this post was submitted on 10 Apr 2025
57 points (100.0% liked)

chapotraphouse

13781 readers
768 users here now

Banned? DM Wmill to appeal.

No anti-nautilism posts. See: Eco-fascism Primer

Slop posts go in c/slop. Don't post low-hanging fruit here.

founded 4 years ago
MODERATORS
 

Nearly a decade of therapy and medication has done nothing to help and idk what else to do

top 50 comments
sorted by: hot top controversial new old
[–] peeonyou@hexbear.net 28 points 5 days ago

in my experience you don't.. it just comes and goes.. and sometimes i remember that while in the throes.. and sometimes i don't

[–] Nakoichi@hexbear.net 25 points 5 days ago

good fuckin question

[–] Le_Wokisme@hexbear.net 25 points 5 days ago (3 children)

maybe a drastic change in material and social conditions. move to somewhere with good public transit and cycling infrastructure with 20 of your friends, where you don't have to worry about food, housing, or healthcare.

a hyper-individualist society will never adequately treat mental illness because it is incapable of addressing the material causes.

[–] PeeNutButtHer@hexbear.net 22 points 5 days ago (2 children)

with 20 of your friends

If you counted up everyone that has been my friend or even just an acquaintance in life I don't think it would hit 20

[–] NewDark@hexbear.net 12 points 5 days ago (1 children)
[–] PeeNutButtHer@hexbear.net 24 points 5 days ago

Yes, and I've never really fully recovered from it. Eventually I got to go to real school but the damage was done and I didn't really know or understand how to interact with people so I talked to almost no one and kept to myself

[–] Le_Wokisme@hexbear.net 11 points 5 days ago

yea

my list was of impossible things. have some online friends but they're flaking off lately as our shared hobby gets degraded by the company that owns it

[–] peppersky@hexbear.net 7 points 5 days ago (1 children)

Who the fuck has 20 friends in this current year??? Check your privileges come on

[–] Le_Wokisme@hexbear.net 5 points 4 days ago (1 children)

no like the point is that it's impossible. like pulling yourself up by your bootstraps

[–] peppersky@hexbear.net 6 points 4 days ago

I guess I just kinda stopped reading after twenty friends, the rest of the sentence would have obviously given it away. Sorry, please carry on

[–] JohnBrownsBawdy@hexbear.net 1 points 3 days ago (1 children)

I think this is good advice but I’d say do it after doing some therapy that has helped. Of course everyone experience is different. For me, I was in a black multi year depression, did a big move to try to reset things, and basically just fell in my face luckily I got better after doing some therapy and making another big move.

above I mentioned my experience with therapy & medication. I did some therapy that got me unstuck then scraped together money for a plane ticket to teach English in China for a year. That was a great reset and then when I came back to the states I was able to do more therapy and really get my shit together. (Then I went back to China lol)

[–] Le_Wokisme@hexbear.net 1 points 3 days ago

i don't really think of what i said as advice because all those things are out of reach, but if therapy and drugs don't help that makes me think the cause (or a major confounding factor) is something they can't help with like living under capitalism.

shrink can't prescribe me a place that's tolerable to live and 100 people who care and are happy to see me

[–] JohnBrownsBawdy@hexbear.net 3 points 3 days ago

First, I’m sorry you’re having to deal with that. I know how hard it feels to have your life be unenjoyable and bleak.

I tried meds and the did fuck all other than making me dizzy.

I eventually hit a sort of rock bottom and also almost simultaneously found a therapist and therapy situation that worked for me. Luckily enough it was at my university’s mental health center. CBT methodology worked really well and I still use some of the stuff I learned now, more than 10 years later. If I were to go back to therapy I’d probably look for someone who did DBT. Lots of good evidence it works well for depression.

