Why we are so bad at treating depression

[@PaigeSquared]

It took multiple years of depression before I came across the fact that *the* primary risk factor for depression is to not have anyone with which we can be ourselves, if a person doesn't have anyone to speak with authentically. Human beings are wired to be social. We need to be seen and known. This starts with seeing and knowing our own selves; that took another few years for me to grasp.

[@renek.6434]

Exactly! Connection is the way out of depression.

[@EsmereldaPea]

My ADHD Dx 2.5 years ago opened a path to improving my depression and anxiety. And it's because of what you talk about. I'm learning to trust myself again.

[@PaigeSquared]

@@EsmereldaPea I have ADHD too! Not diagnosed until after I had a kid and the medical system actually paid attention to me. 😂 I learned to trust my body as a part of learning about how to go about becoming a *more* emotionally safe person (myself, as others would experience me), and also how to recognize emotionally available and safe people. I unfortunately had to learn DARVO, to figure out why my ex husband was so difficult to speak with. I used my own messages and dated journal entries regarding his behavior as practice, to measure scenarios against the DARVO acronym and learn to recognize it in more "normal," daily interactions. I memorized it as well as I could, and I observed it in my daily life. I at least could disengage; I didn't take the bait. I found that every single time I experienced a DARVO from someone I am attached to, I get a very specific knife in the gut with a twist feeling; even if the communication is via text message. One day, someone from my family of origin and I had a back and forth, it was VERY short. I had that exact same knife in the gut with a twist feeling, as I walked away. I thought that was strange, there wasn't much said. I sat down and checked the interaction against the DARVO formula. Even though I had the acronym memorized, our exchange seemed too short in my mind to have been that level of manipulation. But my gut had that knife twisting in it. When I wrote it out on paper, I was able to see that my gut was correct. *My body had identified a manipulation tactic before I had.* The exchange absolutely had been a DARVO. That experience was what opened me up to the possibility of trusting my intuition, learning to determine for myself what is right or wrong, not letting others guilt trip me nor define me, starting to go within to check with myself on things, and even eventually developing a sort of inner sense of peace. What seems to make the difference is when a person invests their time supporting their authentic emotions and experiences in a welcoming and compassionate way; being present with our own feelings, seeing ourselves. I had a big leap in progress after reading Kristin Neff's book "self compassion." An idea I put into action immediately after reading it was to set boundaries regarding the language I accept from my inner voice, towards myself. Inner boundaries (within my mind, not my external behaviors but moreso my inner behaviors) to not put myself down, wasn't something I had ever considered before reading that book. It was relatively simple and made such a huge difference!! Neff's book helped me learn the more practical aspects of self love that I hadn't ever had exposure to. 😊❤️

[@wittymystic7361]

Unfortunately, the average person doesn't have the necessary communication tools to engage in authentic dialogue.

[@olianeroos7186]

I agree with everything you said but I would like to add that the roots of depression lie in the early formative years of our lives when we were not seen and heard in our true feelings, needs and desires and we had to repress our authentic feelings and needs. As Alice Miller wrote in a response to a letter from a reader on her website 'Is There a Cure for Depression? Sunday April 08, 2007': “Your depression seems to ask you to face what happened to you THEN. You can leave a place only if you know where you have been”

[@CodeDusq1]

The hardest part about depression is pretending that everything is okay.

[@heidi5462]

This! 🫶🏼

[@ThomasArcher]

I find that to be the easiest but exhausting

[@MissyQ12345]

I feel like I flip a switch when I go out in public. I smile, talk to strangers, and actually have a good time when nobody knows me and isn’t judging me.

[@250mil]

@@MissyQ12345I think you’re on the right track. Change your environment change your life. I had the best time of my life during the lockdown because a lot of normal interactions with people and places were cut off and my mood greatly improved to even having a higher baseline in mood. Do an elimination diet in as many areas of your life as you can. At least that’s what I’m trying.❤

[@JenOween]

Not hard at all. The hardest part was asking for help and people just thought I was being dramatic, and feeling more and more alone, depressive thoughts convincing me that everyone else would be better off without me. Pretending things were ok was much easier.

[@BushyHairedStranger]

Often depression is a criteria based dysfunction that holds multiple causative elements.. NOT having enough money to simply LIVE in this world is a cause of depression in MILLIONS of people…

[@seanguzy9601]

Than you get angry bc they blame YOU.

[@maureendequesada-yx1ul]

Righteous anger/indignation at the injustice behind their judging negatively first, in order to blame you, the victim. So, blaming and shaming because you've fallen on hard times thru illness, rotten treatment by others who've robbed you of resources and time and priority, and thru rising cost of living. And they rationalize their 'right' to blame and shame with idiotic nuevopsychobabble beliefs like "Well, what goes around comes around. So you must have deserved that hard luck." Or "You're just not trying hard enuf to send positive vibrations out into the universe." Remember... RIGHTEOUS INDIGNATION AT THE INJUSTICE OF BEING BLAMED AND SHAMED FOR BAD THINGS THAT BEFELL YOU THRU NO ACTIONS ON YOUR PART--this is normal and healthy. Now take that anger and let it get you moving again. You're entitled to see progress in each new day, and eventually happiness will result from seeing progress YOU have built. And get rid of/avoid/stop associating with/cancel out their voice and opinion/turn a deaf ear to those negative naysayers judging you. You need them like a hole in the head.

[@BushyHairedStranger]

@@maureendequesada-yx1ul life is what it is…to evolve out of USA slave consciousness & into awareness of how consciousness flows in humans, how thoughs are like waves, they rise & fall like the tide.. within those thoughts are social & ethical games with puppeteers including ones own self puppeted reality that one could opt out of or “Drop Out of” let go of fear that were engineered into you over lifetimes based upon slave thinking states…we can learn to accept that our possessions end up in possession of us,..status, position, hierarchy, wealth in money, cars, clothes, as opposed to having a true wealth of Love, happiness, friends, sharing, gifting-giving away ideas & thoughts, the possessions are like death anchors that keep you stuck…compared to wealth of feeling loved, loving & having unconditional happiness. I agree that Depression isn’t always temporary..which can polarize depression into psychosis, homicide, suicide,etc.... It is what it is….can one live with that is the concern..

[@cakensteak]

@@BushyHairedStranger ridiculous. Most people have been "poor" since creation. You're talking about greed.

[@BushyHairedStranger]

@@cakensteak whats ridiculous? Not sure you groked what I said. The USA is run by a Plutocracy!! Which im not a supporter of so I dont know wtf you are bitching about in regard to what was said….Of course there are financially-money poor everywhere! Being poor is awful especially in countries with fascist oligarch gov!! So what is your point??

[@williamloree905]

When I broke my hip and months later lost my job. And evidently the dealership I worked for total closed. My daughter had died of ovarian cancer two years before this happened; she had fought for six years - lost my dog Dash unexpectedly at Christmas time. I had a lot going on. Anxiety after the operation took antidepressant- fine for the first day but after that could not tolerate the side effects. Heard voices and had suicidal thoughts. Talked to a therapist for three years she gave me tools to handle PTSD. I was judging myself constantly; I learned mindfulness. most important - I learned about emotions; I was never allowed to have emotions I was taught to ignore them and move forward. I would call disappointment- depression. Happiness is also an emotion. I learned emotions are temporary they are not permanent. I am learning contentment instead. My therapist always says you did the best you could at the time. I am learning to forgive myself no one is perfect.

[@universalmother]

Your therapist is a moron flying monkey perpetuating your victim mindset.

[@FaithfulandTrue777]

That is a lot for anyone to contend with... Jesus wept. Sending you a healing hug, you are not alone ❤

[@babsk4071]

WELL SAID ☕️👋

[@anthonyrowland9072]

Remember you also have physical brain dame age too probably.

[@MARCIA.ZZZZZZ]

@@williamloree905 I'm proud of you. It's so much to go through. I'm taking baby steps. I go forward then back and so forth.

[@JennWatson]

I was depressed until I started walking my dogs everyday 2 years ago. At first it was only 5 minutes a day and now I can walk 3 miles! It changed my life- I'm 64 and live alone with my dogs. ❤

[@Imperial_Lizardgirl]

Not lonely, think about it. Alone with two dogs.

