How do i manage depression without pills?

Non Drug tx.depr: Counseling and daily physical exercise are the best treatments without meds that I have seen to be successful.

Psychotherapy: Getting into a good psychotherapeutic relationship to manage and uderstand your sadness may help. In addition to therapy, good sleep and nutritional hygiene is essential. See your primary care provider for referrals.

Therapy/self-care: Therapy will help -- ask your primary care doctor or call your insurance about a mental health provider. Things that you can do on your own -- try to establish routines, sleep hygiene, small achievable goals, look for positive aspects of the environment -- do a summary at the end of the day -- best thing that happened, the things i laughed at, etc. To bring you a sense of joy.