Why Common Mental Health Treatments Fail and What Actually Works – Camilla Nord

💬“The mistake people make is thinking the route to mental health is in self deprivation – in discipline – and I think that is probably misguided.” -Camilla Nord

⚡️ Camilla Nord is an award-winning neuroscientist, leads the Mental Health Neuroscience programme of research at the University of Cambridge, and is the author of The Balanced Brain: The Science of Mental Health.

⚡️ In this episode Camilla and I discuss what’s happening in your brain when you experience issues like depression and anxiety, as well as actionable strategies on how you can improve your mental wellbeing – whether you’re currently suffering or not.

🎧 Stay tuned to find out:
➡︎Why we need to get better at interoception – understanding our internal bodily signals
➡︎Why some people are more likely to suffer mental health problems
➡︎The truth about serotonin and dopamine
➡︎How closely linked mental health is to gut health
➡︎Why classic mental health advice sometimes backfires

📕 Chapters
0:00 Intro
2:08 Interoception
4:55 Your brain when depressed
8:51 How perception affects experience
16:11 Negative vs positive self-talk
20:09 Genetics vs experiences: which causes depression?
21:32 Why treatment is lacking
26:08 We need to stop blaming neurotransmitters
28:48 Brain stimulation
32:52 Link between gut health and mental health
38:03 How to improve your mental wellbeing
46:39 Why neuroscience is important

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🎙️ An OG Podcasts production.

40 Comments

  1. Gut health is far under-rated as are advances to eye movement sensitization and reprocessing therapy (EMDR). Popping pills is not the quick easy fix, but can be a very helpful tool.

  2. Big takeaway that i got is. That its a complex task to deal with mental health. Reach outside yourself, try things with supervision, guidance, and support. Give youself time. You've lived many years as you are now . Might take time,patience, and many rewrites. To settle into a patern that is effective, sustainable, and progressive. Best of luck!

  3. Feels so good and validating to hear a doctor admit that some therapies don't help everyone. The amount of mental health 'help' that made my state worse and to be told I just 'wasn't giving it a chance' by family and friends was staggering. Not to mention forced group therapy.

    Mental health support is great but therapies are not for everyone.

  4. As a nurse in South Africa in occupational health for 20 years, I was "privileged" to see 3 patients with phantom pregnancies. That made me see just how powerful our mind body connection is. Fascinating indeed.

  5. Focusing on discipline destroyed my mental health and self esteem because I had undiagnosed ADHD and these productivity-guru solutions were from neurotypicals for the neurotypicals

  6. same, been eating all the right stuff without knowing it my whole life, basically everything´s that´s fermented, i like. i hardly eat any processed stuff, usually cook for myself with fresh ingredients, i exercise every day from 30 to 60 min. i wonder how strong the correlation really is. i live with depression for 2 decades, been struggling with my weight for around the same time.

    of course i´m aware that my one person account doesn´t mean anything just interested how strong the correlation actually is or if it´s been hyped up becasue it´s the next big thing.

  7. We need to start by getting people a correct diagnosis. I was misdiagnosed and underdiagnosed for 17 years. Nothing works in that situation. Now that I have the correct diagnosis life makes so much more sense. I still struggle but at least I understand what the struggle is, and it is slowly improving. No medication needed.

  8. I'm glad you made this video, it reminds me of my transformation from a nobody to good home, honest wife, $75k biweekly and a good daughter full of love ❤️….

  9. I really don't like R U OK Day because it feels fake and forced. None of us are suddenly going to respond to someone differently just because it's an awareness day. The rest of the year, no one cares.

    I have depression, anxiety, IBS and migraine. I do believe they are all linked. I have more migraine and IBS attacks when stressed. The fact we take a serotonin agonist medication (a triptan) to abort migraine attacks speaks volumes about these hormone-brain-gut interactions, imo. I also had a dodgy thyroid not so long ago caused by my cortisol levels. I have another neurological issue to be seen to because we don't know what it could be. If I get told it's anxiety, I'm going to be so frustrated lol.

  10. I suspect that neuroplasticity, which makes our brain capable of learning and adapting, is also part of what makes it challenging to treat depression, anxiety, etc. Because in addition to individual differences in biology, we also have individual differences in development, much of which occurs throughout the lifespan through life experiences, traumas, etc. Thus, while there's a lot of similarities in framework in treating depression, anxiety (think CBT and related modalities), there are many individual contributing sources that can impact the brain in dramatically different ways, which is why there's no one-size-fits-all-approach and never will be. It will always be complicated, and yet further complicated by external factors such as social pressures, availability of resources, etc.

  11. The end result of my contact with the mental and best health fields is despair. The value I had for my own life is gone. I’m jealous of people who die in their forties. The things I once loved have lost their meaning and I lost the ability to love.

    I also work with neuroscientists and they don’t seem to know anything.

    So… thanks 😞

  12. What evidence is there for hedonism as a resilience factor for mental health? And how are you supposed to acheive that given that anhedonia is one of the most common symptoms of depression?

