¤ ¤ 00:00:01.36\00:00:23.52 For more than 20 years Actor Jim Carey has been making people 00:00:23.55\00:00:28.42 laugh. If you enjoy comedy films it's very likely that you've 00:00:28.46\00:00:32.99 seen at least one of his: Liar, Liar, Dumb and Dumber and Ace 00:00:33.03\00:00:37.40 Ventura are just a few of the popular movies that come to mind 00:00:37.43\00:00:41.60 when Carey's name is mentioned. But despite his association with 00:00:41.64\00:00:46.54 humor and hilarity Carey dealt with major depression for a 00:00:46.57\00:00:51.85 significant part of his life. You see depression doesn't 00:00:51.88\00:00:58.79 discriminate. It's a condition that can affect anyone whether 00:00:58.82\00:01:03.09 you are rich or poor, male or female, black or white. 00:01:03.12\00:01:08.23 According to Beyond Blue depression is the leading cause 00:01:08.26\00:01:11.43 of disability worldwide. It's estimated that in any one year 00:01:11.47\00:01:16.81 around one million Australian adults will suffer from 00:01:16.84\00:01:22.98 depression. But how can you tell whether you or someone you know 00:01:23.01\00:01:26.55 is depressed? What factors can cause or contribute to 00:01:26.58\00:01:31.79 depression? And once you know what the causes are can you do 00:01:31.82\00:01:35.92 anything about them? Well in this program called Depression 00:01:35.96\00:01:41.63 Doesn't Discriminate our guest, Dr. Neil Nedley, will explore 00:01:41.66\00:01:46.57 the answers to these questions and also share some practical 00:01:46.60\00:01:51.54 insights. You won't want to miss this. It could change your life. 00:01:51.57\00:01:54.98 ¤ ¤ 00:01:55.01\00:02:07.72 We live in a society that has more entertainment, more 00:02:07.76\00:02:11.13 technology, and more social networking than ever before. 00:02:11.16\00:02:14.56 We can surf the internet with the swipe of a finger. We can 00:02:14.60\00:02:18.30 watch TV, movies and sports on demand. And there's no excuse 00:02:18.33\00:02:22.97 for not staying in contact when we have Facebook, Skype and 00:02:23.00\00:02:27.31 What's Up. With access to endless entertainment and 00:02:27.34\00:02:31.35 constant communication you'd think we'd be pretty happy 00:02:31.38\00:02:34.85 wouldn't you? But that's not the case. In fact, studies show that 00:02:34.88\00:02:40.06 since 1915 each successive generation has increased in 00:02:40.09\00:02:45.79 depression. What's causing it and how can we recognize it? 00:02:45.83\00:02:50.87 Well our guest, Dr. Neil Nedley, is here to help us answer those 00:02:50.90\00:02:55.80 questions. He's a full time, practicing physician in internal 00:02:55.84\00:03:00.11 medicine and with emphases in gastroenterology, mental health 00:03:00.14\00:03:03.91 and lifestyle medicine. He's also the author of books such as 00:03:03.95\00:03:09.28 Depression, the Way Out and The Lost Art of Thinking. 00:03:09.32\00:03:13.69 Dr. Nedley welcome back. We're delighted to have you on our 00:03:13.72\00:03:18.63 program again. We're looking at this big issue of depression. 00:03:18.66\00:03:23.33 Yes. Today we want to look at the solutions. 00:03:23.37\00:03:26.23 Yes, that's the most exciting part of this illness is that 00:03:26.27\00:03:31.07 there is a solution, there is a way out and one of the most 00:03:31.11\00:03:37.11 rewarding things that I do is put on treatment programs for 00:03:37.15\00:03:42.65 those who have previously thought there is no way out. 00:03:42.68\00:03:45.69 These are the hopeless individuals or what we call 00:03:45.72\00:03:48.49 treatment resistant, depressed individuals, ones who have been 00:03:48.52\00:03:52.19 taking medicine and maybe more medicine or maybe have had side 00:03:52.23\00:03:55.76 effects from medicine and can't take any medicine or don't want 00:03:55.80\00:03:58.73 to be on it, but have just suffered from this disease to 00:03:58.77\00:04:02.20 the point where finally they hear about our program and it 00:04:02.24\00:04:07.31 is amazing to see what happens when the real solutions are 00:04:07.34\00:04:12.81 