[quote author=Loch Ness Monster link=topic=47687.msg1434143#msg1434143 date=1322520600] I think the medications make the lows more bearable and less negative, frequent and harmful, but I have noticed that they make the highs less so. I think that counselling is the main mechanism for dealing with depressive episodes, the medication can provide the confidence and platform to actually get you to the counsellor. [/quote] This is an interesting and important point. Ive had patients mention to me on numerous occasions that their emotions are just flatter across the board, lacking the highs and lows alike. Which is one of many reasons why medication is usually not the entire solution but rather a piece of it, often the kickstarter. The problem is that so few primary care general practitioners have the specialised knowledge to do much more than prescribe an SSRI (and often do not know how to pick the one most appropriate to the specific patient. Getting referral to someone who is a mental health specialist is very very important. GPs simply dont have all the tools (and its not reasonable to expect them to).