The following program
presents principles designed
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to promote good
health and is not intended
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to take the place
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of personalized
professional care.
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The opinions and ideas expressed
are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Are you depressed?
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If you don't know
and you don't care
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you might want to stay tune.
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Depression is a
serious health issue.
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I'm Doctor James Marcum.
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Are you interested in
discovering the reason why?
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You want solutions to
your health care problem.
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Are you tired of
taking medications?
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Well, you're about to
given the ultimate prescription.
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We've all been there
feeling down sad morrows.
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That's normal in a sinful world.
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There is a lot here to put
us into that frame of mind.
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However if your
feelings of sadness
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and
hopelessness remain for days,
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weeks and even years
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then you maybe experiencing
full-blown depression
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which if left untreated
can do major damage to you
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and the people you care for.
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Depression isn't fun
and services no real purpose
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but the good news
is it's treatable.
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Dr. Marcum, I've
heard that heart patients
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especially after
an open heart surgery
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experience
depression, why is that?
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Yeah, unfortunately
it's a major change in life
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and any big stress in a life
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especially the
loss of the loved one,
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the trauma that
happens even when you're young
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any types of big
situations like that,
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can create stress in the body.
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And that stress can damage
to neural circuitry of the brain
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and cause this--this
situation called depression.
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Usually after the bypass surgery
or stent or the heart attack,
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if you think
about what's going on
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everyone sort of a
face with their lives.
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You know, they
look at themselves
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and say wow, this is
me and then they realized
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you know things
that they want to do,
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things at that
they haven't done.
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They sort of see
their mortality of a sudden.
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And this is such a
life changing event
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you know that their--
their depending on someone else
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for the maybe for the
first time in their lives.
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You know, what is
this doctor makes a mistake
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or what if this happens?
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And all those
feelings come in their mind
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and put stress on the system.
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We talked previously
about when the stress cascade
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is turned on that amygdala
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makes all these
inflammatory mediators.
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And a lot of people say
that inflammatory mediators
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that goes through out the body,
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they can cause joint pains
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but they also cause
inflammation of the brain
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which literally functions
the way the brain works
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the glial cells
or neurotransmitters,
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this inflammatory
goes on the brain.
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Now luckily for
people pose bypass usually
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with a
reassurance and a little time,
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an emotional support
this coordinate of therapy
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all the sudden showing
them the kindness and love
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and reassurance that the
brains starts to get better.
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It say's yeah, I'm not better.
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So the good part of the
brain overcomes to bad part
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and it's says no,
the logic tells me
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that I'm gonna get better
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I can take
charge of circumstance,
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I don't have to do that.
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But, Charles, depression is--is
a real big problem in America.
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Now I'm not a psychiatrist,
I'm not a psychologist.
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You probably know as
much as depressions that I do
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but I think it's something
today we have to talk about,
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we have to
recognize did it exist
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and give our
viewers some places to go
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where they can find the
answers to this problem.
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You know, as I hear
you talk about this--
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this open heart surgery
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and now dependent
on always other people.
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It sounds like
that loss of control
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can bring about a
depressive situation.
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Exactly. Okay.
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And any type of--you
know, stress, you know,
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from any type of ways
can trigger this depression.
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It triggers this inflammation
which changes the way we think.
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Now a lot of
people don't even know,
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if they are depressed.
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Now, Charles, do you think
I can check this in your blood
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for depression either something
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I can measure in
your blood for depression?
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I don't know, is
there? No, there is not.
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It's not like I
can do a cat scan
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and you know, or a
pet scan on your brain.
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Now I might see if
your brain is active
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or inactive with that
might help me a little bit,
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you know, if you're
demanded or something.
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But there is really no
test that we can do on a person
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to see if the depressed.
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So just making the
diagnosis can be a challenge
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and not only, you
know, once you think a person
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is depressed you have to
again ask why is that person?
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Because that
determines in my mind
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what treatment they want.
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So let's talk a little bit about
the diagnosis of depression.
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We all know that
people might feel
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you know sad that's one thing.
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They might withdraw from things.
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They--they lose the
ability to you have pleasure.
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They might not sleep at night.
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They might not want to
get up and work anymore.
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They might lose their appetite.
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They might have
problems thinking
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coordinative
changes might occur.
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All of these are
symptoms of depression.
