Hello and welcome to this
segment of "Wonderfully Made"
00:00:56.94\00:01:01.18
I'm Dr. Neil
Nedley, practicing physician
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and author of
the book entitled...
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"DEPRESSION THE WAY OUT"
00:01:06.58\00:01:08.36
which is actually the
title of our presentation today.
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Depression is an
epidemic, according to the
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Surgeon General of the
United States in America
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and these numbers of depressed
people actually are continuing
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to go up... and
this does not have to be!
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It's a sad fact, and it's really
a fact due to lack of education,
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and lack of motivation,
as well as some mild forms of
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brainwashing that has
taken place here in America...
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and I would like to actually
go through each one of those
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statements that I've
made in a little more detail
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so you can see
exactly where I'm coming from
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in this segment.
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First of all, the
impact of depression
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worldwide is astounding!
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The number of people developing
depression has increased
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since 1915.
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Now we have been studying
this disease since the turn
00:02:02.83\00:02:05.73
of the century at 1900...
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And so, when you
consider from 1915 on...
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each successive generation
has had more and more depression
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It really raises some questions!
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First of all, I don't
think anyone would question
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that today we have more FUN
things to do than ever before
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in human history, but
even though we have more
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fun things to do, there are
more people that are depressed
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than ever before
in human history.
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First of all, that
should tell us that doing these
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fun things does not necessarily
PREVENT or even TREAT depression
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It may make one feel
better just temporarily,
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or transiently while they
are doing the fun thing...
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But after the fun thing is over,
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often the individual will
go down into a lower spirit
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than they were before they
did the entertaining activity.
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The disease of depression is
also striking at an earlier age.
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In fact, we used to call this
disease "the midlife crisis"
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because it would change
people's behavior so much
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that there appeared to
be a crisis standpoint,
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a nervous breakdown
that would occur in midlife
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But, unfortunately, this
disease is now striking very
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frequently in
this country by age 25.
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In fact, there are many people,
even in their adolescent years,
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who are
experiencing depression...
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And, of course, as the
Surgeon General reported in his
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very exhaustive
report on mental health
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that came out recently...
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Even children under the age of
8 can have major depression...
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and this was unheard of
in previous generations.
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Overall, the risk of depression
has increased over time
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for ALL ages, and so
it's not just a disease
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of the
adolescents, or those age 25...
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It's not just a
disease of those in midlife...
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It actually is even more
frequent during this particular
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generation in the
LATER generation...
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The older an individual
gets, the more likely they are
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to suffer from this disease
that we call "major depression"
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The impact of depression
worldwide is astounding
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as you might guess.
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At the time that
we are speaking today,
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200 million people are
suffering from depression.
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As a practicing
internal medicine physician,
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like myself, there are
studies revealing that up to
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1 in 3 people that I see, as
an internal medicine physician,
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actually has major depression.
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Now this was
shocking news to even myself,
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after I became an internist...
I went to medical school,
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did my specialty training...
actually has started practice
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And a very interesting
article came across my desk
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in a very reputable internal
medicine journal called...
00:05:05.07\00:05:07.79
"The Archives of
Internal Medicine"
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and it took a look at outpatient
internal medicine practices.
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And it found that
up to 1 in 3 people
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that internists
see on a daily basis,
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are suffering from depression.
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Now, as an internal medicine
physician, I must tell you
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that I was not trained really
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to understand the
disease depression.
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Now I had been
through medical school...
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I had performed
psychiatric consultations.
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I had done psychiatric rotations
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I had sat through grand
rounds with high-credentialed
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psychiatrists explaining
the disease depression,
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as well as other
mental diseases such as
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bipolar disorder
or schizophrenia,
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or certain anxiety disorders.
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And so I had learned
these things in the process of
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my training, as well as
the process of my education
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But what I was really trained
to do was to treat disease
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of the internal organs...
that's why it's called an
00:06:06.83\00:06:09.03
internal medicine physician,
as we are treating diseases
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of the heart, the lungs, the
intestinal tract, the kidneys,
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the internal organs.
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And what we are mainly utilized
by in most sectors is to
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find out why a person is
suffering from certain symptoms.
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We must ask WHY... is
a very important question
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for an internal
medicine physician because if we
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don't answer the WHY,
actually a fatality can result
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...particularly if
it's a serious disease.
