Thank you for sharing your story. Sorry to hear of the loss of your daughter. I have major depression, generalized anxiety disorder and dysthymia plus childhood trauma. It doesn't matter what type of antidepressant I take doesn't help much. I am tired and only 55.
Referencing psychiatrist Robert Mcmullen who lost a daughter and battles depression like this guy... I totally trust a specialist who has had the same problem they are treating. I'd trust an old biker who counsels alcoholics over a Baptist preacher or Catholic priest. I dislike fresh faced rich kids who are new ER docs and don't want to give a decent dose of morphine to help my kidney stone. I'd prefer a grizzled old military doc who has served on the front and had real injuries.
I feel so proud of you for telling about your daughter problem like a real science man. Science is the ultimate salvation no matter what our limbic system tells us
hi doctor, I just want to say thank you for these videos, I have dhysthymia and I am from Italy, I would really want to have you as my psychiatrist... I hope to find the right medications here in Europe. but I would really like to be your patient!
Got ketamine available if your interested in getting some got both powder and liquid. Wickr... pillsmethpack Whatsapp..+1406-290-9815 Telegram...+1406-290-9815
There is a YT video from Harvard Med School. The bipolar/ Epa 3 fatty acid expert warned that people with bipolar should not eat fish more than three times a week because it could trigger rapid cycling and mixed states.
Most anti-depressants are Seritonin focused,. Have you tried a Dopamine med. such as Wellbutrin, etc.? Dopamine is heavily linked to motivation. Exercise also boosts dopamine if you can make yourself get your heart rate up, it is an immediate boost and you should feel something within a week/4-5 times.
@@Rebelz173 I'm with Bad Ra. More sex and physicality in general (if possible) is a pretty good antidepressant on its own. Also add post-coitus deep sleep. No sex is pretty depressing if you ask me. Occasionally getting in the the mood only to fail with your partner is also a downer.
The thyroid story is absolutely fascinating...I've always been suspect of my levels as both my mother and brother have thyroid issues. That said I went to a concierge clinic (in NYC of all places lol) as I thought they would be more thorough then a practice bound by insurance guidelines. I was a bit surprised when they said it was fine, but only checked it after being prompted. Anyways, if I wasn't so terrified of needles then I would get another test done right away. Will ask my pcd about natural thyroid :-)
That's accurate from a mathematics standpoint, but you need to be very cautious with starting with that type of dose initially. It is much safer to start at lowest dose, usually one tab of 5 mg orotate, and slowly work your way up. This is because lithium orotate delivers the actual lithium to the cells of the brain more efficiently than lithium carbonate. So people typically do not need to take a lithium orotate dose equal to lithium carbonate.
A psychiatrist named Jonathan DOWNER? I like this guy. I totally trust a specialist who has had the same problem they are treating. I'd trust an old biker who counsels alcoholics over a Baptist preacher or Catholic priest. I dislike fresh faced rich kids who are new ER docs and don't want to give a decent dose of morphine to help my kidney stone. I'd prefer a grizzled old military doc who has served on the front and had real injuries.
I can not understand why there is no selective 5HT2c antagonists on the market ( exlude agomelatine because it is also melatonergic) because it seems to be one of the most significant actions in antidepresant activity
I think they're on the horizon. I do know they are still considered "experimental" in the U.S. and being studied in clinical trials. As mentioned, fluoxetine is a great option, along with mirtazepine, that has 5HT2c antagonistic actions. Some atypical antipsychotics do as well, like quetiapine and olanzapine, but come with a slew of other side effects unfortunately.
@@MikeAPRN I think You believe in psychiatry of 80's but now there is 2020..sorry but fluoxetine is now considered as an old medicine....plus mirtazapine= many side effects so psychiatry is stil stuufed dirty treatment. I know in US You like SSRI and combos of SSRI with another antidepresant but it has it's limits and means "never ending story" with that treatment.
@@tomaszs.9985 I wholeheartedly agree and am excited to see what's on the horizon for psychiatry in the U.S. Fluoxetine may be old medicine, but it works really well for a lot people. What medicines like agomelatine have you seen and had experience with where you are?
