I seem to have treatment-resistant depression, or rather something neurologically wrong. I have tried so many things for so many years.
In some ways it’s a good realisation.
Some depression is beyond diet, exercise, medication, and counselling. Some depressive illnesses are physical issues within the brain itself. I guess that’s why ECT works for some treatment-resistant people because it makes physical changes, not just chemical or behavioural.
The hardest thing with treatment-resistant depression is that people continually give advice of what to try, like you haven’t tried those things before! They also tend to blame the person for not trying hard enough.
It’s like giving advice to someone with terminal cancer. Eat better, exercise more, think more positively. Why do people do it? It makes the person feel even worse. It is patronising and pointless. Kind maybe but harmful.