I suffer from depression,it started in my later high school years and was untreated until my early adulthood,
The treatment was ad hoc at first and then in my late twenties commenced in full.
During the first couple of years of treatment I was complete, content and happy just another human being in their adulthood.
Then I started having difficulty concentrating and this then to long periods of rumination over all the negativity I had experienced throughout my lifetime.
Life was reduced to being an automaton, just going through the motions an inability to feel positive emotion and be receptive to others and new experiences, it was much like that movie The Truman Show.
Of course I was treated but I soon learnt how to ‘fake it to make it’, I became past master of appearing normal to others and my treating team, on outward appearances I was like any other ‘normal’ person with a slight issue with depression.
The reality was far more acute then what I let on, minutes formed into hours then day, months, years and then pretty much two decades of self rumination, concentration problems, inability to feel positive emotion and access anything other than negative memories and emotions.
I was living a continuation of the same day over and over in a self defeating circle with all my positive memories thoughts, knowledge, self awareness emotion all completely and frustratingly locked away in my brain.
Of course my loved ones did their best but it was taken as a source of of deep irritation for me because I was just making it from one day to the next and it took all my physical, mental and emotional resources just to make it through a day.
I had been treated so long my clinic location had been moved four times and eventually the powers that be decided to put me under the stewardship of my General Practitioner.
All I want to say is that mental illness does not run to a finite time frame for everyone, adherence to time has become more acute in the modern era and everyone is ‘supposed’ to be allowed to be ill and recover ‘within’ a certain allotment of time.
Cognitive Behavioral Therapy or CBT only really ‘works’ if the patient is receptive or even partially receptive within that three or six month period.
Some mental issues or afflictions occur over a lifetime and need something like palliative care I mean some form of treatment that makes the patient as comfortable as they can be throughout their lives.
A patients enjoyment of life should be a paramount end goal.
The current medications for depression are just basically for one to function on a basic level rather than to a full potential of the person.
That is why substance abuse is a key factor in some patients, because they want to feel, feel anything.