Who “managed” specifically? Was there no suicide back then? I also don’t think anyone is taking these drugs because they believe they’ll make them happy all the time. They just don’t want to live with the CONSTANT crushing thoughts of despair. They just want a reprieve.
I don’t think it’s a stupid question. I think it’s a sad question. My dad has numerous mental problems that have all but destroyed our family, among them clinical depression and borderline personality disorder (yes, diagnosed). He almost ALMOST went on medication once. And then his mother stepped in with the line, “They didn’t used to have these drugs, you’re weak, have faith, pull yourself up by your bootstraps and stop wallowing.”
When I asked him if he would fail to put a cast on a broken leg, take insulin for diabetes, or irradiate cancer, because he should be stronger and will himself out of it, he thanked me with tears in his eyes. But never went on the meds - my grandmother holds too much sway