Overcoming Depression

Everybody experiences moments or even a few days of being down in the dumps and/or sad from time to time. This is a very normal experience we all have occasionally. People often refer to getting the blues as being in a depression.

However, clinical depression is a distinct experience from getting the blues. There is a difference between getting the blues and clinical depression. Anyone can get the blues.
It's a temporary, and normal, reaction to stress or difficult situations and times.

The blues come and go they usually don't affect our sense of self-worth or cause us to experience physical symptoms such as weight loss or gain or have suicidal thoughts.

As opposed to the blues, clinical depression is much longer lasting and is more intense affecting not only our mood, but our thinking, our bodies, our abilities to perform our jobs and our social interaction.

Clinical depression brings on feelings of inadequacy, generalized loss of interest of pleasure, social withdrawal, feelings of guilt or brooding about the past, irritability, excessive anger, decreased activity, effectiveness or productivity.

In children, it is observed in impaired school performance
and social interaction. They are usually irritable and cranky as well as depressed. They can also suffer from low self-esteem and poor social skills and are pessimistic.

Many people often don't recognize that clinical depression is a serious illness. They will frequently see it as character flaw in the individual, or something that you just need to buck up and get over.

It's not uncommon to hear someone tell them to just snap out of it. It's no easier for someone with clinical depression to just snap out of it than it is for someone with a broken leg to just get over it and walk. Clinical depression is a condition that needs to be treated professionally for the best recovery results.

Some depressions are a result of chemical imbalances in the brain and can be treated with anti-depressant medication.
Others respond to treatment in a one-on-one situation in psychotherapy along with improved nutrition and exercise.
And others could benefit from a combination of all of them.

In any case, clinical depression does not generally go away on its own and it requires some from of treatment for the best results.

Statistically, women are two to three times more likely to develop clinical depression than men. Over the course of a lifetime, approximately 6% of the general population will develop clinical depression.

It generally has an early onset beginning sometime in childhood, adolescence or early adulthood. There is a strong correlation that it is more common among first-degree biological relatives of people clinical depression than among the general population.

Men have a difficult time admitting that they are experiencing depression. They have been taught to hold onto their feelings through the culture of the society. They also generally have a biological disadvantage to identifying their feelings and putting them into words.

Their brains are designed to think linearly in order to triage easily and come to fast solutions. Therefore their brains somewhat sacrifice the ability to observe extended connections and draw connections to their feelings. The result is that men have a more difficult time placing words to their feelings.

They feel feelings as strongly as women, they just don't know how to identify them as easily. Hence, when men go into depression they tend to isolate more than women. They also tend to experience anger more when depressed than women. Men have been socialized in a way that anger is considered one of the few acceptable expressions of emotion. Therefore, it is not uncommon for men to appear grumpy or angry when they are depressed. They also are more action oriented than women, so they go into action by isolating, or throwing themselves into their work.

Men are taught to go it alone and tough it out. To seek out help is to appear weak. They are least likely to reach out for help when they most need it and could most benefit from it.

The suppression of these feelings and their internalization of them by men can lead to host of physical symptoms that can be made worse by their reluctance to care for themselves during these times due to a lowered sense of self esteem.

Women, on the other hand, have more access to their feelings as a result of their brain structure as well as the benefit of a culture that supports their expression of feelings. Women more easily recognize when they are feeling depressed and are more likely to reach out to other women or therapy for help over men.

However, women have a tendency to internalize and blame themselves, which may impede them to reach out for help. They have also been taught to sacrifice themselves for others and may then ignore their own feelings and not reach out for help.
There is also a tendency for women in depression to focus on the negative, which makes the symptoms of their depression worse and cuts them off from reaching out for help as a hopeless endeavor.

To help move yourself away from depression:

Check automatic thoughts. What is the evidence its true, what's the evidence its not true. Make a more reasonable statement by combining the two.
Volunteer and take the focus off yourself, get out of being internally focused.
Buy self flowers. Scents such as vanilla and baked bread have an uplifting effect.
Exercise.
How would you treat yourself if you were a friend?
Schedule pleasant events
Sometimes, it is anger turned inward to protect others around them from their feelings so they attack their mood with depression.
Meditation, exercise and proper nutrition are very helpful
Separate out facts from feelings, just because you feel something doesn't make it a fact. Sometimes our thoughts and feelings can lie to us about what is real.
Learn how to communicate with others better by reading books or going to therapy.
Get a therapist who you feel comfortable talking with.
Seek medical attention for your depression

I generally recommend seeing a psychiatrist for treating the medical aspect of depression. They are specifically trained to help you choose the best medication available for your condition if you choose to use medication. Milder forms of depression can be treated with psychotherapy alone, but more sever forms generally require a combination of both medication and psychotherapy for maximum benefit and recovery.

