I understand why some people do not reach out in their darkest hours. Society spells out exactly what makes a good person. To those who are afraid of falling short of people’s moral standards, it might seem more attractive to disappear than get over the fear of reaching out and suffering criticism. Who would be confident to share a narcissistic personality or psychopathy diagnosis? I imagine very few people would.
The claim that depression is purely a result of lowered serotonin levels is indeed one that can and should be challenged. Antidepressant use isn’t effective for everyone, and even if you’re taking them the problem they’re supposed to be addressing can often return or eventually get worse. External factors in your life can be a big part, if not the main part, of an eventual depression diagnosis. This is all true.