Depression, Anxiety, PTSD: What to Do When Nothing Seems to Work

[@catmate8358]

When I am depressed I cannot exercise and nothing irritates me as much as the people who recommend exercise as a therapy for depression. I can only speak for myself but I suspect the same is true for most other people who suffer from depression. If I were able to go out running, I wouldn't be depressed (and brush my teeth twice a year).

[@TeamCat1128]

Yes. Same.

[@tinasecret4279]

What would you think would be a right or better suggestion? When I think of exercise, it could even be something as going for a 5 minutes walk and then increase it within days or weeks. I know everyone is different, but I believe that humans are suppose to move their bodies and by doing so, it can help with their symptoms. Also I read that being outside can help with the mood.

[@zhonguocha]

Same. It's not exercise you need, it's enjoying your physical body for a moment. For some this is running, but for others it's sitting in the sunshine petting a cat. Rolling around on your floor stretching. Braiding your hair. A walk around the block.

[@Infadeyl]

I worked physical jobs a majority of my life and even had abs at one point, depression and anxiety exists despite that. Recommending exercise is a HUGE pet peeve of mine.

[@Luxie1305]

Totally agree. Eating clean costs money and discipline.

[@ImNotaRussianBot]

I feel so proud of myself when I shower AND have clean bedding. To me, that is a good day.

[@PsyChoAnaLize]

❤ indeed

[@mombug]

@@ImNotaRussianBot Felt!! 🙂❣️

[@richardfadle5921]

Nothing to be ashamed of!!! Just do your best! Be proud of th little stuff accomplished!!! And don’t put yourself down when you’re not your best you!!! Take one day at a time! And do your best! That you can do for that day! Or time of day! Even. NO INE PICKS HOW THEY ARE!!! Or the problems that they have!!!!

[@Kathyahedrick3]

I’m feeling the same way! It’s impossible to be productive while suffering from this condition!

[@godspurple4805]

It is… I took a shower today and so proud of myself. I forget when I showered last night

[@lmzaadi]

My provider doesn’t want details. She asks me if the meds are working and if I haven’t been hospitalized or arrested lately I say yes. I wish I could find someone like Dr. Marks but it seems like the people in my insurance bracket don’t even have the relevant degrees. You’ve no idea how valuable these videos are. You’re helping some of us, more than our actual clinicians

[@Lexi_Con]

🎯💯❤️ YES!!!

[@sheabutta5425]

Definitely get a new psychiatrist. I dropped one who was similar in that I'd try to give examples of how side effects affected me at work or socially and he'd just say, let's see how it goes in a month. Dropped him after 10 months and got a new one. The chats are a bit longer (15-35min) but very thorough.

[@spunkysparks1779]

Certainly. Dr. Marks is a highly esteemed professional within our organization. Her extensive knowledge and meticulous approach to providing comprehensive explanations are truly commendable. Moreover, her compassionate and caring demeanor further enhances her interactions with individuals, fostering a positive and supportive environment.

[@iPLAYtheSTATION]

@@sheabutta5425 I second this, definitely go to a new psych if you're current one doesn't seem to be helping. I also had to drop a previous one. He took me off a med that was working and kept putting me on meds that didn't work. His appointments were very short (not even 5 minutes), he was too direct, and he treated me like I was bothering him when I asked him questions. I went to a new psychiatrist who was shocked that he took me off a working med, and she put me back on it and now I'm doing better. She also is thorough in her explanations and lets me ask questions.

[@cynthiarm253]

She is amazing.

[@krismas6857]

Comment sections like this make me feel less alone. I wish the best of healing to all of us. Thank you all for sharing.

[@ajfuller83]

There are no words to express my gratitude for how much better you make me feel about my depression and anxiety. Hearing that certain things I feel and deal with are common is therapeutic in itself. Poor mental health can make you feel so alone and like you're the only one with certain struggles. Thank you so, so much for your perspective, Dr. Marks, and for doing all that you do.

[@ChrisSmith-tu9bu]

I couldn't agree more

[@stillnotsure5902]

I refer patients to your videos. The more times and ways a person hears a message, the greater chance it will sink in. You have a friendly yet knowledgeable expert presence that many ppl resonate with. Plus, you’re “on call” 24/7, in a manner of speaking. Thank you for what you do!

[@bocaniciucristian8477]

When my sleep got fixed ..I found myself in a much better mental state ..and the meds stopped..any progress is a win..

