Depression is a disease of civilization: Stephen Ilardi at TEDxEmory

By Adem Lewis / in , , , , , , , , , , , , /

Translator: Carmen Costina
Reviewer: Denise RQ I believe depression is one
of the most tragically misunderstood words in the entire English language. And here’s the problem: depression has two radically
different meanings, depending on the context. So, in everyday conversation, when people say they’re depressed, they use the word depression
as a synonym for sadness. It’s a normal human reaction to the slings and arrows
of outrageous fortune. In that sense, all of us know
the pain of depression. And yet, in a clinical context, depression is shorthand
for a devastating illness. Did I get it? There it is, OK. For a devastating illness. We refer to it technically as major depressive disorder. This is an illness which robs people of their restorative sleep, robs them of their energy, robs them of their focus, their concentration, their memory, their sex drive, their ability
to experience the pleasures of life. For most individuals, it robs them of their ability to love, and work, and play. It may even rob them of their will to live,
and I’ll tell you why. Because, we now know depression lights up the pain circuitry of the brain, to such an extent that
most clinically depressed individuals, if you talk to them,
and they let their guard down, they will tell you, as they’ve told me, hundreds of times: It’s torment. It’s agony. It’s torture. And many begin to look to death, as a welcome means of escape. Depression is the main driver
behind suicide, which now claims over
one million lives every year worldwide. Now, I know what you’re probably
thinking at this point: Man, this talk is going to be really… (Laughter) You know, depressing. So, I’m going to give
a friendly little spoiler alert: It’s not! It’s truly not! Depression, yes, it is a treacherous foe. But what I’ve found in my 20 years of clinical research and clinical work is this is a foe that can be defeated. That’s the good news, and that’s the news
that I’m going to focus on for most of the talk tonight. First, a little more bad news: Depression is now a global epidemic. In fact, if we look in the US, we now find
that nearly one in four Americans, will experience the agonizing,
debilitating pain of depressive illness by the time they reach age 75. And it gets worse. The rate of depression
seems to be increasing generation after generation. So, every successive birth cohort is having higher rates of depression, than the one that preceded it. Now, I want you to look at these lines. We’ve got four different generations
on this graph. The green line on the right, that’s the oldest Americans. And by the time they’ve made it out into their 60s and 70s, they have a lifetime rate
of depression of 10%. That’s horrible, but it’s much lower than every succeeding generation. Now take a look at the line
that really upsets me the most: It’s the one on the far left. That’s our youngest American adults. You see what’s happened? By the time they’re in their mid-20a, they already have
a rate of depression of 25%. Remember, we’re talking about a potentially lethal, debilitating illness. Left unchecked, it’s an illness
that can cause brain damage. And if we extrapolate that line, by the time they reach middle age, their lifetime rate of depression
will already be over 50%. So what in the world is going on? What’s driving the epidemic? What can we do about it? What causes depression? Well, on one level, when we ask this question, we’re going to face the answer
that it’s really complicated. There have been, literally, thousands upon thousands
of published studies that have identified
a dizzying array of factors that are implicated
in the onset of depression: biological, psychological, cultural, social, behavioral. But if we wade through this complexity, what we begin to find, is that there’s a common
underlying pathway. A primary driver. A primary trigger. I call it the brain’s
runaway stress response. Now we all know the stress response. We think of it, probably,
as the fight-or-flight response in its most extreme form. I want you to think about that response. Especially, how it was evolved
and adapted to serve us. The fight-or-flight response
was designed primarily to aid our ancestors when they faced predators, or other physical dangers. They required what? Intense physical activity that would go on for a few seconds, for a few minutes, maybe, in extreme cases, for a few hours. It’s a very costly response. But fine, if it shuts off
