Self-Management of Depression

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...

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...

The word "acceptance" has been thrown around as a coping style, especially in situations one cannot control. However, what needs to be clarified is that acceptance comes in all sizes and shapes, ranging from radical acceptance to practical acceptance. This is where mindful acceptance , as propounded in the evidence-based  Acceptance and Commitment Therapy (ACT) , offers a more structured way of putting acceptance into practice. Mindful acceptance is a self-management style that helps you accept your thoughts and emotions at face value without doing one of these six things that your idle mind is programmed to do during downtime: Dwelling on your thoughts or emotions Analyzing or overanalyzing your thoughts and emotions Judging yourself or others Avoiding situations that remind you of specific thoughts and emotions Suppressing your unhelpful thoughts and emotions by forcefully trying to push them out Trying to get rid of negative thoughts and emotions by distraction or other in...

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...

What is Mindfulness? If your notion of mindfulness is a practice starting with a phrase like, "Take a deep breath and close your eyes," then you have mostly bought into the myth that the only effective way of practicing mindfulness is guided meditation .  However, if you know what mindfulness entails, you can incorporate it in your daily routine in an informal way without relying on popular apps that have commercialized a practice known to humans for thousands of years.  Mindfulness-based interventions are well-validated treatment approaches that not only promote well-being and resilience but also have been found to be effective in anxiety, depression, chronic pain, and substance use disorders (Wielgosz et al., 2019). Mindfulness has two components: (a) orienting one’s attention purposefully to the present moment, and (b) approaching one’s experience in the present moment with curiosity, openness, and acceptance (Bishop et al., 2004). The state of mindfulness is described as ...

Much has been written about how work-related stress is associated with burnout and depression. Burnout has become a buzzword that has spawned a modern-day cottage industry of one-size-fits-all wellness programs. Before we discuss the remedies for burnout, let's examine what causes it in the first place. From a psychological perspective, the hazardous effects of the work environment on health, aka burnout, have been explained by the effort-reward model . According to this model, the imbalance created by high “costs” (spending high effort at work or over-commitment) and low “benefits” (in terms of monetary gratification, career opportunities, esteem, respect, and job security) produces emotional distress affecting both mental and physical health (Siegrist & Li, 2016). In fact, research shows that this effort-reward imbalance is associated with a 1.5-fold increased risk of depressive disorders (Rugulies et al., 2017). In this context, the concept of “job crafting” is a ...

Family and friends are one's immediate support system. Individuals with depression may avoid sharing their symptoms with their family or close friends due to the perceived stigma. Some don’t share their feelings to avoid burdening others, and there's also a fear of being perceived as weak and needy. Unless you have a very critical and judgmental person who is not accepting of depression as an illness, your family and friends would appreciate your efforts to reach out and be candid about your depression. You must educate your family about depression using scientifically based information. Local chapters and websites for organizations such as the National Alliance on Mental Illness (NAMI) and the Depression and Bipolar Support Alliance (DBSA) have information for family members and friends regarding depression. Information about depression is also available on the National Institute for Mental Health website. You also have to advocate for yourself in how you want to be trea...

The acronym “ABCDE” refers to certain types of communication behaviors that increase conflict and marital/intimate relationship distress. These behaviors get heightened when one is depressed, as depression rekindles negative, irrational thought patterns such as all-or-none thinking, overgeneralization, jumping to conclusions, blowing things out of proportion, taking things personally, disqualifying positives, and negatively labeling oneself or others. Here's what you need to avoid during communication with your partner (Beach et al., 1998; Christensen et al., 2014; Starr & Davila, 2008): A ccusation:  Accusations usually are “You always …” or “You never…” statements. Accusations may have some kernel of truth in them, but that gets exaggerated and dramatized by the heat of the argument. Accusations lead to counteraccusations and defensiveness, taking the focus away from one’s own shortcomings and from resolving the conflict at hand. B lame:  Individuals may b...

If you are human, you will be on the receiving end of criticism. Criticism can be helpful, especially if it provides you feedback for improvement whereas at other times it is tantamount to bullying. Therefore, criticism needs to be handled depending on its type (Lazarus & Lazarus, 2000). 1. Irrelevant criticism: This kind of criticism comes from an individual who is critical of everyone or everything to the extent that they would make critical comments about something that is totally out of context and not relevant to the situation. For example, you are talking to your neighbor about an upcoming vacation you are planning and in the midst of your conversation, your neighbor states “….by the way you appear to be gaining weight.” Irrelevant criticism doesn’t deserve your response and is best ignored. Say, “OK, I appreciate you letting me know” and shift back to the conversation on hand. 2. Vague criticism: In this type of criticism, you are not sure if the person critici...

People with depression often have negative or irrational beliefs, which continue to fuel their depressive thinking. According to the cognitive model of depression, the emotions in depression such as sadness, guilt, hopelessness, worthlessness, helplessness, anger, frustration, and anxiety are triggered by a dysfunctional thought process. This dysfunction involves misinterpretation or misattribution of situations, past events, memories, and even feelings leading to irrational thoughts – also called cognitive distortions – that in turn perpetuate depressive symptoms. These irrational thought patterns are described below: 1. All-or-None Thinking: This type of irrational thinking is also called black-and-white thinking or dichotomous thinking. This is thinking in extremes or absolutes with no consideration for any alternatives in between the extremes. For example, if you get a below-average performance evaluation and feel that you will never get a good performance evaluation in th...