[@MARCIA.ZZZZZZ]

Thank you. I needed to hear that so badly.

[@MARCIA.ZZZZZZ]

Been dealing with depression so long I dont recall how many years.

[@danielavlad6930]

@@JennWatson dogs are amazing! I too struggle with depression and anxiety, but my dog makes everything better

[@davidtrindle6473]

Thanks, Jenn. There is an old saying that you should take your dog for a walk every day even if you don’t have one.🐕🎵

[@ginalibrizzi5204]

Spot on. Adults should be able to use any therapy they believe will help them. The government has no right to say, no, you have to suffer because we don’t approve of that treatment.

[@angelacarbon4010]

There are so many medications out there for depression. I'm not against that. If you want to do that, great. But I wish there were short term counseling/therapy that is more effective than pills. I'm stuck seeing a social worker because that's what I'm covered for. It helps some but that's not what I really need. Pharma has too much focus on drugs as a treatment or cure rather than counseling. Frustrating.

[@Kattykat63]

The government has better things to do than help depressed people. Unfortunately 😒

[@trishayamada807]

Just because I’m going through the motions doesn’t mean I’m ok.

[@MedicalSecrets]

That is a good way of putting it. I'm sorry about what you are going through

[@trishayamada807]

@ thank you so much. It’s a struggle, but living is worth it and I know in my heart, everything will get better.

[@lindagardenlady]

​@trishayamada807 All the best to you Trisha and much love ❤❤❤

[@danielavlad6930]

​​​@@MedicalSecretsI have been depressed since i was 13 yo, and suicidal for more than 10 years. I am 37 yo now, I am not suicidal anymore, although the thought comes back when i feel really bad. Have been in hospitals, i have more than 14 years of therapy, 2 months ago i started the ketamine treatement. I also have bad anxiety, a "claw" in my thoat and a tense body, high pulsr every minute of the day. No break at all. I had my first 8 sessions of IV ketamine with a psychotherapist and still didnt manage to stop the anxiety, not even under the ketamine. Not for a moment. The treatement lasts for a year, so i don't know how it's gonna be later on. For now, i can say that it changed my view on existence and me belonging in this world, just like anyone else. I find meaning in life now. But i still struggle with the same bad habits, lack of energy, lack of pleasure in general, even though i see the meaning in living. Maybe i got it wrong, and ketamine only helps you understand some things and then you have to put in the work and time, just as you do in therapy. Because it is not a wonder treatment from my experience. This month i am having my first booster out of 6 (for the next year). Could you, please, explain, if this is normal (from your experience with ketamine pacients) or it just might not work on me? Thank you so much for all your content, i really trust and value your opinion and the information you put out. Also, i love your calming and kind voice.

[@jacquelinekabugo-raderson1878]

Sending you best wishes. This too shall pass. I too feel lost and as if I'm watching myself live, since my sister passed away. 💔

[@revbobj3220]

You asked, so I'll drop a quick note.., I am now 66 years old. I have always been fairly well adjusted, never really had any mental issues. As an adult, living alone, multiple health issues, two terminal diseases, no family to speak of, and only a couple of friends, depression has become a daily beast to deal with. I have looked into 'talking to someone' several times now. The last three therapist I have been to, have all said they can't help me and they won't be seeing me anymore. I have insurance, so I don't think that's the issue. More like, I'm so screwed up, nobody can help me. I have given up. What's the point? I won't be here too much longer, so I will just deal with it as I always have, by myself. It would be nice just to talk to somebody once in awhile, and not feel like I'm wasting their time... 😥

[@lairdsimons5431]

(From Mrs) Dear Sir - If you can possibly open to the spiritual presence of our Heavenly Father you will never be alone. I wasted thousands of dollars on counselors for over 10 years until I relented and decided to “try God”. Find some deeply spiritual daily reading. I recommend a monthly magazine called the “Magnificat” based on Christianity. It has sustained me through the ups and downs for many years. Please don’t give up. HE waits for YOU. Believe and know that many people are praying for you. God bless you - in the name of Jesus. Amen. 😊🙏♥️

[@i.m.watching5536]

Prayers.❤

[@gohawks3571]

They're the waste of time, not you! I legit don't have any other answer than God. It took me decades of suffering and asking for help to FINALLY get treated for endometriosis. Feels like 10,000 Drs later. Meanwhile, trying to get any help for sickness has been zero unless it's an emergency because I'm fat. Because of the endometriosis, because I certainly do my best most of the time to eat properly and exercise. I come with sickness and they obsess with me being fat. Ridiculous cycle. Why do we even pay for insurance 🙄 This world is wretched. It just is. But these are the fires that purify up, or burn us up. You are more valuable than your circumstances. I have only learned that through God. I'm sorry if that's not the answer you're looking for, but I have had depression and all kinds of things going on, but God has been that gentle hand guiding me and keeping me upright. It is impossible to fully appreciate the good when that's all you know. It's also difficult to appreciate what others are going through without going through something yourself. Hugs and prayers for you, internet stranger 🙏🫂 I hope you find the help you need, and I sincerely hope things get better✌️🖖

[@curiousmind2330]

Hello sir, I hope that you will try to do good care yourself. 'hope' and 'keep trying' are the two major tools that we can use in hard time.

[@MissyQ12345]

Rev, Wow. I thought it was just me. The last three therapists I tried to talk to said they couldn’t help me - I’m too screwed up. I give up on therapists. They feel dangerous and judgmental to me. Ni don’t trust them.

[@joesphbegley3088]

Forget the pursuit of happiness. Cultivate contentment from which feeling of happiness can grow.

[@karenatha7890]

Simplistic !!!

[@lindagardenlady]

💯💯 Agree ❤❤❤

[@lillyfair8816]

I agree. Simplistic. However well intended, I would not presume to tell someone whose illness I do not understand and whose circumstances I know nothing about how to think or feel. Receiving hollow and dismissive platitudes from medical practitioners instead of actual "medicine", is essentially victim blaming. A person injured in an MVA would never be scolded by an ED doctor that what was required was simply an attitude adjustment, and then be sent "home" - whatever that looks like- without help. But that is routinely what happens to persons who present with severe depression and suicidal ideation. The attitude error is on the part of the medical profession. Not the patient. Depression is a real, complex, and often lethal - always life impacting- the life of the patient as well as those around them- illness. It is both cause and result of other illnesses, and other conditions that include: genetics and epigenics; socio economic factors such as poor nutrition and ravaged microbiome, marginalization, hopelessness, and entrapment in life challenging circumstances; grief; physical brain changes (injury, age, CPTSD) and chemical imbalance and toxicity (genetic, environmental, hormonal, and/or pharmaceutical). More challenging is that it tends to affect women more frequently than men, and therefore is exposed more frequently to stereotyping than to (traditionally male dominated) scientific research. While sometimes responsive to strictly pharmaceutical treatment, effective treatment more frequently requires labour intensive processes: attentive practitioner inquiry, one on one talk and multimodal therapy, and, like other pain causing afflictions, reliance upon "unreliable" patient self-reporting. Therapy requires energy a patient , by definition of the affliction, may simply not have, risking a charge of non-compliance instead of diagnosis and remediation of lack of required supports. And conventional treatments: pharmaceutical and CBT, contain structural class bias, presuming the patient to enjoy the supportive environment of the middle class married white hetero ablist male "medical norm". That is why hollow platitudes and patient blaming don't work, and why so many people experiencing depression, who could get better, don't. Because in far too many cases only cliches, stereotypes, and socio economic bias are on offer. Not the informed and empathetic medical and community response required.

[@cindywells9119]

True. Much like success, happiness should never be pursued for its own sake, for it will always remain elusive as such. It will always be a pleasant side-effect, but never an end in itself.

