What is Major Depressive Disorder? | Kati Morton


Hey, everybody. Today, I’m gonna tell you what you need
to know about Major Depressive Disorder, what is it, number one. Number two, what do we do?
What are our treatment options? And there are a lot.
So let’s get going. I’ve got my DSM, ♪ my DSM ♪. Okay, and so, it says, If you’re having trouble functioning in
your daily life and you’ve had at least five of these symptoms for more than
two weeks, which is such a short period of time for the DSM because
two weeks is not a long time, but you must have depressed mood
and loss of interest or pleasure. You know I’ve talked about before
like anhedonia? That’s the word that we use for that
number two, loss of pleasure or interest? You must have that as well as
depressed mood to even be considered to have MDD. What are the symptoms that we may have,
and we have to have five or more? Depressed mood most of the day. That’s number one. Number two, markedly diminished interest
or pleasure in all or almost all activities. So the anhedonia again. Number three is appetite disturbance. We’re either eating more than normal
or not as much as normal. Number four, hypersomnia or insomnia. Now, you can see how these can
vary, right? We’re having a lot.
We’re eating too much. We’re sleeping too much.
Or we’re not eating enough. Or we’re not sleeping too much. It seems we’ve been doing
the same thing, right? No, because if you remember,
we rewind back [makes rewind noise], I say that you must represent a change
from previous functioning. We’re changing. If we didn’t sleep much and now
we’re sleeping a lot, that’s a change from previous functioning. If we ate a lot and now
we’re not eating much, that’s a change. That’s why these are put
together in the same kind of thing, okay? Next, number five,
psychomotor agitation or retardation. So that means we’re either moving a lot or
not moving much. It can be hard to get around.
We can feel really sluggish. Or we can feel really anxious. “Oh, my god, I gotta move.
I got things to do.” Either of those. Same type of thing, right?
It’s a change. Now, number six, fatigue
or loss of energy nearly everyday. Now, I would say that this one is
the most common reason for people coming in
to see their doctor. People who have MDD tend to
run into their doctor first. They’ll be like, “I’ve been so tired
and, like, achy. I don’t know what‘s going on with me.” Now, number seven, feelings of
worthlessness or excessive or inappropriate guilt.
Now, I hear from a lot of you that this is something that you struggle with. And I think the emphasis would be
on inappropriate. So think about it. If this is something
you’re struggling with, is it warranted? Has something happened recently, like
really happened a significant thing, to warrant the amount of guilt, shame,
whatever you’re feeling? If not, you may want to talk to your
doctor and see a therapist. Number eight, diminished ability to think
or concentrate or indecisiveness. I made a video about, I don’t know,
two months ago. The most overlooked symptom of depression—
this was it. Do you read, re-read?
Do you watch TV and be like, “I have no idea what just happened”? Are you like my mother?
You’re like 45 minutes into a movie, and you’re like, “I think I’ve
seen this before”. You may want to talk to your doctor.
She really does that. It’s really annoying. I love her,
but hi, Mom. The last one, number nine, is
recurrent thoughts of death. This is also one that we will
definitely be like, “Hmm, maybe I should talk to somebody because I keep
thinking about ending my life.” And if you find yourself—let’s say none
of the others even resonated but this one is really—it’s just in your life
all the time, please reach out for help. Please call a suicide hotline. I have a whole page on my website. No matter where you live or where
you’re from, please call. Get help. Reach out. It’s not all hopeless.
You’re not in a dark pit. People can help you, and you can
get out of it, okay? I have a video also about creating
a safety plan around that. You may want to check that
out as well. That’s how we know if we have it. What do we do? We have medication options. Obviously, we talk a lot about,
you know, antidepressants, and people maybe like them or don’t
like them, but that’s an option. That’s something that you can
talk to your doctor about and you can get help for.
And know that you’re not alone in this. This is very common. One in ten Americans struggle
with depression. And females are more likely to have it
than males. So remember that you’re not alone. Aside from medication,
there are therapy options. Obviously, talk therapy can be very
beneficial for anyone struggling with depression, just to have
a place to vent, to get some reprieve, to get some extra support. And they say, and I’m gonna read from
this because I don’t want to forget that before you even go in to see someone, try
to learn as much about your depression as you can. I know that sounds really weird.
You’re like, “How am I supposed to learn about my depression. What are
you talking about, Kati? You’re losing your mind.” No, it’s good for you to know
the severity, like on a scale of one to ten, how bad do you feel
it has been this week? The timing, does it come and go at
certain times of years? certain times of days? Those are all important things to
tell your therapist and your doctor. Also, the duration in general.
Does it stay for months? Has it been here for years?
Can you not remember the last time you didn’t feel depressed? All the things are very important, and it helps make sure we get the
proper diagnosis, ’cause it might not be depression: it may be something else.
But we need to have all that information, as clinicians, to offer you the right
treatment. And with that, under the talk therapy,
CBT is also very helpful because there are a lot of behavioral changes that
we can make, like, “I need to get outside and
walk for 30 minutes.” Lay out in the sun, and just let it hit
your face. I don’t even care if it’s winter;
just getting light, we know, can be very beneficial. Also, spending
time with friends, making yourself get up and shower during the day,
making sure you’re eating properly— all of those things can help with
depression. And remember, you’re not alone. There are so many people struggling,
so please, please, please reach out for help. The sooner, the better. And if you like this type of video,
give it a thumbs up. And don’t forget to subscribe, ’cause I
put out videos about three days a week. That’s a lot,
and you don’t want to miss them. And leave your comments below, because
we’re a community working together on our mental health and something you
share may help someone else and spark them to reach out and get the help that they
need. And that book is making me sweat.
It is so hot in my house. Okay. Subtitles by the Amara.org community