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So when other physicians
such as family practitioners
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or surgeons, or
other specialties,
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cannot really find out
exactly what's going on,
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they then refer that
patient to me often...
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to try to find out
exactly what the disease is.
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And, of course, they also
wonder if it has to do with the
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internal organs, and so that's
why... partly they do this.
00:07:01.13\00:07:05.62
But when I realized,
back to our main point,
00:07:05.63\00:07:08.09
that 1 out of 3 people that
I was seeing were potentially
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depressed, it
kind of depressed me
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because I didn't feel adequately
prepared to handle those cases.
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Yes, I was familiar with
the medications of depression...
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I had to be familiar with them
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because so many of my patients
were taking these medicines
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...I had to know their
effects and their side effects,
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as well as what to expect
when taking these medicines.
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I was familiar with counseling
techniques for depression...
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But yet I thought, if 1 out
of 3 of my patients have this
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this is potentially something
I'm seeing more frequently
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than any of the standard
internal medicine diseases...
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such as heart
disease, or kidney disease,
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or gastrointestinal disease.
00:07:52.09\00:07:54.37
And so I then embarked upon a
serious study to try to find out
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as much about this
disease process as possible.
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And in the
process of finding out,
00:08:03.24\00:08:06.52
from standard medical sources,
00:08:06.55\00:08:08.42
and the standard
medical literature,
00:08:08.45\00:08:09.98
I began to realize that
there was much more to this
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disorder... mental
disorder called "depression"
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than I had ever learned before.
00:08:18.59\00:08:21.62
There was much more to it
than just a biological problem
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where there was a
chemical imbalance...
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much more to it than
just a social problem
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where counseling was necessary,
00:08:30.50\00:08:32.97
and that MOST of
the causes of depression
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were actually being completely
overlooked by the standard
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healthcare practitioners
that these people were seeing.
00:08:41.43\00:08:46.89
And this, of course, is
an unfortunate situation.
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When we have people who
are depressed, and are seeing
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practitioners for this disorder,
00:08:53.64\00:08:56.50
and they don't even recognize...
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the patient doesn't, and
neither do the caregivers,
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the underlying
reasons for the problem.
00:09:01.40\00:09:05.19
And if you never get to the
underlying reasons of a problem,
00:09:05.20\00:09:08.59
you will NEVER find
a cure for the problem.
00:09:08.62\00:09:11.79
The individual will
always be dependent on
00:09:11.82\00:09:14.95
medication, or
counseling, in order to keep
00:09:14.98\00:09:20.09
from being depressed.
00:09:20.12\00:09:21.64
And this is what we are
finding in America today...
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The antidepressant
medications are skyrocketing...
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As far as the numbers that
are being used, we are dealing
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with a disease that
with JUST the medications,
00:09:31.10\00:09:34.10
people are spending
billions of dollars a year
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for these medications.
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They take them like
their morning vitamins...
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and if they happen
to miss a few doses,
00:09:40.65\00:09:43.64
they go into the
doldrums of severe depression,
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and they feel like they
are going to be dependent
00:09:47.00\00:09:49.25
on these medications for life.
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This is a sad fact, and
one that does not have to be.
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The important
thing to understand,
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as part of this
presentation is...
00:09:58.62\00:10:00.70
Even though depression
is common, you can find
00:10:00.73\00:10:04.35
the cause of depression,
00:10:04.38\00:10:06.31
and if you treat that underlying
cause, then you can actually
00:10:06.34\00:10:10.49
have a cure for depression.
00:10:10.52\00:10:13.07
And in our experience,
when this systematic approach
00:10:13.10\00:10:16.41
is outlined, that I have
embarked on as part of my
00:10:16.44\00:10:19.68
serious study and implementation
over 90% of patients
00:10:19.71\00:10:23.46
are able to be CURED
from depression in a 20-week
00:10:23.49\00:10:27.06
period of time.
00:10:27.09\00:10:28.50
And this sounds, of
course, very surprising
00:10:28.51\00:10:32.01
if you're a
psychiatrist, or a psychologist,
00:10:32.04\00:10:34.23
that these types of
numbers are accurate,
00:10:34.26\00:10:38.21
but indeed, in our
practice, they are accurate...
