Overcome Depression: An Evidence-Based Guide

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Depression is common and there are effective treatment options to help you feel better. We're going to talk about the symptoms of clinical depression, what to expect when you go to see your doctor and evidence-based treatment options that work.

Treatments for depression are not limited to medications. Usually it's most effective to use a combination of treatment options - therapy, lifestyle modifications and anti-depressant medications. In this video, we're going to talk about each of these options in more detail!

INTRO
1:01 What is clinical depression?
2:24 Am I depressed?
3:44 What to expect at a doctor's appointment

EVIDENCE-BASED TREATMENTS
5:02 Cognitive Behavioural Therapy (CBT)
8:08 Lifestyle modifications
8:48 Nutrition
9:25 Exercise
10:18 Sleep
10:47 Time and support
11:52 Anti-depressant medications
14:40 Suicide prevention

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📞 SUICIDE PREVENTION HELP LINES:
- USA: National Suicide Prevention Lifeline on 1-800-273-8255

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🙋‍♀️ Let’s stay connected!
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Mail: PO Box 1, 119 Spadina Ave, Toronto ON, Canada, M5T2T2

See you in the next video!
~ Siobhan (Violin MD) ~

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📚 References:
- DeRubeis, R., Gelfand, L., Tang, T., & Simons, A. (1999). Medications Versus Cognitive Behavior Therapy for Severely Depressed Outpatients: Mega-Analysis of Four Randomized Comparisons. American Journal Of Psychiatry, 156(7), 1007-1013. doi: 10.1176/ajp.156.7.1007
- Ravindran, A., Balneaves, L., Faulkner, G., Ortiz, A., McIntosh, D., & Morehouse, R. et al. (2016). Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder. The Canadian Journal Of Psychiatry, 61(9), 576-587. doi: 10.1177/0706743716660290
- Nyström, M., Neely, G., Hassmén, P., & Carlbring, P. (2015). Treating Major Depression with Physical Activity: A Systematic Overview with Recommendations. Cognitive Behaviour Therapy, 44(4), 341-352. doi: 10.1080/16506073.2015.1015440
- Epidemiology of Adult DSM-5 Major Depressive Disorders and It’s Specifiers in the United States: JAMA Psychiatry. 2018;75(4):336-346. doi:10.1001/jamapsychiatry.2017.4602
- Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. The Canadian Journal of Psychiatry, 58(7), 376–385.

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Can you explain anxiety in the next one? It’s another thing people don’t understand, and why shaming people with it is bad.

annawarriorgacha
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That new specialist title ahh! So happy to hear you say that! Thank you for talking about depression. I’ve had it for almost a decade and things have got better but there’s still a massive stigma attached to it I think because people don’t understand it - educating is so important! ☺️

BexMai
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Psilocybin containing mushrooms saved my life. The drastically reduced my benzodiazepine withdrawal allowing me to quite illicit pill addiction after three years of heavy daily use before it would had became medically dangerous to quit. It has also helped me survive depression.

patriaciasmith
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Been living with depression for over 15 years now. Thank you for making this video 💚💚💚💚💚💚

Sgomez-mksn
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I was just diagnosed with depression and watching this video it gives me hope that I’ll learn to navigate thru this 😌💚💚💚

jessicamendoza
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Thank you so much for this. It is needed really for everyone, not just those who are suffering, but their families also.

anniec
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💚, I just started on my journey to help my depression and anxiety, thanks to my best friend who saw the signs before I knew what how bad it was

kathrencosta
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My depression is so bad at the moment, this video has given me hope and encouragement again. Thank you. xo

Huggerbear
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💚❤Just Congrats and Thanks Shioban for all your videos for years, and this one in particular.

philpeko
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You have one of the most informative and positive channels I've ever seen on YouTube, and I've been on here for over 15 years. Thank you for everything you do. You legitimately help people both on and off camera.

superman
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Thank you for this video!!!! I was diagnosed with depression last year and all of the things you talked about were a huge help. Exercise is still a tough one (I’ve had sciatica for 2 years) but my current job is very physically demanding and somewhat fills that gap. It’s a very slow climb up from depression, no sugarcoating that, but While I was healing I tried to just focus on the next step forwards. Whether that was therapy or medication or a bedtime routine or strengthening my support system or just getting out of bed. Just the next step. That’s all you gotta focus on 💚💚💚

gingiebread
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As someone who struggled with moderate depression for years without getting adequate help, this is a great video!
I luckily got professional help at the beginning of this year, first treating a vitamin d deficiency the blood test at my doctors showed, then getting an emergency referral (not in the er way, but it’s like a sped up process in my country where in serious cases you get assigned a spot at the nearest available doctor (both spatially and time wise)
There i was super lucky that combined with the therapy i was going through, a slow starting course of antidepressants and now significant positive lifestyle changes i’m in a much better place now.
Sending love to everyone else who might be struggling out there! 💚

alex-
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You are such an amazing Dr. I am so glad I found you a few years ago!

vanessagraham
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Thank you for this excellent overview! I had ugly depression for several years when I was younger. I honestly thought I would never get better. Couldn’t sleep, lost way too much weight as I couldn’t make myself eat, and had no interest in anything. For me CBT was huge. Combined with slowly increasing exercise, and yes, medication, I was able to cycle out of it. It does take time and a hell of a lot of work.

bowenwinterbottom
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Hi Siobhan. I am so happy for you with your completion of medical school. You and your hubby are going have an amazing time hiking. Love from Wollongong, NSW Australia.

Huggerbear
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I've been off and on medication for 23 years, consistently on one for 17 years now, and it is a gamechanger for me. I find that it takes the edge off of the depression and some of my anxiety so that I can deal with those things.

jenm
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i completely agree that the combination of treatments is most important, but i’ve noticed a massive difference since i’ve been doing CBT. thank you for this video💚💚💚

chloepryor
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After battling depression 3 times and 2 of them times on my own it's always best for you to speak to someone it helped me tons

connorholmes
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Hey Siobhan! I just want to say that I really appreciate your kindness and generosity in sharing this video with us! Yes depression is so difficult and you have given us a wonderful blueprint to start and follow if we are suffering. And yes with depression, we tend to suffer in silence. I know I did b 4 I finally shook off my pride and asked for help and now I'm good, it took a while and I still have questionable days but I'm good now and I hope that people with this awful disease will see your vlog and reach out for help! Thank you so much! Be well, Be safe and Cheers!

samjones
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Thank you for being so kind to try to help so many people. Your information was priceless. Way to go doc!!

deloracomfort