The Power of Each Other: Wellness and Well-Being
  • Home
    • About Laura
    • Contact Dr. Burlingame-Lee:
    • News!
  • Resources & FAQs
    • Resources
    • FAQs >
      • Coaching FAQ
      • DBT FAQ >
        • How does DBT work?
        • What are the goals in DBT?
        • How does a DBT Skills Training Group Work?
        • Assumptions about our participants
        • What are some problems that might come up?
        • DBT Skills 1: Introduction and Mindfulness
        • DBT Skills 2: Interpersonal Effectiveness
        • DBT Skills 3: Emotion Regulation
        • DBT Skills 4: Distress Tolerance, Part 1
        • DBT Skills 5: Distress Tolerance, Part 2
      • Payment and Insurance
      • First Appointments: What to expect >
        • What to expect at your first coaching appointment
        • What to expect at your first therapy appointment:
    • Forms
  • Blog: Posts for the Journey
    • Blog Survey!
  • Love the Questions Journal Prompts

Depression - Dealing with and Taming the Beast Within

7/14/2014

0 Comments

 
I think I mentioned this story in another post, but I'll tell it here again because I really like the analogy. This was written by a teenage girl who had been dealing with chronic depression. She wrote that it starts with having a bad day. Everyone has bad days, though, right? You don't think about it too much, and go on living your life. Ok, so you have a few more bad days mixed in here and there, but again - everyone has bad days, so it's nothing to really worry about...Then you realize that you're having more bad days than not, but you don't want to think about it because it might jinx you and bring on more bad days - everyone knows that if you let it get to you, then it gets worse, right? So...finally you realize that the bad days are winning - you feel awful, life doesn't seem to have a whole lot of purpose and the future looks bleak. You realize that the beast has caught up with you again, and that you're depressed.

Depression feels like a heavy weight, a wet blanket, and day upon day of lousy weather all rolled into one. AND, it's more than that. To use the example of an antidepressant commercial, depression hurts in a lot of ways - physically, emotionally, mentally, and interpersonally. You feel rotten, it's hard to think clearly and/or move, life sucks and nobody around you seems to understand or care, or care enough. You feel like things will never change or get better. It's bleak.

I'm not going to lie and say there's an easy way out - there isn't. Honestly, what I've found works the best is a combination of medication and psychotherapy, and I'll tell you why. From what I've seen, it's like fixing a house with a cracked foundation. Having the foundation cracked doesn't mean that the house is broken or useless - far from it. It means that some repair work needs to be done, and that the house can be and is worthy of saving.

So...to begin the repairs, you first have to shore up the house, right? Using medications is like shoring up the foundation - it helps get the biological, chemical piece working again so you can get at the root cause and work on that. That's where psychotherapy comes in. Even if there is no deep, dark past to examine, therapy can help you figure out what triggers depression for you, how to recognize it and the warning signs, how to cope when it hits, and how to let other people know how to help you. Therapy also gives you a chance to really let loose and talk about what it's like to feel and deal with depression - with someone who's not going to judge you, tell you to "pull yourself out of it," or try to fix your problems for you. It will give you someone to talk to, who's got some training in how to deal with it, and can help you develop and practice skills for dealing with it.

Now, that said, I realize that for some people depression is more biochemical than anything else - therapy can help you too, though - in the ways I mentioned above. If you do happen to have things in your past that are affecting your mood, therapy will almost certainly help you with that - but you don't have to have had trauma, abuse, or other painful past experiences in order to benefit from therapy.

Ok, before I start sounding too much like an informercial...what can you do on your own? As trite as it sounds, I usually recommend that people start at the beginning. Accept the reality that you're dealing with depression. For some people, that alone is a huge step - there is still stigma out there about "mental illness" and many people don't understand what depression is, or how it affects you. So, accept reality and then realize you have a choice in how you're going to deal with it. (Yeah, I'm taking a page from my DBT training - radical acceptance again!)

Dealing with depression takes a LOT of energy. Depression is a condition that saps your strength - emotionally and physically. It feels sometimes like you're trying to slog through thick, sticky mud and is every bit as exhausting. You can choose, though, whether you're going to stay in it or not, and there are consequences either way.

Choosing to try to move out of it means choosing that you're going to move, even if it's just a little bit. It's a form of opposite action. It may mean something as simple as getting up and taking a shower, or making yourself go outside for a few minutes.I tell the people I work with that I don't underestimate how much of an accomplishment getting out of bed is. It might be the only major movement someone has made in days or weeks. Moving may mean more - calling a friend, a doctor, or someone you trust and asking for help (and believe me, I know that's HUGE.) Either way - if you're going to choose to deal with it, it means YOU have to do something. And, as I always say (and mean), seeking help really is a sign of strength, and not a weakness in any way, shape, or form. Moving - and then moving consistently are important parts of this process.

