scythia, yeah, i here you. a topic that comes up a lot on this forum. this is some of my reasoning regarding depression.
obviously for some it can come about from triggers, from current situations and from past situations. the individual component as you have stated is missed, and a fare lot, albeit cause and effect situations need to be addressed. yes it would be fantastic if all people with a mental illness could have a topomography study done, brain study, i think it is called this! but sadly it is an expense that is unwarranted, drug companies would start crying out in pain if these were routinely done.
okay, i get the square in the square slot, this anti-dep for this depression dx. some people, and for me as well, i tend to alter in depressive phases, sometimes better on dopamine, sometimes seratonin, and at times noradrenaline. i know my brain is very deeply miswired. i think sometimes that a trainee electrician has wired me backwards!!! obviously a brain mapping study would be fantastic.
the medication element, geez, this irks me greatly. i suppose here i can truely say that without anti-deps i would be stuffed.(yeah would be great if we didn't have to go on sixty different ones to find the right one.) i think the magority of us would be stuffed. i suppose the physical of the mental part of the dx is a conudrum. dr's feel if we can get the hard wiring soughted then the physical will come good also. obviosly for some it is the other way around!!
in a manner i support a individual dx. even if it is a routine dx. one thing i have noted is that depressive dx's are becoming more intrinsic to the person. for me i know of my compunding factors, i know of my physical contributors, my addictive contributors and of my environmental contributors and of cause and effect situations, of baggage and of past trauma. this is how i define my depression, not just mental and not just physical, and not just about my current and past health, but of where i am at at any given time and date.
it's a tough one. i know i am compounded by many contributing factors, i know how they affect, and effect me. but the synapes in my brain do not, nor does my brain most of the time. i suppose it is finding an understanding of our illness that is most paramount. sadly depression is both a physical and mental illness, i get what you are saying, it is just understanding the intrinsic bits that are affecting any of us at any time. more tiredness, more lethargy, more sleep, more isolation, these sum of the parts of depression are for you, me, everybody with depression are what make up our similar but different depressive diagnoses.
YESTERDAY IS A BUTTERLY WITHOUT WINGS. (ME)
DX, MDD, SEVERE BORDERLINE PERSONALITY DISORDER.
REMEMBER TO LOVE YOU. BE YOU AND BE TRUE.