Well we want to know the solution then. 00:04:12.85\00:04:15.82 All right. The solution first has to do with finding the 00:04:15.85\00:04:18.99 underlying causes and I would recommend again our website 00:04:19.02\00:04:24.79 depressionthewayout.com to be able to try to get a clue of the 00:04:24.83\00:04:30.73 underlying causes and we addressed that in your last 00:04:30.77\00:04:33.44 program. But it would be worth while for us to also talk 00:04:33.47\00:04:39.14 about some 00:04:39.17\00:04:40.51 general treatment measures before we get into the specifics 00:04:40.54\00:04:43.24 What we have found out is that everyone with depression will 00:04:43.28\00:04:48.78 start to get better when they begin a fitness program. 00:04:48.82\00:04:54.09 If they're not fit already getting on an exercise program 00:04:54.12\00:04:59.19 where they work towards getting fit can definitely help their 00:04:59.23\00:05:02.90 depression. 00:05:02.93\00:05:04.27 So that sounds so simple. Exercise, the importance of 00:05:04.30\00:05:07.17 exercise. 00:05:07.20\00:05:08.54 Yes, very simple. The other is light therapy. All of us 00:05:08.57\00:05:13.17 actually need bright light through our eyes and that 00:05:13.21\00:05:16.91 bright light helps us to turn tryptophan in our brain into 00:05:16.95\00:05:20.88 serotonin. It can help elevate our mood and also keep us calm 00:05:20.92\00:05:24.92 so we don't get anxious with stress. Making sure that you 00:05:24.95\00:05:29.92 either have that light therapy, particularly in the morning is 00:05:29.96\00:05:33.16 the best time. Our body clocks are set up with or are set by 00:05:33.19\00:05:38.77 light in the morning. And early to bed, early to rise helps with 00:05:38.80\00:05:43.30 as well. Most depressed people, Gary, are night timers you know. 00:05:43.34\00:05:48.14 In other words, they're late nighters. They don't like going 00:05:48.18\00:05:51.55 to bed early and they feel like they can't function that way. 00:05:51.58\00:05:55.48 But we can turn into who's late nighter into someone who has a 00:05:55.52\00:05:59.15 lot of energy in the morning by actually resetting their body 00:05:59.19\00:06:02.62 clock through light therapy and then putting them on early to 00:06:02.66\00:06:05.99 bed early to rise and in seven days they'll wake up rejuvenated 00:06:06.03\00:06:10.57 just from resetting the body clock and resetting their 00:06:10.60\00:06:13.70 circadian rhythms. 00:06:13.74\00:06:16.67 So what are the steps in doing that, changing your pattern, 00:06:16.71\00:06:21.44 going to bed early. Is there some practical advice to help 00:06:21.48\00:06:25.61 people in making that decision and then implementing it? 00:06:25.65\00:06:28.88 Yeah, well, if they're able to make it, you know, some 00:06:28.92\00:06:34.92 entertainers they have to work at night you know and of 00:06:34.96\00:06:37.26 course there's other people that have to work at night. But most 00:06:37.29\00:06:39.39 depressed people don't have to to; they could actually be on an 00:06:39.43\00:06:42.06 early to bed early to rise schedule and it's well worth the 00:06:42.10\00:06:45.37 effort of doing so. They might actually have to invest in a 00:06:45.40\00:06:48.47 light box if it's the winter time because the sun might not 00:06:48.50\00:06:51.61 be up at 5:30 or 6:00 in the morning in the winter time. 00:06:51.64\00:06:55.94 There's a medical grade light box that works actually just 00:06:55.98\00:07:01.12 like the sun without the side effects of the sun actually, 00:07:01.15\00:07:04.42 they won't cause sunburn or those type of issues. 