In today's society there is a lot of 00:00:01.98\00:00:03.29 bullying and peer pressure that goes on 00:00:03.32\00:00:05.14 for teenagers. And believe it or not 00:00:05.17\00:00:06.79 this is something that can lead to depression. 00:00:06.82\00:00:09.10 We're gonna be continuing our series 00:00:09.13\00:00:11.36 on depression with Dr. Cynthia 00:00:11.39\00:00:13.22 Powell-Hicks. Please join us. 00:00:13.25\00:00:16.11 Thanks for tuning in again today 00:00:39.70\00:00:42.12 and I believe this is going to be a program 00:00:42.15\00:00:44.68 that will help you recognize some 00:00:44.71\00:00:48.23 important matters in your life perhaps 00:00:48.26\00:00:50.09 in yours teens life, your children 00:00:50.12\00:00:52.77 or your grandchildren and also in our home. 00:00:52.80\00:00:55.72 But before we began, there is a scripture 00:00:55.75\00:00:57.79 that I want to read because this is one of 00:00:57.82\00:01:00.08 my favorite promises in the Bible. 00:01:00.11\00:01:02.03 It's comes from Psalm 3:3 and it says, 00:01:02.06\00:01:04.87 You, O LORD, are a shield for me; my glory, 00:01:04.90\00:01:09.57 and the one who lifts up my head. 00:01:09.60\00:01:13.07 No matter how far down you think 00:01:13.10\00:01:16.09 you're right now. God can still cup his hand 00:01:16.12\00:01:18.97 under your chin till your face heavenward 00:01:19.00\00:01:22.83 and he can bring you up out of that 00:01:22.86\00:01:25.66 pit of depression. Please help me 00:01:25.69\00:01:28.53 welcome our special guest 00:01:28.56\00:01:30.02 Dr. Cynthia Powell-Hicks and Cynthia 00:01:30.05\00:01:33.64 thank you so much for returning. 00:01:33.67\00:01:35.33 Oh thanks for having me it was such delight 00:01:35.36\00:01:37.69 the last time I was here. Well you have a 00:01:37.72\00:01:40.60 PhD in clinical psychology 00:01:40.63\00:01:42.67 and you've done a lot of work in your life 00:01:42.70\00:01:45.20 with actually a good part of your career 00:01:45.23\00:01:48.50 has been dedicated to you. You tell us 00:01:48.53\00:01:51.11 about that. Yes, I was a psychologist, 00:01:51.14\00:01:54.95 I had private practice for six years 00:01:54.98\00:01:56.97 and I worked with children that had 00:01:57.00\00:01:59.59 clinical depression as well as I specialized 00:01:59.62\00:02:02.99 working with abused children. 00:02:03.02\00:02:04.59 Why do you think that we see so much? 00:02:04.62\00:02:08.79 I mean truly today we're hearing more and more 00:02:08.82\00:02:11.96 the teen suicide rate is that the second leading 00:02:11.99\00:02:15.64 cause of death in teens or the first leading 00:02:15.67\00:02:17.79 cause? For the females, it's definitely 00:02:17.82\00:02:20.29 the first, yeah, it's the first leading cause 00:02:20.32\00:02:22.44 of death. Now see for most of us that seem 00:02:22.47\00:02:25.00 incomprehensible. Why, why are so many teens 00:02:25.03\00:02:29.31 getting clinically depressed and to that 00:02:29.34\00:02:32.12 point of feeling hopeless? 00:02:32.15\00:02:34.22 And then I just want to clarify, 00:02:34.25\00:02:35.78 you know the leading cause is because 00:02:35.81\00:02:37.19 I also include when teens are using drugs 00:02:37.22\00:02:41.43 and using alcohol because that is the 00:02:41.46\00:02:43.57 form of, you know, self destructive behavior, 00:02:43.60\00:02:45.77 which does lead to suicide and then they 00:02:45.80\00:02:47.60 have the DUIs, they have the auto accidents, 00:02:47.63\00:02:49.90 so I see it all and check together. 00:02:49.93\00:02:52.23 The teens now, it's really a rough time 00:02:52.26\00:02:54.79 for teen's especially Christian teens trying 00:02:54.82\00:02:57.06 to adhere to what they have learned 00:02:57.09\00:03:00.03 all their lives and then go off to public schools 00:03:00.06\00:03:02.22 or even in our own schools because 00:03:02.25\00:03:04.77 of the peer pressure. The people, 00:03:04.80\00:03:07.07 adults want to be accepted and teens 00:03:07.10\00:03:10.37 definitely want to be cool and accepted 00:03:10.40\00:03:12.69 and not rejected. They don't want to be 00:03:12.72\00:03:16.49 classified as nerds, I had a patient say 00:03:16.52\00:03:19.13 I don't want to do well in school. 00:03:19.16\00:03:21.30 You know because I don't want to be 00:03:21.33\00:03:23.22 classified as a nerd. Oh. Yeah, 00:03:23.25\00:03:25.40 I said a nerd just to learn in the classes 00:03:25.43\00:03:28.04 so that you can get out of school. 00:03:28.07\00:03:29.26 And then sometimes as I mentioned earlier 00:03:29.29\00:03:31.54 they will self-medicate, they will use 00:03:31.57\00:03:34.57 the marijuana. They will use excessive; 00:03:34.60\00:03:36.57 they will use the alcohol to cope 00:03:36.60\00:03:39.57 with the depression or the lack of connecting 00:03:39.60\00:03:43.72 with others. Well we know that 00:03:43.75\00:03:45.91 with the popularity of these internet sites 00:03:45.94\00:03:50.53 such as facebook and various ones that are 00:03:50.56\00:03:54.33 now available. There has been a lot of 00:03:54.36\00:03:57.35 cyber bullying where people are saying 00:03:57.38\00:03:59.78 nasty things about others and putting it 00:03:59.81\00:04:02.12 in print, lot of times it isn't true, 00:04:02.15\00:04:04.24 but they have this bullying in what kind, 00:04:04.27\00:04:06.91 what affect does bullying have on a 00:04:06.94\00:04:11.06 teenage mind. It's devastating. 