Re: Life just sucks sometimes.
If you get 10 psychotherapists together, you'll probably have 10 different opinions on cognitive based therapy vs. medication. That's part of the point (and the problem) with finding the right therapist; the fit has to be right not only with your condition but also with your own value system. Some conditions clearly need medication. For others, any meds are over-meds, but some therapists will prescribe anyway.
Remember the patient or client can always say no; the problem is that someone struggling with even moderate depression may have so much self-doubt that they can't say no and stick with it.
At one point in my life I was under pressure to take an SSRI "just for a while", and also to take ADD/ADHD medications as a form of diagnosis. (If you get better, it's AADD; if there's no change, it's not.) I refused both, and had a great deal of support from my spouse. He has his own issues and we came out of therapy as a team, him and me against the world. It's by no means a perfect life, but it's certainly a workable one.
The other point I want to make is that exercise is of huge benefit for cases of mild to moderate depression or anxiety. This is not just my opinion; it's also one voiced by psychiatrists and psychotherapists. I'm by no means in great shape or athletic but I get antsy when I can't work out, and can trace relapses in my mental state to too much stress and too little exercise. Ya think I'd learn, huh?

But it's all a process, and one I am embracing!
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