A very wise man once told PD that depression was like seismic activity: it always falls somewhere on the Richter scale. He was wise because he realised, unlike many of the societal misunderstandings about depression, that there is no singular, magical cure for it. These kind of false expectations can back sufferers into a corner on inflated expectations and self-criticism. This guru had watched people straddle the mental health fault-line and had observed the inevitable recurrence of shifting tectonic plates. His advice to people suffering with depression was not to aim for an idealised state of perfect health, but to work consistently and unself-critically to reach a point where the magnitude 9 quakes have been replaced by the sort of minor tremors that might, at worst, knock your coffee off the table.
Be kind to yourself and try to recognise that progress is often two-steps-forward-one-step-back, but is always positive, however modest it is. Ups and downs are as hard-wired into our psychology as seismic activity is to the Earth’s geology.