Overcome Depression: An Evidence-Based Guide
Вставка
- Опубліковано 30 чер 2024
- Depression is common and there are effective treatment options to help you feel better. We're going to talk about the symptoms of clinical depression, what to expect when you go to see your doctor and evidence-based treatment options that work.
Treatments for depression are not limited to medications. Usually it's most effective to use a combination of treatment options - therapy, lifestyle modifications and anti-depressant medications. In this video, we're going to talk about each of these options in more detail!
INTRO
1:01 What is clinical depression?
2:24 Am I depressed?
3:44 What to expect at a doctor's appointment
EVIDENCE-BASED TREATMENTS
5:02 Cognitive Behavioural Therapy (CBT)
8:08 Lifestyle modifications
8:48 Nutrition
9:25 Exercise
10:18 Sleep
10:47 Time and support
11:52 Anti-depressant medications
14:40 Suicide prevention
🧠 CBT - MOOD GYM DISCOUNT
Go to moodgym.com.au
Create an account and click "purchase subscription"
Then enter the coupon VIOLINMD22
Valid through October 2022
Another CBT websites - this one is free with a clinician's prescription! thiswayup.org.au/programs/dep...
📞 SUICIDE PREVENTION HELP LINES:
- International Association for Suicide Prevention (IASP) www.iasp.info/resources/Crisi...
- USA: National Suicide Prevention Lifeline on 1-800-273-8255
- Canada: suicideprevention.ca/need-help/
SUBSCRIBE so you never miss a video
COMMENT with any questions or just to say hi
LIKE if you want to see more like this!
🙋♀️ Let’s stay connected!
Instagram: Violin.MD
Facebook: @realviolinmd
Twitter: Violin_MD
Mail: PO Box 1, 119 Spadina Ave, Toronto ON, Canada, M5T2T2
See you in the next video!
~ Siobhan (Violin MD) ~
----------------------
❤ YOU MAY ALSO ENJOY WATCHING... ❤
Arthritis Doctor Explains: Cracking Knuckles Good or Bad?
• Arthritis Doctor Expla...
Doctor Shadows ER department Social Worker
• Day in the Life of a D...
ICU Night Shift: Alcohol Withdrawal
• Day in the Life of a D...
What your NAILS say about your HEALTH: 10 Nail Abnormalities
• Doctor Explains what y...
----------------------
📚 References:
- WHO Depression: www.who.int/news-room/fact-sh...
- NIMH: www.nimh.nih.gov/health/stati...
- www.psychdb.com/mood/1-depres...
- Canadian treatment guidelines: www.canmat.org/2019/03/17/201...
- DeRubeis, R., Gelfand, L., Tang, T., & Simons, A. (1999). Medications Versus Cognitive Behavior Therapy for Severely Depressed Outpatients: Mega-Analysis of Four Randomized Comparisons. American Journal Of Psychiatry, 156(7), 1007-1013. doi: 10.1176/ajp.156.7.1007
- Ravindran, A., Balneaves, L., Faulkner, G., Ortiz, A., McIntosh, D., & Morehouse, R. et al. (2016). Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder. The Canadian Journal Of Psychiatry, 61(9), 576-587. doi: 10.1177/0706743716660290
- Nyström, M., Neely, G., Hassmén, P., & Carlbring, P. (2015). Treating Major Depression with Physical Activity: A Systematic Overview with Recommendations. Cognitive Behaviour Therapy, 44(4), 341-352. doi: 10.1080/16506073.2015.1015440
- Shoubridge, A.P., Choo, J.M., Martin, A.M. et al. The gut microbiome and mental health: advances in research and emerging priorities. Mol Psychiatry 27, 1908-1919 (2022). doi.org/10.1038/s41380-022-01...
- Epidemiology of Adult DSM-5 Major Depressive Disorders and It’s Specifiers in the United States: JAMA Psychiatry. 2018;75(4):336-346. doi:10.1001/jamapsychiatry.2017.4602
- Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. The Canadian Journal of Psychiatry, 58(7), 376-385.
----------------------
📸 Image Credits:
By Baburov - Own work, CC BY-SA 4.0, commons.wikimedia.org/w/index...
Can you explain anxiety in the next one? It’s another thing people don’t understand, and why shaming people with it is bad.
Yes!
good point, I filled out a questionnaire and was told my symptoms were mostly anxiety related, yet I still felt depressed and down.
@@user-hd8tg4em2n same here but they gave me an antidepressant that is supposedly good for anxiety. Can't say it helps my anxiety but it's helped the depression part
@@user-hd8tg4em2n anxiety can cause depression
@@kimmysplayhouse They help so many, some antidepressants work better for anxiety than others!
That new specialist title ahh! So happy to hear you say that! Thank you for talking about depression. I’ve had it for almost a decade and things have got better but there’s still a massive stigma attached to it I think because people don’t understand it - educating is so important! ☺️
Subscribe this channel for Latest Medical Lectures.
