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Re:A therapist’s guide to staying productive when depressed ... by colechristensen on Friday September 29, 2017 @04:50PM (#15369096)
This misses the mark as I see it because it doesn't emphasize the three most important things to helping depression:

Bright light, sleep, and exercise.

Light: get bright light to wake you up, experience bright light during the day (preferably sunlight), if you're having trouble sleeping, disconnect from any screens at least an hour before a scheduled time to sleep. Don't set up yourself in a dark closed-window living environment.

Sleep: ahead of time, schedule times when you should be asleep and awake, always be trying to keep to this schedule. Stay out of the bedroom outside of these hours.

Exercise: whether it's walking around the block, going to the gym, or hiking up a mountain, do what you can to exert yourself every day. It helps with the light and the sleep.

These three things won't fix your problems but they will make everything better even if you can only improve them a little.

Re:A therapist’s guide to staying productive when depressed ... by craftyguy on Saturday September 30, 2017 @11:23AM (#15373251)
>experience bright light during the day (preferably sunlight

I'm in the Pacific NW, fall/winter/spring is coming.. :(

Re:A therapist’s guide to staying productive when depressed ... by tqkxzugoaupvwqr on Saturday September 30, 2017 @12:10PM (#15373532)
Going outside and getting daylight on overcast days is still much, much better than any typical light indoors. If you measure the light in a room vs. outside, rooms are dark caves. Your eyes may say it isn’t dark, but you’ll get next to nothing indoors. This has a big effect on your mood and hormones.
Re:A therapist’s guide to staying productive when depressed ... by craftyguy on Saturday September 30, 2017 @12:15PM (#15373553)
That's good to keep in mind. Some friends and coworkers are big on the 'happy lights' but they (the lights) make me want to pull out my eyeballs. Guess we'll have to get umbrellas and stand in the rain to be happy!
Re:A therapist’s guide to staying productive when depressed ... by QAPereo on Friday September 29, 2017 @06:21PM (#15369746)
I’d just add proper diet... nothing extreme, just enough/not too many calories, and the micronutrients needed. Avoiding caffeine and loads of sugar can help with mood and especially anxiety as well, but nothing matters as much as not starving because you don’t feel hungry.
Re:A therapist’s guide to staying productive when depressed ... by depressionsucks on Friday September 29, 2017 @07:01PM (#15369996)
Neither of you guys have had clinical depression. just because everyone gets the blues sometimes doesn't mean they understand someone with genuine depression. keep your platitudes to yourself.
Re:A therapist’s guide to staying productive when depressed ... by colechristensen on Friday September 29, 2017 @07:33PM (#15370166)
Keep your assumptions to yourself, especially if you won't the time to add anything to the discussion. The advice I gave is more or less paraphrased from advice I got from a medical professional as well as first and second hand experience. I was very straightforward when I said taking care of yourself is not the ultimate solution, but it does help significantly, and more importantly not taking care of yourself amplifies the condition.

The people I've known who have had the biggest problems with mental illness were the ones who wore their diagnoses like a badge and used these sorts of 'no true Scotsman' arguments to isolate themselves.

To put a finer point on it, if you want evidence behind my "platitudes" mountains of scientific literature can be found reinforcing the benefits of sleep, light, and exercise and their effects on depression.

Re:A therapist’s guide to staying productive when depressed ... by DanBC on Saturday September 30, 2017 @01:15AM (#15371365)
> To put a finer point on it, if you want evidence behind my "platitudes" mountains of scientific literature can be found reinforcing the benefits of sleep, light, and exercise and their effects on depression.

Let's pick exercise. Here's a cochrane collaboration review:

http://www.cochrane.org/CD004366/DEPRESSN_exercise-for-depre...

> Exercise is moderately more effective than no therapy for reducing symptoms of depression.

That's your "mountain of evidence"? It's moderately better than fuck all?

Re:A therapist’s guide to staying productive when depressed ... by hacking_again on Saturday September 30, 2017 @01:30AM (#15371408)
> That's your "mountain of evidence"? It's moderately better than fuck all?

No, that's the conclusion. There's mountains of evidence indicating it's moderately better than fuck all. And there is, really, if a review of 39 studies reaches this conclusion.

Same goes for other physical factors like sleep, light, diet. They each contribute a bit. As can medication, therapy, healthy relationships.

Re:A therapist’s guide to staying productive when depressed ... by DanBC on Saturday September 30, 2017 @08:12AM (#15372504)
You didn't read the link did you?

> The reviewers also note that when only high-quality studies were included, the difference between exercise and no therapy is less conclusive.

People think exercise works. When you test it you find some evidence it works unless you do a good test, and then it doesn't look like it does anything more than doing nothing.

This is important - suicide is a leading cause of death, and people who don't know what they're talking about should stop telling people with a potentially fatal illness to "go for a jog".

Re:A therapist’s guide to staying productive when depressed ... by hacking_again on Saturday September 30, 2017 @01:47PM (#15374038)
This is from the conclusion of the review:

> Our review suggested that exercise might have a moderate-sized effect on depression, but because of the risks of bias in many of the trials, the effect of exercise may only be small. We cannot be certain what type and intensity of exercise may be effective, and the optimum duration and frequency of a programme of exercise. There are few data on whether any benefits persist after exercise has stopped.

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004366...

My personal takeaway is that based on this review, which is more pessimistic than prior reviews, we have confidence that exercise has a small effect, and if the data were better we might be able to say it had a moderate effect.

Re:A therapist’s guide to staying productive when depressed ... by QAPereo on Saturday September 30, 2017 @10:55AM (#15373104)
What maniac here is suggesting that anyone drop therapy/medication for exercise? What strange world do you live on where people can only choose to do a single thing for depression?
Re:A therapist’s guide to staying productive when depressed ... by QAPereo on Friday September 29, 2017 @10:10PM (#15370797)
I don’t?! Oh thank god, I can probably stop the Luvox then, I’ll tell my psychiatrist!