The story of my depression starts way back in time, back to some of my first childhood memories. Since then I’ve made a great deal of progress–more than I once thought possible. But that doesn’t mean I don’t still have it.
Daily, there’s a routine: Get some exercise, some alone time. Take time to read and write and be with friends. Meditate as much as possible all throughout the day, and never, ever forget to be grateful.
Sleep well, and a lot. Eat healthy. Take medication. Stay busy. Get outside if you can. Take vitamin D, a multivitamin, a cold shower. Then get some more exercise, and meditate again.
Most of the time, this works. It’s work, but it works. So I continue on, and make slow progress. But recently I discovered a technique that is speeding up my results: Cognitive Behavioral Therapy (CBT).
Here’s the Wikipedia definition of CBT:
• “Cognitive behavioral therapy (CBT) is a psychosocial intervention that is the most widely used evidence-based practice for treating mental disorders.”
And here are quotes from several articles about CBT:
• Cognitive behavioral therapy (CBT) is an effective treatment for depression … Cognitive restructuring refers to the process in CBT of identifying and changing inaccurate negative thoughts that contribute to the development of depression. This is done collaboratively between the patient and therapist, often in the form of a dialogue. For instance, a college student may have failed a math quiz and responded by saying, “That just proves I’m stupid.” … The “I’m stupid” response is an example of an automatic thought … The idea in CBT is to learn to recognize those negative thoughts and find a healthier way to view the situation. http://www.webmd.com/depression/guide/cognitive-behavioral-therapy-for-depression#1
• Dozens of randomized controlled trials (RCT) and other studies support CBT’s efficacy in treating major depressive disorder (MDD). http://www.mdedge.com/currentpsychiatry/article/82695/anxiety-disorders/using-cbt-effectively-treating-depression-and
• A successful response to CBT in the acute phase may have a protective effect against depression recurrences. A 2013 meta-analysis that totaled 506 individuals with depressive disorders found a trend toward significantly lower relapse rates when CBT was discontinued after acute therapy, compared with antidepressant therapy that continued beyond the acute phase. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933381/
• The researchers found that patients with higher levels of connectivity between four brain regions involved in mood regulation were likely to achieve remission with CBT but have a poor response to medication, whereas those with weaker connectivity were more likely to remit using medication and not respond to CBT. http://www.pharmaceutical-journal.com/news-and-analysis/research-briefing/brain-scans-could-match-patients-to-best-depression-treatment/20202624.article
Here a few particularly difficult thoughts CBT has helped me overcome. Keep in mind that these are just some of the beliefs, not all, that have altered over the past few months using these processes.
- My kids require too much attention. After doing CBT, this thought became: My kids require just the right amount of attention for them. And I require a lot of attention, too! Also, much of the day I’m doing other things–cooking, cleaning, hanging out with friends–things I’d do whether or not the kid were present.
- I am sick of breastfeeding. This changed to: I am not sick of breastfeeding. It’s good for the kids. It’s nice downtime for me–I often get to read at the same time. Plus, it helped me lose my extra baby weight.
- I am exhausted. This thought became: I’m not exhausted. I am not depleted of energy. There is a great deal of energy in my body for everything my body needs to do. I am thankful that my body notices when it’s time to sleep, and lets me know.
It’s an interesting process, this thought-altering work. Sometimes I can feel the change in my perspective right away. Other times, though, I only notice the change later, when the situation comes up again.
Every time I do it, part of me doubts it will work. Most of the time I’m surprised.
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