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Depression is contagious / Žunglyndi er smitandi

Jan 09, 2022
if we have time i welcome you know donna failed us to hurt us or kill the area some frank formal told us to give us her class it has to be recorded in sam stosur cabinet calendar thomas to scare up sharon tate clean kazan freddie oh internet them summer cotton swab stanton office others with a mr. Kamin floated co-monomers Mickey Munoz to represent another of plenty, but it's escapist kill convey a palette or Pentaho Westley not total Johanna Carolyn T available intimate owner of the choir we the few lessons or we are a camera without two months in away four keys we can't immediately Alton Towers to do as a system Beatty but honestly Ferrante of plenty Anna noona he is an extra burden Susanna settled the fear of water about Anwar swimmer theory about liquor sex toys or year of France this Yuma Arizona Pyrrha so pyaar ke happening Underwood first article we were cool would like me to talk like a fearless Trevor have my people pay for the cable I get excited I have to challenge two or three thousand crazy salvinia how she's going to write to hold 12 ladies uh you know where without hemisphere tourists if ever since Cuomo Correctional Service: sorry I round up remotely in a h expert elate at first read up on the route and get the ear of fearless Malika our famous even if i lick a panther Hema be the future Frankie clintus all friend a somali theater whoa Thetas are Adela Eric Toledo an absolute an arrow ours social filter is Technica semi Evan in me as I also kissed Laura later City tourism has low key thinking evolved with my emptiness oh yeah one of the government we studied after our little talk taco and faded a thousand we'll have an open tomato to rot harp I could say the Contin shelter is very similar Thanks Mikey Caston a number can cook and the ferry runners were pushing Szymanski neat the roots of the mindset run deep the person is

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how the most common mood disorder is spreading around the world and how to stop it an animal death not inherited sadness how to stop depression from spreading in the families or break the patterns of depression by colossal if I advise you to come on the Tata yup co air Clee something about Pittacus all frank without the commander's hand luggage or healthy for therapy stop feeling healthy or something completely at risk with always a SantaCon and I think if your market is chemically from a sea to a clean script honestly or the right song Marc Murphy one that means they're less than summer but eleutherios the field some clean tears made on tv honestly attracted some critical seeds than a response firm total vehicle Having anchored so many times and for so long in Iceland, I'm sure you understood everything I said and Evie didn't care, I just described the context of your lecture and stated a few things. ings about you mostly nice things we appreciate your generous gesture and i give you the floor i got it all good evening everyone thank you very much for coming i really appreciate the participation we were surprised how many people want to talk about depression i will talk about depression in a way i hope you don't be depressing.
depression is contagious unglyndi er smitandi
I hope I can give you information that you can use some perspective that you can use. I have been studying depression full time for almost the last 40 years and I can tell you that the field has changed dramatically in the time that I have been working in it the things that we have come to understand about the nature of depression the most fundamental questions who can push why under what conditions and most important of course what can what can we do about it what can we do about it in terms of treatment what can we do about it in terms of prevention, well, the fact that we have this hypnosis society osis sponsoring us, people have already asked for it. why is this most patronized by society and one of the things we've learned along the way is how incredibly important the quality of your focus and the direction of your focus is, to put it simply, a lot of people get depressed because of what focus. they focus on what is wrong rather than what is right they focus on weaknesses and vulnerabilities and pathology rather than acknowledging stress and it raises one of the most fundamental questions is the goal of reducing pathology or is it the goal of expand wellness and that may sound like a bit of a man to put forth some niceties about words, but it represents two very different treatment philosophies, two very different life philosophies and all these years that have led to some of the most important discoveries about what that people respond to how the quality of their expectations influences their response to treatment, so it's absolutely natural that a hypnosis society would sponsor a talk like this, how can we get people's attention? and direct it in a way that serves them best, so for many people, of course, all they know about hypnosis is the Hollywood ease, the silly stage stuff, but it's a very serious approach that takes an in-depth look at what is the real value of the approach in determining your quality of life and this is the starting point for tonight's lecture.
depression is contagious unglyndi er smitandi

More Interesting Facts About,

depression is contagious unglyndi er smitandi...

I am going to get your attention and move it in a very specific direction. Too often, when people think about depression, they have bought into the idea that it is a mental illness that it is the product of biology or neurology. If you stop someone on the street and ask them what they think causes depression, it's amazing how many people will say it's a biochemical imbalance in the brain, and I find that very surprising and very discouraging. because what it means is that the advertising has worked and people just aren't aware of it, so I hope tonight I can show you a different insight into the nature of depression. sion and the kind that totally contradicts what you might believe, but certainly, hopefully, expands what you understand about the nature of this very complicated disorder, well, a bit of history.
