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From YouTube: Community Health Education - Depression - Spanish
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A
A
Thank
you
for
being
with
us
again
in
this
community
health
education
series
prepared
by
the
massachusetts
general
house
prof.
We
are
pleased
to
present
you.
This
show
again
prepared,
because
many
people
in
the
community
have
been
wondering
about
the
condition
of
depression
to
prepare
for
this
program.
We
have
interviewed
some
people
from
chelsea
without
the
center
and
they
gave
us
several
questions
for
this.
We
are
fortunate
to
have
a
panelist
who
comes
from
the
chelsea
general
clinic,
where
he
will
help
us
to
answer
some
of
these
questions
and
to
clarify
some
doubts.
A
B
D
Is
the
depression
is
more
than
a
feeling
of
sadness
due
to
a
life
event,
usually
a
feeling
of
sadness
or
perhaps
having
less
energy
that
lasts
for
at
least
two
weeks?
This
feeling
is
accompanied
by
other
symptoms,
and
the
symptoms
may
be
changes
in
appetite
or
change
in
sleep
that
you
may
be
questioning.
You
may
be
feeling
sleeping
less
or
more
than
usual,
and
depression
is
sometimes
okay
episodes.
D
This
some
people
only
have
the
experience
once,
but
for
others,
the
feeling
is
recurring
this,
and
there
are
also
other
people
who
feel
who
have
always
been
depressed.
Women
have
a
70
percent
higher
risk
of
having
this
depression,
even
though
men
are
also
depressed
at
this.
Frequency
and
older
adults
are
also
likely
to
be
depressed
as
well,
because
of
this
absence
feeling
of
isolation.
This
declining
levels
of
work
outside
the
home
and
perhaps
due
to
health
problems,
this
other
contributing
factors.
D
Depression
are
perhaps
if
the
person
has
a
history
of
trauma
such
as
domestic
violence,
is
financial
stress
or
not
getting
the
medical
care
they
may
need.
If
a
person
has
our
family
member
with
depression,
that
person
may
increase
their
risk
of
depression,
plus
some
medications
prescribed
for
me
for
many
older
adults
have
been
associated
with
the
development
of
depression.
These
medications
can
be
medications
for
high
blood
pressure,
for
example,.
There
is
a
stroke
with
a
hip
fracture..
D
It
is
also
very
important
to
know
that
the
Latino
population
among
adults
older
this
have
shown
to
have
a
level
high
levels
of
depression,
partly
from
the
stress
of
not
being
able
to
effectively
communicate
your
needs
clearly
in
English,
as
well
as
from
not
frequently
seeking
support.
Sometimes
the
depression
occurs
from
the
obvious
areas
or
events,
but
also
sometimes
the
depression
can
feel
like
it
is
coming
from
nothing.
B
D
The
symptoms
of
depression-
these
are
the
following:
you
can
see
changes
frequently
this
with
sleep
as
I
said
before
changes
in
the
level
of
interest
in
doing
things
or
activities
that
one
usually
used
to
have
that
pleasure
in
having
this
also
to
self-esteem
may
be.
One
of
the
signs
of
energy
has
also
changed,
perhaps
cognition
how
quickly
one
thinks
may
also
change
appetite
What
you
once
had
before
is:
maybe
you
are
feeling
that
you
are
not
very
hungry
or
you
are
eating
too
much.
More
than
usual
I
am
also
feeling
changes
of
being
alive.
D
One
may
also
be
feeling
that
type
of
feeling,
a
common
symptom
of
depression
among
older
adults,
is
to
feel
a
lot
of
aches
and
pains
that
hurt
the
body
this
and
that
can
also
be
connected
to
symptoms
of
depression,.
Older
adults
may
also
struggle
with
memory
problems,
or
they
may
feel
fears
that
perhaps
they
have
never
felt,
for
example,.
Perhaps
an
older
adult
may
be
afraid
for
the
first
time
of
perhaps
going
to
the
supermarket,
this.
Sometimes
the
people
drink
alcohol
to
treat
the
symptoms
of
depression.
D
A
In
an
interesting
question,
but
really
there
is
no
specific
test
to
diagnose
a
depressed
person,
but
from
everything
that
ana
mentioned,
they
are
going
various
symptoms.
The
most
important
thing
that
one
feels
is
lack
of
spirit.
What
people
say
that
I
am
discouraged
and
also
if
it
may
be,
that
I
have
no
interest
in
anything.
