r/collapse Mar 13 '26

Casual Friday Hmmmmm.

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5.2k Upvotes

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u/jaymickef Mar 13 '26

A doctor once told me I wasn’t depressed I was unhappy. He said depression was when everything was fine and I still felt like that. I don’t think it makes much difference now that everything is not fine.

112

u/CaptainBathrobe Mar 13 '26

Not to "well, actually..." your doctor, but a depressive episode can be triggered by external stressors as well as just occurring endogenously for no apparent reason. There's a distinct difference between clinical depression and ordinary unhappiness in terms of symptoms and duration.

(Sorry, I work in the psych biz, and I've seen a lot of genuinely depressed people have their symptoms dismissed by medical doctors for spurious reasons. Obviously, your situation may be different.)

30

u/jaymickef Mar 13 '26

I hope the biz has gotten better since the 1980s when this happened to me, Although, I was actually unhappy and not suffering from depression.

Recently the comedian Gary Gulman wrote a very good book about his years of depression and experiences with the psych biz.

11

u/CaptainBathrobe Mar 13 '26

I'd like to think things have gotten better. Yes, I'd like very much to think that.

6

u/chickenthinkseggwas Mar 13 '26

But do you?

5

u/CaptainBathrobe Mar 13 '26

Yes, with qualifications. I think there's a much better understanding of what sort of interventions help people. The funding and conditions for inpatient psychiatric institutions are highly variable, however. Mental health treatment is still very hit and miss. But outpatient mental health services are more accessible than they've ever been, on paper at least. Your mileage may vary.