process. really put it to the test. in 60 minutes. in the heart of. africa. what's in store. for the future i'm looking. for to make your city go to insight. counter. welcome to in good shape coming up. how what we eat can help us heal. how climbing can lift your spirits. and how one athlete

overcame depression. growth and struggling with a serious plan down it and i'm not talking about covert i'm talking about mental illnesses like depression anxiety and personality disorders that are on top of the world health problems even more than cardiovascular diseases welcome to good shape according to the world health organization w h o 90 percent of affective patients don't get adequate help and even friends and family might tell the patients come on pull yourself together but make no mistake it can affect any of us. chills is in her element on the tennis court she's vibrant energetic reliable just like in her day to day life. but a year ago she felt like this she had come off. i my hours i was kind of quite a mess. all of a sudden i had

a new sense of joy. i just felt empty inside. like my life had no meaning. it was hard for me to imagine a more positive future. me also my. jewels has always been a high achiever and it was hard to accept that something was wrong. and outwardly she seemed fine we're going to sources out of the year. 2 miles and i'm not sure very many people even noticed it also it's not really something you can see it's kind of an invisible illness kind of kind of. get to jules' quite awhile to realize that she was suffering from depression she tried to ignore how she felt and put a good face on things then she decided to quit her job. not too long after that she suffered another blow. and that was the breaking point.

why did. my basically it was breaking up with my partner there really sent me over the end i really lost my grip on my life at that hope i was dead inside i was totally numb. liberals are my parents talked up on it and realized that what i was going through was a more than just normal hard. jools decided to get help 1st she spent 3 months in an inpatient clinic now she sees a therapist once a week. instead of peace she's been learning to understand and accept herself this kind of behavioral therapy isn't always easy it takes courage to dig beneath the surface of things. one through this guy. makes you feel terribly vulnerable to recover you need someone to take you by the hand and talk you through. and then you can learn to do the same thing

for yourself and. it's a lot more. things are starting to look up again and jules is open about what she's been going straight. to celebrate 10 nearly one self-confidence she's decided to get a tattoo. some wallers for men's for me it's i'm a licensed health care and self love it reminds me to accept my body and my spirit to accept myself the way i know. i'm name. the black and white stripes symbolize the ups and downs of her pass through depression and the tennis ball the joy she's now taking in life. so i really did it. with.

prejudice and false rumors make it very tough for those affected with mental illnesses it's very hard for them to talk about the situation in the us there's a coffee shop called sip of hope and there you absolutely can talk about it and it's caught on here in germany in munich as a coffee shop to. what looks like an ordinary coffee house is actually much more it's the 1st mental health cafe in germany guests here in munich can only sit down for a nice hot drink they can also learn about mental health peer. kind of has not left and we're not a crisis center for someone with big problems there are other places in munich to get we're here for people who want to talk to someone get some advice it's easier to come here and say i'll have a coffee maybe take a flyer with me than it is to say i need therapy or i have to go to the emergency room. dominic demand they came up with the idea for germany's

1st mental health café. a role model is the soup of hope project a cafe in chicago. dominic has dealt with the topic of mental health since 2015 as an author and a blogger she describes her own experiences. she was diagnosed with borderline personality disorder about 15 years ago. as a status as had just as she said one source to admitting to yourself you need help is the hardest part i'm willing to get help for other things physical problems come problems learning to play an instrument we get helpful all sorts of things except for what's going on inside our own heads that was a big step for me a turning point when things started to improve if i hadn't been willing to open up to get help none of this could have happened had as i was.

within about a year of coming up with the idea dominick and her team found a good location. for friends all pitched in to help set up the space so the cafe could open its doors. how's it going to be just screwed the last bit together and now we can finally hang it from the ceiling in. the project also benefited from an online crowdfunding campaign. dominic was surprised and grateful at how many people were willing to pitch in. the crowdfunding how have the crowd funding campaign was incredibly successful we received 33000 euros we had different donation levels the smallest was 5 euros the largest 5000 euros a lot of people donated more than 540 people said what a great idea i want to support this. then came the grand opening. germany's

1st mental health cafe opened its doors. just like an ordinary coffee shop there's food and drink on the menu but here there's also a way to signal if you're up for a chat. a red flag on your table means you want peace and quiet. the green flag means you're happy to talk to other guests. at what madoff does less than it makes it easier whenever someone his about our flags they say oh i wish i had something like that we all have those moments where we think i wish someone would ask me how i'm doing or maybe don't talk to me i can't hope. this is a way of signaling what you're up for. the cafe also regularly hosts specialists who are willing to give a bit of guidance free of charge. on a study medicine and spent a year and a half working in the field of psychosomatic medicine for children and adolescents

. she's planning to help out in the cafe twice a week. to count the few sure not at least have the kinds of conversations people have when they're talking about how they really feel and not how they wish they felt a much nicer and more honest you don't have to share everything your entire life story on instagram that's not what this is about but it can feel really good to be authentic to give an honest answer to the question how are you today it can make a real difference in. the mental health café is no substitute for professional therapy it's a place where people can go to talk and maybe gain some insight or a way forward. there are books on mental health issues informational brochures and regular workshops and lectures plus meditation and yoga courses are offered in seminars on how to reduce stress it's an idea that seems to be catching on which.