[@davidstrumsky7012]

@@lillyfair8816 I very much agree with your perspective. I would emphasize however that stereotyping of the problem continues in your explanation. There seems to be a preponderance of blaming rather than pushing further to comprehend the perhaps overwhelming factors involved. Perhaps peer support or funding makes it easier to blame "straw dogs" or clichés - easy answers. While some of your identified negative factors exist to be sure, they are primarily visible, noticeable, but not really cogent. Dig deeper. I'll let that sit. I don't mean to teach anything. I also liked the points about why pharmaceutical bias creates (over and over) more problems, burying behaviors and results, and misdirecting. It didn't start out this way, but the pharmaceutical methods of allopathic medicine have become "cheaper" than the alternative solutions (meaning predatory industries have found ways to thrive and make it appear cost-effective). It used to be more expensive to treat with "medicines" rather than methods (simply surgically removing suspected culprit parts). In our current capital-driven societies (which depend on these industrial supports), effective alternative treatments are very expensive for the majority of sufferers. Which makes them inappropriate as well, here. Societies have developed to always "favor" the majority of individuals and accommodate them... making many individuals (the ones who don't "fit in") suffer.

[@Jude-jp6]

I do not have depression. I have PTSD resulting from childhood trauma. My father was an alcoholic and was abusive. I was physically, verbally, and emotionally abused from the age of twelve to seventeen. I recently told my surgeon this. I did not tell anyone before my foot reconstruction surgery. I didn’t know it was important. But recently information has come together. I started therapy with a wonderful therapist after my surgery. I began listening to Dr Kaveh and these webcasts, and I had some negative freeze reactions to some of the vein procedures that I have been having. I decided to tell someone before I had my next surgery- carpal tunnel surgery. I asked my foot and ankle surgeon to put the information in my chart so that the hand surgeon in the same practice could read it there. I was much more comfortable telling the doctor I had known for two years. I could not have made a better decision. He was so very kind. He listened to me and said many encouraging things. I knew this would be the case but it was still very comforting.

[@empiricalscout4537]

I did Cognitive Behavioral Therapy and saw major improvements from PTSD symptoms too. I also use CBT AI chat bots because 1hr a week with the therapist isn't enough.

[@Jude-jp6]

That is exactly what I am doing. It is very helpful but I hate all the homework. It takes a lot of time and I have to think about things I’d rather forget. I hope life is getting better for you.

[@empiricalscout4537]

@@Jude-jp6 I saw major improvements every 3, 6, 9 months. I've been in therapy since the start of the year and now I'm employed after the longest period of unemployment in my life. So yes things are slowly improving. Don't let the HW discourage you. It's meant to lightly challenge us to change. Go at your own pace. If something is too difficult, bring it down to a smaller step.

[@SE45CX]

@@empiricalscout4537 wow, you have a job now! Good achievement. Do you still have your therapist to talk to to help you judge the more difficult situations at work? Or someone else who can take that role? I think for everyone its important to have some kind of coaching/counseling from a knowledgeable person outside of your workplace.

[@empiricalscout4537]

@@SE45CX yes, I still talk to my CBT therapist and worked on reducing the Psychosomatic symptoms and now identifying the need or gap I'm looking to fill with coworkers. 😅

[@mgmchenry]

They won't let you die, but they aren't concerned how you live. I could buy one or two nice homes for what my insurance company paid to cure my cancer. I was left with a chronic debilitating condition after chemotherapy that I've been fighting years to have acknowledged and treated. It's not killing me, but I can't live. My insurance company does pay for me to see a therapist almost every week to manage the stress and anxiety that comes from this, but getting tests or treatment for my chronic condition is a constant fight I don't even have the energy to begin most of the time. There seems to be much more interest in preventing people from killing themselves than in allowing them to live lives there where they would never consider ending it

[@victorsimeonov]

The last sentence: you nailed it 100%.

[@Igoranima]

You are absolutely right!

[@SeldimSeen1]

They embarass me by putting a negative diagnosis in my chart that stays with me even when I am feeling better.

[@johnjessop8089]

I used to think that diagnoses were embarrassing as well, more of a judgment (criticism) rather than a helpful bit of information. I changed careers into healthcare back in 2007 and my understanding is this (and the way healthcare professionals respond) has changed dramatically. If I read that my patient has a history of depression and PTSD, I know it's important for me to tread carefully when asking questions during my assessment. Verbally probing too deeply can trigger a PTSD response, but using motivational interviewing and providing small encouragement during treatment can build rapport and inform my patient that I'm safe to talk with and I won't judge them.

[@janiceschultz2753]

Yes, and it impacts what medical insurance plans you are able to get.

[@Artygreekgenius]

Ive been struggling with depression since I was a child and went through a severe suicidal period where i was placed in several hospitals, spent time being homeless and lost ll support from the family i still associated with. Ive been on several antidepressants and even antipsychotics but i can't get out of a baseline of being depressed. Medication and therapy as well as changes in where i lived helped some but i still always feel disconnected and alone. Im no longer actively suicidal but i still continue to have the thoughts. I have very little contact with my bio family and i don't really know how to create a sense of fulfillment. I had to have a hysterectomy before I could have children and that loss added to my previous issues. I always saw myself as a mother and now if I want that i have to look at other means of achieving that. My therapist is great but i have significant difficulty putting into words whats bothering me. Id love to feel as if my life matters and I don't know how to achieve that.

[@marysueper140]

Have you ever read the Bible, Hon, or asked God to make Himself known to you? Your life matters to God so much, He has plans for you for a future and a hope. 🧡

[@mariettestabel275]

Boeddhisme can help people to understand their issues...maybe you can take a look . Wich you all the best. 🧡

[@gohawks3571]

I wonder if you could volunteer somewhere. My brain is only coming up with school, but I'm sure there's more ways than that. Oh! Big Sister; maybe you could look into that. It's something that you can do immediately (well, relatively speaking), and that can be a foundation for if you try to adopt. I'm guessing at this, but I know it's hard to adopt, and maybe you need to get your finances sorted or something. But if you volunteered for Big Sister, or some other thing, you could help out someone who really needs you. If I could have had that, it would have been very helpful to me. There's kids out there who need you!

[@empiricalscout4537]

I did Cognitive Behavioral Therapy and saw major improvements from PTSD symptoms too. I also use CBT AI chat bots because 1hr a week with the therapist isn't enough.

[@selahbarnes8425]

So sorry. It has to be very painful for you. You are not alone, I understand what you are saying. I pray you find a therapist to go through your healing journey so don't feel alone.❤

[@spencerricketts8025]

You are TRULY a good doctor sir, one who strives to help his patients find genuine wellbeing

[@LindaSimic-qt3mh]

Thaank you for caring enough to want to help

[@tammyrobinson1613]

Im getting so tired of that questionaire everytime i go to my therapist. Honestly, it makes me anxious and depressed I told my therapist just what you mentioned, about nedd. I've had a hell of the last 3 years because of the shutdown I became homeless, and then my car blew up all while dealing with extreme chronic health conditions which I was recovering from but now we're made much worse. Imagine being homeless trying to chase buses while you are so very sick and in a major flare and throwing up on the streets. Don't tell me I don't have a reason to be depressed. And of course when family leaves you when you're sick, and you have 2 other family members who gave passed on within 1 year. I am so frustrated with the mental health system . TBH..the system is depressing

[@wardtaylore]

It’s also important to let patients and family members know in preop that they might be depressed for a while after big cases (CABGs, major transplants, etc) and this is a normal side effect.

[@jodynewman7550]

I think there is a critical distinction between mental health and emotional health. When we use the term, “mental health”, we focus on the brain itself, and consequently lean a bias toward pharmaceuticals related to adjusting brain chemistry etc. When we think of “emotional health”, we bias more toward the holistic approach characterized by the things you mention: meaning, connection, purpose. Thoughts?

[@johnjessop8089]

I don't agree with your statement, but maybe that's because I allow room in my own mind to think of both (and more) when interacting with patients. When I discuss this concept with my nursing students I often discuss it holistically. An example of this is assessing a complex presentation of symptoms that could resemble depression, delirium, dementia, or some other medical, mental, emotional, social, etc cause. To presume understanding is to invite faulty critical thinking and clinical reasoning. I also encourage my students to consider the treatment options. If our treatment of this particular patient doesn't differ if the cause is depression or dementia, why should we debate it? Why does it need to be one or the other? Could it be a combination of each along its own spectrum? Of course! Accordingly, treat them with kindness, dignity, respect, authenticity, and openness.