I used to suffer from extreme depression which almost claimed my life several times but after I got help, and unfortunately it took many years with lots of perseverance, I can now say that I feel like almost a completely different person with a new lease of life. I want to hopefully be able to encourage others who are struggling or who have also struggled for many years like I have, it can get better and you can find a new lease of life like I did. I wish healing and restoration for anyone out there who is currently struggling with this
Psilocybin containing mushrooms saved my life. The drastically reduced my benzodiazepine withdrawal allowing me to quite illicit pill addiction after three years of heavy daily use before it would had became medically dangerous to quit. It has also helped me survive depression.
Psychedelic’s definitely have potential to deal with mental health symptoms like anxiety and depression, I would like to try them again but it’s just so hard to source out here
The Trips I've been having have really helped me a lot,I finally feel in control of my emotions and my future and things that used to be mundane to me now seem incredible and full of nuance on top of that I'm way less driven by my ego and I have alot more empathy as well
@@zarkos2313 I was having this constant, unbearable anxiety because of university stress. Not until I came across dr.sporess, a very intelligent mycologist. He saved my life honestly
I am feeling the same way too. I put too much on my plate and it definitely affects my stress and anxiety levels. I am also glad to be a part of this community.
@@elizabethwilliams6651 Please how do I contact him?
Been living with depression for over 15 years now. Thank you for making this video 💚💚💚💚💚💚
15 years?
😢
How do you manage it? Nothing worked to overcome it? 😢
Medication? therapy?
I’ve been having relapses for many years and I’d really like to believe that I can overcome it rather than living with it but I’m not very hopeful.
I just want to say that antidepressants have completely changed my life for the better! I avoided trying them for so many years because of how much scepticism there is out there (and people touting the benefits of exercise and therapy), but after five years of therapy and still struggling to function, my friend dragged me to the doctor to get prescribed some ssris. Within months of starting the medication, I went from being a shy and awkward student paralysed by depression, anxiety and low self esteem to finding a full-time job, a big group of friends, a relationship, and having the courage and energy to do the things I'd always dreamed about but talked myself out of, like solo travelling and playing in a jazz band. SSRIs have also all but cured my insomnia. I'm still a little more anxious and negative than the average person, but it doesn't get in the way of doing the things I want to do. And now I'm in the right headspace to actually go out and exercise and do the things my therapist recommends instead of talking myself out of it. I expect to have to be on ssris indefinitely, and that's OK.
Wow,... I have been avoiding antidepressants... im terified of meds. Glad, your feeling better!... I have that insomnia too. Horrible.
I was just diagnosed with depression and watching this video it gives me hope that I’ll learn to navigate thru this 😌💚💚💚
I’ve been on meds for 13 years (half of my life). I have depression with bipolar spectrum, used to have anxiety, social phobia, currently struggle with compulsive eating. I’ve been in therapy for 10 years and I’ve made so much progress. I’m lucky enough to have amazing support from my parents. Even though I’ve had 3 suicidal attempts (last one when I was 16), slept 14h per day and getting no rest and many more, I’m a walking proof you can live with that. I’ve finished university abroad, have great work and live on emigration, travel, enjoy life sometimes. Good luck, you can do it. It doesn’t mean it’s gonna be easy
I too suffer with compulsive eating. I always have been a foodie but once put on bipolar meds it’s been hell! Last 10 years I have gained 100 pounds. I am going to overeaters anonymous and will be starting acupuncture for treatments for my health issues and eating issues. It’s a daily battle I do not get one day break from the horrible food cravings and night time binging!
@@sha-sha7665 compulsive eating has psychological background, so I’m not sure if acupuncture itself will help. It’s more relaxation method. Anyway? I wish you best of luck 🖤
@@Alinasinging I have insulin and leptin resistance which is giving me a huge appetite so the acupuncture helps with those two things and acupuncture helps with addictions as well. I am also going to be put on a medication called monjaro that will suppress my appetite and lower my blood sugar (diabetic) it has no stimulants. So we shall see. Thank you for the well wishes I wish the best for you too that you can recover from this addiction!
@@sha-sha7665 I’m actually undergoing tests for insulin resistance right now, I’ll have answers next week. Best of luck. We can do it ❤️
@@Alinasinging yes we can!!!
As someone who struggled with moderate depression for years without getting adequate help, this is a great video!
I luckily got professional help at the beginning of this year, first treating a vitamin d deficiency the blood test at my doctors showed, then getting an emergency referral (not in the er way, but it’s like a sped up process in my country where in serious cases you get assigned a spot at the nearest available doctor (both spatially and time wise)
There i was super lucky that combined with the therapy i was going through, a slow starting course of antidepressants and now significant positive lifestyle changes i’m in a much better place now.
