Managing Depression – Challenge Your Thinking

Learning how to manage my depression took more than just swallowing the right pill, and spilling my guts to a counselor. It required a great deal of hard work on my part. In the beginning, it was very difficult for me to even think about putting any effort into my own treatment process. Depression left me feeling totally exhausted and unmotivated. I was also very comfortable with my negative view of everything and everyone, including myself.

I remember feeling very irritated when my counselor challenged my negative thinking. By making me aware of how negative my perception of reality was, she was in essence making me take ownership for my own feelings. I did not want to own them! It was so much easier to have other people be responsible for how I felt.

Once I was aware of my role in how I felt, I realized that I was the one in charge of whether or not I became mentally healthier. The choice was mine and I hated that. I resisted making a choice for as long as I could. I realize now that not making a choice is really making a choice.

Eventually, I decided that I was tired of feeling the way I did, by that time the depression medications were helping even me out some. I knew that I would have to make some sort of effort to get better but I was still exhausted and still lacked motivation.  It took me a while but eventually I understood I would have to make an effort despite how I felt.

I told myself to “suck it up” and “get on with it”. I know that sounds harsh but that is what I kept saying to myself. “Suck it up” and “do it” even though I was tired and it made me feel uncomfortable. It is what I needed to hear from myself at the time. I needed to push myself into uncomfortable situations and thought processes so I could get mentally healthier.

With the help and guidance of my counselor I began challenging my thinking by doing the following things:

  • I viewed my thoughts about myself from a different perspective. I had an awful opinion of myself. I constantly said horrible vile things about myself  to myself. One day I asked myself a question. It was simply this, “Would you say the things you say to yourself to someone else?” The answer was “No.” My answer led to one more question, “Then why do you say these things to yourself?” From that point forward, I worked hard to be less harsh on myself, and to change my internal dialogue. I replaced my negative thoughts about myself with ones that were positive, encouraging, and realistic.
  • I kept track of how often I had negative thoughts about someone, something, or myself. For several weeks, I wrote down every negative thought I had, when I had it, and why I had it. I did a lot of writing. With the help of my counselor, I reviewed the negative thoughts and what triggered them. I used my notes to determine when a negative thought was realistic and justified, and when there was no basis in reality for it.
  • I replaced the negative thoughts with positive thoughts. I reviewed all the negative thoughts I had written down, and for each one I attempted to think of something positive I could write down instead. For example: I replaced “You are a horrible mother!” with “You were the best  mother you knew how to be.”  I also did something similar to this when I encountered a situation, or event that would invoke negative thoughts and emotions in me. For every situation where my initial reaction was negative, I would attempt to find three positive things about it. I was not pretending to be happy, or positive, I was retraining my brain so it would not focus on the negative all the time.
  • I spent more time with positive people. This was very difficult to do because it required more effort than any of the previous things did. When I first started doing this I did not want to leave my house and I did not want to be around anyone. I really had to “suck it up” and “get on with it”. After years of isolating myself, I did not have any local friends left, so the positive people I spent a great deal of time around was my parents. I learned how to handle stress and other difficulties by watching how they handled theirs. I paid attention to their positive attitudes, and tried my best to imitate them. When I would come out with a negative comment, they were quick, but kind, when they corrected me and turned it into something positive. I felt happier being around people who had a positive attitude.
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    I know, believe me I KNOW how much depression hurts. It does not matter what the root cause of your depression is, YOU CAN CHOOSE to do something about it. Think about it from this perspective; if you had a leg injury and had to have physical therapy to help it heal, the exercises you had to do in physical therapy would hurt. You would have to push through some of that pain to get your leg strong again and to help it heal. Most likely, your leg would be sore for several days after a physical therapy session. Choosing to be proactive in learning how to manage your depression is like that physical therapy session, it will hurt and it will be uncomfortable. Most likely, the emotional pain that is created by taking a step to help yourself mentally heal will last for several days. You need to push through the pain. It is even okay to tell yourself to “suck it up” and “get on with it”.

