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    This Doctor Reacts video is looking at thenexy episode of south park called “Ass Burgers” which continues our discussion on clinical depression, autism and autism spectrum disorders, why there has been a false link between autism and vaccinations and rates of depression in autistic people. We also explore how depression can damage relationships and how this can be improved with specific types of psychotherapy.

    Let me know what you think.

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    How do you go on when nothing makes you happy the hopelessness huh excuse me a minute Stan okay uh hi Miss bronsky did we vaccinate Stan Marsh for the flu last year we did uhoh I think he’s got Asbergers it’s time to watch another South Park episode and continuing from

    Where we last left off to talking about depression autism and as we’ll come to see on this video vaccinations and I feel that this is quite timely because in the UK at the moment we’re getting alerts because of a spike in measles cases owing to the number of people that

    Are not vaccinated based on some pretty fraudulent data from about 20 years ago so ready let’s crack on big har and M in the morning talking about the new hit movie and when the last episode everything sounds like saw the movie last night big Harry and it made me laugh so hard this

    Movie’s about a he was suddenly all like and the morning is often the worst time in depression we’ll talk more about it but let’s get to some music we call this a DI variation in mood the last time we watched South Park it was the episode immediately preceding this and we talked

    About depression leading to negative cognitive bias we put more weight on negative feelings and negative events happening in our life in the context of depression than we do on positive ones a depressed mind is more lik to latch on to those feelings and those events that

    Are in keeping with our mood but those very same cognitive distortions then perpetuate the depression itself this is the basis of many techniques in cognitive behavioral therapy and cognitive analytical therapy Target these pathological ways of thinking as a means to treat depression the mornings are definitely

    The worst time you kind of wake up with that feeling of oh what is the point and people often wake up much earlier Jurassic Park and lost in the same TV show dinosaur lost human future yes Stanley eat your waffles no thanks to me this shows just how all-encompassing depression can be

    It affects your sleep you get apathy anhedonia this loss of pleasure in things that you once found pleasurable changes in appeti I could go on on the news Cal the school is going to make us all get shots again but this time it’s so that we don’t get WS in our

    Vaginas yep that’s only a vaccination for girls stupid not anymore why are they saying that getting vaccinated at school is going to make us all [ __ ] because some people think vaccinations can give you autism or Asbergers wait what that’s what they’re talking about on the news wait there’s a disease

    Called Asbergers yeah this the American you so lying there is no disease caus Asbergers so the controversy about vaccines and autism I’m going to have a go summing this up as soon succinctly as I can in 1998 a then practicing gastroenterologist in the UK called Andrew Wakefield and 12 of his

    Colleagues published a case Series in a very reputable Journal called the Lan this suggested that the measles Ms and rebella vaccination May predispose to pervasive developmental disorders including autism spectrum disorders this was an uncontrolled study only included 12 subjects and the conclusions they came to were purely speculative unfortunately despite it being a

    Terribly designed study it got published in a very high-profile Journal got the attention of the mainstream media and very understandably parents were really scared and vaccination rates dropped immediately afterwards bigger better epidemiological studies were conducted and completely refuted this link and any association between getting the MMR vaccine and being diagnosed with autism

    Is purely because the vaccination schedule had people having this MMR vaccine at around about the same time as we would see traits of autism start to become more evident and therefore when autism becomes actually diagnosable 10 of the 12 authors then retracted their input going on to say that no cause of

    Link was established between the MMR vaccine and autism as the data were insufficient they also stated that Wakefield failed to disclose Financial conflicts of interest in that he’d been funded by lawyers who had been engaged by parents in lawsuits against vaccine producing companies for the record the

    MMR vaccine is safe it’s effective it’s life-saving it does not cause autism was fraudulent science and so children at noon today all the girls will go to the gymnasium for their vaccinations and boys will head on out to recess do the girls get their shots right in the

    Vagina no Butters that’s not how it works Mr Garris said these three boys were caught playing hookie did you guys know there’s actually a disease called Asbergers in the UK now the HPV vaccine is available to all children regardless of gender with a recommended age of

