Skills before pills, I agree with you fully. However, cynics would retort: "yeah sure, walk and exercise more, thanks I'm cured" And I think there is somethin

Skills before pills, I agree with you fully. However, cynics would retort: "yeah sure, walk and exercise more, thanks I'm cured" And I think there is something to that in the sense that when you are in that hole, when just pulling yourself out of bed seems like a monumental task akin to moving a mountain -- these adages ring hollow and seem beyond reach. I know what I need to do when in despair, making it all the more frustrating. At that point I think the most important skills are to challenge negative thought patterns, and work towards tiny victories (showering, eating, getting dressed for the day). Once I have some momentum, going for a run or walk no longer seems impossible. Point being, I feel telling those who are in the midst of a low its so simple can be counter-productive... Its kind of simple, muddled by our cognitive distortions.