Dr. Yalda Safai
speaker
105 appearances
1 recordings
1 series
first heard Apr 2025
last heard Apr 2025
Dr. Yalda Safai’s voice in public audio — every appearance, attributed to the second.
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Also wenn jemand mit einem Mood-Problem kommt, oder in der Psychiatrie oder in der Mentalität, sagen wir immer, dass etwas ein Veränderung ist, sobald es jeden Aspekt deines Lebens zerstört. Also etwas ist nicht als major depressive Veränderung zu kategorisieren, ohne dass es dein soziales Leben, dein berufliches Leben, dein, wenn du in der Schule bist, deine Schule betrifft.
Also sobald es jeden Aspekt deines Lebens zerstört, sagen wir, okay, du hast eine seriöse Mood-Kondition. You probably need medications, you probably need therapy. The thing I've noticed with people who are in perimenopause or menopause, it's not severe enough for them to be crawled up on the floor or hospitalized or like dysfunctional.
But it is, they're struggling, they're suffering, they're not the same. They're wondering what's going on in their body. So it's not as severe as that. So it doesn't get the attention that something like major depressive disorder does. Unfortunately. Maybe if the symptoms were, I don't want to say I want them to be more severe, but if they were more severe, maybe people would have
Ja, du spezialisierst in hohen Funktionen, Depressionen und Angst. Erzähl mir ein bisschen über hohe Funktionen, Depressionen, was es ist und dann, wie man es anfangen kann. Highly successful people who are, from the outside they look like they're on top of the world. They're very functional, but they're struggling on the inside silently.
So when, again I say like, sometimes it's good for a mood disorder to be severe, because you Realize you need help and others around you realize you need help and you're struggling and you get into treatment. Sometimes you're hospitalized. That's okay. You go on medication. That's okay.
But something with high functioning depression, you're functional, but you're severely struggling on the inside for years. Mind you, high functioning depression is still not a DSM diagnosis. It's still not recognized.
DSM is like the Bible of Mental Illness. Basically, it's the book we refer to. It's called the Diagnostic and Statistical Manual of Mental Disorders. It's like all the disorders are in that book. High Functioning Depression is still not on that book. And it's recently been getting more attention.
We just call it something called dysthymia, which means a chronic unhappiness, which is very hard to treat. And it's more dangerous, if you ask me, than something like major depressive disorder that has a treatment. People who struggle with dysthymia or high functioning depression are at a constant low.
Very successful, very productive, very like all these celebrities. Even I think Avicii was also one of them. But then they suffer in silence and one day the ultimate tragedy happens, suicide. So unfortunately, I think nowadays we're getting more awareness about this, about high functioning depression, how you could be functional, you could be successful, but struggling at the same time.
So what I think is a major red flag, whether you're, you know, just a normal person going to the day to day, there's a condition called anhedonia, which means the absence of pleasure. When you're very depressed or when you're even sometimes dysthymic, you go through these severe episodes, when you feel like nothing in life gives you pleasure.
And I'm talking like when you have a nice meal, it feels good. It gives you pleasure. When you see a nice movie, it gives you pleasure. When you cannot feel pressure at all, that is the most dangerous sign to me. And a lot of my patients who have committed suicide, who have died by suicide, have said that they have reached that stage where there is nothing in the world to deprive them
So, that anhedonia... That complete absence of pleasure to me is the most dangerous because you have absolutely nothing to live for. Nothing in this world is giving you any sort of happiness. So that's, I think if you've reached that point and there's a lot of steps that happen before you reach that point, please know that you need help immediately at that point.
And thank you for saying, throwing those terms around, because people do throw these terms around. Oh, I'm depressed, oh, I'm OCD, oh, I... Having a bad day. having a bad day, you're traumatized because your boss yelled at you, that's not PTSD. Please don't, let's not minimize the struggling of people with these real disorders by, you know, just tossing these terms around.
Yes, and I'm so glad you asked. One of the first things we do when someone comes in with a mood disorder is do a complete blood work. Because a lot of times medical stuff masks themselves in cycles, in Psychological symptoms. So if your thyroid is hypo, as in it's not working the way it's supposed to, one of the first signs is depression.
You feel lethargic, you start gaining weight, you start feeling cold, you start your mood, you feel just lethargic and unhappy all the time. So there is a direct connection between the different organs in your body, especially your thyroid and how your brain is functioning. So I think if you are struggling with a mood disorder, it might be a good idea to do a complete blood workout.
Es kann passieren. Ich habe es auch gesehen. Ich habe Hypothyroidismus gesehen. Viele Male beginnt es jünger im Leben, weil es eine Autoimmun-Kondition ist, aber es kann an jedem Punkt im Leben passieren.
Deswegen, wenn du zu einem Psychiater gehst, wenn sie keine komplette Arbeit machen, ist es für mich nicht eine gute Idee, eine Medikation für psychische Gründe zu beginnen, ohne versuchen zu regeln, welche medizinisch unterliegenden Bedingungen es gibt.
Weißt du, ja, aber zu deinem Punkt, Perimenopause dauert manchmal Jahre. Also bist du in dieser Limbo-Phase, bevor du vollen Menopausen erreichst. Sobald du vollen Menopausen erreichst, hilft Hormonreplacement-Therapie dir hundert Prozent. Aber ich denke, dass viele Frauen seit Jahren in dieser Funke, so zu sprechen, von Perimenopause befinden, wo man sich fragt, was ist mit mir?
Wie funktioniert alles? Wie kommt dein Blutwerk zurück? Alles normal. Alles funktioniert normal. Also gehen Ärzte zur nächsten besten Sache, die sie haben. Und du weißt, Antidepressantien helfen. Sie lösen deine Bewegung. Sie helfen mit deiner Angst ein bisschen. Aber ich denke, manchmal dauert es Jahre, bevor du die Diagnose von Menopause oder Parämenopause, leider.
Ich wünschte, wir hätten bessere Geräte, um das schneller zu beurteilen. Ich wünschte es wirklich, aber die Wissenschaft hat sich nicht so viel verbessert. Und ich denke, Dinge, die mit Frauen zu tun haben, auch Menschen, von denen ich von jüngeren Menschen mit Endometriose gehört habe, es dauert manchmal Jahre, bevor sie eine Diagnose bekommen.
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