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And when this goes on for
a prolonged period of time
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someone might say,
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well, I think that
person is depressed.
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Prolonged exposure
you're talking about.
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Yeah, prolonged exposure
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these chemicals that make a
feel this way you might say,
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these symptoms might make
the diagnose of depression
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but to me these
symptoms are like a cough.
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You know, a cough you want
to know what cause is the cough.
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Is it due to
sinuses, is it sore throat,
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is it, you know-- so once,
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once these people
having these brain feelings,
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what's causing these feeling
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it might be
labeled as depression.
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So to me depression
is also is a symptom,
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it's not a cause.
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You see, what I'm
saying? Interesting.
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It's just symptoms-- anyone says
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oh, I'm giving
treatment for depression.
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Well, just like being
treated for a pain. Yes.
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Well, what's that mean? Yes.
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So unfortunately in
the world we now live,
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you know, you go to a doctor
he spends five minutes with you
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and you say, oh
I'm feeling this way
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and he says, man, I
think you are depressed.
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Out of here, here is a
medicine for depression
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it will change your chemistry.
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They go give it to
you and off you go.
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Now did you know that that
medicine will only be effective
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for treatment of
depression 28% of the time,
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28% of time the first medicine.
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Now that medicine doesn't work
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and it gives
you another medicine
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it's only gonna be
effected 22% of the time.
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So each time they switch around
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that the chance of that
medicine being successful
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and changing your
chemistry goes down.
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But the follow me, Charles,
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even if we change the
chemistry of the brain
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we're not again
getting at the cause
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of the chemistry to begin with.
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That's right, that's right.
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You follow me here? Yeah.
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So the way we're
approaching depression
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needs to be find out
why the person is depressed
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and come out of it from
several different angles,
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you know and
there's lots of things
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we can do to help
with the depression.
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For instance there's
been some studies that done
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so in a person
that has depression
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for no medical causes,
you know medical things
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can cause you to be depressed.
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You know, for
instance if everyday we came
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and did that showed to
me and every time I came
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our director who is name Bill
and Bill will look the other way
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and while Bill wasn't
looking I would beat you up
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and you would fall
down and then you get up
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and that happened
day in and day out,
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you know, over and over
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you will get depressed
about that. Absolutely.
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And the pill for
depression won't help that.
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Not one day.
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Let's say you had cancer
and we're not coping with that,
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that won't help with that.
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If you were
guilt about something
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you've done in your past.
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A bill well
wouldn't help with that.
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Well, I tell you,
you have struck upon
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I think one of the major reason
for depression that is guilt.
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So many people
are filled with guilt
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and it can create
a tremendous amount
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of variety of
casketing problems.
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Guilt, guilt is a
stress. Yes, it is guilt.
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And if well if you
have a thyroid abnormality
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or nutritional abnormality,
you know, all of those things
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can create these
symptoms of depression.
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There are these nerve
transmitters in the brain
00:07:43.74\00:07:46.11
and yet the real
solution for that
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is not necessarily a medication.
00:07:47.92\00:07:50.26
The real solution is
find out the reason why
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and that takes sometime.
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It take some soul searching
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and an
unfortunately modern medicine
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has taught us now, that
patient doesn't need to find out
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why it is just
take a medicine. Yeah.
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You know, and if
that doesn't work
00:08:04.52\00:08:05.90
take another medicine.
00:08:05.93\00:08:06.96
But right now the
mental health problems
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are growing and
growing and if you look at it,
00:08:08.79\00:08:12.01
if the more
mental health problems
00:08:12.04\00:08:13.49
the more other
problems we get into.
00:08:13.52\00:08:15.97
The more other health
problems we go the cost,
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the cost goes up. Yeah.
00:08:18.19\00:08:20.34
People lose days of
work, they stay at home,
00:08:20.37\00:08:22.72
they aren't functional
and they look for ways
00:08:22.75\00:08:24.89
to cope with depression
00:08:24.92\00:08:26.26
and usually they aren't healthy
ways to cope with depression.
00:08:26.29\00:08:29.14
You know, sometimes
people turn to alcohol,
00:08:29.17\00:08:31.47
sometimes they turn to drugs
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and all because we haven't got
the real problem to begin with.
