4 ms·
The problem with "curing depression" as a whole is that it's a complex syndrome with multiple causes, and our understanding of the brain is very primitive at th
by soundwave106 10y ago
The problem with "curing depression" as a whole is that it's a complex syndrome with multiple causes, and our understanding of the brain is very primitive at this point.
I kind of think that many recreational psychedelics are both over-hyped by advocates and over-demonized by naysayers. Recreational experiences are fine and dandy, but I haven't seen much evidence so far that serotonergics do anything for depression. MDMA for PTSD remains experimental (worth a study I'm sure though).
One psychedelic is an exception: the observation that ketamine actually rapidly helped some depressed patients has sparked a whole lot of research in the last decade, has led many to question the whole monoamine hypothesis behind current depression treatment, and may lead to non-psychedelic treatments that work better (or at least on a different subset) than SSRIs. (http://www.economist.com/news/science-and-technology/21708655-new-generation-drugs-could-change-way-depression-treated-novel-drugs http://www.economist.com/news/science-and-technology/2170865...).
So, if you are a fan of the psychedelic experience and want to try something a bit out of the medical norms to alleviate depression, the ketamine clinic has the most medically backed potential at the moment, in my opinion (although I'll add that from what I understand ketamine clinic treatment is not at all similar to recreational usage as the dosage is much less). Alternatively, you could wait for the non-psychedelic versions or even rather unrelated derivatives (mentioned above) to progress, that for all we know might actually be better in the end. As the Economist article rightly alludes to, the brain is a seriously complex organism, and science has not reached a neat simple conclusion about depression yet.
- khed 10y agoThis is an excellent comment and reflects the current state of research. There is good evidence for the efficacy of ketamine in treatment resistant depression. The psychedelics are not well studied. SSRIs are not useful and may be harmful. ECT works but causes amnesia. Most depression gets better on its own.
- Pigo 10y agoI suffered from depression pretty much my entire 20's, and looking back it felt like the long line of anti-depressants I was prescribed exacerbated the situation. Eventually I changed how I live my life and started making baby steps towards improving myself. And I magically stopped being depressed. I have no doubt there are people out there that need help with medication. But I think the only thing that could have helped me was someone reaching out and showing me how to get out of my rut. But even then it would have been on me to make some changes and find out what makes me happy.
- mst 10y agoTianeptine has done wonders for me, but is a weird-ass tricyclic that may not work in any of the usual ways. The side effect profile is sufficiently minimal that if it turns out I'm just a lucky beneficiary of a placebo effect, I really don't mind.