[–] CutieBootieTootie@hexbear.net 12 points 4 days ago

Do meaningful shit. Join a meaningful movement to make a better world that's willing to train you to be a leader, that in combination with therapy and medication has done wonders for me

[–] cavortingcamel@hexbear.net 13 points 5 days ago (2 children)

I think I accidentally stumbled into the perfect (for me) solution when I became the 'mushroom guy' in college at the same time that I learned about/became obsessed with meditation. i tripped every two weeks for a stretch of ~6 months while developing a meditation habit and consuming every Alan Watts lecture on youtube.

not saying at all that this like fixed me, it still hits from time to time. we're not broken, just fucked up by our environment, parents, culture, poverty, biology, etc. me cramming shrooms and meditation simultaneously for a year just gave my brain a major reset and helped me develop mindfulness tools for keeping my nervous system on an even keel.

there is some scientific backing to this approach, I've learned about later on. psychedelics can help bump you off mental patterns, and mindfulness can help you create new patterns intentionally.
the key though is in the combo.

[–] dat_math@hexbear.net 5 points 4 days ago

I came here to say mushrooms as well but I think for me it's as much a direct pharmacological effect on my depression and adhd as it is the accumulation of downstream effects on my mindfulness toolkit/coping skills. I say this because I can feel my perception change and the effort required to exert my attention climb around 9-12 months after my last trip and these changes evaporate nearly immediately post trip. Maybe I wouldn't experience this if I went back on methylphenidate but the side effects got rough as I got old

there is some scientific backing to this approach, I've learned about later on. psychedelics can help bump you off mental patterns, and mindfulness can help you create new patterns intentionally. the key though is in the combo.

100%

[–] shath@hexbear.net 4 points 4 days ago (1 children)

gunna do this but with m*th thanks

[–] SkingradGuard@hexbear.net 3 points 4 days ago (3 children)

I'm gonna do this but with chloroform

load more comments (3 replies)
[–] hollowmines@hexbear.net 10 points 4 days ago

Therapy and medication did nothing for me either and I still have my struggles, but doing a lot more physical stuff (not just exercise but meaningful physical activity IE certain types of volunteer work), getting 7-8 hrs sleep as many nights as possible and strategically limiting screen time has definitely helped.

Oh, and weed (and hallucinogens once a year or so).

[–] Archangel1313@lemm.ee 10 points 5 days ago

Can't say this is a "solution", but negative thinking is habitual. Our brains are hardwired to reward repetitive thinking by strengthening the connections we use the most. This is the same mechanism that allows us to get better at tasks through practice.

Unfortunately, our brains don't differentiate between positive or negative thought patterns. It doesn't reward us when we think good things, while punishing us for thinking bad things. it just makes it easier for us to think about things, that we think about often.

This means that negative thinking reinforces negative thinking...making it easier and easier to have negative thoughts. It becomes an automatic function that our brains execute like muscle memory.

The only way to stop this from happening, is to force your brain to think about something else...and repeat it often enough, that the new pattern takes priority over the old one. Eventually the new pattern will become as automatic as the old one, and will no longer require effort to execute.

[–] Dolores@hexbear.net 10 points 5 days ago

page me if you find out won't ya

[–] NotMushroomForDebate@lemmygrad.ml 9 points 4 days ago (1 children)

I hear you, I've been in deep bouts of depression since my early teens.

In my case, I started to consistently feel better when I became a part of a community that was doing something. Organising, taking some form of action, and connecting with people who had shared goals and who've been through similar struggles as myself.

Over the years I've worked on my depression by myself a lot, engaging in hobbies, working out, etc. but the improvements were always temporary. It wasn't until I started fighting for something with others that I stopped sliding down into the abyss, even through bad days.

It's just my experience, I hope you can make it out as well.

