I agree. It's clear from this thread (and it fits with my experience as well) that the usual advice only goes so far, and for obvious reasons: if I had enough energy, motivation, and discipline to work out, eat healthy, meditate, whatever -- all the standard advice for lifting my mood -- I wouldn't be depressed!

I've been wondering lately if there isn't a model of care that goes beyond just a psychiatrist (to prescribe the meds) and a therapist (to administer therapy along with the standard advice about exercise and eating well). Something more like a "nanny" or a caretaker who could help the patient with those things: bug the patient daily to make sure they're taking their meds (and/or supplements, if you're going that route); buy and cook that nice healthy food; get you out of the house and into the gym; etc. Something more than just seeing a therapist once a week, but less intensive than any form of institutional care (even on an outpatient basis).

Asking for a friend... :(