If you know of someone suffering from depression and you want them to seek help:

Be straight forward to tell them about the behaviors you are observing.

Do not stigmatize them by calling them crazy, or defective in some way.

Tell them that they are not alone and that many other people who have sought treatment for depression have been helped.

Do not judge them rather emphasize the benefits they might gain from receiving help, such as an improvement in their mood and feelings, improvement in their thoughts and greater success in their relationships and at work.

Give them hope.

From time to time, bring up the options and benefits for help.
Pass along articles that you find. Do this at a very measured pace. If you bring it up too often or are too forceful about it, it will only lead the person who is experience depression to isolate more or become more resistant to any form of treatment or help.
Show interest in their entire life, not just in whether or not they get treatment.

To help a resistant partner get help for depression, it is important for them to see the benefits of such help for themselves as well as for their family. It is important for the individual's family and or partner to have empathy for them and their experience.

Try to view their experience through their eyes without blaming them or telling them to snap out of it. It may be helpful to set a therapy appointment or doctor's appointment together. Don't blame them as the problem or refer to them as the sick one. This would only lead them to avoid receiving any kind of help in a bid to prove that they are OK on their own.

However, if someone staunchly refuses treatment, there is only so much you can do as long as they are not a danger to themselves or others. You can only do what you can do.

Talk therapy, usually referred to as psychotherapy, can be very helpful for all forms of depression. Marriage and Family Therapists, Clinical Social Workers, Psychologists and Psychiatrists are all qualified to treat depression through talk therapy.

The goals of therapy are to:
Improve mood and stability
Decrease irritability
Increase motivation and interest in life
Improve memory
Improve sleep in quality and pattern
Improve outlook on life
Improve energy
Improve clarity of thought and cognition
Improve sexual desire
Eliminate suicidal thoughts
Improve functioning at work, school and home

Psychiatrists are the only ones who are licensed to dispense medication and they generally limit their practices to handling the medical side of depression leaving the talk therapy side to MFTs, Social Workers and Psychologists.

For more information on depression log onto www.LAtherapist.com. For free samples and self-help audios, log onto the Dr. Walton Series at www.HypnoCD.com

Learning & Memory - Making it more effective

Learning and memory take place in three stages. The first stage is the sensory stage. In this stage, information is retained very briefly, less than one second. It is retained just long enough for us to develop a perception about the information.

The second stage involves the short term memory. It lasts about 30 seconds if we don’t rehearse the information we have just received. However, it is very limited. We will hold things in short term memory for only as long as we recite it in our minds. It is also limited to about seven items at a time. We can increase our short term memory by “chunking” information into units of items with no more than seven items per unit and limiting the number of units to seven. That is how phone numbers are organized. They are given three units with three to four numbers each such as 818-555-4444.

Where short term memory can be considered as the RAM of a CPU. Long term memory can be considered the hard drive. It is believed that long term memory is permanent. Everything that goes into the long term memory is considered stored forever. However, we may actually lose our ability to locate that information.

Even though long term memory is permanent, it may not be accurate. Over time and very slowly, our memory changes. You might consider tiny bits of information falling out over time and then being replaced by other bits. Over time, we believe we have an accurate memory when in reality it has changed slowly over time. To test out this theory, just ask any adult about a shared childhood experience with a sibling. More than likely, they will both have a different memory of the exact same experience and they will both staunchly believe that they their own memory is right. And to each of them it is. This is a simple demonstration of how memory can change over time.

The most important part of dropping information into long term memory is to be optimistic about learning. Give yourself positive self-talk about remembering the topic. You must also have the intention to remember something if you are going to place it effectively into long term memory.

If you are studying to learn a subject or to take an exam it is important that you only study for 50 minutes to an hour and then take a ten minute break. The break is essential for dropping the information into the long term memory. During that 10 minute break do something completely different. Relax, talk on the phone, listen to some music or go for a walk.

When you come back from your break, review the information that have just studied for a minute or two then go onto the new information you want to learn.

The brain can hold an infinite amount of information and knowledge. In fact, the more you learn the easier it is to learn even more.

We are able to place information more easily in long term memory when we attach new information to previously learned information. Long term memory works better if material is repeatedly gone over, over a long period.

When studying from a book, spend an hour reading while highlighting in different inks and taking notes in the margins of the book. We remember whatever stands out. So, make your notes colorful and scribble notes in the margins. After an hour, remember to take a 10 to 15 minute break. The breaks are as important as the study time.