     

    Power Of Positive Words – Z

    Before I began depression treatment the words I used out loud, and in my mind were peppered with negativity.  At that time, I did not realize the power that words could have on a person’s mood, attitude, and outlook on life.  Depression treatment has taught me to be mindful of the words I use.  Creating this list of positive words for each letter of the alphabet has been a terrific way for me to build up a positive word bank.  My life is very different now.  I see a future laid out before me that will be filled with what much joy. I know there will be sorrows, however, I think the joy will outweigh those.

    Zoom – this word makes me feel positively happy because there are parts of my life that I’m okay with zooming in on – meaning taking a closer look at. There was a time in my life when I did not want to look at any part of my life closely. While there are still parts of my life that are too painful, and uncomfortable for me to zoom in on yet, at least I can say that there are parts that I can. I’m sure given enough time, and patience I will be able to take a closer look at other aspects of myself, and my life.

    Power Of Positive Words – Y

    Before I began depression treatment the words I used out loud, and in my mind were peppered with negativity.  At that time, I did not realize the power that words could have on a person’s mood, attitude, and outlook on life.  Depression treatment has taught me to be mindful of the words I use.  Creating this list of positive words for each letter of the alphabet has been a terrific way for me to build up a positive word bank.  My life is very different now.  I see a future laid out before me that will be filled with what much joy. I know there will be sorrows, however, I think the joy will outweigh those.

     

    Yearn – This word makes me feel positively positive because I actually yearn for/want wonderful things in my life. For long time, I was happy with the status quo. Never really wanting much, and not really yearning for any life changes. However, that is changed. Even though I am now in my 40s there are many things I yearn for out of life. One of those things, is to eventually have a career that – for the most part – I enjoy, instead of the job I do.

    If I Could Do Things Differently….

    I think at one time or another most – if not all – of us have uttered the words “If I could do things differently…”. I think it’s natural for us to look back on parts of our lives and wonder what our lives would have been like if we had made different choices. However, from my own experience, I can tell you that it is very possible to take the “what if” game way too far.

    I’m not sure which came first, the depression, or beating myself up with “what if’s”. I guess in the grand scheme of things it does not really matter. What does matter is what I did with the “what if’s”. During the worst part of my depression, my version of the “what if” game became a very cruel tool that I could use to beat myself up with. It was something like a crowbar on steroids. It caused me a great deal of mental and physical pain. As I started to become mentally healthier, I quit engaging in the “what if” game, viewing it as nothing more than a source of unrelenting pain.

    After I began blogging, I would often search the Internet for writing prompts. One of the most popular ones I saw was something along the lines of “Pick a time in your life when you would like to do things differently – Describe what you would do differently if given the chance and why.” I have always avoided those types of writing prompts. My memories of what I used to do to myself with my own version of this is still so fresh in my mind that I just did not want to walk down that road, or even take a chance of falling back into that old habit. I was very firm in my decision, and I honestly expected it to be this way for the rest of my life. Then I read something in Inspiration for Girlfriends, – written by Ellen Miller – that changed my viewpoint about this.

    She calls this section of the devotional Getting a Do-Over. The first time I looked at the title I thought “Yeah, I’m going to skip this part”, and I did. I didn’t even bother to skim through that section until I had almost finished the devotional and was running out of things to read in it. When I finally began to read it, I was very surprised to see that the author did not start the section off with how healing it is to think about past events and vent away about them, or think about the past and try to figure out whose fault it was that we made a poor decision. Instead, she starts off the section with how much we need mentors in our life.

    Regardless of our age, how successful or unsuccessful we are, whether were single or married, we all need successful men or women who have walked ahead of us. Basically, they have “been there and done that” stories, and are willing to share their insights. The author calls these stories Do-Overs, and explains them like this:

    …do-overs are experiences to which, had they had a mentor, they might have acted or react differently – even though they wouldn’t change their lives today.