00:07:04.45\00:07:08.19 It simulates the blue sky and it'll help reset their body 00:07:08.22\00:07:11.79 clock and if they do that every morning at say 6 A.M. Six A.M. 00:07:11.83\00:07:15.20 is a great time to do this and wake up to this lightbox or 00:07:15.23\00:07:19.03 you can do it before. In seven days they'll be reset but they 00:07:19.07\00:07:22.90 also need to go to bed early and when they go to bed early 00:07:22.94\00:07:26.07 instead of tossing and turning, finding a comfortable position 00:07:26.11\00:07:31.28 and then holding that position for 20 minutes. If they hold it 00:07:31.31\00:07:35.78 for 20 minutes, they're still not asleep, change positions to 00:07:35.82\00:07:40.02 another comfortable position and do it another 20 and by the 00:07:40.06\00:07:42.82 third time most people will be asleep. Then they'll be ready 00:07:42.86\00:07:49.36 for reshifting to early to bed early to rise. 00:07:49.40\00:07:52.50 Now what usually prevents people from going to bed early? 00:07:52.53\00:07:56.87 Well in a depressed person what prevents them is just their 00:07:56.91\00:08:00.98 lack of desire. What 00:08:01.01\00:08:02.68 happens with a depressed person is that they will get dumping of 00:08:02.71\00:08:07.68 their serotonin, no epinephrine and dopamine in response to 00:08:07.72\00:08:11.72 sleep deprivation. So they'll actually feel better being sleep 00:08:11.75\00:08:16.83 deprived the longer they stay up so that's one of the reasons 00:08:16.86\00:08:18.93 why they do it. But the problem is eventually they have to go to 00:08:18.96\00:08:22.86 bed and when they do they wake up like a complete zombie in the 00:08:22.90\00:08:25.43 morning. So the treatment is not to stay up. The treatment is to 00:08:25.47\00:08:29.20 reverse that issue and get on that early to bed early to rise 00:08:29.24\00:08:33.91 approach. 00:08:33.94\00:08:35.28 What are some practical ways that can assist us in getting to 00:08:35.31\00:08:38.61 bed earlier? 00:08:38.65\00:08:39.98 Well actually not eating before going to bed helps out. 00:08:40.02\00:08:43.35 In fact, it's best to not eat for about three hours before 00:08:43.39\00:08:47.22 going to bed to get nice sleep. But also not having the 00:08:47.26\00:08:52.63 television on in the bedroom and not even having computer screens 00:08:52.66\00:08:56.63 There are studies showing that blue light emitted from TVs and 00:08:56.67\00:09:01.00 computer screens, even these small screens, these smart 00:09:01.04\00:09:04.61 phones or i-pads actually inhibits sleep. So, getting rid 00:09:04.64\00:09:09.84 of that social media stuff before going to bed and getting 00:09:09.88\00:09:13.05 it out of the bedroom, that's an important aspect in being 00:09:13.08\00:09:17.62 able to sleep adequately. Also you don't want to run a marathon 00:09:17.65\00:09:21.16 right before going to bed. Don't be out there sweating, playing 00:09:21.19\00:09:24.99 basketball. It takes a while to tone down. It's actually better 00:09:25.03\00:09:28.13 to have some nice soft music on maybe and then just reading 00:09:28.16\00:09:31.97 something, particularly maybe some spiritual material or 00:09:32.00\00:09:35.07 something out of the Psalms or Proverbs and having that by the 00:09:35.10\00:09:39.47 bedside and that's a good way to actually end the day. 00:09:39.51\00:09:43.75 So, Dr. Nedley, exercise is important. Any particular type 00:09:43.78\00:09:47.38 of exercise? 00:09:47.42\00:09:48.75 The aerobic exercise is important which means you don't 00:09:48.78\00:09:52.52 have to necessarily invest in a lot of equipment, you know. It's 00:09:52.55\00:09:55.69 like getting outside if you can and actually brisk walking has 00:09:55.72\00:10:01.33 been shown to be very beneficial Also running, swimming, 00:10:01.36\00:10:06.23 bicycling; these aerobic types of exercises are very beneficial 00:10:06.27\00:10:11.87 and the longer we do them the more beneficial. For depressed 00:10:11.91\00:10:15.11 individuals we recommend 60 minutes a day, spending time in 00:10:15.14\00:10:19.95 aerobic type of exercise will improve that circulation to the 00:10:19.98\00:10:24.35 brain and studies show it's equivalent to antidepressants 00:10:24.39\00:10:26.86 without side effects. 00:10:26.89\00:10:28.22 So, we're talking about practical solutions. 00:10:28.26\00:10:32.19 Practical solutions. Another solution is what we're putting 00:10:32.23\00:10:36.26 into our body, the nutritional aspect is very important in 00:10:36.30\00:10:41.24 regards to mental health. 