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How can one ever tell if their depression is rational, or if it is the product of an event, or just a chemical imbalance? Is there really any difference? After years of work with a psychologist and psychiatrist, it appears that my moods have very little to do with reality unfolding around me. Not to say it is all chemical and without cause. That is part of it. Another part of it is that I am more likely to be affected by dreams, irrational day dreams, or ruminating on hypothetical things than I am to be affected by reality. While it is good to learn about myself, it makes me feel like few can relate. Indeed, the explanation is never met with understanding.
The individual questions the source of their depression, whether it's rational, event-triggered, or chemical. Despite therapy, they feel disconnected from reality, finding their moods influenced more by dreams and daydreams than by actual events, leading to a sense of isolation and lack of understanding from others.