Hacker News new | ask | show | jobs
by MuffinFlavored 934 days ago
> You can be "depressed and", but the "and" part is up to you to discover and cultivate. My partner is "depressed and X" (for her, X=[kind, loving, funny, understanding, compassionate, on medication, outdoorsy, fun, and my favorite person]). For me, who's been with diagnosed with depression as well, the X might be other things (goofy, prone to dad jokes, reckless, adventurous, smart, friendly, whatever).

My first reaction (and I apologize since it's a bit rude) but

if you're depressed, how can you also be goofy + funny + making dad jokes? I thought depression is like "everything sucks, I'm in a bad mood I can't shake"

2 comments

Think of depression as of climate, whereas goofy + funny + jokes is like weather. Weather today can be good, even if global warming is beyond 2C.

I'm writing this as someone who was depressed but still tended to joke around people. No one could really tell from the outside.

I feel like if you are depressed, any happiness you have is fleeting (like your point to the weather) / temporary / eventually overshadowed by the depression

How did you go from "is depressed" to "was depressed"?

Yes, exactly, the jokes were in the moment, and an hour later it was all gloomy again.

The short story is that I basically filled in countless CBT sheets, spotting distortions and correcting my thoughts. And at some point it started to sink in.

As an example, one of the distortions I noticed in my thoughts was "should-ing" myself in the foot: "I should be X, they should be Y and world should be Z". And because I'm not X, they are not Y and world is not Z, it's all hopeless". A more realistic though would be something like: "It would be cool if I were X, they were Y and the world would be Z, but right now it's not like that and frankly, so what? The sun is still shining, birds are still flying, so it cannot be all bad, can it?". This might be a trivial example, but if you pile up dozen patterns like that then it starts to make a difference.

The long story is that I didn't know what to do, but I somehow managed to find the "Feeling good" podcast by a big CBT name dr David Burns, started to listen to it, then a friend bought me a book "Feeling great" by the same author (I literally couldn't force myself to buy it, I think because I was afraid that if it doesn't help me then it means I'm a hopeless case, or something like that...) and then I started filling in all those sheets. Sometime later (like a few weeks, maybe 2-3 months), I noticed I feel better, and it was an upwards trajectory since then. I guess at some point I "platoed", but I feel pretty good these days so I don't mind :)

At some point I was also taking pills, but I didn't feel any difference. Whereas filling in those sheets gradually made me feel better and better.

There was also a related anxiety, which I managed to greatly diminish through exposure (it's still there to some extent, but these day I can just acknowledge it and move on). I think the anxiety exposure also helped for depression, as when I learned that most people are really nice, I started to think that maybe things are not that bad and hopeless either?

(Sorry if the whole post is a bit chaotic, it's late here and I admit I didn't bother to edit it too much.. But I hope it's still at least somewhat useful.)

It's not rude, and I totally get where you're coming from. Been there, and that "bad mood I can't shake" lasted anywhere from a few weeks to several years at its worst! Two suicide attempts and decades later, life these days is much more bearable, even enjoyable much of the time, but there are still hard days!

Depression has many forms*, different durations, different treatments, etc. I am not a psychologist, but I've seen many, and have been through a variety of treatments from talk and CBT to meditation to different drugs, etc. Some days are better than others, some months/years are better than others, etc. Neurochemistry is complex and not just a binary "you are depressed, true/false" :) I think anxiety comes with a lot of nuances too.

You can probably plot these complex feelings by different axes of intensity and such, every few hours and come out with a pretty complex radar graph (random example just for illustration... don't read too much into it: https://www.researchgate.net/figure/Radar-chart-pentagon-sha...). Like anything biological and human, it has a lot of variables.

My point is just that everyone experiences their life a bit differently, both from other people and sometimes from themselves moment-to-moment, day-to-day, etc. None of this advice is guaranteed to work for everyone, just like no medication or therapy works for everyone.

But a common thread you see in the comments here is repeated exposure. That works for many people, and is worth a shot if you haven't tried it yet (for anxiety).

For depression, other things like socializing, exercise, food, etc. can all affect it -- cyclically, sometimes the causes and effects flip, etc. Like depression can lead to bad food choices, which then cause further depression in a vicious cycle, etc., whereas exercise can temporarily alleviate depression in many people, which then gives them a bit more energy for more exercise, etc. in a virtuous cycle.

It's just nuanced all around! But again I'm not a psychologist, just a rando on the internet, and there are professionals who can hopefully help. We're just sharing personal anecdotes in the meantime.

-------

* Wikipedia has a good summary: https://en.wikipedia.org/wiki/Mood_disorder#Depressive_disor...

But note that different countries can use slightly different criteria for evaluation (like DSM-5 vs ICD-10), and often, self-reported questionnaires are a part of diagnostics and not necessarily totally objective. There's not like a simple blood test. A lot of is vague, subjective, and also depends on the mood of the practitioner themselves, who are also human, and sometimes themselves suffering from mental illness.

IMHO psychology is a pretty young art and we're only recently beginning to understand the brain, the gut, and how it all ties together into mood and affect and maybe personality. There's a long ways to go! Maybe kids a few generations from now will have much better mental health treatment, but for now, it's mostly a matter of statistical clumps of different symptoms and treatments that seem to improve those symptoms (at a POPULATION level, not individual, i.e. no one thing is guaranteed to work for everyone yet).