00:10:38.24\00:10:40.98
And I think that it's
not just dependent on me,
00:10:41.01\00:10:43.66
if the principles outlined
are applied by psychologists
00:10:43.69\00:10:48.66
and psychiatrists, and
other healthcare practitioners
00:10:48.69\00:10:51.84
as well as if
patients become informed
00:10:51.87\00:10:54.65
about their disease
process, there is no reason why
00:10:54.68\00:10:58.64
9 out of 10 depressed patients
should still be depressed.
00:10:58.67\00:11:02.38
They can be, indeed,
cured from their disease.
00:11:02.41\00:11:06.11
Now we mentioned the
billions of dollars...
00:11:06.12\00:11:09.40
The Wall Street Journal recently
came out with an article
00:11:09.43\00:11:12.64
showing that 70 billion dollars
are spent on the disease of
00:11:12.67\00:11:18.36
depression every year.
00:11:18.39\00:11:20.30
That actually is a figure
that goes above the cost of
00:11:20.33\00:11:24.51
heart disease in this country.
00:11:24.54\00:11:26.34
And we all know that heart
disease is the #1 cause of death
00:11:26.37\00:11:29.71
and there are all sorts of costs
associated with heart disease
00:11:29.74\00:11:33.05
But this 70 billion dollar
figure puts this into a MAJOR
00:11:33.08\00:11:38.20
cost problem in
the United States
00:11:38.23\00:11:40.09
and that cost is not
only the medications,
00:11:40.12\00:11:42.07
not only seeing the doctor,
00:11:42.08\00:11:44.58
not only paying for
the psychologist to perform
00:11:44.61\00:11:48.34
psychotherapy, but also the
cost as far as lost productivity
00:11:48.35\00:11:52.35
when you're not
productive on the job,
00:11:52.38\00:11:53.96
or even lost days at work
because of severe depression
00:11:53.99\00:11:57.87
in not being able to function.
00:11:57.90\00:12:01.62
After the attack on
America on September 11, 2001...
00:12:01.65\00:12:07.46
we found that this disease
actually went up that much more.
00:12:07.47\00:12:13.48
And, of course, we don't
know exactly until probably
00:12:13.51\00:12:17.36
years later what the
impact of this is going to be.
00:12:17.39\00:12:21.15
But a study done not
long after the attack,
00:12:21.18\00:12:24.04
showed that 71% of Americans
felt depressed after that
00:12:24.05\00:12:30.23
September 11th attack.
00:12:30.26\00:12:32.62
That's, of course,
a very high figure...
00:12:32.63\00:12:34.74
50% were having
trouble concentrating,
00:12:34.77\00:12:37.34
and fully one-third
were having insomnia,
00:12:37.37\00:12:40.22
either early morning
awakenings where they couldn't
00:12:40.25\00:12:42.42
get back to sleep, or they
were actually not being able
00:12:42.45\00:12:46.30
to sleep at all.
00:12:46.33\00:12:47.68
And these are symptoms,
not being able to concentrate
00:12:47.71\00:12:50.67
and insomnia are some
of the standard symptoms
00:12:50.70\00:12:53.60
for depression.
00:12:53.63\00:12:55.40
Well, before we get
into the actual cure,
00:12:55.43\00:12:58.48
and how to find the
cause of the disease,
00:12:58.51\00:13:00.70
I think it's important
to come up with definitions.
00:13:00.73\00:13:03.51
Depression does have a
well-defined way of determining
00:13:03.54\00:13:11.16
whether it's present or not...
00:13:11.19\00:13:13.26
And you can get this
in psychiatric literature
00:13:13.29\00:13:15.97
through what we
call the DSM-IV criteria
00:13:16.00\00:13:18.39
but you do NOT have
to be a psychiatrist,
00:13:18.42\00:13:20.88
and you do NOT have
to be a psychologist
00:13:20.91\00:13:23.07
to diagnose depression.
00:13:23.10\00:13:25.48
In fact, I dare say
that everyone who is watching
00:13:25.51\00:13:29.95
and listening right
now, if they pay attention
00:13:29.98\00:13:33.22
to the WAY to
diagnose depression,
00:13:33.25\00:13:36.41
whether you're a lay person,
or whether you're an engineer
00:13:36.44\00:13:39.12
whether you've never set
foot in a doctor's office,
00:13:39.15\00:13:41.80
and never had any
healthcare training,
00:13:41.83\00:13:43.54
you WILL be able to
accurately diagnose whether you
00:13:43.57\00:13:47.49
are depressed, or
whether someone that you
00:13:47.52\00:13:49.99
LOVE is depressed.