Sending love to everyone else who might be struggling out there! 💚
My depression is so bad at the moment, this video has given me hope and encouragement again. Thank you. xo
So sorry to hear this. May you feel better soon❣
same, i wish you the best! 💖💖 we got this :)
Wish you the best
Hope you get better soon !
@@nickuliana9651 thank you.
💚, I just started on my journey to help my depression and anxiety, thanks to my best friend who saw the signs before I knew what how bad it was
I've been off and on medication for 23 years, consistently on one for 17 years now, and it is a gamechanger for me. I find that it takes the edge off of the depression and some of my anxiety so that I can deal with those things.
Thank you for this excellent overview! I had ugly depression for several years when I was younger. I honestly thought I would never get better. Couldn’t sleep, lost way too much weight as I couldn’t make myself eat, and had no interest in anything. For me CBT was huge. Combined with slowly increasing exercise, and yes, medication, I was able to cycle out of it. It does take time and a hell of a lot of work.
as someone who struggle everyday with bipolar this video helps alot, its really difficult to talk to anyone about depression in gereral.
Thank you so much for this. It is needed really for everyone, not just those who are suffering, but their families also.
I have severe depression. I feel so happy when someone talks openly about it...thanks a lot for the video❤️❤️❤️❤️❤️❤️
How are you feeling today?
i completely agree that the combination of treatments is most important, but i’ve noticed a massive difference since i’ve been doing CBT. thank you for this video💚💚💚
Thank you for this video!!!! I was diagnosed with depression last year and all of the things you talked about were a huge help. Exercise is still a tough one (I’ve had sciatica for 2 years) but my current job is very physically demanding and somewhat fills that gap. It’s a very slow climb up from depression, no sugarcoating that, but While I was healing I tried to just focus on the next step forwards. Whether that was therapy or medication or a bedtime routine or strengthening my support system or just getting out of bed. Just the next step. That’s all you gotta focus on 💚💚💚
You are such an amazing Dr. I am so glad I found you a few years ago!
Thank you SO much, Siobhan! This is such an important topic, especially the fact that it isn’t “cured” with a pill, and actually mentioning the s word. It’s hard to find content at this level.
After battling depression 3 times and 2 of them times on my own it's always best for you to speak to someone it helped me tons
💚❤Just Congrats and Thanks Shioban for all your videos for years, and this one in particular.
Over here crying right now... I've had depression for a decade and I know what I SHOULD be doing. I was cringing to hear another doctor to tell me what I SHOULD do. But instead, I love that you're telling us all we can do it and providing gentle encouragement. I love your attitude about approaching depression.💚
You have one of the most informative and positive channels I've ever seen on UA-cam, and I've been on here for over 15 years. Thank you for everything you do. You legitimately help people both on and off camera.
I was diagnosed 4 years ago with both anxiety and depression. At the time I didn’t realize how bad it actually was. Social situations could put me out of control and I was barely a step above a medical emergency from depression. I didn’t think I needed to go to a doctor. Something happened that cause a colleague to basically force me to call and make an appointment and by the time I was out of that appointment I realized it was way worse than I thought. Combinations of everything you listed really was what helped and while I still slip more in the winter because of seasonal, I’m much better. You can come back from it and reaching out for help does make a difference. 💚💚💚💚💚💚💚💚💚💚💚💚💚
My mom and has been battaling depression for literally years now and honestly, it pains my heart to see her struggling in her time of need. Right now, I just want to say thank you to you Siobhan for uploading this video as now I feel like I have a better understanding of depression and how we as the human race can treat it. But to be honest I really don't know what to say here because i feel like while I defiantly know more about depression than when I started watching this video but now I honestly don't like know if I would be going through the same thing as my mom. Like I feel like I have some of the symptoms of depression but yet at the same time I'm also doing a lot of the treatments talked about in this video. Like I have a healthy diet, I do exercise and I have a vast friend network and furthermore I am working on catching myself saying certain things and being like "wait a second, is this actually accurate?" it's something i have been struggling with for a long time and I feel like it has something to do with how I was raised in my family. But idk for sure. what I do know i think is that depression is a complicated topic and I think this topic defiantly warrents discussion with my therapist when I see him next because this is serious and I really don't want to end up in a state like my mom when i would not be able to help her out in her struggle with depression. Anyway Siobhan, Thank you very much for uploading this video and keep up the absolitly amazing work!!!!! We as in your UA-cam audience absolutely love your videos and I can't wait to see what the future has in store for your channel!!!
Dang it I missed you live shoot!!! You are my hero . I'm newly disabled and you bring me life you really inspire me by your positivity
I have struggled with depression for as long as I can remember, I was very young when I was diagnosed and I’m in my early 40s now. I didn’t try med for a very long time, I exercised and tried to eat healthy but that turned into disordered eating and exercising too much, especially with how little I was eating.