[@jodynewman7550]

@ i think of emotional health as a condition needing connection, patience, good listeners, encouragement, etc-these are things that medicines in pill form don’t ameliorate, address, nor supply. I understand your comment and thank you for it 😊

[@Hunter9677]

Who cares as long as the investors get theirs, right. We don't have the dignity of being a patient anymore; now we are customers of the healthcare industry

[@mhenderson9311]

A good livestream, I’ll say it resonated with me. Once I got off drugs prescribed for depression 40 years ago, I vowed never again. Only once since then I relapsed, & that was 30 years ago. After 4 months back on the drugs, my psychiatrist agreed I didn’t need them anymore. The anesthesia drugs for my recent surgery affected me, but not in a bad way. Yoga, mindfulness, my ‘salvation’.

[@MedicalSecrets]

This is so empowering to hear! Thank you for sharing your story

[@davidtrindle6473]

Here’s another reason that that we’re so bad at treating depression: a recent study showed that 20% of depressed patients were actually suffering from hypothyroid. I’ve had several psychiatrists and therapists over the years, and none of them has suggested testing for hypothyroid. turns out, when I insisted on getting tested, the lab show that I had hypothyroid.

[@m.bird.]

Stress will cause hypothyroid. But assisting the thyroid can help lift us up bit. Chicken and egg....

[@davidtrindle6473]

@ I’m not sure what you mean by “chicken & egg.” Are you saying that curing the depression may help cure the hypothyroidism and vice versa?Thanks. This relationship is something I’m trying to learn more about.

[@SM-zf6ye]

As a retired person on Medicare with a fixed income try to find a decent Psychiatrist that accepts Medicare besides some state run craphole ! I found only one in a 60 mile radius after calling at least 25 and he was the worst doctor I’ve ever seen! Even finding a psychologist is hard , thankfully I found one online I see weekly. Mental healthcare in the US sucks!!!!

[@juancardenas7101]

When you wake up in the morning before anything else look at yourself in the mirror eye to eye then repeat to yourself " I am happy" ten times then brush your teeth with your non dominant hand.

[@SM-zf6ye]

@ are you joking or for real? Sometimes in comments it’s hard to tell however It certainly can’t hurt to try it

[@psychoedge]

Don't worry... It sucks just as hard in most other countries...

[@gb7702]

Hi just let you know I had my operation it was such a positive experience and I used the tools that you had mentioned in other videos. In fact I had two procedures done at the same time and I even walked into the operation Theatre and hopped on the table the surgery was 4hrs and it took me another hour to wake up. There was no anxiety. I'm recovering at home now and I would like to say thank you very much. God Bless. A good attitude is the key.

[@LoriNuttall]

Having had several surgeries and more to come, I could care less about the outcome. No fear of going under. Doesn't matter how it goes.

[@lizatkinson-wx7cz]

Total freeze out by my primary care, almost an eye roll when I mentioned feeling depressed for months.

[@darriontunstall3708]

Great live stream, I learned a lot! My MRI is Thursday for the bump on my left leg, they are putting me to sleep because I jump at loud noise because of my cerebral palsy, I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy

[@rosaliaoliver-qv3gr]

♥️Dr Anthony Haveh♥️ thank you for your ♥️Wonderful♥️Love♥️compassion♥️understanding ♥️for us♥️

[@andreamerlin223]

I don't know what its like to live without depression. At 67, I've been on psychiatrists' prescribed medication for 40 years, cognitive therapy, I don't have the energy for. My family is inundated with mental illness and addiction. Now I'm reading that the teachings of seratonin levels aren't the "in" thing anymore. I'm tired of searching for what's next.

[@attheranch873]

Ketamine infusions helped me to stop ruminating on suicidal thoughts. It lasted about seven or eight months.

[@SM-zf6ye]

Same here, 30 plus years and like you I’m sick of searching. I think it’s just bad genetics in my part

[@pippilangkous5089]

Exactly! I know what to do and what is best for me when I am in my depressed state, but it is just not possible! I know all the things said in this clip, but I am lucky if I just get out of bed some days.

[@SM-zf6ye]

@@pippilangkous5089I’ve tried everything! It kinda lifts out the blue and I’m ok for a short time then the depression and anxiety hits, sometimes there’s a trigger I overreacted to, other times I can’t pinpoint the cause. I’ve tried all the meds, books “ shelves full”, programs, exercise if my body allows, sunlight, exposure ect. I see a therapist weekly but I’m not really making any progress. I just keep Praying. I bet I’ve watched every single depression/anxiety video on KZbin hoping to find something but I’ve yet to find it

[@irmenotu]

I have been on ketamine and it was amazing and life changing, theres also a movement toward physical touch, intamcy (both physical and non physical) and reinforced bonding that can also be very helpful, but especially in todays modern medicine a lot of people hear that and think "oh you must mean sleeping with your doctor," which is not true and short sighted. It's the same as any modality, it works for some not others, but when it does work the effects are profound. Ive been fortunate enough to date medical professionals (who were NOT my provider so everyone can relax) and experience medicine in other countries and if we could get beyond this barrier that touch can only mean "dirty" and "intamacy" can only mean sex there is a lot of helpful options that are just barely starting to be explored and Ive seen literal night and day difference that was life changing for some folks.

[@MedicalSecrets]

This is one of the most nuanced and thoughtful comments I've read in a while. Thank you for sharing

[@irmenotu]

​@MedicalSecrets Wow YTs smartest and most handsome doctor replied to my comment. Im truly humbled and flattered. I wish I still had the option for ketamine therapy or intimacy therapy but since moving and losing insurance Ive lost both. If you ever need a first hand testimonial for either Id be happy to write something up.

[@1AlexanderCole]

I’ve repeatedly said that I consider my chiropractor one of my most important providers because he is literally the only person in my life that touches me. None of the psych medications have helped.

[@MissyQ12345]

I would benefit greatly from just being touched, held close.

[@angelacarbon4010]

This reminds me of the woman (and I think a guy was with her also doing this, too), walked around with a sign, 'Free hugs." Idk if the video is still on KZbin. People hugged her!

[@jeanward9984]

The 2 major things that brings depression is knowing your purpose and knowing your worth. Lacking these 2 things can make a person freak out.

[@bobl6329]

My experience has been being told to take this pill, and when I say it's not helping, then I am moved to another in combination with other drugs. Currently prozac, Abilify, and gabapentin. I am somewhat numb to the depressive feelings and thoughts, but they are still fully there. I am at a loss as to what to do to get my mind right and enjoy life.

[@m.bird.]

Do you have someone to hug?

[@micawber1000]

So many causes, each requiring a accurate Dx to treat properly. We still don't have a good understanding of many of the root causes. And without that solutions will always seem out of reach.

[@sphilticL-7]

Getting to professional help as a child in a family who barely has a concept of mental health was challenging. I’ve never been on anything other than an SSRI yet, and to my understanding its intended effect is to lessen the duration and frequency of episodes. That is to say that the episodes continue to happen and the net amount of negative symptoms will always be higher than an ideal baseline, they’re just more manageable. I have such a fear of and struggle with the social anxiety of making appointments with my doctor that I was only able to get a referral to a psychiatrist but never found out where and how they were going to contact me and so I haven’t heard from them. I genuinely wish I was on a less conventional type of medication that made me feel something, the old ones with side effects. It’s only a few months of work that I have to push through and I just want to be able to do it without getting suicidal thoughts and numbness.