  13. What I have found that works the best, from an ADHD perspective to externalize everything, is to curate positive events. The idea is to realize that 95% of all events are neutral, 5% are positive, and < 1% are negative events. Thus, by turning as many neutral events positive events, I can stay happy. When a negative thought arises, I can remind myself that I'm here in the present, and not stuck in the past. I don't have to get stuck in the series of negative internal memories, inner monologue, or thoughts. Which is different from the meme's that say that if you just keep a positive mindset, you can do anything. But, as an ADHDr, I have to keep a positive external environment.

  14. Bloody hell , bots these days are going bonkers in every comments section. Preying on stupid people with money. So here we have another" imaginary financial guru "Christina Ann Tucker".

  15. The main thing that causes mental health problems is too much pressure/stress. So when you are experiencing mental health problems the last thing to do is to try and get out of it by putting more pressure on yourself.

  16. I am certainly in the pro gut microbiome camp but it was really refreshing to hear a well articulated POV discussing that it might play a negligible role in mental health. A good reminder that the research may end up telling us that it plays a negligible role in the vast majority of people's lives.

  17. 40:50 I hear this often and I want to add something to this idea that "rumination is a thing so talking to others about it can be bad". I agree with Camilla that expectations are important but I think it more so comes down to how much agency does discussing the issue give. If the conversation doesn't provide some sort of agency over the situation (which can be in the form of naming the problem giving potential literature on the subject, brainstorming possible solutions, or simply relieving the stress of being ignored or invalidated), then you're just reinforcing the idea of hopelessness towards your circumstance which compounds depressive symptoms by essentially re-traumatizing you with helplessness over the same problem.

  18. Take it.from someone with a schizophrenic parent that they (SS et al) enjoy brainwashing people into diagnosis addiction. They tried that shit on with me. It didn't take.

    May I recommend instead a nice law that allows kids bullied by their shit 'mentally ill' parent (note the airquotes here) that said child should wield the power – when it is 100% verifiable that they have in fact endured hardship from such entitled shits – to have the UNFIT PARENT removed from the house and placed in care in some.potential hellhole, and NOT the child?

  19. Mindfulness isn't going to help you if your problem is that you can't pay your rent and you are facing homelessness. Exercise can't treat being financially trapped in a relationship with a narcissist bent on destroying you. No pill will overcome the typical hellscape workplace of exploitation that most poor people are trapped within. Spending your last dollars on renting time with a therapist that would be broke too if they actually helped people to not need them will not rent better mental health. Humans evolved to feel sick, pain and fear when things are wrong. The broken brain hypothesis of mental and emotional health problems was created by a pharmaceutical industry and therapy is a field that preys on the desperate rather than helps them. The broken environment hypothesis explains the scale of what we are seeing. Civilization is a meatgrinder where the many suffer for the benefit of a few and a sizeable majority of people walk the path of evil using deception and exploitation wherever they can. Reducing personal suffering will have very different solutions based on whether a person chooses to walk the path of good or evil. For good the path starts with safety, income for food and shelter, self love and getting as far from evil as you can as soon as you can. Sleep, diet, exercise, healthy lifestyles and habits are all part of a healthy life but there is a hierarchy of importance and if the basic needs of the path to a healthy life are not met then the standard list of advice doesn't help.

  20. Very interesting to hear commentary on the the flaws in the serotonin system from outside the US. It's pretty much impossible to discuss serotonin without lines from the "direct to consumer" advertisements had in them. Even the ones they were legally forced to stop saying have stuck around! Looking into the marketing, especially Prozac is crazy. You can find "respected" periodicals of the time asking the question of whether the government should start added Prozac to city water like fluoride. It is sad to see they got a foothold in other markets also though. Especially the disservice they did torturing clinical trial data until an effect size appeared for SSRIs "treating anxiety." That evergreening model has become a default playbook that still haunts the industry (i.e. the number of people forced onto anti-psychotics based on a doc's shrug and a label of "auxiliary treatment' because the trials couldn't be tortured enough to show an effect from the anti-psychotic alone).

    But you have to also welcome the evergreening if you ever want hope of real treatments (i.e. having at least the chance of a coin toss to be effective) like how Janssen took ketamine, tortured out that the "S" enantiomer had slightly fewer adverse events so they could take a $3 bottle of ketamine, stick it in a nasal sprayer and charge $900. And I'm incredibly glad it exists – or else I'd never be able to afford or have access to ketamine therapy. Different neuronal networks, neurotransmitters, etc all contribute to what I consider to be underlying mechanism – reduced neuronal firing – which often is paired with neuroinflammation that's very difficult to observe through biopsy. Have to be careful with that see-saw though – tip too far the other way and you know have chronic nociplastic pain, central sensitization syndrome, other non-diagnosable conditions and you get anti-seizure meds to reduce those same neurotransmitters that improve depression (for me, it's the NMDA system) and you tip back again!

  21. With depression I think that awareness of internal signals are key. That way we can catch what I call the spiral before it falls into a deep hole. Its hard to climb out of the grave but its easier to step out of the puddle. Everyone has a different way to get out of that down spiral when caught early for example a distraction, taking yourself outside into the sun and doing something engaging even when you don't feel like it. Because when we are at the bottom of the spiral its practically impossible to engage in a distraction. Sometimes taking ourselves away from the trigger can also stop that spiral, if we can of course because sometimes that isn't possible.

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