Lithium makes me so dizzy even low doses less than 150mgs. It's horrible. adding any thyroid med I can't sleep. So i don't understand why he doesn't mention this. They told me at Standford that Lithium helps TMS.
@@sultanalgaber3113 well everyone is different, I guess you are lucky! I do well on zoloft and wellbutrin but I am not satisfied they don't change my energy too much.. so I am weaning off of them
Yes it can worsen depression. Down-regulation of the GABA-A receptor which Klonopin and Benzo’s bind to, as well as withdrawal including severe worsening or developing depression during withdrawal from Benzo’s. I have been on three Benzo’s myself and it has worsened my depression 10 fold.!
There is a medication that is non-prescription that you can buy over the counter/order online to repair telomeres on DNA, it is known to improve mood, cognition, hair skin and nails called Vitalometry
Clinical trials show antidepressants work no better than placebos and pharmaceutical companies do several studies and cherry pick results to submit the favorable results to the FDA when it comes to getting these drugs approved. Antidepressants have not been studied for long term safety and clinical trials for most antidepressants are a few weeks or months at best. Many have the notion that anxiety or depression is like diabetes and like a good diabetic they need to take their antidepressants for life. Nothing could be further from the truth. Even mainstream psychiatry will admit the chemical imbalance myth is just that....a myth. Unlike a disease like diabetes, high cholesterol, etc, psychiatry diagnoses are only diagnosed by excluding other issues that could cause symptoms and the DSM. The DSM has come under fire recently as it's very subjective and at any given time in a person's lifetime, they could be labeled depressed or anxious or even schizophrenic (who hasn't had an auditory hallucination and thought someone called their name??) simply because they could check off a symptom in a manual. Psychiatry is the only branch of medicine where there are no tests to diagnose a disease but rather it's based on a list of emotions. Anxiety and depression have a root cause that needs to be addressed and it's not the mythical chemical imbalance. Antidepressants have serious side effects which are not rare. Side effects are vastly under reported but not rare. Antidepressants do not prevent suicides. In fact, study after study has shown they increase the risk of suicide in all ages. Even the FDA required antidepressants to have a black box warning (the strongest warning the FDA gives) because of the suicide risk. While the black box warning specifically mentions suicide risk in young adults, studies have shown antidepressants increase suicide risks in people of all ages. Furthermore, antidepressants have been linked to violence, worst long term outcomes, birth defects and learning disabilities when taken while pregnant, increased risk of death, diabetes, cancer, and so much more. Antidepressants have been shown to actually cause anxiety and depression and increase the risk of future depressive episodes. Some of the side effects can be permanent and continue long after the drug is stopped.
It's not a black and white issue. It seems that there are at least three different forms of depression. As this doctor explains some benefit from one treatment while other are immune to it. I agree that the diagnosis for depression is weak by using only symptoms.
I’ve watch this channel for about one year and I am always intrigued by the patient who takes 18 pills of fish oil every day for depression. I enjoy taking 10 pills per day, but 18 pills, although I have no doubt would be effective for depression, seems like it would add a significant amount of calorie intake to your daily diet?
It's important to look for the concentration and amount of EPA and DHA when purchasing fish oil. Many cheaper fish oils usually contain less EPA and DHA, meaning you need to take more capsules in order to get the desired amount of these nutrients.
OmegaVia has quality fish oil, and even an option to get pure EPA (500 mg/cap). So you'd need to take only 4 to get a full 2,000 mg EPA a day. omegavia.com/
Michael Espelin, MSN, APRN, PMHNP that fish oil has a lot of shit in it..That’s not a good quality fish oil check the ingredients!! Stearic acid? That’s not good
@Solve Everything tms sounds real fun bro. Guy has admitted to being a depressed divorcee... he is fat and probably has a host of health issues. And his degrees are outdated.
TMS is one of the only antidepressant treatments that have potential long-term remission without being dependent on medication. I don't know why people would insult this man who is obviously well informed and cares deeply about his patients.
