I know exercise and daily maintenance, but is there anything else besides TRT that will assist in doing those tasks?
Cognitive behavioral therapy is a proven strategy for depression. CBT is one of the go to strategies for depression and is a client based, short term solution that works well with exercise and meditation and wholistic strategies.
My day job is that I am a psychotherapist directing substance abuse programs. I also have had a clinical practice for 20 years and have written some ebooks for my clients that are available on Amazon. CBT Made Simple, one of them, is a quick read that introduces you to the concepts and can get you started right away. Here is a link:
https://www.amazon.com/-/e/B00LRJF0W6
If you can't get relief following these strategies for 6-8 weeks, look for a therapist that specializes in CBT. Medications are a last resort, and if they are used CBT should also be a part of comprehensive treatment. Meds help initially, but if behaviors don't change, diet isn't good and there is no exercise, you won't maintain any progress. The books are easy to read, if you don't want to purchase them, there are over 200 blog posts that have self help strategies that I know will work. I use them with clients, and myself, and they work if you put in the effort.
I am concerned that too many guys on the forums think TRT is a cure for depression, anxiety, and ED. It may be in some cases, but in most changing thinking and behaviors, the essence of CBT, is a better strategy. TRT and some CBT would be the best way to go.
I'm hypo-pituitary and all my hormones were low so if your hormone levels are good this may not apply to you. I lived in a state of depression my whole life until I got my thyroid and TRT properly optimised. I never realised I was depressed because this was normal for me. This was a life changer.
CBT is pretty expensive, though.
My thyroid was fine too.... according to many MD's. But it wasn't and only a hormone specialist was able to diagnose it and treat it. Fine is a big word around here and doesn't mean anything unless you actually have all labs for it.
Not at all. If you have insurance, a therapist is covered. If you don't have insurance, it is a great self help tool. The goal of CBT is to make the client self sufficient and more capable of coping with their own problems. CBT is designed to be short term with most people showing a marked improvement within 90 days.
My bloodwork showed normal thyroid results.
It may very well be less simple than it appears.
What was assessed and what are the numbers? If only TSH, and that number is above 2, your doc may have no clue that you actually do have a thyroid issue.
I'll do it as long as it's nothing like talk therapy.
OK, looks like you have it all figured out. Good luck.
Your choice. If you are resistant to change, or doing the needed work, nothing will change.
If you are interested, PM me an email address and I'll send you a some info that will get you started.