We really need to start being more honest with children... If you're not getting 10 minutes of sunlight, 20 minutes of exercise, and 6 hours of productive work a day in, while talking with friends, and having sex... You're depressed. Health is a series of behaviors.
tl;dr: allowing Big Pharma to dominate psychiatric research over the last few decades has not actually resulted in very good therapies for depression. Maybe we should look for cheap, effective, scalable treatments _even if they can't be patented and monetized_.https://twitter.com/SteveStuWill/status/1177368385409015809 …
"The benefits of antidepressants seem to be minimal and possibly without any importance to the average patient with major depressive disorder." 
https://ebm.bmj.com/content/ebmed/early/2019/09/24/bmjebm-2019-111238.full.pdf … pic.twitter.com/CfviChQmwO
https://ebm.bmj.com/content/ebmed/early/2019/09/24/bmjebm-2019-111238.full.pdf … pic.twitter.com/CfviChQmwO-
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The best anti-depressants have to do with having meaningful work, meaningful relationships, physical and financial stability, and hope for the future. As well as not having serious psychological issues from poorly dealt with or overwhelming trauma.
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In Russia, they prescribe courses of medically supervised fasting.
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Physical exercise, behavioral activation, Acceptance and Commitment Therapy. Unfortunately, all involve initiative, which is one of the first things depression robs from a person. Cost ranges from free to cheap though. SSRIs can kickstart people, but miserable long-term strategy.
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Commitment therapy?
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Step 1: Classify normal human experiences as "illness". Step 2: Sell the "cure". Step 3: Get rich.
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They have been over-prescribed, as antibiotics once were. It's a kind of hammer-and-nail approach. Antidepressants have their place, but they are not a cure-all.
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Antibiotic resistant strains of bacteria are a a different beast. I think SSRIs are closer to paracetamol in that they’re not very good, but people still overuse them. They get the green light because they don’t have much black market appeal.
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What's your take on allowing psychedelic usage, such as shrooms, for depression?
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Exercise. Walking. Enjoying nature.
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