00:10:41.27\00:10:42.60 So we're talking now about what we eat, our meals. 00:10:42.64\00:10:46.71 That's right, yes. Getting enough tryptophan, tyrosine. 00:10:46.74\00:10:51.08 getting enough of the omega-3's even making sure we're not 00:10:51.11\00:10:54.32 deficient in iron, we have enough B12, enough of the B 00:10:54.35\00:10:59.69 vitamins. Many people with depression are junk food eaters 00:10:59.72\00:11:03.16 because they self-medicate with, you know, sugary type foods, 00:11:03.19\00:11:07.90 which are the empty calories and so, changing them off from 00:11:07.93\00:11:13.34 the empty calories and also away from meat. It turns out that 00:11:13.37\00:11:18.27 meat has arachidonic acid which actually causes some chronic 00:11:18.31\00:11:23.11 inflammation. One of the reasons why there's an emotional 00:11:23.14\00:11:26.31 intelligence and an IQ advantage by going plant based. So, the 00:11:26.35\00:11:31.75 plant based is much less inflammatory. So, shifting over 00:11:31.79\00:11:35.82 to a plant based diet, which actually can be tasty, you know. 00:11:35.86\00:11:38.93 The people come to our program and the first day they're saying 00:11:38.96\00:11:44.10 this food is great. I had no idea that food that would 00:11:44.13\00:11:48.34 actually help me get better with depression is so tasty. So we 00:11:48.37\00:11:53.44 even have cooking schools, you know, better food, better mood. 00:11:53.48\00:11:57.31 To learn how to cook it is fun as well and you don't sacrifice 00:11:57.35\00:12:01.68 taste being on a healthy diet. 00:12:01.72\00:12:03.95 Now you mentioned better food, better mood. Yes. Tell us about 00:12:03.99\00:12:08.09 some of the foods that are good for us. 00:12:08.12\00:12:11.09 Well, it turns out flax seed, chia seeds, spinach, blue 00:12:11.13\00:12:15.76 berries, whole wheat bread is very good. Stay away from the 00:12:15.80\00:12:19.90 white bread. Whole wheat bread is going to have omega-3's, it's 00:12:19.93\00:12:23.10 going to have iron, it's going to have a lot of the vitamins 00:12:23.14\00:12:25.91 that we need. For the tryptophan the wheat meat is a loaded 00:12:25.94\00:12:31.61 source, tofu is, pumpkin seeds are and also even the greens are 00:12:31.65\00:12:39.62 not a bad choice. Then the tyrosine we even get in more 00:12:39.65\00:12:44.93 greens; mustard greens are very high in tyrosine, watermelon is 00:12:44.96\00:12:48.83 a good source. Even spirulina is a good source, the seaweed 00:12:48.86\00:12:55.17 for tyrosine and this is what can help keep us alert. You know 00:12:55.20\00:13:00.78 the tyrosine helps us with cognitive function so we can 00:13:00.81\00:13:03.11 remember what's at the bottom of the page. It also gives us 00:13:03.14\00:13:06.31 energy. The tryptophan foods are going to keep us from getting 00:13:06.35\00:13:10.82 anxious under stress and keep us more calm. So, depending upon 00:13:10.85\00:13:14.99 the condition of the individual I might emphasize certain foods 00:13:15.02\00:13:19.39 more in one area than another because of their particular 00:13:19.43\00:13:21.90 neurochemistry. 00:13:21.93\00:13:24.33 So this is something we can all do. 00:13:24.37\00:13:25.73 That's right. 00:13:25.77\00:13:27.10 We're going to be healthier by eating these good foods based 00:13:27.14\00:13:30.61 around a plant based diet. 00:13:30.64\00:13:32.27 Exactly. 00:13:32.31\00:13:34.11 Are there any other simple solutions that you might have? 00:13:34.14\00:13:36.64 Absolutely. Simple solutions that actually improve the 00:13:36.68\00:13:40.75 circulation and activity of the front part of our brain, frontal 00:13:40.78\00:13:44.99 lobe. This is crucial for every depressed or anxious individual 00:13:45.02\00:13:48.59 to get their frontal lobe circulating and active again. 00:13:48.62\00:13:53.60 So tell us again, the frontal lobe? 00:13:53.63\00:13:55.90 Yeah, the frontal lobe is the seat of spirituality, morality, 00:13:55.93\00:13:59.50 and the will. It's also the analytical portion of our brain. 