depression is contagious unglyndi er smitandi
I am a clinical psychologist. I do treatment. I have spent the last almost 40 years. now dealing with people who are depressed, individuals, couples, families and when you focus on depression it could easily be depressing, you're hearing stories all the time about the worst things that happen in people's lives and at the same time, it has given much of an insight into what it takes for people to be able to handle life's inevitable adversities no one leaves here alive if you have a job you risk losing it if you take a class you risk failing if you get in a relationship you risk losing it the people we love die the pets we care for die we take our car to a car wash and a flock of birds flies over 20 minutes later things always happen things in life that are unpleasant and even traumatic, what What has interested me especially is when people face these terrible challenges.
depression is contagious unglyndi er smitandi
Why not? What about the way some people deal with adversity that somehow serves to insulate them from depression? What can we learn from those people? That's been a big focus of my research over the years, and interestingly enough, the abilities that people have that they help protect. them our abilities that they're not even aware they have if you ask them directly you know someone else would be pretty down after this how come you're not? They say very general things like I guess I must have good genes I guess I'm just lucky or popular around here hey I'm Icelandic but of course when someone gives you that kind of general answer it doesn't help you it doesn't really help you teaches nothing about what we have learned. about what protects people and certainly one of the things we've learned that protects people is other people the quality of relationships that people develop over time now this is a part of depression that most of people haven't paid attention and in fact in 1999, just 14 years ago, when I wrote the book called Hand-me-down blues in which I was looking at so-called transgenerational risk factors for depression, how depression is passed on from a parent to a child. unintentional child, of course, but statistically we know that the child of a depressed parent is between three and six times more likely to become depressed than the child of a non-depressed parent, the simple fact of having a depressed parent is one of the factors of strongest risks out there, well, when we look at the epidemiology, the prevalence study is the 25- to 44-year-olds who have the highest rate of depression isn't really a big surprise. rpress and people in that age range share many different characteristics, but one of the characteristics they share is that they are in their prime childbearing years, so it really isn't a big surprise that the fastest growing group of people with depression be your children, children are the fastest growing group and I am really very concerned about that. of course, because as we see depression transition from one to another, we're not only seeing the frequency of prevalence increase, but we're also seeing an increase in severity if you're 18 and struggling.
I'm concerned about you and to be honest, ten years from now when you have a child, I'm even more concerned about your child, so I've been focused on what we can do with this generational transmission and what we can do with the social transmission. We are seeing depression rising everywhere. all over the world and across all age groups, now that you know that one of the questions people often ask is that just because we're more aware of it we're just better at detecting it and the answer is no, it's no, it's not about the fact that more people are getting treatment, in fact more people aren't getting treatment depression has very low help-seeking behavior most people with depression don't bother to ask for help for a problem very specific reason why they think they can't get help they think this is something they have to live with or that this is it or it's their own personal weakness and people suffering in silence and that's how it spreads in In terms of untreated depression, uncontrolled depression that infects relationships, especially within the family, where it's more concentrated, but certainly throughout society, we've seen a huge change in our world. in general, but even you know for those of you who are a little Think about what life was like in Iceland twenty years ago.
I came to Iceland for the first time. The quality of life has changed. The quality of relationships has changed. The influence of technology has infected every part. A part of our lives and technology is not valueless There is a consequence for looking at your cell phone every two minutes There is a consequence for texting instead of calling There is a consequence for going to a chat room instead of meeting meeting someone face to face for a cup of coffee and the consequences of how we use our brains and how we use our social lives this is also new that researchers are behind what is actually happening in terms of effects on social relationships and consequently effect on moods and how we view other people and how we view our relationships after spending much of my professional life looking at these types of problems the more we have learned about the brain the more we have learned about how it works socially defines thebrain many people in my profession call it the social brain brain how wired we are to be receptive to other people and reactive to other people in a variety of ways obviously after all this time in the field my preference is my way of thinking , but I also try very hard to be objective about things, you know, when I had the honor of being asked to write the section on the treatment of depression for the Encyclopedia Britannica. able to back up what you said and interestingly enough when I asked Encyclopedia Britannica out of all the depression experts in the world why you chose me they said because you are so balanced in the way you see things and the way you You teach about things. you are scientifically informed but also have a humanistic bent.
I like that phrase scientifically informed with a humanistic bent, so I had it to let you know that it's important to appreciate the scientific side of the equation and I'm happy to talk about that side of the equation, but it's also you know some of the things that we deal with. in life sciences it's a good innopolis and it's really about the art and the skill of living well and I'm hoping to give you some ideas on that so my intention for tonight is to talk for about 45 minutes maybe up to 60 minutes and then what i want to be able what you have to do is answer your questions you came here for a reason and i will answer the questions last please keep it till the end and then if there is anything you want me to comment on anything you want me to answer or that I can give you a quick answer I mean there are many people Hiram's for many questions will come or I could provide a relatively quick answer.
