I think depression is more complicated than is generally understood. I've spent years in therapy learning coping skills and reframing my past and so forth, and it did help. I also agree that taking positive action is an important part of living well. You have to make an effort. If a truck runs over you, a doctor can set your leg, but you still have to get out and walk, do your physical therapy, learn not to be afraid of trucks, and so forth. Same with depression.

That said, NOTHING ever made the difference in my life that the right meds make. It was like flipping a switch. I honestly didn't know what normal was until I got on the right medication, because I'd never felt normal.

So I guess in summary I'd say, I think both things are true--the 'it's a disease' outlook and the 'you have to try' outlook.

Also I think people should refrain from taking other people's inventory on most subjects, but especially on health matters. Too many people feel too free to pass judgment on others these days. It's rarely welcome or helpful.