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Depression Isn’t A Choice, It’s A Kind Of Brain Damage

Depression Isn’t A Choice, It’s A Kind Of Brain Damage

After years of debate, researchers finally determined that persistent depression causes brain damage, and not the other way around.  Neurologists previously had hypothesized that brain damage was a predisposing factor for chronic depression, but a new study published in Molecular Psychiatry sheds a different light.

The study, which consisted of 9,000 individual samples, collected from the ENIGMA group, succeeded in definitively proving a causal relationship between persistent depression and brain damage.  Magentic resonance images (MRIs) showed evidence of hippocampus shrinkage in 1,728 patients diagnosed with chronic depression compared to the 7,199 healthy individuals partaking in the study.

Specifically, the study found that those patients diagnosed with major depressive disorder, “showed robust reductions in hippocampal volume (1.24%) in MDD patients compared with healthy controls.”  You can read the full study here.

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    What is the hippocampus?

    The hippocampus is a small area of the brain that is located in the medial temporal lobe of the brain.  It is comprised of two halves, one which resides on each hemisphere of the brain.  It is generally agreed that the main functionality of the hippocampus encompasses the creation of new memories, the formation of long term memory, and spatial navigation.

    Inside the hippocampus resides the amygdala.  The amygdala is a part of the brain which has previously been linked with depression.  Studies in the past have suggested a direct relationship between a shrinkage in the hippocampus and depression, but the sample size of previous studies hasn’t been large enough to yield definitive results.

    The hippocampus and depression

    Researchers have found that in addition to its importance in forming and maintaining memories, the hippocampus is also pivotal in controlling emotions.  Professor Ian Hickie, a co-author of the study and a renowned mental health campaigner, explains the hippocampus’ relationship to depression, “Your whole sense of self depends on continuously understanding who you are in the world – your state of memory is not about just knowing how to do Sudoku or remembering your password – it’s the whole concept we hold of ourselves”

    Professor Hickie further elaborates on the relationship between a shrinkage in the hippocampus and changes in behavior observed in animals from the past, “We’ve seen in a lot of other animal experiments that when you shrink the hippocampus, you don’t just change memory, you change all sorts of other behaviors associated with that – so shrinkage is associated with a loss of function.”

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    Those who suffer from depression usually have low self esteem and lack confidence in managing their daily lives.  It is common for those suffering from depression to also have a deflated ego, which simply refers to an individual’s sense of self.  This could potentially affect how one forms memories, and how they view themselves in the past and thus project themselves in the future.

    What is depression?

    Depression is a seemingly hopeless state of mind where one takes extremely pessimistic thought patterns as reality. The key word is “seemingly.” Someone who is depressed generally has a deflated sense of self and a faulty perception of the world around them and how they view themselves in it.
    I believe that the state of depression manifests through repetitively regretting your past and fearing the future. It is not a singular conscious choice. I believe that it is a consequence of repetitive thought patterns that results in a negative outlook on life and one’s self in it. A negative outlook and thought cycle only leads to more negative thoughts without some form of intervention. Sort of how like an avalanche only goes faster and gets bigger when careening down a snow-covered mountain.

    These statistics concerning hippocampus reduction are intriguing as one could argue that the reduction in the hippocampus parallels this change in thought pattern. Couldn’t it be harder for someone with even the slightest reduction to step out of this negative thought cycle without the full capacity of their brain?

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    Change Your Outlook

    From my experience, my journey overcoming this condition started when I accepted what my misguided thoughts were telling me for what they were– thoughts. I found for much of my life that I tried to escape this state of mind which in a sense gave validity to it.
    One simple, but effective tool in breaking free from depression is to get in touch with the present moment. Meditation and yoga has been essential in my daily life.
    Surrounding yourself with positive individuals is also extremely beneficial in overcoming depression. Sometimes when someone is depressed they simply cannot see the light at the end of the tunnel or find any hope in their life. That doesn’t mean that those around them can’t show them it’s there though!

    Depression in the United States

    Depression is not something that should be taken lightly.  From 1999 to 2010 the suicide rate in the United States amongst Americans between the ages of 35 and 64 has increased over 25%.  Additionally, a Centers for Disease Control and Prevention that report that spanned from 2007 through 2010 found that almost eight percent of individuals 12 or older suffer from depression.

    In the past, depression has often been thought of as a lifestyle that people are just too weak to climb out of.  Other people might incorrectly assert that depression is a sign of mental weakness.

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    This could not be further from the truth.

    Whether depression is a disorder or disease doesn’t matter.  The fact remains that depression is a debilitating condition that drastically affects the lives of millions of people all over the world.  Depression is not just sadness, nor is it is symptom of weakness.  It isn’t discriminatory against race, gender or ethnicity.

    Most importantly, depression is not a choice.

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    Last Updated on February 18, 2019

    13 Tips to Face Your Fears, Grow with It and Enjoy the Ride

    13 Tips to Face Your Fears, Grow with It and Enjoy the Ride

    Fear. I spend my life talking about fear — fighting fears, fixing fears and understanding fears. And yet I doubt I get 10 calls a year from people saying “Mandie can you help me fix my fear?”

