Participants: Dr. James Marcum (Host), Charles Mills
Series Code: UP
Program Code: UP00032A
00:01 The following program presents principles designed
00:02 to promote good health and is not intended 00:04 to take the place 00:05 of personalized professional care. 00:07 The opinions and ideas expressed are those of the speaker. 00:10 Viewers are encouraged to draw their own conclusions 00:13 about the information presented. 00:16 Are you depressed? 00:18 If you don't know and you don't care 00:21 you might want to stay tune. 00:23 Depression is a serious health issue. 00:28 I'm Doctor James Marcum. 00:30 Are you interested in discovering the reason why? 00:33 You want solutions to your health care problem. 00:36 Are you tired of taking medications? 00:39 Well, you're about to given the ultimate prescription. 00:45 We've all been there feeling down sad morrows. 00:50 That's normal in a sinful world. 00:52 There is a lot here to put us into that frame of mind. 00:55 However if your feelings of sadness 00:57 and hopelessness remain for days, 00:59 weeks and even years 01:00 then you maybe experiencing full-blown depression 01:03 which if left untreated can do major damage to you 01:08 and the people you care for. 01:10 Depression isn't fun and services no real purpose 01:13 but the good news is it's treatable. 01:16 Dr. Marcum, I've heard that heart patients 01:19 especially after an open heart surgery 01:21 experience depression, why is that? 01:23 Yeah, unfortunately it's a major change in life 01:27 and any big stress in a life 01:29 especially the loss of the loved one, 01:31 the trauma that happens even when you're young 01:34 any types of big situations like that, 01:37 can create stress in the body. 01:39 And that stress can damage to neural circuitry of the brain 01:42 and cause this--this situation called depression. 01:46 Usually after the bypass surgery or stent or the heart attack, 01:49 if you think about what's going on 01:51 everyone sort of a face with their lives. 01:53 You know, they look at themselves 01:55 and say wow, this is me and then they realized 01:58 you know things that they want to do, 01:59 things at that they haven't done. 02:00 They sort of see their mortality of a sudden. 02:03 And this is such a life changing event 02:05 you know that their-- their depending on someone else 02:08 for the maybe for the first time in their lives. 02:09 You know, what is this doctor makes a mistake 02:11 or what if this happens? 02:13 And all those feelings come in their mind 02:15 and put stress on the system. 02:17 We talked previously about when the stress cascade 02:20 is turned on that amygdala 02:22 makes all these inflammatory mediators. 02:26 And a lot of people say that inflammatory mediators 02:29 that goes through out the body, 02:30 they can cause joint pains 02:32 but they also cause inflammation of the brain 02:35 which literally functions the way the brain works 02:37 the glial cells or neurotransmitters, 02:39 this inflammatory goes on the brain. 02:42 Now luckily for people pose bypass usually 02:44 with a reassurance and a little time, 02:47 an emotional support this coordinate of therapy 02:50 all the sudden showing them the kindness and love 02:52 and reassurance that the brains starts to get better. 02:55 It say's yeah, I'm not better. 02:57 So the good part of the brain overcomes to bad part 02:59 and it's says no, the logic tells me 03:01 that I'm gonna get better 03:02 I can take charge of circumstance, 03:05 I don't have to do that. 03:06 But, Charles, depression is--is a real big problem in America. 03:10 Now I'm not a psychiatrist, I'm not a psychologist. 03:13 You probably know as much as depressions that I do 03:16 but I think it's something today we have to talk about, 03:19 we have to recognize did it exist 03:22 and give our viewers some places to go 03:23 where they can find the answers to this problem. 03:26 You know, as I hear you talk about this-- 03:28 this open heart surgery 03:30 and now dependent on always other people. 03:33 It sounds like that loss of control 03:36 can bring about a depressive situation. 03:38 Exactly. Okay. 03:40 And any type of--you know, stress, you know, 03:42 from any type of ways can trigger this depression. 03:46 It triggers this inflammation which changes the way we think. 03:49 Now a lot of people don't even know, 03:51 if they are depressed. 03:52 Now, Charles, do you think I can check this in your blood 03:55 for depression either something 03:56 I can measure in your blood for depression? 03:57 I don't know, is there? No, there is not. 04:00 It's not like I can do a cat scan 04:02 and you know, or a pet scan on your brain. 04:04 Now I might see if your brain is active 04:06 or inactive with that might help me a little bit, 04:08 you know, if you're demanded or something. 04:10 But there is really no test that we can do on a person 04:13 to see if the depressed. 04:14 So just making the diagnosis can be a challenge 04:18 and not only, you know, once you think a person 04:20 is depressed you have to again ask why is that person? 04:24 Because that determines in my mind 04:27 what treatment they want. 04:28 So let's talk a little bit about the diagnosis of depression. 