I am very happy to do it. That is why I am here. It's what's called psychoeducation when we look at what determines people's ability to respond well to treatment to education so the data that we give people it becomes clear time and time again that the educated someone is, I mean , educated about depression, the better you do. better than n you and the treatment the better the quality of your recovery the better your rate our recovery now oddly enough depression is the most researched mental health term on the internet the problem is people go on the internet and find information they don't really find i have a way of knowing if this is credible it has stood the test of time then we are dealing with a problem that is in many ways ill defined and if you have enough of these symptoms then you get diagnosed with depression the problem is when they have so many different symptom combinations that would fit together correctly would produce a diagnosis of major depression which tells you something about how mild the diagnosis is, how much of a depression it is in a sense in the eye of the beholder, so for me personally I'm less interested in the label I am much more interested in the quality of life the quality of this person's experience but cur iously now in the United States doctors because they tend to see people more often have been impressive.
I will tell you what the two questions are and think for yourself how you would respond if you are thinking or wondering if you are depressed. The two questions are first about the state of mind. Have you felt sad? a month or more, not two weeks as in the diagnostic manual, but for a month or more, the second question is about what is called anhedonia, the loss of pleasure, have you lost interest or stopped getting pleasure from things? things that normally interest you or things that normally give you pleasure now if you answer yes to either or both of those questions it doesn't automatically mean you're down but it does mean it's time to take a closer look but it's certainly one of the most reliable indicators that people just don't do it. get a lot of pleasure and of course that's one of the first casualties of depression is a sense of humor so we're seeing in the world when you're talking to a depressed person and you play a joke on them and the best thing they I can do is that a sense of humor is really the first casualty, so the fact that depression is a broad label representing a lot of different experiences, what I'm really interested in when I say quality of life is how you feel about how are you. you're doing it in general obviously you don't and what are the things that you do well what are the things that you find yourself struggling with over and over again that represents some of your vulnerable areas well the starting point I think for most of people you know the question that's what i get asked the most that's the worst thing when you're at a cocktail party and someone corners you and starts telling you how depressed their mom is and then they ask what causes depression now think about your answer to that asks if I met you by chance and asked what you think causes depression think about your answer that your answer is vitally important determine if you are less likely to overcome it or more likely to overcome it come, is it a question of importance criticism, and to be honest with yourself, if you think you're depressed because you're blaming your genes and genetic history, you're much less likely to take positive action on yourself. your own name so this question determines everything if you will seek treatment what kind of treatment you are likely to seek how well you would respond to that treatment and certainly even how it will relate to all the things I talked about if your answer is depression is caused by genes, then you're going to have a hard time with some of the things I say if you're convinced that depressions are due to a biochemical imbalance in the brain.
I can tell you that the pharmaceutical companies love you. drugs and while that's an interesting perspective, it's not true and as the evidence has grown well there's a lot I can say about the drug side of the equation. I'll say just make some general comments about it, but it might change some of your identification. So what causes depression? Look at all these different factors. Is it about genetics? Is it a biochemical imbalance in the brain? What about systemic inflammation? What about psychosocial stressors? look at the science, there's evidence for each of these factors and more, and then the big question is, in the case of any individual, what's going on?
How can we tell that for one person this is about their cognitive distortions and that's why they should have cognitive therapy and why else do we say there are all kinds of family issues here that are leading this person down the road to depression? going into depression is different for each person the way out is different for each person if you came here tonight hoping for a formula there isn't one what you can do is learn what the pieces of the puzzle are and how they fit together these pieces in your particular case, but what your life is about and what your particular issues and vulnerabilities are is quite different from someone else's, so there is value in learning from other people's experience, but you also can't assume that you will. what works for one person will work for another and like life itself each person has to discover their own path and i hope what i can do is give you advice on what to do.