what it’s supposed to. Here’s the problem. For many Americans, Europeans, and people throughout the Western world, the stress response goes on for weeks, and months, and even years at a time. And when it does that, it’s incredibly toxic to the body
and to the brain. It’s disruptive to neural circuits
in the brain that use neuro-chemicals you’ve heard of, like dopamine and serotonin, acetyl-choline, glutamate. This disruption can lead directly
to depressive illness. It also can actually damage the brain, when left unchecked over time. Especially in regions like the hippocampus which is involved in memory consolidation
and the frontal cortex. It also triggers an inflammatory reaction throughout the body and brain. And here’s what we’ve learned
about depression: The inflamed brain is a depressed brain. Now this is really intriguing, because epidemiologists
have now identified a number, a big constellation of illnesses that are rampant and epidemic. Throughout the entire developed world you can see the list: atherosclerosis, diabetes, obesity, allergies, asthma, many forms of cancer, these are all inflammatory illnesses. They’re all illnesses that are epidemic in the industrialized, modernized world and largely non-existent among modern day aboriginal groups. I believe we need to add depression, clinical depression, to this list. It shows all the hallmarks
of being a disease of civilization. And, you know what that means? It’s a disease of lifestyle. So consider the experience
of the Kaluli people, of the highlands of Papua New Guinea. They’ve been studied extensively, by the anthropologist Edward Shieffelin. He spent over a decade among the Kaluli. One of his research questions was, how often do the Kaluli experience the same kind of mental illness
that we do? He certainly found some forms of it. He interviewed over two thousand
members of the Kaluli, and extensively queried them for their experience
of clinical depression. And you know what he found? One marginal case out of 2,000! That gives them a rate
of clinical depression, that’s probably about
a hundred times lower than ours. I’ll tell you why I find
that really remarkable. Because, among other things, the Kaluli lead really really hard lives. Really! They have high rates of infant mortality. They have high rates
of parasitic infections. They have high rates of violent death. But they don’t become
clinically depressed! They grieve, absolutely. They don’t get shut down. What’s protecting them? Lifestyle. Specifically, the Kaluli live a lifestyle very similar to that of our ancestors over the entire Pleistocene epoch, that lasted for 1.8 million years. Did you know that 99.9% of the human and pre-human experience was lived in a hunter-gatherer context? So, what does that mean? Most of the selection pressures that have sculpted and shaped our genomes are Pleistocene. We’re still really well adapted for that sort of environment
and that sort of lifestyle. I’m not saying there hasn’t been
any change since then. Because, of course,
10 to 12, 000 years ago, we had the invention of agriculture. And there has been some genetic selection over that period of time. It’s been more minor. But what happened 200 years ago, with the industrial revolution? It’s been termed
“radical environmental mutation”. I like that term. It’s as if modern American
and Western life is radically discontinuous from everything that came before. Our environment has radically mutated, but how much has the human genome changed over the last 200 years? It hasn’t. It hasn’t. That’s eight generations. It’s not enough time. What does that mean? There’s a profound mismatch between the genes that we carry, the bodies and the brains
that they’re building, and the world that we find ourselves in. I’m going to put it for you
as fitfully as I can: We were never designed, we were never designed for this. We were never designed for the sedentary, indoor, socially isolated, sleep-deprived, fast-food-laden,
frenzied pace of modern life. The result? An epidemic of depressive illness. Now, I’m a depression researcher. I was trained in a traditional
form of psychotherapy. I was trained in a context where I learned
all about antidepressant medications. I want to tell you right at the outset:
I am not anti medication. I believe in fighting depression with every possible tool that we have. But, you know what? If we only throw medication
at this epidemic, we are not going to fix it. At least we haven’t so far. How much do you think antidepressant use has gone up over the past 20 years? (Laughter) Would you care to guess? (indistinct answers from audience) I like that guess. 1,700 %? It’s gone up over 300%. So you’re close. (Laughter) Over 300%! And what’s happened to the rate of depression in interim? It’s continued to increase. One in nine Americans over the age of 12 is currently taking an antidepressant. One in nine! Currently, one in five, according to some estimates, have tried it at some point. Have we solved the epidemic? No, we haven’t made a dent. The answer, I believe,
