My point was mostly that sometimes, it makes sense to treat the human mind as a blackbox. Our approach to psychiatric medication is frankly built around "let's try stuff that has a track history of working", and many behavorial forms of psychotherapy openly state that they use a blackbox approach that evaluates treatment methods by the evidence for their outcomes.

But yeah, i feel what you say about depression and material conditions. I'm absolutely not saying that does not have an impact. And i generally prefer to work with medical stuff that is aware of the intersection between mental health and such sociopolitical factors. One reason i stuck with my ergotherapist is that in our first session, she said that her aim is not to enable me to mask or assimilate better, but to give me tools for managing my ressources better and to enable me to choose when i apply them and when i focus more on things like self acceptance. Which is a big thing for ADHD treatment, especially in our society - a lot of patients first have to learn to be kind to themselves and not to constantly judge themselves as failures.

Eh, idk where i'm going with this. I think i'm digressing, But yeah, it absolutely eats at people's mental health to see where the world is headed. It's a dilemma that a lot of therapists are aware of. How do you treat somebody who suffers to a degree that is actually appropriate to an unbiased, sober and honest look at the conditions we live in? How much cope can you teach them before a survival tool becomes an enabler of accepting conditions that should be unacceptable? I don't have an easy answer for that. I absolutely would have broken by now if i would not have ways to manage the emotional toll that living in our world takes. I honestl wonder if it's enough or if i need ways to distance myself further to survive. I've seen with some dear friends where activist burnout leads, i don't want that kind of damage on top of everything else. But then there's this voice in my head that asks if this isn't a sacrifice we have to make for a better world when so many comrades have literally given their lifes already. It's a mess, frankly.