How to stay on a path that makes sense how to bake the use of information which is really why I'm here so the best answer I can give you is that depression is caused by many different factors and they will be different from person to person, you may have noticed, though if you thought about it, when I gave you that list of causes different factors or contributing factors you can easily group them into three different domains some of the factors are biological biology absolutely matters there are many diseases there are many medications where depression is a predictable side effect is there a gene for depression the best answer at this point is no genes that make you vulnerable to depression the best answer is yes so biology matters but it has been overstated as if where you see depression there is somehow a brain disease there in the second domain you see the psychological components that include things It's like the quality of your thinking that's why cognitive behavioral therapy is so popular in Iceland the focus is on the quality of people's thinking how they process information predictable and systematic mistakes people made, for example, people who take things personally personal their team loses in the finals and they're sure it's because of something they did you're probably taking it too personally things like personal history and the kind of experiences that have shaped your perspective and shaped your understanding the kind of individual values ā€‹ā€‹you have how they manifest and the choices you make in life who you are l coping style how you deal with pressure how you deal with failure how you deal with when people leave and when people you move and when people betray you and do all the things that people do your style of coping with stress and with changes and adaptations how do you deal As with things like foams that go off in your conference determines a lot about the experience and then of course the third domain here we are looking at what is the relationship between the quality of relationships and vulnerability to depression what is it? about culture what about family environments what about marriages what about when you have depressed parents raising children what happens when you have depressed children raising parents so focus on the social side of this because over time the evidence has only grown stronger and stronger and stronger that we kind of missed all the clues that should have pointed us 30 years ago in the direction of people relationships but we're getting ng there now new fields are emerging one is called neurobiology what we didn't learn about the effects on the brain and nervous system about what happens when people interact with each other another affective field neuroscience what is the relationship between one's moods and the types of decision-making they engage in and why course, the consequences of that, so when we look at the biology of depression, social brains are concerned with how much to say to people having chemistry turns out to be more accurate. than we ever thought less metaphor and more factual than we ever thought well the quality of your relationships is what increases or decreases your vulnerability to depression when we look at it like a little i want a very strong example you know most countries don't they have the money to do this the United States spends a great deal of money on what are called epidemiological surveys surveys designed to find out how prevalent various disorders are in the United States, in other words how many people have breast cancer, so thousands and thousands of Examiners and they're interviewing people not by diagnostic labels but according to symptom profiles and then professional testers and professional diagnosticians diagnose it, so we have a staggering amount. interestingly when we look at depression in particular when people report depression they are 10 to 25 times more likely to report marital distress family distress that depression leads to serious problems within the family and vice versa than when there are marital problems there are at least 10 times more likely to be depressed now what do i mean by marital problems? arguing all the time fighting all the time coldness in the relationship which means lack of warmth lack of affection conflict makes it very difficult for people to feel emotionally secure, emotionally stable so yeah epidemiology is the most expensive and extensive The epidemiological survey ever conducted on earth that cost billions of dollars made it abundantly clear how much the quality of relationships influences people's outlook and mood says something about how important it is for people to have the skills to build relationships.
It always amazes me when here I'm dealing with a young woman who's crushed because this guy she fell in love with is gone and when I asked her what's up with this guy what you were attracted to was so cute now you have to admire the depth of that analysis , but it is indicative of how people respond to form, not substance, how people deviate from the picture and lose sight of the deeper questions of who this person is and how they do things, the art of building relationships it's declining rapidly as the divorce rate increases the divorce rate in iceland for first marriages around 50% for second marriages on whether they learn they can walk away so it's really vitally important from a marriage perspective mental health and from a depression perspective, how are we especially equipping our youngest people with the skills they need?
You won't learn them on Facebook and you won't learn them on Twitter and not learning them in any chat room is not a notable online date, one in five marriagesnow it starts online that's a remarkable statistic for something that didn't even exist a decade ago so take a good look at these things when people get lost in the idea that it's all about genetics now there's a whole new field called epigenetics epigenetics is The study of how environmental influences shape gene expression is such a remarkable shift that it took place literally at the turn of the century. particular, would find a gene responsible for it; in fact, the predominant model was called the gene that makes you sick.
The y model was known by its acronym Oh God so now that the Human Genome Project is complete it has shaken everything up discovering that humans only have about 25,000 genes literally fewer than a grain of rice raises cosmic questions of how we can be so complicated with so few relative genes but what we've found is that it's not about the genes it's about epigenetics how the environment you grow up in the environment you live in influences gene expression and that's why we see People change over time which is why we can see identical twins end up in very different places in the span of just a few years if you're not familiar with epigenetics.
I show you this cover for a reason. Time magazine did a cover story. You are still online if you go on time. .com and you type in the epigenetic search engine, but as you see fate, that's an important message for people who are swayed by the idea that depression has to do with genes, well my mother was depressed, my grandma was depressed my uncle was depressed geez depression runs in my family I must have the depression gene there are even therapists who will tell their clients that not knowing there is no depression gene is misinformation for So when we look at the social influences emerging from modern science to current science, we have genetics and epigenetics, neuroscience, affective neuroscience, epidemiology, certainly individual psychology and social studies. they all point us in the direction that this is a social phenomenon now let's talk about the implications that when we recognize that this is socially induced we learn the perspectives that put us at risk the values ā€‹ā€‹that put us at risk that's what I mean by social depression that depression is a learned phenomenon for most people it's the product of faulty learning but learning so the idea that I'm treating that with medication totally misses the point that depression is a more of a social issue rather than a medical issue now what goes in between and look at that question a little more openly and honestly now unless you've kept up with the literature you probably wouldn't know that in the last five years drug companies manufacturers of antidepressants have been hit hard because they were caught in lies and deceit by hiding the data showing that antidepressants don't work. they work just as well as advertised leading people to believe the drugs are more effective than they really are leading people to believe the drugs are safer than they really are and now that they've been caught there are all kinds of lawsuits that they are evolving and three of the major manufacturers of antidepressants are quietly going out of business it's been crazy in the United States for all these issues revolving around drugs and it really peaked with the cover story in the magazine News a national magazine tackling the question of how well antidepressants don't work and cover story read the depressing news about antidepressants if you're not familiar with anything I'm talking about I highly recommend you get a hold of this book there There are many books on this subject I'm talking about, but Irving Hirsch, the author of The Emperor's New Medicines, is one of the The most well-known and respected researchers in the field of placebos.