is the change of lifestyle. Now, you’ll see behind you a list of six lifestyle elements. When my research team and I, seven years ago, had this epiphany, we got together and we started scouring
through the depressive literature, asking the question, „What are the Kaluli doing
that’s protecting them?” Specifically, based on everything
we know about depression. What did our ancestors do
that protected them? We quickly found six factors that changed neural chemistry. Six factors that are known
to be antidepressant. Six factors that we can reclaim and weave into the fabric of our day-to-day life in the present. To protect ourselves… from this devastating illness. And so, we designed
a new treatment program. It’s really ambitious, I admit that. Did I think it would work? I really wasn’t sure. You know what? I was not trained as a psychotherapist, as an interventionist researcher. I was doing
basic neuroscience psycho-pathology. But I had a passion to see this epidemic brought to its knees. I had a passion to treat individuals whom I knew, who had tried everything, and were still depressed. And so, with great trepidation, we set out to design this program. The results have exceeded
my wildest dreams! There are six major elements. I’m going to run though them
as quickly as I can in our remaining time. The first is exercise. Now, exercise is good for us. How many of you–
Can I see a show of hands? How many of you came in here today knowing that exercise
is really really good for us? Right? Every hand goes up. Now, has it changed your behavior? For some yes. Everybody knows
that exercise is good for us. Here’s the problem: many people have trouble making it happen. And you know what? A lot of people don’t realize
just how good exercise– I’m going to say something
that may be a little bit controversial, and I am not speaking metaphorically:
exercise is medicine. Exercise literally is medicine. It changes the brain and the body
in beneficial ways that are more powerful than any pill you can take. Yeah, I said it. More powerful than any pill you can… In fact, I’m going to say something
even more controversial. If you could take the neurological
and physiological effects of exercise and capture them in a pill, all the beneficial effects
of neuro-signalling in the brain, the anti-aging effects all the way down
to the level of chromosomes in every cell of your body, the mental clarity enhancing effects, I believe, tell me if you think I’m crazy, I believe that pill would become the best selling drug of all time. And I think people would pay
any price to have it. There’s a problem though. We don’t exercise. We don’t. CDC again tells us
that 60% of all American adults get no regular physical activity. And yet, if we look
at hunter-gatherer groups, they get four or more hours of vigorous activity every day. In fact, they look like elite athletes. Even when they’re in
their middle age and beyond. Here’s the thing I love though: If you ask them, they will tell you they do not exercise. They don’t! They do not work out. Working out would be crazy to them. What do they do? They live! They live! Here is… (Laughter) Yeah, I know. I like it, too. Here’s the dirty little secret
in the business. And I really want you, if you remember
nothing else from this talk: exercise is not natural. We are designed to be physically active in the service of adaptive goals. We are not designed to exercise. When you put a lab rat on a treadmill and crank that thing up to the point where it’s moving faster
than it wants to move, you know what it will do, if you let it.. It’ll squat down on its haunches and the treadmill starts to wear the fur
and the skin right off its backside. So, it kind of feels our pain, right? (Laughter) When you stare
at a piece of exercise equipment, there’s a piece of your brain
that’s screaming out, “Don’t do it! You’re not going
anywhere on that thing!” (Laughter) So how do we solve this conundrum? In our treatment program, we’ve done two things. We’ve made exercise natural, and we’ve made it social. What’s the most natural
activity in the world? Walking! And guess what? Brisk walking, you know the kind? Like you’re late for the bus.
Like you might miss your plane. That kind of walking will get
your pulse up in the aerobic range, and that’s where it needs to be. Based on your age, depending on your age,
your pulse needs to be between 120-150. That’s enough to enhance signaling in your dopamine circuits,
