7 Jul 2013 19:05:16 299 posts
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    Thanks dude, you cannot imagine how crushing that news was though given the circumstances, the ramifications of what I had done and the fact I had to put my fiancee through all my shit, I feel so awful for her. Biggest mistake of my life, you only know what you had once it's gone. I miss her so much.

    I feel anti depressants have a stigmata attached to them, my brief time with citalopram has been successful, although there is a case for them being too widely used. I have suffered from anxiety and depression before and changing my diet and exercise resolved my issues, I'm my case recently serious emotional stress caused by health issues and relationship breakdown meant I needed the pills to stay sane. Back to work tomorrow to start rebuilding the mess.

    My short battle with cancer was terrifying although cured by surgery, I am very very lucky.
  • Stickman 8 Jul 2013 13:51:45 29,664 posts
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    mumtoucher wrote:
    I feel anti depressants have a stigmata attached to them.
    You'd be pretty sad if someone nailed you to a cross though.

    THIS SPACE FOR RENT

  • Trafford 8 Jul 2013 14:18:18 5,964 posts
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    Stickman wrote:
    mumtoucher wrote:
    I feel anti depressants have a stigmata attached to them.
    You'd be pretty sad if someone nailed you to a cross though.
    Miserable way to spend Easter, you have my sympathy.
  • Deleted user 30 August 2013 16:59:02
    Going through a shit few weeks at the moment. Woman trouble of course. Trying the online dating thing but it's a fucking car wreck. No one man is supposed to face that much rejection and the girls who i do get talking to on it don't interest me in the slightest.

    I'm only doing it because there's still the girl who i'm mad about who's making an complete tit of herself over the absolute wrong guy. I'm absolutely miserable most of the time and i don't give a fuck about anything. Trying to find something to distract me.

    The people who don't give a fuck and put no effort in are the ones who win in life, fuck your dreams.

    Don't see any light at the end of the tunnel to be honest and i'm sort of resigned to being alone even though i'm only thirty. Time to get some cats i suppose.
  • RedSparrows 30 Aug 2013 17:02:03 24,156 posts
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    :(

    Poor angry spuds.

    Fatuous advice from a happy person: you never know what's around the corner. If you give up, the corner is a lot further away.

    /jazzhands
  • Deleted user 30 August 2013 17:06:39
    I see happy people and i can't even fathom how to get there. Shit just works out for other people with no effort on their part and the considerable effort i put in just gets ignored/taken for granted.

    I tried being carefree and doing the whole "who gives a shit, whatever" thing and you know what? You get ignored.

    And people on here and in my real life wonder why i'm constantly fucking furious.
  • Deleted user 30 August 2013 17:10:20
    Amateur psychologist hat on, but it sounds more like your effort is being expended in order to control something that's by default uncontrollable, which is why it seems like it's wasted effort. I was pretty much at the same point you are (all this effort, why bother, rejection, rejection, rejection) when it all fell into place for me. Now I'm married and happier than I've ever been before. So, yeah, to echo the fatuous advice, you really do never know.
  • Load_2.0 30 Aug 2013 17:19:02 19,655 posts
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    "I see happy people and i can't even fathom how to get there. Shit just works out for other people with no effort on their part and the considerable effort i put in just gets ignored/taken for granted."

    You really believe that? Everyone gets shat on mate, no one gets a free ride. Not seeing the effort doesn't mean it is not there. People put effort into trying to be happy, doesn't mean they haven't got 100 shitty things happening in their life. Everyone gets knockbacks deals with death, crazy family, loneliness, heartbreak or works in a job they hate.

    They choose to move forward rather than wallow.
  • neosalad 30 Aug 2013 17:20:34 953 posts
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    @spudsbuckley kinda know how you feel mate, been a bad couple of years for me, full of ups and downs... mainly downs.. though generally things are getting better... i think.. maybe not :(
    When i'm at work, cant wait for my day off, only to waste it doing nothing, often cant even bring myself to leave the flat.. whats the point..
    Even gaming I cant seem to be bothered with... cant get my attention span to stick with it more than 10-15 minutes.
    All my mates seen to be busy/paired up/married/kids or unemployed with no money and no job.
    hard to get out of the rut at times..

    Edited by neosalad at 17:22:45 30-08-2013
  • MrTomFTW Moderator 30 Aug 2013 17:26:10 39,735 posts
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    A relationship is something that requires work. Bollocks to thinking it all just slots into place. The stuff me and my wife have been through together to get where we are now... It may shock you.

    Life in general requires effort, and it's sweet when that effort does pay off.

    Follow me on Twitter: @MrTom
    Voted by the community "Best mod" 2011, 2012 and 2013.

  • Deleted user 30 August 2013 17:29:19
    I didn't mean it doesn't take effort to maintain, just to obtain. Finding a relationship (a proper one) is more luck and timing than anything else. Mostly it was that he seemed angry that his efforts didn't pay off, which made me think his efforts are probably aimed at trying to control the parts you can't control.
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