00:04:11.09\00:04:14.33 I mean, we see it in the news all the time 00:04:14.36\00:04:16.54 and then the most heinous that I just 00:04:16.57\00:04:18.53 recently saw where the mother 00:04:18.56\00:04:20.60 was the one doing it. When adults started 00:04:20.63\00:04:23.72 hacking our youth, you know, 00:04:23.75\00:04:25.31 we are really having issues and really 00:04:25.34\00:04:26.74 having problems, but our youth that are having 00:04:26.77\00:04:32.40 this or teens that are having this 00:04:32.43\00:04:34.19 they are actually believing 00:04:34.22\00:04:36.22 what's happening or what they are 00:04:36.25\00:04:37.47 actually saying about them. 00:04:37.50\00:04:38.65 So a person that might be marginal 00:04:38.68\00:04:40.98 with the self image anyway because, 00:04:41.01\00:04:42.73 you know, that's kind of an awkward face of life 00:04:42.76\00:04:44.36 if we can remember back to that stage, 00:04:44.39\00:04:46.46 you now. Our hair, our teeth, our skin, 00:04:46.49\00:04:48.25 you know it so. So then when people are saying 00:04:48.28\00:04:50.41 something that you've been thinking 00:04:50.44\00:04:54.51 about yourself and then now it's on cyberspace 00:04:54.54\00:04:57.21 or say you send a picture of yourself, 00:04:57.24\00:04:59.83 you texting it to someone else 00:04:59.86\00:05:01.28 so they can see. How you look in this 00:05:01.31\00:05:03.62 particular outfit or you know how your face 00:05:03.65\00:05:06.05 or hair is looking and then they can just 00:05:06.08\00:05:07.89 store it, they can send it to the world 00:05:07.92\00:05:09.82 and that can be very devastating. 00:05:09.85\00:05:11.73 So something that you just want to share 00:05:11.76\00:05:13.22 with the friend or with one or two people 00:05:13.25\00:05:14.85 now is throughout the nation. Yeah. See 00:05:14.88\00:05:17.62 I think that's the one thing that teens 00:05:17.65\00:05:19.80 and adults like do not even stop to consider 00:05:19.83\00:05:22.87 is that everything that you put on these 00:05:22.90\00:05:25.62 chat rooms and these internet sites 00:05:25.65\00:05:27.64 once it's in cyberspace, it's there forever. 00:05:27.67\00:05:30.50 There is no bringing it back. And so 00:05:30.53\00:05:32.95 you don't really want to get on to these kind 00:05:32.98\00:05:36.06 of social networking groups 00:05:36.09\00:05:37.62 and share your most intimate details 00:05:37.65\00:05:40.00 of your life because you may regret 00:05:40.03\00:05:41.90 at the next day. Now I know that sometimes 00:05:41.93\00:05:45.68 just expectations, a parental expectations 00:05:45.71\00:05:48.43 can put enough pressure on teen to make them 00:05:48.46\00:05:54.79 feel like they can never be good enough 00:05:54.82\00:05:57.58 as well, so. Yes you're right because 00:05:57.61\00:06:00.35 adults definitely have high standards 00:06:00.38\00:06:02.13 for their children. You know they want them 00:06:02.16\00:06:04.42 to achieve, they want them to be bigger 00:06:04.45\00:06:06.09 and better than what they possibly 00:06:06.12\00:06:08.15 were coming up and sometimes people 00:06:08.18\00:06:11.91 will compare their youth to other youths 00:06:11.94\00:06:13.72 or you know, a classic examples when you see 00:06:13.75\00:06:16.40 a seven year old violinist and you have 00:06:16.43\00:06:19.75 an 18-year-old, who has been in violin classes 00:06:19.78\00:06:21.87 ever since you know elementary school 00:06:21.90\00:06:23.70 and the seven year old has head and shoulders 00:06:23.73\00:06:25.84 you know better. So it's how you process that 00:06:25.87\00:06:29.35 and it all goes back to the self-esteem 00:06:29.38\00:06:31.76 because I see patients that have that real good 00:06:31.79\00:06:34.82 self image with real good core. 00:06:34.85\00:06:36.71 They just say yeah they are just so crazy. 00:06:36.74\00:06:38.38 How could they say this about me? 00:06:38.41\00:06:39.94 You know it did hurt me for a minute, 00:06:39.97\00:06:42.53 but you know my parents and I 00:06:42.56\00:06:44.14 or my pastor and I, we talked about it 00:06:44.17\00:06:45.75 or my Sabbath school leader, you know, 00:06:45.78\00:06:47.93 we talked about it and they tell me you know, 00:06:47.96\00:06:50.39 they are just jealous of me or whatever. 00:06:50.42\00:06:52.49 However, they can package us so that 00:06:52.52\00:06:54.37 they can cope with what they have heard 00:06:54.40\00:06:57.35 is what we really try to help them in therapy 00:06:57.38\00:07:01.35 because if not then the other side of it is 00:07:01.38\00:07:03.68 you know they get the helplessness, 00:07:03.71\00:07:05.96 the hopelessness, the tearfulness, 00:07:05.99\00:07:07.66 the withdrawing from society, 00:07:07.69\00:07:10.62 not wanting to interact in any activities 00:07:10.65\00:07:13.17 no matter how fun they might be. 00:07:13.20\00:07:14.84 And then you can almost misdiagnose 00:07:14.87\00:07:18.93 some of your male patients that have 00:07:18.96\00:07:22.38 this feeling of being bully because 00:07:22.41\00:07:24.84 then instead of them internalizing it, 00:07:24.87\00:07:30.05 they'll start lashing out, 00:07:30.08\00:07:31.92 they'll be your gang leaders, 00:07:31.95\00:07:33.61 they'll be the once that are starting 00:07:33.64\00:07:36.77 to bully other people. You know, 00:07:36.80\00:07:38.80 so that they'll start feeling better 00:07:38.83\00:07:40.40 about themselves as they are taking 00:07:40.43\00:07:42.20 other people down. They'll look clinically 00:07:42.23\00:07:44.90 as a conduct disorder. So, generally speaking 00:07:44.93\00:07:48.24 I've always thought that bullies are 00:07:48.27\00:07:49.53 very insecure people. So you are saying that 00:07:49.56\00:07:52.63 if someone is bullied that's very likely to 00:07:52.66\00:07:55.81 make them enter into that cycle of behavior, 00:07:55.84\00:07:59.52 where they begin bullying because 00:07:59.55\00:08:01.07 they are very insecure. Definitely. 