And of course one of the things we've known for a long time is that depression is highly responsive to placebo-based interventions. We haven't really understood why that is, but we are learning more and more about why that is, and part of what we are realizing through this research is how much depression is a product of outlook, how much depression is a product of perspective. from perspective well placebo effects have interested me in particular a lot of the work that i have done has also revolved around the phenomenon of hypnosis and the ability to make people focus, develop a mood, present ideas to them that they change their physiology in immeasurable ways, the reason I'm here in Reykjavik right now is that I'm doing 12 days of training with a very sophisticated group of doctors who are learning and how to use hypnosis in psychotherapy and behavioral medicine but part from what they are learning one of the topics we address is pain and what a curious thing to be able to tell someone sit down, close your eyes, focus, present a lot of ideas that would allow this person to literally walk into an operating room and open up their body without chemical anesthesia, quality of focus and how we can use it in new ways so that this power that people have that they don't realize that they have mobilized in a variety of ways hypnosis is one of those ways placebos are another way to mobilize that kind of unconscious process but even for people who are big fans of the medication this is the last slide I'm going to show you about drugs, but even if you like the idea of ā€‹ā€‹antidepressants, you still have to appreciate that they are limited when I wrote the section on drugs for the Encyclopedia Britannica that I pointed to there.
There are some advantages to antidepressants when they work, which is not quite fifty percent of the time, they will help with what are called vegetative symptoms, physical symptoms, energy level, appetite, sex drive, 50 levels, that sort of thing. , but what drugs won't do because they can't. is to teach coping skills help people to be more realistic in the way they see things help people to develop better relationship skills than the quality of information processing better problem solving that is decision making how to build a network with other people when we know how important attachments are how to overcome your history of adversity how to build a realistic and motivating future drugs can't do these things so the purpose may be to talk about this tonight is let's get started to change the momentum again let's stop looking for biological miracles i say this and see if time proves it true but i will put on record that there will never be a drug that will cure depression any more than there will be a drug that will cure poverty or child abuse is the wrong lens for the problem cannot be solved medically a social problem and when we strive to do is help the people to acquire the skills now we can start to get more specific about that, well this is the current state of affairs, the World Health Organization monitors health conditions around the world, recently stated that depression is the fourth leading cause of suffering and disability and predicted that by 2020 it would be the second. which i meant when i said at the beginning that depression is increasing in every age group so when we look at the social side of the equation it's easy to appreciate what happens in relationships we are hardwired to be social our brains are hardwired to be social one of the first things a newborn learns its biological pattern recognition of how to recognize faces why would evolution require us to make facial recognition one of the first things if not the first?
We learn that social is a funny thing early on well on a more practical level look at how often other people are the source of our problems the rejections we deal with the losses the betrayals the humiliations the abuses all the things that can go wrong when relationships are dysfunctional or when relationships don't work very well now obviously these are all social phenomena one of the things that i college II was challenged in a new way the field of psychology a psychologist named Martin Seligman who spearheaded a movement that has It's come to be called the positive psychology movement, but instead of focusing on what's wrong with people, how can we focus on what's right with people? which lists all the strengths and virtues of human beings, so they compiled one and made it national.
They represent 34 different cultures. ted to see what represents the best of the human experience and interestingly, when you look at the list of human strengths and virtues, it includes things like honesty, compassion, generosity, self-sacrifice, isn't it interesting that when we look at what it's the best things that people can do that happen in the context of human relationships that the best strengths we have potentially come out in how we treat other people best or how often I treat and other doctors treat pain of people's misperceptions about relationships seeing rejection when there was no feeling excluded when you really want to exclude it the kinds of misinterpretations of other people's feelings and reactions and that you really understand other people very well in part because the mood of the car serves as a social filter and by that I mean the state of mind you are in influences the the quality of your judgment when you are in a good mood you think your child is wonderful very energetic when you are in a bad mood you think of Ritalin when you are in a good mood you think your partner's sarcasm is funny when you are in a bad mood you think it is bad when you're in a good mood it's thrifty when you're in a bad mood it's cheap even something like humor it's mood to panic you know when you're in a good mood things are funny when you're in a good mood things are really funny when you're in a good mood fantastic mood is fun, but when you're in a bad mood, not so much humor is one of the first victims of depression, so the fact that we make these judgments filtered through our mood obviously has consequences about where this relationship is headed.
