I see depression more as a long term feedback mechanism.
You only make structural adjustments when you're really fed up with the situation.
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good observation. i think for many ppl who have ~healthy psyches this is true. for me depression is usually a signal to change something
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Or is depression something that just happens to some people whatever their situation and making life changes serves to ward it off?
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In tougher times, perhaps the fact that you felt like you had a reason to be miserable made it easier to deal with? Less guilt?
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And if you had more immediate control over your day to day life, perhaps it was easier to make those changes that helped placate depression.
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before modern medication, depression tended to last about 6 months, then lift, though for some people it would return on occasion.
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this pattern is also the case in nations without access to modern psychiatric treatment.
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I suspect there are other causal links than just medicine, although medicine definitely plays a big part in fucking people up iatrogenically
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there was a major book written on it, the thesis of which was that in fact the drugs do fuck people up seriously
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That would not be in dispute anywhere if not for the pharma industry being permitted to pay researchers without suffering consequences, IMO.
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Altho iatrogenics isn't well understood. A doctor recently told me to have a surgery to remove my appendix... because of mild stomach pain.