I
do
not
find
pleasure
in
anything,
and
this
feeling
lasts
more
than
two
weeks.
It
is
not
simply
such
as
sadness
or
feeling
like
crying.
A
Apart
from
that,
there
are
also
other
associated
symptoms,
including,
for
example,
that
you
are
unable
to
sleep
or
that
you
are
sleeping
too
much.
You
feel
that
you
have
a
lot
of
energy.
You
are
moving
excessively
or
suddenly.
You
are
so
slow
that
you
cannot
You
can't
even
raise
your
hand.
Other
symptoms
include
difficulty,
concentrating
You
can't
do
your
work,
as
you
usually
do
in
your
daily
life.
There
are
other
symptoms
that
you
feel
worthwhile
Sometimes.
A
A
Think
people
start
off,
they
tend
to
think
immediately
about
medication,
but
what
we
generally
recommend
is
treatment.
Comprehensive
management,
including
in
various
aspects
of
our
lives,
is
important.
Healthy
lifestyle
is
important.
Before
we
go
out
and
share
with
humans,.
We
need
groups,,
we
need
companies,.
Apart
from
that,,
there
is
counseling.
Again,.
The
important
thing
is
that
we
surround
ourselves
with
positive
people,
people
who
support
us,
as
well
as
providers
who
can
support
us
in
this
process,,
which
is
not
easy..
A
Medicines,
specifically,
are
medicines.
that
adjust
the
hormonal
or
chemical
levels
that
are
inside
our
body.
Several
of
the
most
common
medicines
that
people
have
heard
is
the
appointment,
pram
or
sertraline
or
fluoxetine.
That
specifically
deals
with
a
chemical
called
serotonin
that
make
us
happy
other
chemicals
that
in
our
body,
that
is
related
to
our
state
of
mind
of
dopamine
and
norepinephrine.
There
are
medications
that
control
the
retina
and
help
itself
in
other
things,
such
as
the
one
mentioned
that
we
tend
to
have
more
pain
when
we
are
depressed.
These
medications.
A
Help
and
co
for
pain
also
helps
to
be
effective,
For
example,,
when
we
want
to
stop
smoking
these
drugs,.
If
these
drugs
do
not
work,,
we
repeat,
it
is
not
just
drugs
but
comprehensive.
Management.
There
are
some
doctors
who
can
help
a
specialist
to
add
more
drugs
to
the
older
drugs
if
they
have
more
side
effects
due
to
For
example,,
causing
interaction
and
slightly
altering
the
rhythm
of
how
our
heart
beats,,
as
well
as
causing
a
sensation
of
dryness
in
the
mouth
or
even
causing
abnormal
movements.
Specifically,.
A
There
are
people
who
have
tongue
problems
that
can
cause
side
effects
of
these
medications,,
also
including
some
medications.,
the
kind
of
monoamine
oxidizers
that
can
interact
with
medications,
sorry
with
food
or
alcoholic
beverages,
raising
our
blood
pressure.
So
it
really
is
important
that
you
discuss
with
your
doctor
and
also
use
both
the
other
modalities
for
depression
management.
Very.
D
Course,
if
this,
if
you
have
this
this
feeling
that
maybe
you
have
symptoms
of
depression,
a
good
place
to
start,
like
the
doctor
said,
is
to
talk
to
your
GP
at
your
community
clinic
and
find
out
options.
This
also,
if
you
are
an
adult
child-
and
you
are
caring
for
an
adult
person,
perhaps
compadre.
This
is
very
important-
that
you
also
show
that
support
and
offer
support
to
that
person
is
the
treatments
to
treat
depression
include
counseling.
That
is
one
on
one
with
a
person,
a
counselor,
this
or
participating
in
community
activities
outside
the
home.
D
This
maybe
going
to
the
gym
or
doing
exercises
outside
your
home,
doing
meditation
or
maybe
prayer
is
religion
is
important.
If
you
were
at
church,
it
can
also
help
a
lot
to
feel
happier,
and
there
are
also
various
types
of
counseling
in
group
counseling.
Perhaps
it
is
effective
because
the
person
may
have
r
the
opportunity
to
meet
more
people
who
may
have
similar
symptoms.
This.
B
D
Also,
as
I
said
before,
the
counseling,
also
private,
only
you
with
the
counselor
counselor
is
also
this
important.
It
is
also
important
to
keep
in
mind
that
the
change
is
not
going
to
happen
all
at
once
overnight
that
not
if
one
goes
to
counseling
or
gymnastics
once
one
does
not
have
to
think
that
it
is
going
to
change
quickly,
but
it
is
a
process.
