Elisa's Major Depression | Dr Syl's Analysis
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- Опубликовано: 2 июн 2024
- Please note there is discussion about suicide in this video which may be triggering to some viewers.
In this video Dr Syl watches and responds to the video titled: Living with Severe Depression (Life After a Suicide Attempt) by the channel Special Books by Special Kids. Dr Syl reflects on the symptoms of depression, the challenges in treating it in hospital, the heartbreaking importance of suicide awareness and more. There are some warm and happier moments too.
Video link: • Living with Severe Dep...
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. If anything in this video was distressing please consider calling LifeLine 131114 **
Timestamps
00:00 - Introduction
01:00 - Reaction 
Кино
As far as mental illness metaphors, I've always thought of mine as a river. I have chronic depression with recurrent major depressive episodes, so some days it's just water twisting around my ankles and sometimes it's like drowning. Cold and dark and hard to breathe. Luckily it's something I'm proficient at coping with, but it's been around for years.
I'm the same way. And I think of it kind of the same way except as an ocean where its calm and everything it okay but then it becomes overwhelming and all consuming.
@@karalong4887 @caecandy I really 'like' these descriptions. They remind me of a poem I read awhile back, probably on Instagram. I thought was such a good visual description, it automatically makes you empathise. And it points out the importance of reaching out (from both sides); sometimes people are screaming for help and compassion... without literally doing so. Wishing you both the best. ((( hugs )))
Imagine-
Being dropped into the middle of
the Pacific Ocean after sunset.
Unfortunately, tonight the moon refused
to rise. The weather is unmerciful, and
it’s pitch black. The waves are crashing,
and there are no stars in the sky.
You have one thought in your mind:
if no one finds me tonight, if no
one saves me… I may not survive.
This is what depression feels like.
inkedneat
I have major depressive disorder and I went to the hospital for having suicidal thoughts. One of the doctors that was there to “help” made me feel crazy. The first time he came to talk to me he brought students into my small room to watch me and didn’t even ask if I was ok with that. He then started to kind of interrogate me. It felt like he was belittling me in front of all these strangers and the room felt like it was closing in, it was so suffocating. I cried when he left because I felt so alone when he was attacking me, humiliating me even. He even told me it wasn’t normal to be sad or depressed once in a while. Worst experience of my life.
Sorry, this video just made me think of that and wanted to share…
I came to describe my depressions as inner hallucination. Feeling worthless is the biggest part of depression, and I came to realise that I was not seeing myself realistically, in other words, I was hallucinating in an inner way. This is why it's so hard to get a handle on it, if it was more physical kinds of hallucination, you could check with someone to see if it's real.
That's a very healthy way to look at it. It's probably not unlike a delusion. When you can think about what you think, you got it made.
My friend committed suicide after many attempts to access help through Australia's mental health system. She was very clear that she had a plan and was ready to kill herself and yet the hospital kept here for only two weeks, put her on Zoloft (which she hated) and then released her. She had been to the ER many times and waited for hours, was using the CAT team, but no one seemed to be able to take it seriously enough, maybe because she seemed "normal" despite being very suicidal. She suffered from PMDD which has an extremely high suicide rate, it's something more people should know about.
I am so so sorry for your loss. I can't imagine the pain and heartbrokenness you must experience. I feel you really care and love your friend when I read your post but also the frustration she wasn't helped enough. My deepest condolences
I always describe my depression as carrying a boulder that I can’t sit down. It makes me tired. I feel physical pain. I can’t do anything but drag it along with me. I feel a heaviness that is always with me. Even when I’m enjoying myself, it’s there trying to convince me that nothing matters.
I've had depression my entire life. I usually try to hide it. What makes it worse is when I'm slipping into a depressed episode and someone says cheer up or why r u sad? I don't need a reason. It's my brain chemistry
I'm a psych student in my 3rd year, in Australia, and I am really glad I came across your content. It's really interesting to hear your opinions on these topics.
