[Jugglerofworlds]

Yes, there are likely multiple factors here, both physical and learned behaviors. I've had some access to cutting edge treatments since I live in Boston, which is probably the #1 place in the world for psychiatry research. Over the years I've cobbled together a regimen that sort of works, but it's basically a band-aid solution and I can tell that it's not 100% effective.

Nowadays I feel normal ish about 15% of the time, meh about 50%, and somewhat depressed 35%. I've tried multiple medications from pretty much every category of medications, including many off-label treatments.