I did eventually try SSRIs and SNRIs and Wellbutrin and have gone to therapy off and on. SSRIs and SNRIs, for some reason, give me serotonin syndrome which is really scary. Wellbutrin makes me super glittery so it wasn’t a great option either. Therapy with CBT, EMDR among other things has been helpful but not enough on it’s own. I have had to cut way back on my exercise in recent years because of my physical struggles and having 4 spine surgeries and coming up on my 5th. That has all contributed to my worsening depression.
I started a medication call Spravato (esketamine) which has been so incredibly helpful along with therapy (including CBT and EMDR), and the exercise I can get. It’s a medication used for severe and treatment resistant depression with or with out suicidal ideation. It has helped me so much. It is a medication that in the US I know it has to be taken in a doctor’s office and you have to stay at the office two hours after taking it. It’s a nasal spray with two metered doses in each device. I use three devices each time. Some people do well with only 2. It’s taken 2 times a week for the first 4 weeks and then moves down to one time a week and then they try to spread it out even more but therapy with things like CBT and EMDR helps it to be so. Much more effective, or really Spravato helps that kind of therapy work even better in the long run.
I also have ketamine lozenges I can use at home a couple of times a week. So the esketsmine in office and the ketamine lozenges at home have been so incredibly helpful to me along with therapy and exercise as much as I can. Spravato was approved for use in the US about 3 years ago I think, clinical studies being done before that in patients were showing a lot of success. Ketamine has been used off label to treat depression for a really Ming time though. IM injections or IV ketamine has been used a lot time to treat depression and chronic pain. It is not FDA approved though and the IV or IM ketamine therapy can be very costly and is almost never covered by insurance here. I am grateful for Spravato which is covered by my insurance. It has saved my life. The troches (pronounced tro-keys, kind of waxy lozenges) which are taken at home are $40 dollars a month’s supply at the compounding pharmacy where I get them made. I take two 10mg troches twice a week and have one Spravato session a week. This has been so wonderful for me as traditional meds either don’t work or actually make things worse for me. I have multiple mental health, and physical diagnoses. I wasn’t sure if there was anything that was ever going to help me. But Spravato and Ketamine under a physician’s care and while working with a therapist, have been so helpful with everything.
My diagnoses: PTSD, Generalized Anxiety, treatment resistant depression, ADHD, Anorexia, PCOS, severe degenerative disc disease, chronic migraines, POTS, EDS, osteoporosis and rheumatoid arthritis and I’m sure I’m forgetting something but that is most of them.
Wow! You have gone through the wringer. ❤
Thank you for this video. I watched it when it first came out a few months ago. I was considering seeking professional help at the time but I was too scared. This video helped me get the courage to go. I ended up being diagnosed with a few things and now I’m in therapy and taking medicine and I’m so proud of myself for going because I’m living a healthier life now. I have a long way to go, but you helped me get started and I will never forget it
Thank you for being so kind to try to help so many people. Your information was priceless. Way to go doc!!
Thank you so much Siobhan for being our voice. I suffer depression, anxiety, and ptsd. I'm in the process of finding a new Dr (I live in the Niagara region Canadian side. I used to live in Hamilton both downtown and the mountain.) My last Dr prescribed me anti depressants, I've been on them for about four years and am so glad I'm on them. I once in a while have suicidal ideation which I didn't even know was anything anyone could go through until about three years ago. Now I take my different meds every day, Synthroid for low thyroid, multivitamins, antidepressants and I am so glad I am. So thank you again for speaking up here on UA-cam it means a lot.
I’ve been thinking of driving into a wall or a bridge on the 401 on my way to work or home. One day I was thinking of just driving down to the lake and driving into the water.
I truly enjoy how you branch out and explain multiple facets of the medical field (instead of your particular specialty...rheumatology.) My Rheumatologist just recently diagnosed me with Cushing's Syndrome (which affects mood) and we're still doing testing to see what is causing the high cortisol levels. Your years of wisdom shared with us (UA-cam viewers) is so very, very much appreciated! We all know you're extremely busy with your professional life so any video you share with us is tremendously valuable! 🙂
It is so important to realize as you have Very well, that mental health affects physical health & vicè versa. I have seen people totally out of their mind & violent with Thyroid problems. Once we got things under control they returned to being one of the nicest patients I ever had. Thank you for sharing your message to further understanding & for working on taking care of You. 🙂
💚 💚 💚 💚
Thank you! After struggling with aniexty and depression I signed up for CBT this year and it has helped SO much! I started walking and left a job that was bringing me down emotionally.
Thank you for making a video on this and using your platform to educate others about mental health. It’s so important! And congrats on finishing residency! So proud of you!!
You've got this don't give up. 💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚
Dr. Siobhan,
Thank you for sharing this topic for the world to see. It is amazing to hear that 1 in 5 people suffer from depression. As someone who went through my own challenges - as well as those reading this - it is no easy process trying to cope with these emotions. Many times, we feel something is wrong with us.