00:08:01.10\00:08:03.19 Okay, so let's go over some of the symptoms 00:08:03.22\00:08:06.50 because you maybe watching from home 00:08:06.53\00:08:08.50 and wondering is my teen, is my son, 00:08:08.53\00:08:11.03 my daughter, my grandchild 00:08:11.06\00:08:13.06 are they suffering from signs of what could be 00:08:13.09\00:08:17.15 considered clinical depression. 00:08:17.18\00:08:19.32 Let's talk about the signs of depression. 00:08:19.35\00:08:22.46 I think you brought along an inventory, 00:08:22.49\00:08:27.18 inventory here, from time to time 00:08:27.21\00:08:29.09 we use different inventories which 00:08:29.12\00:08:31.19 would be just questions that you would 00:08:31.22\00:08:32.89 ask of people. I have used the beck depression 00:08:32.92\00:08:36.43 scale before but this one here is the burns 00:08:36.46\00:08:38.98 inventory and it has different categories 00:08:39.01\00:08:40.63 which is talking about thoughts and feelings, 00:08:40.66\00:08:42.99 activities and personal relationships 00:08:43.02\00:08:45.97 and physical symptoms because sometimes 00:08:46.00\00:08:48.62 our physical. You know we may just think 00:08:48.65\00:08:50.52 we just have headache or chest pains. 00:08:50.55\00:08:51.74 There are lot of people running into the 00:08:51.77\00:08:53.18 hospital now and I hate to say even therapists 00:08:53.21\00:08:55.77 are running into the hospital with thinking 00:08:55.80\00:08:58.11 that they had a heart attack because 00:08:58.14\00:08:59.51 they have the chest pains. And 00:08:59.54\00:09:01.50 I don't want to simplify or trivialize it, 00:09:01.53\00:09:03.85 but it is anxiety or they are actually having 00:09:03.88\00:09:06.98 a panic attack so some. Now these 00:09:07.01\00:09:08.68 and burns depression checklist, 00:09:08.71\00:09:10.83 this would be used for teens and adults. 00:09:10.86\00:09:13.82 Definitely yes. Okay. So you would want to know 00:09:13.85\00:09:15.96 how are they feeling, are they feeling sad, 00:09:15.99\00:09:18.22 are they unhappy, are they having blues, 00:09:18.25\00:09:20.29 melancholy. Sometimes people don't 00:09:20.32\00:09:22.06 even know that the feelings that 00:09:22.09\00:09:23.22 they are having are depressed type feeling. 00:09:23.25\00:09:26.47 They just know that they are not feeling normal 00:09:26.50\00:09:28.50 or they are crying a lot. And I'm not saying 00:09:28.53\00:09:30.51 that, you know, they saw sad movie, 00:09:30.54\00:09:32.08 they start crying if they lost their dog 00:09:32.11\00:09:33.56 or whatever, if someone say something bad 00:09:33.59\00:09:35.28 about them they are crying. 00:09:35.31\00:09:36.53 It's excessive, excessive crying. 00:09:36.56\00:09:38.95 Okay. So, we look at frequencies 00:09:38.98\00:09:40.25 do they feel hopeless, discouraged, 00:09:40.28\00:09:43.87 yeah their levels of self-esteem, 00:09:43.90\00:09:46.24 do they have guilt, that's one thing 00:09:46.27\00:09:48.30 we as Christians sometimes we'll hold on 00:09:48.33\00:09:50.50 to a lot of guilt and shame. And this one 00:09:50.53\00:09:53.17 here number 7, feeling worthless or inadequate. 00:09:53.20\00:09:56.40 I know that there is a lot of Christians, 00:09:56.43\00:09:58.26 it seems who have some how and hopefully 00:09:58.29\00:10:01.96 it's not that it doesn't have to be the parents 00:10:01.99\00:10:05.32 have taught them that we are worthless 00:10:05.35\00:10:07.57 and inadequate as for as Lord is concerned 00:10:07.60\00:10:10.11 or maybe the church hasn't thought them, 00:10:10.14\00:10:11.96 but some how they process this that 00:10:11.99\00:10:14.13 I'm not worthy of God's love, I'm inadequate, 00:10:14.16\00:10:17.28 I can never do enough and they have 00:10:17.31\00:10:19.38 got in the whole picture is skewed 00:10:19.41\00:10:22.44 and its out of balance if you will of course, 00:10:22.47\00:10:25.09 yes, yeah and I always get worried 00:10:25.12\00:10:27.33 when I hear preaches and I'm a PK myself. 00:10:27.36\00:10:30.15 So, when I say this I'm not criticizing 00:10:30.18\00:10:33.23 the pastors or Chaplin Charles, yeah I could 00:10:33.26\00:10:36.39 I was sitting in one service, 00:10:36.42\00:10:38.30 where the pastor was trying to make a point 00:10:38.33\00:10:40.33 and I understood the point, but I thought 00:10:40.36\00:10:41.79 if we have a borderline person here 00:10:41.82\00:10:43.94 or someone is having some real issues 00:10:43.97\00:10:45.45 they would live feeling really bad saying that 00:10:45.48\00:10:47.69 we are sinners, we are worthless, 00:10:47.72\00:10:49.52 we are as low as a roach. You know, 00:10:49.55\00:10:51.50 I'm also glad you brought that because 00:10:51.53\00:10:54.94 I know what people are trying to say 00:10:54.97\00:10:58.03 when they say we are worthless, 00:10:58.06\00:10:59.29 but I beg the differ. I think the word 00:10:59.32\00:11:01.60 we should use is we are undeserving, 00:11:01.63\00:11:03.87 but as far as our worth to God we were worth 00:11:03.90\00:11:07.84 nothing less than the price that he paid 00:11:07.87\00:11:09.91 for us, paid his life yeah, 00:11:09.94\00:11:11.36 with his own precious blood, that's right. 