Self-Management of Depression

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...

Although we have all heard the medical profession touting the health benefits of physical activity and exercise, most of us don’t regularly engage in this inexpensive health-promoting behavior. In addition to preventing chronic medical conditions, growing evidence demonstrates that physical activity and exercise improve mental well-being and have a buffering effect on depression. A review of the literature showed that a higher level of baseline physical activity was associated with decreased risk of developing depression in the future (Mammen & Faulkner, 2013). Even low levels of physical activity, such as walking less than 150 minutes per week, can prevent future depression. Another study demonstrated that individuals who engaged in physical activity for more than 30 minutes a day had a 48% lower risk of being depressed at follow-up compared to individuals who didn’t engage in physical activity (van Gool et al., 2006). Interestingly, the same study also showed that each minute of ...

When asked about  their meaning in life, most people launch into a rambling monologue about the  sources  that create meaning in life, such as family, relationships, work, hobbies, and spirituality . Or, after a nervous chuckle, they try to change the subject. Truthfully, what exactly meaning in life means is not easy to define and, not surprisingly, meaning in life often gets confused with other states of mind or psychological constructs. It gets mixed up with happiness (which is more akin to pleasure and immediate satisfaction), identity (which involves a more global sense of self), well-being (which is more reflective of quality of life), and the search for meaning (which involves seeking meaning) (Hill, 2018). Why is this abstract concept of meaning in life so important? Research shows that having meaning in life helps you interpret and organize your experiences, build a sense of your own worth, identify what matters to you, and direct your energies more effectively. ...

Mental health and mental illness are not the opposite ends of a continuum, i.e., if you are not depressed, it does not necessarily mean that you are mentally healthy. If mental health is considered as a separate concept from mental illness, then barely one-fifth of the U.S. adult population without mental illness would be considered mentally healthy or flourishing (Keyes, 2007). So, what is flourishing? Psychologist Corey Keyes argues that flourishing is a state of optimal mental health, characterized by individuals experiencing positive emotions and functioning well both psychologically and socially. The opposite of flourishing is languishing, a state of incomplete mental health characterized by individuals having lower levels of psychological and social well-being, who describe their lives as “hollow,” “empty,” “stagnant,” or “a void” (Keyes, 2002). The three key dimensions of flourishing – emotional, psychological, and social well-being – are described below (Keyes, 2007; Ryff, 1989...

  Put simply, 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 time worrying about… I spent too little time doing things such as… If I could go back in time, then what I would do differently from today onwards is… Th...

What is boredom? Boredom is an everyday experience. You feel this while waiting in traffic, watching TV, twiddling on your phone, or surfing the internet. Of all the psychological phenomena known to mankind, boredom perhaps has the least consensus on what really defines this experience (Eastwood et al., 2012). One view of boredom is that it is a state of longing for activity, but at the same time, being unaware of what it is that one desires. The existential school of thought views boredom as an unpleasant experience characterized by inaction, emptiness, paralysis of will, and a sense of meaninglessness. Another take on boredom is that it results from the mismatch between one’s need for arousal and the availability of environmental stimulation. Finally, the cognitive model of boredom emphasizes that a bored individual perceives the environment as lacking opportunities for satisfying activity and themselves suffers from an impaired ability to concentrate. The common thread between all t...

The oversaturated, hypermarketed, and superadvertised space of mindfulness and meditation apps makes choosing techniques that are actually helpful a daunting task. In this context, the three-minute breathing space offers a proven and simple mini-meditation comprising of three steps, each step lasting about a minute. It is one of the core practices of Mindfulness-Based Cognitive Therapy (MBCT), an evidence-based psychotherapy (Williams et al., 2007). The purpose of this exercise is to allow you to step back from a stressful situation, which helps you discern newer perspectives and alternatives that may not have been that apparent. It is hypothesized that mindfulness rewires our brain toward resilience and is considered a cornerstone of resilience (Graham, 2013). Although this exercise is called the three-minute breathing space, you can use it for shorter or longer duration depending on your comfort level and the situation. The steps of the technique are as below (Neff, 2011; Williams et...

