Overview of Depression Recovery Seminar

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Transcript Overview of Depression Recovery Seminar

Nedley Depression and
Anxiety Recovery Program
THE POWER OF THE BRAIN
DETAILS OF THE HUMAN BRAIN
The most complicated structure
ever investigated by science
• 100 billion nerve cells
• Even more supporting cells known as Glia
• Thousands of different types of neurons
 Regular neurons make 1,000 connections with other neurons
 The Purkinje Cell can make 200,000 connections
 There are an estimated 100 trillion synapses in the brain, but it is
conjectured there could be 10 times more
Mind Character Personality Vol 1
Page 4
• “To deal with minds is the greatest work
ever committed to men.”
Depression is Increasing
• The number of people
developing depression
worldwide has steadily
increased since 1915.
• Major episodes of
depression now occur
frequently by age 25.
• Overall risk of
depression has
increased over time.
How Can I Know if it’s Major
Depression?
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Cannot have recently faced obvious emotional trauma but still
experiences at least 5 of the 9 symptoms for at least 2 weeks.
Deep sadness
Apathy
Agitation
Sleep disturbances
Weight or appetite
changes
Lack of concentration
• Feelings of
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worthlessness
Morbid thoughts
Fatigue
Subsyndromal Depression = 2 to 4 symptoms for 2 weeks.
Depression Increases Risk of
Death
• Increases risk of stroke by 50%
• Increases risk of sudden cardiac
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death in post-MI survivors by
2½ times
Increases risk of heart disease
in men
Increases risk of death from
cancer
Increases risk of death from
pneumonia
Increases risk of suicide
Journal of Epidemiology. 1997;7:210-213.
British Medical Journal. 1998;316:1714-1719.
What About Suicide?
• Over 1 million people commit suicide
every year in this world, and number is
going up, one death every 40 seconds
• Rates in South Africa 14th in world
• Two per hour, 20 or more attempts per
hour
• Feelings of hopelessness is the best
correlate of imminent suicidal action
• Other factors are impaired judgment or
coping skills, impulsivity, isolation,
history of mental illness
Effects of Depression
• May cause a chronic
headache
• May cause osteoporosis
• When combined with
stress, increases risk of
HIV progressing to AIDS
• Increases risk of return to
addictive behavior such as
drinking
• May increase problems
with anger or hostility
Archives of General Psychiatry. 1998;55:259-265.
American Journal of Psychiatry. 1997; 154(5):630-634.
The Journal of the American Medical Association. 1998; 279:1720-1726.
Effects of Depression
• Increases risk of developing asthma
• Increases chance that offspring will suffer
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depression and physical medical problems
Increases rate of decline in physical
abilities with age
Increases stress hormones
Decreases sex hormones
Decreases CD8, Increases IgA, Decreases
IgM, impairing immune system
Decreases memory
Archives of General Psychiatry. 1998;55:259-265.
American Journal of Psychiatry. 1997; 154(5):630-634.
The Journal of the American Medical Association. 1998; 279:1720-1726.
The Cost of Depression
• Lose 5.6 hours on average of productive work
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per week.
80 percent are impaired in daily functioning
– less ability to concentrate, lower efficiency, and less
ability to organize work
• Over twice as likely to take sick days
• In one study, the costs of absenteeism were
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directly related to taking antidepressant
medication
Depressed people are seven times more likely to
become unemployed
Stewart, 2003; Pratt & Brody, 2008 Adler, et al., 2006; Greener & Guest, 2007;
Birnbaum, et al., 2010; Dewa, Hoch, Lin, Paterson, & Goering, 2003; Lerner, et al., 2004
The long-term effects of psychological
problems during childhood
• Children were followed for 40 years to determine
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the effects of illness and psychological problems
on their life chances
Seven fewer weeks of work per year, a loss of
35 percent in lifetime income, and a lifetime loss
for each family who has a depressed family
member of $300,000
Personal loss (on average) of $10,400 per year
in income by age 50
The cost for the total group--over one's lifetime2.1 trillion dollars which does not include the
increased cost of medical care that all of us
must assume.
Smith, J. P., & Smith, G. C. (2010). Long-term economic costs of psychological problems
during childhood. Social Science & Medicine, 71, 110-115.
