Good Mood: The New Psychology
of Overcoming Depression
Your past history, and especially your childhood, is almost inevitably
involved in your depression. But the influence of the past can be relatively
great or relatively little, and it may be relatively difficult or relatively
easy to pry you loose from the relevant aspects of the past. The other side of
this coin is that changing your present conditions may have greater or less
influence, depending on the strength of the influence of the past on your
mood.
An analogy may help. Consider a building's plumbing. A faucet that was
installed some years ago is leaking badly. If the faucet was weak at the time
of installation, then past events influence the present leak. If one can
replace the faucet and thereby resolve the problem, the present situation can
be effectively separated from its past, just as some habits people have can be
changed in the present without further influence by the past that created the
habit. But it may be that a new faucet will also go bad quickly because the
rest of the plumbing that was installed years ago is defective and will ruin
the new faucet. If so, the present leaky faucet problem cannot be separated
from the past in a simple way, but rather the entire system created in the
past requires inspection and repair. Just so with some kinds of contemporary
behavior: a person may take herself out of one depressing situation and
invariably find her way into another depressing situation because of some
general tendencies created in the past.
This suggests that therapeutic strategy depends upon the continuing role of
the person's past. That is why it is often (though not always) useful for you
to know the cause of the present negative self-comparisons before deciding
whether to concentrate on your present or your past. To paraphrase Robert
Frost, "Find out why a fence was put up before you tear it down."
Step 6: Get into Action.
Two kinds of action are important: carrying out our self- curative plan,
and participating in the worlds of work and of pleasurable life activity.
Let's talk about them in that order.
Excellent self-knowledge and terrific plans by themselves will do you no
good. Your plan of action will help you only if you carry it out. More
specifically, this means that you must WRITE DOWN your thoughts and the
analysis of them, as in Table 10=1. In many cases, it also means carrying out
actions that will liberate you from hang-ups with respect to other people or
with respect to phobias such as fear of elevators.
Yes, writing your thoughts requires effort. But this one thing only can I
guarantee you: If you don't make at least some effort, you will either remain
mired in your depression for a long time, or at the least you will remain in
it for longer than you need to.
Two wise therapists put it this way:
We can't say this often enough: the major function of therapy is
educational. To have therapy sessions or to read self-help books without
practicing and without doing homework assignments is like attending
lectures at school without reading or studying. It is like taking piano
lessons without practicing. You may get something out of it but only a
fraction of what you might otherwise have derived. Keeping a notebook,
recording observations about your own thinking and behavior, and
practicing new thinking and behavior are the best ways of changing.1
Again, writing your thoughts, and carrying out other curative actions,
requires effort. This means laboriously hauling yourself uphill rather than
sliding effortlessly downhill. Exerting effort requires expenditure of energy
and will. It is a drag, a cost.
Now let's talk about the second type of action you must crank up,
participating in the worlds of work and of pleasurable life activity. Even
normal people do not readily expend the energy and will that they believe
would be sensible for them in the long run--in exercising for fitness, for
example. And depressives typically have an even greater propensity than do
normal people for not swinging into action and doing the things that they
believe they ought to do for their own well-being.
A few depressives, like me, are lucky enough to go in the opposite
direction of working too much rather than too little. This has the benefit
that when they finally come out of their depression, their lives are not
blighted by the accumulation of problems caused by lack of work while they
were depressed. I was lucky enough to enjoy my main work, writing and
research, and to find it easy to do, and therefore it required little energy
to stay at it. Indeed, the hours while I was writing were the only oasis in my
life when I could concentrate on what I was doing and not be obsessed by my
depressed thoughts. My too-strict work discipline, which is a problem for me
in other ways, was also a benefit at this time.
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