00:11:11.39\00:11:13.21 So, God puts great value on. 00:11:13.24\00:11:15.75 He puts great value on you and if anybody 00:11:15.78\00:11:19.08 told you, you are worthless believe me 00:11:19.11\00:11:21.40 that is a lie of the devil because 00:11:21.43\00:11:23.48 you're worth a lot to God. Now are we 00:11:23.51\00:11:25.97 undeserving of everything he has done 00:11:26.00\00:11:28.81 for us? Yes. But he thinks you're worth 00:11:28.84\00:11:32.13 a lot. Definitely, so thank you for bringing 00:11:32.16\00:11:34.57 that out here, yes definitely. 00:11:34.60\00:11:36.70 Let's see and if you have difficulties 00:11:36.73\00:11:39.13 making decisions and I will just give 00:11:39.16\00:11:41.78 you an example, sometimes when I am 00:11:41.81\00:11:43.29 so overwhelmed, you know, I'm packing 00:11:43.32\00:11:45.19 I don't know exactly where I am going 00:11:45.22\00:11:46.94 but I know someone told me, 00:11:46.97\00:11:47.96 they are picking me up, they are taking me 00:11:47.99\00:11:48.96 to the airport, I am going to be somewhere. 00:11:48.97\00:11:50.56 I won't make decisions because at that moment, 00:11:50.59\00:11:53.14 I am so overwhelmed with what is going to happen 00:11:53.17\00:11:56.84 in the future. If anyone asks me 00:11:56.87\00:11:58.80 what the date of the day was at that time, 00:11:58.83\00:12:00.81 I would probably not give the accurate date. 00:12:00.84\00:12:03.15 So that just sometimes, you just have 00:12:03.18\00:12:04.83 to sit back and say I can make a decision 00:12:04.86\00:12:07.08 today, yes. And in this point, 00:12:07.11\00:12:09.92 I want to leave this one out is criticizing 00:12:09.95\00:12:11.84 yourself or blaming yourself, 00:12:11.87\00:12:13.83 which we see and even just that type of 00:12:13.86\00:12:17.38 behavior can lead you into a depression. 00:12:17.41\00:12:20.77 Okay that's the thoughts and feelings 00:12:20.80\00:12:22.36 on the inventory, the activities 00:12:22.39\00:12:24.06 and personal relationships. Yeah, 00:12:24.09\00:12:26.29 loss of interest in family and friends 00:12:26.32\00:12:28.90 or with colleagues, loneliness because 00:12:28.93\00:12:31.64 we're really concerned about you are 00:12:31.67\00:12:33.20 not wanting to isolate yourself because 00:12:33.23\00:12:35.20 when you are isolating yourself you thinking 00:12:35.23\00:12:37.44 those same thoughts over and over and over 00:12:37.47\00:12:39.82 again that you are worthless, 00:12:39.85\00:12:41.34 you are hopeless, I'm not gonna get 00:12:41.37\00:12:44.16 any better, I must be the way that 00:12:44.19\00:12:46.50 I'm feeling because, you know, 00:12:46.53\00:12:48.25 I am looking so bad or people are shunning me 00:12:48.28\00:12:51.08 or people like with teens they have all 00:12:51.11\00:12:53.59 this out on the internet, you know, 00:12:53.62\00:12:55.09 about me. And then those thoughts 00:12:55.12\00:12:56.96 all the sudden that's all you are hearing 00:12:56.99\00:12:58.59 is amplifying. You know over and over again 00:12:58.62\00:13:00.97 and that's what could really lead to 00:13:01.00\00:13:02.17 major depression and suicide. 00:13:02.20\00:13:04.42 Loss of interest in work and activities 00:13:04.45\00:13:07.83 and we're not just saying you have 00:13:07.86\00:13:09.91 worked an 80 hour a day, you know 00:13:09.94\00:13:11.69 I mean 80 hour a week and you just 00:13:11.72\00:13:13.90 don't want to go to one more recital 00:13:13.93\00:13:16.68 or one more church event. It's not that 00:13:16.71\00:13:19.57 it is the excess that you really 00:13:19.60\00:13:21.53 couldn't get out of bed even if you wanted to, 00:13:21.56\00:13:23.75 you couldn't just sling that 00:13:23.78\00:13:24.87 one later, just like no motivation, that's, 00:13:24.90\00:13:26.11 that's what we are talking about. 00:13:26.14\00:13:27.50 Loss of pleasure or satisfaction in life 00:13:27.53\00:13:30.32 and that's the one that I really look at because 00:13:30.35\00:13:32.68 if you have no more satisfaction 00:13:32.71\00:13:35.81 and you can't find one thing that can really 00:13:35.84\00:13:38.37 make you smile or get you out of bed 00:13:38.40\00:13:40.31 or make you want to share something 00:13:40.34\00:13:41.85 with others that let's me know that 00:13:41.88\00:13:44.91 you are probably starting to think of 00:13:44.94\00:13:48.35 other things, you know, other alternatives, 00:13:48.38\00:13:50.08 which would be suicide. Right 00:13:50.11\00:13:52.69 and the physical symptoms. 