[@ryleereynolds5710]

How’s you fix your sleep? Mine has been horrible for a year.

[@danubiasampaio7039]

@@bocaniciucristian8477 I want to know too, I've been plagued by nightmares cause my sleep has been crapy.

[@balbae]

What did you take for sleeping?

[@bocaniciucristian8477]

@balbae if realy nothing works for sleep .try with tryptophan from Solgar .. This substance enters the brain directly ..it is literally brain food .

[@PracticerOfMetta]

Thank you so much. May you be free from hostility, danger, mental, physical, and spiritual suffering. May all beings, seen and unseen, in all realms and planes of existence bless you. May all beings feel inner peace and happiness. Amen

[@chinookvalley]

I never had an issue UNTIL I was in a car wreck. It wasn't the injuries (which caused severe disabilities) so much as the fact that the person who caused the accident, was never held responsible. It was 30+ years ago. A judge's daughter who was high on drugs, her driver's license had been revoked so didn't have one. She walked, and my case was dropped by a judge who was a friend of the judge. There was nothing I could do to get justice. The physical pain pales to the emotional disillusionment of what happened.

[@volpeverde6441]

wheels within wheels....who you know.... I had a similar accident at a big pharma company....all the solicitors in the city work for them....disabled at the time - I represented myself....I lost....but gave them my best shot....

[@Infadeyl]

Would spreading the word be defamation? I would want to know who these people are and I'm sure everyone else would too in order to avoid biased judges like that, and to hope for the justice system to come back around and bring retribution.

[@volpeverde6441]

@Infadeyl never happen....they are all MASONS and sworn to protecting the ELITE....the MONEY....we are just CATTLE....to test their poisons on....

[@Prometheushighaf]

I started regular good high quality multivitamins. Then fish oils. No alcohol. After a month feeling much better I added ginseng. A mild stimulant feeling for me. My life is considerably better. I'm ready for more exercise. Life is good.

[@jeanpaultongeren125]

eating healthy can do wonders, Even when I am on anti psycotics im still able to do thins, like watching a movie, going out for a run/slow walk/running/ and sitting in the sunshine for some vitamin d

[@RowOfMushyTiT]

For me B-vitamins, Fish oil, Lecithin, NMN.

[@VanessaSimon26]

I wish I was well. Not vitamins nor antidepressants. Nothing is working.

[@Infadeyl]

@@VanessaSimon26 Yeah, my depression was never from a physical cause. When I am NOT depressed, then sure, eating clean and exercising is a boost. But doing all the right things for your physical health, under stressful circumstances, can still allow severe depression no matter what. 🤷‍♀️

[@HFVidShotz]

Thank you. My spouse suffers from PTSD, depression and anxiety. I watch your videos to help me be able to better help them. I would also share with them some of what you advised. Hoping to continue to help them with your guidance. Thanks again!

[@kristinhall7574]

I remember when cleaning out the dishwasher was a big thing. Taking a weekly shower and forcing myself to do it was a cause of celebration. I was so proud of myself and my family didn’t get how difficult it was and brushing my teeth every once in a while was a monumental task. I get the point of exercising helping with depression but I was very fit when I was developing schizoaffective disorder and my exercising at the time didn’t make a difference.

[@miapsychologue5343]

How are you now and how did it change?

[@liamcanning8268]

I was so blown away that I found your video ! It is something I had started to already think myself ! Listening to you One thing occurred to me ! The Brain is a Muscle ! What I never considered was that the power of thought can cause this Anxiety ! Well the More we do this The More Powerful it seems ! Hence how difficult it is to try and stop believing our minds ! Just an addendum! So Over the Moon to have listened ! 🙏🏻🙏🏻🙏🏻❤️❤️❤️

[@sirajyousef5915]

Thank you for the translation to Arabic. I can understand English very well, but still watching your videos in my native language is really another experience. Thank you very much ❤❤❤

[@seriusblack8420]

severe anxiety, debilitating insomnia , frequent panic attacks made me stay closer to the bed for most of my day time, its irony that even when i could not sleep during nights , daytime sleep evaded me , I faced most of the ALDs explained in the video along with few more like swallowing food , completing small amount of lunch used to take more than an hour , simply bathing after 15 days gave used to give me palpitations, even if I tried to go out I started filling sensitive to normal wind and gave palpitations , medicines helped me in majority of my ongoing recovery, CBT later on helped , So I think it depends on level of symptoms and I still feel when I was in abyss medicines armed me to fight against formidable foe