@@gregorymalchuk272 his sharing good info Tms helped me not to remission and. Cognition but it didn’t last more than 2 or 3 months even I used katamin and other things along side
Now i've heard it all. A psychiatrist who thinks he can cure ageing. Everything else he says is unproven, but this takes the biscuit. What a mad specialty. Keep away from these people.
Thank you for sharing your story. Sorry to hear of the loss of your daughter. I have major depression, generalized anxiety disorder and dysthymia plus childhood trauma. It doesn't matter what type of antidepressant I take doesn't help much. I am tired and only 55.
Referencing psychiatrist Robert Mcmullen who lost a daughter and battles depression like this guy... I totally trust a specialist who has had the same problem they are treating. I'd trust an old biker who counsels alcoholics over a Baptist preacher or Catholic priest.
I dislike fresh faced rich kids who are new ER docs and don't want to give a decent dose of morphine to help my kidney stone. I'd prefer a grizzled old military doc who has served on the front and had real injuries.
@@noahway13I agree totally.
So sorry for the loss of your daughter.
Thank you for sharing your knowledge with us, Dr. McMullen. It's really helped me figure things out.
I feel so proud of you for telling about your daughter problem like a real science man. Science is the ultimate salvation no matter what our limbic system tells us
hi doctor, I just want to say thank you for these videos, I have dhysthymia and I am from Italy, I would really want to have you as my psychiatrist... I hope to find the right medications here in Europe. but I would really like to be your patient!
Got ketamine available if your interested in getting some got both powder and liquid.
Wickr... pillsmethpack
Whatsapp..+1406-290-9815
Telegram...+1406-290-9815
There is a YT video from Harvard Med School. The bipolar/ Epa 3 fatty acid expert warned that people with bipolar should not eat fish more than three times a week because it could trigger rapid cycling and mixed states.
Are there any new developments in fatigue and motivation issues in depression? The news about lithium being a life extension drug is incredible!
We may live longer than we think ! 😃
Most anti-depressants are Seritonin focused,. Have you tried a Dopamine med. such as Wellbutrin, etc.? Dopamine is heavily linked to motivation. Exercise also boosts dopamine if you can make yourself get your heart rate up, it is an immediate boost and you should feel something within a week/4-5 times.
Thanks for information, what is good for sinus infection, I have had for months, it is causing depression just over this
Can you please do a video on whether you think the Flow Neuroscience device works or is dangerous?
Love you doc , does Susanna effect mental health can do video verity of mental health routine to build healthier mind and not ti do
I reject any medication with sexual side effects, period.
If it helps so what!! You would rather have bad depression and anxiety than have sexual side effects?
@@Rebelz173 I'm with Bad Ra. More sex and physicality in general (if possible) is a pretty good antidepressant on its own. Also add post-coitus deep sleep. No sex is pretty depressing if you ask me. Occasionally getting in the the mood only to fail with your partner is also a downer.
well depression can cause lost on interest in sex too
Also it makes dating, marriage etc etc untenable.
@@Rebelz173 Sexual dysfunction itself is depressing.
I have been ant depression treatment and anxiety for 35 years and no meds work, I am starting with omega today I would let you know how it goes
Is it ok to take lithium orotate supplements for anxiety ??
Can u talk about placebo and nocebo
Thanks for a nice talk & sharing..🙏🏻
The thyroid story is absolutely fascinating...I've always been suspect of my levels as both my mother and brother have thyroid issues. That said I went to a concierge clinic (in NYC of all places lol) as I thought they would be more thorough then a practice bound by insurance guidelines. I was a bit surprised when they said it was fine, but only checked it after being prompted. Anyways, if I wasn't so terrified of needles then I would get another test done right away. Will ask my pcd about natural thyroid :-)
150mg lithium carbonate is roughly 28mg of elemental lithium. So one could take 5 of the 5mg lithium orotate pills and be almost there.
