@Tabbouleh
OP, have you read Prozac Nation? I read it when it came out years ago. Found it terrifying and was very anti medication for depression and anxiety. Of course back then, I didn't have an ill DD struggling in a pandemic. I have changed my mind on lots of things now.
One thing that has helped me a lot as a caregiver is exercise. Very boring and perhaps may sound like a patronising suggestion. But it does help me greatly.
I remember reading that donkey's years ago - back then I was a teen I think and was very committed to the notion of my 'true self', and 'authenticity'. The idea of 'burying' that 'true self', however miserable and destructive that true self might be, with medication struck me as awful as it seemed to strike Wurzl.
I have to admit, I don't know if it's age or cynicism or experience but I find the earnestness of that position a bit naive. I think pregnancy and the hormonal effects of pregnancy and breastfeeding had a bit to do with the scales falling from my eyes in this regard. The astonishing changes to my body and mind, the fluctuations in my mood, based on hormones, was an eye-opener.
Even something as simple as ceasing breastfeeding - before I did I had endless patience with my rather needy daughter, which i put down to my world-moving love for her. Cut off breastfeeding and my daily supply of dopamine/oxytocin and I suddenly found myself much more irritable and impatient - I was panicked by this at first, thinking I had broken our bond, then realised slowly it was not because I loved her less, but because I was no longer 'on drugs' which my body naturally produced to enable me to be the best parent I could be in that highly vulnerable and dependent stage of her life.
Moreover, going off these 'drugs' was I think what precipitated me into a full on meltdown which had been a long time coming since I had lost my mother to suicide the previous year, and a high stress role at work - I had been managing the grief and stress, just barely, but then losing my oxytocin plunged me into a total system failure and I had to take sick leave. Then went on citalopam and was, again, astonished how quickly I went from utter wrethcedness to a sense of balance and calm.
More recently the PMDD I have experienced has turned me, on occasion, into a person I absolutely do not recognise and cannot fathom. once again, medication has enabled me to 'turn off' these behaviours and emotions which were themselves triggered by a chemical imbalance.
All this makes it very difficult to give credence to any notion of 'authenticity' free from the tyranny of chemicals - human existence is entirely dictated by our biochemistry, and we can hack it in a variety of ways that completely alter our perception and personalities. Exercise is another one that works a real treat for me, when I can summon up the time to do it, or indeed the motivation (again citalopram helps with this, as when I'm not crying on the floor half the month I'm a lot more inclined to be up and doing!).
Hmmm, massive derail - but I do think it is relevant on a thread where there is much discussion of 'dependency' on drugs. Our bodies are manuacturing them all the time, and being conscious of this can be a good way of both stepping back from the maelstrom and thinking that it is 'the real you' (not necessarily), and of learning ways you can take control a little bit (either organically or with medication).