[@wero1799]

My psychiatrist was straight to the point "I won't prescribe you anything for anxiety, because it's a disorder that needs to be understood, not covered with meds"

[@lauragadille3384]

For some people yes but if it's hereditary then no

[@wero1799]

​@lauragadille3384 most people from the site I learn about anxiety have beaten in without any meds. The lead psychologist doesn't recommend (but not forbid) anything to take because without meds people feel a lot worse and they become dependent from them. It's better to understand, accept and ignore anxiety. It helps people to fully recover from anxiety disorders unlike meds. If someone won't understand the anxiety mechanism, they will never recover.

[@VS04]

@@wero1799

[@ceesan5605]

My doctor doesn’t want me to abuse meds but puts me on things that cause kidney , liver damage and skin rashes lmaooo

[@metalcatmom5891]

I do understand my anxiety, but that just means when I'm feeling like I'm having a heart attack and think of killing myself, I know why, and I know that I'm not having an actual heart attack, my brain is acting a fool. I still need meds for anxiety though.

[@Arcqueline]

You know, I just always feel this huge disconnect with thinking of my extreme depression and anxiety as "mental health" issues. My body does not work. I cannot make it do what I need it to do. I know the disfunction is centered in my brain. But my brain is demonstrably my body, whereas my mind is some ephemeral, indefinable entity that does the thinking. I'm not having mental problems. I'm having body/brain problems.

[@daniel_8181]

this is one of the best channels on mental health ....

[@coolitdown]

I was on medication (Prozac) for depression and anxiety, almost ten years. It seemed to be the best for me after a trial of soooo many different medications. But, I never really felt 100%. That changed when I changed my diet. Yes, I am going to be that guy... I switched to a ketogenic diet, very very low in carbohydrates. Not only did I lose a bunch of weight and feel physically great, I am no longer on Prozac. I really do think that food is medicine. Look at what you are eating...

[@lmzaadi]

I had the same experience with increasing carbs and fiber. I’ve always been attracted to keto diets because they make me fit but my bowels and anxiety stayed out of wack. Everyone truly has to figure out what’s right for them.

[@danubiasampaio7039]

​@@debitopiaEven more than therapy?

[@danubiasampaio7039]

@@coolitdown How did you find strength to cook it? I ask cause when I'm depressed I can barely swallow, let alone planning an specific diet.

[@codexamalgam5939]

The fact that you might not notice how a different medication changes your symptoms is something I've noticed recently. I rely on my husband to notice how I'm actually doing, he's fantastic at it.

[@scipioafricanus4875]

Thanks!

[@DrTraceyMarks]

You’re so welcome and thank you! 🙏🏽

[@misbahaziz1547]

Really APPRECIATE this video-As a PHMNP and coming across patients daily who are so quick to blame medication/provider for not doing "anything" this video provides great reassurance for these types of patients. I always prioritize symptoms and just like you suggested will circle back with the patient on those specific symptoms at the follow up and more than likely there has been improvement. As a psych provider it can get exhausting hearing "nothings working" over and over again and pts assuming we can just jump from one medication to the next so this video again solidifies that perspective is huge!

[@DRAGONFLYS06]

You missed a big thing when it comes to females. When I turned about 36 years old I started getting depression. It was so bad I ended up going in and out of mental hospitals and no medication or treatments helped. It took till I was 42 and fully entering menopause that they put me on HRT. Since starting HRT after a month, my non treatable depression was gone and I can live a normal life again. Sometimes mental health problems are due to physical health problem.

[@reesej7279]

Thank you for sharing this information. Nothing has helped with my depression and anxiety for the past three years.

[@DRAGONFLYS06]

@@reesej7279 Not much research is put into women's health and in the UK they deny you HRT until you are entering full menopause and that is sad. Perimenopause can cause a lot of symptoms in women

[@DRAGONFLYS06]

@@reesej7279 If you think you might be perimenopausal I recommend Kari Anne Wright's channel as she has videos about all the symptoms. I had some weird symptoms at the beginning, including periods ever two weeks. I had no clue that was a symptom.