That's accurate from a mathematics standpoint, but you need to be very cautious with starting with that type of dose initially. It is much safer to start at lowest dose, usually one tab of 5 mg orotate, and slowly work your way up. This is because lithium orotate delivers the actual lithium to the cells of the brain more efficiently than lithium carbonate. So people typically do not need to take a lithium orotate dose equal to lithium carbonate.
No dont ever do that. Thats not at all how the math works.
@@MikeAPRN Correct, so it is said. Thinking of it myself.
What fish oil do you usually give to patients? How much epa or dha?
Very deep episode thanks Robert
A psychiatrist named Jonathan DOWNER?
I like this guy. I totally trust a specialist who has had the same problem they are treating. I'd trust an old biker who counsels alcoholics over a Baptist preacher or Catholic priest.
I dislike fresh faced rich kids who are new ER docs and don't want to give a decent dose of morphine to help my kidney stone. I'd prefer a grizzled old military doc who has served on the front and had real injuries.
I can not understand why there is no selective 5HT2c antagonists on the market ( exlude agomelatine because it is also melatonergic) because it seems to be one of the most significant actions in antidepresant activity
Some say Fluoxetine is an antagonist for that receptor and some say it's an agonist?
@@sevenman9672 yes, that's right but fluoxetine is a SSRI plus 5HT2c antagonist ( probably) not the selective toward 5HT2c
I think they're on the horizon. I do know they are still considered "experimental" in the U.S. and being studied in clinical trials. As mentioned, fluoxetine is a great option, along with mirtazepine, that has 5HT2c antagonistic actions. Some atypical antipsychotics do as well, like quetiapine and olanzapine, but come with a slew of other side effects unfortunately.
@@MikeAPRN I think You believe in psychiatry of 80's but now there is 2020..sorry but fluoxetine is now considered as an old medicine....plus mirtazapine= many side effects so psychiatry is stil stuufed dirty treatment. I know in US You like SSRI and combos of SSRI with another antidepresant but it has it's limits and means "never ending story" with that treatment.
@@tomaszs.9985 I wholeheartedly agree and am excited to see what's on the horizon for psychiatry in the U.S. Fluoxetine may be old medicine, but it works really well for a lot people. What medicines like agomelatine have you seen and had experience with where you are?
Can lithium help for anxiety?
U takeingn on NEW patents????
Does lithium orotate help anxiety?
Lithium makes me so dizzy even low doses less than 150mgs. It's horrible. adding any thyroid med I can't sleep. So i don't understand why he doesn't mention this. They told me at Standford that Lithium helps TMS.
Hi Dr. McMullen. What is your opinion on using Concerta for treatment-resistant depression?
he mentioned that in a video called stimulants for treatment resistent depression
@@sultanalgaber3113 Thanks. I'll check it out.
i want to start stimulants for dysthymia. AD are usefull only for major depression.
@@amedeocristiano4181 antidepressants are useful for dysthymia as well i have been diagnosed with dysthymia and i did well on antidepressants
@@sultanalgaber3113 well everyone is different, I guess you are lucky! I do well on zoloft and wellbutrin but I am not satisfied they don't change my energy too much.. so I am weaning off of them
Does klonopin (I take 1mg.) for sleep....does klonopin cause depression.....? and if I take fish oil will it help the anxiety and depression?
Yes it can worsen depression. Down-regulation of the GABA-A receptor which Klonopin and Benzo’s bind to, as well as withdrawal including severe worsening or developing depression during withdrawal from Benzo’s. I have been on three Benzo’s myself and it has worsened my depression 10 fold.!
What type of lithium one you get OTC or NEED A Rx for..
It is called lithium oritate you can buy it from the internet
@@sultanalgaber3113 ior otc as well I assume
Have you tried lithium
@@garysimone4977 yes i have started lithium 4 weeks ago for my treatment resistant depression
@@sultanalgaber3113 yes I deal with that I just finished tms..it has helped have you tried TMS
There is a medication that is non-prescription that you can buy over the counter/order online to repair telomeres on DNA, it is known to improve mood, cognition, hair skin and nails called Vitalometry
14:00 or thereabouts case of Doctor Heal Thyself via thyroid supplement!