    I found the concept of this amazing. It is a way for me to take negative parts of my past – including the way a used to beat myself up with them – and turn them into something that might benefit someone else.

    The truth is we all make our own mistakes, and I daresay that very seldom do we choose wisely. However, I think the wisdom, insight, and the benefit of another person’s experience will at least give us something to think about before we commit ourselves to course of action.

    There is healing that comes with NOT rewriting our past, but sharing it as a way for someone to make better decisions about their future

    Thankful Five

    I used to do my Thankful Five on a more regular basis, but lately it seems like I’ve let a lot of things get in the way of it. I was really reminded after a bad few days how important it was for me to keep track of things that I’m thankful for. So I decided that it was in my best interest if I got back into the habit of blogging about five things I’m thankful for.

    • I am thankful for air-conditioning. I dislike the heat. I dislike humidity. When they are combined together I extremely dislike them.
    • I am thankful that my financial aid for school worked out as well as it did.
    • I am thankful for cool summer breeze after a hot summer day.
    • I am thankful for silence.
    • I am thankful for love.

    Que Sera, Sera

    Yesterday, I saw someone on Twitter trying to figure out how she could manage the depression symptoms she was feeling at the time. I told her to distract herself. Just like that, as if it were something very easy to do. I had to think back and remember how I felt when I had daily depression symptoms. I realized something when I did, I cannot recall when it was that I quit having depression symptoms on a daily basis. I also cannot remember when it became easy to distract myself when I was experiencing depression symptoms.

    It was definitely an odd feeling to realize that – at least for now – I have the upper hand over my depression. Two years ago, I was sitting in a hospital bed, wanting to die, and felt like there was nothing to live for. I hated myself, I hated the things I had done. I was full of guilt and shame. Every part of my body ached, even my brain ached. I saw myself as worthless.

    In a lot of ways, being at this point in my depression treatment/recovery, my life and how I feel now does not seem real. How could I go from feeling so bad, and hating myself so much to being a basically happy person, who genuinely enjoys life and is looking forward to the future? I want to pinch myself! I try to avoid thinking that all of this is a dream.

    When I started listing things I used to do to distract myself -to give my Twitter friend a few ideas for what she might try – I was once again reminded of something. Depression recovery is just plain hard – even with medication to help you out. There were just so many days when all I wanted to do was NOTHING! I did not want to get out of bed, brush my teeth, take a shower, clean anything – I did not have enough motivation to do anything.

    Then it hit me, the biggest thing that I have had to overcome in my depression treatment has been the lack of motivation that comes with depression. It took determination, willpower, and a great deal of effort, and I am still not sure how I did it. The only thing I can think of is that there had to be some small part of me – way down deep inside – I did not even know was there – that really wanted to live.

    Even though I have had to work really hard in my depression treatment, I KNOW I have had it easier than some many. In the grand scheme of things, it did not take a very long time to find the right medication for me. I was blessed that the very first counselor and psychiatrist I saw were the right fit for me. For most of the two years I have been in treatment, I have not had to pay for my services. The negative side effects I experienced as a result of one of my medications did not cause any permanent problems. I only had a very short stay in a psychiatric hospital. I have not had any major setbacks.

    Two years is a considerable amount of time, but for me it has flown by. I guess when you’re working that hard to get better time does just fly by. I wonder if part of me will always be in disbelief about how I went from being so depressed I could hardly function, to someone who is now working toward a psychology degree?

    There are two things that I think helped me the most. One is the blog. Journaling about my thoughts and feelings and life have helped me tremendously – it still does. The second thing is no longer living with Joe Bob. Almost as soon as I started living with my parents, I felt better. It was like all at once, a dark cloud that had been circling me was gone.  Our relationship was/is extremely toxic. There is no doubt in my mind that it was/is bad for both of us.