[@lousessssmith9869]

It was never depression, I'm 55 in Menopause beedy heavy black blood , I was suicidal, Complex truma Disassociation disorder

[@cristinafrick9773]

​@@lousessssmith9869sending prayers and hope you're feeling much better!

[@369-b2x]

You seem to be on if the smartest people out there, giving real takes. ❤❤❤

[@JeremyWilliams-b1z]

I recommend trying to journal your thoughts daily for your psychiatrists, other doctor(s) or providers, and therapists to also help narrow down what might be happening as well and to track how your symptoms are improving or worsening over time. Even if a daily entry is "I don't know what to write today." That's great also. Trying to get into a habit and routine of journaling can very much help on your mental health journey!

[@sarahengland1843]

I was stuck to the couch. No motivation. Couldn't force myself to do anything. I thought I was depressed. Meds didn't work. I tried everything. Finally, after years of this, a genius doctor suggested that I get my ears checked. Turns out I have an inner ear problem that affects balance, etc, and makes me feel a bit sick whenever I move my head. Apparently I have had it a very long time. If the meds don't work be sure to get checked out people!

[@cephasvlog6146]

Nice video edit this days. SO much to say but I just say this. You really don't know how much your videos have helped a lot of us. Been battling bipolar 2, anxiety, cptxd for years. And is EXHAUSTING. Somehow after my last suicide attempt your videos somehow gives me relief. Even though it doesn't take the pain away. believe me when I say their things worst than death and living with a mental illness when nothing is working is among them. And you can't die except you cause it and you can't live either. IT'S SO PAINFUL. I CAN'T EXPLAIN IT.

[@catonthemoon2084]

I have bi-polar 2 also its a living hell. I understand your point more than most.

[@cda6590]

"I'm just prioritizing my sleep" --me using therapy-taught reframing when spending 18 hours in bed.

[@TheRealDadBod-jg5ro]

Hahahahahaha hahahaha 🤣

[@Timmy-hs8pu]

Man the funniest comment I've seen this year

[@shawnaford5540]

Dr. Marks I wish my early appointments providers were like you and narrowed down target symptoms or Patient Reported Outcomes. PRO’s Instead I got polypharmacy and no relief. Turned out I have ME/CFS. So my experience of exhaustion might be delayed up to 3 days after exertion. This exertion included behavioural activation. Deliberately exercising especially the incremental exercise just made my “depression” worse. My current Psychiatrist diagnosed this and while there is no cure for ME/CFS, at least I have stopped the harmful push crash cycle to hopefully stop my decline.

[@elizabethwilliams6651]

As someone who suffers with extreme severe anxiety I can totally relate to her. I would stop eating for days at a time as a punishment. I worry a lot about my life, everyone around me and pleasing everyone. It's absolutely crippling, so glad she got the help she needed, lovely young lady it's so sad that society has 1 in 3 people suffering mental health issues. I hope everyone seeks help

[@steceymorgan814]

People need to realise that people with anxiety disorders have oversensitised nerves, it's not a simple case of manning up and getting over it.

[@AnjeloValeriano]

Can you help with the reliable source I would really appreciate it. Many people talk about how mushrooms and psychedelics treats anxiety, but nobody talks about where to get them. Very hard to get a reliable source here in Australia. Really need!

[@Jennifer-bw7ku]

Yes, doctor Greg mushroom I have the same experience with anxiety, depression, PTSD and addiction and Mushrooms definitely made a huge huge difference to why am clean today.

[@AnjeloValeriano]

Please, how do I reach doctor Greg?

[@AnjeloValeriano]

Is he on the internet?

[@amalharis3937]

To be honest, you knowingly or unknowingly are a life saver, God bless ❤ I'm too in the medical field hoping to be of service like you do

[@cynthiarm253]

Thank you for such clear, reasoned, expert, and wise explanations, Dr. Marks! You're a service to humanity!