00:13:52.72\00:13:53.79 Just normal ones which we have said before 00:13:53.82\00:13:56.03 feeling sad or tired. Yeah, sleeping too much 00:13:56.06\00:14:00.83 or sleeping too little and the sleep pattern, 00:14:00.86\00:14:03.20 you know, has a lot to do with it 00:14:03.23\00:14:04.91 and I just want to make this point 00:14:04.94\00:14:07.06 because I see it so frequently in women 00:14:07.09\00:14:10.61 my age that if you are going through 00:14:10.64\00:14:13.40 the change of life and of course men 00:14:13.43\00:14:14.95 do as well. Men can suffer a 00:14:14.98\00:14:17.42 sleep disturbance from loss of testosterone, 00:14:17.45\00:14:19.91 women can suffer sleep disturbance 00:14:19.94\00:14:22.37 from loss of estrogen. So you always 00:14:22.40\00:14:27.25 and you pointed this out when you were here 00:14:27.28\00:14:29.12 before that we always need to have a 00:14:29.15\00:14:31.33 medical exam, definitely, to make 00:14:31.36\00:14:34.26 certain that what we are feeling is not just 00:14:34.29\00:14:40.31 something that's happening in the 00:14:40.34\00:14:42.58 brain chemistry, but it could be something 00:14:42.61\00:14:44.51 that is physiological and affecting mind. 00:14:44.54\00:14:47.20 Yes, okay, you are absolutely right 00:14:47.23\00:14:49.50 and worried about your health, 00:14:49.53\00:14:51.28 being like the hypochondriac. 00:14:51.31\00:14:53.29 Like if you watch something on TV, 00:14:53.32\00:14:54.87 I must have it, something like that, 00:14:54.90\00:14:57.43 alright. And now we get to the really 00:14:57.46\00:15:01.21 most severe case and that suicidal urges. 00:15:01.24\00:15:05.80 Do you have the thoughts of doing it? 00:15:05.83\00:15:08.42 Would you like to end your life? 00:15:08.45\00:15:09.92 Do you have a plan, which you know 00:15:09.95\00:15:12.12 I had discussed earlier like if someone 00:15:12.15\00:15:14.55 has just kind of awaken and said it's 00:15:14.58\00:15:16.34 the bad day, I don't want to get up, 00:15:16.37\00:15:17.69 I don't want to live versus someone 00:15:17.72\00:15:19.61 that says oh I have this cabinet full of 00:15:19.64\00:15:22.21 medication or I have the shorten in the closet, 00:15:22.24\00:15:24.49 let me clean it or let me you know see 00:15:24.52\00:15:26.64 what I can do or someone that has just said 00:15:26.67\00:15:31.05 oh I hurt someone, you know, cut themselves 00:15:31.08\00:15:34.65 in this manner and you know blood was released 00:15:34.68\00:15:38.73 and so they kill themselves or someone 00:15:38.76\00:15:41.46 that has actually made the attempt. 00:15:41.49\00:15:43.78 I had a patient. She was only 16-year-old. 00:15:43.81\00:15:46.52 God bless her soul and she is so depressed, 00:15:46.55\00:15:49.72 she started taking up cutting and so once 00:15:49.75\00:15:53.81 I was able to really start working with her 00:15:53.84\00:15:55.90 to see why would she mutilate her body 00:15:55.93\00:15:58.81 and I mean she has keloids. So she has, 00:15:58.84\00:16:02.28 I mean huge, huge black tracks all up and down 00:16:02.31\00:16:06.10 her arm and the keloids further raised 00:16:06.13\00:16:09.06 and so she wears a long sleeves, 00:16:09.09\00:16:11.02 but when you look at the sleeves, 00:16:11.05\00:16:12.52 you just asking why are you handling 00:16:12.55\00:16:15.74 your depression and your grief in this manner 00:16:15.77\00:16:17.75 and she just says that her heart hurts 00:16:17.78\00:16:21.33 so bad and she is so heavy with pain 00:16:21.36\00:16:24.76 that to cut herself releases the pain 00:16:24.79\00:16:28.53 and that pain helps her heart 00:16:28.56\00:16:30.74 and helps her process. And actually 00:16:30.77\00:16:32.56 physiologically they proven that when 00:16:32.59\00:16:34.81 you do that there is a release of endorphin. 00:16:34.84\00:16:36.89 So it's like people who had tattoos 00:16:36.92\00:16:39.27 all over them, yes, they get you can actually 00:16:39.30\00:16:42.36 become addicted to being tattooed because 00:16:42.39\00:16:45.08 that pain releases endorphin. 00:16:45.11\00:16:48.00 So you often will see that people 00:16:48.03\00:16:50.75 who have been on drug addictions, 00:16:50.78\00:16:52.27 well if they start coming off drugs 00:16:52.30\00:16:54.49 or maybe started doing a lot of tattoos. 00:16:54.52\00:16:56.85 There is something if I can, oh I know 00:16:56.88\00:17:00.21 the point I wanted to make, was that, 00:17:00.24\00:17:02.33 when I was early on in ministry. 00:17:02.36\00:17:05.92 I mean this was the first few months of 00:17:05.95\00:17:08.56 full-time ministry. I remember that 00:17:08.59\00:17:10.47 I was leading a, I was preaching in five 00:17:10.50\00:17:14.09 different cities each week, oh well, 00:17:14.12\00:17:15.93 and in one place there were only there 00:17:15.96\00:17:19.25 about 45 women, who were coming 00:17:19.28\00:17:20.86 and there was the host. The host just asked 00:17:20.89\00:17:24.43 if I would speak with this one woman 00:17:24.46\00:17:27.13 after we had finished the meeting and I did 00:17:27.16\00:17:30.62 and found out that she had saved her pills. 00:17:30.65\00:17:33.95 She was planning on committing suicide 00:17:33.98\00:17:36.10 and but after the two hour meeting she said. 00:17:36.13\00:17:39.88 Oh you know it's like how the Lord has spoken 00:17:39.91\00:17:42.12 to me and I realize that this is wrong 00:17:42.15\00:17:45.49 and I prayed with her and I said 00:17:45.52\00:17:46.93 now you promise me you are gonna go home 00:17:46.96\00:17:48.78 and dump those down the toilet, 00:17:48.81\00:17:50.97 which I found that's not a good idea 00:17:51.00\00:17:52.61 because it puts into the system, 00:17:52.64\00:17:55.35 the water system, but I said get rid of 00:17:55.38\00:17:58.94 those pills, you tell your parents. 