So
it
requires
a
lot
of
patience
to
really
feel
better
be
with
the
treatment.
A
person
will
have
better
results
and
I
start
treatment
early.
D
So
it
is
very
important
if
you
think
you
have
these
symptoms.
It
is
very
important
that
you
talk
to
your
doctor
quickly,
so
that
you
have
that
most
effective
result
and
many
people
manage
to
return
to
functioning
normally
after
talking
about
symptoms
of
depression
and
starting
treatment.
So
this
state
of
pressure
can
be
t.
We
are
going
to
talk
very.
B
C
There
is
a
strong
connection
between
food
and
the
state
of
mind.
mood.
The
foods
we
choose
can
attack
our
health
energy
and
can
affect
our
mood.
The
opposite
is
also
true.
Our
tampere
mood
affects
the
types
of
food
we
choose
can
be
difficult
for
a
person
with
depression,
which
I
recommend
well.
For
example,
they
can
eat
more
or
less
than
normal
or
eat,
auto
foods
or
sugar
or
fat,
for
example.
Each
person
this
problem
and
our
emotions
affect
the
food
we
choose
in
different
ways.
A
healthy
diet
can
improve
mood
very.
B
A
I
think
it
is
important
and
we
can
definitely
we
can
live
a
healthy
life.
Even
if
we
are
depressed.
The
important
thing
is
not
to
be
struggling
just
because
it
is
hard
for
us
to
seek
help
seek
other
people
connect
with
the
outside.
As
anna
mentioned,
go
to
groups
go
out,
seek
other
people
connect,
it
is
important
to
share,
and
so
it
is
to
accept
help.
That
is
the
most
important
part
in
terms
of
leading
a
healthy
lifestyle.
D
Because
anxiety
and
depression
can
be
r
together
or
perhaps
also
separately,
when
feeling
alone,
it
may
be
anxiety
or
depression
may
be
the
cause,
or
it
may
be
the
result.
After
having
the
experience
of
depression,
it
is
very
important
to
have
a
lot
of
support
and
when
there
is
not,
there
is
no
support
in
family
or
friends
or
at
work,
be
there
or
opportunities
such
as
church
or
going
to
counseling
groups
or
the
gym
can
change
how
not
to
treat
the
symptoms
of
depression.
A.
D
D
However,
few
or
no
medications
can
reverse
the
memory
loss.
Talking
to
your
doctor
about
your
concerns,
early
on
can
be
very
helpful
in
preventing
memory,
loss
or
forgetfulness
of
things,
and
it
is
also
very
important
to
remind
ourselves
that
forgetting
things
can
be
a
sign
or
a
symptom
of
having
depression
and
perhaps
not
so
little
having
dementia,
because
many
patients,
many
people
may
think
that,
because
they
do
not
have
things,
they
have
dementia,
and
it
is
very
important
to
talk
about
GP
course
because
it
can
be
connected
to
depression.
So
I.
A
Would
like
to
emphasize
again
that
depression
can
affect
our
health.
In
recent
articles,
it
has
been
found
that
people
who
are
depressed-
in
fact
the
quality
of
their
diet,
is
much
worse,
has
been
Related
to
depression
with
obesity,
many
of
my
patients,
when
they
arrive
and
gain
weight,
to
lose.
A
lot
of
weight,
is
related
to
an
event
that
has
happened
to
them
and
that
is
causing
them
a
little
difficulty
in
dealing
with
and
managing
their
lives
at
that
moment,,
so
it
is.
It
is
important
to
ask
for
help.
C
C
That
prevent
depression,
but
There
are
foods
that
can
help
alleviate
the
symptoms
of
depression,
for
example,
fish,,
especially
fatty
fish
such
as
salmon,
are
rich
in
omega
3
fatty
acids..
Omega
3
are
good
for
brain
function
and
can
help
alleviate
the
symptoms
of
depression..
Try
to
eat
fish
twice
or
more
per
week.
Fruits
and
vegetables
are
excellent
sources
of
fiber
and
vitamins.
Studies
have
shown
that
people
who
eat
6
or
more
servings
each
day
of
fruits
and
vegetables
tend
to
be
happier
protein-rich.
C
Foods
such
as
turkey,
almonds
and
eggs
contain
an
amino
acid
that
helps
produce
dopamine,
a
chemical
that
tells
living
things
that
we
feel
good
try
to
include
a
little
protein
at
each
meal
and
snack
different
types
of
fish
such
as
salmon,
mackerel,
sardines
and
lyttle.