your serotonin circuits. It’s been tested head to head
against Zoloft twice. In the long term, it won. At what dose? Thirty minutes, three times a week. That’s a low dose. It can change your life. Now, I wish I had time
to cover everything else that we need to cover, but I’m going to tell you about
one more thing: Omega-3 fats. Did you know that your brain is mostly made out of fat? Did you know the brain is 60% fat by dry weight? So, if somebody calls you a fat head… (Laughter) they might be paying you a compliment. (Laughter) All right, here’s the thing: Our bodies can make all the fats
that we need, with two exceptions. They’re called essential fats. You’ve heard of them,
Omega-6s and Omega-3s. They play complementary roles
in the body and the brain. Omega-6s are inflammatory. Omega-3s are anti-inflammatory. We need them in balance. We’re designed to have them in balance. Omega-3s come from grasses and plants and algae, and the animals that eat them. Omega-6s from grains, and nuts, and seeds and the animals that eat them. Which is, by the way, most of our meat supply. Our hunter-gatherer ancestors
got Omega-6s and Omega-3s in the optimal balance,
which is roughly 1-1. We can do fine at 2-1. We can probably even do OK at 3-1. But, guess what? The modern American diet, which is riddled with fast food, and processed food, and grain-fed meat… You see the ratio there? 17-1! Things are way out of balance. It’s very heavily inflammatory. it’s very heavily depressant. That suggests to us, of course,
that if we could supplement with Omega-3s, that might just be antidepressant. Guess what? Over a dozen controlled research trials
have now shown this to be the case. What’s the anti-depressant dose, and I’ll leave you with this,
hopefully, important tip. The best research suggests
that there’s a specific Omega-3 molecule that’s called EPA. And at a dose, this is a pretty high dose, of 1,000-2,000 mg per day, it’s shown to be antidepressant. Many of our patients
have benefited remarkably, not just with respect to their depression, but other inflammatory conditions as well. My own story, when I began
supplementing with Omega-3s, several years ago, the tendinitis in my knees went away, and I could start running
full court basketball again. The dryness in my eyes cleared up, and I could keep wearing my contacts. It’s remarkably health promoting, in many different ways. Now, for those of you
who want to get more details about this treatment program, I’m just going to zip ahead, because I’m out of time. There’s a lot more to share with you. I don’t really talk about cows. We are designed as a very social species. We’re designed to connect. Did you know that face-time, time in the physical presence
of our loved ones, actually puts the breaks
on our stress response? Did you know that our ancestors
spent all day, every day, in the company
of their loved ones? Their friends? Think about the extent of face-time they shared with the people
that mattered most, and what have we done? We’ve traded face-time for screen-time. Face-time for Facebook, is that better? (Laughter) And the result is devastating. The result is devastating. We’re born to connect.
We need that connection. In our treatment protocol
we work very, very hard to help each depressed individual resist the urge to withdraw. Because, when you’re ill,
your body tells you to shut down and pull away. When you’re physically ill with the flu, that’s adaptive. When you have clinical depression, it’s the worst thing
in the world you can do. Even though every fiber of your being
is telling you exactly the opposite. We’ve got lots of good data
on our outcomes and, as I’ve said, they’ve exceeded
our wildest expectations. Most of the patients that have come to us have tried meds, and they haven’t gotten well. Most of them have tried
traditional therapy, and it hasn’t been the answer. The majority have gotten well, as they have been willing
to change the way they live. We had a man, a year and a half ago, who had been fighting
depression for 41 years. Consecutively. And it was one
of the happiest days of my life when he came in
to a session, after 14 weeks, and he looked around the room
with tears in his eyes, and said, “This is what I remembered
it felt like, to be free.” It can happen! Now, we’re still working
to improve this program. We’re still working to make it better. I wish I had time to share with you some of the things we’re learning. For those of you who want
to learn more about it, I’d invite you to go to our website. We have lots of details. I wish you all
a joyful and depression-free life. Thank you. (Applause)

