It may help, in this case, to think of depression as a collection of symptoms rather than having one discrete cause. Some people can get better with short-term meds plus cognitive therapy, but some cannot.
Frankly, there are so many factors to psychological illness that it's almost impossible to give a definitive answer to any one individual's experience of depression. Not to mention the the medications we have today - while better than they used to be - are nowhere near subtle enough to fix the problem without potentially causing a whole lot more. That's why so many of us have to go through the rigmarole of trying medication, getting off medication, trying different medication, et cetera.
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It may help, in this case, to think of depression as a collection of symptoms rather than having one discrete cause. Some people can get better with short-term meds plus cognitive therapy, but some cannot.
Frankly, there are so many factors to psychological illness that it's almost impossible to give a definitive answer to any one individual's experience of depression. Not to mention the the medications we have today - while better than they used to be - are nowhere near subtle enough to fix the problem without potentially causing a whole lot more. That's why so many of us have to go through the rigmarole of trying medication, getting off medication, trying different medication, et cetera.