David McElroy

Do antidepressants work? It depends on who you ask and what standards you use. But a new Danish study concludes we just don’t know. There’s no question antidepressants make chemical changes in the brain, but the truth is that doctors don’t know enough about those brain processes to do anything more than try certain drugs and see what they do. The Danish study says that if antidepressants do help, the effects are tiny. I know plenty of people who swear they couldn’t live without their antidepressants, but the more I study about the root causes of depression, the more I suspect the placebo effect is what’s going on. Although some studies suggest these drugs have slight positive effects for some people, others argue that the positive effects are tiny — and that they cause more deaths than can be explained. There’s nothing wrong with using any drug that helps with something wrong with us — especially short term — but I’m coming to suspect that whatever good SSRIs and similar drugs do comes from masking our underlying issues, not fixing them. Denial is popular with humans, so it will be no surprise if this eventually turns out to be true.

Your brain has almost certainly tricked you into making bad romantic choices. A California psychology professor writes in Psychology Today that there are four things our brains do that cause trouble: 1) We think we know what we want — but we don’t. I’ve seen this in myself and if you haven’t seen it yet, you will. The things I wanted in a mate when I was young are completely different from what the mature version of myself wants. 2) We like more choices — as many as possible. We tend to believe that more choices lead to a better selection in all sorts of areas, but the truth is that too many choices tend to lead to the paralysis of failure to choose. 3) We try to be rational by “keeping our options open.” We’re scared to make the choices we need to make, because we’re scared of doing the wrong thing. This keeps us trapped in bad situations — and better choices eventually disappear. 4) We stay with the wrong people, because we don’t want our effort to go to waste. I’ve done this. Maybe you have, too. On several occasions, I’ve stayed in a relationship that I knew was dead and needed to end. At this point in my life, I know to trust my gut. It’s a lot smarter about most things than my conscious brain.