Depression is a monster. Sometimes I even feel that the real me is when I'm feeling hopeless and apatic but that in order to function I have to pretend (this idea is always in the back of my head). Anyways, I've been following SBSK for some years now, and I love your reactions of it. Apart from this, you have such a calming voice and you speak so clearly that I've started working with your videos in the background :P. And about SBSK, have you considered reacting to the latest interview of Cecilia? Moreover, she made a reaction video of her first interview with Chris.
I've had quite a few major depressive episodes. Beside medication and therapy, I've found two things that help. The first is reminding myself that every episode that I've had always ended. You feel like it's never going to end at the time, but it will. The second is using the strategy of "Fake it until you feel it." In other words, even if you don't feel like doing the things that normally give you enjoyment, force yourself to do them anyway.
I was increasingly depressed over about ten years. At first it was pure psychic pain. Then I began to lose emotional sensation. I felt cold, empty and unreal like the tin man bereft of a heart. Eventually I was prescribed an SSRI which launched a manic episode
Mdd is a pain in my mind!
Meds don’t help much.
The evolution of my depression since 2019 has been very upsetting.
Dbt therapy is probably the best therapy I have participated in.
Peace to everyone ❤
I had multiple suicide attempts and used to self harm severely (resulting in surgeries on my legs for cuts down to the muscle). Got sent to Glenside (Adelaide’s psych hospital) 10 bed unit with only 2 beds per suburb (north, west, south, east). Got prescribed fluvoxamine and all suicide and self harm thoughts went away. Would like a video on the stigma of self harm in the ED and throwing BPD labels at women who self harm rather then assessing for other things.
1 problem I have a a long term user of SSRIs is that I have tried to cut down on the medication several times, but because of the severe abstinence effects such as "brain zaps" electrical feeling especially when moving eyes from side to side, I am currently content with keeping a steady dose of 100mg of sertralin a day to avoid the effects of trying to quit using the drug.
And as to why I am taking the medication is that I've suffered from depression with self harm ( a lot of cuts on my arms ) and suicidal thoughts and tendencies.
And as you said that is correct I had worsening of suicidal thoughts when first starting the SSRI but when stabilized it has helped a lot in my case so I am very thankful for the availability of the medication.
I call my depression "the evil". It makes everything seem like a thin facade covering a deep infinite meaninglessness.
At my age, I don't attach any thoughts to the feeling like I did in my youth, so now it's just this awful feeling. Literally my brain is sick.
You explained the difference between neurosis and psychosis so simple, yet so comprehensive! Thank you Dr. Syl, continue making interesting videos on such important topics.
It’s nice to hear your commentary to this interview as a professional. Being a patient for depression myself (not as severe as described here) it’s interesting to hear the perspective of the doctor too. I would definitely like to see more content like this!
If you need ideas for more videos, I'd be super grateful for some on Autism. Specifically 'non-verbal'. Thank you so much for all your videos you make Dr Syl. You are thorough with your analysis and I learn so much from the information you share.
You speak very well, soft, and in an understanding/understandable way. I’m glad I subscribed to you. Mental health is very important. And I’m glad that the woman with depression in this video is now better, her words warmed my heart and made me smile, such positivity and truth. It’s also nice to hear a fellow Australian on youtube.
I so appreciate your channel and your videos, you always provide great insight. And yessss please do a video soon discussing the debunking of the monoamine theory of depression! I'm in a psych NP program right now and while it wasn't taught in the curriculum, many of my peers still use this very reductive "you're just low in serotonin" explanation with their patients. We need to do better at educating how multifactorial depressive disorders are.
I tried to overdose 14yrs ago while having a major dep-ep as part of undiagnosed bipolar disorder. My 25yo daughter still hates me for "not loving her enough to want to be with her for the rest of her life." It breaks my heart everyday.
I'm so sick of professionals saying that diet and exercise should be deemed essential as if so many people with mental illness don't have barriers to those things in the first place. I'm in constant debilitating pain and have a cervical spinal cord injury, I can only eat processed foods because I physically can't prepare fresh foods, and I'm unable to exercise due to the SCI and pain. I can't get help with my physical health because I can't afford home care and pain clinic won't offer any further help, and I can't get help for my mental health because I'm in crisis (stupid right?). It feels like I'm just meant to die.
