Up
to 20% of the UK population will suffer from depression – twice as many
as 30 years ago, says Steve Ilardi. Photograph: Rob Lewine/Getty/Tetra
Dr Steve Ilardi is slim and enthusiastic, with intense
eyes. The clinical psychologist is 4,400 miles away, in Kansas, and we
are chatting about his new book via Skype, the online videophone
service. "I've spent a lot of time pondering Skype," he says. "On the
one hand it provides a degree of social connectedness. On the other,
you're still essentially by yourself." But, he concludes, "a large part
of the human cortex is devoted to the processing of visual information,
so I guess Skype is less alienating than voice calls."
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The Depression Cure: The Six-Step Programme to Beat Depression Without Drugs
- by
Steve Ilardi
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Social connectedness is important to Ilardi. In The
Depression
Cure, he argues that the brain mistakenly interprets the pain of
depression as an infection. Thinking that isolation is needed, it
sends messages to the sufferer to "crawl into a hole and wait for it
all to go away". This can be disastrous because what depressed people
really need is the opposite: more human contact.
Which is
why social connectedness forms one-sixth of his "lifestyle based" cure
for depression. The other five elements are meaningful activity (to
prevent "ruminating" on negative thoughts); regular exercise; a diet
rich in omega-3 fatty acids; daily exposure to sunlight; and good
quality, restorative sleep.
The programme has one glaring
omission: anti-depressant medication. Because according to Ilardi, the
drugs simply don't work. "Meds have only around a 50% success rate," he
says. "Moreover, of the people who do improve, half experience a
relapse. This lowers the recovery rate to only 25%. To make matters
worse, the side effects often include emotional numbing, sexual
dysfunction and weight gain."
As a respected clinical
psychologist and university professor, Ilardi's views are hard to
dismiss. A research team at his workplace, the University of Kansas, has
been testing his system – known as TLC (Therapeutic Lifestyle Change) –
in clinical trials. The preliminary results show, he says, that every
patient who put the full programme into practice got better.
Ilardi
is convinced that the medical profession's readiness to prescribe
anti-depression medication is obscuring an important debate. Up to 20%
of the UK population will have clinical depression at some point, he
says – twice as many as 30 years ago. Where has this depression
epidemic come from?
The answer, he suggests, lies in our
lifestyle. "Our standard of living is better now than ever before, but
technological progress comes with a dark underbelly. Human beings
were not designed for this poorly nourished, sedentary, indoor,
sleep-deprived, socially isolated, frenzied pace of life. So
depression continues its relentless march."
Our
environment may have evolved rapidly but our physical evolution hasn't
kept up. "Our genome hasn't moved on since 12,000 years ago, when
everyone on the planet were hunter- gatherers," he says. "Biologically,
we still have Stone Age bodies. And when Stone Age body meets modern
environment, the health consequences can be disastrous."
To
counteract this Ilardi focuses on the aspects of a primitive lifestyle
that militate against depression. "Hunter- gatherer tribes still exist
today in some parts of the world," he says, "and their level of
depression is almost zero. The reasons? They're too busy to sit around
brooding. They get lots of physical activity and sunlight. Their diet is
rich in omega-3, their level of social connection is extraordinary, and
they regularly have as much as 10 hours of sleep." Ten hours? "We need
eight. At the moment we average 6.7."
So we should all
burn our possessions and head out into the forest? "Of course not,"
Iladi shudders. "That would be like a lifelong camping trip with 30
close relatives for company. Nobody would recommend that."
Instead
we can adapt our modern lifestyle to match our genome by harnessing
modern technology, such as fish oil supplements to increase our intake
of omega-3. All well and good. But I can't escape the feeling that the
six-step programme seems like common sense. Isn't it obvious that more
sleep, exercise and social connectedness are good for you?
"The
devil is in the detail," replies Ilardi. "People need to know how much
sunlight is most effective, and at which time of day. And taking
supplements, for example, is a complex business. You need anti-oxidants
to ensure that the fish oil is effective, as well as a multivitamin.
Without someone spelling it out, most people would never do it." Ilardi
practises the programme himself. He's never been depressed, he tells me,
but it increases his sense of wellbeing and reduces his
absentmindedness (his college nickname was "Spaced").
It
all makes sense, but will I try it myself? I don't suffer from
depression, but wellbeing sounds nice. I'm not so sure about the fish
oil, but I might just give it a go.
Enjoy the sunshine, get plenty of sleep – and be sociable
▶ Take 1,500mg of omega-3 daily (in the form of fish oil capsules), with a multivitamin and 500mg vitamin C.
▶ Don't dwell on negative thoughts – instead of ruminating start an activity; even conversation counts.
▶ Exercise for 90 minutes a week.
▶ Get 15-30 minutes of sunlight each morning in the summer. In the winter, consider using a lightbox.
▶ Be sociable.
▶ Get eight hours of sleep
Source: http://www.theguardian.com/lifeandstyle/2010/jul/19/beat-depression-without-drugs