New Research will Change the Way We Think About Depression. (Finally!)

New Research will Change the Way We Think About Depression. (Finally!)

The way we have been thinking about depression is broken. Depression is widely considered to be a mental illness – an disorder of the mind – but new research has challenged that, and the findings will change the way we think about and treat depression.

Physical illness rarely carries the same crippling stigma as mental illness. There seems to be a gap between the way we think about the two, with physical illness often garnering more respect and permission to ‘be’. To understand depression in a way that and fosters better treatment options and greater clarity, we need to find out more about what it is – or what it is not.

Enter a team of international researchers, who have gone and done just that. 

The Research – What They Did.

For the very first time, in a comprehensive study lead by a team of researchers from around the world, we have scientific proof that depression is not just a mental disorder but a systemic one that affects the whole body. The massive study, published in the Journal of Clinical Psychiatry involved an analysis of 29 previous studies, comprising a total of 3,961 people.

The researchers were interested in the way depression manifested in the bodies of those individuals. They found that depression affects the whole body on a cellular level. In light of this, the researchers have called for depression to be considered a systemic disease, rather than a mental one.

The results make sense of the longstanding observation that people with depression are also more likely to be diagnosed with cancer and heart disease.

What They Found.

The study revealed that depression was linked to oxidative stress in the body. When compared to people without depression, those who were depressed had elevated levels of malondaldehyde – a compound that indicates oxidative stress.

So what is oxidative stress? Let me explain. Oxidative stress happens when the body overproduces free radicals and then struggles to get rid of them from the body. Free radicals cause damage to critical parts of cells including proteins, DNA and cell membranes. When the free radicals damage these important parts of the cells, the cells aren’t able to function properly. Eventually, they can die.

Free radicals are produced naturally by the body but overproduction can be triggered by stress, pollutants, alcohol, the air we breathe, the food we eat (particularly fried food), the body’s natural immune system response (inflammation) or tobacco smoke. In short, modern living makes us vulnerable.

One of the ways the body detoxifies free radicals is through antioxidants. Antioxidants inhibit oxidisation by scavenging free radicals from the body. When there are too many free radicals floating around and not enough antioxidants to mop them up, the body struggles to keep up with the detoxification of the free radicals. The body comes under oxidative stress and this is when the damage to the cells can spread throughout the body.

What it Means.

The findings open up new avenues for the treatment and prevention of depression. Heal the body and we can heal the mind. 

In their study, the authors conclude that;

‘Results suggest that oxidative stress plays a role in depression and that antidepressant activity may be mediated via improving oxidative stress (and) antioxidant function.’

After receiving the usual treatment for depression, the levels of malondialdehyde (the indicator that the body may be under oxidative stress) decreased, and the levels of antioxidants increased. Eventually, both malondialdehyde and antioxidants were restored to such a level that the bodies of people with depression were indistinguishable from people who did not have depression.

Future Promise.

Depression has long been thought of as a disorder of the mind and this is the way it has been treated. Antidepressants target neurotransmitters in the brain, and though some people find great relief from these, many don’t find relief, or eventually relapse.

It seems that in treating only the mind, we have been getting it spectacularly wrong. The mind and the body are deeply connected. An abundance of scientific research has consistently delivered us the proof. 

Depression is an illness of the whole body, not just the mind. In recent years, the theories around depression being caused by a chemical imbalance in the brain have started to break down.

[irp posts=”1727″ name=”Healing From Depression. The 6 Proven, Non-Medication Ways That Are As Effective as Antidepressants (We Should All Be Doing This!)”] 

We know that when some people are given antidepressants that target serotonin levels in the brain, they find relief. For a long time, this was taken as evidence that a lack of serotonin caused depression. Just because something makes it better, that doesn’t mean that the body is deficient in that ‘something’. This is similar to saying that shyness is caused by a lack of alcohol, or that headaches are caused by a lack of paracetamol, or that fatigue is caused by a lack of caffeine. 