Is there any way for one of us out here, like me, to contact you with topic ideas, comments and questions that we might not want to ask here? Again, you’re authenticity and kindness are, some might say, woefully rare.
Just recently started watching your channel and am really enjoying your commentary and educational tangents--I liked your neurosis/psychosis comparison. I would LOVE it if you did more psychiatry HISTORY, including how it's impacted today's norms and understandings.
**I also have a favor to ask: can you please please record your voice at a higher--much higher--volume?** Between the low volume of a phone/laptop speaker and my hearing loss, it's a real strain to hear and understand you in some vids. Bet I'm not the only one. THANKS in advance and thanks for your content!
For me depression is like an ocean, it can be calm and just lap at your feet, and then it can crash down on and almost kill you. Without my meds, I wouldn’t get out of bed.
That was a sweet video. Glad to see that she's doing well, and I'm glad she didn't need to say that mental illness isn't a part of her life anymore.
These interviews are great . Please keep them up.
I am so happy that you are brining such great awareness to SBSK. :)
Thanks to you and those who bring light to this issue. Love your voice and enjoying watching this channel as it’s been an interest of mine. Learning.
I would be curious to hear how you feel about what is happening in Canada with mental ill patients being giving assisted suicide? I pray you and other drs and family members can push back against that happening in your country as this should never be an option especially for mentally ill. What’s truly sad is while
They use to notify family members but now they don’t. I will let you research this. Saw a couple
Of videos on it. Prayers for those in this profession and those who suffer and the family and friends.
Hi Dr Syl new to your channel! Thanks for doing this episode. I myself have MDD which came to a head when i stopped taking cymbalta at a high dosage (taken for chronic pain not depression) I then quickly spiralled and tried taking my life a couple of times, got sent to multiple psychiatric hospitals where no medication would work and had stopped eating and talking. While as an impatient at one of these places (here in Australia) they ended up doing electroconvulsive therapy ECT. This got me to talk and eat again however has really affected my memory even years later. I still struggle with chronic depression but I try my best each day. I guess I just wanted to say to anyone who is reading this please be very careful when coming off any antidepressant and please ask about tapering down your dosage safely because in my situation this could have been avoided had i been told to do so. Sending much love to everyone ❤
I actually liked you getting off topic haha that sounded interesting. Thank you for helping us understand these topics.
Thanks for the good info about the SSRIs.
Just discovered this channel!! Such interesting topics, thank you🤗
Thank you! I’ve been so lucky to have lots of new subscribers this past fortnight and I really appreciate the comments! Feel free to recommend what you’d be interested to see and to share with friends :)
Thanks again ♥️
I would like to hear more about the “yoga, yoga, yoga” 😁 in treating mental illness
6:34 this was insanely interesting I love this channel
Just discovered your great channel. I have just read 'The body keeps the score' by Bessel Van der Kolk. It is a brilliant book. Thank you
What about someone with severe depression that is not a suicide risk because of fear of death?
Not going too deep, if I didn't fear the result I would've been dead a long time ago. I don't like drugs and that's the first thing my psychologist suggested but I'm nervous given how long the field has existed
My metaphor is being out in the ocean with friends. Everyone is swimming, enjoying the sunshine, possibly surfing and otherwise having a carefree time. Meanwhile, I have chains attached to my feet and can only barely hold my head above water if I'm treading water. I've gotten good at treading water and so I don't fatigue as fast as others might but even at my best moment I'm tired, I'm struggling, and I'm unable to get above the surface to enjoy the sunshine and possibly surf.
I extend the metaphor with a storm representing trauma or grief. Things like losing a job or a loved one. Everyone feels that storm, everyone has to contend with the waves and it's not easy on anyone. While others are tossed around on the surface and struggling to keep their orientation, I'm still tethered at the original height. We all know that eventually the storm will pass but a person can only hold their breath so long.
I think it's really important that people understand the difference between depression and having an appropriate response to grief. Being sad isn't the same as depression.
