Depression is a disease of civilization: Stephen Ilardi at TEDxEmory


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 don't think it's completely fair to blame "civilization". There's a lot good about modern life and civilization, it's just that many things have been overlooked and left behind in our pursuit of improved standard of living. The solution is not to tear down civilization and go live in a mud hut in the forest, it is to catch up on that which hasn't been able to keep up. We need to change parts of our society so that we can exercise more and have more time for relaxation and mindfulness. When we reach that balance, we can continue improving our living standards while making sure that nothing is left behind again.

  2. People Don’t Want to Kill Themselves They Just Don’t Know How to Kill the Pain!!!!!!!!!

    Every Thunderstorm Runs Out of Rain!!!!!!

  3. the reason of all cruel and bad things in life (illnesses,war,death) ist money – think about it. the human being likes it comfortable, so it does everything , to dont do the hard things in life, now even it cancels meeting talking with real people in life, switching it with screens like he says. thats why all the mental ilnesses will increase in the future

  4. Depression truly haunts me. It is truly a demon. In my life. For 10 years. 9 years- i dont feel the same about life anymore- ❤️✨

  5. I am 57 and I've been depressed since I was a 12 yo boy. Earlier in life
    I was active. A musician. I had lots of acquaintances, friends, I
    worked so very hard that I should be a billionaire (LMAO). Still
    depressed, I worked through it some how. 8 years ago my body began to
    retaliate. My spine is wrecked. Today I am so very very depressed. I
    have isolated myself from society. I can't stand every doctor that I
    meet, and everyone's a doctor. I cannot exercise without exacerbating
    the pain. Also, my B/P tends to jump to an extreme level when I do
    almost anything or my anxiety runs high. I have seen a reading of
    294/153. Daily I wonder why I have not had a stroke. I am and have been
    at my wits end. It is difficult to carry on. I wonder how much longer I
    will try.

  6. The tribe he's talking about probably has a lower depression rate because they have no choice but to do all the things necessary to survive. They don't have stocked refrigerators or band-aids, weather warning systems, or mass produced tools and weapons. They have to do it all and do it all the time. There is no time for depression to take hold when one is working and moving all day to fulfill the base needs of survival.

  7. What if you live with someone who has depression,and they copy what time you get up,what time you eat,trying to control you into doing what they want,

  8. And because of modern medicine there is no more natural selection. What's weird in a does not seem best for the species is how the People that reproduce the most are not the smartest or do not have other good traits like determination and hard working.
    The drug thing is a completely different situation. Doctor insentives, drug R&D, FDA approvals, culture like simplest, easiest fix and view that some drugs are good and others are bad even if effect the same system and chemically similar, etc.
    The too clean theory of allergies seems just like this our body is not adapted for this lifestyle

  9. The invention of the clock has destroyed the people in society.

    Daylight Saving Time does even more damage. Abolish it!

  10. The feelings of worthlessness, hopelessness & helplessness are crippling; just have to deal with them or not….

  11. What do you do when someone uses their depression for sympathy ? No, it's not me, but I want to help someone but keep getting the door slammed in my face. I can see how they are using their illness as an attention getter and as a sympathy kick…..and I am ready to give up on them

  12. I love this. This inspired me to go work out. I've been taking antidepressants for 7-8 years now and I'm only 22, went off them for a couple months, became suicidal, went back on and became stable. Not sure what to do.. I am ready to try everything to avoid becoming suicidally depressed again. I get bad days are normal, that is fine with me, depression is days and weeks of pain- exactly like he said!! I love people who understand mental illness is a very real thing and we are not just trying to "victimize" ourselves!! I want to be strong! 🙂

  13. There is no cure for depression in a hopeless society of debt and exploitation. Being forced to watch while you are eaten alive for twenty years until you die isn't a situation that should be lived with let alone adjusted to. They need to legalize euthanasia for people who are caught up in the hopeless situations that look so good on paper but create impossible situations for real people in the real world.

  14. Anger turned inward.
    Self centeredness.
    Selishness.
    Those are the roots.
    Depression and bipolar are medical terms for spoiled brat.

  15. Don't do it!! You are not going anywhere on that thing👍🏻👍🏻🤣🤣🤣🤣🤣🤣 that is exactly what my treadmill says to me all the time

  16. Diet is a huge factor. Standard American Diet is very inflammatory. Try decreasing vegetable/seed oils which are high in omega 6 and decreasing sugar and complex carbohydrates like a ketogenic diet which is anti-inflammatory. Taking 1 or 2 omega 3 fish oil pills cannot compensate for the huge amounts of omega 6 in the SAD diet so you need to decrease the omega 6s to improve the ratio. This includes minimizing processed foods which generally contain these seed oils. The driving factor behind the majority of the diseases of civilization are hyperinsulinemia and inflammation caused by carbohydrates and processed foods. Eat real food!