[@AsukaSoryu-yk4lr]

I now do a lot of exercise everyday,run for 10km(speed is about 6min40s/km) and do HIIT for about 1 hour(include using dumbbell, and I do “killer workouts”,very high intensity),I feel a lot better compared to my previous life. But I also do some other things,for example,yoga,not to overload myself,etc

[@addysaw]

So true - we have access to better information today than info we had to pay for 5 years ago. All my progress is due to online information and adopting lifestyle changes from these videos. Currently experiencing another episode but at least I have some tools to work my way ouit

[@chanikacarrington6792]

Thank you so much. It is like divine intervention when your video are uploaded. They also point me in the right direction. ❤

[@Lexi_Con]

Dr. Marks, THANK YOU ❤ so much for the valuable info you provide in such a clear & objective format! Mental health (aka brain care) has come a long way in terms of research, yet it seems there's still a lack of skill or perhaps concern with available medical providers (Insurance co's don't help the problem, either). It can easily leave people feeling helpless sometimes. When will society stop looking down on those who suffer - despite their strengths, IQ's, talents, and the desire to succeed!? As if anyone ASKED for the difficulty or disabilities. Thanks for caring enough to educate the public.❤

[@user-ft8ox2nf4u]

I'm on a benzo for over 20 yrs. It helps me

[@shannon5203]

I have a panic disorder, depression, anxiety, and ocd. My panic disorder was completely debilitating when it first showed up. I had to sit on the couch for three months because if I stood up or even tried to walk into the kitchen, it would set one off. I was having 3 to 4 panic attacks a day. It took me a year and trying 10 different meds to find the one that worked for me. I take Cymbalta, Wellbutrin, and clonazepam as needed for panic attacks. I only have maybe 20 a year now. I have had a handful of bouts with depression, one was bad enough that I Baker acted myself, but for the most part, the meds have worked very well. I can go about day-to-day life, with my anxiety and panic disorder and depression, causing too much interference. It just took a while. And therapy for the last 25 years as well. 💙

[@ReginamiIls]

Zo erg heb ik het nu ook. Mijn psychiater heeft sertraline opgehoogd en tijdelijk oxazepam. Ik sta op wachtlijst therapie

[@oxygen3.5]

I'm in this situation. Thank you for the video, Doctor. ❤

[@necordektox879]

Unfortunately therapy hasn't ever helped me in the past decade I've been in it. My meds I guess have helped a little with my outward symptoms, but I still feel depressed. It's hard to accept this is as good as it gets. It makes me want to go off my antidepressants and just drink myself to death instead.

[@SimoniousB]

Thanks

[@DrTraceyMarks]

You’re so welcome and thank You! 🙏🏽

[@carmelhughesparolya899]

Thank you Dr. Tracey. ❤

[@globalcitizenn]

Thank you for telling about the vit D, Doctor. It’s often missed. Because I never left the house, my Vit D had plummeted to 14, B12 was low and I was not functioning. It showed up on an incidental test that was part of a health package. Supplementation helped me immediately and I was able to be more active and I started going for occasional walks, managed to do some shopping, changed my diet, lost weight.. am feeling better. I hope I continue on the path of progress. I still have brain fog, impaired memory & decision making and anxiety & stress & insomnia.. I wonder if I should check for B1 deficiency.

[@80sHeavymetalchick9]

My doctors wont put me on any anxiety medication i have insomnia as well. Then i developed antibiotic resistant infections & i do try home remedies .. the ones that will help esp with nerve pain. I dont really feel depressed just feel very sick and my body is all out of whack. Then on too of it i am probably autistic but my family doesnt believe me. Im just lazy or whatever. Im unemployed looking for work etc. I think my mom is a narcissist person and now things make so much sense. My memory is very good but I'm do get overwhelmed easily. Im just exhausted thank u for sharing this ,💜💜💜 i know i will get better. Thank yall for listening

[@sanadalsarahneh9094]

Well explained. Reassuring. Thank you

[@asc.k1865]

Dr. Marks, thank you soooo much for your video! ❤

[@richardleetbluesharmonicac7192]

Meditation and sleep and exercise and nutrition

[@johnnycomelately6341]

One of your best talks

[@aw2804]

This is where I’m at now. I take hydroxyzine and Ativan for daily anxiety. I’ve tried so many anti depressants with no success and it worsens my anxiety every time leading me to take my rescue meds. Now my rescue meds don’t work and I sit up all night scared like I am right now. I’m mad at myself and my doctors for letting it get this bad. I made it very clear I did not want to be dependent on a benzo but when you keep thinking well maybe next week I’ll feel better and I can slow down, it never ends. It’s a slippery slope when you have a panic disorder

[@OolongG952]

This video was extremely informative and helpful. Thank you so much for posting this. 🙏🏾😇

[@paolacarrera8792]

I think the issue with some of you guys commenting is that you always have one negative thought to put under this video that’s about looking at the positives in your daily life. The improvements seem small to you but they are a huge change to your mental health, the more you keep up with improving on what you’re going for the better it gets. This is what’s keeping you from feeling better.

