Michelle Samuel

Depression contributes, and is maintained by common distorted thought patterns.

This checklist is taken from the Wikipedia, “Feeling Good” book  and other sources, with some changes and additions. As you go through this list try to  identify these patterns that you tend to use. It may be an  eye opener: You will realize that what sounded like “the reality”,  is indeed very subjective. This is the first step to start controlling those thought patterns, and influence your mood. You may want to keep track of these thought patterns in a journal.

1. Black and white thinking – No shades of grey. Thinking of things in absolute terms, like “always”, “every”, “never”.     If it is not perfect, it is a failure.
2. Overgeneralization – Taking isolated cases and using them to make wide generalizations. Generalization from one detail , or aspect of a situation, to the whole situation.
3. Mental filter – Focusing almost exclusively on  negative or upsetting aspects of an event while ignoring other positive aspects.
4. Disqualifying the positive – Continually deemphasizing  positive experiences.
5. Jumping to conclusions – Drawing negative conclusions  from little  evidence. Two specific subtypes:
   • Mind reading – Assuming you can read the feelings and thoughts of others. You know for sure what other people think of you, and of course is it negative.
   • Future reading –  Catastrophizing.  You expect the worst possible outcome, however unlikely. You ruminate about “What if”.
6. Magnification and minimization – Distorting aspects of a memory or situation through magnifying or minimizing them such that they no longer correspond to objective reality.  If you are depressed, often the positive characteristics of other people are exaggerated and negative characteristics are understated. The reverse  happens when you think about yourself.
7. Emotional reasoning – Accept your emotions as a valid evidence.  ”I feel therfore it is true”. If you feel stupid , than you are  stupid.
8. Should statements – You know the way things “should” be.  You have rigid rules which  always apply, no matter what the circumstances are. Using “should” statement  leaves you and others feeling preasured, guilty, and on the long run  jeopardizes any motivation for change. It does not allow you to be flexible and adapt to  changing circumstances.
9. Labeling –  Rather than describing  a  specific behavior, you assign a negative  label to yourself.  it is not the action that was a mistake, you are the mistake. Frequntly, you judge others as harshly as you judge yourself.
10. Personalization - Attribution of personal responsibility and guilt to yourself   for events over which you have no control.
11. False expectations: Assuming that other people should be able to read your mind, without any need of your part to express your emotions and needs.  Assuming that your happiness depends on somebody else.

This little known book describes the inner experience of depression, in a very sensitive and authentic way. Its charm lies in the fact that in spite of the very real description of depression, It is full of hope. for
In the beginning Lea, The main character, is in her deepest moment of despair. The world seemed bleak, senseless and cruel. She feels complete alienation. Her pain was so great, that she tried to jump from a bridge, in a futile attempt to commit suicide. An alien caught her and saved her life.
The first step to her recovery was numbing her emotional pain. The alien temporarily numbed Lea’s pain and locked her in a house, in order to protect her. (Fantasy equivalent to psychotropic medication? Hospitalization?) Lea felt better, though numbed. She knew that the numbness was a temporary relief, a crutch to support her during the process of recovery.

read more »

Many people use a  journal to enhance their well being.  A journal can have a wide variety of uses. The Journal can enhance a persons creativity. The Journal may also be helpful in managing the writers emotions. The Journal may be a useful tool in delving into, and coming to terms with ones past

One technique is recommended in  The Artist’s Way: A Spiritual Path to Higher Creativity [10th Anniversary Edition].

The instruction provided in the “Artists Way”   is  to write what ever comes to mind. You should let the written words pour out in a stream of consciousness with no regard or concern for literary value. The method is based on the assumption that no one will ever see your journal so you are free to write whatever comes to mind. In fact you are advised not to look back and reread what you wrote. It is the act of uninhibited writing that is therapeutic. This technique was initially developed to enhance creativity. Clinical experience shows that it support mental health as well.

People that are depressed should be cautious using this method. For some, it can be beneficial. Others may find that this method exacerbates their depression . They may use the free flowing journal to dwell on minor faults  and sorrows. These people may benefit more from a more structured way of journaling.

One of the simplest structured forms of writing a journal to help alleviate depression is, at the end of the day, to write down three things that you are grateful for.  It is important to persevere and to write down three real things that are unique; not to repeat oneself day after day. As simple as this may sound, studies have shown a beneficial effect of this method. It gradually alters the way we perceive our world.