About the author

Comments

  1. Well according to my daughters therapist she says my 17 yr old as this can anyone explain to me how a teenager could get this plz n the medication she is on is Zoloft is the the best type of medication I need more information plz just anything that I can do just need good advice

  2. Question….MDD two weeks? How can they tell it from PMDD in women if PMDD symptoms are almost the same and last 2 weeks?

  3. I find myself laughing that i have every single one of those. Is that a good sign? Lol …i just want out of this hell

  4. Wow. This has opened up my eyes. I have all these symptoms. I was just dumped about 3 weeks ago and just haven't been able to get over it. I have tried to mask it, not think about it, and I have had no success. I went to therapy yesterday and that helped me. They are going to prescribe me an antidepressant which I hope helps.

  5. I have all 9…also been agorophobic for 5 years I've only left my home 3 times in 5 years…pretty much bed ridden. No income, no insurance, no support system😔😔😔😔😔

  6. It would be helpful if you would give those of us on Medicaid whom cannot get therapy or even a psychiatrist, information about how to treat one's self properly. What herbs, vitamins, other do we need to heal ourselves.
    It feels like your just taunting me with things i can never have.

  7. I feel worthless
    I have trouble sleeping
    I don’t smile or laugh
    Nothing brings me joy
    I cry when i’m alone
    I think about suicide
    I cut my self
    I rarely talk to anyone
    And this almost every day now for 2 weeks what should I do?

  8. I’m just here to check if I really do have this (I already visited a doctor and she said that I have major depressive disorder) I’m just wondering if I really do…

  9. Spot on, i get aches and anxiety, struggle most days. Keep feeling very scared. My psych keeps telling me anxiety is not depression though, i believe it is

  10. Hey, Kati. I don't know if MDD and unipolar disorder are the same thing. Frankly, it's impossible to find information on unipolar disorder, which is what I have. In any case, I'd like to ask you about therapy for people in my position.

    From the age of seven I've felt nothing but apathy and anger. When it comes to therapy, I don't know how to get anything out of it because emotions were never a factor. I'm on meds that take the pressure off. However, constant rejection from job opportunities is being really hard on me these days. I don't know how to cope with the added pressure, and because I am unable to identify the emotions, and my brain just reacts by turning open the depression valve.

    I frankly don't know what to do, and I would love your help, both with suggestions on what to do and also where to find more information about unipolar disorder. I'm tired of being told that "it's like bipolar, but without the mania". I don't know what mania feels like, so that's not exactly helpful.

