A lot of people have pointed out how real depression makes it difficult to do the very things that would help alleviate it. In some cases, medication can be the

A lot of people have pointed out how real depression makes it difficult to do the very things that would help alleviate it. In some cases, medication can be the crucial tool that helps you escape this cycle. At the same time, I have mixed feelings about psychiatry. The field has done a lot of good, but I also can't help but feel that modern antidepressants are seriously lacking. They help some people, but they don't help everyone and can take weeks or months to work; they can also backfire and make some people suicidal. Prior to the 1950s, the common antidepressants were opiates and amphetamines. These fell out of favor due to their addictive properties, but in a way their addictiveness comes from how effective they are at rapidly alleviating depression. If you found a pill that made you happy within an hour, it's easy to see why you would want to keep taking it (and why you might want to take more of it than you need). It can be very difficult to create an antidepressant that makes you feel better without also having addictive qualities. I often wonder if stigmatizing opiates and amphetamines -- and replacing them with MAOIs, tricyclics, and SSRI/SNRIs -- was a mistake. I'm not saying that they should be first-line treatments, but it seems a little weird that we would rather give people ECT (induced seizures) than psychoactive chemicals that reliably and rapidly alleviate dysphoria. I've personally found Kratom (a plant with opioid alkaloids) to be very effective at relieving depression and anxiety, and of course states have already moved to ban it. Sometimes it feels like all the useful drugs are illegal, and we're left with these half-assed pharmaceuticals that have a low potential for abuse precisely because they don't do anything useful. Again, I think psychiatry has done a lot of good, and many medications do help people. But desperate individuals are still committing suicide. We need to do better.