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Home » Jordan Peterson: How To Deal With Depression (Transcript)

Jordan Peterson: How To Deal With Depression (Transcript)

Read the full transcript of Jordan Peterson’s talk on ‘How To Deal With Depression.’

Listen to the audio version here:

TRANSCRIPT:

The Utility of Medical Interventions for Depression

The question is, how do you differentiate the utility of behavioral slash psychotherapeutic treatments for conditions like depression versus medical treatments? Okay, so the first thing I would say is, don’t underestimate the utility of medical interventions. Depression is a catastrophe, it carries with it a very high suicide rate. And it also levels people out, and it’s really hard on their families. And so, and it’s physiologically extraordinarily damaging. And so, if you’re in a depressive state, and it’s severe, you can try an antidepressant. You’ll know in a month if it works. If it works, well, maybe it’ll help you get your life together.

Like we could say, well, maybe you’re depressed because your life isn’t very well together. Could be. Sometimes people are depressed, their life is just, it isn’t fine because no one’s life is fine. No one’s life is a tragedy. But sometimes people have their lives in order, as much as you could expect anyone to have. They have friends, they have an intimate relationship, they have a career that they like. You know, they’re qualified, industrious people, working hard on what they’re doing, and really playing a minimum number of games with themselves. And they’re terribly depressed.

Antidepressant, man, sometimes that will just fix it. And so hooray! You’re a biological entity, if there’s something out there that can help you strengthen yourself so that you can prevail, great! And you know, people, you hear, everyone takes antidepressants, you know, everyone’s taking them. It’s like, no one takes those bloody things without serious consideration. Half the time I spend with my clients who are depressed is often the two years long attempt to get them to tentatively try an antidepressant, because they’re so guilty that they’re relying on an external crutch to sort out their lives that they can’t even tolerate it. But, you know, I say, well, look, man, what if you had diabetes, you’re not going to take your insulin? It’s like, you got stressed, you blew out at your weakest point, that’s what happens when you get stressed.

If there’s something out there that might help you, it’s like, try it, for God’s sake, you’ll know in a month, and you’ll just stop if it doesn’t work. Now, having said that, you want to do a multidimensional analysis. It’s like, well, do you have any friends, do you have an intimate relationship, or are you pursuing one? Do you have a reasonable career? Are you as educated as you are intelligent? Do you have something useful to do with your time outside of work? Do you have a drug or alcohol problem? Are there other behavioral issues like sleep dysregulation and lack of eating that are contributing to the pathology? You want to differentiate all of that, and wherever you can make a behavioral intervention, so much the better.

But sometimes, too, you’re dealing with people whose lives are so wrecked that they don’t even know where to start. They’re different than the ones who have everything in order, say. And you say, well, try this, man, maybe you won’t cut your throat in the next month, because if you’re dead, it’s going to be hard to work with you. And so, medical interventions, anything, if you’re sick, you do what is necessary to get better, and you leave your pride behind, if you have to. And that says nothing about the utility of the behavioral interventions. You want to hit the problem with everything you have at your disposal. Antidepressants, especially for people whose lives are together and who are depressed, antidepressants can be absolutely miraculous.

So when you hear about the clinical evidence in their favor being iffy, and that’s partly because the diagnosis of depression isn’t very well formulated, it’s very different to have a terrible life than to be depressed. And antidepressants can only help you so much if you have a terrible life.

Moving Forward and Validating Your Map

You want to stay inside this little map, because it’s working. You want to get from point A to point B, and this is good. This indicates that you are moving forward, that’s the first thing it indicates. And the second thing it indicates, which is even more important, and you’ll never hear this from behavioral psychologists, is that your map is correct. So every time you move a little bit forward and something that you want happens, it says, oh, the game I’m playing is the right game. And so not only does the reward indicate progress, it indicates that the frame within which progress is being calculated is the right frame. And that’s good, because it’s the frame that makes things irrelevant. And you want them to stay irrelevant.

So if you don’t move forward and you start to question the frame, that’s way worse than merely not moving forward. You get a bad exam grade. What do you think? What the hell am I doing in university anyways? It’s like, probably that’s not the first place you should go with that piece of information. And you think, well, why? Why is that worse? Well, as far as I can tell, your map of you as a university student is a comprehensive representation. It tells you what you should do every day. It kind of tells you where you’re going in the future.

And if something emerges as an anomaly, you get a worse grade than you expected. And you blow that whole map, it’s like, okay, what have you been doing for the last four years? What kind of high school student were you? How clueless are you about how you’re arranging your future? What’s your identity going to be if you’re not going to be a student? Where are you going to end up in five years?