Daniel Allsopp said:
I suffer from clinical depression, and I have seen a lot of people dismiss depression on the internet. They say that depression is an excuse, or to "just get over it", but I know from experience that depression is very real and not easy to shake off. It seems to me people dismiss depression in order to protect themselves from it, and people that have encountered depression are more accepting of it.
I suspect the attitudes you've encountered on the Internet are a result of a few key aspects of clinical depression, and indeed most clinical psychological disorders.
1) Even people who may have these psychological disorders aren't sure if they have them or if they're just "going through a bad time in their life" (or similar rationalization for their feelings).
2) People outside the psychiatric community don't understand how these mental disorders are diagnosed, or if the diagnoses are reliable. After all, mental disorders are unlike any other illness. You can see the hardening of the coronary arteries in heart disease. You can see scar tissue forming on the liver in cirrhosis. How do you "see" if someone has a problem with their brain? Is there any, for lack of a better term, "physical evidence" of a neurological disorder that you can point to and say, "Now I know this person is sick"? Which is related to my next point...
3) The current attitude towards the medical industry in general is that doctors of all kinds, but especially psychiatric doctors, are waaaaay too prescription-happy. You hear ridiculous statistics about people being put on anti-depressants and kids on Ritalin, and you think "these mental disorders can't be that common". Rightfully so, I think, but people have a tendency to over-correct perceived problems. In this case, calling bullshit on the entire field of psychiatry, and thinking that even visiting a psychiatric professional makes them a patsy to Big Pharma.
You could even take it one step further (as I'm sure many do) and assume that Clinical Depression is just a buzzword Big Pharma came up with so they could sell pills to people who are sad, and
just sad.
Couple that with a lack of understanding about psychological disorders and their diagnosis, and it's no wonder people doubt if there's anything "really" wrong with a person with a mental disorder.
4) This is one you might have to correct me on, but even if an individual legitimately has a clinical mental disorder, the drugs we have for treating these aren't always effective for everyone. I've heard of many individuals, both from my IRL acquaintances and on the Internet, that were diagnosed with a clinical mental disorder, took the drugs, and the drugs didn't help.
It further undermines the case for clinical depression because when I hear stories about ineffective treatments, I can only draw two conclusions. Either they didn't really have the disorder they were treated for, but the doctor they went to
thought they did and prescribed to them anyway (a knock against the medical field); or that our means for treating these diseases are so limited that there may not be a lot of use in seeking psychiatric help in the first place.
For those reasons, the attitudes toward depression you've run into on the web make a lot of sense to me. I still don't believe they're right; I think clinical depression is real and I believe that it is a fairly common disorder (as such disorders go, that is. I'd expect 5%-10% or less of the population actually has it.).
However, I also feel that the diagnosis and treatment of mental disorders is problematic at best. Seeing how common criticisms of the psych field are, I feel that I have good reason to believe that a lot of practicing psychiatric professionals are poorly trained, are being blatantly irresponsible, just don't have many tools at their disposal given our limited understanding of how the brain works, or some combination of the three.
I'd very much like to hear your perspective on the state of the field of psychiatric medicine, having dealt with it yourself.