00:13:50.02\00:13:51.85
And this is an
important step to take because
00:13:51.88\00:13:54.69
many people are suffering
from depression but don't even
00:13:54.72\00:13:57.97
recognize that
they're suffering from it.
00:13:58.00\00:14:00.60
And if you don't even
RECOGNIZE the problem,
00:14:00.63\00:14:02.50
then you're that much further
AWAY from getting a cure.
00:14:02.53\00:14:06.98
Just like an alcoholic cannot
undergo appropriate treatment
00:14:07.01\00:14:11.85
for alcoholism and
recover from alcoholism until he
00:14:11.88\00:14:16.04
recognizes that
he's an alcoholic...
00:14:16.07\00:14:18.20
So it is true for
a depressed patient.
00:14:18.23\00:14:20.47
Unless they actually recognize
that they are suffering from
00:14:20.50\00:14:23.73
major depression, then
they're not going to undergo
00:14:23.76\00:14:27.15
the analysis to find out
why and then to be plugged in
00:14:27.18\00:14:31.53
to the absolute
cure for depression.
00:14:31.56\00:14:34.80
So let's go over the
definition of depression...
00:14:34.83\00:14:39.11
First of all, in order
to have major depression,
00:14:39.14\00:14:41.80
you CANNOT have recently
faced obvious emotional trauma
00:14:41.83\00:14:48.54
And, of course,
being in New York recently,
00:14:48.57\00:14:52.64
helping out with the grief,
and depression and recovery
00:14:52.67\00:14:56.49
efforts there, the
people that have just suffered
00:14:56.52\00:15:00.33
through that are NOT necessarily
suffering from major depression.
00:15:00.36\00:15:04.44
They're suffering from grief...
00:15:04.47\00:15:05.69
that is what we would
call situational depression.
00:15:05.72\00:15:09.18
It's normal to be
depressed when you lose a
00:15:09.21\00:15:11.68
host of loved ones, when
you've lost your residence,
00:15:11.71\00:15:14.17
when you've lost your job...
00:15:14.20\00:15:15.46
those type of things bring
about a situational depression.
00:15:15.50\00:15:20.25
This is not what we're
emphasizing here today...
00:15:20.28\00:15:23.95
What we are emphasizing
is actually major depression
00:15:23.98\00:15:27.41
where there is NO
recent emotional trauma...
00:15:27.44\00:15:30.85
And that means no trauma for
the last 2 weeks prior to this.
00:15:30.88\00:15:35.17
Now, if you're still
having symptoms of depression
00:15:35.20\00:15:37.96
4 to 6 months after an
event like what happened at the
00:15:37.99\00:15:41.19
World Trade Center,
then that is abnormal...
00:15:41.22\00:15:43.50
And then you do have to
actually undergo some process
00:15:43.53\00:15:48.37
to find out why you're
having a complication with the
00:15:48.40\00:15:52.42
grief aspect of the disease.
00:15:52.45\00:15:54.89
But if you haven't faced
obvious recent emotional trauma,
00:15:54.92\00:15:59.16
and you have 5 of
the following 9 symptoms,
00:15:59.19\00:16:03.95
you have major depression.
00:16:03.96\00:16:06.15
Let's go over each
one of these 9 symptoms...
00:16:06.18\00:16:09.56
First is deep sadness.
00:16:09.59\00:16:11.40
Individuals with depression...
when they say they're depressed
00:16:11.41\00:16:14.21
this is what they normally feel
00:16:14.24\00:16:15.56
is a deep,
overwhelming sense of sadness.
00:16:15.59\00:16:18.42
But not everyone with
depression will have sadness.
00:16:18.43\00:16:21.27
In fact, many people will just
have a feeling of emptiness...
00:16:21.30\00:16:24.43
And they'll think this
emptiness if because they're
00:16:24.46\00:16:26.52
missing something in
their life, maybe missing some
00:16:26.55\00:16:31.38
romantic relationship
that they would like
00:16:31.41\00:16:34.02
And it may not be due that
they're missing anything at all;
00:16:34.05\00:16:37.78
it may be because
they're actually suffering
00:16:37.81\00:16:39.74
from depression.
00:16:39.75\00:16:41.21
Now, but they may be
missing something underlying
00:16:41.24\00:16:43.90
that's causing that.
00:16:43.93\00:16:45.12
But it's not necessarily
just the lack of a romantic
00:16:45.13\00:16:48.17
relationship
bringing that about.
