2) is a prerequisite of 1). The 'more better' treatment is the one that is best suited to the individual's condition.
Please don't consider these as suggestions or advices...just inputs, nothing else. Normally I try to put myself in other's shoes, i.e. if I know them in person, before I share any inputs to them...that could be useful in 'testing times'. But we know that doesn't work always as there are many variables involved. Since I know very little about you, of course, this could either be complete nonsense or stand a minuscule chance of being a tad useful.
Nowadays I'm trying to capture my thoughts and transfer them to words & useful inputs(hopefully) in this manner:
a) Under 'these' conditions or situations & 'this' state of mine, I tried doing 'this' w,r.t 'this' situation or issue and 'THIS' was what I observed. Absolutely agreed that YMMV...
b) Based on my life experiences & whatever knowledge I could gather till now & also remember, "Under 'such' situations faced by an individual & in 'such' a state(logical guess & after acquiring a 'good amount of' or at least 'some' knowledge)...what would I have done if I were in that person's shoes?
Coming back to this topic's issue, when it comes to "difficult to maintain awareness of what is going on in your own head"...Though it can't be proved objectively, I believe & also observed that "Thoughts don't appear randomly. There is a good chance that 'they' get triggered from our past countless stored memories...when the 'situation' is identical or similar to the 'one', when 'that past memory' was formed out of an experience. There is also one more angle to this but that may not be needed immediately here. So I guess that whenever an individual is under depression...seemingly without any 'source of thought' for that condition, there could be a possibility that such thoughts are deep in the subconscious and difficult to get hold of, sort of. Under such conditions, when that person engages in an activity, one that ignites a passion in that person, guess, the 'underlying' negative memories are getting overridden temporarily by the thoughts about one's passionate activity or maybe even 'lack of it', i.e. thoughts. Like it was said in the previous post, it is possible that a person under depression may not be able to realize or even think clearly in such a condition.
Extrapolating...If a person who has come out of a recent depression could gather those memories about the various conditions and situations which could possibly have triggered depression in the past, there is a good chance that the source of the issue could be identified and addressed. Notes from the already done counseling sessions could also throw some light or help make a connection in identifying the issue, if any. But there is the risk of going back into depression just by thinking about those past memories. However for a permanent solution, that may very well be needed, unfortunately, A close friend or family could help or support in such a case...
Additionally, there is a chance that none of the above is applicable and the person under depression is mainly concerned or worried about the uncertain or unknown Future. In such a case, the approach to overcome it would very well depend on the conditions and would be difficult to arrive at without specific inputs about the conditions or situations. Also, this may not be applicable in case of chemical imbalance or body anomaly.
Maybe one day I will have gained enough control over my life that the medication wont be necessary.
Hoping and wishing that this happens soon...
Having a distressful job, having limited funds, having to cut back on food to pay for car repairs, relying on US military medical manuals in order to stay out of the hospital, and all of that tends to be a boot on the throat of enjoying life. Too much of that, and you start down the slope of not being able to enjoy anything for more than a few minutes. You'll still laugh at jokes, and be able to carry on conversation, but it's not lasting enjoyment.
Yeah life can be terrible for 'seemingly' no reason. Though easy to say & difficult to execute, "Not losing hope & hoping for a turnaround" is one of the directions available for pursuit. You had mentioned that it was not lasting enjoyment. From my own experience, no enjoyment lasts long, in general. Only the duration of enjoyment & such number of occasions may vary between a seemingly well-to-do-fellow and not-so-much-guy. In my case, previously, there used to be cyclic & repetitive phases related to gaming, music, reading fictions, coding etc. Thought there was enjoyment, nothing continued for long...in a sense, they were all 'incomplete' until now. I found something that worked for me giving me peace & a purpose to my life. What worked for me may not work for others, so it is for that person to work it out & find it. No matter what, one should try their best not to get stuck or go backwards under testing times...always strive to push forward. Just remember, we are the pinnacle of evolution! Let's leave the aliens out of this for argument sake...
Today I have job that's only from Monday to Friday with a very generous starting time (=when I wake up, I go to work).
I have time for friends and time to seek out different activities that give me a sense of fulfilment (I'm learning programming and photography and it's great). I don't feel the need to collect a ton of things to feel happy anymore.
Positively inspiring to know about the turnaround.
P.S. To be edited/deleted as per new inputs...