There is another reason the low serotonin/depression-is-all-in-the-head theories are becoming shaky. If one of the symptoms of depression is low serotonin, what causes the low serotonin? The way we have been thinking about depression – as purely a mental illness – stops short of a full explanation.

Antidepressants have given great relief to many people, but there are many who find no relief at all. It’s likely that by treating the chemical imbalance, we are only treating part of the problem. Think of it like treating fatigue with a decent sleep. When fatigued people sleep, they feel less fatigued. Does this mean that fatigue is from a lack of sleep? Sometimes, yes, absolutely. And in these cases, a decent sleep will be exactly what’s needed. Sometimes though, fatigue will be a sign of something else happening in the body – an infection, a virus. In these cases, sleep might help but the relief won’t be lasting because it won’t be treating the cause.

When we change the way we think about depression – as an illness of the whole body, not just an illness of the mind – we open up new possibilities for treatment. The body can heal and so can the mind. This is not new information, but hopefully, with our ever expanding understanding of depression, we can use this old information in new and powerful ways to heal the mind, body and spirit in more enduring and effective ways.

37 Comments

Shiraz

This article is what I was looking for. I do not believe in antidepressants. Taking them for 2 years without much improvement. Will try this method with antioxidents

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Jackheysigmun

Thank you. This makes sense. Ok where can I get help? My psychiatrist certainly won’t buy this.

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Mary

Hi Karen,

You said that, “One of the ways the body detoxifies free radicals is through antioxidants.” What is the best way to get more antioxidants? I always see products advertised in the store.

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Clare

Karen,

I simply love your articles. I have been working in the mental health field for over 20 years and I find your writing reader friendly and inspiring for so many that need a bit of hope.

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Alexandra Della Fera

Speaking of anxiety – as the last post mentioned- does this theory hold true for anxiety disorders as well? Or is there a distinct systemic difference between depression and anxiety?

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Jasmin Beck

Yet again another interesting and informative article, if like me you suffer severely from depression and the medications over 40 years have proved toxic for me-that doesn’t mean they on’t help others.
I have finally found a wonderful psychiatrist who is not using meds with me and is withdrawing me slowly from clonazepam, but due to other issues is keeping it at current level due to severe anxiety and sleep issues. He is using a combination of clonazepam and melatonin to try to help me.

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Ken

This is a wonderful website and I appreciate what you’re doing.

I’ve suffered from depression since I was a teenager, but I didn’t know what was wrong with me until after it cost me my marriage in my 30s. A little over a year ago, at age 58, I finally had enough courage – no, that’s not right – I finally couldn’t stand it any longer and sought help from my GP.

I’ve had long periods when I could simply work through it and eventually feel better. Then it comes back again. This time is the worst since my marriage ended back in 1993.

My GP is great and we’re working on it and I’m better than a year go. My question is: Is there a reliable (and inexpensive) blood test to see which chemicals/amino acids are insufficient? I think it would save a tremendous amount of time.

The serotonin reuptake inhibitors don’t seem to be doing the trick.

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Hey Sigmund

Ken thank you very much for your comment – it means a lot. Your question is a very good one. I’m not sure about the answer. As far as I know, there isn’t an objective way to test for the biomarkers of depression, but a GP would probably be the best person to ask. The direction the depression research is heading in is fairly new, so hopefully there will be new tests and treatment options on the way. You were right the first time when you called it courage. Depression is so depleting and if you don’t know what’s behind it, it can be so confusing and it takes a major push to take the step to find out what’s happening – and you did that. Now it’s about exploring what will work for you to help you find relief from your symptoms.

If the serotonin reuptake inhibitors aren’t working, here are a couple of articles that might be worth reading or discussing with your GP. The first two are about the role of the gut. There is a lot of research that has found that there is a strong connection between the brain and the gut and when the environment of the gut is out, it can compromise mental health https://www.heysigmund.com/our-second-brain-and-stress-anxiety-depression-mood/ and https://www.heysigmund.com/anxiety-depression-gut-bacteria/.