    Vaccination of 12 to 13 years old this is designed to provide future protection against cancers mediated by the herpes Poma virus oral cancers cervical cancers anal cancers penal cancers okay okay Stan you you got to try and pull yourself out of this okay I know that your parents recently got divorced

    Okay that’s got to be hard okay I know that that’s bad but when you walk around all mopy okay and saying everything is just shitty well that’s called being a Debbie Downer stand okay nobody likes a Debbie Downer okay I mean you got to you got to snap

    Out of it Debbie just be more positive you’ve got to stop thinking this way okay problem solved thanks the frustrating thing about watching Clips like this is this is what really happens this isn’t just cartoon land this is reflecting what many people’s experiences are in real life how do you

    Go on when nothing makes you happy the hopelessness huh excuse me a minute Stan okay uh hi Miss bronsky did we vaccinate Stan Marsh for the flu last year we did uhoh I think he’s got Asbergers the hopelessness is a symptom of depression which then kind of feeds

    The apathy the anhedonia and the low mood itself and it can create real barriers in being able to engage some in sort of more active parts of treatment like in psychological therapy where a bit of wed engagement is actually needed because what’s the point it’s not going to work rates of

    Depression are actually higher in autistic people in fact rates of pretty much all mental illnesses are higher in autistic people and the reasons are undoubtedly multifactorial being neurodiverse and trying to navigate a neurotypical world including the neurotypical way in which Psychotherapy is often delivered quite rid thinking

    That is a feature of autism that can make those cognitive distortions of depression much more difficult to shift a lack of access to autism informed medical and social support that’s just the start the list could go on the first documented case of a child developing Asperger Syndrome from school

    Vaccinations has put the government in a tight spot at a press conference today the media heard from the young boy’s father steamy RAR a speculative link followed by media hype again this is undoubtedly this is what the show is based on this is what really happened in

    The late ’90s when that paper came out and the controversy about vacine safety has meant that there’s been reductions in the uptake of a lot of vaccines particularly in the MMR vaccine which then leads to the reemergence of preventable illnesses and the significant harm that can come with them

    Particularly measles and MPS which you know are doing the rounds much more frequently and currently we’re having a spike in measles cases in the UK it’s pretty shitty when you work so hard to be a great parent and then the government comes along and with one shot turns your child into a mentally

    Incapacitated freak I mean look at him he’s disinterested depressed self-loathing it’s most likely the reason his mother and I got divorced no add to the kids problems um the diagnostic term today is autism spectrum disorders previously there was a separation of autism versus what was at one point called high functioning autism

    Which you know high functioning autism as a term just it’s meaningless and harmful and just used to deny people support that otherwise had theonomous name of asperges syndrome in the UK we say asper not Asbergers we don’t call it Asbergers syndrome anymore because ASD is frankly better it’s a broader term

    That recognizes the variety of ways that autistic traits can affect people both in terms of giving people strengths and underpinning some people’s difficulties and again the term high functioning is meaningless and sometimes a harmful qualifier it is yet unknown if any other children have contracted Asbergers from the vaccinations but if so multi-million

    Dollar lawsuits are probably not far behind so after the waful cont University the Lancer eventually did retract the paper but it was only after the GMC so the General Medical Council that regulates doctors found Wakefield to have committed deliberate academic fraud including the falsification of data and ethical violations in that he

    Was uh studying children without ethical approval it’s really bad and he was struck off the medical register as a result what the what is this a hamburger a what why are there hamburgers in your underwear the most literal interpretation in the world my God you’re saying I have Asbergers Asbergers

    It’s another example of Americans not being able to speak English properly sorry not sorry it’s asperges and while we’re at it it’s en keyop ofy not enop ofy from the Greek Enos another reason we got rid of the term Asperger syndrome is because H Asperger quite a naughty

    Man bit of an ansy I can’t keep doing it Wendy I know he has an illness but godamn it’s like being around a black hole that just sucks the life out of everything look maybe what we should do is all go over to his house together and

