Self-Management of Depression

We all have a list of "shoulds" that we consistently push to tomorrow. You should fold that mountain of laundry. You should hit the gym. You should finally tackle your monthly expense reports. But when the time comes to actually do them, your brain clamors for something else: an episode of your favorite reality show, a specialty iced latte, or a deep dive into a new podcast. What if you didn't have to choose between productivity and pleasure? Enter temptation bundling , a brilliant behavioral science hack that lets you indulge your guilty pleasures guilt-free while simultaneously crushing your goals. What is Temptation Bundling? Coined by Wharton School behavioral scientist Dr. Katy Milkman, temptation bundling is the practice of pairing an instantly gratifying "want" activity with a delayed-reward "should" behavior (Milkman et al., 2014). The golden rule is strict: you are only allowed to experience the temptation while you are perfor...

Have you ever found yourself staring at the ceiling at 2 a.m., replaying a conversation from years ago or questioning your reactions in certain situations? This moment of reflection can either propel you forward or keep you stuck. The difference lies in understanding whether you are engaging in productive introspection or falling into unproductive rumination. Recognizing this distinction is the key to breaking free from emotional stagnation and unlocking genuine personal growth. Introspection: The Upward Spiral Introspection, also called self-reflection, is the process of examining your own thoughts and feelings with a sense of curiosity and purpose. Think of it as being a mental explorer. When you introspect, you ask "what" questions: What am I feeling right now? What triggered this reaction? What are the steps I need to take in the future to do a better job? According to Trapnell and Campbell (1999), introspection is often driven by a healthy interest in the self. It is ...

Have you ever felt like a fraud in your own success story, despite your achievements screaming otherwise? Welcome to the world of impostor syndrome, where even the most accomplished individuals second-guess their abilities and fear being exposed as a ‘fake.’ Emerging from the shadows of self-doubt, this phenomenon affects both men and women and is often rooted in early family dynamics and personal perceptions of worth. But it doesn't have to define your journey. Here, we explore seven strategies that can help you break free from the grip of impostor syndrome and embrace your true capabilities.  1. Name your inner critic: The voice of impostor syndrome is your inner critic, sowing the seeds of self-doubt. This inner critic, like a broken record, irrationally makes you underestimate your capabilities. Although it may seem to be arguing in your best interest, it thrives on fear-based, unrealistic thinking. Label your thoughts or feelings sparked by your inner critic as they occur. Be ...

If you have felt the urge to offer someone an opinion or solution even when one is not solicited, you have been giving in to what is called the righting reflex—the desire to fix what seems wrong with people and to set them promptly on a better course (Miller & Rollnick, 2013). Though natural and well-intentioned, this urge to fix someone else's problems can significantly damage interpersonal relationships by causing resistance, defensiveness, and resentment. It often hinders effective communication and prevents the other person from finding their own solutions. How the righting reflex negatively affects relationships Creates resistance and defensiveness: When you jump in to fix a problem, the other person can feel like you are criticizing their judgment or ability to handle their own issues. This can lead them to argue against your suggestions or defend their current choices, creating an unproductive conflict. Shifts the dynamic to a parent-child relationship: This behavior po...

Approximately 30% of individuals with depressed mood develop a chronic course as defined by the criteria for persistent depressive disorder (PDD) (Struck et al., 2021). Research shows that depressed individuals have difficulties in handling another person's negative state or suffering, getting overwhelmed in emotionally tense situations, a condition called empathic distress. This leads to an avoidant interpersonal style due to fear of interaction with others, which in turn deprives these individuals of positive interpersonal experiences, thus perpetuating depressive symptoms (Struck et al., 2021). Situational analysis is a technique used in the Cognitive Behavioral Analysis System of Psychotherapy (CBASP). CBASP is one of the few psychotherapies effective for chronic depression and PDD (Wiersma et al., 2014; Wiersma et al., 2021). CBASP combines behavioral and cognitive strategies with a problem-solving focus and emphasizes interpersonal issues. Its primary goals are to help indivi...

We have all heard the phrase “every cloud has a silver lining,” which suggests that there is something good in every outcome, no matter how difficult or challenging the situation may be. This is also relevant when it comes to using optimism as a tool to overcome depression. When going through the throes of depression with its propensity to see everything in a negative light, being optimistic can be challenging. However, one can still find optimism even in adversity and suffering as did Victor Frankl during his years in the World War II Nazi concentration camp (Frankl, 2006). Frankl describes “tragic optimism” as: Feeling optimistic in the face of tragedy Making the best of any given situation Turning suffering into a human achievement and accomplishment Using guilt as an opportunity to change yourself for the better Using the knowledge that life is transitory as an incentive to take responsible action If you can learn to identify something good in a bad situation, then finding the one...

