For me, personally….

Exercise has made the absolute most impactful noticeable change in my depression/anxiety. Hands down- no question. More than any behavioral therapy, medication- or anything.

Just exercise.

I appreciate the question.

As someone else pointed out, dbt is quite helpful if someone never learned to cope and receives trauma/stumbles in life. This helped me a lot.

Additionally, it was my own curiosity and drivenness.

Watching and reading for countless hours and actively being aware of similarities to stereotypes helped me get a feel for situation.

Then learning about things I suspected I might be struggling with, then pointing therapists and psychiatrists in the direction until they either confirmed or denied it with evidence backing it up.

This led to a very tailored diagnosis and therapy which now helps me feel more in control than I‘ve ever been in my life (I never thought I lacked control until I found out how little I had).

Being allowed and accepted in my way of existing has changed practically everything. It even showed me that I‘m lucky to be alive since my condition, combined with mx childhood usually spells doom.

It’s still a ton to think about and a burden of sorts but it’s no comparison to the self doubt I had before without realizing.

TL;DR: I think the best therapy is enabled by a thorough diagnosis, fueled by an interested patient.

Disclaimer: Obviously I‘m talking about actual science allthough it can be frustrating. Fringe science and esoterics provide easy and comforting answers but it is not the way imo.

I hope this helps.

I was psychotic with delusions of grandeur for close to five years.

What saved me was a 9-month mindfulness based coaching course that taught me about presence, emotional self regulation, introspection, reflection and proper interpersonal communication. In the end they allowed me to see my delusions for what they were and that i had built my life on lies. These tools are now an integrated part of my personality and have helped me immensely in the years after, both in my personal relationships and in managing my mental illness (bipolar disorder type 1 and C-PTSD).

You should be able to learn the same techniques around emotional and reflective work if you look into certified MBSR (Mindfulness-Based Stress Reduction) courses. Preferably in-person and at least 8-12 weeks long. Please note that these are scientific techniques detatched from the glorification and the muck that gets thrown around a lot in “spiritual” circles.

Today I’m studying public mental health work and do some work on the side of advicing researchers in the mental illness field, working to make training in these techniques into an integrated part of mental illness treatment.

I fully believe that if everyone was taught these tools as part of public education we would wipe out most of our political and societal issues withing a generation or two.

Other than that I’ve adopted a “listen to what the science says” mindset and make decisions based on what’s good for me such as getting regular exercise in ways that work and that i find fun and eating healthy within reasonable limits (the mind needs relaxation too, sometimes in the form of treats and indulgence). Getting an active dog has also helped me to secure a minimal level of activity for myself when things get tough.

Acceptance and Commitment Therapy (ACT, pronounced “act”) not only helped me with generalized anxiety (which I no longer suffer from), but it also opened the door to fascinating research that I have been reading about ever since.

It is transdiagnostic because it exploits the fundamental building blocks and processes of cognition. In other words, it helps everyone who has mental health problems, as long as they are verbal (so nonverbal autistic people may require other therapy).

It is also ‘superdiagnostic’, because it improves peoples lives regardless of whether they are diagnosed with a mental health disorder.

Anyone who wants to have more flexible cognition and change their behavior, all with an empirically validated approach, could benefit from ACT.

Quitting my full time job has been the best thing I ever did for my mental health.

Regular exercise, especially hiking.

I have an app that asks me how my day was, I have like 7 years of data based on a scale of 1-5. It colors it from a gradient of red to green and gives a relative emoji from happy to sad.

For 3 years, I challenged myself to go on a nearby hike once a day for a whole month. It’s not huge. Like 2 miles out and back, about 800ft vertical gain.

I can see so fucking clearly the three best months of the those entire 3 years were the one month of each year that I hiked nearly every day.

Talking like 2.7-3.1 avg vs 4.3-4.7avg. frown literally upside down.

Now I try to go on hikes like once a week.

Feeding into existential dread, studying philosophy and trying magic mushrooms. YMMV

I think it really helps if the therapist understands the subject matter surrounding my problems. Having significant vocabulary known in common is critical to understanding.

Drugs. Not medication, illegal drugs. Ymmv. I am not endorsing anything and this is legal nor medical advice.

I don’t know their style actually. Some therapists have been more effective, and those have basically been the ones I most trusted to open up.

A patchwork of things has helped me acquire and maintain a more balanced life. I’d say the largest contributor was adopting ‘radical acceptance’ as a way of life. Basically, I’m constantly, consciously accepting whatever is happening to me. It doesn’t mean I don’t try to change things but it means that I’m not always resisting everything.

Education and anecdotes. I work a therapist for about 30 mins every two weeks and honestly, I find much of their suggestions kinda neutral. I often ask how they fit to that suggestion. That’s where they recommend a book on the topic.

Reading their book recommendations is better for me, because their advice is now given in a format where I can read and review over and over. The books have anecdotes about other use cases. It has studies. It has research paper I can personally dig into.

Honestly, my therapist is less of a “let me explain” and more of a librarian who helps me find resources myself.

Hi, Clinician here, just popping in to say that all theories of therapy basically say the same thing in different ways.

Don’t worry too much about treatment modality. Build a relationship with your counselor and put in some effort into bettering yourself.

Positive outcomes are something like 30% external factors, 40% counseling relationship, 10% therapist efforts, and 20% client effort.

watching Tony Soprano go to therapy and thinking “i wish therapy was really like this”

I did Radically Open DBT (RO-DBT) which I found to be helpful with dealing with excessive perfectionism and hyper independence and it also helped me open up for other types of therapy. I’m currently doing a mixture of DBT, CBT and ACT and it’s painful but useful for traits of BPD and social anxiety.