100 thoughts on “Depression is a disease of civilization: Stephen Ilardi at TEDxEmory

  1. I had the same suspicion about depression, I think that at one point further in time couild kill us all

  2. I always had this theory- if we were doing what we were made to do (not sitting down in front of a screen) we would be happier. Maybe we all should turn back to hunting and gathering…

  3. Depression is demonic,it's a demon living inside you,cast it out in Jesus Christ's name and it has to leave,satan and any demon have no authority over us so with prayer and having Jesus in your heart no demon will dwell inside you. All disease and sickness is caused from demonic entities and are powerless if you have Jesus in your life. True as true God bless all and All Glory To God Amen 🙏

  4. Hope this was helpful to some but not me. Try vitamin B12 and B3. Give it a honest try for a couple of months and not just a couple of days. I know it’s hard to remember to take care of ur self when depressed So if u miss a day or a few days. Get back on it and hang in there. Hope this helps u.

  5. How can you exercise. When you can't get out of bed. If exercise is the answer. A lot of people would be out of a job

  6. The fundamental problem to me is that we get taught by a young age that all that matters is sucess. And by sucess i mean finding a job, get a family and be put into line.
    Thats the idea of modern living.
    School+College/University+Job. Then Family, then kids and then thats basically about it.
    There is this constant feel to be better of what you are currently doing, constantly the feeling of getting drowned if you do not keep up with these standards.
    One feels like on a battlefield, where you have to come out stronger in order to make it.
    Its absolute madness. Everything is put into categories, humans are about to conditioned what is cringy, what is truthful, what is emotional and whatnot,..all that kind of nonsense and because we condition ourselfs, we grow afraid if we do not meet up to those expectations.
    To me life isnt a battlefield, naturally it is harmony. But we took that away and think we have to somehow fight through it.
    I just dont know why i write all this, but i cannot share these kind of thoughts with anyone in real life anyway,….

  7. Upset that he wasn't given enough time to share what he had. Unsure if it was his fault for not preparing correctly, or theirs for not giving him more time. Seems it was his responsibility to fit it in with what they were able to give him and he failed. I'm NOT going to be directed to a website because he couldn't get his job done correctly. Next…

  8. I've never had any close friends because I am chubby and tall & never fit in and always was rejected. Noons ever wanted me around and was never included in any social activities.

  9. I am contemplating suicide & just watched this. I admit for me, I grew up in foster homes and never learned how to make friends or create a family. For this after 40 years, I most likely will end my life. Its not just lonliness its a stunted ability to connect, from abuse, neglect and repeating patterns for so long, I dug myself in a lifestyle hole so deep its better just to scrap this life….
    There is no cure for community, connection, family out of nowhere. You can't go from isolated to having intimacy, and friendship overnight. It takes time and years. But As i watch all these suicide videos on Youtube, I find comfort in lnowing I may soon become another of ones who suocide every 40 seconds.

  10. "If we only throw medication into this epidemic we are not going to fix it". Thank you for pointing out the evident.

  11. The gut parasites probably also help reduce general inflammation. A great experiment would be to only treat their parasites but change nothing else, or more realistically, add parasites to some western depressed people.

  12. So you're saying the best cure is to vanish into a forest and live like our ancestor planned? Because I am personally ok with that.

  13. Is there such a thing as being born Depressed ,? Especially if the mother was I believe it comes from the Womb………I Have known Nothing but Depression since my Memories at 3 Yrs of Age but born late 50s my Parents or Doctors never thought a child could be depressed My Life as A child was Horrendous and I grew with it , Now 60Yrs i still visit the Bridge but somehow i have Never seen it through I thank God for that

  14. I do all these things. I'm 26 and I feel 18 still. I run twice a day and workout and man I feel better than when I was 18 even.

  15. Blessed are the poor in spirit, for theirs is the kingdom of heaven.
    Blessed are those who mourn, for they will be comforted.
    Blessed are the meek, for they will inherit the earth. Blessed are those who hunger and thirst for righteousness, for they will be filled. Blessed are the merciful, for they will be shown mercy. Blessed are the pure in heart, for they will see God. Blessed are the peacemakers, for they will be called children of God.
    Blessed are those who are persecuted because of righteousness, for theirs is the kingdom of heaven

  16. Exercise works until you reach a tolerance level. Then what more exercise? Once exhaustion sets in there are no more benefits.