Number One Cause of Disability
Worldwide
• 76.4 million years lost to productivity
• 10.4 percent of total burden of disease
• Far more than any other condition
Ministry of Healing 241
“The condition of the mind affects the
health to a far greater degree than many
realize.
Many of the diseases from which men suffer
are the result of mental depression.
Grief, anxiety, discontent, remorse, guilt,
distrust, all tend to break down the life
forces and to invite decay and death.”
The Journal Nature
November 12 issue of 2014
• Entire issue dedicated to Depression
• “We are doing better with the treatment
of cancer than we are with the treatment
of depression”
• Current medications have severe
limitations and are clearly not the answer
• Best medicines only improve functionality
in 13 percent of patients
• Editors make a plea for real research that
makes a real difference in treating this
disease
Causes of Major Depression
• Myriads of Causes
– Well over one hundred
• Most fall into one of ten categories
• Depression is most often a multifactorial
disease
– Usually four categories of causes or more
combined
The Ten “Hit” Categories
1. Genetic
2. Developmental
3. Lifestyle
4. Circadian Rhythm
5. Addiction
6. Nutrition
7. Toxic
8. Social/Complicated
Stress or Grief
9. Medical Condition
10. Frontal Lobe
Winter Depression
• 96 patients were randomized to receive
light therapy plus a placebo capsule or
placebo light therapy plus Prozac (20
mg/day) for 8 weeks.
• The clinical response rate in each group
was 67 percent.
• Further analysis indicated that light
therapy provided a quicker initial
improvement.
RW Lam American Journal of Psychiatry, May 2006
Omega 3 Supplements Help
Manic Depression
Patients receiving omega 3 supplements “had a
significantly longer period of remission (from
illness) than the placebo group.” Patients
receiving omega 3 supplements also displayed
considerable improvement on tests assessing
levels of depression and other bipolar
symptoms.
In an editorial, Dr. Joseph Calabrese and
colleagues at Case Western Reserve University
in Cleveland, Ohio, call the trial a “landmark
attempt in drug development for bipolar
disorder.”
Archives of General Psychiatry 1999;56:407-412,
413-414, 415-416
Fish High in Omega 3
Fish
Amount
Omega-3 (mg)
Drum fish
1 ea.
810
Tuna (in water)
1 serv.
930
Rainbow trout
1 ea.
1180
Freshwater bass
3.5 oz
1190
Pink Salmon
3.5 oz
1710
Herring
3.5 oz
3000
Halibut
3.5 oz
3160
Shad fillet
1 cup
3680
Atlantic mackerel
3.5 oz
3930
Biomagnification of DDD
Insecticide
Sample Site
DDD, ppm
Lake water
0.02
Phytoplankton (living in DDD-contaminated water)
Herbivorous fish (they eat the phytoplankton)
Carnivorous fish (they eat the herbivorous fish)
5
40-300
up to 2500
In parts per million (ppm) in Clear Lake, CA
Mercury and Fish
The connection between eating fish and
body mercury levels is so strong that
researchers seeking to determine mercury
exposures among groups of people often
look at only one dietary factor: fish
consumption.
(1) Levy M, et al. Childhood urine mercury excretion: dental amalgam
and fish consumption as exposure factors. Environ Res. 2004
Mar;94(3):283-90.
(2) Bjornberg KA, et al. Methyl mercury and inorganic mercury in
Swedish pregnant women and in cord blood: influence of fish
consumption. Environ Health Perspect. 2003 Apr;111(4):637-41.
Plant Foods Containing Omega3 (Linolenic Acid)
Food Item
Flaxseed/Linseed oil
Chia Seeds
Walnuts, English
Walnuts, black
Wheat germ oil
Soybean oil (Crisco/Wesson)
Green soybeans
Spinach canned
Almonds
ESHA Research 3nd Edition 2000
Amount
1 Tbs.
1 Tbs.
¼ cup
¼ cup
1 Tbs.
1 Tbs.
1 cup
1 cup
¼ cup
Omega-3 (mg)
7526
7289
1703
1034
938
927
637
353
136
Hypercholesterolemia and
Depression
• Patients with major depressive disorder
(MDD) tend to have significantly higher
cholesterol levels than healthy adults,
• MDD patients with elevated cholesterol
have a poorer prognosis for treatment
response.