Wow, but this is one of the things that comes out of positive psychology research, regardless of culture, people who have positive relationships, including what they themselves do much better in terms of mood and health, here's a study that was published, is what does this study show UC Berkeley and the University of San Francisco analyzed data from nearly 17,000 people looking at all-cause mortality over time. Isn't it interesting that social isolation predicted nearly equal mortality for men and women and social isolation matched smoking as a risk factor in terms? of health and mortality we need people we need to be in relationships with people and the idea now is how do we do it skillfully because that's exactly what depressed urination doesn't do it hurts their relationships they drift away they get so wrapped up in themselves that they forget what they it means being part of a system, well, these skills I keep talking about are vitally important, so when we look at the social profiles of depressed people, their social skills are harder to start conversations with. what to reveal people find it stressful to have an interaction less close relationships that's interesting for a very simple reason is that the people in your life that you can open up to and share perspective that has the ability to correct you when you're wrong than when you say so It's how I see it, you wait for someone else to tell you and I don't think you're right about that I think there's another way of looking at it Less elaborate social networks Less rewarding relationships Less social contacts That's interesting there's a newspaper for those of you who have traveled to the United States and stayed in a hotel probably saw USA today newspaper it's kind of a summary newspaper it's not an in depth newspaper but they do have a regular feature called snapshots where they poll Americans to find out how they are doing feel or how they act in different ways in 1990 asked that americans wonder how often v socially with other people how often they go out for a beer or a cup of coffee or something like that in 1990 the average respondent said they see other people socially six times a month and repeat the survey 10 years later in 2000 in 2000 the people said they saw other people socially on average 1.5 times a month 2010 most recent survey less than 0.8 times a month on average people increasingly caught up in their own lives less time available to other people less social contacts it's like little by little people become more isolated and the problem with isolation to put it bluntly is that when you're alone you're stuck with what's in yourhead and what if what's in your head is wrong or depressing and you don't have a chance to expose it to someone else and correct it or affirm it in the same way depressed people get less social support if you break your leg people he will bring pizza and beer you get depressed people don't I don't want to be around you.
Many of you like to be around depressed people. Depression drives people away. It does not bring them closer. It makes people angry. If they are not even supportive the second time or the third time they throw their hands up, it has a very negative impact on relationships, as I have already alluded to, more marital problems, more family discussions, more pessimism about the future of the relationship, then the quality of their relationships. as i point out it's clearly a significant predictor of your depression why is it so important for people to get training in social skills and especially obviously i'm talking about younger kids being able to go to school if they have little kids at home , this is the time for them to start to really develop social skills, now put it in context, we are: tonight I'm mainly talking about adults who are depressed, what you may not know is that depression does not usually exist. by itself most people who suffer from depression also have another co-existing disorder this depression is in clinical terms a highly comorbid phenomenon it has co-existing disorders the most common of which is anxiety d isorder it is now only in the last few years where we have studies longitudinal or long-term to look at question onset when people are both depressed and anxious: those just come together at the same time and it turns out that the answer is typically no anxiety. precedes depression by an average of seven to eight years now think about the implications that here is this eight year old already displaying social anxiety this child is at elevated risk of becoming a morbidly depressed adult and you can see the divide in the parents bring the lucky child and the mother says that I am very worried about my son and the father says that he is fine he will find that he is young he will be fine now that is a curious question you see this child who is anxious Who runs the risk of eventually becoming a depressed adult?
What should you do? Should we give this child some treatment? Should we take a step back and not pay attention to it and just wait for a young man to sing it? my son does not want this child to receive treatment as soon as possible learning to control his anxiety is one of the best prevention tools to eventually become depressed to be able to prevent that as well as possible so that we have preventive opportunities we can do more to assess anxious children we can do more to screen women who are at risk for postpartum depression or postpartum depression we can do more to build social skills and problem solving skills in schools and start training kids early on for me this is the most rewarding part of my life when I started studying depression I hoped to make a contribution to the world of treatment, but the more we learn about the patterns of depression, the same kinds of things that I'm talking about tonight, about coping skills problems, coping skills, relational skills, etc., the more we have learned that when we teach people these skills, it not only has treatment value, but it also has prevention value, so we've actually been going to schools to do what I'm talking about teaching kids. s that they are eight years nine years ten years old the kinds of problem solving skills and social skills and then tracking them for years and it's remarkable that five years later, seven years later these kids learning some of the most basic skills have less less than half the rate of drug abuse less than half the rate of alcoholism less than half the rate of teen pregnancy when you're 13 and have a baby your life will never be normal to be able to prevent that and for me that's what which is so encouraging about all of this that at this point it's fair to say that we've learned a lot about what it takes to help people if people were to just seek help and that's part of why I'm doing this so I can speak publicly or spending a year to go do interviews is that people won't look it up on their own, but if you put it in front of them, most of them will look for help, so it's really worth putting it out there. people's disposition and that's really why I'm here ok let's be specific About when I talk about social skills what am I really talking about just a quick refresher so these are two books that I wrote for the public In general, most of the books I've written are for professionals, but this has been part of the month. of the challenge for me, how can I take this large amount of information and turn it into something that is good for self-help?