  17. Thank you for the talk! I suffer from MDD for close to 40yrs now (longer I think) I'm now 52 and have stayed away from meds as I don't know exactly what's going on with my chemistry! I'm going to try meds soon again and try! Your talk helped me to accept the meds a little bit I'm still questioning a bit! I believe in what the planet offers but it seems to be kept from us!! I really want to try DMT and or similar treatments for it! Not made in a lab for profit! But is something natural and I've heard lots of success! Thanks again!💯💯👍👍

  18. Just to add to the statistics, I've suffered from depression since a child of 15, I'm now 83 I still have depression but guess what, I'm having the time of my life in spite of it.  After losing my wife of 55 years of marriage I've learned to give myself permission to be happy and I'm very successful in doing this.  The way I accomplish this is to be very sociable be myself and my goal is to bring humor and a smile to everyone I meet, I've learned to dance sort of, and the number of women to men I'm sorry to say for women is not good but outstanding for men, learn to dance and you will be accomplishing two things, you will find a joyful way to exercise and to socialize with women.  Have hobbies you love and don't give them up.

  19. Alcohol is a huge factor. I always feel sad and grumpy and struggle to sleep after drinking too much. When I take a break for a few weeks, I feel a lot better.

  20. Seems there are two types of people in the world: those who wake up every morning and thank God for 5 things they were given in life and the second is those look into the mirror every morning saying, Why me, God, why did you pick me for this torture? Until they learn more about how attitude itself creates more depression, they may never improve, always blaming God for their flaws when most are caused by "them" themselves. They are also so drawn into themselves that they refuse to acknowledge that generally about 90 percent of the world lives in conditions really terrible compared to their own. Some don't even have access to clean water! They focuss too much on what rich people have than in what poor don't, and this kind of selfish thinking is extremely unhealthy!

  21. This video cannot be watched enough. Stop focusing on all the myriad manifestations like "toxic masculinity", "the pressure on girls", "millennial fragility", "elder loneliness", etc., etc.,

    It's all just this: modern life is sickening for us all.

  22. I was in rehab recovering from addiction three weeks ago, while at first I hated it, as time when on I thought "not so bad, just have to wait it out". Then I was released and had the thought today ****"I was so happy at rehab, I don't know what is wrong with me". THEN I watched this. I'm so isolated and don't get out much.

    What he mentioned about being alone leading to depression SHOOK me. Very enlightening.

  23. Some people will tell you that this system is the best we can do because we've managed to produce unprecedented amounts of wealth and goods. For the first time in the history of humanity we have things resembling national healthcare, education, etc. Yes, humanity has gone to great lenghts to get rid of it's past plagues. But don't ever forget and become complacent, we'll have to go even further. Even the people who benefit vastly from the current status quo, get mowed down by depression, isolation and anxiety. Hard times are coming but, things do get better overall, we only forget it because it seems slow compared to our short lifespans. Just consider our current situation and how impossible it would seem to a peasant and a lord, both thinking that their version of the world was the only one possible.

  24. 100% he said it, its lifestyle.. you can take as many pills you want it will never fix your internal self. You must find your own way “language” in life.

    I’ve experienced this almost all my life, and it took me so long to finally realize it was real. Going through school, playing in the NCAA.. it all was part of what gave me clues.. loosing yourself and your focus is by far one of the worse things that can happen to you on earth

  25. So what I took away from this video is that I need to either live a nomadic lifestyle as a rock climber or make a home base in a small rural town and live sustainably by gardening and creating my own things and always exercise to get rid of my chronic and crippling depression. Honestly, I agree with you there buddy.

  26. People say depression is like a tunnel vision where you only see a small glimpse of reality, I don’t agree with that. Because I get COMPLETELY blinded and I feel like I’m in a VR world whilst slowly losing my breath.