If you choose not to deal with it, then you have to be willing to take those consequences - it may mean that someone else has to make decisions for you, if you're not able to do so. It may mean giving up some control so that someone can get help for you...it may even mean hospitalization for some. 

One thing I want to make crystal clear here is that I don't think that being hospitalized is shameful. In fact, I believe that it's helpful, and that getting well and being able to function is the goal - and I realize that there are many of you who disagree with me, and I respect your right to do so. After all - I'm not walking in your shoes. However, if you're not able to or are unwilling to make decisions for your care - or if you're self-harming or threatening to self-harm, hospitalization is a possible outcome for your safety and well-being.

The point of all this is that I'm assuming you don't want to deal with feeling depressed. You can't control what's coded in your genes, but you can choose how you're going to deal with it. And I'm not saying that positive thinking, affirmations, etc. are going to magically pull you out of it. These may help, but depression is a lot more complicated than just negative thinking. You can choose to shore up your foundation with meds, or you can choose not to. You can choose to use therapy, or not. You can choose a combination of the two - the point is, you have a choice.

When you're in the throes of a major depression, it may not feel like you have any choices, or that no matter what you do it's not going to work. This is where you have to use your active trust - your emotions are not necessarily giving you the best information, and you may have to let your head overrule your heart on this one. Get help if you need it, and help yourself. Depression is nothing to be ashamed of, any more than kidney disease or diabetes is. It's a treatable condition, and there is hope.

Does getting help mean it's going away for good? For some people, maybe...for others it means that the beast is pushed away again for a while, but will keep following you. For you...well, learning about your triggers, symptoms, etc will help you. Learning this stuff also helps you feel more in control and stronger - nice side effect, huh? One great program, developed by a lady who both does therapy and has bipolar disorder is called the "WRAP program."

WRAP (Wellness Recovery Action Plan) is a system that helps you recognize your triggers and symptoms, and put into place a plan to help yourself feel better. If that plan doesn't work, WRAP also helps you develop a plan that tells who you want involved in your care, how you want to be treated, and who can make decisions for you. It's a great system, and Mary Ellen Copeland (the creator) has some great articles on her website: www.mentalhealthrecovery.com. The purpose of WRAP? "Getting well and staying well." Copeland is also the author of several wonderful self-help books/workbooks for coping with depression and manic-depression - her work is widely respected and used. (I highly recommend her books both to clients and non-clients.)

So, bottom line is that even if it feels like there is nothing you can do or that nothing you do works or has an effect, there ARE things that will help. Talking to a therapist (heck, talking to someone you trust, period!), working with medications, using some great self-help resources, and your own strength all help. (And yes, you ARE strong - it takes a lot of energy to deal with this!) Cognitive behavioral therapy is one route that seems to help a lot of people - Copeland's books actually use a lot of CBT-style work. DBT skills help too - trying them won't hurt, and you have a lot to possibly gain.

Just remember - you're not alone, even if it may feel that way. There are many, many people who are dealing with and have dealt with depression. I have tremendous respect and admiration for those of you dealing with this, whatever the root cause may be. It takes a lot of energy and strength, and pulling yourself out takes even more. You're not alone - really.

As Always:

Please Note: The content on this blog is intended for informational purposes only. This is not therapy, and if you wish to work in therapy, please contact your local mental health agency or your physician for a referral.

If you are in crisis or danger, or are thinking about hurting yourself, please call 911 for immediate help. Please, again, realize that seeking out help really IS a sign of strength and not a sign of weakness. You don’t have to be alone in facing these things – there are people who care and who will help. Email me at: thepowerofeachother@outlook.com

0 Comments

    Laura Burlingame-Lee:

    I am someone who thoroughly loves life and believes in the power we have to help each other. I think that having a hot cup of tea, a good book, and a warm, purring kitty are some of the most soothing experiences available in life, and loving my family, hearing the sound of children laughing, feeling rain on my skin, and smelling the salt air by the ocean are some of the best possible things in life! 

    I believe we all have inner wisdom, and that learning to listen to it is one of the hardest and most rewarding things we can do. I believe we all have gifts and talents to share, and that we have the opportunity every day to learn something new. We learn, we grow, and we shine!


    I'd love to hear from you!