    Why is this so critically important to you?

    The realization for me is that fear is not the fundamental driving force in your life it’s what regardless of whether I’m talking to a doctor, a teacher, a CEO’s, a senior citizens or teenager – every single one of those conversations has a direct correlation with your world.

    Fear can range from the overwhelming desire to look away or stop in your tracks to literally fleeing your country and the life you knew. In this article, I will share you with 13 tips to face your fears and enjoy the ride.

    1. Know That Fear Is Real, but Can Be Overcome

    Right now around the world people are facing fear — real fear. Fear that I pray my children and I will never experience. Does that lessen my fears or your fears in your relativity safe 21st century life?

    When I look at the world we all live in, I find that fear like so many other emotions can mean so many different things to so many different people:

    • The child who has to be physically dragged to their first day of school.
    • The man facing the judge.
    • The woman with her hand poised over the buttons over her phone because she has to walk down a dark corridor late at night alone.
    • The man as the surgeon says “count backwards from 10 Mr Smith.”
    • The woman that’s told “We are sorry, we can’t help you.”
    • The man that faces the empty circle of a gun and prays for his very existence.

    These and a million more (Portrayed in every kind of movie, book or song you could imagine) are what make us human. We face fear and somehow move forward or are stopped in our tracks.

    Like the rabbit in the headlights of the car that veers off through the field away from the tyres of the car or stays still praying for salvation. Like someone will save them. Sound familiar?

    Fear is huge. Fear is everywhere and yet fear can be overcome, controlled and can even be a power for good.

    2. Accept Your Fear

    Firstly if you aren’t facing the barrel of the gun, atrocities that make the news or impeding death, that’s a good start. However it doesn’t mean your fear is any less real.

    We are quick to say “I can’t moan, my life is not as bad as X.” While in theory, that’s honorable your appreciation of Mr. or Mrs. X’s horrific life won’t change anything directly. So accept your fear is relative to you.

    And here’s what can be done.

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    3. Get Some Perspective

    I found myself asking anyone that would answer “what is your worst fear”. The answer that intrigued me the most came from my daughter (15 years old and she usually has a copy of Fight the Fear – my book – in her school bag so she can help someone else be as positive and confident as her. No matter what life throws up.)

    And her fear, surprised me — heights. I pointed out that we live in a sprawling bungalow (one storey) and the highest she goes is two storeys’ at school! She laughed but added, fear isn’t like that Mum. I know it’s not a real fear, but it’s like when you stand on a chair and feel unsafe.

    That girl will go far. Because she truly gets fear.

    We know something is scary and yet we still do it. Why? Because we have a perspective to the fear. When you lose perspective, it can feel too big, and too scary.

    So look around you to get some perspective on your fear:

    • Are you really at risk?
    • Will this kill you?
    • Which leads us on to..
    • If the worse was to happen what would it be?

    4. Hold a Hand

    As a coach, it is my job to holds someone’s metaphorical hand and help them face a fear.

    Like the child petrified of the thunder storm or the teen that can’t get back in a car again after failing their test, your job as a parent is to reassure, encourage, enable and motivate someone to face something that ideally they never would choose to again.

    We know many of our fears aren’t real. However, it is only when someone guides us with love, respect, lack of judgement and safety are we able to get through fear. And trust me, you can get through your fears. I’ve seen it so many times.

    Ask yourself:

    • If the worse were to happen, what would that be?
    • Could that really happen?
    • If the worse did happen, how would you recover?
    • If the worse were to happen, what would you need to do next?

    By seeing fear as not the end destination but part of being human, you can see through it’s wily evil ways and move forward.

    5. Know Whose Hand You Hold Either Physically or Emotionally

    This helps with fears for the rest of your life.

    Think of someone you can always rely on (and ideally you won’t just answer yourself because that adds a lot of pressure to your existence!) And you will find that you’ve already found a way to get through fear.

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    The beauty of this is that it means that fear becomes part of life not something to be feared and shied away from.

    It means you know you can turn to your friend, partner, colleague, parent, sibling and say “Right I need to deal with this, and I’m going to need you to help me.”

    For one moment, think about it from the other person’s view point. When we get to help other people we feel valued, loved, respected and lots of other positive emotions and we get a good dose of positive chemicals setting off in our bodies too.

    Your fear, and your determination to fight it, helped someone else too. Now that’s cool right?

    6. Understand That There Are Some Things Fear Will Never Touch

    I like to find role models in life — people who have faced heroism, history changing moments, war, atrocities, miracles, life saving inventions.

    Not everyone was looking for greatness, however they all found it. And one of my favourite books to date is written about Alistair Urquhart, the forgotten highlander. If this doesn’t get turned into a film in the future, then no man’s story is likely to.

