@saltandpepper @postman-404 @LostAngel @NatureLover
Hi saltandpepper
The way I understand it is that MH issues are addressed, clinically as a problem, when the impact of those issues on our lives becomes destructive or otherwise influences our lives in a significantly negative way. Under these circumstances, the problem extends beyond the scope of self-management.
The following extract from an article by the Harvard Health Publishing division of the Harvard Medical School gives a clear explanation.
Quote: “Depression is a word with many meanings — anything from a passing mood of sadness or discouragement to a condition of inconsolable misery, suicidal thoughts, and even delusions as well as severe physical symptoms. It's regarded as a clinical disorder when the depressed mood and related symptoms are serious enough or last long enough to interfere with work, social life, family life, or physical health.”
It is regarded as a clinical disorder when it affects our lives in a way that we can no longer “self-manage” the effects.
I certainly agree that while a depressive episode is at a level that we can self-manage, then, by all means, that is an admirable and appropriate course of action.
However, many people are in a situation where, without appropriate psychiatric and/or medical intervention, their lives may, indeed, become unmanageable.
These forums are, in effect, another resource people can access. If people are facing problems that can be addressed with the type of peer support that may be available through these forums, that support may be sufficient assistance. However, there are many people for whom peer support can be used as a 'third tier' intervention after psychological/psychiatric and medical assistance has been provided.
I believe, that if self-management of the issues, that many people on these forums face, were efficacious, then most would already have addressed those issues and their consequent effects.
Unfortunately, for many people, the issues to be addressed are so persistent and severe as to require additional support. In such circumstances, simply accepting, embracing and self-managing the problem is not sufficient to diminish the severe and adverse impacts on those peoples' lives.
Cheers,
HenryX