Clinical trials show antidepressants work no better than placebos and pharmaceutical companies do several studies and cherry pick results to submit the favorable results to the FDA when it comes to getting these drugs approved. Antidepressants have not been studied for long term safety and clinical trials for most antidepressants are a few weeks or months at best.
Many have the notion that anxiety or depression is like diabetes and like a good diabetic they need to take their antidepressants for life. Nothing could be further from the truth. Even mainstream psychiatry will admit the chemical imbalance myth is just that....a myth. Unlike a disease like diabetes, high cholesterol, etc, psychiatry diagnoses are only diagnosed by excluding other issues that could cause symptoms and the DSM. The DSM has come under fire recently as it's very subjective and at any given time in a person's lifetime, they could be labeled depressed or anxious or even schizophrenic (who hasn't had an auditory hallucination and thought someone called their name??) simply because they could check off a symptom in a manual. Psychiatry is the only branch of medicine where there are no tests to diagnose a disease but rather it's based on a list of emotions. Anxiety and depression have a root cause that needs to be addressed and it's not the mythical chemical imbalance.
Antidepressants have serious side effects which are not rare. Side effects are vastly under reported but not rare. Antidepressants do not prevent suicides. In fact, study after study has shown they increase the risk of suicide in all ages. Even the FDA required antidepressants to have a black box warning (the strongest warning the FDA gives) because of the suicide risk. While the black box warning specifically mentions suicide risk in young adults, studies have shown antidepressants increase suicide risks in people of all ages. Furthermore, antidepressants have been linked to violence, worst long term outcomes, birth defects and learning disabilities when taken while pregnant, increased risk of death, diabetes, cancer, and so much more. Antidepressants have been shown to actually cause anxiety and depression and increase the risk of future depressive episodes. Some of the side effects can be permanent and continue long after the drug is stopped.
It's not a black and white issue. It seems that there are at least three different forms of depression. As this doctor explains some benefit from one treatment while other are immune to it. I agree that the diagnosis for depression is weak by using only symptoms.
Lithium oratate which get otc
I’ve watch this channel for about one year and I am always intrigued by the patient who takes 18 pills of fish oil every day for depression. I enjoy taking 10 pills per day, but 18 pills, although I have no doubt would be effective for depression, seems like it would add a significant amount of calorie intake to your daily diet?
One pill of mine has 10 calories. So 180? Not much
It's important to look for the concentration and amount of EPA and DHA when purchasing fish oil. Many cheaper fish oils usually contain less EPA and DHA, meaning you need to take more capsules in order to get the desired amount of these nutrients.
OmegaVia has quality fish oil, and even an option to get pure EPA (500 mg/cap). So you'd need to take only 4 to get a full 2,000 mg EPA a day. omegavia.com/
Thank you.
Michael Espelin, MSN, APRN, PMHNP that fish oil has a lot of shit in it..That’s not a good quality fish oil check the ingredients!! Stearic acid? That’s not good
I see lithium oroatate 5mg. sold online. Wonder if that is a daily dose *?*
5 mg a day usually a good starting point for elemental lithium (orotate).
@@MikeAPRN - Thanks 💕
so we can just buy it online? not a prescribed med?
@@Shaydacosta - Yes
Why not carbonate?
Anyone that had done TMS here,,,,?
He sadly does not reply
Sounds like your just trying to shill your tms company. What do you get a kick back for that?
@Solve Everything tms sounds real fun bro. Guy has admitted to being a depressed divorcee... he is fat and probably has a host of health issues. And his degrees are outdated.
TMS is one of the only antidepressant treatments that have potential long-term remission without being dependent on medication. I don't know why people would insult this man who is obviously well informed and cares deeply about his patients.
@@gregorymalchuk272 his sharing good info Tms helped me not to remission and. Cognition but it didn’t last more than 2 or 3 months even I used katamin and other things along side
Now i've heard it all. A psychiatrist who thinks he can cure ageing. Everything else he says is unproven, but this takes the biscuit. What a mad specialty. Keep away from these people.
Very expensive doctor....he should start helping less previlidged people....