00:16:48.21\00:16:49.81
So if you have deep sadness,
or a sense of emptiness,
00:16:49.84\00:16:52.78
that would qualify as
1 of those 9 symptoms.
00:16:52.81\00:16:58.51
The 2nd symptom is apathy.
00:16:58.54\00:17:00.88
Apathy is where
individuals just don't seem to
00:17:00.91\00:17:04.21
care anymore in
regards to what goes on as
00:17:04.24\00:17:08.56
part of their daily routine.
00:17:08.59\00:17:10.55
They have LOST the desire and
the joy and the zest for life.
00:17:10.58\00:17:16.47
The third 3rd
symptom is agitation.
00:17:16.48\00:17:20.75
Some individuals that have
depression will not experience
00:17:20.78\00:17:24.93
the sadness or the emptiness,
but they will just be agitated,
00:17:24.94\00:17:27.82
and they will frequently
lose their concentration
00:17:27.85\00:17:31.49
as a result of this.
00:17:31.52\00:17:33.32
The 4th symptom, and one
that we tend to see quite a bit
00:17:33.35\00:17:36.39
is sleep disturbances.
00:17:36.42\00:17:38.59
Now with the sleep disturbances,
it can go either way...
00:17:38.62\00:17:41.13
Most people with severe
depression will actually
00:17:41.16\00:17:44.25
suffer insomnia... like we
mentioned the people in America
00:17:44.28\00:17:47.97
after the World Trade
Center attack were suffering.
00:17:48.00\00:17:50.77
But some people with depression
will actually be too sleepy...
00:17:50.80\00:17:54.36
And they will be sleeping
more than 9 hours a day,
00:17:54.39\00:17:57.29
and be falling
asleep during their job,
00:17:57.32\00:18:00.65
and just having this
overwhelming sense of
00:18:00.68\00:18:03.58
needing to sleep,
and be sleeping too much.
00:18:03.61\00:18:05.83
That can ALSO be a
sign of depression...
00:18:05.86\00:18:09.87
So, that one can go
either way, and if it does
00:18:09.90\00:18:12.65
it qualifies for
one of those 9 symptoms.
00:18:12.66\00:18:15.66
The 5th symptom is
lack of concentration...
00:18:15.69\00:18:19.51
And this is one that I
tend to see quite a bit
00:18:19.54\00:18:22.35
in my medical practice.
00:18:22.39\00:18:23.72
In fact, when an individual goes
from a healthy state of mind,
00:18:23.75\00:18:26.66
to a depressed state of
mind, they will frequently
00:18:26.67\00:18:29.77
NOT be able to even
make simple decisions without
00:18:29.80\00:18:33.77
involving others.
00:18:33.80\00:18:35.55
And just even the
decision as far as what to wear
00:18:35.58\00:18:38.61
for an event, can
produce a lot of anxiety...
00:18:38.64\00:18:43.21
And the individual will
then try to get other people
00:18:43.24\00:18:45.78
in their family involved
to help them out to decide
00:18:45.79\00:18:48.03
what to wear for an event,
where prior to being depressed,
00:18:48.06\00:18:51.97
they were fully capable,
and recognize they were fully
00:18:52.00\00:18:54.92
capable of making that decision.
00:18:54.95\00:18:57.15
There are other examples of
more complex decisions as well
00:18:57.18\00:19:01.17
in regards to what to
do about a work situation
00:19:01.20\00:19:04.52
that isn't the best.
00:19:04.55\00:19:05.64
A depressed patient will
feel helpless in regards to
00:19:05.67\00:19:09.28
being able to make a wise
decision to resolve a problem
00:19:09.31\00:19:15.29
in the work environment.
00:19:15.32\00:19:16.56
Or if they do make that decision
00:19:16.59\00:19:18.68
often it will be a
hasty decision, and an
00:19:18.71\00:19:22.09
erroneous decision to make.
00:19:22.12\00:19:24.77
The 7th symptom is a
feeling of worthlessness.
00:19:24.80\00:19:29.88
This is characteristic
among many depressed patients.
00:19:29.91\00:19:33.46
They don't feel
useful to themselves...
00:19:33.49\00:19:35.30
They don't feel
useful to their family...
00:19:35.33\00:19:37.40
They don't feel
useful to their friends...