    Where do I go from here? I’m not completely sure, but I don’t think it really matters that I don’t know yet. The important thing is that I do have some goals – getting a Bachelors Degree in Psychology is one of them. I think I have decided to not worry about the future much. I am going to take the advice found in one of my favorite songs:

    Que Sera, Sera,
    Whatever will be, will be
    The future’s not ours, to see
    Que Sera, Sera
    What will be, will be

    The Homecoming That Wasn't

    The other night I had to go back to the place I used to call home. I needed to meet Joe Bob there to pick up some papers. I arrived early, and while I was waiting I sat in the car and stared at the house. It is as dark and dreary as I remembered. I couldn’t help thinking about how different – less depressing – the atmosphere of where I currently live is compared to this place.

    I tried to think of a time when I was happy there, but nothing came to mind. Sure there were times when I looked happy, but it was not a real happiness. Most of my memories of my life there are filled with feelings of sadness, anger, nervousness, confusion, and fear. What a startling contrast to how I feel now! Not being consumed by those negative feelings has certainly made a difference in my life.

    Towards the end of the evening I had an opportunity to pick up a few more of my things. As I stood there staring at everything I left behind, it dawned on me that I felt little to no attachment for most of what I saw. For the most part, I was looking at stuff I no longer wanted. I think I finally realized that holding onto that stuff would be like holding onto my depression – preventing me from continuing to move forward. This revelation felt rather odd. After all, for many years I placed a huge value on all that stuff.

    The short amount of time I spent in the house was enough to remind me of how far I’ve come, and how far I want to go. It also reminded me of how thankful I am to be out of that oppressive atmosphere.

    The Mall, The Bar, And The School

    I cannot exactly remember the last time I went shopping at the mall. The mall is a difficult place for me to  go. First of all, there are too many people. Second, I have a difficult time shopping there because there are too many choices. I get a little lot overwhelmed when I have too many choices in front of me.

    Well, not only have I recently gone to the mall, I went on a Saturday! The worst day of the week to go shopping, a Saturday! Granted, I was only in one store and I stayed in the same department the whole time, but it was still the mall.

    I had a Macy’s gift card for $47.74. I wanted to use it to buy something for my mother, so I decided to try to find a really nice purse that would fit within that price range. That was not easy. Some of the purses were several hundreds of dollars, I even saw one that had a $500 price tag. Even the ones that were on sale were more than I could afford. So I spent about an hour and a half wandering through the purses. I must have had a really confused look on my face, because one of the managers asked me if I needed any help. I explained to her I was trying to find a purse that I could use the gift card on, and it was very important that the price not go over what I had on the card. She told me if I found something I wanted to buy, bring it to her and she wouldring it up at the register so I could see how much it was going to be with tax.

    Eventually I found a purse that I wanted to take a chance on. I took it to the manager, she rang it up, and it was about four dollars too much. I told her that I would just have to put it back. Well, this manager was really, really nice, she told me she had a coupon that would help me out. By the time she finished applying it, I could afford the purse.

    So, in essence, I spent zero dollars on a $90 purse.

    Later that same evening, mom and I had a few errands to run. She and I decided that instead of going home and cooking we would get supper from a restaurant and take it home. The restaurant we decided on is a place called Reinhardt’s Oyster Bar, and its theme is “beyond casual dining”.

    I was the one who went in to place the order and to wait for it. It was loud in there, and I hate loud noises. I had halfway convinced myself that it would be better for me to wander through the crowded dining room, and head back outside to wait, but I changed my mind. So, I waited at the bar. And I waited, and waited. I amused myself by listening to the guys try and pick up the girls, and watched a drunk customer complain about not getting her bread. Even with all the noise there was no freaking out on my part, I did not even come close to having a panic attack.

    I did come close to asking for a non-alcoholic Bloody Mary.

    Yesterday, I took another bold step and applied to a college. I also began filling out paperwork to see what federal education grants I might qualify for. Whether I end up at the school I was talking to yesterday and today, or somewhere else, I am going back to school. As of now, I have decided that I am going to major in psychology.

