تمرین مکالمه

The Anti-Depressant Which Had Four Legs And Went Moo!

South African psychiatrist Derek Summerfield was in Cambodia when he heard a curious story.

Where was he? He was in Cambodia. Who was in Cambodia? Psychiatrist Derek Summerfield. What kind of story did psychiatrist Derek Summerfield hear in Cambodia? Psychiatrist Derek Summerfield heard a curious story in Cambodia.

He was explaining to the local doctors about antidepressants.

What was he explaining to the local doctors? He was explaining to the local doctors about antidepressants.

His Cambodian counterparts told him they did not need chemical antidepressants.

Did his Cambodian counterparts tell him they needed chemical antidepressants? No, his Cambodian counterparts told him they did not need chemical antidepressants.

They told Summerfield about a rice farmer whose leg was blown off by a land mine.

What happened to his leg? His leg was blown off by a land mine.

He got an artificial limb and returned to work in the rice fields.

Did they reattach his leg? No, they didn’t reattach his leg. He got an artificial limb. Did he return to work in the rice fields? Yes, he returned to work in the rice fields.

He was in a lot of pain and highly anxious. He sank into a deep depression.

Who was in a lot of pain and highly anxious? The rice farmer was in a lot of pain and highly anxious. Did he sink into a deep depression? Yes, he sank into a deep depression.

His doctors talked to him about his problems and then came up with a creative solution to lift his mood.

Who came up with a creative solution to lift his mood? His doctors came up with a creative solution to lift his mood.

They bought him a cow and suggested he become a dairy farmer.

Did they buy him a house? No, they didn’t buy him a house. They bought him a cow. Did he eat the cow? No, he didn’t eat the cow. He became a dairy farmer.

It worked wonders. His depression lifted.

Did it work wonders? Yes, it worked wonders. What happened to his depression? His depression lifted.

The Cambodian doctors told Summerfield the cow was his antidepressant.

What did the Cambodian doctors tell Summerfield? The Cambodian doctors told Summerfield the cow was his antidepressant.

The story changed the way Summerfield viewed depression.

What did the story change? The story changed the way Summerfield viewed depression.

The tale of the rice farmer also had a profound effect on journalist Johann Hari.

Did the tale of the rice farmer have a profound effect or a minor effect? The tale of the rice farmer had a profound effect.

As a teenager, Hari was suffering from serious depression.

When was Hari suffering from serious depression? As a teenager, Hari was suffering from serious depression.

A doctor explained to Johann that his depression was caused by a chemical imbalance in his brain and gave him antidepressants.

What did the doctor explain to Johann? The doctor explained to Johann that his depression was caused by a chemical imbalance in his brain. What did the doctor give him? The doctor gave him antidepressants.

It helped at first, but after a few months, the pain returned.

Did it help at first? Yes, it helped at first. What happened after a few months? After a few months, the pain returned.

The doctor increased Johann’s dose and a familiar pattern formed.

Did Johann increase his dose? No, Johann didn’t increase his dose. The doctor increased Johann’s dose. Did a familiar pattern form? Yes, a familiar pattern formed.

The pain would return and Johann would take stronger and stronger pills.

What would return? The pain would return. Would Johann take stronger and stronger pills? Yes, Johann would take stronger and stronger pills.

After 13 years of this, Johann was at the end of his tether.

What happened after 13 years of this? After 13 years of this, Johann was at the end of his tether.

He began to question why despite medication, he was still so down in the dumps.

How did Johann feel? Johann felt down in the dumps.

This question led him to research and write a book on the real causes of depression.

What did he write a book about? He wrote a book about the real causes of depression.

In the UK, antidepressant use has doubled in a decade.

Has antidepressant use decreased in the UK? No, antidepressant use hasn’t decreased in the UK. In the UK, antidepressant use has doubled in a decade.

In the U.S., one in five adults now take psychiatric drugs.

How many people take psychiatric drugs in the U.S.? In the U.S., one in five adults now take psychiatric drugs.

Johann believes that a small minority of depression cases do have biological causes.

Does Johann believe that most cases of depression have biological causes?

No, Johann doesn’t believe that most cases of depression have biological causes. Johann believes that a small minority of depression cases have biological causes.

For most people, chemical medication is not the answer.

What is not the answer for most people? For most people, chemical medication is not the answer.

According to psychology professor Steve Ilardi, “Only about 50 percent of depressed individuals experience an initial positive response to antidepressants.” What percentage of people experience an initial positive response to antidepressants? Fifty percent of people experience an initial positive response to antidepressants.

And while 50% is nothing to sneeze at, only 30% report long term success with medication.

Is 50% nothing to sneeze at? Yes, 50% is nothing to sneeze at. But what percent report long term success with medication? Only 30% report long term success with medication.

Johann believes that depression is mainly a social problem.

What does Johann believe? Johann believes that depression is mainly a social problem.

For most people, it boils down to disconnection.

What does it boil down to? It boils down to disconnection.

He says there are many forms of disconnection:

Is there one form of disconnection? No, there isn’t one form of disconnection. There are many forms of disconnection.

There is disconnection “from other people, from meaningful work, from meaningful values, from the natural world…”

Did he say there is disconnection “from other people, from meaningful work, from meaningful values, from the natural world…”? Yes, he said, there is disconnection “from other people, from meaningful work, from meaningful values, from the natural world…”

There is also disconnection “…from a safe and secure childhood, from status, and from a future that makes sense to you.”

Did he also say there is disconnection “…from a safe and secure childhood, from status, and from a future that makes sense to you.”? Yes, he also said there is disconnection “…from a safe and secure childhood, from status, and from a future that makes sense to you.”

Summerfield has also changed his beliefs on depression after hearing of the Cambodian farmer and his cow.

Who has also changed his beliefs on depression? Summerfield has also changed his beliefs on depression. Did he change his beliefs on depression after hearing of the Cambodian farmer and his cow? Yes, he changed his beliefs on depression after hearing of the Cambodian farmer and his cow.

He now believes that depression is best treated by focusing on patients’ social situation, not on “what’s between their ears.” How is depression best treated? Depression is best treated by focusing on patients’ social situation, not on “what’s between their ears.”