[@zolzbernack7563]

You apparently haven't been on too deep personally.

[@paolacarrera8792]

@@zolzbernack7563 Well sorry that you think that from a comment that I made, my fault I should have told you my whole story.

[@headofvengarl8893]

What if you can't see any/there are no positives or improvements?

[@paolacarrera8792]

@@headofvengarl8893 well you start off by something small like “I have 10 fingers” “I ate well today”. That helped me a lot by getting rid of the majority of negative thoughts and after a while my brain mainly produces positive ones. Anxiety and depression are feelings too so those aren’t feeling that you can get rid of. What you’re trying to do is minimize those until you don’t feel like that 24/7 and you’re able to explore your other emotions. It takes time with effort.

[@headofvengarl8893]

@paolacarrera8792 I guess that makes sense, thank you. Seems incredibly difficult to be honest but I guess it's about practice

[@cavasjamroliwala2768]

Great video,,we'll explained.👍👍

[@TOGLEEBOY]

Thank you Tracy you been helping me since 2019 thanks so much

[@annnicole7490]

I really appreciate your videos, they are so down to earth and give so much hope!

[@gumemeho]

Thank you so much for this video!

[@jamessawyer9018]

It's good that there are a lot of options that can help. But at the same time, there are so many. It's overwhelming. I've been struggling pretty bad for the last couple of years. I wake up regretting my life's choices, and for some reason, i am hyper focused on death. Not wanting to die but the overwhelming fear that it will happen some day. It's made it extremely hard to keep myself healthy. And to stick with anything that could potentially help.

[@peculiarlittleman5303]

She is kind.

[@Latrelle59]

Thank you Doctor!!! Good information.

[@davesaquarium4825]

Wow! This was such a great presentation! Thank you for your videos. They are very helpful for me and my family.

[@deadandburied7626]

I am on Sertraline and Propanolol. Due to being >65, I was taken off Citalopram. 😢

[@ljkoh20052000able]

I have Essential Head Tremors which is brain defect from unknown sources. At the same time I have depression and anxiety due to financial problems. Now, my neurologist and movement disorder doctor prescribed me to take benzodiazepine to lessen my head tremors which is aggravated by my stresses. The meds do make me calmer and focus clearer but at the same time it stops my head from shaking. However, this meds are to be taken as needed only and with my decision. With that I practice meditation, breathing and acceptance and committment tools and self-compassion and good nutrition and sleep to help me decide rationally. Its a lot of work, but I wouldn't want to get dependent on xanax. The meds are only a crutch, but the internal healing process is key.

[@Tonykh6017]

Thank you, this video cleared stuff for me a lot.

[@samuelm.5752]

Excellent presentation!

[@randallpattee1561]

At 7:47 where perception issue was mentioned. I tend to visit that same 'sampler' space to describe my entire personality. It's as if I was too cavalier to maintain my own identity. Oh; crap! Great presentation as always though.

[@brl6002]

Very helpful video and awesome editing!

[@TOGLEEBOY]

Facts I don't think meds work but working out and taking care of yourself physically and hygiene

[@Dlzozoa]

Thank you for posting this

[@josecolon5777]

Dr.Tracey has been in all kind of medicine for depression incluided TMS twice Ketamine Infutcion I get tired after a lot years and not see results.

[@samuelugoagha5200]

We love you for what ur doing.

[@AntonioTonyNewtonMusic]

Thank you so much for this clarification and understanding.

[@drsandhyathumsikumar4479]

Extremely helpful Dr. Thanks a lot

[@Anotherhumanexisting]

There should be a legal option to opt out when one has endured years or even decades of suffering and no treatments have helped. Mental or physical, traditional and holistic. We should have a choice to continue or not.

[@chilenapromedioRU]

Dignitas in Switzerland is the only hope but it's VERY, VERY DIFFICULT to get green lighted on the basis of mental health alone (no physical terminal health issues), as a foreigner and I can imagine it must be extremely expensive. Belgium has it only for their citizens.

[@Catlily5]

Keep your eye on Canada.