00:19:37.43\00:19:39.96
And this really involves
the loss of meaning and purpose
00:19:39.97\00:19:44.31
in life that can occur
when an individual is depressed.
00:19:44.34\00:19:48.53
The 8th symptom
is morbid thoughts.
00:19:48.56\00:19:52.54
And, individuals with
depression some of them,
00:19:52.55\00:19:55.78
...fortunately not the majority
of them have morbid thoughts;
00:19:55.81\00:19:58.98
this is more of
a minority symptom.
00:19:59.01\00:20:01.03
But those that have
these thoughts, will not only
00:20:01.06\00:20:05.05
sometimes have
thoughts of endangering OTHERS,
00:20:05.08\00:20:10.52
but they can also have thoughts
of endangering themselves,
00:20:10.55\00:20:13.55
and that's really when
people even can get into that
00:20:13.58\00:20:17.76
stage where suicide
becomes contemplated...
00:20:17.79\00:20:21.66
And that is one of the
top 10 leading causes of death
00:20:21.69\00:20:25.85
in our country... is suicide.
00:20:25.88\00:20:28.64
And this is WHY this disease
deserves some serious attention.
00:20:28.67\00:20:33.83
The 9th symptom and the
one that I see MOST frequently
00:20:33.86\00:20:36.57
in my practice of
internal medicine is fatigue.
00:20:36.60\00:20:40.21
Individuals with this will
come to my office and say...
00:20:40.24\00:20:43.83
"Doctor, I just don't
have the energy I used to have"
00:20:43.86\00:20:47.54
"I am tired, and can
you tell me why I'm tired?"
00:20:47.57\00:20:52.19
Now, as part of this process,
I have to take what's called a
00:20:52.22\00:20:55.27
"history"... where I'm actually
asking a lot of questions
00:20:55.30\00:20:58.69
to the patient, and
part of what I will ask them
00:20:58.72\00:21:01.91
are the rest of these
8 symptoms to see if they
00:21:01.94\00:21:04.24
actually qualify
for major depression.
00:21:04.25\00:21:07.56
If they have 5
of those 9 symptoms,
00:21:07.57\00:21:09.98
they would have
major depression,
00:21:10.01\00:21:11.61
or if they just have
2 of those 9 symptoms,
00:21:11.64\00:21:14.52
they would have what's
called "subsyndromal depression"
00:21:14.55\00:21:17.75
Between 2 and 4
symptoms means that you're on
00:21:17.78\00:21:20.48
your way to major depression
unless steps are taken
00:21:20.51\00:21:23.21
to avoid the major depression...
00:21:23.24\00:21:26.86
And so it's important to
recognize even if you have
00:21:26.89\00:21:29.26
2 of those 9 symptoms.
00:21:29.29\00:21:30.97
Now it's also important to
recognize that these symptoms
00:21:31.00\00:21:33.36
have to be present the majority
of the time for at least 2 weeks
00:21:33.39\00:21:36.97
before you actually are
diagnosed with depression.
00:21:37.00\00:21:41.63
Some of us can have some
of these feelings transiently
00:21:41.66\00:21:44.23
throughout the course of a
week's time, maybe on occasion
00:21:44.26\00:21:47.51
but that doesn't
qualify for major depression.
00:21:47.52\00:21:50.11
If you have it the majority
of time for the last 2 weeks,
00:21:50.14\00:21:52.93
that WOULD indeed
qualify for major depression.
00:21:52.96\00:21:56.94
Making this first step
in this first diagnosis
00:21:56.97\00:22:00.72
of major depression
is of utmost importance.
00:22:00.75\00:22:03.45
And I know may
people... we could go through
00:22:03.48\00:22:06.21
my own patient list...
we could go through even
00:22:06.22\00:22:08.95
celebrities who have
ignored this disease,
00:22:08.98\00:22:12.02
even CEOs of MAJOR
corporations have tried to
00:22:12.05\00:22:16.11
ignore this disease and
push it off and tell themselves
00:22:16.14\00:22:19.41
that they're NOT
suffering from it...
00:22:19.44\00:22:20.99
and that can be a set up
for disaster because they're not
00:22:21.02\00:22:24.35
going to address the problem,
00:22:24.38\00:22:27.05
and really find the
help that they need.
00:22:27.08\00:22:32.03
Depression would be
bad enough if it just did
00:22:32.06\00:22:35.35
what we talked about.