    Need to find something? Search the blog:
    View my profile on LinkedIn

    RSS Feed

    Home

    Archives

    August 2022
    July 2022
    September 2017
    August 2017
    January 2016
    October 2014
    August 2014
    July 2014
    April 2014
    March 2014

    Categories

    All
    Acceptance
    Accountability
    Accountable
    Accreditation
    Accredited
    Achievement
    Achieving
    Action
    Action Planning
    Active Trust
    Affirmation
    Affirmations
    Afraid
    Alone
    Anger
    Angry
    Antidepressant
    Antidepressants
    Anxiety
    Appointment
    Appointments
    Art Journal
    Assertive
    Assertiveness
    Attitude
    Beck
    Behavior
    Black Or White Thinking
    Boundaries
    Boundary
    Care
    Caring
    Cat-I
    CBT
    Certification
    Certified
    Chain Analysis
    Change
    Changing
    Checking In
    Check-ins
    Choice
    Choices
    Coach
    Coaches
    Coaching
    Code Of Ethics
    Cognitive Behavioral Therapy
    Cognitive Behavioral Therapy For Insomnia
    Cognitive Distortions
    Cognitive Errors
    Cognitive Triad
    Comfort
    Comfortable
    Commitment
    Commitment Planning
    Commitment Strategies
    Compassion
    Compassionate
    Compassionate Detachment
    Control
    Controlling
    Copeland
    Coping
    Coping Skills
    Counseling
    Counselor
    Counselors
    Courage
    COVID
    Cruelty
    Daily Hassles
    DBT
    Depressed
    Depression
    Dialectical Behavioral Therapy
    Dichotic Thinking
    Differences
    Discomfort
    Distorted Thinking
    Distraction
    Distress Tolerance
    Dream
    Dream Analysis
    Dreaming
    Dreams
    Dream Symbols
    Effective
    Ellis
    Emergency Room
    Emotion Regulation
    End
    Ending
    ER
    Ethical
    Ethics
    Ethics Code
    Evaluating Goals
    Fear
    Forgive
    Forgiveness
    Frustrated
    Frustration
    Fun
    Goal Planning
    Goal Progress
    Goals
    Goal Setting
    Goal Strategizing
    Grief
    Happiness
    Happy
    Heal
    Healing
    Health
    Healthy
    Helpless
    Helplessness
    Hero
    Heroes
    Hopeless
    Hopelessness
    Hospital
    Hospitalization
    Hotline
    Hotlines
    Hurt
    ICF
    Identity
    Image Rehearsal Therapy
    Insight
    Insightful
    International Coaching Federation
    Interpersonal Effectiveness
    Introversion
    Irrational Beliefs
    Irrational Thinking
    IRT
    Journal
    Journaling
    Joy
    Judgment
    Judgmental
    Letting Go
    Licensed
    Licensure
    Loneliness
    Lonely
    Mean
    Measurable Goals
    Medical
    Medication
    Mindfulness
    Minimization
    Mistrust
    Mood Stabilizer
    Mood Stabilizers
    Motivate
    Motivation
    Move
    Moving
    Moving On
    Negative Thinking
    Negative Thinking Patterns
    New Normal
    No
    Nonjudgmental
    Nonjudgmental Stance
    Obstacles
    Opposite Action
    Organization
    Organizing
    Overgeneralization
    Pain
    Painful
    Personality
    Personalization
    Plan
    Planning
    Play
    Playful
    Playing
    Positive Psychology
    Post Traumatic Stress Disorder
    Posttraumatic Stress Disorder
    Precipitating Event
    Prioritize
    Prioritizing
    Process
    Process Writing
    Procrastination
    Progress
    Prompting Event
    Psychologist
    Psychologists
    PTSD
    Rabbit Hole
    Radical Acceptance
    Reaching Goals
    React
    Reacting
    Reaction
    Reinforce
    Reinforcement
    Relationship Skills
    Relax
    Relaxation
    Resiliency
    Resources
    Responding
    Responsibility
    Responsible
    Rest
    Restful
    Resting
    Results
    Reward
    Rewards
    Role Play
    Role-play
    Sadness
    Safe
    Safety
    Saying No
    Schedule
    Self Acceptance
    Self Assurance
    Self Awareness
    Self Care
    Self Control
    Self Esteem
    Self Liking
    Self Soothing
    Self-soothing
    Setting Goals
    Should
    Shoulds
    Skills
    Solitude
    Stigma
    Stigmatize
    Stigmatizing
    Stinking Thinking
    Stop
    Stopping
    Strategies
    Strategizing
    Strategy
    Suicidal
    Suicidal Feelings
    Suicidal Thoughts
    Suicide
    Suicide Hotline
    Suicide Hotlines
    Support
    Supporting
    Supportive
    Taking Action
    Task Management
    Termination
    Therapist
    Therapists
    Therapy
    Thinking
    Thinking Patterns
    Thoughts
    Time
    Time Management
    Tough Times
    Trained
    Training
    Transition
    Transitioning
    Trauma
    Traumatic
    Traumatized
    Trigger
    Triggers
    Trust
    Trust The Process
    Uncomfortable
    Visual Journal
    Voice
    Vulnerability
    Vulnerability Factors
    Wellness
    Wellness Action Recovery Plan
    Wise Mind
    WRAP
    Write
    Writing

Proudly powered by Weebly