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00:00 - 0:00:23
[Music]
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Hello and welcome to the first episode of
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0:00:28 – 0:00:36
A podcast about mental illness.
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Today's topic is depression.
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The issue affects a lot of people.
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I know a lot of people who suffer from depression.
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Sometimes more, sometimes less.
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I even met someone who, as she said, with her latent depressive
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Phase lives in her little turret. Maybe you've already felt yourself,
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how life can turn gray or you can no longer enjoy small things,
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like a beautiful sunrise, I know it's pretty clichéd, a good cup of coffee,
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Enjoy a delicious piece of cake, watch your favorite movie on the streaming service or on LinearTV. You
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notice how you withdraw more and more from the environment and manage less and less, somehow
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How to manage your everyday life.
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And that's what it's all about today.
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Depressiveness, depression,
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or a depressive phase,
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As they call it in technical jargon.
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But a little disclaimer at the very beginning.
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This is not therapy.
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This should not replace therapy.
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If you feel that your depression is too severe to cope on your own,
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0:02:22 – 0:02:28
Then seek professionally qualified help. A good contact point is in the first place
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Your family doctor. Talk to him about how you feel, that you have a guess,
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That it could be depression and see together how it goes on.
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But now at the very beginning. What is depression? Depression is longer and
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0:02:52 – 0:03:01
more difficult. It just takes longer. A phase in life where you are more than in a bad mood or
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such a hanger now in quotation marks. It's something that really depends on the severity.
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It prevents you from living your day-to-day life. I met people who were so
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Depressed, they couldn't get up. They just stood up to stop it.
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The most important thing to do was to go to the toilet. They had all the joy
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lost in eating, caring, or talking to other people. There was nothing left,
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except to lie in bed and sleep. So we see, such a depression can really
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It is a serious, serious illness. It's not as obvious as a broken
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Leg or as clearly perceptible as pneumonia. It is a hidden disease,
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But it can be just as difficult and even in individual cases just as deadly. But what are so
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The typical symptoms? One speaks of a deep exhaustion, so that one even sleeps a lot.
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There is a loss of interest, nothing is more fun. Some also have serious feelings of guilt,
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a self-doubt or even a deep hopelessness that nothing is left in the
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Life gets better or makes sense. Concentration problems are also often present.
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Because there's so much going on in my head. Some also have a great deal of decision-making difficulty.
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What is called ambivalence in technical jargon. You just can't decide anymore,
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And even if it's just between two things, now I'm eating a donut or eating
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I've got the doughnuts next to me. Just as a small example. Insomnia or extreme sleep needs
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It is also a common symptom. I can tell from my own experience that I was a real
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Night Owl and have here once two hours, maybe there once an hour or there sometimes three hours
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slept. I was awake and did nothing. loss of appetite or the opposite,
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Excessive eating is also a symptom. A lot of people have a withdrawal from
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the social life. And I observe this very often and I have had this myself, while
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Many of my depressive phases. And in some serious cases, suicidality, i.e. a kind of
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death longing, thoughts about death, which now does not necessarily lead to a suicide attempt,
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But it can lead to it. At least the desire is for it, because when I'm dead,
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All my problems are gone or my suffering is over. What I learned from many conversations with
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Affected or even with fellow patients is remembered, so sentences,
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They were like, "I didn't feel like I was sad. I had rather this
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Feeling like I'm nothing." And that's kind of a good thing. You are so deep in your
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Depression trapped that you don't feel anything in and of yourself anymore because this sadness is so
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is overwhelming, so huge that you taste like sweet honey, which at some point tastes bitter,
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Because it's just so sweet. Maybe that's how it can be compared. So how does it feel
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To have a depression? This is very different and very individual. Some
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People say it feels like I'm packed in cotton because everything is very dull and nothing
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It really gets closer to me. You don't feel much anymore. Others describe it as if
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There is a black cloud in her head or even around her or around her. Others say,
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It feels like living under water.
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You see everything out there as life is, but even you can't get it or you're no longer a part of it.
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These feelings, these impressions cannot simply be thought away or talked away.
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It's just there.
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It's permanent, perma- sorry, I can't pronounce it right now.
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It's just always there.
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And no matter how good the talk is, pull yourself together, just go out,
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You have to go among people again.
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It doesn't matter because you just don't see it that way at the moment.
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Or if you understand that you actually have to do it, you can't,
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Because you are paralyzed by this impotence, which you also feel yourself.
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The big question is, where does depression come from?
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It must be said that there is a single cause.
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It is usually a combination of several factors.
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On the one hand, there is a biological component,
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In other words, there is an imbalance of messenger substances in the brain, such as serotonin or norepinephrine.