First, the mistake people make is thinking that other people are just like them. i don't care what you care about they do care about things you don't care about you can't use yourself as a point of reference this is one of the most common relationship problems this is how i feel so you you should feel the same the way you don't feel the same the way i can't have a relationship with you it's just not an effective way to do things realistically learn how often it happens that people walk in sit down and tell me how deeply disappointed who are in this bag they want to say things about this person that this person is not going to give them they want this person to be faithful this person is not faithful this person is a sexual opportunist they want this person to be honest this person cannot be honest you say what is convenient what is true they want this person to be able to commit this person cannot commit beyond himself he is committed to his own well-being so when he s how do you assess someone how do you determine who this person is and what they are capable of doing to know if this person can do the things that I need them to do and the reason why it is particularly important is when we look at which individual factor most predicts the satisfaction in a relationship the answer is how well this person lives up to the things you want them to do it's about how well this person lives up to your expectations but of course the key question is what happens if your expectations they are not realistic this is what he looks like in cartoon form he says if you really love me you would win the lottery he looks quite unhappy and seems to have no idea his expectations are completely unrealistic.
I come across versions of this all the time. the anger and the hurt come from the fact that they have these unrealistic expectations that they don't know are unrealistic and then they feel hurt that the person doesn't measure up one of the most important things is this message of learning to act on what What happens to people who are prone to depression is that they give up so quickly when they run into a bit of difficulty it's a pattern called low frustration tolerance and that ability to take action cannot be overwhelmed by people who they do it that people who do better in life people who do better in therapy people who recover better from depression or people who are active on their own behalf is one of the problems with medication think about the message here take a pill l you don't have to learn anything you don't have to change anything you don't have to develop new skills you just have to take the pill on time what kind of mens aje is that and in particular this talks about what is called a coping style how you deal with problems when you face them and what we are always trying to teach people is to be a better problem solver handle things directly the problem is that depression-prone people don't do that they typically use one of these other two avoidant coping styles, which is exactly what you'd think it is: the person sees the problem right in front of them, so they go elsewhere , this is not how problems are solved and the other is ruminating, facing the person thinking and analyzing. and thinking and analyzing and thinking and analyzing instead of taking effective action now this is interesting when we look at the failures of people who are more active and what they decide is a reasonable solution this is not a reasonable solution that is not one of the seven you know alcohol is a bad drug if you are prone to depression if you are depressed but even if you are in between episodes or just vulnerable to depression i can absolutely save you alcohol is a bad drug aggravates the same neural pathways that depression is a depressant makes things worse but by definition it's an avoidant coping style you don't like how you feel so you're going to drink makes things worse instead of better and there's plenty of evidence that it's true just something to think about so, what do I mean by rumination?
Constantly focus on how bad you feel. Reflect on why you feel so bad. Talk to people about how bad you feel. if it's always going to stay the same, the interesting thing is that rumination predicts depressive symptoms higher levels of depression higher levels of anxiety symptoms and that's one of the things about the anxiety side of the equation why d people will get depressed they drink because alcohol helps them to be anxious side of the equation again one of the best reasons to want to learn hypnosis hypnosis visual mindfulness hypnosis is any of the techniques that keep focusing and relaxing to be able to drive straight instead of taking drugs or eating large amounts of chocolate, so for many people of course it may seem counterintuitive, but what I am literally saying is that there is a danger in overthinking there is a danger in overthinking if all of you are running around and it's really not going anywhere This is what it looks like in cartoon form It says I'm a typical Jungian archetype that shows a variation of the Apollo Daphne complex with repressed delusions Says just a guy from Omaha now if you look at the question who is at higher risk for depression she doesn't seem as deep he doesn't seem so superficial his risk factor is much higher than the of him then it is true Soc Rates said the unexamined life is not worth living.
Thank you. It's just a very important part of the overall message. The important thing is to take sensible measures. Timely action on your own behalf. The problem arises when people do not know what measures to take. that's the value of talking to a professional someone who can help it's no coincidence that the people who do best are the ones in more action oriented treatments sitting down and talking about your feelings is not what i'm talking about another skill learn to relax and protect the people you love, you know it happens so often that I bring spouses and kids and when I hear the kids say these are the things I literally have to turn to the parents and say, I'm sorry you're down.
I'm really sorry you're depressed, but that doesn't give you the right to say these things. Your depression will go away, but your son will hear the echoes of what you said for years. and years like me It is important to protect the people you love from your bad mood or your irritability. Clearly I am pointing out how much depression affects more than what the individual suffers from. Spouses are affected, partners or family and families are affected. Well, there's a lot more that I can say about all of this and I'm really going to close this out now that I see what time it is.