04:31 We all know that people might feel 04:33 you know sad that's one thing. 04:36 They might withdraw from things. 04:38 They--they lose the ability to you have pleasure. 04:41 They might not sleep at night. 04:43 They might not want to get up and work anymore. 04:47 They might lose their appetite. 04:49 They might have problems thinking 04:51 coordinative changes might occur. 04:53 All of these are symptoms of depression. 04:56 And when this goes on for a prolonged period of time 04:59 someone might say, 05:00 well, I think that person is depressed. 05:02 Prolonged exposure you're talking about. 05:03 Yeah, prolonged exposure 05:04 these chemicals that make a feel this way you might say, 05:07 these symptoms might make the diagnose of depression 05:10 but to me these symptoms are like a cough. 05:14 You know, a cough you want to know what cause is the cough. 05:17 Is it due to sinuses, is it sore throat, 05:20 is it, you know-- so once, 05:21 once these people having these brain feelings, 05:24 what's causing these feeling 05:25 it might be labeled as depression. 05:27 So to me depression is also is a symptom, 05:31 it's not a cause. 05:32 You see, what I'm saying? Interesting. 05:33 It's just symptoms-- anyone says 05:34 oh, I'm giving treatment for depression. 05:36 Well, just like being treated for a pain. Yes. 05:39 Well, what's that mean? Yes. 05:40 So unfortunately in the world we now live, 05:43 you know, you go to a doctor he spends five minutes with you 05:46 and you say, oh I'm feeling this way 05:48 and he says, man, I think you are depressed. 05:50 Out of here, here is a medicine for depression 05:53 it will change your chemistry. 05:54 They go give it to you and off you go. 05:56 Now did you know that that medicine will only be effective 06:00 for treatment of depression 28% of the time, 06:04 28% of time the first medicine. 06:05 Now that medicine doesn't work 06:07 and it gives you another medicine 06:09 it's only gonna be effected 22% of the time. 06:12 So each time they switch around 06:14 that the chance of that medicine being successful 06:17 and changing your chemistry goes down. 06:18 But the follow me, Charles, 06:20 even if we change the chemistry of the brain 06:23 we're not again getting at the cause 06:25 of the chemistry to begin with. 06:26 That's right, that's right. 06:27 You follow me here? Yeah. 06:28 So the way we're approaching depression 06:31 needs to be find out why the person is depressed 06:34 and come out of it from several different angles, 06:37 you know and there's lots of things 06:39 we can do to help with the depression. 06:40 For instance there's been some studies that done 06:42 so in a person that has depression 06:44 for no medical causes, you know medical things 06:46 can cause you to be depressed. 06:48 You know, for instance if everyday we came 06:51 and did that showed to me and every time I came 06:53 our director who is name Bill and Bill will look the other way 06:57 and while Bill wasn't looking I would beat you up 06:59 and you would fall down and then you get up 07:01 and that happened day in and day out, 07:02 you know, over and over 07:04 you will get depressed about that. Absolutely. 07:06 And the pill for depression won't help that. 07:08 Not one day. 07:09 Let's say you had cancer and we're not coping with that, 07:12 that won't help with that. 07:14 If you were guilt about something 07:16 you've done in your past. 07:17 A bill well wouldn't help with that. 07:18 Well, I tell you, you have struck upon 07:20 I think one of the major reason for depression that is guilt. 07:24 So many people are filled with guilt 07:27 and it can create a tremendous amount 07:30 of variety of casketing problems. 07:32 Guilt, guilt is a stress. Yes, it is guilt. 07:35 And if well if you have a thyroid abnormality 07:38 or nutritional abnormality, you know, all of those things 07:41 can create these symptoms of depression. 07:43 There are these nerve transmitters in the brain 07:46 and yet the real solution for that 07:47 is not necessarily a medication. 07:50 The real solution is find out the reason why 07:53 and that takes sometime. 07:54 It take some soul searching 07:56 and an unfortunately modern medicine 07:58 has taught us now, that patient doesn't need to find out 08:02 why it is just take a medicine. Yeah. 08:04 You know, and if that doesn't work 08:05 take another medicine. 08:06 But right now the mental health problems 08:08 are growing and growing and if you look at it, 08:12 if the more mental health problems 08:13 the more other problems we get into. 08:16 The more other health problems we go the cost, 08:18 the cost goes up. Yeah. 08:20 People lose days of work, they stay at home, 08:22 they aren't functional and they look for ways 08:24 to cope with depression 08:26 and usually they aren't healthy ways to cope with depression. 08:29 You know, sometimes people turn to alcohol, 08:31 sometimes they turn to drugs 08:33 and all because we haven't got the real problem to begin with. 08:37 Well, you know, what, as I listened to you 08:39 talk and realized that depression 08:43 really is a-- a mental problem. 