Training with depression? Long term prognosis? Training with depression? Long term prognosis? - Page 7

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Thread: Training with depression? Long term prognosis?

  1. #61
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    • texas starting strength seminar september 2020
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    Not sure there is any opposite to depression, as there is no opposite to Influenza. Just a state of being unimpeded.
    Also, if you pronounce the e at the end of testosterone it sounds like a type of pasta.

  2. #62
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    The opposite of having influenza is not having influenza. Duh. This is not semantics.

  3. #63
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    Quote Originally Posted by Frankie View Post
    Not sure there is any opposite to depression,
    Mania might be the opposite of depression.

    Bipolar sometimes is expressed as extreme swings of depression to mania, back and forth. Hence "bipolar"

  4. #64
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    Quote Originally Posted by Matt James View Post
    The second. I would call the opposite of depression "being a willing and active participant in one's life."
    Some people are unwilling and/or inactive participants in their own lives for reasons other than depression, so this isnít truly an ďoppositeĒ. And many, many people with depression, even if not in full remission, are high-achieving accomplished people.

    Iím not sure why there has to be an opposite. But to be pedantic about it, I would say the opposite is not being depressed.

    Sometimes we describe mania as the opposite of depression, but thatís not exactly right, and itís not something a depressed person should hope for in any case.

  5. #65
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    Quote Originally Posted by jfsully View Post
    I’m not sure why there has to be an opposite. But to be pedantic about it, I would say the opposite is not being depressed.
    There doesn't have to be an opposite, but I think it's useful to characterize the contrast in self-perception experienced after testosterone administration in this way, because it explains it very well.

  6. #66
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    Quote Originally Posted by Mark Rippetoe View Post
    There doesn't have to be an opposite, but I think it's useful to characterize the contrast in self-perception experienced after testosterone administration in this way, because it explains it very well.
    Maybe, but I think it's an important point that when you treat depression, the goal is not happiness. I mean, that's the ultimate goal for most people in life, but that's not the purpose of the treatment, strictly defined. Treating depression opens a door that allows someone to do the things that will result in happiness. They still have to do those things. Nobody has invented a real happy pill yet. So I would not say that happiness is the opposite of depression, as many people are unhappy and not depressed, and in some ways I think someone with depression can actually be happy. Difficult to do, but I think it's possible.

    But the idea of opposites is tricky when you're talking about disease states. You could make a case that the opposite of having AIDS is having an auto-immune disorder. I'm not sure where that gets you, though. I don't really want either.

    To put my shrink hat back on, there are literally 227 different combinations of symptoms that, when present, can meet criteria for major depressive disorder. So there are many people with depression, as defined medically, who don't have a single symptom in common with one another. We know that depression is a heterogenous illness, but don't really know if there are 2, 3, 5, 10 or more variants of underlying biology at work. Some people respond briskly and fully to psychotherapy alone, some to SSRIs, some to Wellbutrin, some to SSRI + antipsychotic, etc. etc., and yes, some to TRT. Others don't. And it's not easy to predict who will respond to what. Some guys I look at and think, "you need T," others I think "you need antidepressants." Some of that is based on evidence, mostly it's based on experience, intuition, and willingness to try things and adjust as we go. I am not always right, but my track record is pretty good, and i will hang in with a patient as long as they are willing to work with me.

    So, defining the opposite of Depression is kind of like defining the opposite of Texas. I'm sure it can be done, but it's more of a thought experiment than anything else, and it will always depend on whom you ask.

  7. #67
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    Quote Originally Posted by jfsully View Post
    Maybe, but I think it's an important point that when you treat depression, the goal is not happiness. I mean, that's the ultimate goal for most people in life, but that's not the purpose of the treatment, strictly defined. Treating depression opens a door that allows someone to do the things that will result in happiness. They still have to do those things.
    Absolutely.

  8. #68
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    Quote Originally Posted by Mark Rippetoe View Post
    The opposite of having influenza is not having influenza. Duh. This is not semantics.
    The opposite of influenza is the antibodies that target the influenza virus.

    Quote Originally Posted by jfsully View Post
    So, defining the opposite of Depression is kind of like defining the opposite of Texas. I'm sure it can be done...
    The opposite of Texas is New York City.

    The opposite of depression is ill-defined and subjective.

  9. #69
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    I think Mark was just wryly observing the polarity of "dep-ression" and "agg-ression"..not actually claiming that psychological states have well-defined inverses.

  10. #70
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    Quote Originally Posted by Shiva Kaul View Post
    I think Mark was just wryly observing the polarity of "dep-ression" and "agg-ression"..not actually claiming that psychological states have well-defined inverses.
    Damn.

    I am changing my last answer:

    The opposite of depression is
    A composite weighted score of euphoria, aggression, not-depression, serotonin levels, dopamine levels, testosterone levels and happiness indexed on a scale from -5 to 5 where the total score must be the equivalent number of points above 0 to offset the preexisting below 0 depression score

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