[–] PeeNutButtHer@hexbear.net 5 points 4 days ago (1 children)

My brains broken from years of isolation as a child so I just really hate going out in public and seeing people. I've done volunteer work for a local festival, I've done canvasing for a vegan group, shit like that doesn't help. Having to deal with people all day just makes me want to peel my skin off

[–] lemmyseizethemeans@lemmygrad.ml 4 points 4 days ago (1 children)

Everyone tells me diet and exercise. That would probably help if I did diet and exercise but who's got time for that not me lol. Can you get a puppy? My dog keeps me from the abyss

[–] PeeNutButtHer@hexbear.net 3 points 4 days ago

I barely have the mental energy to keep myself alive, I couldn't care for another creature

plus I'm flat broke and couldn't afford and the vet visits, shots, spay/neutering, food, etc...

[–] MemesAreTheory@hexbear.net 8 points 4 days ago (1 children)

I'm going to be trying esketamine treatment soon. I'll tell you if it's helpful. As with other commenters in this thread, I've had incredible periods of relief after psilocybin shrooms. Just 4 trips, but that was followed by months of improved mood and functioning overall. I'm hoping esketamine is similarly effective for me. It's legal and FDA approved now by the way, so perhaps look into a psychiatry practice near you that provides the service.

[–] Bolshechick@hexbear.net 4 points 4 days ago

I've been doing esketamine treatments for a while. In my experience, they have helped a good bit, but shrooms have been a good bit more effective (probably at least partly cuz I can take a big dose, but with the legal esketanine they just give you a fixed dose)

[–] FOSS_Propagandist@hexbear.net 10 points 5 days ago (1 children)

Running every morning is the hardest thing to imagine doing when you're depressed. The worst part is that it works.

You're right about it being more about management than "overcoming". I've also found, and heard others say, as you get older it naturally loosens its grip a bit.

[–] Le_Wokisme@hexbear.net 16 points 5 days ago (1 children)

Running every morning is the hardest thing to imagine doing when you're depressed. The worst part is that it works.

cart before the horse. people well enough to exercise benefit from that exercise but they were well enough to do it in the first place.

[–] FOSS_Propagandist@hexbear.net 3 points 4 days ago

I know, I am/have been in the same situation as OP. I don't want to sound like a rise-and-grind guy, but when you get a little relief it's something to keep in mind. It will make that period when you feel okay last a little longer.

[–] em2@lemmy.ml 8 points 4 days ago

Volunteer somewhere. Getting out and having a scheduled thing helps.

If not, you're still miserable but at least other people benefit from your help and are happy.

[–] Ultrathor@hexbear.net 9 points 5 days ago

The book 'unsettled minds, strangers to our selves' , gives four varied examples of how material conditions often cause then exacerbate mental conditions in different ways. I thought it was insightful.

[–] Glitch@lemmy.dbzer0.com 9 points 5 days ago (1 children)

My approach has been to lean into hobbies. A few of my favorites include: audiobooks, leather working, and managing a home server . I find if I microdose any of those while the dark thoughts are creeping in, these act as my patronus.

Maybe it's a safety blanket kinda thing? Not sure. Good luck

[–] PeeNutButtHer@hexbear.net 5 points 5 days ago (1 children)

I don't have really any hobbies and whenever I try to get into something I lose interest very quickly. I just can't get invested in anything because I have no passion for anything

[–] Glitch@lemmy.dbzer0.com 5 points 5 days ago

Might be possible you haven't found the right things yet. There's a lot of possibilities, the challenge could be in getting yourself to try something new every once in a while, with the hope that one day a spark will turn into a flame.

May the wind be at your back and the sun upon your face, and the strength of your heart carry your foot when all else fails

[–] Hestia@hexbear.net 6 points 4 days ago

Estrogen was the solution to my depression. I don't take antidepressants anymore and I'm way happier than when I was on them.

[–] KhanCipher@hexbear.net 7 points 5 days ago

I would post a joking answer "that's the neat part, you don't". But my actual honest serious answer kinda ends up lining up with that anyways in a really depressing way, I really don't know. Like the only thing that has kept me going so far despite my self-hatred, and depression is keeping myself busy/distracted from it.

