#and his choices still contributed heavily to victory in the end even if he couldn't do it on his own

[anghraine]

Another form of Depression Discourse that I'm extremely wary of is "here are some things that can help with depression, so it's totally curable! You just have to do The Things, even if they're hard."

The issue is that—yes, there are things you may be able to do that can help with depression, for some people. There are habits that are likely to be helpful, like dragging yourself to things you normally like or getting exercise where possible.

Does this mean that those things intrinsically cure depression if you just pull yourself up by your bootstraps try hard enough? No. They can cure some people's depression completely. They can help other people's. It depends on the person.

But for me, the incessant do this, do that, you've got to take responsibility and get over it, has always been far more discouraging than learning about things like the relatively high rate of recurrence. I used to think that the reason I couldn't get past it was wholly on me. It kept coming back because I was lazy or undisciplined or self-indulgent or simply not doing the right things for whatever reason. Not trying hard enough. I told myself that if I could just summon up enough will to push myself past it, I would cure myself by sheer personal strength.

But I never could.

It tended to come back worse when I was under a lot of pressure, but no matter how good things were, it always returned. I'd spend a week or two feeling really good and motivated and energetic, then irritable and anxiously go-go-go yet very distractable—and then there'd be this awful crash into another episode of depression, over and over and over. I lived in my favorite city, I took walks, I went to readings, I volunteered, I kept myself and my apartment clean, and yet I couldn't overcome it.

The only thing that really put a significant dent in it was getting diagnosed as bipolar and put on mood stabilizers and eventually antipsychotics. And it still comes back! The crash is less extreme, most of the time—but I have grad student insurance for my medication, I have a psychiatrist and access to counseling when I need it, legal accommodations, and necessarily keep a fairly strict schedule. Going to my university in person rather than online helps, doing things I ordinarily like helps, sleeping regular hours helps. None of them help very much without medication. And for me, nothing helps enough to cure it.

The point is not that improvement is impossible, or that it never goes away for good. It does for some people! It does for many people. But, without denying the effort those people have put in, there is an element of good fortune to that. I think it's important for the people who aren't cured, who can never pull the bootstraps hard enough, to know that that's not a moral failing. It's not because we're weak or undisciplined, it's not because we aren't trying, it's not because we have any less value or merit than the people who get better or people who never have depression at all.

So, personally, I think a more important, generally accurate, and compassionate message than "depression will get better if you just try hard enough" is this one:

Whether you're cured or not, whether the usual recommendations help much or not, whether medications help or not: this isn't your fault.

#it is most similar to asthma for me—i can make lifestyle decisions that often minimize or prevent my symptoms #but man if the temperature drops or someone smokes near me or the air is polluted or i'm exposed to allergens—back it comes #sometimes just lying down gives me the Asthma Cough and keeps me awake #and it's not my fault! i just have a disease #it's not my fault that i'm bipolar either #honestly this is part of the reason that lotr speaks so strongly to me—apart from my gondor stanning and all #frodo tries so hard and he doesn't succeed and he doesn't get better and he is still worthy of the greatest praise #and his choices still contributed heavily to victory in the end even if he couldn't do it on his own #this is more powerful for me than all the recovery narratives in the world honestly #anghraine rants #anghraine babbles #rare breed of attack unicorn #depression #bipolar disorder #long post