It is also helpful to break information down into smaller, more manageable sections. Remember, short term memory can only hold up to seven units at a time. If it doesn’t pass through short term memory, it won’t pass through to long term memory.

Try using Acronyms so that you can remember groups of words together such as NBA for National Basketball Association, SCUBA for Self Contained Underwater Breathing Apparatus, etc.

It is also important to be relaxed when you study. If you are anxious, you cannot hold as much information in short term memory.

For more information on Dr. Walton log onto LAtherapist.com or for more information on his self-help downloads, and to listen to free samples, log onto The Dr. Walton Series.

Releasing Road Rage for a Better Driving Experience

Anger is an emotion that we are highly resistant to releasing. Once we are caught in its grasp we hold onto it by repeating the angering incident over and over in our head. Research has shown that people who suffer from chronic anger are almost three times more likely to have a heart attack than the average individual and this is according to the American psychological association.

However, our experience with anger doesn’t have to be this way. We can gain the upper hand of this emotion by changing the way we think and altering our emotional responses to it. When it comes to road rage, notice if your hands are gripping the steering wheel in an unusually tight manner. If they are, gently relax your hands while maintaining control of the steering wheel.

Notice your breathing. Notice if your breathing is free and easy or if you’re holding your breath and your breathing is shallow. By not breathing properly, we can amplify the physical sensations associated with aggression that can contribute to dangerous driving. It’s important for you to breathe deeply through your nose filling your lungs to their capacity and then exhale completely through your mouth. As you exhale allow your body to relax into a comfortable driving position. Repeat this often as necessary to help reduce any physical tension you may experience behind the wheel.

What we are listening to on the radio while we are diving is important as well. Often times, our mood will reflect or be affected by the words and style of the music we are listening to. Hard music with a driving beat often times will stimulate and agitate while music with a soothing melody will relax us. Soothing music is always preferable to listen to if you are feeling agitated while driving.

Whenever possible, make sure that you have fresh air ventilation circulating in the car. Circulating fresh air can have a calming effect. It is easy and common to feel a sense of isolation from our environment when driving behind the wheel of our car. We are separated from everyone around us and we lose touch with their humanity and view the other drivers as objects in our way intent on preventing us from arriving at our destination.

Often, we take their driving behavior personally, as if they were intending to block our path. This is not usually the case. Imagine for a moment, if you will, the annoying driver in front of you is actually a beloved relative, say your favorite grandmother. How would you be feeling towards them now? Can you think of a loving experience you shared with that individual at one time?

Notice your body’s reaction to this thought. Notice how your thoughts affect your feelings about the others around you when you do this. You may find you driving becoming more relaxed and your ability to focus grow stronger.

No matter how many obstacles you come across on your journey, whether you have a car cut in front of you or a driver driving unreasonably slow, you are always in control of your thoughts and actions and you can protect yourself and those around you by driving in manner that is safe and responsible.

Remember everyone around you is loved by somebody just as you love and were loved by your favorite relative. Feel those protective feelings as you are driving on the road.We have all experienced an aggressive driver, a sudden stop, an erratic gesture or other discourteous experience from another motorist. We’ve all been there, everyone you see around you has experience this for themselves at some point as well. Keep this in mind. Any frustration that you are experiencing on the road has been shared by others around you at some point during their own driving experience.
Will this frustrating experience really matter a week from now, is it worth arriving at your destination angry? Is it worth the risk of being involved in an accident?

Use this experience as a catalyst for changing your thoughts to change your mood to have a better day.

When driving and feeling some frustration, take a deep breath slowly through your nose and gently exhale through your mouth and tell yourself “I am in control of my thoughts and actions and my safety and the safety of my passengers is foremost in my mind as I bring us to our destination safely.”

For more information on anger management, log onto LAtherapist.com. To listen to free anger management sample downloads, log onto Anger Management.

Responding to Crisis, Trauma and Natural Disasters

Natural disasters and their increasing destructiveness are becoming a part of the American landscape. Leaving scars, not only on the land and the livelihoods of those affected but leaving scars on the psyches of the survivors as well. One only needs to look back at New Orleans and more recently to the mid-west for recent examples. More than ever, we need a greater understanding on how to cope with natural disasters both large and small.

On January, 16, 1994, I was settled into a deep sleep, comfortable in my bed and safe in my home when suddenly, at 4 AM, the ground began to shake fiercely. I missed the initial shaking lost in my slumber. Suddenly, I awaken to a horrible grinding and growling coming from every direction of my bedroom. The ground is moving violently and I hang on for dear life to a bed that is trying to throw me off. Things are crashing all around me. My thoughts began to race uncontrollably, “Don’t let go, just don’t let go.” “Oh God, what is happening?”

