That's incredibly reductive. I'm sure some people's depression can boil down to a matter of perspective, but it's naive to extrapolate that to everyone with depression.

I'm incredibly optimistic and am content with my position in life. My default state is being mindful of the present and I don't think about things too far into the future. I very rarely ever feel stressed out over things in life.

However, none of that changes the fact that I feel completely empty and find no joy in things. Interests are nearly non-existent, emotions dialed to 1, and the only thing I'm motivated to do is lay in bed staring at the ceiling... unless I'm on sertraline.

Admittedly that's just anecdotal, but I worked in a clinical neuroscience lab researching treatments for severe treatment-resistant depression (read: people who tried so many options including CBT that they even tried electroshock therapy). The only thing that helped those subjects was a regimen of personalized neuroimaging-guided transcranial magnetic stimulation for 10 minutes every hour for 10 hours every day for a week. Even then, it wasn't permanent. Some saw improvement for months, others only weeks.

For some people, it's not just a matter of "perspective".

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citrin_ru 2 hours ago | parent | next [-]

I'm not telling it's a matter of perspective, my point is that I see no objective metrics to tell apart if the situation is bad so it's one expected to be depressed and when the situation is good (so only medication / therapy would help). And it makes discussions around this topic harder.

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sameesh 4 hours ago | parent | prev | next [-]

If its not just a matter of perspective and only medication can help, etc, then why do we call depression a "psychological" or "mental health" concern? Why isn't it just considered a neurological disease?

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seba_dos1 9 minutes ago | parent | next [-]

Not sure what your point is, many mental health concerns are caused by neurological diseases.

In case of depression in particular, it appears to be a label given to a big bag of various issues you may have causing similar symptoms.

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thewebguyd 3 hours ago | parent | prev [-]

Depression is increasingly starting to be seen as a neurobiological disorder as we learn more.

In my own opinion, we need to stop viewing "mental health" as a separate class of conditions from general/physical health. A mental illness is a health/medical condition just like any other and shifting our views and diagnostic criteria in that direction would do a lot to remove the stigma associated with mental illness.

Someone with depression has a chronic illness, not a temporary "it's just in your head" condition.

	▲	37 minutes ago \| parent [-]
		[deleted]

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kanbankaren 7 hours ago | parent | prev [-]

> I feel completely empty and find no joy in things.

Maybe the idea that we should find joy and feel full is wrong?

We are on a random planet circling a random star in an unfathomable Universe.

STOP looking for meaning and you are liberated. The quest for meaning by itself might be exhausting and makes you feel depressed.

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16bitvoid 6 hours ago | parent [-]

Who said I'm looking for meaning? I'm not.

It's not as liberating as you might think. A joyless existence is either suffering or nothingness. A life without meaning, either internal or external, is one where nothing is meaningful with no motivation thus one of crippling catatonia til death.

All I can say is just that it doesn't feel good and if you can't feel good about anything, your calculus of your life inevitably leads to the conclusion that existence isn't worth it.

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trilogic 6 hours ago | parent | next [-]

There is only one cure/hack for Nihilism or similar...

Go somewhere where you need to work physically you az off to afford daily food. You will be so exhausted eventually that: 1 you will not have any energy left for thoughts. 2 If you have any energy left, you will give it to angriness which will lead to other circumstances which are none related to find the meaning of life.

Ignorance may lead to happiness and friends :)

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16bitvoid 5 hours ago | parent [-]

I think a lot of people are conflating depression with "bad thoughts". That's just one possible symptom, usually as a result of a combination of both anxiety and depression.

I didn't have anxiety, just depression. I rarely thought. I existed on autopilot. I was physically exhausted on a daily basis as a division 1 athlete in college. Often went days without eating either because I simply forgot to eat or forgot to make time for it between classes and training. Didn't change anything.

I think something people are forgetting is that motivation is either driving you toward something you want or driving you away from things you specifically don't want. A complete lack of motivation means I wasn't motivated to do anything to get something, but also I wasn't motivated to anything to avoid something either. I wasn't motivated to eat to avoid hunger pangs. I wasn't motivated to quit my sport to avoid routine physical exhaustion. Instead, my empty autopilot existence just freely acted on the expectations of those around me as a proxy for motivation.

	▲	trilogic 2 hours ago \| parent [-]
		Interesting reply thanks. I would say though, If I were programmed or a program or whatever you name it... I would realize the under statement: If One can´t be happy with what One have now, One will never-ever be in any circumstances. This is not your case certainly but is connected with the autopilot (meaning we don´t get to choose.

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moron4hire 4 hours ago | parent | prev [-]

Yeah, most folk get the causation backwards. They think having meaning in life will pull you out of depression. It's the other way around. You have to get pulled out of depression to be able to find meaning in your life.

	▲	trilogic 2 hours ago \| parent [-]
		Realizing that some "chemical reactions" can change your destiny then further learning that when you want something, all the universe is bound to conspires in helping you to achieve it. This one came out good :)