00:08:33.38\00:08:37.70
Well, you know,
what, as I listened to you
00:08:37.73\00:08:39.61
talk and
realized that depression
00:08:39.64\00:08:43.25
really is a-- a mental problem.
00:08:43.28\00:08:46.23
It would seem to
me that the answer
00:08:46.26\00:08:48.45
needs to be something that
addresses the mental problem.
00:08:48.48\00:08:53.31
A change in diet
maybe good. Yes, it's good.
00:08:53.34\00:08:55.39
And medicines maybe good
and--and ideas maybe good.
00:08:55.42\00:08:59.45
But I think it's
the cognitive of therapy
00:08:59.48\00:09:01.24
that we're missing here. Yes.
00:09:01.27\00:09:03.16
I read that cognitive
therapy is even more effective
00:09:03.19\00:09:07.83
in treating
depression than pills,
00:09:07.86\00:09:11.35
medicines and procedures.
00:09:11.38\00:09:13.43
Yes, and I agree with that.
00:09:13.46\00:09:15.82
I think that's a very important
00:09:15.85\00:09:16.89
because that teaches you
00:09:16.92\00:09:18.19
had a turn off the
stress signals of the brain
00:09:18.22\00:09:20.59
get your thinking
signals of the brain going.
00:09:20.62\00:09:23.15
So you can actually
figure this out yourself.
00:09:23.18\00:09:25.25
You can feel out
why am I depressed,
00:09:25.28\00:09:26.95
what do I need to do?
00:09:26.98\00:09:28.01
So first thing to do
when we are depressed
00:09:28.04\00:09:29.26
and we're just feeling awful
we really should not say well,
00:09:29.29\00:09:32.31
what medicine do
I need. Not first.
00:09:32.34\00:09:34.10
Not first, okay we need
to go, what do we need to do?
00:09:34.13\00:09:37.56
That's the first
step is I would say,
00:09:37.59\00:09:40.60
you know, let's figured out
00:09:40.63\00:09:42.07
make sure they don't have
an underline medical problem
00:09:42.10\00:09:44.27
like me beating you up. Yes.
00:09:44.30\00:09:46.45
Common things that
are missed are thyroid.
00:09:46.48\00:09:48.48
That's a depressing thought.
00:09:48.51\00:09:49.74
Yeah, thyroid, nutritional,
00:09:49.77\00:09:51.60
cancer other things can
cause our body to be this way.
00:09:51.63\00:09:55.22
Other things that can
cause you to feel that way
00:09:55.25\00:09:57.32
is--is extra weight.
00:09:57.35\00:09:59.01
That can cause a
person to be feel depress.
00:09:59.04\00:10:00.97
So these many things.
00:10:01.00\00:10:02.03
So look for that and make sure
00:10:02.06\00:10:03.25
you're not doing
anything medically
00:10:03.28\00:10:04.97
that might cause it
certain medications that we take
00:10:05.00\00:10:07.69
and sometimes alter
that chemistry of a brain.
00:10:07.72\00:10:10.10
You've head of side effects,
00:10:10.13\00:10:11.68
or medicines cause
some type of side effects.
00:10:11.71\00:10:14.17
It might be something as
simple as a nutritional thing.
00:10:14.20\00:10:16.92
For instance, we know that
00:10:16.95\00:10:18.43
Eskimos have the highest
suicide rate in the world.
00:10:18.46\00:10:21.91
Because they are
in the dark all time.
00:10:21.94\00:10:24.05
When you're in
the dark all the time
00:10:24.08\00:10:25.34
you don't make a chemical
the vitamin D pathway serotonin.
00:10:25.37\00:10:28.49
Without serotonin the
brain the prefrontal cortex
00:10:28.52\00:10:31.20
doesn't work as well.
00:10:31.23\00:10:32.77
When that happens
their--you know their depression
00:10:32.80\00:10:35.18
goes up to something
as simple as going outside
00:10:35.21\00:10:37.80
and it getting enough sunlight.
00:10:37.83\00:10:39.18
That might help lower
the risk of depression.
00:10:39.21\00:10:41.25
Remember we were designed
to be outside in a garden
00:10:41.28\00:10:44.14
taking care of animals all day.
00:10:44.17\00:10:45.78
Most of the stay inside
00:10:45.81\00:10:47.72
and we need 30
minutes of sunlight,
00:10:47.75\00:10:49.89
three times a week.