[@rebeccabrown8908]

@sphilticL-7 -- Maybe you haven't found the right medication or the right dosage yet? I have a history of both depression and anxiety, and both of them have been extremely disruptive this year. Several months ago I became a patient at a wonderful psychiatric clinic (outpatient), and we've tried a number of medications. I've gotten a lot better. We got the depression under control fairly quickly, except it would keep cropping up around the same time most months, and it's debilitating. The anxiety took longer to get under control, and SSRIs weren't doing the trick by themselves, so we finally added a beta blocker (propranolol -- marvelous stuff, at least for me), and that has zapped it so far. I've also tried ketamine treatments at the clinic (in a breathable form called KetaMist, kinda like vaping the stuff, I guess 😅), which seem to have helped some, but it's honestly hard to tell how much of my improvement is from the ketamine and how much is from the other medications having enough time to reach therapeutic levels. But since we were having trouble getting both my depression and my anxiety to stay under control, I took a genetic test called GeneSight. Based on the DNA collected with a cheek swab, the test can tell you which psychotropic medications are most likely or least likely to be effective for you as an individual (and there's even a category in the middle), and also which meds are most, least, or moderately likely to cause you side effects. It eliminates so much guessing!! Lexapro, which I was formerly on for years, was in the red category (the worst ones for me) -- go figure! I had only one side effect, but no wonder it wasn't helping anymore. The two meds I'd had moderate success with over the summer (vilazodone and buspirone) are both in my yellow (moderate) category. There are four antidepressants in my green category (best chance), and the first two I've tried have been OK except I'm allergic to them. 🤪 That's one thing the test can't predict, unfortunately. So it's back to the drawing board. But I'm currently stable and thanking God for that. Just have to find the right "cocktail," as my psychiatrist calls it, to *keep* me stable for more than a week or two at a time. The GeneSight test also showed that I have a genetic mutation called MTHFR, which means my body has trouble metabolizing folate. That can lead to health problems in the long term if left untreated, and it also means my body has trouble metabolizing psychotropics. So, meds in my yellow category might be able to reach full effectiveness after a few months now that I take a methylated folate supplement (which is what you need to compensate for that mutation). And there are also mood stabilizers I could try, but we haven't exhausted all the options on page one yet. All that to say, I'd recommend fighting to get in with a psychiatrist. If you can find a good one, it's so helpful. They know more about these drugs than your primary care physician is likely to know. Call your doctor again; maybe it slipped through the cracks and they forgot to follow up. Maybe ask some friends. Or, if you're a student, ask a guidance counselor or the school nurse or somebody like that for a referral. I got multiple recommendations for the psychiatric clinic I go to from people at church and one friend who works in the mental health field. Word of mouth can be helpful! So, find a psychiatrist -- and don't be discouraged if the wait is long to get in as a new patient; it's hard to wait, but once you're on the list, at least you have a timeline for when you'll get some help!! And when you see him/her, ask about the GeneSight test. It can be expensive, but Myriad (the company that runs the test) has a financial assistance program you may qualify for. The reps I've talked to have been very kind and helpful, so it's worth calling them. Heck, you can Google them and call for free info before you even talk to a doctor about it, just for your peace of mind. P.S. Make sure you've ruled out other health conditions that could be causing or aggravating the depression. I found out recently that I have low testosterone, which is a problem whether you're male or female! Yet another side of things to explore and treat... Best of luck to you. You're special and deserve a chance to find happiness. 😊

[@lesatyson2811]

When i was in my early 20s started on a downward spiral, not knowing at the time from a 24 year very abusive relationship. I didn't see the changes I was going through then but looking back now I see it. I was thinking about suicide 24/7 and was at my worse. When I started thinking about killing my husband I knew then I needed help and went to a county mental clinic. Yes I tried suicide a few times but never made it. When I started working and my insurance allowed to see a psy Dr, I did. He put me on depression and anxiety medication. I am now 62 and still taking my depression meds. I take my clonazepam pan but I never miss my depression med which is effexor. I'm so afraid to miss 1 dose that one day will cause withdrawals and my mental status to begin a decline. I have had many surgeries for heart problems and I'm never afraid. I feel great when I'm under anesthesia and sometimes hope I stay there. PTSD is a big thing too. But I'll never be "normal" so I accept it. Thank you for your time. Oh I was diagnosed with bipolar and manic depression. I still think about ending it all but not like I was.

[@Rosanne707]

No doubt you are a really good person. Hang in there miracles do happen. My best to you.

[@frankly1744]

Ketamine was immensely helpful for me. Only problem I could only get treatment once. Sad that patents don't/can't get treatment. Good doctor's hands are tied by these companies, all too often!

[@wereldvanriley7]

as someone suffering from depression i think i can agree on this. After my inicial diagnosis i've been put on meds wich did little to improve my symptoms and mental health proffessionals i saw did not do much to help or understand my circumstances as to why i was depressed. After find a therapist that could relate to me and having really close friends my depression started to improve. My current therapist and my close friends have done a great job at allowing me to be mindfull and think about the positive sides of me, and the positive impacts i'm making and continue to make.

[@alexkazzeo6208]

Hello Doctor, a simple and humble suggestions, as a patient who suffers from PTSD from previous anesthesia, and has a very challenging times even thinking about surgery, watching your videos while you handle the mask and intubation equipment is truly difficult. I love the variety of content/videos you provide but I need to make my screen fully dark and just listen. Thank yoiu.

[@eileenfb1948]

In Aberdeen the treatment is heavy drugs then send home once stable. The nurses are told to not respond to distressed or crying patients -leave them alone. I met a girl as an outpatient and I could see why she had deep episodes of depression -her relationship with her daughter was needing attention.

[@empiricalscout4537]

I did Cognitive Behavioral Therapy and saw major improvements from PTSD symptoms too. I also use CBT AI chat bots because 1hr a week with the therapist isn't enough. I also started believing in God again and forgiving others instead of letting bitterness consume me.

[@kirtmanwaring3629]

I take it a step farther for myself because I want those "negative" things too. It's not a sign of good health to be well adjusted to a sick world, a poet I like said that and I feel it deeply. Suicidality, despair, feeling meaninglessness and shame …. I contend those are healthy as long as it's not all I’m feeling. My most successful treatments haven’t erased those, in factsometimes they amplify the "disease" but only because they amplify everything and let me in fact feel what I’m feeling and contextualize in a wider, more complete picture. Purpose with despair for my inevitable shortcomings, love of life with suicidal impulses … it all actually comes from the same place and I can't really have one without the other, I wouldn't want to if I could.

[@leonerose1715]

Channel's growing quickly Doc. Still, still listening. 😅😊

[@ShirAdonai]

I have suffered from depression, anxiety since I was a child. In 2022, I found out that I am a result of a rape. My mom’s family has always treated me as if I’m the problem. They wanted my mom to either give me away or abort me. My mom was always a Loving Mom & told me that she Loved me w/ all her heart. She could never share with me her painful memories. I think she was shamed by her family. I have never really felt like I was part of my Mom’s family. According to them, it’s my fault for being born. Of course they deny this fact. But actions speak louder than words. Since my Mom died in 2022, only one person bothers to contact me. When I try contacting any cousins or aunts/uncles, it’s as if I don’t exist. They are rude to me as if I have done a despicable thing to them and cast me away. Even one of my children is more accepted than me. I excluded from family gatherings, yet they get mad because I don’t show up. I also suffer from SI. I don’t tell anyone about my problems because there isn’t any point. Except for taxes and God, I have no reason for being alive.

[@justdawndb]

I'm so sorry, you deserve better. My heart hugs your heart, I hope you can feel it. 💞

[@psychoedge]

You're there for your own children. They gave your life meaning as you did to your mom's. Keep it up

[@tumbleweeduk7479]

I find myself and have heard from many others that depression frequently starts in your stomach, and therefore a ketogenic or carnivore diet can cause a huge improvement.The ketogenic diet for 100 years has been known to help with seizures.

[@UnrealTransformer]

Simple things like vitamin d or q10 and detoxing of the brain may also help. It works for me.

[@richardpage7323]

depression is about how fucking cruel weve become to one another and is almost 50% social in origin.

[@barbroy39]

I would tell you in depth if I could that I think that my depression/anxiety problem improved with change in diet.

[@MedicalSecrets]

That is fantastic to hear! I strongly believe that our diet can have a profound impact on our mood and nervous system as a whole

[@Lindaheal]

The biggest and most lasting changes with cptsd/depression/anxiety have come from addressing chronic inflammation. Dietary changes have been the easiest to address and have yielded significant gains for me. Nervous system regulation and healing has also been very helpful.