This one talks about other ways to improve depressive symptoms https://www.heysigmund.com/the-non-medication-ways-to-deal-with-depression-that-are-as-effective-as-medication/. In the meantime, know that there is a lot of research happening in the area of depression, and a lot of new avenues being explored. It’s great that you have found a GP you trust and can work with. That partnership can be a really important one. Don’t lose hope – they really are getting closer to figuring out how to beat this.

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Sharon Hutchinson

Hi Ken! I sometimes say I was born depressed, since it was something I’ve suffered with for a long, long time. When the teen years arrived, depression and mood swings took off big time.

After reacting to an antibiotic in a way that supposedly the pharmacists “never heard of”–my depression not only worsened but I began to have audio/visual hallucinations–my psychiatrist was the one who believed me. He said that antibiotics can play awful havoc with our gut flora, and this in turn can effect what and how our brain chemicals react.

There is much truth in this article, and more hope for the future!

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Sarah

Hi there I am a biotechnology student and would love to read the paper that this article refers to if you can maybe email me the authors, year and title. Last week I lost my cousin to depression and it seems to be rife within my family. Reading your article has sparked inspiration in me so thank you for sharing it.

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Juliette

Yup! Even though I’m on meds, they are not truly helping so needed another med to boost my motivation levels to be productive. I hate taking meds and sometimes I forget. Then the panic sets in

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Hey Sigmund

Juliette I completely understand the love-hate relationship with meds. There is so much research happening at the moment that’s bringing us closer to finding better treatment options. Hang in there.

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Kay

Hi, love your insight..
I read an article a couple years ago (I think it was Psychology Today, I was in a waiting room) talking about new findings on the brain because of a new way to study the physical brain itself..
Long story short, the conclusion of the article brought up the idea that depression is also an inflammation in(?) the brain (caused by trauma, physical and mental stress) and they suggested things like Curcumin might reduce depression in up to 80% of people suffering from it..
Have you heard of this? I’ll try to find a link but I’m limited in my computer skills, soo…
Thanks, Kay

Reply
Hey Sigmund

Hi Kay,

I’m not sure about the exact article you’re referring to but there is certainly a ton of research happening at the moment that is pointing to depression being caused by inflammation that could be brought on by things like stress, trauma, illness, allergies, environmental toxins. Here is an article that explains the connection between depression and inflammation https://www.heysigmund.com/activity-restores-vital-neurochemical-protects-anxietyepression/.

Curcumin is an anti-inflammatory and the research shows that it’s great for brain health. Here’s an article about that https://www.heysigmund.com/this-helps-heal-your-brain-and-its-probably-in-your-pantry/. We’re learning a lot about the things we can do to strengthen the brain. The idea that we can actually change our brain has only come about in the last decade or so but it’s changing the way we think about mental health – all for the better. Here are a couple of articles that talk about that, if you are interested:
>> Simple Ways to Supercharge Mental Health and Brain Performance: https://www.heysigmund.com/simple-ways-to-supercharge-brain-health-and-mental-performance/
>> The Non-Medication Ways to Deal With Depression that are as Effective as Medication https://www.heysigmund.com/the-non-medication-ways-to-deal-with-depression-that-are-as-effective-as-medication/

I hope this helps.