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Sometimes it's a shortage, sometimes it's a surplus.
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You have to understand, our metabolism in the brain works almost with players
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and opponents.
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One performs a task and the other ensures that the messenger substance,
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who has performed this task will be withdrawn. We are also talking about
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Players and opponents. And this is in the case of the seretondomine and the noradralin,
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What then is the opponent. To explain it in a very simple way.
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I know, people who know that this is much more complex, the mechanisms,
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and that many other good fabrics play a big role, but that's all
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Stay here quite simply and comprehensibly. Then, of course, there is the psychological
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component. trauma, loss of a person, a serious accident, witness or even victim
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an act of violence, childhood experiences that can also be traumatizing, loss of a
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Parent, divorces of parents, personality traits such as a very high self-criticism
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It can also lead to depression like this. 'Cause when I'm all super
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You have to make perfect and you can't make anything perfect because the perfect doesn't exist.
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You will never reach that level, that level of ambition. And some people will stop at it,
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Because they never reach it, depressed. Then, of course, there are environmental factors such as social,
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social factors such as long-term stress. The one who gets burned at work
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Or at home in care work. The housewife who, in addition to her, her half-day job,
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Household has to throw, then the family planner is, the manager, then still wife of the man and
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many other things. This can lead to an overload and then you can also get into depression.
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fall. Isolation. We humans are social beings. We need to interact with
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with other people. And if it's just over the internet. Enough social interaction
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over the Internet. I really limit my real contacts to a minimum because I
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find it very exhausting. People are really exhausting for me. This is also very
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interesting. Maybe I should talk about it. Bullying. Anyone who has ever
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has had bullying experiences, whether they are perpetrators or victims who know
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What a great experience it is for the victim. I also have my bullying experience.
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Experienced in school. There were two phases. It's like a fifth grader, and then it's like that.
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in the 8th/9th with people from a parallel class. That was really awkward. Really. But
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I think many people have this experience. But we just know from research,
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Bullying can actually lead to severe depression. Poverty, for example, is also
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The trigger. Who would have thought? I mean, who has such problems with the money,
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At the end of the month, I still have enough to buy myself something to eat.
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I have enough money to buy food for my children or my pets. This
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It can also lead to depression. Last but not least, unemployment.
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Long-term unemployed people are more at risk of falling into depression,
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like people who have a job or a meaningful job.
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After my stroke, I started the hobby of podcasting and social media.
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I wanted to blog in order to find a job. I've stopped
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realized in music, painting and other creative hobbies. You have to hold your place
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find. Yeah, so how can you not imagine that in the picture? The best thing is that you
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Imagine a barrel where slowly a drop by drop falls on it. This barrel has a certain
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by volume of volume. And when the barrel is full at some point, it overflows. Now the barrel is
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But don't always have the same size. In the case of one person, the barrel has a large
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Capacity, there can come many worries and griefs in until it overflows. And with the other
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People, for whatever reason, this capacity is much smaller and then that happens.
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much faster. But how will now
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Really diagnosed with depression?
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Many people are affected only after months or
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years to go to the doctor and then a
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Begin therapy from a wide variety of
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reasons. This can be for safety,
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shame,
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Unexperience or the belief that mental illness is not really something,
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As far as I'm concerned. People don't go to the doctor and get help. As I said,
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I can only give you the tip if you think there's something wrong with you in life.
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run, go to your family doctor, talk to him about it and encourage him to take you to a
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The specialist sends. Now we have asked the question, how is this diagnosed? And there
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There is a fixed set of criteria, as with all other diseases. And when you
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has at least two weeks several main and additional symptoms, i.e.
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Depression. They are available in different forms. A light one, a medium one
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and severe depression. The main symptoms would be depressed mood, loss of interest,
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Lack of drive. Now the question is, what helps? And there they are, yes, there are the spirits crying out.
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Some say pills helped me, others say psychotherapy helped me. me
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Say it helped me both. First of all, thank God, depression is
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curable. It takes time, because it doesn't come from now on like a broken one.
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Poor, but it also develops for a longer time and just as or even longer needs
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It's also a depression until it's over. There are different ways. The psychotherapy,
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First and foremost, cognitive behavioral therapy is recommended. It stops,
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Thought patterns are recognized and, if necessary, changed. On very rough lines. It's a lot
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work. There's a lot of conversation to it. You have to recognize your problems and your construction sites and
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Then, by asking specific questions, know where to start and make changes. As I said,
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It's really lengthy. In-depth psychological therapy, where childhood relationship patterns or even
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Conflicts, even if they are internal conflicts, are analyzed and attempted to be resolved.
