> I prefer to change my environment to fit how my brain/body works, not influence my body/brain by swallowing side effects riddled pills

Just try harder to make insulin, bro. You can outthink that t1 diabetes if you try hard enough.

This weird macho resistance to and scorn of anyone using the mental tools we have available is why men kill themselves at a much higher rate. There is no award for who struggled the most in life.

Do they always work? No. Do they work for a lot of people? Sure do. Can they be replaced with diet and exercise and different circumstances? Yeah, sometimes. Is that realistic? Not usually.

They aren't magic. They don't forcibly make you happy or change your personality or make your problems go away. You still have to do the work. But they're a crane to help lift the crushing weight you're under so you can shimmy out from under it.

If you don't want to use them, fine, but not using them doesn't make you a better person.