Reply
L

This all makes so much sense to me. I have struggled with anxiety and depression for as along as I can remember and it has got worse over the last few years. I have tried soo many different antidepressants and I always have bad side effects from them and have to stop and I’m thinking what is wrong with me!? Am I making it all up!? I cannot see a light at the end, I feel like I am just going to keep getting worse, I’m not living, just struggling and existing. I am a mother of 2 (separated from their dad 3 and half years ago) and being the way I am is no good, I don’t feel like a good mum, I’m always stressed and I shout a lot which I absolutely hate and I don’t want my kids to end up the same as me! I attempted suicide a year and a half ago and I have these thoughts ALOT!! I feel so hopeless and worthless and I just want to be and feel normal!! I had my 2nd son dec 2012, got sterilised in 2013 and then diagnosed with fibromyalgia in 2014. I tried accupuncture last year but its so expensive so I couldn’t continue with the treatment. Can u recommend natural treatment that can help me to feel better?? I get so overwhelmed trying to find things that will work as there’s many conflicting stories and also so many different options and I don’t know which ones are best and actually contain the right ingredients and not all the bad stuff! Sorry I’m not very good at putting my thoughts or explaining things properly, apparently down to ‘brain fog’ from fibro!
Thanks

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Penel

My friend who suffered from depression and anxiety died from a massive heart attack. He had had to decrease his depression meds because they conflicted with his heart meds.
This article explains a lot, as he was trying very hard to eat right, etc.
Thank you.

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Trella

I would like to know about alternative ways of treating depression in light of it being more than just a mental illness and getting away from the traditional antidepressants.

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Hey Sigmund

Trella, there is still so much we don’t know but the research is heading in a really positive direction. If you are on medication, it’s important not to give that up or reduce the dosage without the close supervision of a doctor. Even if you are on medication though, there are things you can do to strengthen your mind and body against depression. Here is some information that might help you https://www.heysigmund.com/the-non-medication-ways-to-deal-with-depression-that-are-as-effective-as-medication/.

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Alexa

Thank you for this article. I remember hearing Andrew Solomon say, during one of his TED Talks, that “the opposite of depression is not happiness; it is vitality.” Suddenly, my lifelong experience with this condition began to make sense. I’m in full agreement that depression is a whole-body, whole-person condition. In my own situation, depression was incited by a two-month premature birth in the late 1950s — the medical protocol of the time forbade parental contact with preemies, so I did not bond with my mother, or with any other adult. My doctor — a gem — and I have discovered, through research, a variant on depression in infants — anaclitic depression, which is also known as “failure to thrive.” The best medicine for my variant has always been, and always will be, body-based. Diet, hydration, walking, gentle movement, restful sleep, and most of all, loving bonds that include lots of touch. I believe there is a strong link between depression — I see it as a functional as well as a structural disorder — and trauma … Unattended grief is also a factor. Social, environmental, and relational breakdowns almost guarantee that depression will result (you speak to this in saying that “modern living makes us vulnerable”) … Its genesis in each person is as unique as a fingerprint … and so is its treatment. Articles such as this inch us closer to a wiser and more compassionate understanding …

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Kerry

I have a daughter that has been struggling with anxiety and depression for the last year. We have not found an antidepressant thhaatt hhas worked yet. She eats pretty healthy. She is currently doing DBT therapy. Are there any other suggestions? She is not a good sleeper so her anxiety medication is suppose to help her with sleep.

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Karen Young

Mindfulness and exercise are really important. They have both been shown by plenty of research to have the capacity to strengthen the brain against anxiety and depression. Here are a couple
Of articles that will explain how they work and why they are so important https://www.heysigmund.com/overcoming-anxiety-mindfulness/ and https://www.heysigmund.com/activity-restores-vital-neurochemical-protects-anxietyepression/.

Mindfulness can also be a way to help her find calm before sleep. I hope your daughter is able to find some relief soon.

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Mimi

If she’s not into athletics, get her into one. One that she enjoys, and will want to do regularly. With others in a supportive environment.

Get her a regular creative outlet, if she doesn’t already have one.

Find her a weekly support group of people her age.

Good luck.

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Kathi

Oh wow! This is so inspiring!!!! I’ve been wondering about this for some time – I’d do anything to stop taking tablets! I was diagnosed with bipolarII one year ago but I’m even questioning that now. Hmm …. thank you so much!