Psychotherapy does not have to always be  a serious endeavor. Sometimes  laughter can be more effective than tears. Loretta Laroche is a clinical psychologist, and a stand up comedian; an unusual combination. Her CD’s and DVD’s teach the basics of cognitive behavioral therapy and existential therapy through a humorous examination of her own life. Very uplifting, lots of common sense, gives a great perspective on life. An effective audio antidepressant.

How to Be A Wild, Wise, and Witty Woman 4-CD: Making the Most Out of Life Before You Run Out of It

Life Is Short, Wear Your Party Pants

Or – What Would You Say to the Person on the Roof?/ Avshalom C. Elitzur, PhD

Hello, Ron. I am here to talk to you. I hope I will be able to speak in favor of the side within you that still wants to live.

In any court of justice, even in a totalitarian state, every person is entitled to a defense, whereas you have appointed yourself as prosecutor, judge and executioner, all in one. I, therefore, demand the right to speak in your defense.

First of all, let me say that I understand that you are now at the very limit of the human capacity for endurance. The pain you are feeling is huge. I truly believe that your suffering is extreme and that the situation feels absolutely unbearable. It is a suffering that cannot be overcome, laid aside or forgotten. This unbearable suffering, this inhuman pain, must be stopped. Perhaps you also feel tired and weakened from the fight against forces that are too strong for you, against the ill-luck and the cruelty of your life.

I acknowledge your deep pain. I accept your feeling of no solution. I accept that you feel at the end of the road. Every human being may arrive to a point when one says: That’s it! I can suffer no more! I accept that you have reached this point.

Even so, I will try to speak for another way of viewing things. I believe that this different voice also deserves a say.

read more »

Social anxiety can reduce you quality of life, not let you achieve your full potential, and ultimately lead to depression. What results is a vicious cycle – the more anxious you are, the more barriers you will encounter in your life, the more depressed you become, which ultimately contribute to your anxiety. I recommend this self-help book. It is part of a serie published by Oxford University Press. All the books adhere to cognitive-behavioral approach. They come in pairs – one for the client, one for the therapists. All those I have seen so far, were excellent.If you read this book, and work along its guideline, you may not even need to see me. And if you do, it will shorten the treatment and make my work easier.

There are two kinds of light therapy: Light box, and Dawn simulator.
Most people know about the light box; those you can find anywhere on the web. I would like to recommend the less well known device, called Dawn Simulator. Dawn simulator slowly lights a bedside lamp to simulate dawn. This simulates sunrise and tells your brain that it is time to get up and start the day. Absolutely no side effects, and it is amazingly effective. It has been shown  in studies to improve seasonal depression. It certainly can help you start your morning in a different tone. You can find very expensive ones on the internet, that contain also a lamp, a radio, and an alarm clock built in. Assuming you already have all of these, you may want to buy the most inexpensive on the internet. It is just as effective as any other. dawn simulator

There is nothing more relaxing that can mitigate depression, connect us to the world and ourselves, and give us better perspective. In the dead of winter, go to Matthaei Botanical Gardens

DBT (Dialectical Behavior Therapy) was initially developed by Dr. Marsha Linehan. It was a form of therapy intended for use for borderline personality disorder. DBT is not about insight, or delving into your past. It is a collection of very practical skills to help you better manage your emotions, your interpersonal relationships, and hence your life. The basis of all these skills is the practice of mindfulness, taken from Buddhism. Mindfulness means the state of mind that allow you to be completely immersed in the present situation, rather than in the past or in fantasy. None of these skills are innovative; but sometimes, while contending with life’s difficulties we need to be reminded of skills that may seem obvious or almost trivial.

Many types of therapy claim that our mental health is best served by getting in touch and experiencing our emotions to the fullest. While this approach is often effective and serves many people well, DBT takes an alternative approach. Dbt tries to teach us to regulate our emotions in order to better cope with everyday life. I find this approach very helpful for people that struggle with severe depression and anxiety and struggle to go through the day. Only after the depression and anxiety get somewhat under control, a person would have enough energy and inner resources to delve in and benefit from that.

In my opinion, these skills are useful for everyone of us. The following link will provide you with handouts. The best way to learn these skills would be in a therapeutic group or in individual therapy.

Dialectical Behavior Therapy .