00:22:35.38\00:22:37.34
Those 9 symptoms are
NOT joyous symptoms...
00:22:37.37\00:22:41.08
they're not happy symptoms.
00:22:41.11\00:22:43.15
But unfortunately, depression
does much worse than this...
00:22:43.18\00:22:46.93
It can actually increase
the risk of death significantly.
00:22:46.96\00:22:52.15
It increases the risk of
stroke by 50% in those that
00:22:52.18\00:22:57.19
have major depression.
00:22:57.22\00:22:59.17
It also increases the
risk of heart disease in men.
00:22:59.20\00:23:03.38
If someone has
survived a heart attack,
00:23:03.41\00:23:05.64
it's actually very important
for them NOT to get depressed
00:23:05.67\00:23:09.74
as a result of
that heart attack.
00:23:09.77\00:23:11.54
Those that suffer from
depression have a 2.5 fold
00:23:11.55\00:23:14.61
increased likelihood
of dying from sudden death
00:23:14.64\00:23:17.62
AFTER their heart attack...
than ones who are NOT depressed
00:23:17.65\00:23:21.76
And that's even more
important than whether they are
00:23:21.79\00:23:24.30
put on medication after
their heart attack or not...
00:23:24.33\00:23:27.29
their mental state.
00:23:27.32\00:23:29.59
In addition to
that, it increases the
00:23:29.62\00:23:31.70
risk of death from cancer...
00:23:31.74\00:23:33.24
Whether an individual has
the same tissue type of cancer,
00:23:33.27\00:23:38.29
in the same place
that spread to body organs
00:23:38.30\00:23:40.31
their mental health
will often determine exactly
00:23:40.34\00:23:43.52
how long they survive
even from terminal cancer.
00:23:43.55\00:23:46.70
It also increases the
risk of death from pneumonia,
00:23:46.73\00:23:49.73
and, as we mentioned earlier,
it increases the risk of
00:23:49.76\00:23:52.88
death from suicide.
00:23:52.91\00:23:54.20
All of those causes of death
that I've just mentioned to you
00:23:54.21\00:23:56.93
are in the top 10 causes
of death in this country...
00:23:56.96\00:24:00.17
And it's really hard to estimate
exactly how much our mental
00:24:00.20\00:24:04.40
health is playing
a toll on the entire
00:24:04.43\00:24:08.18
top 10 causes of death.
00:24:08.21\00:24:12.26
Now, depression would
be bad enough if it did
00:24:12.29\00:24:15.46
just those
things, but unfortunately,
00:24:15.49\00:24:17.56
the effects of depression
tells us that it's more
00:24:17.59\00:24:20.87
than a mental illness...
00:24:20.90\00:24:22.32
and some of those
effects are just bothersome
00:24:22.33\00:24:24.36
effects but can still
end up having a person
00:24:24.39\00:24:29.02
see a doctor like myself.
00:24:29.06\00:24:31.16
First of all, can
cause a chronic headache.
00:24:31.20\00:24:33.76
I had a head elder of a
church, not my own church
00:24:33.77\00:24:38.93
that I attend, but
another church, come to me
00:24:38.96\00:24:42.44
who had been to a neurologist...
00:24:42.47\00:24:44.75
Actually, first he had
gone to his family practitioner
00:24:44.78\00:24:47.34
because of severe headaches,
00:24:47.37\00:24:49.68
and the family practitioner
put him on some medication
00:24:49.69\00:24:53.59
for a tension headache,
and then when his headaches
00:24:53.62\00:24:57.34
didn't go away, performed
an MRI, a sophisticated scan
00:24:57.37\00:25:00.77
of the brain to see if
there was a brain tumor,
00:25:00.80\00:25:02.94
or something like
that causing it...
00:25:02.95\00:25:04.71
And then referred the
patient to a neurologist.
00:25:04.74\00:25:08.58
The neurologist reviewed
the MRI, and said that it was
00:25:08.61\00:25:11.18
completely normal, and ended
up stepping up the medication
00:25:11.21\00:25:16.64
from just being a
tension headache medication,
00:25:16.67\00:25:18.74
to an actual NARCOTIC medication
to take care of the pain.
00:25:18.75\00:25:22.14
Well, unfortunately,
this individual was having
00:25:22.17\00:25:24.23
to require more and
more narcotics in order
00:25:24.26\00:25:26.97
to control the pain...