[–] hogslayer@hexbear.net 6 points 4 days ago (2 children)

By having a less miserable life.

It's not all in your head, despite what the CBT nutters say. Nor is your brain chemistry corrupted like a faulty hard-drive. All of this shit was made-up by bourgies so people won't blame the societal structures they live under.

Unfortunately a lot of things that keep us miserable are out of our control, or take an extreme amount of work to try and change your circumstances to something better.

[–] kefalos@reddthat.com 9 points 4 days ago (1 children)

This is like telling someone with broken leg to walk it off.

Dangerously bad advice.

[–] hogslayer@hexbear.net 3 points 4 days ago

well I'm glad it's a completely one-sided matter.

[–] PeeNutButtHer@hexbear.net 5 points 4 days ago (1 children)

All the things that make me miserable are pretty much out of my control agony

I need money and no one will fucking hire me. I even applied and got an interview for a position cleaning up literal shit at a hospital and they still didn't hire me. They won't even let me clean up doo doo feces to make a living

Can't get SRS without money, can't get FFS without money, can't get out of my shitty ass apartment where they're always cutting the water off without money, this shit sucks

[–] hogslayer@hexbear.net 5 points 4 days ago (1 children)

All the things that make me miserable are pretty much out of my control

Yeah, same here. The only thing I'm certain of is that mind-numbing psychiatric "medications" and learning to hypnotize myself into denying my own thoughts (aka "Cognitive Behavioral Therapy") are not the answer, and that it's mostly about the material causes.

[–] PeeNutButtHer@hexbear.net 5 points 4 days ago (1 children)

I've been on antidepressants, including SSRIs, before and they just never really seemed to do anything for me, the only thing they did do was give me horrible withdraw symptoms after I stopped taking them

You know that pins-and-needles feeling when a limb is asleep? When I got off lexapro I would get that feeling all over my body for about 2-3 seconds every like 15 seconds, it was awful

[–] stupid_asshole69@hexbear.net 4 points 5 days ago (1 children)

I cut down to one or two drinks a month, became more aware of my own emotions and developed some responses to them that help even things out.

Having a normal routine helps. Like a “normal person” routine where you go to sleep at a reasonable hour, get up at one as well, eat healthily, exercise, wash yourself, spend time outside etc. making it a routine means it’s something you do automatically.

That was really hard for me for decades. Sometimes I’ll still be awake far too late or skip a shower and have to catch myself.

[–] PeeNutButtHer@hexbear.net 5 points 5 days ago (2 children)

I never manage to stick to routines, if I have one slip up I spiral and it all goes down the drain. I was doing pretty good routine-wise for some of March but all it took was one bad day and all the progress was washed away

[–] Losurdo_Enjoyer@hexbear.net 7 points 5 days ago

habits take quite a long time to form (i think a ~month normally?), and if random twitter threads can be believed (lol), it is even harder if not outright impossible for people with adhd

[–] stupid_asshole69@hexbear.net 2 points 4 days ago

I know how that goes. I had to learn to recognize my own emotions and keep from letting them control how I go about day to day life.

It’s weird to say but the same technique of feeling the emotion then putting it away for later that helped me control acute feelings like anger and sadness also helps me keep from getting disrupted by emotions that slowly well up like depression.

Of course there actually has to be a later. There has to be a time when that stuff gets expressed otherwise it just builds up and overcomes your ability to function.

[–] kittin@hexbear.net 3 points 5 days ago* (last edited 5 days ago)

I know it is a cliche that doesn’t tend to really help people in a crisis but, I’m being really honest here, the only thing that works for me is to eat well, cut out drugs and alcohol, and exercise a lot.

You need to do more for sure. Work on yourself. Get meds. Do therapy.

But definitely eat well, cut out drugs and alcohol, and exercise a lot.

load more comments
view more: next ›