00:17:58.97\00:18:00.74 She was still living with her parents, 00:18:00.77\00:18:01.99 she is about 26. And she said oh yes 00:18:02.02\00:18:05.70 the Lord has touched me and she was 00:18:05.73\00:18:07.32 so convincing. She so convinced me that 00:18:07.35\00:18:11.44 this thought that she had, 00:18:11.47\00:18:14.13 this abnormal thought had gone that God 00:18:14.16\00:18:16.55 had delivered her of this. 00:18:16.58\00:18:19.17 She so convinced me that I was satisfied, 00:18:19.20\00:18:22.79 we prayed. I was satisfied in the 00:18:22.82\00:18:25.55 next morning, they called to tell me 00:18:25.58\00:18:27.10 that she called, this hostess in the middle 00:18:27.13\00:18:30.05 of the night, she taken all those pills. 00:18:30.08\00:18:31.90 So I learned a lesson, you know, 00:18:31.93\00:18:34.69 what I would to done if I had it all to do 00:18:34.72\00:18:36.83 over again I would have gone home with her. 00:18:36.86\00:18:39.19 I would have seized the medication, 00:18:39.22\00:18:41.48 informed her parents, I would have told 00:18:41.51\00:18:44.26 the police even maybe. The point I'm trying 00:18:44.29\00:18:47.04 to bring up is, when someone starts 00:18:47.07\00:18:50.25 speaking of suicide, even if they have been 00:18:50.28\00:18:53.04 talking about it for a longtime, in a long way 00:18:53.07\00:18:56.30 and you think rather never going to do it. 00:18:56.33\00:18:58.03 We need to take this seriously, don't we? 00:18:58.06\00:19:00.68 I really I'm so glad that you brought 00:19:00.71\00:19:02.62 that up, definitely, because lots of times 00:19:02.65\00:19:05.78 people even if they tell you that 00:19:05.81\00:19:08.71 they are going to be okay. They have been 00:19:08.74\00:19:10.56 thinking about this for years or for months 00:19:10.59\00:19:12.98 and they just waiting for the opportunity, 00:19:13.01\00:19:15.41 but praise the Lord that you were at least 00:19:15.44\00:19:17.27 there to give her that, that hope for that day, 00:19:17.30\00:19:20.01 because that could have been the only hope 00:19:20.04\00:19:21.19 that she had in a while and so that 00:19:21.22\00:19:23.49 she could have felt normal and received 00:19:23.52\00:19:25.81 the love of God, or at least she reached out, 00:19:25.84\00:19:28.00 after that taking them she calls to tell us 00:19:28.03\00:19:30.43 she is making mistake. A lot times with 00:19:30.46\00:19:32.57 and I don't want to just genderize it, 00:19:32.60\00:19:34.60 but lots of times women do a lot of attention 00:19:34.63\00:19:36.81 seeking. So, we have some that will take 00:19:36.84\00:19:39.13 like a bottle of medication, but they 00:19:39.16\00:19:40.69 don't take like a bottle and a half 00:19:40.72\00:19:41.91 or two bottles, which they know that would 00:19:41.94\00:19:43.53 really end their lives or they may slit 00:19:43.56\00:19:45.29 their wrist, be in the tub like 30 minutes 00:19:45.32\00:19:47.49 before they know someone is coming home 00:19:47.52\00:19:48.68 and you know it takes a lot to drain 00:19:48.71\00:19:51.24 a whole bottle. You know, yeah, 00:19:51.27\00:19:53.05 you don't want, you never, never. 00:19:53.08\00:19:54.94 So what I tell everybody is to, I take every 00:19:54.97\00:20:00.96 suicidal ideation seriously. Okay. And, 00:20:00.99\00:20:04.73 definitely if they score a certain level, 00:20:04.76\00:20:08.64 where it's a major depression 00:20:08.67\00:20:10.95 or severe depression definitely 00:20:10.98\00:20:12.85 I will hospitalize because 00:20:12.88\00:20:15.33 and we would do what we call it 5150, 00:20:15.36\00:20:17.65 which is a 72-hour whole when you have them 00:20:17.68\00:20:19.84 in-house in a hospital. And this is when 00:20:19.87\00:20:22.09 they are going against their will not that 00:20:22.12\00:20:23.72 they are checking themselves, 00:20:23.75\00:20:24.72 feel necessarily with people. Okay. 00:20:24.73\00:20:25.80 And so they can't live within the 72-hours 00:20:25.83\00:20:28.85 and that's where they are being monitored 00:20:28.88\00:20:31.46 24-hours a day and then they have intense 00:20:31.49\00:20:35.26 psychotherapy, they have intense interventions, 00:20:35.29\00:20:37.86 that's where they need medication 00:20:37.89\00:20:39.39 then you can start the medication regime. 00:20:39.42\00:20:42.68 Also the one thing I just wanted to add 00:20:42.71\00:20:45.08 sometimes we have to be careful 00:20:45.11\00:20:46.42 even once we put people on medication 00:20:46.45\00:20:47.90 because sometimes it actually gives them 00:20:47.93\00:20:49.58 the energy to actually fulfill 00:20:49.61\00:20:51.66 what they have been dreaming 00:20:51.69\00:20:52.66 and wanting to do. Now is that way 00:20:52.67\00:20:53.94 suicide rates go up sometimes 00:20:53.97\00:20:55.84 when they take, initially, 00:20:55.87\00:20:57.17 yeah initially. But now there are inpatient 00:20:57.20\00:21:00.24 treatments, people can be hospitalized 00:21:00.27\00:21:02.72 against their will for 72 hours, 00:21:02.75\00:21:04.53 while they are evaluated and see if they need 00:21:04.56\00:21:06.34 further or they can check