[@StephanieMissouri]

I haven’t had much improvement with talk therapy or the 3 different drugs I’ve tried. I don’t think there is anything out there that really works.

[@Jadedgrl2012]

I’m so paralyzed by my mdd that i cannot even act on getting help. It’s really bad. I recognize it but I can’t even leave my home unless I am forced to. I’ve basically given up.

[@attheranch873]

I relate to this. Is there someone in the healthcare system that could help you start taking action? I somehow ended up with a medical social worker who made appointments for me. I still have depression, but at least I’m able to get places.

[@Jadedgrl2012]

@@attheranch873 it’s terrible that I am in a position to get help and my ins co isn’t an issue but I can’t get out of my own way.

[@jedigirl5214]

Try bwrt therapy

[@Jadedgrl2012]

@ I’m sorry i don’t know the acronym. What kind of therapy is that? Would love to do Ketamine therapy but unfortunately my ins only covers western medicine.

[@jedigirl5214]

Bwrt therapy saved my life when I was depressed ❤

[@santitarodriguez3774]

Thank you so much for talking about this. Blessings. Amen 🙏🏽

[@mombotron58]

Been depressed most of my life.... it didn't change till my life habits and looking at depression differently. I stopped drinking alcohol and drugs.... then I stopped all the pharmaceuticals, (including all the depression drugs) then I decided to NOT be depressed anymore. All 3 of these changed my life. I was diagnosed as very depressed and been hospitalized (and jailed) several times. Anything they say is very complicated can be made simple. I lived playing Russian roulette most of my life...Living the best life now... better late than never.

[@kelseymathias3881]

Depression is caused by loneliness, disconnection from other people.

[@MedicalSecrets]

That is certainly one cause of it

[@pippilangkous5089]

Cause or effect? I find that if I am not in my depressed state I am not lonely and well connected with my surroundings. Than, within a day it flips. I feel depressed , lonely and disconnected from my surroundings.

[@Goodpizzaa]

What do I share? Almost everything now and that's only because for the first time in my 30+ years on this earth I feel like I have a doctor and practice who actually fucking listens to me and takes into what I have to say into consideration into their care plan. Before barely anything because the last time I felt like "sharing" i was i found myself volunterring myself for an inpatient psychiatric stay that unfortunately I was not told I couldn't check myself out of before. I have SEVERE trauma from that situation to this day and it truly changed who I was and have been forever. So after that I held back a lot. *a lot*. If teleheatlh is removed at any point and I can no longer see that practice I will literally leave at the drop of a hat to go move to their state and city. They mean that much to me. I truly feeled care for as a patient and a human being.

[@brodog1884]

I have been suffering with MDD for 21 years now and have tried a few dozens meds, and even TMS with no luck. I really had to look deep over the years and recently have came to the conclusion that society in the western world is a massive contributor to my depression but instead of the US fixing these society issues they funnel money into R&D for new drugs that just put a bandaid on things. It’s not normal for me to be in constant survival fight or flight mode. The constant debt and not being able to afford the proper treatment, the constant stress of insurance, the impossible budget I’m living with every month because everything in America seems to be a way to generate massive wealth including basic human necessities like shelter. People are burnt out, not able to spend adequate time with their friends and family and chase passions. We are a massive society of overconsumption and have our values set in the wrong things in my opinion. This country is not sustainable with this model the way it is, mental health issues are only going to continue to climb.

[@victorsimeonov]

+1 , you have formulated it so well The saddest thing is that it's NOT only the US (though e.g. Europe has less of these, the seed of greed and money-centric corruption is growing everywhere), and it's not only in (hyper)capitalist countries/societies (like the US). It's satisfying to at least see/know this is all an unsustainable approach that will burn through much/most of the human capital and the system will inevitably either collapse or decay in a few more decades (maybe as low as 2-3 from now) in pursuit of maximizing the money and "material wealth" capital (only to squander them shortly ). It's terrifying to see/know HOW the collapse or decay is happening (right now, partly behind closed doors and with most people only seeing the shadows on the curtains) and how it's likely to progress year after year, decade after decade.

[@bernadettesimko3876]

Because health care labels you and the way they treat you.

[@jscire__872]

For me the most important questions are: how is the depression helping you, and what does it do for you? The hopelessness of depression, and that desperately self-focused default mode network overriding everything else from the consciousness, can actually be an internal survival mechanism/reaction in the brain that helps you cope with the adversities of life. Hope can be too dangerous. The understanding that the part of the brain that defaults to depression and anxiety as coping mechanisms is not the whole of your being, and that those are your own reactions that are trying to help you - only in their own often unhelpful ways - is one method of generating that all important non-judgmental self-compassion and emotional separation from the grips of depression. To that end I’ve personally found a lot of help from parts work therapy and to me it makes so much sense that different parts of the brain & nervous system would default to different patterns of coping and thinking. Whether it’s your depressed side, your work side, family side, your inner critic etc. Each facet of yourself, i.e. each physical mental state, have their own logic & reaction patterns in your mind that are both deeply understandable and capable of being guided and assisted into better reactions by you - if only you can find a more neutral mental state and get the feelings of self-judgement and shame to give room for your self-compassion and internal curiosity.

[@cathcolwell2197]

People need to belong Out of that arises identity and purpose We are in infancy in treating depression- we haven’t got a clue. I went to a SDA church- people were so friendly I felt healed and whole for the first time in decades.

[@attheranch873]

What is an SDA church?

[@cathcolwell2197]

@ seventh day Adventist - not perfect nothing is, but scripturally sound and warm, humble people

[@mindkindmom]

Good for you. I went to a NEW Life Church for 5 years, then moved away due to work. Not one member bothered to keep in touch or check in unless I initiated it. After some time I gave up. As long as my tithes were coming in, I was relevant.

[@rosepetals8181]

Theres a whole lot to this One... 🙏 GOD BLESS THEM

[@kl-ue6zl]

100% yes thank you!!!

[@lrwiersum]

I had PTSD. I THOUGHT I was suicidaly depressed for DECADES. I took MDMA by myself in 2018 in a desperate effort to save my life during the worst episode ever. Turns out I was having FLASHBACKS !!! I was having flashbacks from a near drowning when I was TWO YEARS OLD. Geeeeeze !! I went back to that beach and it became the beautiful day in Hawaii that I DIDN’T drown. My family was there and I was fine. It had been terribly close but I was pulled out of the surf in the absolute nick of time. Anyway, in five hours flat my “depression” was gone, never to return. Don’t underestimate what PTSD flashbacks can do. I didn’t know that’s what was happening.

[@AmandaPatteson]

Thank you Thank you Thank you so much for being you!!!

[@taniaswain-williams1379]

My experience is starting with mild depression, mild anti depressants then traumatic event then spiral eventual rapid cycle bi polar diagnosis. Many years of trying every med, ending up on very high doses with just increasingly worsening symptoms. Cut a very long story short i think misdiagnosis i think adhd and some anxiety depression caused from related adhd problems. If we just keep giving meds it wont work. Our thoughts cause emotional feedback. Meditation, walking everyday. Learning about attachment styles and how to deal with narccistists all vital. Eating protien and very low sugar, more vital than meds. Breathing excersises and affirmations (realistic ones you can feel real). Connection is everything but we often have to go within first

[@Jon-o7l]

Is it a normal feeling to feel depressed after surving an operation. I had an operation on Monday 11th November the operation was a minor operation for some but because of heart conditions I was classed as high risk and was told I could passaway while having the operation. I have had throat and kidney cancer diagnosed Monday they decided to do a tonsillectomy 7 biopsies in various parts of my throat I also had a camera down my throat to my stomach. The morning of the surgery I sat and said goodbye to my 3 dogs and my parrot I came outside to my friends car and said goodbye to my neighbours and friends now the operation is complete and I didn't passaway i can't cope with still being here Monday was meant to be my last day on this planet I can't stop the guilt feeling the depression and the crying sorry for the long comment but i don't know who to turn to I started watching the channel 2 months before the date of the op to see how things were done thanks for reading Jon UK

[@sonjagatto9981]

💖You need a big hug...sorry I can only send you one. I hope your dogs and parrot comfort you. 😘

[@stefanoromano3525]

❤

[@attheranch873]

I’m really sorry it went that way for you. I’m in a very long episode of MDD, and I truly believe that we should be able to decide when we’ve had enough suffering and we’re ready to leave this existence.