00:13:59.53\00:14:04.97 And by changing entertainment types of choices we can actually 00:14:05.01\00:14:10.45 improve the frontal lobe of our brain, getting rid of 00:14:10.48\00:14:14.22 entertainment television for instance and replacing it with 00:14:14.25\00:14:19.35 good reading, you know, like Proverbs or something that's 00:14:19.39\00:14:22.22 going to stimulate the mind and help it be more creative. That 00:14:22.26\00:14:26.76 will improve the frontal lobe of the brain. Getting rid of the 00:14:26.80\00:14:32.27 syncopated rock rhythms or heavy metal rhythms and replacing it 00:14:32.30\00:14:37.24 with more soothing melodies and harmonies like harp music and 00:14:37.27\00:14:43.51 something that just is beautiful This music can be very enjoyable 00:14:43.55\00:14:47.45 but actually it's been shown to balance the brain away from the 00:14:47.48\00:14:53.12 limbic system into the frontal lobe which will then definitely 00:14:53.15\00:14:56.83 help depression. 00:14:56.86\00:14:58.19 So, even the music we listen to does have an impact on us. 00:14:58.23\00:15:02.96 It does have an impact on us. You know, this is a crucial 00:15:03.00\00:15:07.24 issue for many people with depression. They have that 00:15:07.27\00:15:09.94 frontal lobe hit and when we have a frontal lobe hit, we're 00:15:09.97\00:15:16.08 actually addictive, we're partaking in something that is 00:15:16.11\00:15:20.95 going to be addictive. And so a lot of this heavy metal music 00:15:20.98\00:15:24.82 the reason why it's popular is it gets a grip on people and 00:15:24.85\00:15:30.53 without it they actually feel worse. So they're thinking it's 00:15:30.56\00:15:34.36 helping them out. But when they come to our program and 00:15:34.40\00:15:38.23 recognize, no this is hurting them in the long run, as they 00:15:38.27\00:15:40.80 make that change, it's pretty wonderful in regards as how that 00:15:40.84\00:15:44.61 frontal lobe starts to come back again. And there's even other 00:15:44.64\00:15:49.91 addictions as well that a lot of times people don't recognize 00:15:49.94\00:15:52.61 are such, even self-mutilation is not due to suicidal ideation 00:15:52.65\00:15:58.99 necessarily. It's actually due to an addiction where they feel 00:15:59.02\00:16:04.86 the cut and see the blood run and the endorphins. These 00:16:04.89\00:16:09.73 addictions have to be dealt with as well. And when we deal with 00:16:09.76\00:16:14.10 those, frontal lobe circulation comes back again. So, that's 00:16:14.14\00:16:17.87 why it requires a comprehensive approach. Can be very simple 00:16:17.91\00:16:22.64 means but it also can be complicated enough that a lot 00:16:22.68\00:16:25.31 people make the choice to come to a program like this or get 00:16:25.35\00:16:29.58 educated in a mental health education program in their 00:16:29.62\00:16:32.45 community so they can tackle these things and get the 00:16:32.49\00:16:37.09 coaching they need. You know, another serious thing that 00:16:37.13\00:16:39.93 people can do with depression of course is anorexia, even 00:16:39.96\00:16:45.53 bulimia. These conditions actually complicate it more and 00:16:45.57\00:16:48.17 can actually be life threatening So, it's very important not to 00:16:48.20\00:16:52.21 put up with that but to get the help that you need if you are in 00:16:52.24\00:16:58.01 that camp of anorexia or even the bulimic side of things. Get 00:16:58.05\00:17:02.38 the help that you need so that this brain chemistry can 00:17:02.42\00:17:05.59 actually be corrected so that you don't have to go to those 00:17:05.62\00:17:08.22 measures to try to self-medicate. 00:17:08.26\00:17:10.33 Are there other ways that we can improve our brain function? 00:17:10.36\00:17:14.50 Yes there is. Social support instead of social isolation. 00:17:14.53\00:17:20.30 Actually maybe getting into a group that's working on 00:17:20.34\00:17:23.44 improving their brain and being part of the social network. 