Official website of the online self-help and family group https://peer-support-community.com Manga "Nighttime Heart Clinic" https://amzn.asia/d/0a0aNXJ Become a member of this channel and help us create content. We also run online self-help and family groups / @masudatherapy Materials, etc. https://wasedamental.com/20240909-2/ When you have trouble at the self-help group https://crimson-panda-f74.notion.site... If you have any questions or concerns, please contact us here. Our staff will reply to you [email protected] ◆How to join the membership from your iPhone (browser) Safari • How to register for membership from your iPhone (Safari) Google Chrome • How to register for membership from your iPhone (Google Chrome) [Request during premiere broadcast] Please refrain from greeting people by name or having personal conversations in the chat box. ◆For business inquiries, please contact [email protected] ◆For questions or projects, please contact https://forms.gle/jryU4Mk9NFS66r4b8 ◆We have many books, such as "How to stop hating your parents" https://amzn.to/45IJNFB https://amzn.to/3ODfOqW ◆2nd Ch / @wasedamasuda ◆Masuda's AI: GPTs https://chat.openai.com/g/g-F3vsvlW7J... ◆List of videos on the complete mental health guide https://note.com/wasemenblog/n/nd8161... 00:00 OP 00:30 What is depression? 03:34 How is it treated? 05:47 What about money? 08:41 More people are finding it difficult to return to work10:35 About returning to work12:11 Skill training19:01 Why work22:54 Today's homeworkToday's topic is depression. I will talk about the theme of social reintegration of people with depression. Specifically, I will talk about the theme of returning from leave of absence, school refusal, and withdrawal. ◾️What is depression? What kind of illness is depression in the first place? There are various social and everyday problems, and as a result, stress and mental and physical fatigue accumulate, inflammation occurs in the brain, fatigue accumulates, and depression occurs. The brain does not function well and you become depressed. That is what we call depression. Some people have depression + panic attacks, and so on, but that means you become depressed. When you become depressed, you lose your appetite, you can't sleep, you lose motivation, you become afraid of people, you lose confidence, and you can't go out. That's what it means. As a result, they may not be able to go to work, may not be able to go to school because they have stopped going to school, or may not be able to leave the house. As for how to treat this, first of all, it is necessary to remove the fatigue, as it is inflammation of the brain, which is the result of accumulated fatigue. Therefore, it is necessary to rest slowly. It takes quite a long time for the brain to recover. For example, if you have muscle pain, it will heal in a day or two for a young person, but it will take a week for an older person, but muscles recover quickly. The liver also recovers quickly. Even if you say your liver function is poor, if you stop drinking and some time has passed, it will heal in less than a month, but for example, bones, bones that heal, ligaments and tendons, and the brain take time to recover. Depression takes months to remove fatigue and inflammation. There are expressions like one hour in the emergency room, one day in internal medicine, and one month in psychiatry, but if you have the flu, it will heal in about a week. It takes about a week to a week and a half, about 10 days, to recover, but in the case of psychiatry, 10 days in internal medicine means 10 months in psychiatry. That's how slowly you recover. What's good about taking medicine is that it shortens the recovery period. It makes you recover faster, and it makes you feel a little better when you're really depressed. It's like fertilizer when growing a plant, that's the image. They say they don't feel any effect, but they're saying that it's better to take it because continuing to take it will speed up your recovery. I think it's good to have a general idea of ​​it that way. ◾️How do you recover? So, how do you actually recover? First of all, when you feel unwell and decide to take a leave of absence, you'll suddenly drop off at the beginning of your leave. When you start your leave of absence, you'll feel unwell for a while. I think it would have been better to work or go to school, but I'm already pushing myself to the limit, so when I think I can take a break, I fall down. Just before the finish line of a marathon, my body and mind are already exhausted, but I can still run, I'm somehow holding on with willpower, but after I cross the finish line, I suddenly feel tired and can't move, and it's like that. It's when I fall down that I start to rest, I feel like I'm resting. At first, I think there are times when I can't eat or sleep. This is called the acute phase, and in some cases I may be hospitalized and treated. Once this calms down, I gradually move on to the recovery phase. In the recovery phase, I basically sleep and heal. I sleep for about 10 or 12 hours a day, and I'm in a daze. Eat, sleep, eat, sleep, and so on. My family and people around me worry, but this is what I think of as treatment. After that, I gradually start to feel like going for a walk. I start to feel like I want to cook, my appetite comes up. I start to plan things, and then I can start cleaning up. I think it's about time to clean up my room. It's hard to throw things away, but when I can do that, I feel like I'm finally ready to return to work. Young people can often return to work in three months, but by young I mean in their 20s, but when you're in your 30s, 40s, or 50s, it's completely normal to take a year or two. ◾️What about money? People often ask me, "I'm worried about money, can I take a break?", but there is a system that guarantees money. Specifically, there is a system called injury and sickness allowance, where people who pay social insurance are paid 2/3 of their salary. This can be received for up to a year and a half, but there are quite a few people who receive injury and sickness allowance and manage to live within that, even though it's only 2/3. Depending on the company, you can get extra money on top of that, at banks and large companies. There are places like that, but I think it's a good idea to ask various people, such as human resources, about such things. You pay social insurance and get 2/3 of it. After that, you can get unemployment benefits, so it's okay for a year or two. Speaking of money, if you go through the independent living support, your medical expenses will be 10%. For 30% of people, it will be 10%, so including medicine costs, it will be reduced to 1/3, so it's better to get this too. After 6 months of going to the hospital, you can get a disability certificate, which will reduce your taxes a little, and the amount of basic deduction will increase. I think it's a good idea to get this if you can. There are also things like trains being a little cheaper. When you get the certificate, it comes with independent living support, so some people get the certificate after getting the independent living certificate, some get the certificate before 6 months, some get the certificate after 6 months, and some apply for both the independent living certificate and the certificate after 6 months. If you can't work normally, you can get a disability pension. Those who pay into the Employee's Pension Insurance will start from Grade 3, and those who only have a basic pension will start from Grade 2, but if your illness has not improved even after a year and a half since your first visit and it is interfering with your life, you can apply for a pension and receive it early. I think this is a good system. If you haven't paid your pension and you are finally out of money, you will have to apply for welfare. Many psychiatric patients need welfare, and I feel like I'm not ashamed to ask them to get it. There are quite a few. I wouldn't say that about half are on welfare, but I work at a clinic in front of the station in Waseda, and it seems that 10 to 20 percent of patients are on welfare. It's not uncommon in psychiatry. Of course, there are also people who are on welfare and working part-time one or two days a week. It's also important to have contact with society. ◾️The number of people who can't return to work has increased. In terms of recent trends, I feel that the number of people who can't return to work has increased. In 2018, when I opened my practice, many people who took time off work due to depression were able to return to work more easily if I adjusted their workplace environment. At the time, there was no understanding of depression at the workplace, and there was really severe power harassment, sexual harassment, and alcohol harassment. It was easier to work there if they were just considerate of such things, but recently there are many workplaces that are considerate, and even in such workplaces, many people still become depressed. I get the impression that there is little room for growth in environmental adjustments. Even if the person's physical condition has improved, it often doesn't work out unless there is a solid approach to resolving the problem. That's why it seems that more and more people are taking re-employment programs, considering changing jobs, and receiving counseling. ★The full transcript of the video is available on this note. https://note.com/wasemenblog (There are also videos that do not have a transcript.)