[@5ickBreeD]

Because insurance doesn't cover FMRI scans...everyone should have one that has any symptoms that are treated with medication.

[@PW82424]

What gets me is that every time we go to see a doctor of any kind now, we have to answer questions about our mental state. If we don't answer them, we can't finish the form! So I will say yes to the questions that are very personal and troubling feelings, and when I go in to be seen, every doctor will always ignore it. There it is in their hands, and they simply don't pursue it. You've just written down, for example, that yes, you do have thoughts that you'd be better off dead. Why make us answer those questions at all! I'm tired of those questionnaires.

[@addsomeblue2390]

Doctor with a big ❤ THANK YOU 🥲

[@MedicalSecrets]

Thank you! I hope you learned something new to advocate for your health 🙏

[@ronnie-lynn]

I went to bed at 9pm slept until 10am laid in the bed until 1230pm. It’s now 2pm and I’m so exhausted I’m now laying on the sofa because holding my head up is tiring. 😞 gonna close my eyes now and listen…

[@markae0]

What drugs or "medicine" are you on?

[@heedmydemands]

This is such a fascinating perspective that u have, very cool

[@GreyException]

To preface, this is all just "IMO" and "IME" (in my experience). There are several big factors. All of which sort of overlook the root cause for why someone may be experiencing "depression". A) Pharma. SSRIs. I have a bias against them, but I understand they help others, at least temporarily. In this aspect, I don't see it much differently than someone who "abused" substances up to a moderate degree. Both SSRIs and let's say, weed, have short and long term side effects we are unaware of. Anyways, these drugs cannot fix the root of depression. B) Talk therapy is like emotional prostitut1on. We are literally paying someone to listen to our problems and give us "compassion". I've had a large handful of councilors, therapists or psychiatrists and my experience is that either 'they' don't have the tools or answers to address many deep, existential/philosophical internal conflicts OR worse, they don't care. And it's not like I actually blame most therapists who have good intentions. I don't blame anyone or anything directly. Though I do see a problem with it. Therapists are still humans. People have finite storages of compassion. People (mentally ill or not) are also capable of recognizing when someone is listening, or has forgotten something. So when Mr/Mrs therapist has 10 or more clients, there's simply less time for 1 individual. I think some of us need to have that 1 on 1 personal relationship to even build the trust required to speak about "things" that would otherwise be taken to the grave.

[@carole3995]

Gut health is key

[@BushyHairedStranger]

Mutaflor

[@BushyHairedStranger]

Mutaflor is a probiotic product that contains the strain Escherichia coli Nissle 1917. This specific strain of E. coli is non-pathogenic and has been used in the treatment of various gastrointestinal disorders

[@deadsteve2180]

The worst thing about depression is having other people tell you that there is nothing wrong with you.

[@charlotteb.derrick5117]

Thank you so much….❤

[@CarlyFaith15]

Interesting, Doc. Under anesthesia, we are as close to death as we can be in a controlled medical coma. After 32 years of dealing with depression, I would say that is the best description of depression itself. Pretty brilliant, huh? Yes, you are. When in a deep depression, I will often say that I am already dead but, my heart just hasn't come to understand that and so, it hasn't stopped beating. It's the closest I can possibly live without being unconscious. All the lights are off. All pleasure ceases. Joy does not exist. Hope has no meaning. It is more like being in survival mode without the will to try to survive. We only keep living because, dying is not an option. Ironic how in our neighboring country of Canada, they have a program called made. People who are clinically depressed can fill out some paperwork and 6 weeks later they can climb into a pod, push a button and never wake up. For some reason, it has been made socially acceptable. It's even advertised that the pods can be buried or cremated so there's no waste. But, what about the waste of a human life? 30 years is a long time to feel something on and off and mostly on and to study it as well. I love the program of exercise and eat fruits and vegetables and drink lots of water. Then, you won't be depressed anymore. 😂 I would laugh out loud if I wasn't so depressed. Someone on here hit the nail on the head when they said that humans need to be understood and to understand others. It's as vital to life as oxygen. Nobody would go out and find a puppy and then put it in a room and shut the door. Then crack it open once a day to put a bowl of water and food in and then, shut the door again. The dog would not survive. But, human beings are special. Somehow, we keep living. I've had 12 surgeries where I was put under anesthesia. I remember explaining once in detail why there was both my husband and a friend standing next to my bed. Whispering to the anesthesiologist that I would never get divorced. That I would always be faithful. But, only the friend knew who I was and I knew who he was. I was pretty close to the answer to my depression there. I did get divorced years later and I did end up with that friend. And, I got to live for a little while. Then, he walked into our kitchen one day and he died. It was his birthday. Maybe, he was born into a new realm when he left his body but, after they worked on his body for 5 hours and then told me they had put a hole in his stomach accidentally, I told them to stop trying to make his heart beat. Only his heart hadn't died at that point and I wasn't going to let them fill him up and crush his heart. I heard this voice in a whaling tone scream, Now, nobody will ever know me again. 😥 It was me. I've been in isolation ever since. About as close to death as I can get unless, I go under anesthesia again. Keep learning and helping, Doctor. If you save one life, then, you somehow saved the whole world. One person at a time. My heart to yours. 💙

[@mandarinlearner]

I was anesthetist for 20 years and am now a physician of oriental medicine. The herbs and balancing of blocks in the body can make a huge difference for depression

[@cmozoo]

What about people who "crash and burn" when trying get off medication or lower the dose? (not flat out quitting "cold turkey," but in a medically directed fashion.) Can ketamine treatment solve that? - assuming that person has had psychotherapy. Or, are there people who physiologically can never stop the antidepressant? As far as the depression screening questions, some people are fearful of being honest because there could be unintended or unwanted consequences.

[@EnyalienMini]

Now I really wish I could speak with the anesthesiologist that handled my surgery.

[@TrineDaely]

It sucks that someone who voluntarily goes to the ER after self-harm gets Baker Acted even though they're obviously past the immediate crisis. That's why they went to the ER of their own accord! Baker Acting them at that point actually does more harm. And it's certainly not a call that should be made by a non-psych of any profession and without any input from that person's professionals. It does both immediate harm as well as future harm, since they're less likely to go to the ER if they need to and less likely to open up to any professional for fear of a repeat confinement.

[@ziggy33399]

I go to any of my many doctors…one psychiatrist included (I have a malady of things not right). They all have time limits, don’t make me feel like they are emotionally engaged in my welfare at all. They want my symptoms. Then they prescribe prescription drugs. That’s it. I always hope for something more…perhaps some kind of understanding. Oh, they are polite (mostly. But somehow I feel the disconnect…as though I’m not REALLY honored much. Maybe because I’m old. Maybe I’m TOO educated… or because I ask questions (although I no longer share every symptom as I can feel they all get annoyed at some point with overload).

[@attheranch873]

This is my experience too. I want to feel connected to them. I did feel that with my first therapist, many years ago.

[@Puppylove82-gv3gm]

This is how I started feeling with my therapist. I don't think she knew how to help me in the end. Just reccomend me to someone else! I even asked her that and she just looked at me. I feel like both our times were wasted and my money wasted.

[@C4_Anon]

Depression? I think there's multiple types. There are times they are brief episodes, few days, few weeks. Then, there was high school. 2.5 years of not being able to formulate a single positive thought. Major depression. West culture - I've never been in a relationship - it doesn't help to feel so isolated with low self esteem. Nobody will help me out in a real way. Not some doctor tellin me it's alright or givin me some pills... Real fun.

[@susanroberts]

I know no one will read this. I’ve left comments before. I just want to go to sleep and never wake up. I’ve been in pain for over 35 yrs and many diseases. Mostly autoimmune. They can’t fix them so what’s the point in going on? I can’t see any anymore. 🤷‍♀️🤦‍♀️

[@ravenraven966]

I understand exactly how you feel... It breaks my heart to see someone else suffering the same as I am....I wish I had the answers.