00:17:23.47\00:17:27.61 Coaching system, that's been very helpful. And then also 00:17:27.64\00:17:31.55 cognitive behavioral therapy has been shown to be very beneficial 00:17:31.58\00:17:34.98 in improving... 00:17:35.02\00:17:36.35 Now what is that? 00:17:36.38\00:17:37.72 Cognitive behavioral therapy is actually recognizing that it's 00:17:37.75\00:17:41.42 our thoughts that cause our emotions and behavior. And so, 00:17:41.46\00:17:47.30 cognitive behavioral therapy teaches us to analyze our 00:17:47.33\00:17:51.53 thoughts for distortions and then to correct those distorted 00:17:51.57\00:17:56.17 thoughts and that's one of the reasons it improves frontal lobe 00:17:56.20\00:17:58.91 circulation. It requires an analysis of our thoughts, 00:17:58.94\00:18:01.64 recognizing distortions in the thoughts and then correcting 00:18:01.68\00:18:04.61 those thoughts. And that's been shown to be very beneficial. 00:18:04.65\00:18:08.22 We utilize this in all of our residential treatment programs 00:18:08.25\00:18:12.82 after we've improved the brain chemistry so that they can 00:18:12.85\00:18:16.52 analyze their thoughts. 00:18:16.56\00:18:17.89 Can you give me an example of the cognitive behavior therapy, 00:18:17.93\00:18:22.46 how people can change their thinking and their thoughts or 00:18:22.50\00:18:28.50 analyze them? 00:18:28.54\00:18:29.87 Ah yes, well there's 10 different ways of distorted 00:18:29.90\00:18:33.98 thinking and one of them that is common, in fact all of them are 00:18:34.01\00:18:37.28 common in depressed individuals, but one would be called a mental 00:18:37.31\00:18:41.68 filter. This is where you're only looking at one side of 00:18:41.72\00:18:45.29 life. Now I had a gentleman just in the last program that came to 00:18:45.32\00:18:49.19 that told me that everything was going wrong in his life. 00:18:49.22\00:18:52.89 His wife was nagging, his boss was yelling at him, his finances 00:18:52.93\00:18:57.03 going down, his roof was leaking bills piling up, he was short 00:18:57.07\00:19:01.17 and fat, furthermore, he was going bald. And you know when 00:19:01.20\00:19:04.94 I talked to him I recognized that even though he was short 00:19:04.97\00:19:07.94 and fat he could still walk, he could still feed himself, he 00:19:07.98\00:19:11.38 could still breathe well, he actually enjoyed his children, 00:19:11.41\00:19:14.12 he enjoyed his church. You know, he had the potential to do a lot 00:19:14.15\00:19:17.62 of good things. But yet he was just looking at only one side 00:19:17.65\00:19:20.59 of the equation. So, with the mental filter you have to be 00:19:20.62\00:19:24.49 intentional and forceful to look for evidence that supports a 00:19:24.53\00:19:28.60 different way of thinking. And of course we help the individual 00:19:28.63\00:19:31.67 do that. 00:19:31.70\00:19:33.34 Then you mentioned religious belief and how it can benefit 00:19:33.37\00:19:37.91 be beneficial. 00:19:37.94\00:19:40.08 Yes, actually spiritual functioning will improve the 00:19:40.11\00:19:44.85 frontal lobe of the brain. This is the worship area of our brain 00:19:44.88\00:19:48.28 so even going to worship services can be healthy for the 00:19:48.32\00:19:54.99 brain and if we add worship services to good music and maybe 00:19:55.02\00:19:58.69 an analysis of the scripture, it can be one of great benefit as 00:19:58.73\00:20:02.83 far as an antidepressant is concerned. And so a lot of 00:20:02.86\00:20:08.50 people don't recognize that the traditional church going 00:20:08.54\00:20:14.98 actually helps with mental health and it's the reason why 00:20:15.01\00:20:18.81 there've been so many studies done on this now. Studies show 00:20:18.85\00:20:21.98 that if you are an active church goer and you believe in God, 00:20:22.02\00:20:26.59 you're reading spiritual material that you will improve 00:20:26.62\00:20:29.69 79 percent quicker that someone who doesn't. That's a big number 00:20:29.72\00:20:36.77 Dr. Nedley most of the solutions you've suggested are very 00:20:36.80\00:20:41.40 practical. Where does medication fit into this solution? 