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Hey Sigmund

You’re so welcome Kathi. The the research is really opening up in relation to depression, and it’s making a lot of sense. It’s all good news for possible new treatment options – hopefully we will have some soon. Keep working with your doctor in relation to your tablets, and he or she will be able to keep you in touch with possible new treatment options when they are found.

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Shilpa

Thank you…great article and makes sense completely and yes it needs to be looked at in new light.

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Anne R

Finally! For those of us with a loved one who struggles significantly from depression, and who hasn’t found any benefit from anti-depressants, this info is timely and critical. Hopefully the medical community will quickly get on board. Thank you so much for this article.

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KarenB

I am interested in hearing what people say about this very interesting article.

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Sharon Hutchinson

This makes perfect sense. It is the same with migraines, which are also systemic. When I called a headache specialist, the first question I was asked was “Are you calling about a headache or a migraine?” in this case, the headache is just the most obvious symptom, but actually most other body systems are involved as well.

We are discovering more and more how the entire body is interconnected. Finally!

Reply
Margaret O'Quigley

I have always believed and it is well understood the body and the mind are so connected . It makes perfect sense.
Margaret O’Ouigley
MIACP

Reply

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Whenever the brain registers threat, it organises the body to fight the danger, flee from it, or hide from it. 

Here’s the rub. ‘Threat’ isn’t about what is actually dangerous, but about what the brain perceives. It also isn’t always obvious. For a strong, powerful, magnificent, protective brain, ‘threat’ might count as anything that comes with even the teeniest potential of making a mistake, failure, humiliation, judgement, shame, separation from important adults, exclusion, unfamiliarity, unpredictability. They’re the things that can make any of us feel vulnerable.

Once the brain registers threat the body will respond. This can drive all sorts of behaviour. Some will be obvious and some won’t be. The responses can be ones that make them bigger (aggression, tantrums) or ones that make them smaller (going quiet or still, shrinking, withdrawing). All are attempts to get the body to safety. None are about misbehaviour, misintent, or disrespect. 

One of the ways bodies stay safe is by hiding, or by getting small. When children are in distress, they might look calm, but unless there is a felt sense of safety, the body will be surging with neurochemicals that make it impossible for that young brain to learn or connect. 

We all have our things that can send us there. These things are different for all of us, and often below our awareness. The responses to these ‘things’ are automatic and instinctive, and we won’t always know what has sent us there. 

We just need to be mindful that sometimes it’s when children seem like no trouble at all that they need our help the most. The signs can include a wilted body, sad or distant eyes, making the body smaller, wriggly bodies, a heavy head. 

It can also look as though they are ignoring you or being quietly defiant. They aren’t - their bodies are trying to keep them safe. A  body in flight or flight can’t hear words as well as it can when it’s calm.

What they need (what all kids need) are big signs of safety from the adult in the room - loving, warm, voices and faces that are communicating clear intent: ‘I’m here, I see you and I’ve got you. You are safe, and you can do this. I’m with you.’♥️
I’d love to invite you to an online webinar:
‘Thriving in a Stressful World: Practical Ways to Help Ourselves and Our Children Feel Secure And Calm’

As we emerge from the pandemic, stressors are heightened, and anxiety is an ever more common experience. We know from research that the important adults in the life of a child or teen have enormous capacity to help their world feel again, and to bring a felt sense of calm and safety to those young ones. This felt sense of security is essential for learning, regulation, and general well-being. 

I’m thrilled to be joining @marc.brackett and Dr Farah Schroder to explore the role of emotion regulation and the function of anxiety in our lives. Participants will learn ways to help express and regulate their own, and their children’s, emotions, even when our world may feel a little scary and stressful. We will also share practical and holistic strategies that can be most effective in fostering well-being for both ourselves and children. 

In this webinar, hosted by @dalailamacenter you will have the opportunity to learn creative, evidence-informed takeaways to help you and the children in your care build resilience and foster a sense of security and calmness. Join us for this 1 ½ hour session, including a dynamic Q&A period.
 
