Article  We're still asking the wrong questions about antidepressants

#21
Magical Realist Offline
Quote:And you even claimed that side effects aren't "easy ... at all," making meds even less efficient.

I already said they work fine for me. You're the one claiming they have terrible side effects. Can't claim they're easy and not easy at the same time can we?
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#22
Syne Offline
Where did I supposedly say side effects were "terrible"?
Do side effects require ongoing personal effort, or are they just undesirable?

And you're the one who brought up "efficiency." So even if meds "work for you" (because you're lazy), you can't make claims about CBT since you've never put any effort into it.
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#23
Magical Realist Offline
Quote:So even if meds "work for you" (because you're lazy), you can't make claims about CBT since you've never put any effort into it.

I claimed it wasn't for me after attending a few classes on it. And since my meds work, why would I waste any time on a technique that doesn't suit me? As a freewill agent I am entitled to go with any treatment that works best and quickest for me. Once again, as humans we always go for the quickest and most efficient solution. Doesn't mean humans are lazy by any stretch.
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#24
Syne Offline
(Aug 25, 2025 04:44 AM)Magical Realist Wrote:
Quote:So even if meds "work for you" (because you're lazy), you can't make claims about CBT since you've never put any effort into it.

I claimed it wasn't for me after attending a few classes on it. And since my meds work, why would I waste any time on a technique that doesn't suit me?
Because, again, you brought up efficiency, and meds plus CBT is more efficient. You're not being efficient. You're being expedient. Another vocabulary lesson that will, no doubt, be completely lost on you.

Quote:As a freewill agent I am entitled to go with any treatment that works best and quickest for me. Once again, as humans we always go for the quickest and most efficient solution. Doesn't mean humans are lazy by any stretch.
Again, do whatever you want. Just don't whine when you demonstrate laziness and someone points it out.
The quickest is very often the least healthy. Fast food, meds instead of diet and exercise, meds that are a quick fix instead lasting results, etc..

I guess, if you don't have any higher motivations or goals, don't see anything as worth any kind of risk, and/or don't have personal bonds or values, you would assume all people always go for the quick fix and easy solution. Explains the meds and the type 2 diabetes.
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#25
Magical Realist Offline
Quote:Because, again, you brought up efficiency, and meds plus CBT is more efficient. You're not being efficient. You're being expedient. Another vocabulary lesson that will, no doubt, be completely lost on you.

Nope..I chose the appropriate word. I'm very good with words and always know what they mean before I use them.

efficient (n)-performing or functioning in the best possible manner with the least waste of time and effort.

Quote:Again, do whatever you want. Just don't whine when you demonstrate laziness and someone points it out.The quickest is very often the least healthy. Fast food, meds instead of diet and exercise, meds that are a quick fix instead lasting results, etc..

Doing things more efficiently has nothing to do with laziness as I already made clear. You are just exposing your hatred of the mentally ill as somehow morally inferior people to you. It obviously makes you feel better about yourself to do so, but it has nothing to do with reality. If people are alleviating themselves of years of suffering by taking meds you should be glad for them and cheering them on like normal people do. But you aren't because you're a pathetic ideologue only interested in mindlessly regurgitating your anti-science political talking points.

Quote:I guess, if you don't have any higher motivations or goals, don't see anything as worth any kind of risk, and/or don't have personal bonds or values, you would assume all people always go for the quick fix and easy solution. Explains the meds and the type 2 diabetes.

I take meds because they work. I take Alleve for my headaches, Metaformin for my diabetes, Simvastatin for my chlorestrol, and antidepressants for my depression. There's simply nothing wrong with that. If you don't like it then shove it.
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#26
Syne Offline
(Aug 25, 2025 06:06 PM)Magical Realist Wrote:
Quote:Because, again, you brought up efficiency, and meds plus CBT is more efficient. You're not being efficient. You're being expedient. Another vocabulary lesson that will, no doubt, be completely lost on you.

Nope..I chose the appropriate word. I'm very good with words and always know what they mean before I use them.
Delusion or lie, as I've demonstrated countless times.

Quote:efficient (n)-performing or functioning in the best possible manner with the least waste of time and effort.
When the "best possible manner" is to include CBT, you're only doing it "with the least waste of time and effort."

expedient - helpful or useful in the situation that now exists, although perhaps not the right thing to do morally or for the future
- https://dictionary.cambridge.org/us/dict.../expedient

Like I've repeatedly said, research has shown that the best possible long-term (you know, the future) results include CBT.

Quote:
Quote:Again, do whatever you want. Just don't whine when you demonstrate laziness and someone points it out.The quickest is very often the least healthy. Fast food, meds instead of diet and exercise, meds that are a quick fix instead lasting results, etc..