I wanted to say a couple of things about treatment, although there are three main forms of treatment, certainly antidepressant medications are the most common or psychotherapy various forms of talk therapy and self help regimens are not mutually exclusive antidepressants as I have mentioned can help with vegetative symptoms the physical symptoms but should not be a single form of treatment interesting when we look at the question which form of treatment has the highest rate of relapse of any form of treatment medication alone simply taking an antidepressant simply prescribing an antidepressant is not good for the patient a favor psychotherapy is variable it is only as good as who does it therapists vary considerably in their skills some really know a lot about depression and treat it very well some who know less obviously the implication is that you want to see someone who really knows what they are doing and the importance of the cell phone that I am literally describing as essential.
I'm going to skip this because that's really all I've been saying already. Let me close with some final slides on specific tips. things to do when you are depressed I insisted on saying that there are many illnesses in which depression can be a predictable consequence that is why the first stop should be the doctor's office to have a complete physical exam if there is anything that might explain the mood swings avoid alcohol altogether if you make an effort to learn about your vulnerabilitieseveryone is different it always amazes me how little people understand themselves To know your vulnerabilities, I live in Southern California where the climate is a little different than here. a man comes to see me he is in the navy he is in uniform he sits down he says i am so depressed i said well tell me what is going on she says well the first thing you should know about me is that i am a free spirit my soul is destined to roam the universe , but in a wave of financial security, I decided it would be great to get a paycheck every two weeks, so I joined the Navy, what is a free spirit?
Now he feels like he's wasted three years of his life that he has and he's miserable about it, but this is one of the things I run into all the time, people putting themselves in situations where they just don't belong, you're not you, it can be how you want them to see yourself. but honestly it's not who you are you have to know pretty well it's like every New Year's Eve party and people will say party 5000 people getting drunk running around naked come on I don't want to go to a party with 5000 people getting drunk running around naked I want to be with two good friends but i need to know that about myself instead of going to a big party and then hating myself all night for going why am i here why am i such a coward why didnt i say no why didnt i say i was sick what what am i doing here why i shouldn't be here is people i should get along with people i don't want to be with people and don't worry all the things that drive you absolutely crazy part of knowing yourself well enough to say i can be in this environment I can't be in that environment I can be around these types of people I can't be around those types of people I can work for this type of organization I can't work for that kind of an organization and that's part of the art of building your life being content is sitting situations that amplify your strengths and help you better manage your vulnerabilities all the other skills that go with this you know mentioned sleeping very fast yes it is one of the things about the modern world and the 24/7 internet and texting and everything else sleep is getting harder for people to sleep is the new sex everyone wants it and no one has enough of it so it's one of those things paying attention to sleep and being able to create it makes a huge difference not just a huge capacity for depression but this is the part we haven't figured out yet there is a very strong relationship between the quality of your sleep and his vulnerability to relapse so that's definitely something we want to pay attention to other things to do challenge himself the danger is what's in his head the problem with depressed people is that they think things and then make the mistake of believing themselves, it is one of the most important skills you can develop in life is asking yourself how do I know to exercise regularly in the same way that a sense of humor is a victim of depression then it's fun you know how you tell someone who's depressed hey let's go to the movies no I'm too depressed come on let's go to a concert I'm not too depressed and then little by little your world gets smaller and smaller until the Depression suffocates them and part of what happens with depression is that people want things to be that deep.
When I work with couples where one or both of them are depressed, it's one of the chores. I give them regularly. I want you to go somewhere for the weekend. You are absolutely forbidden to talk about anything important. like superficial is a bad thing but it's what you say to depressed people so how you like this weather and they roll their eyes, superficial is relationship fat so you can ask people, how do you eat your weekend is ok not a deep question but it connects people superficial is not a judgment the fact that you are capable of being deep great but not everywhere not all time. the value of techniques like hypnosis and the importance of becoming more goal oriented much of the way people learn to trust themselves is when they are able to set realistic goals identify the steps and move through them get out there other side and they say to themselves me like the way i handled that is valuable and being able to be a good problem solver get help when you need it here are some tips on how to know when you need professional help or the more extreme of course is the suicidal tendency, knows that suicides have been called the permanent solution to a temporary problem getting out of is worth dying for learning to solve problems a little better than killing yourself when you feel stuck as sure what to do when you don't have people around you for a reality check before it becomes a crisis and if you have important decisions to make and you don't want depression to influence in the quality of your decision that really helps to have someone else to talk to about it and certainly from a socially responsible side of the equation if you know your depression is hurting other people the only thing you can do with any integrity is getting help limiting how much you hurt the people around you all of these things lead us to so if you're going to get help we want to make sure it's someone who's reputable, has the proper training and background, is current and up to date your knowledge, someone who will push you, knows not to sit around talking about your feelings, is not what therapy is about. people feel better, that's easy, people feel better, a little harder, someone who also recognizes their effect on others and talks to other people in their sphere of influence and obviously some. someone who is regularly available to teach you the skills will give you the information all these highlights be proactive and do something different so i'm glad i was able to do this i want to open it up now for your questions

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