themselves 00:21:06.37\00:21:08.63 and go through some wonderful inpatient 00:21:08.66\00:21:11.51 places too, that's right, help you begin 00:21:11.54\00:21:14.52 to learn how to cope with the life to 00:21:14.55\00:21:16.20 go through cognitive behavioral therapy 00:21:16.23\00:21:18.94 where people are learning how to take 00:21:18.97\00:21:21.43 those negative thoughts and turn them around, 00:21:21.46\00:21:23.40 replace them with positive thoughts 00:21:23.43\00:21:25.00 they're getting the type of medication 00:21:25.03\00:21:26.60 they need, but there is also some great 00:21:26.63\00:21:28.43 outpatient modalities. Let's talk about, 00:21:28.46\00:21:31.19 because we don't want, I don't know 00:21:31.22\00:21:34.31 how to say this. I feel like this is such a 00:21:34.34\00:21:36.62 broad topic we are trying to cover 00:21:36.65\00:21:38.06 in such a short period of time. 00:21:38.09\00:21:39.34 We don't want you to go away feeling hopeless. 00:21:39.37\00:21:42.41 We also don't want you to think that. 00:21:42.44\00:21:44.57 It's just a matter of going 00:21:44.60\00:21:46.33 and talking to your pastor. 00:21:46.36\00:21:47.45 You mentioned earlier that the young people, 00:21:47.48\00:21:49.54 who are being bullied had talked it out 00:21:49.57\00:21:51.40 with the pastor, the Sabbath school leader 00:21:51.43\00:21:53.00 and talking it out processing is really 00:21:53.03\00:21:55.30 wonderful. But sometimes if it is a 00:21:55.33\00:21:58.55 severe clinical depression, talking 00:21:58.58\00:22:00.69 something out with someone who is not a 00:22:00.72\00:22:04.88 professional may not be enough 00:22:04.91\00:22:06.68 you need to seek out some professional help, 00:22:06.71\00:22:09.34 so talk about what are some of the treatments 00:22:09.37\00:22:12.33 for this. Well I usually like to say 00:22:12.36\00:22:14.51 the treatments that I like to say is a patient 00:22:14.54\00:22:17.20 that always already had the complete physical, 00:22:17.23\00:22:19.20 the full panel of the electrolytes 00:22:19.23\00:22:21.72 in the blood work. So that we know, 00:22:21.75\00:22:24.10 we are not working with. So we know that 00:22:24.13\00:22:26.37 everything is okay physiologically 00:22:26.40\00:22:28.62 then I like to see a patient also 00:22:28.65\00:22:31.09 being involved with medications. 00:22:31.12\00:22:33.91 So they would have to see a physiatrist 00:22:33.94\00:22:35.25 that could also help them get the levels up 00:22:35.28\00:22:38.71 you know so that they can start 00:22:38.74\00:22:41.15 being able to be at a replace, 00:22:41.18\00:22:43.58 where they can actually speak to a clinician 00:22:43.61\00:22:45.78 which would be a psychologist 00:22:45.81\00:22:47.58 or psychiatrist. Now will you say that 00:22:47.61\00:22:50.08 we're talking that's kind of a worst case 00:22:50.11\00:22:51.81 scenario right here, it's where you've got 00:22:51.84\00:22:53.60 people who have to, because some people 00:22:53.63\00:22:55.09 can have a level of depression that 00:22:55.12\00:22:56.83 they don't have to take an antidepressant. 00:22:56.86\00:22:58.62 Actually there are certain behaviors 00:22:58.65\00:23:00.34 that can pull them; I mean certain 00:23:00.37\00:23:02.66 treatments that can pull them out. 00:23:02.69\00:23:04.56 But one should get to a certain level 00:23:04.59\00:23:06.46 sometimes it's unavoidable to take 00:23:06.49\00:23:08.15 medication. You're correct. 00:23:08.18\00:23:10.14 To me it's just a quicker process of 00:23:10.17\00:23:13.37 getting healthier just like with some 00:23:13.40\00:23:15.41 physiological issues. It's a quicker process 00:23:15.44\00:23:18.44 if you go to a location, if you are 00:23:18.47\00:23:21.18 trying the lose weight versus 00:23:21.21\00:23:22.25 trying to you know you are taking 00:23:22.28\00:23:24.00 medication it is just the quicker process, 00:23:24.03\00:23:25.87 but there are other processes that you can 00:23:25.90\00:23:27.79 actually do then you would go for treatment 00:23:27.82\00:23:30.01 and you have already mentioned like behavior 00:23:30.04\00:23:31.36 modification, cognitive or regressive 00:23:31.39\00:23:34.28 type therapy, where you can actually 00:23:34.31\00:23:35.70 go to the core what actually caused. 00:23:35.73\00:23:38.32 What was the actual antecedent, 00:23:38.35\00:23:39.95 actually cause the depression it could be 00:23:39.98\00:23:42.32 something way back in your childhood. 00:23:42.35\00:23:43.69 Another point that we really didn't talk about 00:23:43.72\00:23:45.66 which we probably should is the medications 00:23:45.69\00:23:49.09 that you are taking. Some of your 00:23:49.12\00:23:50.75 medications, I mean we all hear 00:23:50.78\00:23:52.18 the commercials. You know, take this 00:23:52.21\00:23:53.93 medication and then they run past 20 side effects 00:23:53.96\00:23:57.71 you know. Lot of them are depression, 00:23:57.74\00:24:00.42 depression, yeah or make us self esteem 00:24:00.45\00:24:03.49 or libido or may; we have a lot of patients 00:24:03.52\00:24:06.80 that will start overeating with some 00:24:06.83\00:24:08.36 of the medications that there are, 00:24:08.39\00:24:09.74 even the good medication that's taking 00:24:09.77\00:24:11.57 care of your depression can cause 00:24:11.60\00:24:12.92 other problems. You know, I want to be sure 00:24:12.95\00:24:15.57 and add something here because I tried to do 00:24:15.60\00:24:18.15 as many things naturally as possible. 