    That way we could no I can’t Wendy all his negativity is starting to make me depressed I have to let him go and whatever happens next I’m going to embrace with a totally positive attitude depression does have substantial indirect impacts on the people around you and I’m sure anybody that’s watching

    This that has had a loved one experience severe mental illness will tell you that it can be very very hard to balance maintaining your compassion and empathy for somebody who’s ill while also not reacting to those defenses that are designed to kind of push you away where people with depression will often push

    People away to prove to their depressed brains that you’re unlovable and that people don’t care and that you truly are alone we come back to what I keep saying on videos about paying attention to the counter transference the truth is we still know very little about Asperger Synder Mrs

    Marsh all our patients here show the same social awkwardness that your son EX exhibits good morning Mr Ms goodbye doctor social awkwardness is a very subjective term specific things that we assess for when doing autism assessments include differences and in some cases difficulties in social communication and social interactions across multiple

    Contexts for example a lack of reciprocal back and forth conversation or when the dialogue is very literal and very factual and lacks emotional content we also look at differences in non-verbal communication gaze eye contact gestures differences and distinguishing between different types of relationships what makes a professional relationship different to a

    Friendship to which is different to a romantic relationship of course that’s not to say that any of these things are bad things that’s not to say that any of these things are causing difficulties in people’s lives but these along with a much more broader assessment using validated tools are some ways that we

    Can start identifying autistic traits in people asperos is serious but unfortunately because of its name people think it’s a disease to be made fun of for Example all right everyone let’s have a seat some believe the autism is overdiagnosed I am not one of those people I think the rise in rates of diagnosis can be explained by a few things one is the change in diagnostic terminology to ASD seeing this as a

    Spectrum of states of Mind a spectrum of traits and seeing these differences without necessarily automatically only reserving the diagnosis for people experiencing profound difficulties it’s not a one-sized fits-all model and this is particularly so for females who are often much better at masking some of those differences there’s potentially

    Better awareness that leads to better detection rates and I think a gradual shift in Psychiatry I can I can say in my field away from this s blanket seeing everything through this model of Personality Disorder to then appreciating more the role of trauma and neurodiversity we’re not fully there yet

    But that shift is happening and I think it’s in the right direction all right San listen up we don’t have a lot of time you’ve been been told Aspergers is real it isn’t it’s just a front that we use to stay hidden wait it’s not a real

    Illness of course not if there was a Social Development disease you wouldn’t call it Asbergers that’s just that’s just mean we’ve already said how H Asperger was not a good man you know we don’t say vna’s granulomatosis anymore we call it granulomatosis with polyangitis because friedrick vegna has

    Also been associated with Nazi war crimes though I don’t think that’s ever been definitively proven we don’t say Rus syndrome anymore we call it react of arthritis again hands writer bit of a Nazi R syndrome is a term I think that’s on its last legs for a genetic neurological disorder in children

    Because Andreas Rett has also got his associations with Nazi Physicians it’s a pattern emerging here but aliens are putting out a brain wave that keeps most people seeing a false reality aliens or robots from the future whatever the point is they need to keep everyone in a blissful state of ignorance yeah

    Everything used to be awesome and cool but now everything’s gone to [ __ ] and nobody knows accept us yeah because of aliens or genetically altered humans whatever you conspiracy theories aren’t in and of themsel you know a psychotic symptom but some mental illnesses will increase your suggestibility to be taken

    In by these types of theories particularly when it then colludes with pre-existing paranoid ideas oh this is only going to make everything better depression and whiskey stuff it down with brown that’s what Frank says isn’t it from Sunny stuff it down with Brown oh cool much better alcohol is often used as a form of self-medicating and A coping mechanism the initial disinhibiting effect can cause Euphoria and have an anti-anxiety effect you feel better but then you know when you start drinking a bit more it then has the opposite effect it then creates enormous

    Anxiety worsens one’s mood worsens the depression which then kind of leads to the cycle of drinking more worsening depression drinking more worsening depression crucially in treatment both should be addressed at the same time the alcohol use and the depression see loss of that impulse control and that disinhibiting effect