What is loneliness? Loneliness is a fundamental aspect of life; at some point, everyone will experience it to varying degrees. Even though it is recognized as a public health concern (Office of the Surgeon General, 2023), there is still a need for more discussion about what the experience of loneliness entails and how to recognize it in oneself or others. For starters, loneliness is the distressing feeling you experience when there is a discrepancy between the interpersonal relationships you wish to have and those you currently have (Peplau & Perlman, 1982). It is not the number or frequency of social contacts but your subjective appraisal of the quality of relationships and the satisfaction with the relationships that influences loneliness (Heinrich & Gullone, 2006). Moreover, loneliness is not synonymous with social isolation, nor is it an inevitable consequence of being alone. You can be in the company of others and still experience loneliness, whereas you may not feel...

Though sounding simple, learning to accept and change are powerful strategies that keep relationships intact. “Accepting” your partner means that you are tolerating your partner’s unpleasant or offensive behavior while at the same time trying to understand the deeper meaning of that behavior and putting it in the larger context of your relationship with your partner (Christensen et al., 2014). For example, an individual may become more accepting of their partner’s introverted nature or tendency to criticize. Do not confuse acceptance with submission. Submission is enduring offensive behavior from a position of weakness as one has no alternative. In contrast, acceptance is tolerating offensive behavior from a position of strength as you choose to do so while seeing the offensive behavior in the larger context of your relationship with your partner. Acceptance also doesn’t mean one cannot assertively differ from one's partner, resist one's aversive behavior, or try to limit it....

Procrastination is putting off tasks for another day or doing unproductive things as an excuse for not doing what is essential. While some procrastinate in certain situations, it becomes a habit for others. They leave dishes in the sink, don’t respond to e-mails, don’t pay bills, put off completing paperwork, finish assignments just before the deadline, or ask for extensions. In the latter group, procrastination becomes a form of avoidance. Psychologists consider avoidance as a maladaptive coping style that relieves one from the mental and/or physical effort of doing a task, reinforcing this behavior. Procrastination can be driven by irrational thought patterns, and sometimes, these are associated with depression and anxiety. The common irrational thoughts that foster procrastination include: “Nothing works.” “This is boring.” “I don’t know where to start.” “I can’t do this.” “This is too hard.” "I am not cut out for this." “I don’t have the time to do this.” “I don’t have th...

With resilience promoted as a must-have skill set, individuals are bombarded with various pop-psychology iterations of what is needed to bounce back from daily setbacks, acute adversities, or chronic stressors. However, there is no proven pathway to resilience, and we don't know why some individuals are more resilient than others. The best one can gather from research are the predictors of resilience. The salient predictors of resilience include the following: 1. Demographic predictors: Contrary to the popular notion that older adults are at greater risk following a potentially traumatic event, research suggests that older adults suffer relatively lower psychological costs than younger adults. In addition, the male gender is a consistent predictor of resilience in numerous studies, with the possible explanation being that women tend to experience more significant initial threats during a traumatic event subjectively (Bonanno & Diminich, 2013). 2. Personality predicto...

Extensive scientific literature has recently been published on impostor syndrome, also known as  the impostor phenomenon . Most popular psychology descriptions of this condition, which impairs professional performance and leads to burnout, tend to frame it as a syndrome of perceived fraudulence or fear of being seen as fake. However, the fact is that people with impostor syndrome describe a myriad of thoughts, feelings, and behaviors, and none of the existing scales capture all the facets of this complex and multifaceted syndrome (Mark et al., 2019). Also, contrary to popular belief, impostor syndrome is not limited to highly successful individuals. It depends more on how people respond to specific achievement tasks when they are appraised.  The six facets that define this phenomenon are discussed below: (Bravata et al., 2019; Clance & Imes, 1978; Walker & Saklofske, 2023). 1. Fake: This attribute is the closest to the original conceptualization of the impostor ph...

Problem-solving is a popular modality of psychotherapy and is also conceptualized as a brief skills-oriented training program. A problem is a real or perceived imbalance or discrepancy between the demands of a situation and one’s coping ability and reactions (Nezu et al., 1989). Problem-solving skills are not personality traits but social skills that can be learned. Successful problem-solving involves not only the right kind of orientation but also an adaptive style (Nezu et al., 2013). Problem-Solving Orientation Problem-solving orientation refers to an individual’s beliefs, attitudes, and emotional reactions to problems, as well as one’s ability to cope with them. Research has shown that there are two types of problem-solving orientation – positive and negative. 1. Positive problem-solving orientation View a problem as a challenge rather than a threat Be realistically optimistic in believing that problems are solvable Have the self-confidence in one’s ability to cope with problems Un...

When faced with trauma, mental health influencers often "therapy speak" people into becoming more resilient and growing from such a challenge. This narrative, however, encourages people to internalize the message that adversity should always lead to growth or that trauma is a prerequisite for growth. In  the psychological lexicon, this positive outcome, or "bouncing forward" following adversity, is called  posttraumatic growth  or an overlapping concept,  benefit-finding and growth  (Lechner et al., 2009) . While benefit-finding and growth captures more of the lifestyle, behavior, and perceptual changes, posttraumatic growth tends to refer to the transformative changes occurring at a cognitive level, i.e., how one becomes wiser (Lechner et al., 2009). People who experience posttraumatic growth describe it in one or more of the following ways (Hefferon et al., 2009): Reappraisal of one’s life and restructuring of previous priorities Revaluation and changing of li...