Not in my case. I have family and friends close by. I'm convinced it's something wrong with the chemical levels and receptors and in the brain, something that pharmaceuticals can help with. It doesn't have to be standard pharma: I'm reading encouraging reports about Kratom, LSD microdoses, Ketamine, and Psilocybin (Mushrooms.) I take Abilify which works wonders for me to keep the Black Dog away. Now that they off-patent (or something, I don't really understand it) it's cheaper. My initial look at it was going to cost around $900 a month so I could not continue even though it worked, so I suffered for another 2 years before I crashed. Now it's cheaper and working fine.