    Now causing problems you’re a piece of [ __ ] though you and this pattern of I love you pushing people away and then pulling them back push people away kind of as a test to see if they truly love you or not how much will they fight to still be

    Around in your life or not but then if they do as you ask and they stay away it reinforces those views that you’re unlovable and then you desperately cling to them Push Pull Push Pull push pull no no we don’t hang out anymore oh right like someone would just walk away from a

    Friendship like that dude I didn’t walk away I turned 10 and everything he wanted to do seemed shitty to me S oh sure anyone would ditch out on their best friend cuz they weren’t feeling good now stop playing games and tell us why kartman burgers are so delicious I don’t

    Know this is where interpersonal therapy can help using relationships as your model to try and gain insight into your own mind and make the necessary changes you need to try and treat their mental illness it specifically focuses on at least one of four different types of interpersonal dynamics that are often

    Now causing problems grief interpersonal role disputes transitions in people’s roles in life and in that friendship and interpersonal deficits look I know you got Asbergers from the school and I I’m sry sorry but your negativity is poison to me oh right like a friend would walk

    Out on somebody who was diagnosed with a serious illness well if you use your anger in the midst of an illness to push people away keep them at a distance from your emotional vulnerability or as a way of communicating your own feelings again listen to The Counter transference it

    Will tell you not just about you it will tell you about them as well the problem comes in if it successfully achieves its sort of cognitively cognitively distorted aim which is for people to stay away now you’ve proved to your depress mind that nobody cares and everybody leaves and it just leaves you

    In more pain than when you started and this is where those negative cognitive biases just serve to reinforce the illness of depression and why the role of psychotherapy alongside anti-depressant medications is so important sbut through all its Ridiculousness actually continues to convey some really accurate messages about mental health while love watching

    It on this channel but let me know what you thought in the comments below and I will see you for another video very very soon love you bye

    23 Comments

    1. I have ASD, and I have always preferred the terms "Aspergers" or "High functioning autistic". Personally, I just say I'm an ASPI and let them figure it out, or not.
      The concept about taking the Nazi's out of the name I'm of 2 minds about. Firstly, they were horrible human beings – there is no questioning that – but they were also intelligent enough to discover these things and I don't generally agree that the fact that they were horrible human beings equates to their discoveries. Literally, I'm of 2 minds on it.

    2. That's so interesting with you saying mornings are the worst for depression. I have had three clinical depressions and am autistic and evenings have always been the worst for me. Just shows how different we all are.

    3. People don't believe me when I say, "these things have been around for a lot longer than you think,". Yes, there are a lot more autistic people than we think. Cause if you sit on the very high functioning side of it. Everyone would just say "Their just we're quiet" or something along those lines. Even when I was young 30 years ago. People didn't go out just looking for diagnosis for every problem they had. The rates go up because we gave the condition a name and started looking for it.

    4. I love these episodes. It gave me some time to reflect back when i was depressed. That was 2 years ago, now I'm happier than i ever have been. Get to do things i enjoy and have time to myself. But it does creep back in the winter months though.

    5. 17:15 … Where as in my mind my logic doing that was viewed different but with that same goal. In my mind the reason for the push was 1) I know I am struggling 2)I know when I see people struggling it hurts me and makes me struggle 3) I care for them and don't want them to feel pain 4) I would rather be isolated and alone than hurt them by allowing them to stay close 5) I am fully aware that in me pushing away if they allow me to push away it has nothing to do with them and entirely to do with me 6) I would rather they hate me for defending them in a way that seems like an attack than have to deal with the pain of seeing me struggle. There was never a thought or feeling of "oh I am unlovable" I was fully aware that all my consequences were a direct result of my own actions in order to protect people and had nothing to do with peoples ability to love or care for me.