Have
vitamin
d
low
levels
of
vitamin
d
have
been
associated
with
depression.
Our
body
produces
vitamin
t
when
exposed
to
blue
try,
walking
outside
exercise
will
also
improve
mood,
and
studies
have
also
shown
that
people
with
depression
tend
to
have
less
folic
acid
and
vitamin
b
wolf
in
the
diet.
C
B
C
No,
this
is
the
truth.
It
is
important
to
feed
sugar
in
the
diet.
Eta
people
with
depression
may
want
to
eat
more
sweets,
to
try
to
feel
better.
Sweets
are
generally
low
in
nutrients
and
are
high
in
calories.
Instead
of
self
foods
and
drinks
instead
choose
whole
grains
for
energy
like
flour,
whole
wheat,
bread,
pasta,
whole
wheat
or
abrous.
If
you
really
want
to
have
something
sweet,
I
'm
going
to
have
some
dark
chocolate.
The
autocad
containing
cocoa
in
dark
chocolate
increases
a
chemical
in
the
brain
called
serotonin.
C
A
If
I
wanted
to
add
a
note
for
prevention,
I
think
there
is
controversy
in
whether
really
we
can
prevent
depression,
but
nevertheless
it
is
important
for
us
to
know,
and
it
is
seen
that,
if
It
works,
when
we
are
aware
of
what
our
risks
are,
for
example,,
if
we
have
a
history
of
trauma,,
we
have
a
history
of
depression
or
we
have
a
family
history
of
depression.
When
we
already
begin
to
know
our
risks-
or
there
are
people
who
already
celebrate
anniversaries
on
the
days
where
they
celebrate
the
holidays
in
the
winter.
A
Above
all,
he
feels
much
more
depressed.
He
wants
to
cry
more,
so
he
is
already
conscious.
They
foresee
going
or
taking
a
step
forward
looking
for
things
that
help
us
like
jeanice,
some
explained
eating
foods,
for
example,
that
is
high
in
vitamin
high
in
vitamin
b,
including
folic
acid
and
vitamin
b12,
also
including
other
chocolates
that
fascinates
us
all,
but
black,
not
with
high
sugar
omega
3,
which
is
very
important
that
helps
us
feel
better
before
we
feel
worse.
A
Apart
from
that,
it
has
been
found
that
people
who
tend
to
be
more
depressed
during
the
winter
months
may
be
due
to
the
lack
of
sun.
So
there
are
people
who
have
found
it
useful
to
use
some
rays
or
bombs
that
help
to
emit
rays,
and
we
feel
better.
That's
why,
in
the
summer,
having
that
sun
coming
out
helps
us
feel
better.
B
C
D
And
I
also
want
to
remember
that
in
depression
it
can
be
treated.
One
cannot
or
does
not
have
to
feel
like
this
all
for
the
rest
of
their
life
or
for
many
years
for
many
months.
It
is
very
important
that
one
talks
about
those
symptoms
that
they
feel
with
someone,
but,
above
all,
with
your
family
doctor.
That
is
a
great
step
for
this
to
take
steps
for
this
treatment.
Yes,
it
is
important
to.
A
Remember
also
that
it
is
not
e
tries
to
eliminate
one
of
the
most
common
feelings.
That
is
sadness,
but
it
is
about
incorporating
all
the
variety
of
feelings
that
makes
us
human
to
use
a
moment
when
we
are
sad
when
we
are
vulnerable
to
connect
to
ourselves
within
ourselves.
What
are
our
deep
desires
and
In
this
way,?
We
can
reach
the
sensations
that
we
crave
the
most
as
a
human
being,,
which
is
to
love
and
be
loved,,
as
well
as
being
able
to
be
happy
for
others
and
having
someone
to
be
happy
with
us.
Remember.
A
When
you
feel
sad,,
just
a
stage,
seek
help,,
we
can
always
find
better
solutions,
count
on
someone
who
You
trust
your
relatives
and
also
an
important
provider
who
can
support
you
for
that.,
Well,
I,
think
that's
all
for
today.
Thank,
you
very
much
Jennifer
and
Anna,
and
thank
you
very
much
for
sharing
your
time
with
us.
Please.
Remember
to
let
us
know
if
you
have
any
further
questions,
and
especially
if,
at
any
time
you
feel
that
you
have
no
value
or
feel
that
you
want
If,
you
hurt
yourself,.