It takes much courage to seek help, watches these videos, and share knowledge on this subject.
As an aspiring physician, thanks for sharing!
Your videos keep me motivated to pursue medicine as a career. Let's do this, doctors! 🙏🏼
Thank you for your work to help people understand mental illness. I am a psych nurse who has suffered from General anxiety, social anxiety, & depression. Mental health is just as important as physical health. It’s Okay! To everyone out there struggling, You are Important. You are enough! You are worthy of being treated well including by yourself. You Are Worth any and all l effort to become well. You are needed in this world. You are Loved!!!
One thing we need to set straight is that It is Not selfish to care for yourself first. Thank you for All you do each & everyday. Much Love to you all
Laura Flavell RN🤗😊
This is such a great video! It’s a shame that depression isn’t talked about as much as it should be and isn’t normalized, considering the amount of people who suffer with it. This video gave me some great reminders of things I can do to take care of myself better. Thank you Siobhan! 💚💚
When I finally spoke to my doctor about my mental health a couple years ago it was SO life-changing. It took my mental health getting worse at the start of the pandemic for me to reach out, but I realized after finding the right medication and talking it through that I had been struggling for years, if not most of my life! If you're thinking about reaching about but don't want people to think you're overreacting just know that if you're thinking about how bad things are constantly and have been struggling for a long time...you're not overreacting and you deserve to get help!
Thank you for doing a video on this and educating us all on this topic. I’ve been dealing with depression for years and i got the help I needed after so many life changes and I’m now advocating for mental health. I love educational videos and watching your videos make me happy .
Thank you so much for this video, it resonates a lot with me. I recently seeked helped for my mental health after 5+ years of pushing it back, because I thought I would disappoint everyone if I got help. And I am so happy that I got help. Sure, I am still having episodes and it still has a big impact of my life, but I now see hope for recovery. To anyone struggling with depression in or out of silence, there is hope. Don't give you. You are enough, and we all love you 💚
My friend just sent me this video and I'm so glad they did, I loved every second of it! You have such a nice way of explaining things. :D
Thank you for making this video. As far as I can see in the comment section it sure did help people! :)
Idk if this is a thing on your channel, but it would be a great idea to make similar videos for other mental health issues like anxiety, OCD, EDs etc.
Thank you again for your contribution to this world! 💚
P.S. You just got a new subscriber! :)
💚💚💚💚Great video and I thinks its great to raise awareness. I lost 5 babies after 10 rounds of IVF and I lost my mum too and I found life really difficult but I had a great supportive GP and now Im training to become a therapist using CBT.
Hi Siobhan. I am so happy for you with your completion of medical school. You and your hubby are going have an amazing time hiking. Love from Wollongong, NSW Australia.
So great that you discuss depression on your channel! Just as much a physical illnesses, mental illnesses are also a serious issue. As a psychologist i feel like seeking help is such an important thing to do.
Thank you for opening up about depression. I've battled it for years. I LOVE your new intro as an internal medicine and rheumatology specialist ♥️♥️♥️♥️
Thank you for this. I think it’s worth mentioning that many times, depression is caused by trauma. CBT isn’t a great modality for treating severe trauma. It’s not a one size fits all solution.
Cbt worked for me in dealing with childhood abuse
Thank you, unfortunately, I know all about it. CBT can really feel like: "Just stop thinking that, it's bad" which turns into "Stop feeling that." People with emotional trauma develop negative thinking as part of a complex survival strategy. It can be a way to hold someone responsible for an unhealthy family dynamic for example; if it's just you that is the unworthy freak, then at least you can justify having to live in the situation you're in. We might just try really hard to ignore it and move on with life but at some point, you have to dive deep into the underlying feelings. CBT is great for the person that never feels successful enough because their parents expected an A+ on every test, it's harmful for the person with a 747 full of cargo.