[@Anotherhumanexisting]

Yup, I’ve looked into Belgium, Switzerland, and Canada. But the financial and energy cost is prohibitive. And in Canada’s case you’d have to be a citizen, and to become a citizen you usually have to prove you are healthy and going to contribute to the economy, not just come there to end it. Which is why I really wish this was considered a human right in any country, in my case the US. But maybe progress will get there eventually… idk.

[@Catlily5]

@@Anotherhumanexisting It is a difficult issue.

[@necordektox879]

You do not want Canada's system. It's not implemented with compassion. If you're too expensive to treat they'll "recommend" euthanasia. Even if you're too uppity and a doctor doesn't feel like treating you, they'll recommend it. Until you're beaten down and start to believe that you deserve it. It's horrible.

[@CelloHaus]

Doctor Marks, I’m Sam. I have an SMI destination in the state of Arizona and the system keeps passing me from one bad psychiatrist to the next. (No one answers the phone, not even the crisis line, and they forced me into a surprise withdrawal from my 2 MG Alprazolam because of their admitted negligence). What are we supposed to do when there isn’t a good psychiatrist in network (with insurance) that actually cares about us? You’re incredibly busy and I admire you to the nth degree, so it’s completely okay if you don’t get the chance to reply to this. Thank you for everything that you do. You’re truly the best! ❤

[@OliverSylvester-o1i]

I’ve effectively used prescribed doses of shroom capsules, Ayahuasca, DMT trips, psilocybin, etc It’s been the best mental health therapy for me, been micro-dosing for a while. Been better

[@normajeancaballero7959]

Thank You for the video. 🧠🏥🧠🏥🧠🏥🧠🏥🧠

[@BipolarCourage]

With the meds, it's weighing up the benefits vs side effects. I have side effects such as significant weight gain on bipolar meds. Psychiatrist said: "Do you want to be thin or more stable?"

[@danubiasampaio7039]

@@BipolarCourage Whenever someone comes up with this kind of side effect, I laugh. Next to my mental illness weight gain and dry mouth are nothing.

[@BipolarCourage]

@@danubiasampaio7039 nearly 30kg weight gain plus liver issues are not laughable side effects

[@godspurple4805]

I couldn’t help but laugh. I’d say both. Mine won’t give me meds that will make me gain weight. Lamitcal makes me not be able to swallow.

[@BipolarCourage]

@@godspurple4805 I would be happy to get rid of the chronic bloating since my metabolism has been slowed to the pace of a snail 🐌. I look 7 months pregnant.

[@FocusedVoices]

excellent video! I was just talking about this with someone today

[@lauragadille3384]

I had to change Prozac to Cymbaltia. Prozac I was sleeping way too much.

[@codexamalgam5939]

That's so interesting, as when I was on it I had the opposite problem and had to take it as soon as I woke up to be able to get any sleep

[@sharonsciandra816]

I...sooo...needed to hear this....

[@Cslice1016]

Just wanted to say; thanks for revisiting and giving more input about the benzo! A couple of videos ago, it sounded like you called Klonopin "an antidepressant" and that slip up was kind of worrying for a bit.

[@obgfoster]

Best video ìn a long time!

[@nohandleforme....]

What about long term use of Diphenhydramine as a sleep aid? Can that reduce mental sharpness?

[@yoyocueball]

Thank you

[@thetrawlerman]

I am sure I'll never find cure for my nightmare disorder. It's been like 2 years, and it just keeps getting worse. I don't wish this upon anyone, having your worst nightmare every single night. On top of that, I have fibromyalgia, started drinking heavily after starting having these nightmares. One of the few I haven't tried is vortioxetine, did duloxetine for 1 month only (low dose, 30mg). Not to mention neuropathy which is annoying as fuck (started way before I started drinking) I am running out of options, can't afford therapy, can't exercise bc of pain, can't get rest. I am lucky to have people who care about me and are always there to help, many people don't have the same luck

[@Birdsong-A]

Asthma med Singulair can cause nighares & other mental changes.

[@chilenapromedioRU]

I'm so sorry. My mum suffers from fibromyalgia, why did you take duloxetine for such short period of time, may I ask? If you didn't had a negative side effect, usually you need more time for the med to work. My mum really, really dislike pregabalyn, but it has been prescribed to her by several different specialists and actually helps her sleep. Has any doctor prescribed to you? I understand you about the nightmares. 22 years with PTSD. It returned worst about 5 years ago. I scream and wake people up. There was a time I would punch the wall, hit my head against it, even fell from bed. That was the worst time. I actually feel bad for my family for the screams. It's so common. Fortunately, once I'm told "it's a nightmare, you're safe", I completely forgot what I was dreaming about.