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It's also a very lengthy thing. Yes, and then there are also online therapy programs,
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But I can't say much about that, because that didn't exist in my time, where I was actively involved.
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It was treatment. I just have for myself
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a mixture of cognitive behavioral therapy and
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Deep psychological therapy.
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By the way, that helped me a lot. me
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I am over a lot of things at this time.
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I became aware, above all, of my
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Strengths and weaknesses.
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Then, of course, there are the medications. I said yes, there is once psychotherapy and to the
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others the drug treatment. The technical term here is antidepressants. Basically, they are
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Mostly serotonmin reuptake inhibitors. They help to stabilize brain metabolism.
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Unfortunately, they need due to the iron-out of our brain and the blood-brain barrier
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or barrier more precisely, but usually four to six weeks, until the active substance at all
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arrives in the brain. There you can see, so pain pill works, if I'm lucky,
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15-20 minutes later. This stuff takes an eternity to get to the brain.
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Of course, the intake must be made regularly, of course, also have side effects.
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I can still remember extreme dry mouth and I sweated more.
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These are little things now.
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So after the, I'd say after four weeks, I already have a change
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After six weeks, I have seen a significant improvement in my situation. I was also
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Much more able to participate in life somehow. That really helped me.
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Then there are supportive measures. Many swear by exercise, walks at
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Daylight. Daylight works wonders, especially when it hits the skin. Everyday life more structure
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Introduce small routines, reward yourself again and again with small things.
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In therapy, it is often said that they are allowed to reward themselves, but it must not cost anything and
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For the most part, this must have nothing to do with food, which then becomes difficult again and again,
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How to Reward Yourself When You're Not Creative
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Develop rewards for yourself. Which has helped me a lot and also some people,
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The one I've met is a creative expression. Writing, painting, making music and
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Anything else that doesn't exist can be really liberating and maybe even liberating.
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From time to time, there are signs of internal conflict.
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What kind of crazy pictures did I paint during my therapy time in occupational therapy?
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That helped me.
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And last but not least, if you are not currently in a clinic, self-help programs, whether online
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or stop where you really meet yourself, private or stop in public space, can also help,
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because you see there, you're not alone and it's amazing how many people suffer from depression
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suffering. Little insider, once you have dealt with yourself so intensively,
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When you walk around outside, you will see so many people who really help and support you.
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They could use it, but they actually know it and wonder why they are doing great things here and there in life.
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have problems. And here we come to the next point. How do you live with depression?
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Some people experience only one episode in their entire lives and after years of struggle,
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I don't want to say, but after years of recovery, they live a life without any
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More incidents. Other people are always experiencing episodes. I also have
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I've had several episodes in my life and I'm sure I'll still have some in my life.
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That's the way it is and I can't change anything about it. The only important thing is that I recognize early enough,
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What's the matter and what to do about it. It is important to remember that living with depression is not
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Failure. It's a disease. She can meet anyone and it's an act of strength, every day with it.
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It's also a process to get to know yourself when you're working on yourself.
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There is a quote from a dear fellow patient, who at the end shortly before his
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Dismissal said he had learned not to fight against himself, but to fight with himself.
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He worked because he always had the fear or the feeling that he would not be able to do enough in life.
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And that's nice when this burden is taken from one's back, which he himself
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had worked out. Your successes like getting up, showering, shopping are big steps and they
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They deserve recognition and no comparison. What does that mean? When I am in a depressive phase
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I am and I find it difficult to get up alone just because I have to go to the toilet,
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then it is even more difficult to do the profane shower. And when I pick myself up
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I have and have showered, then I have done something and this should be acknowledged,
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Not from anyone outside. It is also very important that I acknowledge that I am rewarding myself.
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I'm proud of myself for being able to do that. And it really is a big step,
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That they did that. You have overcome the inner hog and that deserves recognition.
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Don't look, everyone else can do it. This is not a big thing,
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That's not a gossip. No, they don't have the problem you have. They are yes
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Not depressed. It's easy for them. They just do it. When you first have to pick yourself up
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and then you sit on the edge of the bed for 20 minutes and need to gather enough strength that you
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Going to the bathroom and taking a shower is a great achievement and deserves recognition.
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And then we get to the point, which is always a bit, let's say,
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is borderline. relatives. There are people who have the talent to always do the right thing.
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To be empathetic and empathetic. And then there are people where it's just the opposite.
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Sentences like "you have to be able to do that", "others can do that" are totally counterproductive
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and bring nothing. What really helps is being there, listening, and most importantly,
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not to be evaluated, quasi an open and affirmative communication, active listening
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For people who know. Encourage them to do something. Also encourage professional help
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to look for. It is also very important to be patient and accept setbacks as someone who
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who supports someone with depression in this way and does not evaluate these things.