Thank you lighting up this top. It’s very unfortunate that so many people struggle with depression yet there’s still stigma to it. 💚💚💚💚
I look to thank you for talking about this I been fighting this for over 5 yrs. Yes I have a awesome team of Dr's. Family and Friends 💜
Thank you for this video, as a patient with depression 😌
Thanks very much for focusing a video on this topic! I've struggled with depression and anxiety for a long time. My mental health is in good shape right now, but like you said, it's in good shape because I take care of it, just like my physical body. I have a great Psychiatrist and am on a combo of meds that are working well for me, although it took a few tries to get meds that work for me. Being in the depths of depression is literally the most awful thing I've ever been through and I wouldn't wish it on my worst enemy. It's pretty sad that we're more than halfway through 2022 and there's still such a negative stigma around mental health. The more people use their voice to spread awareness, the less stigmatized it will be, thanks again! 💚💚💚💚💚💚💚💚💚
I've had depression for 19 years. I appreciate you making this video, Siobhan. Thank you! 💚💚💚💚💚💚💚💚
What a fantastic video. I have depression and it's taken years to find the right combination of medication and lifestyle changes to get me back to being a functional human. I'm very glad I'm still here and able to enjoy life again! 💚
Absolutely true my doctor saved my life but I took 3 months after diagnosis because I grew up not using medication for anything 😞the best advice she gave me was if the first therapist isn’t connecting don’t think failure for me the second one was amazing because it wasn’t money payment so not his fault he was very good just with 3 kids and financially wasn’t working. Medication for 6 months with therapy it was so successful with me when I lost my 21 year old son in a car accident 17 years later I had the tools to survive and help my family with our nightmare. I totally agree therapy is absolutely necessary with medication never one or the other. It’s can be a game changer. Thanks for explaining the whole process because my doctor was a life changer because she knew exactly what I needed ❤️❤️❤️❤️
Hey Siobhan! I just want to say that I really appreciate your kindness and generosity in sharing this video with us! Yes depression is so difficult and you have given us a wonderful blueprint to start and follow if we are suffering. And yes with depression, we tend to suffer in silence. I know I did b 4 I finally shook off my pride and asked for help and now I'm good, it took a while and I still have questionable days but I'm good now and I hope that people with this awful disease will see your vlog and reach out for help! Thank you so much! Be well, Be safe and Cheers!
Thank you so much for this video Siobhan. I have seen the devastating effects depression and other mental illness has done to people who are close to me as well as complete strangers. STIGMATIZATION MUST BE STOPPED NOW!💚
Thank you so much for this video! I have suffered from major reoccurring depression with suicidal idealizations for decades. During COVID we realized my meds were not working at all anymore and my depression got so bad. My Dr. took immediate action and put me on a new med Viibryd and it was like no other med I have been on, I felt effects within 3 days when it usually takes over a month. I was able to start focusing on therapy CBT and EMDR along with other things because I had some positivity, energy and hope. I am very blessed to have a great Dr who is my best advocate. My depression still has break through moments but it’s been a whole lot better. 💚
Thank you Dr. Siobhan! You rock. I was taught later in my life that medication should go hand-in-hand with therapy. It's absolutely true! And no shame if you need medication. Some of us do. It can feel paralyzing to ask, but not getting help is much scarier than the alternative. Your life can be beautiful!
Theres a strange feeling of shame surrounding depression. I’ve had suicidal thoughts on and off for years but I’d never talk to someone about it. Going to the ED feels like a waste of healthcare resources and talking about what causes these thoughts would just be too embarrassing. Anyways thats where I’m at, thanks for coming to my TED Talk.
I'd come up with some coping Strategies as I do not like to talk about my depression or anxiety because people take it the wrong way or use it against me. I've been drawing my emotions. You make sense of the day that I am feeling emotional or physically drained I call them a pickle of A-day. As I used to beat myself up in my mind thinking why can't I snap out of this Or I struggle to find an answer why I'm feeling like this way right now. Saying a pickle of A-day it helps.
thank you for uploading this! can you do a video on anxiety? ive struggled with it as long as i can remember, and many people i know dont understand it or just straight up invalidate it. keep up the videos! 💚💚💚💚💚
So, thankful that you made this video. I have Bipolar 2 and struggle with depressive episodes. This video came at the right time for me since I was starting to slip into on. It encouraged me to get me back into a short workout and reminded me not to isolate myself from my friends. My dog does wonders for this too. You are such a light! 💚💚💚💚
💚💚💚💚💚💚💚💚 anxiety and depression has really impacted people in our family. So many people just do not understand which makes it so much harder for everyone. Thank you for the great information.
I’m actually a participant in some research studies investigating the relationship between the gut and the brain, and the potential mental health implications. It’s pretty interesting.
Hi, who would i contact to participate in such a study?
@@rileydiamond703 I was recruited (they contacted me) because I had a pre-existing condition that made me a candidate, so I’m sorry but I don’t know. FYI, there is no benefit to me for being in the studies, other than feeling good that I’m helping to contribute to scientific knowledge.
Anita, can you share anything that you have learned so far from this study?
@@CoolTangerine93 I’ve learned nothing. And I won’t, I’m just basically a lab rat.
Thank you so much for this video! 💚💚💚
I have been in treatment for depression on and off for more than half of my life. I wish I had started medication much, much sooner. It didn't solve anything on its own, but it gave me the energy back to invest in taking care of myself. It helps me to be able to stay physically active, be creative, and maintain relationships and the combination of those things has radically transformed my life for the better.
💚💚💚 Thank you so much for this video! Your videos are always so awesome!
💚💚💚💚💚💚💚
I have struggled with depression on and off for 12 years, it's an experience for sure. Medication helps me quite a bit.
Thank you Siobhan for this excellent video, people can learn so much from you 😘
My Dr was amazing when we were figuring out my depression. It is in part caused by my CPTSD, ADHD & issues with chronic illness.
