In a previous post, we looked at the cognitive behavioural therapy (CBT) model of the vicious cycle of depression involving thoughts, feelings, behaviours, memories and physical symptoms. One of the first steps in overcoming depression is to put and end to this vicious cycle, and gain some momentum that can help you cycle in a positive direction.
Just as automatic negative thoughts result from and contribute to depression, by engaging in more neutral and balanced ways of thinking, we can begin to stop the vicious cycle involving negative thoughts and depression. Cognitive therapy provides an effective tool to help break out of negative patterns of thinking. As our thoughts become less negative, we begin to feel less depressed, and as we become less depressed, our thoughts about ourselves, our lives and our future become less negative, and so on.
We can experience similar reversal in these vicious cycles in other areas of our lives that are affected by, and affect depression. Cognitive behavioural therapy (CBT) can help change behaviours that result from and contribute to depression such as reducing level of activity and withdrawing socially. Changes in diet, exercise, sleep habits and self-care can help alleviate the distressing physical symptoms associated with depression and lead to more energy and motivation.
How to Treat and Manage Depression
In the cognitive behavioural therapy (CBT) model of depression, one of the reasons that breaking out of depression can be so difficult is that depression generates vicious cycles involving a number of aspects of our lives. Once we get stuck in these vicious cycles, they can be hard to break.
Why is it that when we’re feeling anxious, we tend to worry so much, even though worrying tends to do nothing except make us feel even more anxious? One reason is that it’s easy to regard worrying as something that can be productive: that it either helps us deal with anxiety, or protects us from the thing we’re feeling anxious about. If worrying actually did have these effects, it would be quite beneficial. But unfortunately, worrying usually only increases anxiety. So why do we continue to do it time and time again?
Worrying tends to feel a lot like problem solving. When we problem solve, we identify a problem, come up with some possible solutions, weigh their pros and cons, and then take some sort of action to resolve the problem. Problem solving is a very constructive, rational thought process to help us deal effectively with a problem at hand.
When we’re feeling distressed about something or going through a difficult emotional experience it can feel like our thoughts are running out of control. Our minds start racing and we find ourselves dwelling in the past, worrying about the future, or just spinning our wheels trying to think ourelves out of our problems.
STOP is a distress tolerance skill from dialectical behavior therapy we can use whenever we’re feeling overwhelmed by stress and anxiety or distressing emotions.
Often we allow our stress and anxiety and emotions to build and build all day without doing anything to calm them, trying to just ignore them and hoping they’ll go away. Then, when we finally can’t take it anymore and start feeling overwhelmed and desperate, things have often accumulated too much and begun to spiral downwards and it can be so hard to get any relief.
In CBT/cognitive therapy, we recgonize that, in addition to your environment, there are generally four components that act together to create and maintain anxiety: the physiological, the cognitive, the behavioural, and the emotional. These are described below.
In CBT, core beliefs are our deeply held beliefs about ourselves, the world and how it works, and other people. Learn about core beliefs, and rules and assumptions in CBT, and how to use the downward arrow technique and other methods to identify your core beliefs, rules and assumptions with the Core Beliefs Worksheet PDF file or Core Beliefs Worksheet Word file.