D – Depression – Part One

 

Recognising Depression

It is now understood that one in four of us will suffer from depression at some stage in our lives. That is a pretty high statistic and so it can do no harm to be able to recognise some of the common symptoms of the onset of depression.  The following changes in mood or behaviour may be indications of depression.  If you are suffering from any of the following for more than a couple of weeks it is advisable to seek help and advice:

  • Feelings of helplessness and hopelessness. A bleak outlook—nothing will ever get better and there’s nothing you can do to improve your situation.
  • Loss of interest in daily activities. No interest in former hobbies, pastimes, social activities, or sex. You’ve lost your ability to feel joy and pleasure.
  • Appetite or weight changes. Significant weight loss or weight gain—a change of more than 5% of body weight in a month.
  • Sleep changes. Either insomnia, especially waking in the early hours of the morning, or oversleeping (also known as hypersomnia).
  • Anger or irritability. Feeling agitated, restless, or even violent. Your tolerance level is low, your temper short, and everything and everyone gets on your nerves.
  • Loss of energy. Feeling fatigued, sluggish, and physically drained. Your whole body may feel heavy, and even small tasks are exhausting or take longer to complete.
  • Self-loathing. Strong feelings of worthlessness or guilt. You harshly criticize yourself for perceived faults and mistakes.
  • Reckless behaviour. You engage in escapist behaviour such as substance abuse, compulsive gambling, reckless driving, or dangerous sports.
  • Concentration problems. Trouble focusing, making decisions, or remembering things.
  • Unexplained aches and pains. An increase in physical complaints such as headaches, back pain, aching muscles, and stomach pain.

There is no need to feel any shame or embarrassment associated with suffering from depression.  Depression, like asthma or a broken leg, is a medical condition, and like any medical condition it responds much better to prompt diagnosis and treatment. If you suspect that either your or somebody you know may be suffering from low mood or depression, a visit to your doctor is always a good idea. 

For information about how to avoid depression please look out for my blog entitled “Avoiding Depression” on Saturday.

C – Cognitive

Cognitive is the C in CBT and in the context of Cognitive Behavioural Therapy, it means exploring the mental processes that take place in our heads.  Examples of cognitions are: 

  • Thinking
  • Remembering
  • Problem solving
  • Realising
  • Day-dreaming
  • Beliefs
  • Understanding
  • Exploring
  • Conceptualising
  • Perception
  • Worrying
  • Obsessing
  • Ideas
  • Dreaming.

These thinking processes are the cause of everything we feel, and the way in which we behave. If we are thinking positive thoughts we feel content and we smile. If we are thinking negative thoughts we feel low and we frown. 

CBT helps people to explore these cognitions in order to “root out” the negative automatic thoughts (NATS) that are troubling them. Much of our thinking is below our conscious awareness which means that we may not be able to understand why we experience certain cognitions and why they lead to unwanted feelings and behaviours. By becoming consciously aware of our cognitions, and recognising that negative ones can be challenged and changed into neutral or more positive cognitions, we are in a much stronger position to find equilibrium and contentment.  

Remember:  If you want to change your life, change your thoughts.

 

 

A – Authenticity

Are you true to yourself?  Do you ‘speak your truth’, in other words, do you say, out loud, and with conviction, the thoughts and feelings that you feel inside?  Do you act according to your beliefs and stand by those thoughts and beliefs?  If you endeavour to live your life according to these and other similar principles, then you are living your life authentically.  Living authentically means having an inner integrity and being honest and up-front with yourself, in order that you can be the same with others; being self-aware and understanding what you believe, want and feel.  Living your life authentically means that you assess a situation before involving yourself, you sometimes put yourself first, and you only say what you really, honestly, truthfully mean. 

Sounds difficult doesn’t it?  Immediately we start to think along the lines of: “What if I upset somebody?” Or “what if people don’t like me saying no?” Or “What if they think I’m a ‘bad’ person?”  Rest assured anybody who matters won’t think that way at all and the reason why is simple. People who live authentic lives are being true to themselves.  They are happier, and more complete, more comfortable under their skin.  Speaking with conviction doesn’t mean a licence to offend people. It means speaking thoughtfully from the heart and being innately honest with yourself and those around you.  It doesn’t mean you have to be selfish either, in fact it is quite the opposite.  Authenticity is a form of assertiveness where you can afford to be considerate of others because you have learned to be considerate of yourself. 

Delete the words “should”, “ought” and “need” from your vocabulary as they all set you up to fail.  Every time you use these words you are telling yourself that you are not doing something that  you feel is expected of you.  Now question any thoughts that contain those words.  What does a thought mean when you think you should do something?  Does it mean that it has to be done because it is expected of me, rather than it being something that I want to do?  Live up to your expectations, not those of somebody else.  Need carries with it a feeling of desperation and a vague sense of anxiety.  Do you really need  those feelings in your life?

It is liberating to be the person you want to be, not the person you have become expected to be.  When you live your life authentically, you become easier and less stressed to live with, happier to live with and kinder to live with.  Authentic living is a win/win situation.   So why not free all those thoughts and feelings around expectations of others and allow yourself  to develop an inner wisdom in order to live your life through your inner self in a way that feels comfortable and right for you?