Some might believe that saying your treatment resistant is an excuse or cop out. Some might think that all depression is treatable or even curable and that having an attitude of managing or living with depression is the absolute wrong one.

I have to say that after 37 years of suffering from depression and 20 years of aggressively treating it I have been forced to face the reality of managing and living with it and figuring out how to best organize my life around that fact. Doesn't mean I have given up hope or have stopped trying, I haven't. But given all my history I have to face the fact that it is not likely to go away and therefore I have to plan accordingly. This is what I have been very much struggling with the last two years.

I have been extremely lucky in that I have always gotten very good psychiatric care and therapy. I have not totally relied on professionals. Most of my treatment has nothing to do with professionals and are things I have done and are doing on my own. I can make you a long list. Its not defeatist or losing hope it is facing reality.

For some people it is just a fact that living with and managing is the reality. I think that is why DocJohn created this section. As far as I know no one asked him to. Based on his opening statement to this section it seems that something in his practice or personal life prompted him to create this section.

I am not at all advocating that any of us stop trying new things or lose hope but for me it is facing the reality of how life really is.