  27. First-World whining. A crafty description of ‘how it feels’ doesn’t make it ‘real.’ Get off the couch, get out in the sun, sweat some, drink water, and start claiming some responsibility for the state of your life.

  28. In physical terms, the opressing action and re-action of negative feelings is a mental strategy to set aside the emotional pressure while some kind of resolution "occurs" to you. Taking a drug should be a last resort because unless someone else is already solving the opressing cause, you're done.

    In the real world of probability, it takes elapsed time to optimize your reactions to an accurate knowledge of appearances of opressing influences, and probably a lot more time before an appropriate re-action path is open. Some situations have to be avoided by shifting out from under, eg lawlessness.

    Humans are the super predators on top of the pecking order, and that needs to be carefully, lawfully, re-optimized.

    Probably one person at a time, and probably only if the person is able to teach themselves.

    Thanks to all the Sociologists who understand directly how each action of mental strategy applies. (Those I knew at University begin by analyzing themselves, so empathic understanding inevitably implies co-suffering)

    Native/natural people live by lore-law and have preselected strategies to "known" circumstances. It's way too binary for civilization based on science, they don't live long enough to realize that the world is more subtle than the do or die "religious", or preprogrammed rigorous, reaction to perceived fight or fight threat can be alleviated, by practical methodology of research and development.., particularly Study of Society.

  29. I am getting ready to speak about my High Functioning Depression on my channel, to help people see the sun through the clouds, as I can now.

    The first thing I wrote down intuitively was, recognize depression as also not completely your fault, but the way society is structured.

    It’s not healthy to work so much, and play so little. It’s not healthy to not be connected to nature as ancient civilizations once were. It’s not so healthy to live in homes on your own, scared of next door neighbors-humans are tribal community seekers, and the way society has developed over time has caused many sensitive souls perpetual sadness when looking at the outside world for too long.

    The secret is to look within, but we should hold society a bit accountable and see if we can fix things together now. Help one another out of human depression, which is the psyche letting us know “something is not right on earth”.

  30. Modern life is sort of a catch-22, all the work, stress and pressure wrecks us, but opting out of doing that stuff has real outcomes (like being poor) that also cause stress and pressure.

  31. It seems to me that depression and its causes are misunderstood in the West.
    I believe the correct definition should be the following:
    "De-pression means De-pressurizing from that what is not natural".

    Interestingly enough; it shows up quite differently when doing an online search (and I quote): "Depression (major depressive disorder or clinical depression) is a common but serious mood disorder." Mood disorder? Really? Sure it's not related to external factors?

    To thine own Self be True!

  32. This video is so extremely helpful, thank you so much, I have been suffering from depression since becoming a stay at home mom with my kids, it has become more debilitating over the past year and I just don't know what to do with myself

  33. C'mon, we all know the real reasons why we are depressed; we just lie to ourselves about it because being mentally "healthy" is a prerequisite for survival – people who admit that they are depressed lose their jobs.

    Ps re the chiluli: I'd rather be alive and depressed than dead from a spear attack.