We tried multiple medications and I saw here every 2 weeks to check in (thank you Canadian Medicare) because that is how worried she was.
You’re so lucky to have an understanding doctor. I put a longer post about the struggle we’ve had getting help for my daughter.
I really appreciate this video. I’m 22, and I have struggled with anxiety and depression for most of my life. I take bupropion and try to exercise and eat decently. It helps, but I still always have to check in with myself and do my best to keep myself from falling off the wagon… I have always wanted to try therapy, but it never seemed very accessible to me. I do, however, have a mental health book that I read on occasion to help remind me of different ways to manage my negative thoughts and mood. Like you said, it takes proactive and effort, and it is definitely a conscious thing that I do daily. I also struggle with digestive issues, and they are usually at their worst when I eat junk food or have a lot of unmanaged stress and anxiety. I actually made a PowerPoint for one of my college courses that was based on an academic journal that discussed the correlation between the gut microbiome and depression. I think it’s a super interesting topic too! Also I just wanted to say congratulations on finishing your residency, and I wish you all the best in your future endeavors. :)
This has got to be one of the best videos you’ve ever done Siobhan!
You videos are so motivating
💚 Thank you for a nuanced video on how to treat depression and how there is no one size fits all answer, it's usually a combination of different strategies for the individual to have an impact over time.
I think this is also why it is important if you don't have depression to be cognizant of your lifestyle and any lifestyle changes. Sometimes negative changes in lifestyle unchecked over time will compound and exacerbate or cause several mental health conditions that then may not be as easy/quick to treat once it reaches that point versus the build-up.
First video without a year of residency for the intro!! What a feeling! ✨
💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚
Just when I thought there was no more room for respect for you because I think you're INCREDIBLE, you touch on this. 💚💚💚💚💚💚💚💚💚 Thank you for everything you have and continue to do.
Thank u for shedding light on this topic. I've been battling depression for the past two years and I lost so many friends, job opportunities and love relationships. I have been bed ridden for months on end. To everyone who's struggling with depression, know that you are not alone.
Thank u for saying that because when u suffer from depression u do feel so alone. I have suffered off and on with depression anxiety and severe eating disorders for over 45 years. Yes I do have periods that iam doing alittle better but have had many really bad episodes of my depression and anxiety and eating disorders. I hope u are doing better and able too get the help u need. Ur not alone. Take care
💚. I have had serious battles with suicidal thoughts. Thankfully i have overcome this phase. But the lockdown really set me back. I however fought it off.
💚💚💚💚💚 thank you for speaking about depression so openly. you are right in saying that it’s a very complex condition, but with a great treatment plan improvements are possible. i have struggled with depression almost my entire life, but have hope that things will get better and stay that way. 💚💚💚💚💚
💚💚💚💚💚💚💚💚💚💚
Thank you for your video Dr.Siobhan!! Your videos are always so inspirational and informative!
my prayers to those suffering with depression💚
Please do anxiety GAD and others! 💚💚💚💚💚💚
💚💚💚💚I'm suffering from anxiety and it's so hard sometimes, I have a severe muscle contracture and cannot even walk for that reason, I'm taking some pills now for relaxing the muscles and hope that will be better soon. I need some positive vibes 🙏🙏🙏I'm also doing therapy.
Had recurring major depression and GAD. I had tried to go all natural with CBD etc and it worked for two years. Then with a passion it returned. Lost 20 pounds couldn't eat solid food. Ended up in ER mental hospital but I didn't want to hurt myself so they gave me meds and therapy appointment. One year on two meds and a year of therapy worked wonders. Still on the meds and realized I must be on them for the rest of my life. I'm 48. I don't do well off meds. God bless the doctors 💞
I have lived with generalized anxiety for the last 12 years - I've just...lived with this under current of an elevated heart rate, worry, and anxiety.
Last year I was put on a project that immediately increased my constant anxiety to about a level 8.5. Finally, this past April, my PA and I decided to try Lexapro.
I could not believe that it took my undercurrent of anxiety away - no more constant elevated heart rate. No more restlessness.
I was so disappointed when the Lexapro started to wear off around hour 18 about 5 weeks after I started.
My doctor switched me to Prozac, and it no longer wears off.
This has changed my life. I can't believe people live without constant anxiety, and now I get to experience it, too!
Also, I'm getting excited about things now. I have more motivation. I like interacting with people more (I do still experience a touch of social anxiety).
I'm so glad I decided to start medication. I should have done this 10 years ago.
💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚i have suffered with mental health since i was 15yrs old so 31 yrs now thankyou so much for the video xxxxxxx
This is so important! I love your way of explaining and that you include medication without judgement!