One of life's undeniable truths is that you will face failures. How one deals with these failures depends, among other factors, on one's compassion toward oneself and one's mindset toward adapting to failure. In this context, self-compassion and a growth mindset help you overcome your harsh inner critic, especially when failures lead you to judge yourself harshly, feel ashamed, or blame yourself. This article discusses how to use these tools in these situations.   Self-Compassion Put simply, self-compassion is compassion turned inwards, i.e., how you relate to yourself in instances of perceived failure, inadequacy, or personal suffering. The three components of the compassionate frame of mind are self-kindness, a sense of common humanity, and mindfulness (Neff, 2011). Let’s consider the following situation to illustrate how you can use three components to deal with an adversity that makes you critical of yourself. You couldn’t meet a deadline at work despite your best effor...

What is overthinking? The Merriam-Webster dictionary defines overthinking as "to put too much time into thinking about or analyzing (something) in a way that is more harmful than helpful." Surprisingly, even a non-psychological lexicon considers overthinking more harmful than helpful. In psychological jargon, overthinking usually involves misinterpreting or misattributing situations, past events, memories, and even feelings. Some common types of overthinking patterns, also called irrational thoughts or cognitive distortions, include all-or-none thinking (always/never thinking), jumping to conclusions without substantial evidence, disqualifying the positives, magnifying things out of proportion, catastrophizing (assuming the worst-case scenario), taking things personally, using negative self-labels (e.g., “I am a loser”), and should/must thinking (imposing rules on yourself or others). While we all engage in these overthinking patterns periodically, sometimes these irrational...

If you are human, you will have problems. Having problems means that you are normal, and solving them means you are a happy normal! While the traditional therapy approaches focus on the “why” of a problem, Solution-Focused Brief Therapy (SFBT) moves the focus from the “why” of a problem to “how it can be solved.” Evidence suggests that SFBT is effective for treating mild or moderate depression and has also been widely used as a life-coaching strategy (Gingerich & Eisengart, 2000; Kramer et al., 2014). Here are five questions used in SFBT that you can ask yourself to find solutions for problems that impede your goals (Grant & Greene, 2001; Simon & Berg, 1997). 1. The miracle question: The miracle question goes like this: “Suppose one night, while I am asleep, there is a miracle and the problem that I am facing is solved. However, because I am asleep, I don’t know that the miracle has already happened. When I wake up in the morning, what will be different that will tel...

What is Measurement-based Care? Measurement-based care is extensively used in medical conditions and involves matching treatment interventions with the outcomes for those treatments. For example, a provider would periodically measure fasting blood glucose or glycosylated hemoglobin in an individual with diabetes to make adjustments to the treatment plan, including medication and lifestyle changes. Measurement-based care fosters self-management by making the individual aware if they are on the right treatment plan or if they need to modify it in collaboration with their provider. While measurement-based care has been proven to improve outcomes for medical conditions, mental health, unfortunately, has lagged behind in adopting it as a regular practice. Measurement-based care in depression is an algorithmic application of published, accepted, clinical guidelines and consists of four steps (Morris et al., 2012): Step 1: Screening: Your provider may use one of the several available tools ...

Anxiety tends to be pervasive and it can interfere with your daily life. A helpful technique to prevent worry from distracting you from the task at hand is to create a fixed daily “worry time” and postpone your worries to that time (Lewinsohn et al., 1986). The purpose of this activity is not to avoid thinking about the things that worry you, but to let you decide when the best time is to focus on the worries. Individuals with anxiety, especially generalized anxiety disorder, have excessive worry about many different aspects of their daily life and this lack of a specific trigger for anxiety makes it harder for these individuals to gain control over their worries. Worry time offers a way for these individuals to gain more control over their anxiety through a psychological process called stimulus control. When people with generalized anxiety disorder worry throughout the day, the worry becomes associated with many places, times, and/or situations. Over a period of time these places, tim...