  34. I hope this passage helps someone:

    my time playing poker had a surprisingly profound influence on the way I see life. The beauty of poker is that while luck is always involved, luck doesn’t dictate the long-term results of the game. A person can get dealt terrible cards and beat someone who was dealt great cards. Sure, the person who gets dealt great cards has a higher likelihood of winning the hand, but ultimately the winner is determined by—yup, you guessed it—the choices each player makes throughout play. I see life in the same terms. We all get dealt cards. Some of us get better cards than others. And while it’s easy to get hung up on our cards, and feel we got screwed over, the real game lies in the choices we make with those cards, the risks we decide to take, and the consequences we choose to live with. People who consistently make the best choices in the situations they’re given are the ones who eventually come out ahead in poker, just as in life. And it’s not necessarily the people with the best cards. There are those who suffer psychologically and emotionally from neurological and/or genetic deficiencies. But this changes nothing. Sure, they inherited a bad hand and are not to blame. No more than the short guy wanting to get a date is to blame for being short or the person who got robbed is to blame for being robbed. But it’s still their responsibility. Whether they choose to seek psychiatric treatment, undergo therapy, or do nothing, the choice is ultimately theirs to make. There are those who suffer through bad childhoods. There are those who are abused and violated and screwed over, physically, emotionally, financially. They are not to blame for their problems and their hindrances, but they are still responsible—always responsible—to move on despite their problems and to make the best choices they can, given their circumstances. And let’s be honest here. If you were to add up all of the people who have some psychiatric disorder, struggle with depression or suicidal thoughts, have been subjected to neglect or abuse, have dealt with tragedy or the death of a loved one, and have survived serious health issues, accidents, or trauma—if you were to round up all of those people and put them in the room, well, you’d probably have to round up everyone, because nobody makes it through life without collecting a few scars.

  35. I just feel like my life isn't enjoyable enough to be worth living. My dreams are unrealistic. I dont get what i want. I get stuck in a hole i have no way out of.

  36. Pretty much nailed it…all the things many of us intrinsically knew since we were kids..but layed out in an outline sensibly done..bravo

  37. No one ever mentions the Parents who drank, smoked, etc. While pregnant. As a baby of 1947, my parents did both . I was depressed from the alcohol in utero, low weight, 5#, and ADD. So I'll never be right ever.
    Nature vs. Nurture .

  38. Any statistic claiming depression is going on the rise should be taken with a pinch of salt. What if recording such statistics only happened recently? What if people only began to come forward recently because of culture taboos. I cant imagine a post modern 1950's man opening up about his depression to a survey questionnaire.

  39. Great talk. I agree 100%. So many people are moving off-grid or into a van and I will also make that change soon. Another great Ted Talk on YT is called "Life is Easy, Why Do We Make It So hard?" I highly recommend it.

  40. As someone who is probably going to kill themselves very, very soon- I definitely noticed my major trigger to making the mental leap toward suicide is my hatred for currency.

    Nobody is standing up to the oppression in a big enough amount.

  41. I bet you that first chart in 40 years will look exactly the same. Im just saying. Age is growth. Thats my only issue with this guy

  42. Excellent, thank you. Very important direction for psychiatry. A couple of thoughts. After my first trip to India in 1978, the year I finished my psychiatry residency, I concluded that depression is a culture-bound disorder (published in the BrainMind Bulletin). After a week in rural south India I was in the Bangalore airport and I realized that for that week I had not seen a single person whose facial expression and body language were depressed. In the airport, where many were headed back to the West I saw many familiar faces- depressed faces. I flew to New Delhi where I saw more depressed people who were preparing to head home to various western countries. A word about fatty acids. It’s widely believed that omega 6 fatty acids cause inflammation. The only omega 6 that increases inflammation is arachidonic acid. DGLA is one omega 6 that is anti-inflammatory as are several other omega 6 fatty acids. I appreciate everything else you said and believe we need to be adopting the strategies you speak about.

  43. Going outside, especially during the fall, can jump start the mood. Even something as simple as raking leaves can be a straight-up depression killer. Short-term, yes, but it works.

  44. It’s actually based on race aswell. Sub-Saharan Africans are missing a certain gene that causes some depression. It is a Neanderthal inherited gene of Europe and Asia.

  45. You seem to have ruled the possibility the Kaluli do not have depression because the ones that do are all dead out.

  46. I am suffering from depression and I am overweight I don't like exercise not because it's hard to do or anything I have done it for a month straight one just to try it out as it's not natural. I hate being sweaty so I came up with a natural solution that I presented to bothy my doctor and a Therapist. I wanted to get access to the local pool for swimming but I got denied by both. They told me it's not a solution of either.

  47. How does one know if the brain has suffered damage?
    How does one get out if ever from antidepressants when psychosomatic like ibs have set in and are controlled by antidepressants?

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