    Alistair went through the most horrific experiences in the 2nd world war. If you think of one of the awful things that happened back then in our world, Alistair went through at least 3 of them! Asked afterwards how did you cope? He talked about how whatever they did to his body, no matter how they starved, tortured, threatened or mocked him, they couldn’t have his mind. In his mind he was free.

    Of all the people’s voices I’ve heard in my head over the years, this is one of those statements that reminds me anything is possible if you have faith and hope.

    Look for the things in life that fear can’t touch. They will create confidence and faith for the future, whatever you face. And they will give you a sense of why being you is awesome.

    Of all the billions of people on this planet, no one will have an answer identical to yours!

    7. Process Your Fears to Carry on with Life

    Being brave is not about sticking your chest out and smiling regardless of what hell you endure. It is about finding a way to emotionally process your fears to be able to keep going.

    I have a tool kit of things I can rely on – tools, strategies, techniques. They include people to hug or talk to, music. hobbies, walks on the beach and even my favourite food. It sounds mad but at the times where I have questioned “how will I get through this?” I’ve found immense joy in doing the most unlikely of thing that makes me smile.

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    It may be a short lived moment of happiness. However, it reminded that nothing stays the same and I can find away.

    One client told me that it was crazy when it felt like their world was falling around their ears to run a bath to the brim (you don’t waste water) get the best bath oils, light too many candles, lock the door and drink a glass of bubbly (champagne is only for special occasions.)

    Did that moment fix the disaster that my clients life felt? No, however it gave them a moment of calm and the brain is far quicker to find solutions, resolve and motivation to keep going when you do that.

    It may feel like madness to do something you love, however it can be a powerful way to help you find solutions to the fears you face in life.

    8. Assume the Worse

    If you read the statement from the client above. Notice how they assumed it was wrong to fill the bath up to the top? How bubbly is only for special occasions?

    Think how naughty they felt to be doing something that was not allowed?

    • Think about what age it may have made them feel?
    • Think about how they feel about champagne?
    • What special moments it’s been a part of in their lives?

    And you can see how the assumptions they made about their “right” to have these things was not healthy.

    When I drag the assumptions out of people’s words for them to see, they are often struck by how negative the words make them feel.

    Don’t assume your words aren’t impacting on you. You can go through fear and actually enjoy the ride when you take the time to understand how you are letting words get to you.

    9. Take a Fear That Feels Insurmountable Right Now.

    If you were to repeat it to me out loud, what would you say?

    Would you have blame on yourself in there? Would you assume others can do it and it’s just you? Would you feel small, unsuccessful, useless, unworthy?

    Usually, when you do this exercise, you are able to spot the untruths that run wild in your head convincing you that you are doomed. And rarely when we are faced with our assumptions is there is a lot of evidence to them.

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    10. You Are Not Defined by Your Fear

    One fear does not define your life – be mindful of that. It is likely to lead you to thinking of all the times you’ve succeeded and bring a moment of calm, confidence and faith back to you.

    11. Go with Fear

    When you learn to go with fear, you could find yourself actually having fun, no seriously – having fun.

    I have a few amazing clients I’m working with right now who would describe themselves as life long worriers, or pessimists. In the past that has served them well, enabling them to keep safe, steer clear of risks and even develop strategies in the event of disasters. However, now they find it’s becoming hard to break the cycle and they really want to because it’s holding them back.

    Notice how they’ve found their hidden fears and want to face them?

    One client said “I knew this was going to be tough, and I knew I couldn’t fight it alone and I knew you would be the one to help me.” Before I sat an incredibly successful, confident, capable business owner with a family and a social life to die for.

    However, I’ve learned that the most successful looking lives can hide things that impact on life, success, love, happiness and business.

    We didn’t start with the fear that they felt was holding them back, we broke the fear down, and found lots of little obstacles that had been deemed as “life” and “unchangeable” and “that’s just the way it is” by developing awareness to the little steps on the road to their obstacles to happiness and success they were able to tackle them in a different way.

    12. Discover Great Skills in Your Scary Moments

    And in that clients words “I came here to work with you to grow my company, and my own personal skills. I didn’t expect to get the children to be cleaning up after themselves and my partner being more attentive! It all feels a little magic.”

    The moral is that out of the scariest of moments, we can find great skills we didn’t know we had. Find better, healthier, happier ways to live and find ways to enjoy life more. (And have a bit of magic!)

    What a great place to be in ready for the next fear that thinks it’s going to get in the way of you, right?

    13. Own Your Fear

    Think back over these tips and come up with at least one example for each one. Write them down. Put them on your phone. Turn them into a piece of art. Turn them into a poem. Frame them. Go for a fast walk across the fields, beach, down town and repeat these things in your head to the sound of your feet on the ground.

    We rarely take the time to appreciate how far we have come, how much we can achieve or what we are capable of – by really owning the tips in this article you will have given your brain a big fat dose of “Damn right I can do this!” and the motivation and accountability to say “Let’s find a way” through any fear.

    You can’t help but feel good when you see that can you? And fear doesn’t stand a chance, does it?

    More Resources About Fighting Fear

    Featured photo credit: Ben White via unsplash.com

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