Webinar Details:
Thursday, October 14, 2021
1:30 - 3:00 PM PST
 
Registrants will receive a Zoom link to attend the webinar live, as well as a private link to a recording of the webinar to watch if they cannot join in at the scheduled time.

Register here:
https://www.eventbrite.ca/e/thriving-in-a-stressful-world-a-heart-mind-live-webinar-tickets-170348045590

The link to register is in my story.♥️
So much of what our kids and teens are going through isn’t normal - online school, extended separation from their loved people, lockdowns, masks. Even if what they are going through isn’t ‘normal’, their response will be completely understandable. Not all children will respond the same way if course, but whatever they feel will be understandable, relatable, and ‘normal’. 

Whether they feel anxious, confused, frustrated, angry, or nothing at all, it’s important that their response is normalised. Research has found that children are more likely to struggle with traumatic events if they believe their response isn’t normal. This is because they tend to be more likely to interpret their response as a sign of breakage. 

Try, ‘What’s happening is scary. There’s no ‘right’ way to feel and different people will feel different things. It’s okay to feel whatever you feel.’

Any message you can give them that you can handle all their feelings and all their words will help them feel safer, and their world feel steadier.♥️
We need to change the way we think about discipline. It’s true that traditional ‘discipline’ (separation, shame, consequences/punishment that don’t make sense) might bring compliant children, but what happens when the fear of punishment or separation isn’t there? Or when they learn that the best way to avoid punishment is to keep you out of the loop?

Our greatest parenting ‘tool’ is our use of self - our wisdom, modelling, conversations, but for any of this to have influence we need access to their ‘thinking’ brain - the prefrontal cortex - the part that can learn, think through consequences, plan, make deliberate decisions. During stress this part switches off. It is this way for all of us. None of us are up for lectures or learning (or adorable behaviour) when we’re stressed.

The greatest stress for young brains is a felt sense of separation from their important people. It’s why time-outs, shame, calm down corners/chairs/spaces which insist on separation just don’t work. They create compliance, but a compliant child doesn’t mean a calm child. As long as a child doesn’t feel calm and safe, we have no access to the part of the brain that can learn and be influenced by us.

Behind all behaviour is a need - power,  influence, independence, attention (connection), to belong, sleep - to name a few). The need will be valid. Children are still figuring out the world (aren’t we all) and their way of meeting a need won’t always make sense. Sometimes it will make us furious. (And sometimes because of that we’ll also lose our thinking brains and say or do things that aren’t great.)

So what do we do when they get it wrong? The same thing we hope our people will do when we get things wrong. First, we recognise that the behaviour is not a sign of a bad child or a bad parent, but their best attempt to meet a need with limited available resources. Then we collect them - we calm ourselves so we can bring calm to them. Breathe, be with. Then we connect through validation. Finally, when their bodies are calm and their thinking brain is back, talk about what’s happened, what they can do differently next time, and how they can put things right. Collect, connect, redirect.
Our nervous systems are talking to each other every minute of every day. We will catch what our children are feeling and they will catch ours. We feel their distress, and this can feed their distress. Our capacity to self-regulate is the circuit breaker. 

Children create their distress in us as a way to recruit support to help them carry the emotional load. It’s how it’s meant to be. Whatever you are feeling is likely to be a reflection what your children are feeling. If you are frustrated, angry, helpless, scared, it’s likely that they are feeling that way too. Every response in you and in them is relevant. 

You don’t need to fix their feelings. Let their feelings come, so they can go. The healing is in the happening. 

In that moment of big feelings it’s more about who you are than what you do. Feel what they feel with a strong, steady heart. They will feel you there with them. They will feel it in you that you get them, that you can handle whatever they are feeling, and that you are there. This will help calm them more than anything. We feel safest when we are ‘with’. Feel the feeling, breathe, and be with - and you don’t need to do more than that. 
There will be a time for teaching, learning, redirecting, but the middle of a storm is not that time.♥️

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