Doing things more efficiently has nothing to do with laziness as I already made clear. You are just exposing your hatred of the mentally ill as somehow morally inferior people to you. It obviously makes you feel better about yourself to do so, but it has nothing to do with reality. If people are alleviating themselves of years of suffering by taking meds you should be glad for them and cheering them on like normal people do. But you aren't because you're a pathetic ideologue only interested in mindlessly regurgitating your anti-science political talking points.
You making the bare assertion doesn't make it clear. I've repeatedly said that meds plus CBT offers the best solution, both in the short and long term. If you do not develop better coping skills, meds are just a an unending crutch. I cheer for people who put in an actual effort, not the ones who always take the quick fix.

Quote:
Quote:I guess, if you don't have any higher motivations or goals, don't see anything as worth any kind of risk, and/or don't have personal bonds or values, you would assume all people always go for the quick fix and easy solution. Explains the meds and the type 2 diabetes.

I take meds because they work. I take Alleve for my headaches, Metaformin for my diabetes, Simvastatin for my chlorestrol, and antidepressants for my depression. There's simply nothing wrong with that. If you don't like it then shove it.
Again, for the third time now, do whatever you want.

You can even lie to yourself, that taking meds alone is somehow laudable. Ignore that diet and exercise alone could go a long ways toward addressing diabetes, high cholesterol, and depression.
Depression and anxiety: Exercise eases symptoms
Diet and exercise are a fundamental part of comprehensive care for type 2 diabetes
Improving Your Cholesterol with Diet and Exercise
If you don't use caffeine, it can help headaches. Also a cognitive exercise I've detailed on this forum before.

But sure, just keep doing low-effort quick fixes for everything. It's certainly one way self-destructive people sabotage themselves.
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#27
Magical Realist Offline
"Cognitive Behavioral Therapy (CBT) doesn't always work for everyone, though it is an effective treatment for many mental health conditions, including anxiety and depression. CBT may not be effective if an individual has unresolved trauma, or if the therapy approach doesn't align with their needs, in which case other types of therapy or support might be more suitable.

Reasons CBT may not be effective

Unresolved Trauma:

CBT may not be sufficient for complex trauma, as it focuses on current thought patterns and doesn't address the root causes of deeply rooted trauma.

Misaligned Needs:
Some individuals find that CBT doesn't work for them, and it's important to remember that other therapies, such as trauma-focused therapies, may be a better fit.

Expectations:
Early publicity may have created unrealistic expectations for CBT as a "miracle cure," but in reality, its effectiveness varies from person to person.

Cultural Factors:
CBT's focus on individualism and self-reliance may not resonate with individuals from collectivist cultures.

When to consider alternatives or other approaches

Hitting a Wall:
If you feel like you're not making progress in CBT, don't assume there's something wrong with you; it might just be the modality that's not the right fit.

Complex Trauma:
If you've experienced trauma, therapies like Eye Movement Desensitization and Reprocessing (EMDR) or Cognitive Processing Therapy (CPT) may be more effective.

Different Therapies:
Other therapies or support systems might be more helpful depending on your specific situation.

Key Takeaway
CBT is a widely used and effective therapy, but it is not a universal solution. Success depends on the individual, the condition being treated, and whether the approach is appropriate for their specific needs."

"CBT has a general success rate of around 50-60%"
"Antidepressants have a success rate of roughly 40-60% in treating depression, with symptom relief typically occurring within 6-8 weeks."

Tell me again why someone for whom meds are working should instead take CBT courses? Why would they want to waste their time doing that? Because they're lazy not too?
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#28
Syne Offline
Considering you never gave it a fair shot, none of these excuses apply to you.
Again, I've repeatedly said "meds AND CBT, not "instead take CBT courses."

Learn to at least read grade school level English.
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#29
Magical Realist Offline
Quote:Again, I've repeatedly said "meds AND CBT, not "instead take CBT courses."

And I've repeatedly said that if meds successfully get rid of your depression, as they do 60 % of the time, then there is no need for CBT and it would be a waste of time.

And no..coffee doesn't cause headaches. In fact it cures them. This is a well known medical fact. I've used it many times and it works instantly.
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#30
Syne Offline
(Aug 26, 2025 04:05 AM)Magical Realist Wrote:
Quote:Again, I've repeatedly said "meds AND CBT, not "instead take CBT courses."

And I've repeatedly said that if meds successfully get rid of your depression, as they do 60 % of the time, then there is no need for CBT and it would be a waste of time.

And no..coffee doesn't cause headaches. In fact it cures them. This is a well known medical fact. I've used it many times and it works instantly.

And you repeatedly ignore long-term benefits, because you're a lazy, quick fix person. You'd rather use a short-term crutch for life than put in any effort to improve your own coping skills.

I didn't say caffeine caused headaches. I said, if you don't use caffeine, it helps headaches. IOW, if you don't have a huge tolerance to caffeine, because you don't use it regularly, caffeine can work wonders on headaches.
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