08:46 It would seem to me that the answer 08:48 needs to be something that addresses the mental problem. 08:53 A change in diet maybe good. Yes, it's good. 08:55 And medicines maybe good and--and ideas maybe good. 08:59 But I think it's the cognitive of therapy 09:01 that we're missing here. Yes. 09:03 I read that cognitive therapy is even more effective 09:07 in treating depression than pills, 09:11 medicines and procedures. 09:13 Yes, and I agree with that. 09:15 I think that's a very important 09:16 because that teaches you 09:18 had a turn off the stress signals of the brain 09:20 get your thinking signals of the brain going. 09:23 So you can actually figure this out yourself. 09:25 You can feel out why am I depressed, 09:26 what do I need to do? 09:28 So first thing to do when we are depressed 09:29 and we're just feeling awful we really should not say well, 09:32 what medicine do I need. Not first. 09:34 Not first, okay we need to go, what do we need to do? 09:37 That's the first step is I would say, 09:40 you know, let's figured out 09:42 make sure they don't have an underline medical problem 09:44 like me beating you up. Yes. 09:46 Common things that are missed are thyroid. 09:48 That's a depressing thought. 09:49 Yeah, thyroid, nutritional, 09:51 cancer other things can cause our body to be this way. 09:55 Other things that can cause you to feel that way 09:57 is--is extra weight. 09:59 That can cause a person to be feel depress. 10:01 So these many things. 10:02 So look for that and make sure 10:03 you're not doing anything medically 10:05 that might cause it certain medications that we take 10:07 and sometimes alter that chemistry of a brain. 10:10 You've head of side effects, 10:11 or medicines cause some type of side effects. 10:14 It might be something as simple as a nutritional thing. 10:16 For instance, we know that 10:18 Eskimos have the highest suicide rate in the world. 10:21 Because they are in the dark all time. 10:24 When you're in the dark all the time 10:25 you don't make a chemical the vitamin D pathway serotonin. 10:28 Without serotonin the brain the prefrontal cortex 10:31 doesn't work as well. 10:32 When that happens their--you know their depression 10:35 goes up to something as simple as going outside 10:37 and it getting enough sunlight. 10:39 That might help lower the risk of depression. 10:41 Remember we were designed to be outside in a garden 10:44 taking care of animals all day. 10:45 Most of the stay inside 10:47 and we need 30 minutes of sunlight, 10:49 three times a week. 10:51 Our brain depends on water. 10:53 Sometimes it's not drinking of water 10:55 can be the tip over that messes up our brain chemistry. 10:59 We were also designed to exercise. 11:01 get good blood flow through water. 11:03 So get good blood flow through water 11:04 to our brain so that might work well. 11:07 And you know, when suddenly the 80 % of people 11:09 are depressed, 11:11 you know we know that their brain 11:12 is not getting enough water. 11:13 It can't optimally work chemically. 11:15 So if add up all these things, you know, you can see 11:18 that you can do really good with nutrition, 11:20 really good with lifestyle. 11:21 Maybe get some extra weight which causes inflammation. 11:25 Get some of these things done first. 11:27 Cognitive therapy first and then maybe 11:30 you are not gonna need to take a medicine. 11:31 But you know, later on we're gonna talk about 11:33 what I think is, is the key. 11:35 And we talked about this in previous programs 11:37 the key to depression is to change your whole mind. 11:40 The whole mind. 11:41 And this one-- one position that can do that 11:45 and I think we had to plug into the ultimate position 11:47 to run how to create a new mind. 11:50 And that's why I want to throw in is a treatment 11:51 for depression this word called, worship. 11:54 You know we talked on our previous show 11:57 about this idea that, that God wants to change our brain 12:02 and created us a new heart a new brain 12:04 and that when we are doing things 12:06 that are not good for us. 12:07 When we are thinking bad thoughts, 12:10 or we are not feeding it correctly 12:12 that one part of the brain where there is joy diminishes 12:15 and the part where there is fear 12:17 and uncertainty grows physically. Right. 12:20 So it's possible when we are feeling depressed 12:23 that we may be just not taking care 12:26 of the brain physically. 12:27 There may be an actual physical connection here 12:30 between what we are doing in our life 12:32 and the problems that our brain is brining back to us. 12:35 There is, those stress parts of the brain 12:36 makes inflammatory factors. 12:38 The cytokines and leukotrienes which can trigger 12:41 these actually nerve changes in our prefrontal cortex 12:44 that does our thinking and our feeling. 12:45 Well, depression is nothing to just put off aside. 12:49 It's very important and very serious. 12:51 When we come back we'll talk about some questions 12:54 that we have received at healthwiseministry.org 12:56 about the subject of the brain and depression. 12:59 And we'll do all that on our return, 13:01 so stay right where you are. |
Revised 2014-12-17