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I work in healthcare, my friends know it and sometimes they talk about their weird health stuff ("should I go to a doctor after I hit my head and Im showing signs of concussion" or "I got a sunburn and now I can smell myself cooking" most of the time the answer is they should get checked out). One of my friends has very obvious depression though. I see it a lot at work too and sometimes here
talking about other peoples' problems, mental health
She's got such an obvious pathway forward and talks a lot about how awful she feels all the time. It is so obvious from the outside as someone whos dealt with their own depression and as a nurse - she needs intensive therapy and probably something like Effexor or Lexapro to help get her through the initial couple yearsBut to her, her problem is Capitalism - and Im capitalizing it on purpose. She's intensely focused on how there's no hope because of Capitalism and there is no point in therapy, medicine, seeking community, anything until Capitalism is abolished. Now, capitalism (the actual system now) absolutely is gonna make her problems worse and contribute to them and she would probably be better off under socialism or whatever. But to start off saying that she cannot deal with any problems, mental or physical, until Capitalism is abolished is really just a way to say she doesn't want to or just can't bring herself to do anything about it.
Her problems she talks about or identifies are pretty standard constellation you'd see online: transgender, neurodivergent, disabled, chronic conditions, permanently single, etc. She's not wrong that all of that can make life harder - but you can live a happy life and feel good about yourself while having them all. Saying you're doomed to a worthless life because of that is actually quite hateful, its just not extended outwards like chuds would do.
And its frustrating to watch someone, like, refuse to take steps towards getting healthy. I see it at work too with frequent fliers who just deteriorate - like diabetics who come back with another toe lost, or now blind, more MRSA cellulitis, scabies or whatever. She asks for advice but gets frustrated that it circles back to "you need to get in therapy, eat healthy, sleep 8 hours and keep good sleep hygiene." But also doesn’t do any of that or give it an honest shot - like one session with a therapist 5 years ago is not "I tried therapy and it doesnt work" and you gotta keep sleep hygiene for longer than 2 days, and you have to actually eat your meals in a day and not just fill up on water and a bite of cake...
But thats also how depression works as a disease. It makes you think nothing can work and saps away your resilience and inner wherewithal/reserve to try even after a failed attempt. Kinda reminds me of borderline - which is actually very treatable and DBT actually is quite successful and effective, its just really hard to get people to go to it and stick to it. But if they do, it works! Kinda sucks the same organ that does reasoning and makes plans is the one thats effected by the illness.