Is there really any effective treatment for depression and social anxiety or is it all mostly a load of old crap and just a scam to keep therapists in work? If you exclude medication I can find no advice or help whatsoever that has had any effect or given me any motivation or hope at all. Perhaps its pretty much incurable past a certain age with some people and in certain circumstances. After all most help for depression assumes you have good family or friends and most help for social anxiety assumes you are brimming with enthusiasm and positivity.
It assumes so much and offers so little. All books and self help sites only make me more depressed as their advice is absolutely shit and bares no relation with my reality and life experiences at all. As mentioned in my previous post people are highly judgemental and many ridicule us so its not all maladaptive thinking. For social anxiety they advise you start with easy situations but I cant find any, at all. None. Certainly not that I a prepared to do for prolonged periods of time and every day for months even if it makes me extremely humiliated and ashamed and gets me ridiculed. You see that will almost certainly make me worse and suicidal as I wont get better as I wont make witty banter under stressful situations and people will mock me and dislike me.
Thats because if you act very shy people think you are weird,strange mental and never want to see you again. Fact. I still cant get over the advice of a man my age(OVER 40!) going up to strangers on the street, in elevators and supermarkets and awkwardly speaking some shit about the weather and claiming that people especially woman will love me approaching them and making awkward small talk awkwardly like a shy awkward person with no confidence. Did I mention I am awkward? Only a complete twat would advice this as a simple thing to cure for social anxiety. Its absolutely destined to fail and then reaffirms all negative beliefs making me EVEN MORE AVOIDANT!
Its not easy to hear but I think for many people with depression and anxiety there is no effective help whatsoever and you will never fully recover. You will either have to learn to live with it and get any shit job you can manage like I did for 20 years at minimum wage eve though I was in the top 10% of my school or even worse. The NHS as far as I can tell is in complete collapse with mental health ignored and has many therapists who are useless. The advice simply doesn’t work and completely ignores the persons personal circumstances. For instance many social anxiety self help sites just assume you must have one good friend to go and do things with or a valued family member who you can rely on. Many dont. Just like I cant get any sleep or even try to meditate or relax because of NOISE! NOISE! NOISE! all day, every day. Sometimes at 2 AM and sometimes again at 7 AM and all day. So I would have to move house and first get £150,000 from nowhere.
Lifestyle changes to treat depression
1.Exercise. Regular exercise can be as effective at treating depression as medication.
Not really. It helps to sometime go for a walk but most walks in my city have little of no effect whatsoever, often making me feel worse. I cant afford a gym and being a 45+ year old male loner would not feel comfortable on my own in the gym anyway.
2.Social support. Strong social networks reduce isolation, a key risk factor for depression.
Well there’s your problem, having social anxiety and being a loner I only have one friend who I see only several times a year and never speak to anyone else for 47 weeks of the year.
3. Nutrition. Eating well is important for both your physical and mental health.
I have eaten more fruit and veg. Effect;none whatsoever, I regularly feel hopeless, insomnia has returned and I am desperate and often feel like committing suicide. F**K spinach. All it does is make me go for a crap at 1AM.
4. Sleep. Sleep has a strong effect on mood. When you don’t get enough sleep, your depression symptoms will be worse. Sleep deprivation exacerbates irritability, moodiness, sadness, and fatigue.
Yes, this is very true. I woke early again today and feel terrible again. Unfortunately what they never tell you is if you live in a bad environment or have noisy neighbours there is absolutely no choice whatsoever. Ear plugs are useless for thudding noises. If we could all live in a quiet country mansion we would.
5.Stress reduction. Make changes in your life to help manage and reduce stress. Too much stress exacerbates depression and puts you at risk for future depression.
How? Being avoidant reduces stress and yet you are told to not be avoidant.I feel stressed all day even without a job. Imagine if I was being bullied by the job centre and threatened with homelessness as well for not looking for work hard enough. Social anxiety is the cause of everything but I cant get rid of that without getting rid of depression. How do I get rid of social anxiety when I have no motivation, suicidal tendencies, anger issues, fear of intimacy and paranoia?
Help for social anxiety is even worse because as mentioned previously most CBT for social anxiety assumes you are already highly motivated, enthusiastic, have no depression, have no paranoia and that you always burst into witty banter in a great voice with no blushing, stammering or sweating and no awkwardness at all and people love anything you say, never ridicule you or avoid you. Oh and that you are under 30 as nobody still has social anxiety past 30 and of course they assume you are attractive too or looks dont matter. Funny so many shy and nerdy people look like Mr Bean then.