I don't think it's at all fair to say that people who choose to do without meds must therefore only have 'mild' mental health issues though. That is just as much an assumption as the 'all meds are evil' argument. For people like myself who have basically lived with CPTSD, severe depression, GAD and various other issues my whole teen/adult life I have tried a wide range of antidepressants and although some of them have helped me sleep and helped me cope for periods they largely did so by shunting my problems elsewhere. eg Mirtazipine helped me sleep but also messed up my sleep/wake cycle and I am still paying the price for that now I am off it, it made me able to cope with my low mood to the extent that getting a better nights sleep gave me the energy to employ my usual coping strategies, but I also started offloading the remaining pain by comfort eating, eventually putting on too much weight and getting diabetes - plus it numbed me psychologically which made it harder to use my coping tools of painting and writing, which in the long term caused more harm than good. The decision to come off them was based on having to weigh up these pros and cons, not because I have mild problems. I do not, I score towards the top end of mood/anxiety scales, highly on the Sanity score (139), have daily suicidal impulses and desires to self harm that I have to manage everyday, panic attacks that I have to manage every day, social phobia, social isolation and loneliness, no relationships for years, sexual freezing/touch issues, crappy memory, chronic insomnia, flashbacks, dissociation, emptiness etc. I cope because I have to, not because it's easy.