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 ...

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...

In layman’s terms, hope is the expectation that your future can somehow be better, no matter the present circumstances. In contrast, psychologists define hope in a more structured way so that they can measure this attribute. According to them, hope is the pursuit of your goals with the knowledge that you have the capacity and the motivation to achieve them (Snyder et al., 2006). In other words, hope has two key elements: 1. A sense of successful determination in meeting past, present, and future goals. 2. A sense of being able to generate successful plans to meet the goals. The first element is called the agency , and the second element is called the pathway , which, in layman’s terms, translates into the will and the way, respectively. These two components of hope are reciprocal and work synergistically but are not synonymous (Snyder et al., 1991). People with the will to achieve their goals may not have the ways to do it and vice versa. Both the will and the way are necessary...

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...

What are Self-affirmations? When going through a rough patch, we have all been reminded by our well-wishers to use positive self-statements such as, “I am okay" or “I can do this.” Known as self-affirmations, these statements demonstrate one’s adequacy usually through writing positive statements about one’s core personal values (Cohen & Sherman, 2014). When things don’t happen as planned or when you have setbacks, self-affirmation statements provide you with a tool to defend your positive self-image by bolstering your self-image (Critcher & Dunning, 2015). Self-affirmations work by enhancing your self-integrity – an image of oneself being able to control important adaptive and moral outcomes in one’s life. Self-affirmations broaden your perspective beyond a particular stressful situation by reminding you of your other strengths and resources that are not limited by the situation at hand (Cohen & Sherman, 2014). This in turn helps you put things in perspective, disengag...

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...

Burnout has become a common term in our modern lexicon, with people using it in a broad sense to describe their general experience of stress at work. Although not classified as a medical condition with diagnostic criteria like other mental health conditions, burnout does have a specific definition based on extensive research. The World Health Organization (WHO) describes burnout as an “occupational phenomenon” resulting from chronic workplace stress that has not been successfully managed. Burnout is more than just feeling bummed out or having a bad day at work; it doesn’t happen overnight. It slowly creeps up on us, albeit with some warning signs. Burnout most commonly results when there is an imbalance between the demands and resources at work, or a conflict between personal and organizational values. In particular, burnout is conceptualized as the final stage of breakdown in one’s ability to adapt to the demand/resource mismatch or values conflict. Symptoms of burnout represent not o...

Self-compassion is compassion turned inwards, i.e., how you relate to yourself in instances of perceived failure, inadequacy, or personal suffering. Self-compassion involves being touched by and open to your own suffering, not avoiding or disconnecting from it, generating the desire to alleviate your suffering, and to heal yourself with kindness (Neff, 2003). While much has been written in the popular media about strategies, including  well-known meditation exercises such as  loving-kindness meditation , to enhance self-compassion, the attributes that foster it  haven't received much attention. Self-compassion is not a one-size-fits-all intervention that will work for everyone, which is why knowledge of these attributes will help you decide if this can be an effective strategy for you. Paul Gilbert and colleagues, leading researchers in the field of self-compassion, have identified the following attributes as being quintessential to experiencing self-compassion (Gilbert, ...

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. ...

Popular social media posts and self-help books extol the benefits of correctly naming our emotions, reproducing a lengthy menu of emotional labels to choose from. This is a good exercise in cultivating emotional intelligence through self-awareness. In this context, expressive writing is a simple and proven tool that expands on this facet of self-awareness to use writing as a tool to regulate emotions. Expressive writing involves engaging in deep and meaningful writing about a stressful life event or trauma (Pennebaker & Seagal, 1999). It is hypothesized that the act of converting emotions and images into words changes the way a person thinks and organizes about a stressful situation. By integrating thoughts and feelings related to the stress or trauma, an individual then can develop a more coherent narrative of the experience.  The instructions for expressive writing are as under (Gortner et al., 2006):      “For the next 3 days, write about your very deepest tho...

Too often we come across quotes in social media on the lines, "The older I get, the less I care about..." or the "The older I get, the more I appreciate..." Do we have to really wait for our golden years to find meaning in life? The answer is a resounding no. Since the dawn of time, poets, philosophers, theologists, and scientists have tried to make sense of the concept of meaning in life. As much as meaning in life is viewed as an amorphous psychological concept, there are tangible ways to explore one's meaning in life. Here's where values come into the picture. Value-focused exercises give you an insight into what really matters in your life.  These exercises also make you aware of the discrepancies between what you are pursuing in your life at present and what you really want your life to stand for. This discrepancy generates the drive and motivation to pursue goals that are more in line with your values. Also, these exercises help you reconsider the imp...

What is Hardiness? A lot has been talked about resilience in popular media and, regrettably, most of these discussions don't go beyond the oft-repeated wellness strategies. In this context, hardiness is a psychological construct that contributes to resilience but has received little attention. Previously labeled as existential courage, hardiness is a pattern of attitudes and strategies that together facilitate turning stressful circumstances from potential disasters into growth opportunities. Hardiness functions as a resistance resource in buffering the effects of stressful events and thus contributes to resilience. The 3 Cs of hardiness that help hardy individuals cope better with stress are as follows (Kobasa et al., 1982): Commitment: Commitment is the belief that no matter how bad things get, you will stay involved with whatever is happening, rather than sinking into detachment, passivity, or avoidance. Commitment helps you have a generalized sense of purpose that allows you t...

The Guilt Trip Script We have all been subjected to guilt trips by our parents, children, teachers, friends, or other loved ones. In a guilt trip, people close to you may use guilt to manipulate you into doing things they want you to do. The usual script for this is, “If you don’t do X, then I or someone else important to you will feel Y,” where “X” is what the guilt-inducer is trying to get you to do, and “Y” are the bad consequences of you not doing those things. For example, “If you don’t call me every day, then I would feel that you don’t care about me.” Other ways by which people induce guilt include the following (Dyer, 1995): Taking a victim’s position – “I am the one who suffered in this relationship, and now you do this to me.” Evoking guilt by highlighting one’s illness – “Never mind my bad back, I can do this.” Comparing to others – “John’s father lets him do this. You don’t love me anymore because if you did, you would never treat me like this.” Comparing to ideal goals – “...