Patient Blogs | Depression
How I Live With and Manage Treatment-Resistant Depression
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From the time I first walked into a therapist's office in 2019, and eventually into a psychiatrist's office roughly 4 months later, until this very day, there aren't many forms of treatment or even many medications I haven't tried to treat my major depressive disorder -- all to different degrees of success. Some never worked at all. Others would provide a brief glimpse of what life on the other side of the darkness and deepness of real depression was like, only to stop working weeks or months later.

They'd up the dose, switch the meds, and try combinations of the two – all while I was in talk therapy, one or two sessions a week on average. Medicine has helped me, as I'm a believer that depression is either a chemical imbalance or deficiency – possibly genetic, brought on by early drug use, or both. 

The why is not important here, it's how I've managed to maintain that counts. 

Eating right and regularly seems just as imperative, for me personally. So does exercise of any kind. My suggestion would be to do what you feel comfortable with and capable of at first and see how it goes. 

Writing and talking about what's going on inside, outside, and around me helps as well. It helps me process and come to (usually) at least semi-reasonable conclusions. 

Talking about depression is uncomfortable because not even all medical professionals completely get it. Unfortunately, some people in every profession still believe it's a crutch weak people lean on, when in reality it's a lethal disorder the brave wake up to and battle daily.

That's how I manage my depression – by being an advocate for speaking about it or writing about it. Whatever works for you. Maybe religion is more your preferred route. Or the all-natural practices and remedies, such as food, sunlight, and exercise. More power to you. I won't stand in your way. Rather, I'll happily cheer you on.

Personally, I use every tool at my disposal when it comes to fighting the demon that is my depression. I have to if I expect to have a fighter's chance of lasting at least 12 rounds with it. 

These tools must be learned, practiced, and repeated. I suggest a routine as well, even if you have to forge one full of minute or mundane things at first. Trust me, it matters. 

At the end of the day, only you can decide what method of treatment or manner of approaching your depression is right for you. However, I still recommend, at a bare minimum, consulting someone or something resembling an experienced mental health professional. You don't have to try to do it all on your own, alone. Photo Credit: 

To connect with other people living with depression join our Depression Facebook Support Group.



Photo Credit: Westend61 via Getty Images

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Brian Brewington

Brian Brewington

Diagnosed since 2019

Brian Brewington has been on the journey of addiction recovery since 2014 and was diagnosed with a major depressive disorder in 2019. A 34-year-old writer and freelancer from Philadelphia, his work has been featured in KEF Audio Magazine, and he runs the Journal of Journeys publication on, where his writing first became popular. Brewington still sees a therapist and attends 12-step program meetings regularly. You can read more from him here.

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