David Burns is an adjunct professor emeritus in the Department of Psychiatry and Behavioral Sciences at the Stanford University.
Here is the full text of David’s talk titled “Feeling Good” at TEDxReno conference.
David Burns – TEDx Talk TRANSCRIPT
Well, my talk is on depression and anxiety.
Sometimes some of us fall into black holes of self doubt, anxiety, inferiority, feeling like we are not good enough, beating up on ourselves. How many of you sometimes feel that way? Put your hands up if you’ve ever struggled with depression or anxiety or self doubt?
It is one of the worst forms of human suffering.
I’ve had patients who told me that they pray to God at night, that they could develop cancer so they could die in dignity, without committing suicide. How many of you have ever felt maybe that your life was not worth living or have known a friend or loved one or a colleague who made a suicide attempt? Put your hands up if it had ever touched you. It’s one of the most horrible, horrible things.
I started out at University of Pennsylvania medical school, I finished my residency. And I did a research fellowship on depression, and I was always curious what makes us depressed, why do we fall into these black holes, what’s the cause of it, what can we do to turn these moods around?
And I started out like many young psychiatrists. It’s what you call a biological psychiatrist. I was doing research on brain chemistry, this idea that depression and anxiety are due to some kind of chemical imbalance in the brain. I was treating patients with antidepressants and other medications.
But there were only two problems from my point of view. The first is our own research — research we did, didn’t seem to confirm that depression or anxiety were actually due to a chemical imbalance in the brain. In fact, our research indicated that this probably is not the cause of depression and anxiety.
In addition, I was giving antidepressants by the bucketful to patients. I had hundreds of patients, only a few of them were being helped. Most of them were not. They were going on week after week, saying I want to die, I feel worthless.
And, I said, “Gosh, there’s got to be a better way.” If the pills had worked I would have been perfectly, perfectly happy. And I thought maybe there’s some type of psychotherapy I could combine with the medications, because I wanted people to be able to wake up and say “It’s great to be alive”, and “I have joy, and full of love, I am full of life” and I was rarely seeing that.
And I tried different kinds of psychotherapy. They didn’t seem to work, and then a colleague said “You know, there is something new, fellow here at Penn is developing, Aaron Beck, and he calls it cognitive therapy and it is kind of simple in its theory. And maybe you could try this out with some of your patients.”
And cognition is a thought, it is just a fancy word for a thought, and there is three basic ideas behind cognitive therapy.
The first, is that our thoughts create all of our moods. And that when you’re depressed and anxious, you’re giving yourself negative messages. You’re blaming yourself, you’re telling yourself something terrible is going to happen.