[@attheranch873]

Same here, I don’t see any reason for me to be alive. There is no benefit now. Because of this, I really think people should be able to opt out easily. It should be a choice just like any other choice.

[@andrewmurray3139]

Frightening how much depression can be reduced by non medical strategies: sunshine, exercise, connection, purpose (no matter how small to the world so long as it is something you want)

[@suzannegottschalk7981]

Did anyone else have trouble accessing this video?

[@jodyljohnson8515]

Only at first, then when it got to the countdown I was able to get in

[@rosepetals8181]

👍😘VERY NICE,I CAN SEND THIS TO MANY PEOPLE THAT NEED IT...THIS IS TRUELY DEEP,THO...I SEE IT EVERYWHERE IN PEOPLE...THIS ONES A SAVE ,THANK YOU🙏☯️👈

[@wednesdayschild3627]

The entire society needs treatment. Get out of your car and walk, meet people.

[@darriontunstall3708]

I’ll be there!!!

[@charlenewilson1024]

I went off my anti depression meds after 14 years,

[@robertkirchner7981]

I try going off them every five years or so on principle, just to see what my natural baseline mood is. The last two times I did that it got really dark. I'm not in danger of self harm because I know what's going on, but if I hadn't had the experience of taking antidepressants and seeing my symptoms decrease, I think I'd be in at risk. They aren't a cure for me, or even an effective solution, but they make my depression survivable.

[@trishayamada807]

@@robertkirchner7981yes! I get suicidal thoughts, but I wouldn’t kill myself. But whenever I stop, I eventually go down. Plus somehow my depression medication, takes the edge off my migraines. I think it may even help me have less, but lately, I’ve had some killer migraines.

[@dzymslizzy3641]

As a person being treated for chronic depressive state, I have little faith in the drug I am prescribed. It doesn't seem to be doing much. I'm under constant stress from many sources, and I'm 76, so youth is not on my side. I'm not suicidal, because I fear pain, but still, I feel like I'm just marking time until my days are over. Everything feels like too much trouble, and I can no longer afford the things that interest me and give me joy. You mentioned people 'confiding' in you as they go under anesthesia; I wonder how they can do this, as it is my understanding that the majority of people are intubated during this process, thereby rendering them unable to speak. I've had bilateral knee replacements, and I know I was intubated, because I asked before being taken to the O.R.

[@harrypearle9781]

VALUED ? We all need to be valued and rewarded for what we do in life. "The BEST is the ENEMY of the GOOD" Voltaire This suggests to me that in a competitive world, people who are just AVERAGE, may feel REJECTED in life. ================== But often doing average work is great ============ TNX

[@tommynikon2283]

Diagnosed with D in my 20’s; 68 now. Tried Rx for a few years, no relief…and ALL the side effects and cost. D- kinda used to it; It’s my “normal”- and I believe, pre CTE, because of repeated concussions.

[@Erika-Coach]

Omg! I’m so depressed. Family, my 5 grown kids don’t talk to me in any shape or form. No calls. No calls answered. Same with texts. They’re (4 boys in Illinois, one daughter in Colorado, me in Wisconsin). Me coming here, kids were grown, all but 27 yo twin sons were at home. I came to take care of my aging, then Leey Body Dimensia, ending with pancreatic cancer. 5 years. My husband & I divorced during that time. Now? All family “gone”. Didn’t make the time to socialize, my father was demanding & demeaning. “You’re just old & ugly”. All this “down”? I had a stroke. Now have to undergone test, arteriogram, to check for aneurysm? Or blood clot? And? Have not one single person here nor family willing nor wanting to be with me. Test was for Monday morning. I didn’t go. I was told “need someone to stay with you the night”. I just sobbed, cried. I did not have the courage to say “I have no one”. 😢😭😭

[@jaimez4883]

Great information

[@零云-u7e]

Treating depression is treating the symptom, the tail end of something. Solve that thing. Identity loss maybe, trauma, etc. I learned to use my ADD as a superpower to hyperfocus away from the bad, to aid me as I correct my alignment. Took years to separate anxiety from depression. No pills. I can be happy, but my anxiety was neuropathic. It was amazing for me. I turned the time loss into hard earned wisdom. You take a pill, it lets you wake up... as you continue to backlog the causation. There is genuine serotonin disorder. I'm willing to say mostly no, and I had 15+ years of bad identity loss. Everyone is different, but that's the point.

[@janetmcbee]

💜 hi, I don't want to be rude here, actually I thought I was odd has my life has gone on. I'm thinking of just giving up. Life is to lonely and weird these days. I hope you have a better life than mine.

[@pippilangkous5089]

I can relate to your feelings. I find a bit of rest in having the option to give up. However, I find that if I get stuck in only thinking about giving up and the ways to do that, I sink deeper in the feelings of despair. I find what helps me getting out of that spiral is setting goals. The first goal is just getting out of bed. That might be impossible, but be kind to yourself if it doesn't happen that day. Try the next day. If it works out that day, celebrate. Compliment yourself, although it feels unnatural. Words have power. Negative words ( about giving up) but also positive words: you are valid, you are precious just the way you are ❤

[@selahbarnes8425]

I love your channel. I have CPTSD/TRAUMA DISORDER . I cannot find a psychologist. 1.i don't take your insurance, you can pay cash($200 a week . NOooo 2.We have a 1 year waiting list. 3. We're not taking new patients. Yes, I'm depressed! I have spent weeks calling my insurance and every listed therapist in a 30 mile radius. My great psychologist retired😢. I am medication resistant. I would love to try ketamine, ha-I don't have $3000+. My insurance doesn't pay for it. THE BODY DOES KEEP THE SCORE! I'm about to have my 5th surgery December 9th. I'm tired, I don't care anymore. I live in a large Midwest City. I'm sick and tired of hearing there is help, "We Care". Really, who? I pray people suffering out there do find help. The medical system is so broken. I think you are an awesome doctor. Your patients are lucky.❤

[@BeeElle-rt8qf]

Thank you

[@qdllc]

Frankly, most “therapists” aren’t qualified to treat people with psychological issues. Few really know how to listen and help. That one completes the coursework and passes the certification process doesn’t mean they are any good with helping people.

[@petervanrun4626]

Goodonya, Ministers, doctors, lawyers, teachers, leaders in all sorts of fields have a very privileged possition thereby responsible possition, all so parents. With responsibility comes accountability, you are a good example to us all, do no harm n serving in a truly luving way. thanks

[@justjamie6458]

Psyc hospitals are an environment where you have no responsibilities, all your needs are provided for, you can socialize with people who truly understand you and you can get as much rest as you need. You get better and everyone pats you on the back on the way out. Then you go back to the house you haven't been able to keep clean, the job you haven't been able to manage, family, friends and neighbors who can't or won't understand what you're going through, harmful people you want to remove from your life but legitimately can't and children you desperately want to care for but can't do so properly and you know they are suffering because of you all without help; or worse temporary, superficial help from people who are judgemental and so self righteous that they don't realize that their way of helping is actually traumatizing you. Then a few months later your life falls apart again and you get blamed for it. There are things meds and therapy can't fix. The hospital gets you out of crisis but you are nowhere near capable of caring for yourself or others or fulfilling your responsibilities. It's like amputating someones legs to save their life then sending them home with a cheerful congratulations and good luck instead of a wheel chair .

[@meogamegogo4331]

I probably have the anhedonia because personally I don't care but I believe it's deeper than finding a drug to feel it's the coping mechanism of your life not mattering to childhood support systems, I don't care to make emotional connections because they're mutable to disappointing consequences to begin with, I can't get back the "hopes" and " dreams" lost, there is only the present and future. I've avoided doing dope to cope despite it being considered a treatment I'd like to reduce the damage to my liver and pancreas due to my predisposition of diabetes.

[@terriharmison4090]

I have suffered from crippling depression off and on since 1983. I have tried nearly everything and nothing has helped. It’s a terrible way to live.

[@Aetherfield]

Can you please talk about taking Ketamine and such drugs while on SSRI’s and why it’s not advisable?