Flashes of blue light from exploding transformers illuminate the room with rapid brilliance then fade through the curtains of my bedroom window. Things keep crashing to the ground; floor boards and wall studs creak and moan threateningly as the angry earth throws my home in its fit of rage. “Will it hold?” I’m frightened it won’t. It feels as if the world is coming to an end. Its fury is a monster released upon my home and me and it’s out to destroy us both. No time to think, just hold onto the bed, just hold on.

Then, as suddenly as it began, it stopped. Only the sound of car alarms echoing from within the blackness of the skyline can be heard off in the distance. One by one, they too become silent; then nothing. No sound, no light, just an ear crushing silence blanketing the night on a devastated landscape.

House to house my neighbors and I begin knocking on doors; “Is everybody alright?” can be heard echoing in the night up and down the street. Children put in cars, injured attended to; neighbors who have never before spoken to each other standing shoulder to shoulder helping one another.

When we have done what we can, we gather together in the street dazed and shocked. We come together to admire the now visible Milky Way whose brilliance, for the first time, can be seen from our street in the absolute darkness. Like a silent sentry it stands above us giving comfort in the stillness as we wait for the approaching daylight and the dawn of an unknown future.

Earthquakes, floods, terrorist attacks and all other disasters, natural or manmade, can be devastating on our sense of self and sense of safety. We are aware that, in Southern California, we live in an earthquake prone area. However, their lack of predictable activity and the long lag times between them can lull us into complacency. The same can be said for terrorist attacks as well.

We must live with an underlying, and reasonable, anxiety that a major disaster could happen. However, people are very adaptable by nature and in order to live with this chronic anxiety, we learn to turn it off. Over time, we become less responsive to the anxiety signals that are intended to protect us from danger.

This is the fight/flight response and we need to dull it to go on with life in a normal way. A good example of this can be observed in modern Israel where terrorist attacks have become a way of life. Yes, they are tragic, but people adapt and life goes on around them. We are designed, as human beings, to do this. We are very adaptable, so we are adapting to our environment of anxiety by turning it off. An unfortunate consequence of this natural adaptation is to not fully prepare for the possible crisis.

After a disaster hits, we feel disbelief and shock. We can become disoriented, have difficulty making decisions and experience feelings of anxious and moodiness. Often, people will feel apathy and emotional numbing accompanied by depression and reoccurring thoughts about the event. Insomnia and nightmares are also common. These are all signs of Post Traumatic Stress Disorder (PTSD).

The two strongest factors influencing and individual’s recovery from PTSD are the intensity of the life stressors that were occurring before the trauma and the social support network they have with others. Negative social support, such as family members’ critical comments about the length of time taken for recovery, can make a victim’s recovery time drag on even longer.

A trauma victim must start dealing with his or her feelings immediately after the event, or they can become harmful to their mental and physical health. Here are some tips for handling those feelings. Talk about the event as much as you want by sharing your feelings with those who are willing to listen. Spend more time with friends and family. Make sure to care for yourself by getting enough rest, exercise and proper nutrition.

As you are able, return to as normal of a routine as possible. Meaning, if possible, eat meals at the usual time, go to bed at the usual time, etc. Ask for help when you need it. Don’t try to cope by yourself. Receiving help is not a sign of weakness. Help others. This can be a wonderful way of regaining a personal sense of fulfillment and empowerment during a time when personal power appears to have been stripped from us at a moment’s notice.

Allow children to be more dependent than usual. Often, children and adolescents will temporarily regress to acting younger than their age. Allow this to occur without shaming them. And of course, avoid drugs and excessive drinking. They can ultimately compound the stress by creating additional problems during a time of crisis.

It is common for people to not feel the symptoms of PTSD until after the adrenalin rush of the initial shock has worn off. It can take from days to months for this to occur. This is why some people behave as strong, steady, clearheaded heroes during the initial experience of a trauma and end up depressed or suffering nightmares after the event has passed.

Given the horror of a disaster, there is also opportunity for personal growth. A disaster can “shake” us out of our old patterns of thinking by allowing us an opportunity to view our selves and lives differently. By helping others, we meet the real self that lies beneath the surface of our once complacent exterior. And, like the Milky Way, it is often best revealed in the darkest of moments.

Log onto LAtherapist.com for more information on PTSD, stress and anxiety. Take a free personality quiz to see how you respond to stress. Log onto Stress Relief & Deep Sleep, or Tension Relief for free samples of anxiety and tension relief downloads.