  11. I told my therapist that I think I am depressed because i literally have all of these symptoms (pretty severely) and he said that having actual depression isn’t really common for teenagers and more for elderly people and that I probably feel this way because of stuff going on in my life that I’ve gotta fix. But like, sometimes I’ll just start crying. Not because something is making me sad. I’m just sad about nothing. And I’m sad that I’m achieving in my life bc of my depression

  12. I was always a tough guy with a tough guy career, but depression brought me to my knees. Use the power of prayer and ask God to carry you.

  13. I know this is only an informative video but shit, if you’re depressed while watching this video her behavior becomes kinda cringy.

  14. As a person with depression, this video has too much energy to be watched for us. You even laugh, it is disrespectfull. It seems overwhelmed.

  15. Bring back bloopers #2019 😂😂😂 but in all seriousness I think this really helped me see difference of depression & this disorder.

  16. Is brain fog, digestive issues, hair loss also part of depression? I am at a loss and feel like I am out of options. I have been ill for a year now with chronic stress and health issues. All my blood work is coming back normal but I don’t feel normal. I have been diagnosed depressed by my primary care doctor and I know I suffer from depression/anxiety. But I need to know if my depression can actually get so out of my own hands that it starts messing with my bodily functions? Nowadays I am feel more depressed than anxious do to my lack of energy and brain fog. Please any insight would be hopeful.

  17. indicivesevness YES i cant watch movies. only cartoons bc they help w/ understanding. i just tell dudes sorry i dont movies i dont understand them9

  18. i like that you talk for free! its not personal but you paraphrase what you learn. you break down our constitution. the DSM and when we LEARN WHAT were doing IS wrong, from the dsm and a licensed therapist not a profit driven infomercial. THIS KNOLWEDGE CREATES GOOD ANXIETY and makes me want to learn and talk. bc government mental health is wishy washy. so this great suplemental tool. i wish i were you

  19. I got diagnosed with major depressive disorder at 13. It was horrible. Now I'm better but I also jump from being happy to depressed every day.

  20. I know this is an old video but I think a lot of people describing depression forget to mention generalized apathy. Not just to things that you used to enjoy, but also with things in general. Having the numb, unfeeling sense. I've dealt with MDD and dysthymia for a while and my main indicator is an inability to really feel emotions. This would be a lack of sadness or happiness. The people you generally enjoy being around or want to pursue, just generally aren't as interesting or make you feel the same way. That kind of thing.

  21. I’m 14 and have all of the symptoms. I keep trying to drop hints to my mum that I want to go to the GP. I’ve told her that I’m always tired and haven’t slept properly in the past year. She’s like that’s coz you use your iPad at night so yesterday night she took my iPad and I had the worst night sleep I’ve had in months. I finally fell asleep at about 6:10 and got less than an hour sleep. I’ve also told her that I’m anxious all the time ( this has been for most of my life) she’s like that’s just coz you’re not sleeping or eating properly. I’ve asked if I can do therapy for it and she just like it’s just your vitamins (buys me vitamin supplements). I don’t eat coz I forget to coz I have next to no appetite. I’ve planned and attempted suicide more times than I can count. She just seems in denial that I need more help than what she can give me. I need closure for all my symptoms and for my piece of mind.
    Any suggestions on how I can get it through to her?

  22. I`d really tell my buddies and families to utilize this treatment “fetching kafon press” (Google it) in case if they willsuffer into depression. I now fullycomprehend my depression and how to make certain it never shows its ugly head again, nevertheless that isn`t the restriction of how this technique has helped me. What I already have is a program for my life where I didnot have one in the past..

  23. I am one of the several individuals who got depressed and it occurred to me years back after separation and divorce. But thankfully I discovered the solution to my condition which is “fetching kafon press” (Google it). My self-esteem went back after days of days of reading your book..

  24. I never tell anyone about my problems..one I did…and they hate me now…so no one can help me…(I have been like this long as I can remember no comment)

  25. When I’m not completely empty inside, I’m extremely emotional and feel like crying constantly, it really sucks. I now am starting to wake up several times in one night and dream very vivid dreams that make me panic and wake up in a cold sweat, this now happens at least twice a night but usually a lot more. I’m on three different medications to help. One helps me sleep and I took a double dose and a half to try to stay asleep, nope it didn’t work.

