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B1 متوسط انگلیسی 20:32 Educational

This could be why you're depressed or anxious | Johann Hari | TED

TED · 11,969,119 بازدید · اضافه شده 3 روز پیش

آمار یادگیری

B1

سطح CEFR

5/10

سختی

زیرنویس‌ها (469 بخش‌ها)

00:13

For a really long time,

00:14

I had two mysteries that were hanging over me.

00:18

I didn't understand them

00:20

and, to be honest, I was quite afraid to look into them.

00:24

The first mystery was, I'm 40 years old,

00:27

and all throughout my lifetime, year after year,

00:30

serious depression and anxiety have risen,

00:34

in the United States, in Britain,

00:37

and across the Western world.

00:39

And I wanted to understand why.

00:43

Why is this happening to us?

00:45

Why is it that with each year that passes,

00:48

more and more of us are finding it harder to get through the day?

00:51

And I wanted to understand this because of a more personal mystery.

00:55

When I was a teenager,

00:56

I remember going to my doctor

00:58

and explaining that I had this feeling, like pain was leaking out of me.

01:03

I couldn't control it,

01:04

I didn't understand why it was happening,

01:06

I felt quite ashamed of it.

01:09

And my doctor told me a story

01:10

that I now realize was well-intentioned,

01:12

but quite oversimplified.

01:14

Not totally wrong.

01:15

My doctor said, "We know why people get like this.

01:18

Some people just naturally get a chemical imbalance in their heads --

01:22

you're clearly one of them.

01:24

All we need to do is give you some drugs,

01:26

it will get your chemical balance back to normal."

01:28

So I started taking a drug called Paxil or Seroxat,

01:30

it's the same thing with different names in different countries.

01:33

And I felt much better, I got a real boost.

01:36

But not very long afterwards,

01:37

this feeling of pain started to come back.

01:39

So I was given higher and higher doses

01:41

until, for 13 years, I was taking the maximum possible dose

01:45

that you're legally allowed to take.

01:47

And for a lot of those 13 years, and pretty much all the time by the end,

01:50

I was still in a lot of pain.

01:52

And I started asking myself, "What's going on here?

01:55

Because you're doing everything

01:56

you're told to do by the story that's dominating the culture --

02:00

why do you still feel like this?"

02:02

So to get to the bottom of these two mysteries,

02:05

for a book that I've written

02:06

I ended up going on a big journey all over the world,

02:09

I traveled over 40,000 miles.

02:10

I wanted to sit with the leading experts in the world

02:13

about what causes depression and anxiety

02:15

and crucially, what solves them,

02:17

and people who have come through depression and anxiety

02:19

and out the other side in all sorts of ways.

02:21

And I learned a huge amount

02:23

from the amazing people I got to know along the way.

02:26

But I think at the heart of what I learned is,

02:29

so far, we have scientific evidence

02:32

for nine different causes of depression and anxiety.

02:35

Two of them are indeed in our biology.

02:38

Your genes can make you more sensitive to these problems,

02:41

though they don't write your destiny.

02:43

And there are real brain changes that can happen when you become depressed

02:46

that can make it harder to get out.

02:48

But most of the factors that have been proven

02:50

to cause depression and anxiety

02:52

are not in our biology.

02:55

They are factors in the way we live.

02:58

And once you understand them,

02:59

it opens up a very different set of solutions

03:02

that should be offered to people

03:04

alongside the option of chemical antidepressants.

03:07

For example,

03:09

if you're lonely, you're more likely to become depressed.

03:12

If, when you go to work, you don't have any control over your job,

03:15

you've just got to do what you're told,

03:17

you're more likely to become depressed.

03:19

If you very rarely get out into the natural world,

03:22

you're more likely to become depressed.

03:23

And one thing unites a lot of the causes of depression and anxiety

03:27

that I learned about.

03:28

Not all of them, but a lot of them.

03:30

Everyone here knows

03:32

you've all got natural physical needs, right?

03:34

Obviously.

03:35

You need food, you need water,

03:38

you need shelter, you need clean air.

03:40

If I took those things away from you,

03:42

you'd all be in real trouble, real fast.

03:44

But at the same time,

03:46

every human being has natural psychological needs.

03:50

You need to feel you belong.

03:52

You need to feel your life has meaning and purpose.

03:55

You need to feel that people see you and value you.

03:57

You need to feel you've got a future that makes sense.

04:00

And this culture we built is good at lots of things.

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