00:20:41.44\00:20:45.81 Well it would depend on the individual and their condition 00:20:45.84\00:20:49.91 as to whether medicine would be utilized at all for their 00:20:49.94\00:20:54.78 depression. But it can be an adjunct, it can be an add on. 00:20:54.82\00:20:57.49 We need to recognize that it has limited effects. It never 00:20:57.52\00:21:00.86 should be the sole treatment for depression. And as a 00:21:00.89\00:21:05.99 physician I utilize it in select individuals. But the goal is to 00:21:06.03\00:21:10.27 get them off it in five or six months, which we're able to 00:21:10.30\00:21:13.13 easily do once we take care of the underlying issues and use 00:21:13.17\00:21:16.60 some of these practical approaches that we've 00:21:16.64\00:21:18.74 been talking about. 00:21:18.77\00:21:20.11 If people want to get more information, where should 00:21:20.14\00:21:23.24 they go? 00:21:23.28\00:21:24.71 Well we have written a book about this. It's called 00:21:24.75\00:21:26.78 Depression the Way Out and it summarizes a lot of the things 00:21:26.82\00:21:30.32 that we've been talking about. Also our website: 00:21:30.35\00:21:33.36 depressionthewayout.com can actually lead them to find out 00:21:33.39\00:21:39.29 more. There are actually throughout the world mental 00:21:39.33\00:21:42.56 health educations programs being run. It's selected cities at 00:21:42.60\00:21:46.43 selected times utilizing our material and you can find out 00:21:46.47\00:21:49.84 where one might be run in your area as well. Or if you really 00:21:49.87\00:21:55.08 need the therapeutic program, not just a mental health 00:21:55.11\00:21:56.88 education program, you can also visit us to find out how to sign 00:21:56.91\00:22:02.32 up for the actual therapeutic program for severe depression 00:22:02.35\00:22:06.35 or treatment resistant depression. 00:22:06.39\00:22:08.12 If you had one piece of advice to give people struggling with 00:22:08.16\00:22:13.66 depression what would that be? 00:22:13.70\00:22:15.03 Depression should not be tolerated as a lifelong 00:22:15.06\00:22:18.77 condition nor should anxiety. There is a way out of both of 00:22:18.80\00:22:23.30 those disorders and there is help available. Once you find 00:22:23.34\00:22:27.94 the underlying cause, reverse those causes, you will not only 00:22:27.98\00:22:32.25 live a happier existence, but a far more successful one, not 00:22:32.28\00:22:36.95 only relationally, but financially and physically. 00:22:36.99\00:22:40.29 So don't wait for the complications of depression. 00:22:40.32\00:22:45.06 Get on the pathway of optimal mental health. 00:22:45.09\00:22:48.10 Dr. Nedley, it's been a pleasure to have you on our program 00:22:48.13\00:22:51.60 today. I want to thank you and wish you all the very best in 00:22:51.63\00:22:55.60 your future endeavors. 00:22:55.64\00:22:56.97 Thank you. 00:22:57.01\00:22:58.34 Depression isn't new. Did you know that many people in the 00:22:58.37\00:23:02.28 Bible were also affected by depression. As I said at the 00:23:02.31\00:23:06.72 beginning of the program, depression doesn't discriminate 00:23:06.75\00:23:11.15 and sometimes our greatest feelings of despair come after 00:23:11.19\00:23:15.39 emotional victories. One example is the prophet Elijah whose 00:23:15.42\00:23:19.83 story is told in I Kings chapter 18. He had a wonderful 00:23:19.86\00:23:24.33 experience where God used him to perform a miracle, but in 00:23:24.37\00:23:28.77 chapter 19, the very next chapter, he was weary, 00:23:28.80\00:23:32.91 discouraged and fearing for his life. But Elijah's story has a 00:23:32.94\00:23:38.65 happy ending. You see, God was able to speak to him and 00:23:38.68\00:23:42.35 motivate him once more. God reminded him that his life had a 00:23:42.38\00:23:46.69 purpose and when Elijah felt alone, God was still there. 