Amazing thread. I'm truly impressed with the open, honest & deeply personal comments by many forum members here.
I don't *think* i suffer from serious depression, though i did go through a rather dark period in my mid 20's (who knows? maybe i do suffer after all). However most of my mum's side suffer from it. All my male relatives in 2 generations were alcoholics; and in hindsight, suffered from depression (my mum is still paranoid about me trying homebrewing!). I think i just have a bit of an innate ability to see the negative in everything :unsure: so these days i'm consciously working on seeing the brighter side of life, staying active, etc.
I'm a professional naturopath (specialising in Nutritional & Herbal therapies), so i occasionally work with patients who also suffer from depression & anxiety.
I'd repeat Ducatiboy Stu's comments, & others, that a holistic approach definitely helps. And everybody's different. Hence, what they experience and what works best to moderate the symptoms varies a lot.
Admitting to yourself that you suffer from depression is the hardest, and most important step.
(Deciding to do something about it can be the next hardest).
Pharmaceuticals are not always needed, but are generally a great first step to help level out the emotions &/or raise someone out of the black shroud they're in. Most people commenting on their personal experience here seem to be referring to moderate to strong depression - so the pharmaceuticals are generally essential.
So once someone gets to a slightly more milder level of depression, the other holistic stuff can have a greater impact.
I should say: Talking to someone is possibly the most important. I believe that includes both a professional (keep hunting until you find the one right for you, same for a GP) and friends/family - partly just to realise that there are many people out there suffering like yourself, and that you can tap into any support network around you.
Diet makes a massive difference - in terms of improving nutrition to the nervous system, levelling out energy fluctuations, increasing intake of some specific nutrients (eg: tryptophan, DHA (an omega-3 fatty acid), etc), and resolving any gut problems (eg: IBS, allergies, malabsorption, etc).
Exercise is also generally fantastic - the problem being motivation, of course.
Sunlight can actually make a significant difference - it stimulates serotonin production.
Avoiding stimulants can also be important. Unfortunately that includes booze. Caffeine/coffee too. Sometimes complete abstinence is best, but commonly just moderation is required - eg: couple of drinks on a saturday night is fine, just monitor how you go on the following day, etc.
Re: Caffeine is accumulative. Galbrew is correct in that the liver will clear it out gradually (dependant on what else the liver is detoxifying).However, I would suggest that there is still a long term accumulated effect on the physiology that can be unbalancing on both energy levels & hormone profiles. It also definitely aggravates any issues with anxiety. Given many people with depression also have problems with anxiety, this is a significant problem. Hence, the need to moderate or eliminate caffeine. Probably treat it the same as booze, really.
I hope everyone is ok with me writing mainly about my professional knowledge rather than personal experience with depression, given the best thing about this thread has been everyone expressing their own personal experience with depression. I just thought while some comments on possible holistic treatments were being thrown around, i'd put in my 2c worth.
Obviously, everyone has their own beliefs & experience with what works best for them. Definitely, the holistic approaches can help a lot, but i'd strongly stress the importance of seeing a professional health practitioner initially - it can be hard to gauge the severity of your depression & anxiety (& hence certain treatments [drugs & psych therapy] that may be necessary) when you've lived with it for years.
Stu