I definitely agree, there are two fundamental forms of "depression"--internal and a reaction to a bad external situation. Very different causes, what works for one doesn't work for the other. And I don't even like the "depression" label for bad situations--as with the previous post about willpower. We have a limited ability to cope with bad, when it's exceeded (or our efforts are misapplied resulting in the same end) we get "depression". No, we get reality! That's why things like forcing rehab does nothing about addiction--it doesn't remove what drove the person to the drugs in the first place.

The poster you responded to didn't claim that drugs were universally helpful. I think the main point is that there is no universal that works for everyone. For some exercise works, for some drugs, for others therapy. And "works" isn't a yes/no, one might work a little for you, one might work super great.

I'd argue that depression kills and optimal therapy is: anti-depressants, exercise AND talking therapy and the time to start is NOW.

I wouldn't knock the effectiveness of any of them with the caveats that: (1) you can get anti-depressants from you primary care doc, the best practice is to start on something, ramp up your dose and try something different if it is not working or you don't like the sides. I really thought Vanlafaxine was a comfortable ride but it raised my blood pressure to the "go to the ER" range. Call on the phone and lean in about adjusting your meds. (2) Getting an appointment for talk therapy can take a while these days. (3) In a hard case you can get a more complex medication cocktail from a psychiatrist but the wait could be worse than the talk therapy. (4) People in the military do insane amounts of cardio because it helps dealing with insane amounts of stress. 2 hours a day of cardio helped me deal with a business development process that went on for years before ultimately failing.

i think they are merely saying what worked for them. it is working for me too, despite my misgivings about “just taking a pill”. YMMV.

Depression is an umbrella term that covers lots of underlying biological conditions.

Exercise forms the foundation of a biologically healthy brain which is required for all conditions. For some conditions it’s all you need for others it’s not enough

True. I ran my but off in 2025 but it was mainly holding my anxiety over finding a job at bay.

>> I'm a non-competitive athlete

Honest question, but what do you mean by this?

I've played competitive team sports my whole life and have a very competitive drive. If its not team sports, its rock climbing where I feel like I'm competing against myself or my brain trying to solve a route. If I'm hiking, I'm competing against the clock or how far I can go. If I'm lifting weights, its about how many sets I can do and what weight in order to push myself.

So even in what most people deem "non-competitive" activities I'm still competing against a clock, or my body, or my brain.

I'm just curious what you meant is all.

EDIT: Typical HN. Ask a question and get downvoted. Logging off the day - thanks.

I'm male. I've done everything from cycling to 5-10k running to heavy weightlifting. The only other thing I have is ADHD, no other comorbidities.