The New Science Of Depression & How To Actually Heal (+ SSRIs, Postpartum, Grief, and More)
Apr 30, 2025
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Ellen Vora, a board-certified psychiatrist and bestselling author, shares her holistic approach to mental health. She challenges the notion that depression is solely a chemical imbalance, emphasizing the importance of root causes like inflammation and gut health. The discussion touches on SSRIs, postpartum depression, and the emotional power of grief. Ellen advocates for community support and spirituality, urging listeners to embrace their feelings and consider lifestyle changes for improved mental well-being.
Depression is not just a chemical imbalance; it reflects deeper issues such as chronic inflammation and emotional experiences.
Understanding the role of hormonal imbalances, especially in conditions like PMDD and postpartum depression, is crucial for effective treatment.
A holistic approach that encompasses lifestyle changes, dietary adjustments, and emotional support can lead to significant improvements in mental health.
Cultivating meaningful connections and community relationships is essential in alleviating feelings of isolation and enhancing emotional well-being.
Deep dives
Chronic Low-Grade Depression and Its Roots
Many people experience a persistent sense of sadness, often linked to chronic low-grade inflammation affecting brain function. This type of depression is not just a diagnosis but a symptom indicating a larger issue. Individuals should recognize that their feelings do not define them, and it's essential to explore underlying imbalances instead. A holistic approach can help address these underlying physical and psycho-spiritual factors.
Revising the Conventional Mental Health Narrative
The traditional narrative around mental health has focused on biological and chemical imbalances but is increasingly seen as incomplete. The simplistic view that mental health problems are solely caused by genetic or chemical factors does not encompass the complexity of these issues. It's crucial to shift the perspective from focusing solely on diagnoses to exploring one's personal experiences and what may be causing feelings of depression. Embracing a more nuanced understanding of mental health can empower individuals to seek solutions tailored to their unique situations.
Genetic Influences and Environmental Triggers
Research shows that while genetic predispositions to depression exist, environmental factors play a critical role in their activation. Adverse childhood experiences, stressors, and lifestyle choices can trigger genetic predispositions, complicating the landscape of mental health. Thus, cultivating a comprehensive approach that acknowledges emotional, physical, and environmental influences is essential. Misunderstanding these interactions can perpetuate feelings of being trapped in a mental health narrative.
Hormones and Depression: A Complex Relationship
Hormonal imbalances significantly contribute to mood disturbances and should not be overlooked in discussions of depression. Conditions such as PMDD and postpartum depression highlight the need to investigate hormone levels in relation to mental health. By addressing hormonal imbalances through lifestyle and dietary changes, individuals can see improvements in mood and overall mental health. Recognizing how hormones, particularly during menstrual cycles, influence emotional well-being is crucial for managing symptoms effectively.
Empowering Change Through Micro Decisions
Making small, manageable changes can significantly impact overall mental health and lead to improvements in mood. The idea of lowering one's standards for effort in daily routines, such as incorporating brief movement or shifts in diet, can facilitate progressive change. Simple actions such as taking a short walk, adjusting bedtime, or experimenting with new foods can create a foundation for further positive shifts. Reinforcing these small wins can build momentum towards tackling more significant lifestyle changes.
The Role of Community and Relationships
Fostering meaningful connections and community relationships plays a vital role in improving mental health. The isolation many experience can exacerbate feelings of depression, making it crucial to actively pursue social interactions that nourish and uplift. Finding a supportive community is essential, as it contributes to feelings of belonging and emotional safety. Encouraging individuals to embrace connection and reach out to others can create a more supportive environment for mental well-being.
The Impact of Nutrition on Mental Health
Nutrition plays a pivotal role in mental health, affecting mood and brain function. Diets rich in whole foods, particularly those high in vitamins and minerals, support optimal brain function and play a critical role in managing depression. Foods such as bone broth, healthy fats, and nutrient-dense vegetables contribute to reducing inflammation and enhancing emotional well-being. Prioritizing a balanced diet can greatly aid in regulating mood and fostering mental resilience.
Understanding the Gut-Brain Connection
The gut-brain connection underscores the importance of gut health in influencing mental well-being. An unhealthy gut can send distress signals to the brain, manifesting as various mental health issues. Supporting gut health through diet, proper hydration, and reducing irritants is vital for fostering positive mental health outcomes. Practices such as regular physical activity, adequate sleep, and a nutrient-rich diet are crucial for maintaining a healthy gut microbiome, thereby supporting overall mental wellness.
Mental health isn’t one-size-fits-all. Most of us have learned that depression is a chemical imbalance that works like a disease - you either have it or you don’t, and if you do you can seek treatment through psychiatric medication. While this model of depression has helped destigmatize mental illness, it also has its limits. Today, I’m speaking to Ellen Vora, MD, about new approaches to treating depression and mental health tips.
If you want to cut past the noise and finally get to the root cause of your depression, this episode is for you. Ellen and I discuss SSRIs, birth control, inflammation, and more – and as always, we’re giving you tips you can implement now to help with your depression.
Maui Nui: head to mauinuivenison.com/LIZ to secure your access to a limited collection of Liz’s favorite nutrient-dense wildly delicious meat cuts and products.
The Liz Moody Podcast cover art by Zack. The Liz Moody Podcast music by Alex Ruimy.
Formerly the Healthier Together Podcast.
This podcast and website represents the opinions of Liz Moody and her guests to the show. The content here should not be taken as medical advice. The content here is for information purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions.