I don't know what to say, except over 30 years ago, I did see therapist for a full year during university. There was no meds but hard work on my part. I am indebted to her guidance.
My sister died by suicide and I am dimly aware she did try meds. (after seeing a psychiatrist) for her deep depression, not sure there was a therapist to complement, if any. The depression which she hid so well from her birth family for last 15 years. I know she really would have disliked being on meds: she was a fully trained, licensed pharmacist and had pharmacokinetic understanding of drug interactions. And I knew she voluntarily took herself off when she could. You have to understand: she left the pharmacist profession because she didn't want to contribute to a system (from her perspective) on sometimes over-reliance of drug treatment /substance abuse for certain conditions, when she saw certain patient refills as pharmacist serving patients.
Because she and I are from the same family, and I can only guess some of the major issues that would have caused her depression: I so strongly believe considerable talk therapy with cross-cultural understanding would have been of enormous help to her. Not every therapist has experience in this area of counselling nor may be to establish the right "rapport" with the patient. I seriously question my sister found the right therapist-- but also for my sister if she didn't have enough of the "right" people encouraging her since she hid her deep depression.
Would I want to consider meds? No. I already had the enormous benefit of talk therapy. So I am biased (and deeply grateful).
But sad. I miss my sister --every day.



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