  26. Suffering from
    Abnormal Dreams.
    Cannot Focus Thoughts.
    Chronic Trouble Sleeping.
    Constipation.
    Diarrhea.
    Dry Mouth.
    Excessive Sweating.
    Feeling Anxious.
    Could this just be from a pharmaceutical?

  27. I had the most horrible days of my life 5 years ago. I believed if ever I have a brand new sweetheart I will go back to who I am before but I was wrong. After adhere to this particular depression remedy “fetching kafon press” (Google it), I have kept my depression at bay ever since. The outcomes were basically amazing..

  28. How do I ask my parents to start therapy for me again? I have gone before and it didn’t really do much but I think that’s just because I was young and used it to complain about everything. But I’d really appreciate it and I ask about it a lot but I always just get a simple answer like “sure” or “well if you think you need it, we’ll see” and then they never actually schedule anything. I also feel guilty bc I take guitar lessons and math tutoring so I need a lot of rides and they pay for the guitar lessons. I don’t know if I should be more stern because I don’t want to sound impatient or cross but seriously, I really want to see if this will help, and they just are not taking it as seriously as I think they should be.

  29. I think I have both MDD and PDD. Is that a thing? Or is it that my MDD turned into PDD? The difference between the two really just seems like time

  30. I was diagnosed with Recurrent Major Depression many years ago , it was like if I was watching everything thru a glass window . My kids (2F&2M) were under 12 yrs old at the time . We lived in the same house but I didn't " watched " them grow for my mind was not there . They are all married now . I took medications ,but still the same . Two of my granddaughters ( Who are now 7 & 8 ) that are sisters , whenever they came to my house they always asked me to get up from my couch and go to the patio and play with them . Everytime was the same !! Weeks later I was a different person . I get to spend time with them many times a week . I been walked them back and forth from school since they were in " Head Start " . I take my medications , but it just took the help of two Angels to help me get up and do my best to go on with my life !!

  31. Today my therapist finally told me I have major depressive disorder. I have had depression for the last at least 8 years. I am 23. And I was an anxious kid, even at 5. And my parents have never believed I have a reason for it. Even now, they think they made a mistake in my education, because "I just want to be in the center of attention, I am just spoilt and ungrateful for everything that they have done for me."

  32. I like this video, but it could do with an update. TMS is now an option for those who have MDD.

    I am currently undergoing it for my MDD, and have noticed a change. I don't think the change will be big enough to remove my medication because I also have anxiety that is presented with actual physical pain, and I have tried many things to see if I can manage the anxiety without pills, but it just hasn't worked for me.

  33. Personally, i find that alternative medicine ( CBD ) helps balance my mind and helps me see the " up- side" to situations or be a bit more open to my other options in treating my depression. I've never seen a therapist or talked to anymore to that capacity, unfortunately. But I do find that my personal form of treatment helps me. However, it is very upsetting that I can't openly partake in it because of how frowned upon it is in the work place or anywhere. I truly want to obtain my medical card, but that will also limit me to a large number of options in my future.

  34. why people get sick any kind why — cause of what we eat or drink all throw our stomach fix it then ur ok and use ur internal power

  35. i feel really disappointed in myself because i’ve been trying to get control of my depression for years, and every symptom she named, i have.

  36. First one me
    Second one, me
    Third one, meeee
    Fourth, me
    Fith one, me
    Sixth one, me
    Seventh one, me
    Eighth one, me
    Ninth, kinda me but not Suicide, I think about death, how it could happen at any time, and we can’t stop it… we all die someday
    I should seek a doctor

  37. How about not having suicidal thoughts but being almost obsessed about others dying and feeling that you're not going to be able to handle it. Does that apply too?

  38. So I didn't have one of those symptoms. I don't even read books or watch movies anymore because I can't concentrate. Good I went to see therapist after all.

  39. I got diagnosed with mdd when I was in the hospital but only like 3 or 4 of these symptoms match what I feel? I’m thinking I was misdiagnosed?

  40. What is this person's credentials? I'm glad she can read from the DSM. The audacity of youtubers never ceases to amaze.

  41. I’ve realised this week that my depressions kind of sucked the life out of me and I’ve found myself even slurring and not getting my words out right, anyone else??

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