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So then, I could do that. That was a crap. No, don't. I said before,
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Sayings like "Get together" or the well-intentioned "This will come again"
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Nothing at all and very bad is either putting pressure or blaming. I know,
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that some people tend to put a little pressure on false love,
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It may be the opposite, but it's the opposite that keeps people going.
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Retirement because it's an overload. It always helped me to know,
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that there is someone I can rely on, and if I need him, if I need him,
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That it is tangible for me and that I do not have to go through such situations alone. This
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It really helped me. One topic that needs to be talked about is – and for many, this can be
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Family members are really difficult – suicidal thoughts. And yes, I have suicidal thoughts myself
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have had in my life and can say that this is not easy for a self or even for a
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relatives. I remember that my parents were very horrified about it, as then so slowly
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0:29:20 – 0:29:28
The subject came to the table. Depression, hospital, that's no longer possible. me
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0:29:28 – 0:29:36
Think about taking my life. Yeah, that wasn't easy. In a depression can
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0:29:36 – 0:29:44
you are so desperate that the meaning of life is no longer there and above all,
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Death offers itself as a simple solution to end suffering. That's what I said
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0:29:53 – 0:30:02
In the beginning. And this thought can be very tempting because no one wants to suffer. And then offer
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Stop it. It's just that you need a lot of courage. Because everything
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All in one and all in one resists it. And believe me, as a paramedic I have
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It often shows how much the body resists it. The human body wants to live.
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It's like that. If you find yourself in such a situation, be sure to talk to relatives about it.
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0:30:35 – 0:30:44
If you, as a relative, feel that there is someone around you who has suicidal thoughts,
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0:30:44 – 0:30:53
Talk to him about it. Offer him help. There are crisis phones. You can take him to the emergency room,
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0:30:53 – 0:31:00
You can go to the doctor with him and he doesn't have to stay alone.
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0:31:00 – 0:31:05
You don't have to stay alone. Find adequate help quickly.
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0:31:05 – 0:31:15
If you can't, ask someone. As a family member, you can also ask questions.
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0:31:15 – 0:31:20
Do you sometimes think about sharing and doing something to yourself?
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0:31:20 – 0:31:31
It can actually save lives. And you can, if you feel like you don't know any further,
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0:31:31 – 0:31:40
Also talk to your family doctor, as a relative or call the care phone. It is free of charge,
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0:31:40 – 0:31:49
It's anonymous. On the Internet there are also offers such as www.depression.de. There you will find
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Quick info and help. Last but not least, hope. This is also part of the truth.
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0:32:00 – 0:32:07
Depression can affect a part of your life, but it's not your whole life.
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0:32:07 – 0:32:15
Life, your whole identity. Many people learn to live with her. They discover ways,
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0:32:15 – 0:32:23
Confessing yourself with more compassion. There are relapses, yes, but there is also light.
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0:32:23 – 0:32:32
And that's so important to admit that you have weaknesses, that you need help. But
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0:32:32 – 0:32:43
There is also a light at the end of the tunnel and you will eventually understand that you are better off.
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0:32:43 – 0:32:52
Go on, you'll feel it too. And if you've worked with yourself, you'll be better off.
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0:32:52 – 0:32:59
I've never met anyone who hasn't made it, unless they have their own.
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0:32:59 – 0:33:05
Suicide has changed. Unfortunately, I also experienced this and it was also a great experience for me as a fellow patient.
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0:33:05 – 0:33:13
And finally, I'd like to give you a quote from someone I've been waiting for.
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0:33:13 – 0:33:19
I got to know a therapy. I'm not healed, but I'm alive. And that's more,
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0:33:19 – 0:33:28
than I ever thought possible for myself." I thank you for this episode
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0:33:28 – 0:33:34
You listened. Maybe it was a bit hard, maybe it was also in places
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0:33:34 – 0:33:42
It's unbearable to listen to me, for whatever reason. It may have been a relief or
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0:33:42 – 0:33:50
opened your eyes. If you are affected yourself, you are not alone. This
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0:33:50 – 0:33:57
I really want to recommend you. If you know someone who is depressed,
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0:33:57 – 0:34:08
Your patience and compassion can be a lifeline. Throw him, help him.
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0:34:08 – 0:34:18
And I would like to thank you for sharing the first episode of Silent Silence.
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0:34:18 – 0:34:32
I have listened to it and will do so on a regular basis. I don't know if I have the time
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0:34:32 – 0:34:40
I have to, but there are other formats on this podcast. So thank you for
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0:34:40 – 0:34:45
Your attention and until next time. Your Sasha. Bye bye.
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[Music]
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[silence]
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