  17. I completely blame pop culture and social media for destroying the younger generation.. living their lives through lies and a false reality. Always plugged in and enthralled with others lives instead of what's right infront of them

  18. He is right it's not depressing to watch this. I honestly got inspired I have suffered from depression and probably still do. But I refused to take pills. I tried lots of different anti depression medication and it made it worse much worse. I was tired angry like a démon. Now without i am more active but still struggling but much less.

  19. You can say almost anything isn’t natural. You can say that animals that walking isn’t natural and we are animals. Our body needs to exercise or we will die. He basically just implied that moving isn’t natural. Because our body needs some kind of movement to physically achieve our goals.🤦‍♂️ Let’s say if I wanted to hunt down that lion and eat it. How would any animal approach it?? By moving. now when you take a mouse and force it to walk that’s unnatural right there. Because it doesn’t have desires to walk like us. What is unnatural to be exact. It’s something that’s not supposed to be happening. And tell me if monkeys don’t walk sometimes or maybe they’ve seen humans walk and try to imitate

  20. ……. SMART LECTURE …. SO OBVIOUSLY PROVEN ……! THANK YOU
    DR ILARDI …. TEDX TALKS! WHEN IN DOUBT??? "NATURE" …. "NURTURE"
    ……. LEAVE THE PHARMACY! ……

  21. Depression is a side affect of a highly evolved conscious, animals don't get depressed because they don't have the Yang side of the brain, all animals are running on animal auto pilot. Humans have AWARENESS which is both a blessing and a curse, so I deal with my depression by having it ,and not letting it have me , in other words I see it as a separate side of me and do my best to keep it in the back-seat and not the driver's-seat . Hope this is helpful , there is a lot about our external lives that is negatively contributing to depression.

  22. When you feel like almost all the organs inside your body is sinking to its depth; almost like gravity wants to absorb you into the ground and whatever you wanna feel or do, none of it matters; that's what depression feels like.

  23. Says the person without depression.

    Just kidding. Not having depression doesn't mean you can't meaningfully discuss it.

  24. We have high gas bills high poverty rents outrageous for a single bedroom home i cant account for other countrys but in the usa we are killing our selves with worrie wer depressed because we have to work hard to make money to pay bills and food prices keep going up its because that tribe dosent have to worry about rent and such they arnt exsposed to the the modern world id love to know what thats like im 23 and have high functioning anxiety, clinical depression, and PTSD. And iv tried at least a few suicide attempts we need to enjoy life but you cant when your a cog on a fast turning machine that never stops moving we feel a need to fill an emptiness that will never be filled we want the newest hotest trends working our life away for nothing we are mudering the human race

  25. “Before you diagnose yourself with depression or low self-esteem, first make sure that you are not, in fact, just surrounded by assholes.” 
    ― William Gibson

  26. I don't want to feel like this anymore! I struggled with depression before the significant loss of mobility…Now I feel I'm not contributing to family or society. I'm young looking, still carry a bit of professionalism in how I act and behave…18 surgeries and holding…but for what?

  27. How can exercise if u are depressed…u have no motivation…been trying it ever since…review that part…

  28. 12 000 years ago we did not have nations or capitalism.
    I doubt that people then could ''own'' thousands of hectares of land.

  29. “No doubt, by the remembrance of Allah hearts are assured.”(Quran 13:28) Try reading Quran and being with Almighty God Allah and ask him recovery.

  30. We inject dozens and dozens of vials of proven neurotoxins into children and then wonder why we have a mental health crisis

  31. Yeah…In all of your infinite wisdom you forgot that SATAN runs this world. You also forgot that the majority of this world denies GOD and denies his only begotten son. Accept Jesus Christ as your Savior before it's too late.

  32. And they said, Believe on the Lord Jesus Christ, and thou shalt be saved, and thy house.

    -Acts 16:31

    For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life.

    -John 3:16

  33. There may be a civilization factor, but that does not explain the Kenyan Maasai youth I saw who drank cow-dip pesticide to kill himself. And, aren't more people willing to seek help and receiving diagnoses because of advances in medicine? How many new cases are simply a matter of data collection? I am clinicly depressed. I am grateful for the meds. I just find this a little misleading. Coincidence does not prove a causal relationship.

  34. Johann Hari’s LOST CONNECTIONS might be the most important book in the world right now because it details the research on exactly what isolates us.

    And then to go deeper check out Daniel Quinn’s ISHMAEL.

  35. So bad for me I'd cut my right arm off without anesthesia if I could cure my depression and insomnia people say I know what your going through Noooo you don't drugs don't help ambien gives me sleep but wakeup with hangover and so on and on!

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

  37. 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…

  38. 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 🙏

  39. 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.

  40. 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

  41. 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,….

  42. 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…

  43. 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.

  44. 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.

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

  46. 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.

  47. What if you're introverted and do not enjoy social situations? I understand the need to do it, like exercise, but I'm usually more anxious afterwards rather than relieved as in after exercise.

  48. 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.

  49. 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

  50. 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.

  51. 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

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

  53. 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!💯💯👍👍

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