Self-Management of Depression

What is Recovery? The dominance of the medical model in mental health often reduces recovery to merely reaching a certain score on rating scales like the Patient Health Questionnaire-9 (PHQ-9), which is commonly used to measure depression. This narrow perspective overlooks other vital aspects of recovery beyond clinical response, as shown by many studies (Andresen et al., 2003; Jorge-Monteiro & Ornelas, 2015). Some of these overlooked facets of recovery include: Hope for the future. Re-establishment of a positive identity. Establishment of personally meaningful goals. Taking responsibility for one’s life. Feeling included and connected to others. Feeling empowered. Contributing to community life. Building on this broader understanding, recovery involves managing one’s mental illness, transcending its negative impacts, and striving for a meaningful life. The concept of recovery can vary among individuals, and some common expressions people use to describe their recovery include the ...

Imagine you are invited to a friend’s house and, upon entering, you see a group of people laughing loudly. You can react to this situation in a couple of ways. You might think something is wrong with your appearance, making you feel that people are laughing at you. Alternatively, you might interpret their laughter as a sign that they are having a good time, and you feel ready to join in the fun. This situation can evoke two responses: one makes you feel embarrassed, while the other makes you happy. So, what causes people to experience various emotions in the same situation? It’s all about how you interpret the scenario. Your beliefs influence your interpretation, which is the “B” in the “ABC” framework we will explore next. Albert Ellis (1962), the founder of Rational Emotive Behavior Therapy (REBT), introduced the “ABC” framework as a cognitive model for depression. “A” represents an activating event to which an individual responds. This can include current or past events, thoughts, f...

It is difficult not to judge yourself or others or overanalyze a situation when going through challenging times. Strong emotions emerging from the cognitive processes of judging or analyzing prevent you from using your rational mind to arrive at solutions to solve a problem or use mindful acceptance if the problem is unsolvable. In these circumstances, observing ego, a skill used in many mindfulness practices, helps you increase your self-awareness and allows you to perceive an adverse event non-judgmentally.  The word “ego” in observing ego refers to your healthy, rational, logical, and compassionate self. An important function of the ego is the capacity for self-observation. This is your ability to monitor or reflect upon your feelings, impulses, and thoughts rather than impulsively acting on them (Glickauf-Hughes et al., 1996). While your thoughts, images, feelings, sensations, and physical body change, your observing ego, also called the observing self, remains the same (Harris...

Clarifying one’s values and having value-based actions is one of the core tenets of Acceptance and Commitment Therapy (ACT), an evidence-based treatment for depression. Values are our heart’s deepest desires for the way we want to interact with the world, other people, and ourselves. They are what we want to stand for in life, how we want to behave, what sort of person we want to be, and what sort of strengths and qualities we want to develop (Harris, 2009). Values are subjective; what one may consider as a value (e.g., being famous) may be considered as being cocky by another person. Compared to thoughts and behaviors, values provide a far more stable compass to motivate you to achieve your goals, even when faced with personal adversity (Hayes et al., 2012). An exercise that may help you clarify your values and find meaning in life is to imagine that you are eighty years old, and you are looking back on your life. Then finish the following sentences (Harris, 2008): I spent too much ti...

Although empathy has increasingly become a buzzword in the modern wellness and leadership lexicon, it is more than just a fad. Empathy is the ability or capacity to identify or vicariously experience the feelings, thoughts, or attitudes of others. Phrases such as “walking in another person’s shoes” or “seeing the world through the eyes of another person” epitomize the concept of empathy. Being able to pick up on emotional nonverbal cues, such as tone of voice and facial expressions, is at the heart of empathy. In addition to reading another’s emotions, at higher levels, empathy also entails sensing and responding to a person’s unspoken concerns or feelings and also understanding the issues or concerns that lie behind those feelings (Goleman, 1998). Empathic people – are attentive to emotional cues and listen well. show sensitivity and understand others’ perspectives. help others by understanding their needs and feelings. Empathy is not a single, discrete emotion, but a constellation of...

              Popular self-help books try to convince you that you can improve your self-worth in 10 days. It's not that simple. Let's get to the definition of self-worth first. The American Psychological Association's Dictionary of Psychology defines self-worth as an "individual’s evaluation of himself or herself as a valuable, capable human being deserving of respect and consideration." The more positive feelings of self-worth an individual has, the higher their self-esteem is, while persistent low self-worth can be a symptom of depression. As can be gleaned, the definition of self-worth is highly subjective, and it is not uncommon for people to harbor faulty notions about their self-worth. Your thinking may get skewed into believing that your self-worth is restricted to your performance in certain areas of life that are of special personal importance to you, such as work, family life, or intellectual pursuits. You then mistakenly start defining...