00:10:49.92\00:10:51.62
Our brain depends on water.
00:10:51.65\00:10:53.88
Sometimes it's
not drinking of water
00:10:53.91\00:10:55.94
can be the tip over that
messes up our brain chemistry.
00:10:55.97\00:10:59.38
We were also
designed to exercise.
00:10:59.41\00:11:01.37
get good blood
flow through water.
00:11:01.40\00:11:02.97
So get good blood
flow through water
00:11:03.00\00:11:04.90
to our brain so
that might work well.
00:11:04.93\00:11:07.55
And you know, when
suddenly the 80 % of people
00:11:07.58\00:11:09.55
are depressed,
00:11:09.58\00:11:10.97
you know we
know that their brain
00:11:11.00\00:11:12.27
is not getting enough water.
00:11:12.30\00:11:13.36
It can't
optimally work chemically.
00:11:13.39\00:11:15.67
So if add up all these
things, you know, you can see
00:11:15.70\00:11:18.52
that you can do
really good with nutrition,
00:11:18.55\00:11:20.56
really good with lifestyle.
00:11:20.59\00:11:21.88
Maybe get some extra weight
which causes inflammation.
00:11:21.91\00:11:25.15
Get some of these
things done first.
00:11:25.18\00:11:27.22
Cognitive therapy
first and then maybe
00:11:27.25\00:11:30.04
you are not gonna
need to take a medicine.
00:11:30.07\00:11:31.87
But you know, later
on we're gonna talk about
00:11:31.90\00:11:33.77
what I think is, is the key.
00:11:33.80\00:11:35.42
And we talked about
this in previous programs
00:11:35.45\00:11:37.48
the key to depression is
to change your whole mind.
00:11:37.51\00:11:40.86
The whole mind.
00:11:40.89\00:11:41.92
And this one-- one
position that can do that
00:11:41.95\00:11:45.00
and I think we had to
plug into the ultimate position
00:11:45.03\00:11:47.86
to run how to create a new mind.
00:11:47.89\00:11:50.02
And that's why I want
to throw in is a treatment
00:11:50.05\00:11:51.85
for depression this
word called, worship.
00:11:51.88\00:11:54.83
You know we talked
on our previous show
00:11:54.86\00:11:57.28
about this idea that, that
God wants to change our brain
00:11:57.31\00:12:02.55
and created us a
new heart a new brain
00:12:02.58\00:12:04.92
and that when
we are doing things
00:12:04.95\00:12:06.76
that are not good for us.
00:12:06.79\00:12:07.82
When we are
thinking bad thoughts,
00:12:07.85\00:12:10.47
or we are not
feeding it correctly
00:12:10.50\00:12:12.33
that one part of the brain
where there is joy diminishes
00:12:12.36\00:12:15.51
and the part where there is fear
00:12:15.54\00:12:17.32
and uncertainty
grows physically. Right.
00:12:17.35\00:12:20.96
So it's possible when
we are feeling depressed
00:12:20.99\00:12:23.28
that we may be
just not taking care
00:12:23.31\00:12:26.58
of the brain physically.
00:12:26.61\00:12:27.87
There may be an actual
physical connection here
00:12:27.90\00:12:30.33
between what we
are doing in our life
00:12:30.36\00:12:32.90
and the problems that our
brain is brining back to us.
00:12:32.93\00:12:35.04
There is, those
stress parts of the brain
00:12:35.07\00:12:36.78
makes inflammatory factors.
00:12:36.81\00:12:38.41
The cytokines and
leukotrienes which can trigger
00:12:38.44\00:12:41.13
these actually nerve
changes in our prefrontal cortex
00:12:41.16\00:12:43.98
that does our
thinking and our feeling.
00:12:44.01\00:12:45.71
Well, depression is
nothing to just put off aside.
00:12:45.74\00:12:49.79
It's very
important and very serious.
00:12:49.82\00:12:51.80
When we come back we'll
talk about some questions
00:12:51.83\00:12:54.21
that we have received
at healthwiseministry.org
00:12:54.24\00:12:56.75
about the subject of
the brain and depression.
00:12:56.78\00:12:59.76
And we'll do all
that on our return,
00:12:59.79\00:13:01.10
so stay right where you are.
00:13:01.13\00:13:02.68