it was months of misunderstanding it's nice to have a place where you can sit down and find someone to talk to you don't have too much but you can if you want. the most will be damaging one of the i care about people and i want people to be happy mean clue did i find it hard warming that such a wonderful cafe is opened here this coffee. is so full of the regulars they put a lot of love into this it's wonderful that people with mental health issues or people who care about them can come here and support. germany's 1st mental health café seems to be off to a good start. if somebody has let's say a heart attack or kidney stones this is usually socially accepted but what if he would have a psychosomatic disorder all excited his daughter friends and family will sometimes give unqualified advice and will react in disbelief why so i sent medical peter out

. to the. victoria park hospital here and go to. a meeting dr kristen stopped hello pleasure when i was preparing the interview of a group through the terms mental and mental disorders. can you explain the difference if you take the world health organization they state that health is the complete absence of psychological. physical and social problems which is a state that cannot be reached for a long period of time when the person who are into disorder on one hand if a spider induces such horror to you that you have to avoid the situation where you find the spider. that it uses problems living your life like you would do normally. the other hand let's say you are afraid of using an elevator but

you never acquire confronted with this problem because you live in a rural area where you don't need to to use it then there is no suffering also then i would not suggest somebody to search for treatment people with sort of group programs. or program. or. if you have a person that is mentally ill and suffers from hell or see nations. or intense feelings that we cannot see we cannot touch we have never experienced by ourselves for many people this is this is something that induces intense fear and often people dislike what they what they fear and they exclude people due to this they're all looking for. people with a look for group problems for instruments only. of group or rooms interesting point

what is a weak person so we don't have the same talents some of us are good sports others are good in math and so forth imagine a strong person with with which is gifted they can suffer from and some flights. this can happen to basically anybody and then you are not capital of controlling your mental operations so in my opinion this has nothing to do with weak or strong . you have to put some sort of struggle for many of the mental disorders this is just not true and i think the best example will be the anxiety disorders the core of this disorder is that people have intense feelings of fear when you try to control it by avoiding the situation

by doing something that that reduces the fear your brain learns that this situation or stimulus might be dangerous the more you try to pull yourself together the more fear you would experience with number 3. it's only excuse for lazy people to book well actually here it's quite the opposite so if you look in our clinic we often treat people which suffer from severe depression who cannot experience joy anymore and lack drive people suffering from depression oppression often suffer from thoughts and feelings of worthlessness they just wish to be healthy again not depressed anymore to have back their drive to go back to work another move. would just state that mental illness is physical and i think most other cyclists would say the same there is no

difference between mental and physical disorders in this respect in some regions of the road there are no doctors nor experts who hope the people who want to do i mean not long time ago with the same situation has been true for. for europe as well and i think that although many of the symptoms cannot be treated without modern medical aid like medication like antidepressants or anti psychotics but the social problems like unemployment or other things that that result from from the mental illness. can be treated by professional help here but maybe better treated in 3rd world countries spy there are surrounding me like family friends or try at least but what's the best really for from a viewer for them to hurt somebody with problems if you do not have experienced

nations yourself or. depression the loss of drive a depressed person suffers from you cannot directly empathize it but you can try to understand the person in the how she or he is suffering and try to. communicate to connect to them to aid them to help them with their needs what they what they ask you for i think this is the most important part thank you very much for. mark rowsthorn. and this. governor you you're welcome. in good shape your weekly health show on t w covers many aspects of health care to look at what's new in medical treatment nutrition fitness and beauty. we talk about these topics

in depth with experts and give you the chance to pose your own questions so do get in touch. why do people have mental problems well life crisis might trigger them let's evidence but there might be a genetic predisposition this well that recent research suggests that the immune system might play an important role and it's all about inflammation and if you fight inflammation or you fight suppression to. what causes depression these researchers believe they found evidence that inflammation is one of the trait is. we found initial. evidence in people who suffer from chronic inflammatory conditions including rheumatoid arthritis crohn's disease and also rate of colitis . in these patients we observed that the physical symptoms of the disease were accompanied by substantial mental health and mood changes.

