So, a former partner had a long history of depression, with shifting diagnoses. Since childhood and twice while we together, they suffered crises and spent time in a psychiatric institution. Unfailingly, within a few days, they would start to feel much better. Great rejoicing. But once they were back in "the real world", things got worse again. Not always rapidly, not in the same way, but unfailingly, at some point, they were again suffering from depressive episodes. They tried to counteract and preempt this by medication, but crises would still develop and they would lash out, drink too much or something else that to the outside observer looked like a sudden turn for the worse, generally caused by my former partner. Now, it quickly seemed to me that their depression wasn't something wrong with them, but correlated with regular changes in their environment. It was being "out in the real world" that was making them sick and being in the institution made them better. It was like getting asthma from air pollution or skin cancer from ozone depletion. Yet, for all of their life, they've been forced to internalize that something was wrong with them, that the problem reside with them. When superiors treated them badly and then they felt bad, that wasn't the fault of the superiors, it was them overreacting and needing a change of meds. Nevermind that the current medication plan was already the result of some crisis that had ruined to previous plan. Nevermind the changing parade of side effects from annoying to terrifying. But then, sometimes, they did the ration thing and resisted. They assigned blame to the actual perpetrators. So now they were "difficult" and "obstinate" and "treatment resistant" and faced with the threat of violence, of being institutionalized and medicated by force. Unsurprisingly, that situation did not help their well being either.