00:25:26.98\00:25:28.89
And then finally, he heard about
us... and our ability to get
00:25:28.90\00:25:32.41
to the root causes of
disease, and so scheduled
00:25:32.44\00:25:35.18
an appointment with me.
00:25:35.21\00:25:36.80
Fortunately, he was
there with his wife,
00:25:36.83\00:25:39.32
and came in to the
room, and I started asking him
00:25:39.35\00:25:41.73
about his headaches.
00:25:41.76\00:25:43.03
And, as a result of
him having headaches,
00:25:43.04\00:25:45.56
I started asking
him other questions...
00:25:45.60\00:25:47.76
What about fatigue?
Do you have fatigue?
00:25:47.80\00:25:49.93
"Oh yes, I have
fatigue" He admitted to that.
00:25:49.96\00:25:52.09
I said, "Well, what about
feelings of worthlessness?"
00:25:52.12\00:25:54.95
"Oh no, I don't have
a problem with that. "
00:25:54.98\00:25:56.68
And his wife would be
there in the corner...
00:25:56.71\00:25:59.24
and she would nod her head
00:25:59.27\00:26:01.04
"Yes, he does have
a problem with that"
00:26:01.07\00:26:03.17
And then I'd say, "What
about lack of concentration,
00:26:03.20\00:26:06.02
any problems there?"
00:26:06.05\00:26:07.23
And he'd say, "Oh
no, no problems there. "
00:26:07.26\00:26:09.24
And she would nod her head,
00:26:09.27\00:26:10.52
"Yes, he has significant
problems with lack of
00:26:10.55\00:26:12.55
concentration"
00:26:12.58\00:26:13.79
And so I ended up saying,
00:26:13.82\00:26:15.48
"Well sir, your wife is
not agreeing with you here...
00:26:15.51\00:26:18.88
well, maybe you ought to
talk and see which one is right
00:26:18.91\00:26:21.45
and, as they talked it
out there in front of me,
00:26:21.48\00:26:23.62
he had to admit that his wife
was right about these things.
00:26:23.65\00:26:26.73
It turns out, he was
suffering from 6 of the 9 major
00:26:26.76\00:26:31.02
diagnostic
criteria for depression...
00:26:31.03\00:26:33.51
And the reason
for his headache...
00:26:33.54\00:26:34.77
was major depression.
00:26:34.80\00:26:36.96
Once we made THAT diagnosis,
we could then find out
00:26:36.99\00:26:39.79
the cause of
his major depression
00:26:39.82\00:26:41.53
and actually get to the
CURE of his headaches...
00:26:41.56\00:26:44.63
And so that story
helps to illustrate how
00:26:44.66\00:26:48.05
the mental state can
actually affect the entire body,
00:26:48.08\00:26:52.29
and cause problems
remotely removed sometimes
00:26:52.32\00:26:55.81
from the mind.
00:26:55.82\00:26:58.07
Now, it can also
cause osteoporosis...
00:26:58.10\00:27:00.47
when combined with stress...
00:27:00.50\00:27:02.43
It can actually cause
HIV to progress to AIDS
00:27:02.46\00:27:06.63
In addition to this, it
can increase the risk of
00:27:06.66\00:27:10.31
return to addictive
behavior, such as drinking...
00:27:10.34\00:27:13.63
And on top of this, it can
end up increasing the risk of
00:27:13.66\00:27:18.52
asthma, medical problems.
00:27:18.55\00:27:20.93
It can increase
the stress hormones,
00:27:20.96\00:27:22.86
and DECREASE the
memory significantly.
00:27:22.89\00:27:26.59
These effects of depression
are, indeed, paramount
00:27:26.62\00:27:30.01
for us to understand.
00:27:30.02\00:27:31.71
And I would like to leave
you, at this point in time,
00:27:31.74\00:27:35.92
with the overwhelming sense
of the need to GET to the cause
00:27:35.93\00:27:41.99
of the disease.
00:27:42.02\00:27:43.22
DEPRESSION is just a
constellation of symptoms...
00:27:43.25\00:27:46.93
In order to get to a
cure, you HAVE to get
00:27:46.94\00:27:49.74
to the CAUSE of the disease,
00:27:49.77\00:27:51.88
and this is what we
will be discussing in..
00:27:51.91\00:27:54.10
Part 2 of
"DEPRESSION, THE WAY OUT"
00:27:54.14\00:27:56.13