00:24:18.18\00:24:20.66 Yes. And I take as many natural supplements 00:24:20.69\00:24:26.64 or things that I can to try treat myself, 00:24:26.67\00:24:28.97 but one thing that I have learned is that 00:24:29.00\00:24:32.14 just because something is 'natural' 00:24:32.17\00:24:35.22 it does not mean that it is not potent 00:24:35.25\00:24:39.28 and so there can be interactions among 00:24:39.31\00:24:43.11 natural medications. Yes, yes. 00:24:43.14\00:24:45.45 And particularly among natural medications 00:24:45.48\00:24:48.20 and even with the pharmaceutical 00:24:48.23\00:24:50.48 medications that we take. So if you are 00:24:50.51\00:24:53.61 taking say. I'm trying to think of some that 00:24:53.64\00:24:56.40 people use for St. John's Wort 00:24:56.43\00:24:59.69 and Xanax as lethal. St John' Wort 00:24:59.72\00:25:03.57 with Xanax is lethal. It's deadly. Yes, 00:25:03.60\00:25:06.76 so it can really. I'm really glad 00:25:06.79\00:25:08.51 that you brought that up. Okay and there are 00:25:08.54\00:25:11.25 other things that I've heard people will say 00:25:11.28\00:25:13.10 that they are taking that. Individually 00:25:13.13\00:25:15.61 they are perfect, but when you put them 00:25:15.64\00:25:17.51 together. Right. So that's why 00:25:17.54\00:25:19.01 it's important to let the physician 00:25:19.04\00:25:20.37 or your clinician know everything 00:25:20.40\00:25:22.29 that you are taking. And it's important 00:25:22.32\00:25:24.01 even to, you know, we were self-medicating 00:25:24.04\00:25:26.48 when we are using naturals because 00:25:26.51\00:25:27.76 I remember when I was not sleeping well 00:25:27.79\00:25:29.61 someone told me take Melatonin. Yes. 00:25:29.64\00:25:31.62 And I took Melatonin and I mean I was like 00:25:31.65\00:25:34.58 the mixed up. I had been overly drugged 00:25:34.61\00:25:40.15 with just so mind obviously was not, 00:25:40.18\00:25:42.64 my melatonin level wasn't my problem, 00:25:42.67\00:25:45.91 no, and by taking that melatonin 00:25:45.94\00:25:47.40 I didn't wake up the whole next day. 00:25:47.43\00:25:49.86 I mean I was walking around. 00:25:49.89\00:25:51.62 It was almost like sleep walking. 00:25:51.65\00:25:53.39 So we want to be very careful about that, 00:25:53.42\00:25:55.85 but know let's talk about. I know as a 00:25:55.88\00:25:59.09 Christian with the scripture I opened up 00:25:59.12\00:26:05.46 with Psalm 3:3 about God being the lifter of 00:26:05.49\00:26:08.41 our head. There is something that is so 00:26:08.44\00:26:13.29 comforting to learn to turn your problems 00:26:13.32\00:26:16.58 over to the Lord isn't that? Yes there is. 00:26:16.61\00:26:19.19 And that's certainly a behavioral therapy 00:26:19.22\00:26:21.88 that you can't if we learn to quit 00:26:21.91\00:26:23.99 trying to be God in our own life 00:26:24.02\00:26:25.82 and to seek the Lord in prayer to get into 00:26:25.85\00:26:29.69 his promises to speak his word over our life. 00:26:29.72\00:26:32.77 This is something that, that can have 00:26:32.80\00:26:35.46 you know when he said in Isaiah 61: Arise, 00:26:35.49\00:26:38.57 shine; For your light has come! 00:26:38.60\00:26:40.25 I have found that often people who will speak 00:26:40.28\00:26:44.90 God's word over their life and speak 00:26:44.93\00:26:46.74 their promises that God can do a renewing 00:26:46.77\00:26:50.28 of the mind. He really can. 00:26:50.31\00:26:52.23 He is marvelous in doing that 00:26:52.26\00:26:53.83 and that's why it's so important to still 00:26:53.86\00:26:55.75 stay focus with your church and with your 00:26:55.78\00:26:57.90 community. Amen. So our time is already slipping 00:26:57.93\00:27:04.13 into eternity. I can't believe how fast 00:27:04.16\00:27:06.04 this has gone. If you could Cynthia 00:27:06.07\00:27:09.25 just look into the camera and if you 00:27:09.28\00:27:14.45 want to give a closing thought, 00:27:14.48\00:27:16.18 a word of encouragement to someone out there 00:27:16.21\00:27:18.16 who is hurting today. I just want you to know 00:27:18.19\00:27:23.38 that God is able cast all your cares 00:27:23.41\00:27:26.75 and burdens on him. He will not forsake you. 00:27:26.78\00:27:29.54 He will be there for you. He will lead you 00:27:29.57\00:27:32.52 down the right journey, down the right path. 00:27:32.55\00:27:35.55 He will provide the right people to assist 00:27:35.58\00:27:39.23 you in all of your day-to-day activities. 00:27:39.26\00:27:43.98 Amen. Amen. Thank you so much 00:27:44.01\00:27:46.27 Dr. Cynthia Powell-Hicks for joining us. 00:27:46.30\00:27:48.98 Thank you. And for those of you 00:27:49.01\00:27:50.60 who around the world, if you have hotlines 00:27:50.63\00:27:54.15 available to you call hotline. 00:27:54.18\00:27:56.21 Reach out for help or if you have someone 00:27:56.24\00:28:00.21 in your family, who is suffering 00:28:00.24\00:28:01.74 from depression. Get them some help 00:28:01.77\00:28:04.06 don't just ignore and don't think 00:28:04.09\00:28:06.66 that they can pull them out themselves up 00:28:06.69\00:28:09.37 by their own bootstraps. Thanks for joining us. 00:28:09.40\00:28:12.24