[@thetrawlerman]

​@@chilenapromedioRUthanks for the answer. I'm getting back on duloxetine soon to give it one more shot, it was really a short time. Currently taking venlafaxine, it helps with anxiety but nothing when it comes to pain Pregabalyn never did anything to me, it was like I was taking nothing, did it for months (150mg). I don't know if it's because I was drinking often, but never missed a dose And I'm really sorry you have to go through these nightmares as well, I hope you find some comfort after having them, I'm glad I'm not alone because at least I know someone else goes through this and knows it's all going to be fine

[@thetrawlerman]

@@chilenapromedioRU I'm sure I answered you before but KZbin doesn't like to register I did try pregabalyn, no effect at all for me, it was I was taking nothing. But I really appreciate your response I'm sorry you have to go through these nightmares, but I'm glad someone is doing fine after those, it gives me hope to keep holding on

[@smartttt1000]

try prazosin

[@ChristineKennell]

Thank you you are very helpful.

[@anthonypotter7325]

Great info!

[@emmy1136]

Can you speak to the notion that trauma and PTSD could be underlying these challenges? I’ve known many folks who were considered tx-resistant and were dx with a whole host of conditions until providers did a thorough trauma screening and realized they had PTSD. I’ve found in my experience that so many providers do a very cursory trauma screening that may not account for c-PTSD or memory loss from trauma

[@70_Sense]

Thank you for this video it was very helpful. I don't understand why my psychiatrist, who I am paying, does not talk about any of these things. Don't they all learn the same things in medical school?

[@carlostita4133]

I love the way you plain the things, thank you

[@PaulFlint-po9jl]

Boredom therapy as a way of motivation seems to work for me. I just sit there and not think. Usually your mind hates that lack of stimulus. Though of cause this doesn't relate to depression where everything is hopeless. I get this and it's a real struggle. So I understand. As for exercise i can feel so slowed down that its even painful sadly even therapy wont help that

[@stevio8865]

I feel like the combination of Aripiprazole and Escitalopram works relatively great for me. Escitalopram has improved my mood, so most of the time I don't feel bad anymore, but only aripiprazole could improve my energy level and my listlessness. I'm still not very interested in meeting people and feel like I can't find out if it's because of my depression, Escitalopram blunting, or a mix between both and my personality.

[@nanpanini]

Hi Dr. Marks, I was just wondering what your thoughts are on cbd gummies for anxiety and/or insomnia. I have tried them recently but found the amount of time to feel any effects varies widely. Also, I tried melatonin for sleep but I had severe nausea and terrible grogginess the next day. Any advice or thoughts on these would be appreciated. By the way, I love all of your videos and shorts! Big fan here! ❤

[@markd774]

I have just been diagnosed with PTSD, Major Depression and suffer with chronic pain and chronic insomnia. Other recent diagnoses include Autism and ADD. Was on Fluoxetine 240mg. Then Duloxetine 180mg... tried many others. I am now getting treated with Transcranial Magnetic Stimulation (TMS). I was wondering if you could do a talk on TMS. I also had 1 other question, if I may ask? Can a false accusation of something like murder or sexual assault for an innocent person be enough to cause PTSD for some people, especially if no one believes that they are innocent?

[@OliverSylvester-o1i]

I was able to conquer my reoccurring depression and anxiety through the help of psilocybin treatment, and I will recommend it to anyone.

[@karinaasabreu]

Dr Tracey, could you please make a video explaining the effects of latuda for bipolar patients? Thanks

[@hexboxx735]

Brilliant video

[@dimitrisk5686]

Alcohol is the same after years gongrats for your work I find them correctly informative and helpful

[@naturallaw52]

Effexor has been miraculous for extreme neediness and panic

[@nikkinikki6570]

I am sick and tired of being sick and tired! I can't deal with side effects anymore. I'd rather be down and anxious than suffer from the weight gain, headaches, dizziness, and spaced-out brain fog.

[@youngplanet]

plese doctor i can not afford the treatement in this hell of country any other types ?natural types

[@lisarabil]

Do you have a place to find Bipolar specialist in NC? Around the Raleigh area? Lifelong mistreatment and the medications are not helping. Many changes in 8 months