00:23:46.72\00:23:51.59 We too can take comfort from Elijah's story and know that 00:23:51.63\00:23:56.30 when we experience dark moments, when we feel at our lowest and 00:23:56.33\00:24:00.87 when we think we're alone God is there. God still loves us and 00:24:00.90\00:24:05.91 he still cares. Let's instill that in our minds right now as 00:24:05.94\00:24:11.78 we pray. 00:24:11.81\00:24:13.45 Dear Heavenly Father, sometimes we feel sad and empty inside. 00:24:13.48\00:24:18.85 We are thankful that we are never truly alone even when we 00:24:18.89\00:24:23.83 feel lonely, you are there. We know you love us and care for 00:24:23.86\00:24:28.43 us. In Jesus' name, Amen. 00:24:28.46\00:24:32.17 Depression is the leading cause of disability worldwide. It's 00:24:32.20\00:24:38.71 estimated that in any one year around one million Australian 00:24:38.74\00:24:42.98 adults will have depression. Studies have shown links between 00:24:43.01\00:24:48.48 depression and serious health problems such as obesity, cancer 00:24:48.52\00:24:52.39 and cardiovascular disease. How can you tell whether you or 00:24:52.42\00:24:57.83 someone you know is depressed? What factors can cause or 00:24:57.86\00:25:02.56 contribute to depression? And once you know what the causes 00:25:02.60\00:25:05.87 are can you do anything about them? Well these are important 00:25:05.90\00:25:11.97 questions and they deserve answers. You can find those 00:25:12.01\00:25:15.64 answers in this book, Dr. Nedley' s Hit Hypothesis. 00:25:15.68\00:25:20.15 Now according to Dr. Nedley, there are over 100 different 00:25:20.18\00:25:24.65 causes of depression that can be summarized in just 10 categories 00:25:24.69\00:25:29.42 and there's good news, eight of those categories are completely 00:25:29.46\00:25:34.50 reversible. Perhaps you don't have depression but know someone 00:25:34.53\00:25:38.97 who does. Either way, this information needs to be shared. 00:25:39.00\00:25:43.97 I believe this so strongly that I want you to have this book for 00:25:44.01\00:25:49.31 free. That's right, the book is absolutely free, there are no 00:25:49.34\00:25:53.68 catches or obligations. Just contact us at Ask for Dr. Neil 00:25:53.72\00:25:58.35 Nedley' s Hit Hypothesis. Here's the information you need: 00:25:58.39\00:26:02.72 Phone or text us at 0436333555 in Australia or 0204222042 in 00:26:02.76\00:26:13.94 New Zealand or visit our website www.tij.tv to request today's 00:26:13.97\00:26:21.08 free offer and we'll send it to you totally free of charge and 00:26:21.11\00:26:25.08 with no obligation. Write us at: 00:26:25.11\00:26:40.06 Don't delay. Call or text us now 00:26:40.10\00:26:43.03 The Incredible Journey and Pastor Gary Kent with Pastor 00:26:43.06\00:26:48.24 Louis Torres and Carol Torres as the principle trainers are 00:26:48.27\00:26:51.11 opening a Bible College in Sidney in February of 2020. 00:26:51.14\00:26:54.71 This 14-week program will give you the skills you need to be an 00:26:54.74\00:27:00.68 effective colaborer with Christ to carry the message of a 00:27:00.72\00:27:03.05 crucified, risen and soon coming Savior to the whole world. For 00:27:03.08\00:27:06.55 more information and to register phone or text us at 0481315101 00:27:06.59\00:27:12.96 E- mail us at info@tij.tv or visit our website at 00:27:12.99\00:27:18.97 tij.tv/events. 00:27:19.00\00:27:23.57 If you've enjoyed today's journey, be sure to join us 00:27:23.61\00:27:27.78 again next week when we will share another of life's 00:27:27.81\00:27:32.61 journey's together and experience another new and 00:27:32.65\00:27:34.72 thought provoking perspective on the peace, insight, 00:27:34.75\00:27:40.76 understanding and hope that only the Bible can give us. The 00:27:40.79\00:27:42.79 Incredible Journey truly is television that changes lives. 00:27:42.82\00:27:49.23 Until next week remember the ultimate destination of life's 00:27:49.26\00:27:52.87 journey. Now I saw a new heaven and a new earth. And God will 00:27:52.90\00:27:57.34 wipe away every tear from their eyes. There shall be no more 00:27:57.37\00:28:01.11 death nor sorrow nor crying. There shall be no more pain for 00:28:01.14\00:28:05.68 the former things have passed away. 00:28:05.71\00:28:08.32 ¤ ¤ 00:28:08.35\00:28:21.53