this is not just people with chronic illnesses you feel these effects many people notice that when they're coming down with a cold or infection they get a headache feel lethargic and experience mood changes this sickness behavior as it's called affects but the body and the mind. have heard anglo decided to investigate this phenomenon by carrying out an unusual experiment to understand how inflammation can affect. first we introduce the kind of temporary illness in our subjects meaning an inflammatory response for experimental purposes but we didn't use a bacteria or a virus but a component from a microorganism a cell wall component from bacteria. when this so while component is injected into the subject's vein. it in the juice is a temporary inflammatory response that lasts about 4 to 6 hours. to test

subjects were asked to document them made before during and after the experiment. the people who received the test substance the end of toxin experienced a significant drop in mood the effect was strongest about 2 to 3 hours after the injection then it began to improve and normalize again after about 6 to 8 hours their mood was back to normal a lot sort of what happened and the test substance called bacterial l.p.'s increased the levels of cytokines in the blood proteins that. thanks vaguely immune response their research is also found evidence of cytokines in the brain by doing a number to withdraw since to regress spinal fluid. when these inflammatory signals travel from the periphery to the brain they affect the neuronal activity of

cells in important structures of the brain which are involved in emotional processing and that can lead to changes in behavior and move. the experiment provides evidence that cytokines the immune substances that elicit an inflammatory response might trigger symptoms of depression but what factors can cause that inflammatory response. research is that the university medical center. i mean tested in the impact of diet on such a kind levels and inflammation. we believe that cholesterol fatty acids and other dietary substances that our bodies register as problematic in some way and which we are constantly consuming can lead to a constant low level activation of the immune system. is

the leading researcher in the field of information he's teamed up with other researches to develop new therapies to prevent chronic diseases. he's convinced that diet and obesity are decisive fact his. diet plays a big role in inflammatory reactions an inflammatory reaction means that cytokines are released which can be triggered by over eating a classic example is when a person consumes too many calories which can lead to obesity. but other dietary components also play a role dietary fats in particular. studies show that trans fats such as those. found in fried foods cookies and sweets raise blood fat and cholesterol levels causing barely perceptible inflammation how the intestines process these foods is also critical. of them most intimate what we've had to learn in

recent years is that it's not just what we eat and what our food is made of that's important and our food is modified through our gut flora our micro biome as it's called what ends up in the blood is a result of both our diets and our gut flora is to follow the fun by. the interplay between diet and micro biome also influences our physical and mental health food switch help prevent or limit inflammation most beneficial. good fats are a major 3 fatty acids which are found in fish but there are plant sources of omega 3 fatty acids called alpha lemak acids or l a's they're found in different kinds of vegetables. so a balanced diet with lots of fish and vegetables and not much meat is considered healthy losing weight also helps not only to reduce inflammation in the body even compelling evidence that this can reduce depressive symptoms in overweight people.

there's also what's known as the gut brain axis today we know that there's communication between the gastrointestinal tract and the brain it's possible that molecules like cytokines play a key role in the communication between both systems. food nourishes our bodies and our minds many of us know that instinctively but the science is only now starting to catch up. you can treat mental illnesses with drugs. given the right medication you can compensate for the overproduction or for the deficiency of certain messenger proteins and combined with psychotherapy you can even fewer patients over the last years doctors and scientists have found that sport might be equally effective in

treating mental disorders like depression and if it's still looking for the right support why not try bouldering. more than 10 years ago 1000000 pocky was hospitalized with anorexia a year later she began suffering from billy mia 'd then came depression and h.d. 'd now she's doing much better thanks to climbing. up after often not saying i'm a has made me more open and more curious i approach problems differently now i see the most challenges it's not the destination but the journey that matches overcoming obstacles that's also a good lesson for every day life wanted in b.v. go climbing is a great form of movement therapy because of the strength it requires but it also provides an opportunity to practice a variety of other skills like trusting letting go of getting to know yourself finding new ways of doing things solving problems and so much more lose no fetus that. thanks i agree disorders can affect anyone even people who seem utterly

fearless like alexander who who's an expert rock climber he can master his fear on the mountain side more easily than in daily life a therapist helped him master his anxiety. i can use the strategies i learned in mountain climbing for the problems and anxieties i have in everyday life. you know even my therapist said to me when you're climbing you know you can do it and that means you can do it in your normal life as well make it a project to get out of the crisis and develop strategies help you do it that i think you get that by. from merely on pocky climbing has made all the difference. she met her husband through climbing and she's already passed on her passion to her daughters. to get down to type a love climbing and it's what they know when my daughters were young they thought that everyone went climbing on the weekends that's what people do. for me i'm proud

mountain sports and climbing have become the key to a healthy and fulfilling life. that's it for today see you next weekend on to them let's all try to stay in good mental shape see if.

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has a virus spread. why do we panic and when we'll all be. just 3 of the topics covered and the weekly radio show is called spectrum if you would like any information on the clone of virus or any other science topic you should really check out our podcast so you can get it wherever you can get your podcast you can also find us at bellevue dot com slash science. in these challenging times it's especially important to us wish you a happy and healthy. current of ours has kept us apart from family and friends. easy to feel alone and especially during this holiday season we go g w. we're here with you we will keep you informed on all oman for someone to remind you we're all in the studio we wish you happy holidays merry christmas everyone of a very merry christmas eve merry christmas and stacy happy holidays everyone happy

holidays to you and you know see everybody's everyone is facing. this is a deja vue news live from berlin morris johnson cancels christmas for millions in the u.k. it is with a very heavy heart i must tell you we can all continue with christmas those plans the british prime minister unveils tighter covert restrictions as a new strain of the virus causes infections despite also coming up. in the

bundesliga byron munich capped off a great 2020 with a win at leverkusen putting them top of the table over the winter break.