I was put on Cymbalta by the top-rated hospital for nerve pain, anxiety and obsessive compulsive thinking, and major depressive disorder. I was on it for four months and then had to taper off very quickly as my body doesn’t tolerate Cymbalta, which genetic testing later confirmed. It wasn’t fun.
I will be honest - I do not associate with the diagnosis of major depressive disorder whatsoever. I do not have deterministically genetic, chemical, or permanent depression, and I don’t think that’s as common as people frequently believe it is. Once I understood the source of the depression (thoughts and beliefs that formed as a result of awful childhood experiences) and learned how to challenge and reframe it, the depression went away. This was successful because those thoughts and beliefs ultimately led to negative thinking patterns that had become deeply rooted in my daily life - that’s all my depression was. I can deal with anxious thoughts much better, too. The antidepressant wasn’t worth it for me. Other people may feel differently about their own situations.
This is why I have a very hard time with the way the world often views “mental illness” as a one-size-fits-all problem. I suspect there are many people like me who get hit with these “permanent” anxiety and depression diagnoses when the issue is habitual thinking patterns that formed early on in life. PTSD is a fantastic example of something that forms as a result of trauma and can be 100% reversed, but a lot of people don’t realize that. For some of us, it’s not a mental “illness,” but a reaction to life that becomes habitual.
So for me as an individual, medication wasn’t as effective as me retraining my brain. Maybe medication can serve as a helpful crutch and ease the feelings for someone as they do the emotional work (and that’s okay), but I was fully off medication by the time I understood what I needed to do. The medication didn’t help me at all in that area. Again, some people may feel differently about their own experiences. Some individuals may feel relief to have the helpful crutch, others may feel too “numbed” by medication to do the emotional work, etc.