many people to see who needs to be kicked up to the next level and talk more about it. >> for someone watching right now who thinks maybe i feel like i should be getting hope, how do they know to be seeing someone like you and how could they know when it's quite serious? >> usually when they it's quite serious, they see someone like me, a psychiatrist. if they have persistent, negative thoughts they just can't get rid of them, there's a feeling that nothing will go right. everything i've tried or everything i will try, it won't matter. if it's spilling over into your familiar, you're irtable, picking on your kids, arguing with your wife, usually the husband is the primary wage earner in these communities and you're just feeling down, that's one thing. certainly if you feel that life is not worth living and it's too hard to go on and i've been through katrina and i had a setback in the recession, it's still going on and now i've got this you should talk to us. >> not just here in new orleans or this area of the country, but