Being depressed felt like walking around packed in thick matrasses. Sounds were dim, beauty was absent and the weight and pressure were suffocating.
Would be cool to see you cover hyperbole and a half's comic on depression (part 1 and 2). Ive never come across anything that describes depression as accurately as it does
I would so love to see this, great idea! (MDD/ADHD/Anxiety/Chronic Pain Patient)
I describe like being a crab in a bucket. You’re trying to escape but all the other crabs keep pulling you down.
my experience with SSRI's is that the first week my mood and motivation dips deeply after 2 days of feeling good. That's the reason why I think the suicidality is happening. I don't think the motivation comes before mood improvements.
As someone who also has a couple mental illnesses, exercise really helps, I just lack motivation
I believe the same channel also has an interview with a person who has Anorexia Nervosa.
As a person who has been struggling with Anorexia for more than 10 years, I’d love to hear your analysis even if it’s not necessarily your area of expertise.
I agree, yoga yoga yoga is so good!
The combination of the focus of this episode and you mentioning serotonin triggered a question about if you are going to do a video on psychedelics? I'm interested in hearing the perspective from someone who will have these in their toolbox to help address a list of mental health conditions.
Unfortunately, psychiatrists must become “authorised prescribers” before they can utilise psychedelics, and that’s a lot of red tape. Also, they must possess the special staff and facilities in order to administer these substances. There’ll be no subsidies of any kind either, with the lowest realistic estimates of costs for a single treatment being around $15,000. Psychiatrists have been able to apply for these permissions since the beginning of this month, but I doubt we’ll see much happening for quite some time. Any rapid uptake will be via some pretty exclusive avenues (expensive “retreats” for the ultra-wealthy). I’d also be interested in his opinion of their value as therapeutic agents though.
depression takes so many forms some scarier than others, but one that gives a great picture for the "life does not have a purpose everything is pointless" side of it is imagine being forced to play a game like fortnite each and every second of your waking existence. At one point, you may have loved the game, you may even have skins, great gameplay and what not, but you no longer want to play the game and you realize you can never put the game down. People tell you to try new game modes, play with other players, but the issue is that nothing in that game catches your attention anymore. You can't remedy your problem of not wanting to play the game by playing the game differently. The game itself is the issue here. Obviously in life you can never leave unless you unalive yourself and in depression you wake up in the middle of the night and often have very vivid dreams, so you are running on fumes and still forced to sustain a lifestyle that you do not want to even be a part of anymore
Hey Dr. Syl, what’s your opinion of psilocybin and MDMA being reclassified to allow for the treatment of TRD and PTSD respectively? Are you, or any of your colleagues, enthusiastic about these options? Also, what of the lack of accessibility to such treatments for common folk due to prohibitive cost? It seems as if prospective providers of these services stand to benefit far more than do patients. Although it’s an Australian issue, the world has taken interest so some of this may be worth covering in a video.
(For context: As someone with extremely resistant depression I’ve found discussions of the potential of psilocybin to be encouraging.)
Dr Syl I'd love to see you make a video or do some commentary about the role you believe the microbiome and a westernized lifestyle has in depression and other conditions. I know the research into this area is still developing, so as an evidence-based person you might not be able to say too much about it yet, but if you have any thoughts about it I'd love to hear them.
I've heard depression is different with individuals Borderline Personality Disorder. If so how is it different?
If ever I had a doctor or therapist recommending yoga to me, I would ask them if they had ever spoken to a full fledged Buddhist about the impossibility of separating the practice from the religion.
She looks like Ali McGraw the famous actress that played in the movie Love Story
Re: your comment at the end about health and body image... I would really consider looking into the health impacts of anti-fatness. They are really horrible. I mean, even this young woman almost killed herself over bullying based on her appearance. So that needs to be taken into consideration when it comes to "health".
He sits so close to his guests it makes me so uncomfortable 😣
There are some videos where he’s not so I get the impression he asks beforehand but by sitting side by side as opposed to across the person makes it more like friends having a discussion than confrontational. I like that he sits side by side.
He sits so close to his guests it makes me so uncomfortable 😣