Deciding on depression treatment: experiences with SSRIs, therapy, or both

[NicholasS]

I've been struggling with persistent low mood and fatigue for over a year, and after finally speaking to my doctor, I've been diagnosed with moderate depression. We're discussing treatment options, and I feel overwhelmed by the choices—starting an SSRI, trying therapy like CBT, or a combination of both. I'm apprehensive about medication side effects but also unsure if therapy alone will be enough given how drained I feel. For those who have navigated this decision, what was your experience like in the initial stages? How did you weigh the pros and cons of different approaches with your doctor, and what factors ultimately helped you choose a path that felt right for you? I'm hoping to hear from people who found a sustainable way forward.

[KevinR]

What aspects matter most to you? Are you worried about side effects, stigma, or accessibility of therapy vs meds? If you want, tell me your country/insurance and we can discuss typical options and common timelines.