    Power Of Positive Words – X

    Before I began depression treatment the words I used out loud, and in my mind were peppered with negativity.  At that time, I did not realize the power that words could have on a person’s mood, attitude, and outlook on life.  Depression treatment has taught me to be mindful of the words I use.  Creating this list of positive words for each letter of the alphabet has been a terrific way for me to build up a positive word bank.  My life is very different now.  I see a future laid out before me that will be filled with what much joy. I know there will be sorrows, however, I think the joy will outweigh those.

    I know it has been several weeks since the last time I updated my positive word list, but I always struggle when I have to list a word that starts with X. I tackled the X word same way I did last time, I just went to the place in the dictionary where all the words starting with X were listed. I found one I thought was interesting and that is the one I am going to use today.

     

    X BAND : a segment of the superhigh-frequency radio spectrum that lies between 5.2 GHz and 10.9 GHz and is used especially for radars and for spacecraft communication

    Grief Has Taught Me A Few Things

    Until I began experiencing grief as a result of dad’s death, I never realized anything could feel as emotionally and physically painful as depression. In fact, they have felt so similar that I became confused, and had a difficult time distinguishing the difference between the two. At one point, I even convinced myself that I was heading toward a depressive episode.

    I went to my psychiatrist, thinking she was going to raise the dosage of my depression medication, because of how badly I was feeling. Instead, she told me what I was feeling was normal grief, and while it hurt just as badly as depression does, it was not the same thing. She told me to be patient. She told me the worst of what I was feeling would pass in a few weeks. She was right.

    She did give me a word of warning, telling me that with my history of depression I would have a greater chance of my grief turning into a depressive episode. Her solution was not to raise my medication dosage, but instead watch me a little more closely than usual.

    Now that the pain of dad’s loss is not so intense, I can see the wisdom in what she said. I can also identify some of the differences between grief and depression, as well as acknowledge that I have learned a few things from this experience.

    Both grief and depression include symptoms of sadness, tearfulness, disturbances in sleep, decreased socialization, and changes in appetite. In most cases, that is where the similarities end. Usually, after the first two to three weeks of the grieving process the person is – in most cases – able to carry out most of the obligations and activities that come with daily living. However, a person with severe depression will lack the ability to function for many weeks, months, and in some cases years. In addition, early morning awakening is more common in depression.

    One of the biggest differences I have noticed between depression and grief is what my mind has focused on. During my severe major depressive episode I spent a lot of time thinking about myself – in a self negating way. Some of my thoughts during that time were that I was “worth nothing”, “a burden”, and “unlovable”. Nothing could penetrate my thoughts of despair, and my inability to have hope. Eventually, the only option I felt was left to me was suicide. In my grieving process, I have been in emotional pain, but there have been no feelings of despair or hopelessness. Nor have I had any negative thoughts about myself or suicidal thoughts.

    There is no question that feelings of loss and sadness are a significant part of grief, however, those feelings are distinctly different than feelings of loss and sadness in someone with depression. A person with depression will usually experience a constant and overwhelming feeling of sadness, while someone grieving typically experiences sadness in “waves”. Most of the time, it is in response to some reminder of their loved one.

    For me, these painful memories of dad are paired with positive feelings and memories. For example, when I began the process of trying to organize things in the garage I became overwhelmed with grief. Dad’s death was the reason I was having to organize the garage, and get things ready to move. That hurt. I sat down and cried for an hour. When I was able to calm down enough to get back to work one of the first things I found was dad’s coonskin hat. So in the middle of that emotional pain I found something to laugh about. During my depressive episode finding that hat certainly would not have made me laugh, in reality it probably would have caused me to cry even more.

    While there have been plenty of times when I have wanted to be alone in my grief, I have noticed that I have not gone to the extremes I did during my depressive episode to isolate myself. I have maintained social contacts, and even reached out to friends and family when I felt overwhelmed by my grief. I have allowed myself to be consoled, something that would have been impossible if what I had been feeling was depression symptoms.

    I still miss dad, and I know I always will, but at least I have a professional support team, my mother, real friends, and online friends to help me through my grieving process.