[vgr]

True. That's why I took care to separate out the clinical cases as carefully as I could. The reverse is also true: people who can be helped by cognitive reframings may not find medication useful. In fact, it can make things worse. A significant proportion of patients on depression and bipolar meds get worse, not better.

I have no problem admitting that I have been on medication a couple of times, for brief periods. It was a long time ago, and so ineffective/counterproductive for me that it was the kick in the pants I needed to decide to take control of my life at a more cognitive level. It convinced me that meds are vastly overprescribed for what might be called "existential" illnesses. That experience did inform my post.

But there is an aspect of this stuff that is perhaps even bigger than the mild/severe distinction and the pop-psych/clinical psych distinction.

This is the fact that professional or amateur, anybody who thinks they actually understand more than 10% of this sort of thing is a liar. I wouldn't trust any professional who refused to admit that we just don't understand 90% of what's going on, at either a cognitive or biochemical level. There is as much bs spouted by the supposed "professionals" about serotonin as there is by amateurs like me opining about how to climb out of slumps.

Not that I think my stuff is bs, but my kind of writing belongs in a category with more than its fair share of bs :)

Venkat