While lifestyle changes like diet and exercise are effective for mental health, their utility is primarily preventative. During an acute depressive episode, a person often lacks the motivation to implement them. Framing these interventions as a way to maintain stability during periods of wellness is a more realistic and sustainable approach.

In its rush for the next breakthrough, the field of psychiatry often discards older, effective treatments due to historical stigma. For instance, MAO inhibitors and modern, safer Electroconvulsive Therapy (ECT) are highly effective for specific depression types but are underutilized because of past negative associations, a phenomenon driven more by politics than science.

Doctors are often trained to interpret symptoms arising after stopping psychiatric medication as a relapse of the original condition. However, these are frequently withdrawal symptoms. This common misdiagnosis leads to a cycle of re-prescription and prevents proper discontinuation support.

The narrative that personal problems require therapy pathologizes what are often systemic economic issues. You cannot "therapy your way out of material precarity." Structural solutions like higher wages, affordable housing, and a stronger social safety net are often more effective mental health policies than individual introspection.

A psychologist agrees with Scott Galloway's critique of the therapy industry, highlighting that structural issues like poverty are key drivers of mental distress, and that not all therapy is accessible or ethical. This counters the simplistic social media backlash against his views.

The common narrative that recovery ends with a cure is a myth. For many survivors of major illness, the aftermath is the true beginning of the struggle. It involves grappling with post-traumatic stress, a lost sense of identity, and the challenge of reintegrating into a world that now feels foreign.

America's mental health crisis is largely driven by economic precarity. Systemic solutions like a higher minimum wage, affordable housing, and universal healthcare would be more effective at improving population well-being than an individualistic focus on therapy, which often treats symptoms rather than the root cause of financial stress.

While the absence of human judgment makes AI therapy appealing for users dealing with shame, it creates a paradox. Research shows that because there's no risk, users are less motivated and attached, as the "reflection of the other" feels less valuable or hard-won.

The term "depression" is a misleading catch-all. Two people diagnosed with it can have completely opposite symptoms, such as oversleeping versus insomnia or overeating versus appetite loss. These are not points on a spectrum but discrete experiences, and lumping them together hinders effective, personalized treatment.