I have C-PTSD causing depressive symptoms and recurring severe depressive episodes. I tried 3 different antidepressants before finding one that worked - so don't give up if the first one doesn't work! In addition i want to say that one medication worked, but not enough. This is also a reason to talk to your doctor and try another medication. Also, while i had an effect after 4 weeks, the full effect came after two months - so be patient 💚
I want to say that if you are depressed exercise seems so hard and 3 times a week seems impossible, don't beat yourself up over not being able to do it even though you know it would (theoretically) help. When you are depressed it is so incredibly hard to change anything, maybe just getting out of bed is exhausting, so changing your eating and exercise habits can be incredibly hard. This is very normal and a sign you might need more help, maybe medication.
Recently came through the other side of my third depressive episode. It lasted 2 years. With medication, therapy and lifestyle changes. I finally feel like myself again. So blessed to have a wonderful support system! 💚💚💚💚💚💚💚💚
Great presentation!! I worked mental health in seniors in the community the last 15 yrs of my nursing carreer. You made a complex issue clear and understandable for all.
Great topic! I'm on 100mg Sertraline and 150mg Wellbutrin and while it has helped, it hasn't as much as I'd hoped it would. I'm in my 50's and never dealt with this before this year, it came on after having Covid which along with a bout of C-Diff also destroyed my gut bio which like you said, i believe that gut mess absolutely contributed to my depression. Also, in the US it's almost impossible to find a CBT therapist that takes insurance. Thankfully the meds give me enough will to go to work but thats all I do, go to work and come home and lay on the couch then go to bed. Thankfully I'm able to recognize suicidal thoughts as being fictional and just a result of the imbalance.
Thank you for explaining Depression. I have had it for 2-3 years now. After 2 pregnancy losses it hit really hard. Family did not understand and others suggested giving myself a time frame to grief and then snap out and keep going. I did that and i came crashing down. I at one point contemplated suicide. im still working on it through therapy. I would be interested in a Anxiety video next. Thats my biggest struggle.
God Bless You. I get the family not understanding and considering suicide.
@@Jean_gagliotti I'm so sorry about everything that is going on with you. Please do take good care of yourself and please talk to someone who cares about you.
I am so so sorry about your 2 pregnancy losses 💜 I wish you and your family the best.
Everyone grieves in their own time. One size does not fit all. If it takes one month, 6 months, one year, etc., then that’s what it takes. You take it one day at a time, and you will get there. Don’t allow anyone to tell you otherwise. Be kind to yourself, and remember there is still joy to be found in the world. I wish you a good journey.
I'm working through depression (with doctor assistance) right now. I've been on medication for almost a month and I can see the differences already. I'm sleeping better and the bad thoughts have died down. I'm still struggling to eat, do self care, and have enjoyment from the things I love. But I want to get better and can recognize the small steps that have happened in a month. I hope that this time next year I can be back to some form of the me that goes through life with a sense of determination and vigor I previously had. 💚
Thank you for discussing depression. I was diagnosed with major depression last year. It still a struggle but it is slowly getting better. And I'm thankful for my family and close friends being there for me. And of course I saw someone about it also and that has helped.
💚💚💚 As someone who suffered a severe clinical depression 20 years ago, I. Couldn’t agree more with everything you said. Thank you…. The stigma is real . Your talking about it helps to make it a more tangible subject.
💚💚💚You’re not alone💚💚💚💚
Great video. I have struggled with depression & anxiety on and off for 30 years. Living with a severe disability im sure is a factor, and the extra isolation due to COVID has definitely exacerbated my symptoms. I have been in and out of counseling and used to be heavily medicated. I have also had several different diagnoses as to what type of depression I actually have. I have found, for myself, one of the best ways to reduce my symptoms is lifestyle - diet & exercise especially. I try to eat healthy and exercise several times a week. I find I tend to binge more when depressed, especially high carb foods.
Sending love not only to those suffering through depression, but also to those who are supporting a loved one through it. I know that both sides are difficult and valid. You can get through this. 💚💚💚💚 Thanks Violin MD ❤
Hang in there💚💚💚
Anxiety next please!!! 💚
Siobhan, you have no idea how timely this video was today. thank you. 💚💚💚💚
Thank you for this Siobhan. I felt weak & like I just needed to be a strong woman & brush it off. I was diagnosed with depression and anxiety when I was 20 but the thought of "am I overreacting?, Am I too emotional?, What's wrong with me?" stay with me all the time. Thanks for the reminder that yes, depression can be as serious as a heart attack. It's real, it's not just something you can make go away as easily as some might think. I downplay my diagnosis bc I don't want people to believe I'm "unhinged" or like it's a character flaw. Thanks for reminding me that it should be taken seriously & not just something to brush under the rug.
You are my inspiration for what i want to be when i grow up, not quite a doctor, but i want to be a pediatric nurse practitioner!
Please don't become an NP, NP schools are a scam and NPs are almost always severely undereducated.
Being on SSRI’s for six years without therapy, this is excellent advice. Started getting better after ditching my GP who stated ‘let me worry about that’ when asked about exit strategies of these meds. One things for sure… you find out who’s in your corner