      The people who would refuse to allow me to push away because they understand my broken logic of my actions trying to protect them obviously made a huge difference in the fact it gave me somebody who I could trust enough to be vulnerable around because I could know that they understand depression in a way that they wouldn't be hurt by my struggle because they could understand it on a level of having experienced it themselves as a pose to a level of reading something in a book and so are more logically protected from being hurt by my pain. Now what do I mean by that? Well it is one thing to learn something through "books" (aka a lack of self experience) because while you may be able to learn the basic function behind how something works you can never learn the complex function as to why it works in that way where as if you learn from experience then you can understand the why as well. For example, I am trans, I have been all my life though I didn't know it till much more recently, people who are not trans while might be able to understand that being trans is a thing will never be able to understand why I am the way that I am, never be able to understand how I could live decades "ok" with living my life pretending to be something I am not yet once having the understanding and language to express myself then becoming unable to keep pretending, like in other people's mind how could I have been ok with forcing myself to live one way for 30 years but then once I know why I was having a hard time being unable to continue acting in the way I acted for 30 years, something that can be really hard to grasp if looking at it from the perspective of learning from "books" where as other trans people can fully understand why that is and can be respectful towards that oddity because it is something they have experienced themselves as well. As a result when it comes to trans issues it is a lot easier for me to connect with other people who share the experience even if we are not friends and don't see eye to eye than it is to connect with people who are friends and who do have similar opinions because there will always be that divide between knowing and understanding that they will never be able to cross in the same way. As a result the people who I try to push away who end up basically going "no screw you, I get that you are pushing me away to protect me because I do the same shit but I am not going to allow you to because you need someone who understands and you ain't going to hurt me being hurt in a way you can't control so I will give you a bit of space to not cause you discomfort but I am not going to give you the space you are trying to create" I end up being able to have my mind not try to push away next time because my mind can trust their ability to understand my issues and not judge me or be hurt in the same way as someone who doesn't get it thus allowing me to remain relatively close to those people even when being close to people is uncomfortable.

    6. I would be curious about your reaction to the character Caleb from the series Big Mouth: it’s at least strongly implied the he has ASD. (If you’re not familiar with Big Mouth, please note that in the hormone monsters are real, not hallucinations.)

    7. This whole video made me laugh, first of all, hyper sensitive about past scientists and physicians political ties despite scientific developments. Second his exact description of the human emotion called “sad” and yet continuously calling it depression like a fucking moron. There is no depression it was a term created to sell medicine to people who are healthy to get them addicted. Same as ADHD or ADD, trying to fix a non problem with drugs just for profit

    8. Media being media, they care more about their ratings and as individuals we need to take things with due diligence instead of assuming whatever media says…

    9. As someone with (actual) Asperger's and depression, this episode was not only hilarious but spot-on to what depression is like and the myths people have around it. Also I love how it skewers the vaccine-autism myth. So many people still believe in that shit what with RFK Jr. spreading bullshit.

      Also I do disagree regarding the "high-functioning"/Asperger's label. I don't particular care what you call it as long as you call it *something*. There's a clear difference between people who can live completely independent lives and people who need care 24/7. Calling it all "autism" or "ASD" just makes it impossible for anyone to determine what the level of disability based on the label alone. An analogy I like to use (I have mild CP myself) is cerebral palsy. Some people (like me) can fully walk and talk and do most things people without the condition can. Other people are completely wheelchair-bound and nonverbal, and of course there's a whole spectrum of people in between. But not all forms of cerebral palsy are the same, and there's various terminology to describe the different levels of impairment as well as different subtypes. Asperger's (or high-functioning autism, or whatever you want to call it) is a milder subtype of autism compared to Kanner's or "classic" autism, which are both different from PDD-NOS and Childhood Disintegrative Disorder. There can be different subtypes with different severities and it can still be understood as all forms of autism, just with different labels to specify the different forms. But pretending there's no difference between mild and severe and not distinguishing anything just makes it harder to form solutions.

    10. I absolutely LOVE when you do South Park!!!!!!

      I have always been extremely fascinated by psychology and the examination of the human mind. South Park has also been one of, if not my favorite, show since i can remember. I always told people that despite the vulgarity and crass humor the show addresses to things that are going on at the time each episode is released and it manages to be fairly insightful at time.

    11. Wondering if you would react to a music artist. 21 pilots has been one of my favorites for a while now and helped me through depression during divorce especially since their lyrics are about the mind it might be something different and interesting

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