this post was submitted on 13 Nov 2024
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What we need is clean, efficient treatment paths for acute depression. Barriers to treatment are the worst thing possible.
We need to work on attacking root causes, not just throw some drugs at the person and call it a day.
We need to help teach depressed people HOW to start pulling themselves out, not just to try harder.
Once the patient is stable, we need to NOT just wash our hands of them, treatment wise. This is the time that spending mental effort will lead to far bigger gains.
It's the difference between telling someone with broken legs to "walk it off" vs emergency treatment, casts for 6+ weeks, and then physiotherapy where "walk it off" becomes walk on it to rebuild your strength.
The "just try harder" mentality got me into the mess Ive been in. It burnt me out, and it took me decades to even realise how bad I actually was, and years more to even start getting the help I actually needed. Even now, I have to fight for it. 1 slip up, and I'm set back months or years in the process. It's like putting the hospital A&E department on the 5th floor, with no lifts, and expecting people to walk up if they really want treatment.