Papakostas GI, Petersen T, Mischoulon D, Hughes ME, Alpert JE, Nierenberg AA,
Rosenbaum JF, Fava M. Serum cholesterol and serotonergic function in major depressive
disorder. Psychiatry Res. 2003 May 30;118(2):137-45.
Cholesterol in Foods
Items (3 oz.)
Chol. (mg) Items (3 oz.)
Fruits
Grains
Nuts
Vegetables
0
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0
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Milk, non-fat, 1c
Milk, 2%, 1c
Milk, whole, 1c
4
18
33
Chol. (mg)
Egg White
Mayonaise
Ice Cream, 1/2c
Butter, 1 Tbs
Egg, 1 large
0
8
29
31
213
Tuna
Clams
Crab
26
57
64
Cholesterol in Foods
Items (3 oz.)
Chicken breast,
no skin
Pork
Beef, sirloin
Chicken breast &
skin
Oyster
Sardines
Chol. (mg) Items (3 oz.)
73
76
80
82
84
120
Shrimp
Beef kidney
Beef liver
Caviar
Beef brains
Chol. (mg)
165
329
410
500
1697
Vascular Damage from
Oxidized Cholesterol
Oxidized cholesterol fed to rabbits and monkeys
produced dramatic vascular damage within 24
hours.
Pure, non-oxidized cholesterol produced
no vascular damage.
Foods Containing Harmful
Cholesterol By-Products
Sources of the most harmful cholesterol to monkey aortas are:
1. Custard mixes
2. Pancake mixes
3. Parmesan Cheese
3. Lard
“Especially Harmful”
“Especially harmful are the custards
and puddings in which milk, eggs, and
sugar are the chief ingredients. The
free use of milk and sugar together
should be avoided.”
Ellen G White. The Ministry of Healing. Pg. 301.
Research in the 1990s and 2000s
It is now well established that one of the
main characteristics of virtually all
depressed individuals—no matter what
the underlying cause—is a significant
decrease in the frontal lobe’s blood flow
and activity.
Spect Scan
What Really
Comes First?
Drevets presents
compelling
evidence that
frontal lobe
problems are the
cause,
and the effects are
depressive
symptoms.
General Treatment Measures
• Just as many beneficial treatments as
causes
• Although many of these modalities
rigorously tested and proven, most not
utilized in standard practices
• Began utilizing these measures with
wonderful results
What we think affects who we
are.
Patients Improve
• Once the program utilized began seeing
unprecedented improvement in many
patients, some who had been chronically
depressed for years
• “You’ve given me my life back.”
• “You’ve given me my wife back.”
• “Doctor, I hope you don’t mind, but I’m
going to hug your neck!”
Medication Withdrawal
• 90 percent success rate in those who
adhere to the program
• Such patients often feel better than they
have felt their entire lives
– Getting more done
– More efficient
– Social problems vanish
– Able to concentrate and accomplish advanced
planning and thinking
Depression Recovery Seminar
• An eight week seminar
– One night each week
• Depression—the Way Out (Nedley) textbook
• Accompanying Work Book
• Telling Yourself the Truth—William Backus
• SOS for Emotions—Lyn Clark
• The Lost Art of Thinking—Neil Nedley
• Brighten Up Breakfast Cookbook—Erica
Nedley
• Get trained at drnedley.com
Don’t Wait for Depression’s
Complications
• Learn the principles of optimal brain
performance
• Learn how you can change your brain
• Learn to recognize distortions in thought,
and how to change those thoughts to non
distorted truthful thoughts
• Make the choices that will positively
impact your emotions, and behavior, and
your life longterm.
For Seminar or Material Information
• When and where a seminar will be held in your
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area
How to purchase the book, “Depression—The
Way Out.”
How to get the 8 part video series “Depression
Recovery with Dr. Neil Nedley”
How to obtain CD-ROMS, presentation materials
and other health materials.
Toll Free 1-888-778-4445 or outside the U.S.
580-226-8007
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