A New Way to
Fight Depression Using Only Your Mind
Zindel Segal, PhD, CPsych
Centre for Addiction and Mental Health

uffering from depression is very different
from being sad. Sadness is a normal part of life. Depression is a
constellation of psychological and physical changes that persist,
unrelenting, for a minimum of two weeks -- and often much longer.
One of every eight women and one of every five men will suffer
at least one bout with serious depression at some point in their
lives. Genetics seem to predispose some people to depression,
though life events can be a factor as well. Seniors who experience
losses in physical functioning and social networks can be
especially susceptible to bouts of depression.
For those affected, depression often becomes an ongoing issue --
those who have faced it once have a 40% chance of experiencing an
episode in the future and those who already have had multiple
episodes face up to an 80% chance of additional recurrences.
Depression is most commonly treated with medication that
regulates the brain’s chemistry and with professional counseling,
which helps people take effective action in the face of the low
motivation and pessimism that often define depression.
Exciting new tool: In the last
decade or so, a new technique has been shown in studies to help
sufferers head off depression before it takes hold. The technique
is called mindfulness -- paying attention to the
present moment, without judgment, in order to see things more
clearly.
LIFE ON AUTOMATIC PILOT
Mindfulness can prevent depression from taking hold of us
because the alternative -- our usual state -- is that we operate on
“automatic pilot.” Our minds are elsewhere as we perform mundane
activities. Example: You’re taking a shower, but
wondering what’s waiting in your e-mail.
If we let it, this automatic pilot also will select our moods
and our emotional responses to events -- and the responses it
chooses can be problematic. For instance, if you make a minor
misstep in some area of your life, your autopilot might select as
your emotional response feelings of anger, failure and/or
inadequacy, even though the event might have been completely
inconsequential.
Because your mind is not paying full attention to the situation,
you might not grasp that the negative feelings are greatly out of
proportion to what’s really going on. You only know that you feel
bad. When these negative feelings persist, they can pull you into
the downward spiral of depression.
Example: A friend mentions that
one of the stocks in his portfolio has turned a profit. Your
investments have not been as successful, and your autopilot selects
inadequacy as your primary emotional response. This may sound like
an overreaction, but in someone who is prone to depression, these
feelings can expand into a full-blown episode.
Mindfulness can be an antidote to automatic pilot. By becoming
more aware of the world around us, we experience life directly, not
filtered through our minds’ relentless ruminations. We learn to see
events for what they are rather than what our autopilot might turn
them into. That helps us to derail potential episodes of depression
before they have a chance to take hold. It typically takes two
weeks or longer for depression to fully sink in, so there is often
plenty of time to stop the process.
BECOMING MINDFUL
Learning to be mindful involves more than simply paying
attention. You must reorient your senses so that you experience a
situation with your whole mind and heart and with all of your
senses.
Try it out: Pick up a raisin.
Hold it, feel it, examine it as if you had never seen anything like
it before. Explore the raisin’s folds and texture. Watch the way
light shines off of its skin. Inhale its aroma. Then gently place
it on your tongue. Notice how your hand knows exactly where to put
it. Explore the raisin in your mouth before biting. Then chew once
or twice. Experience the waves of taste and the sensation of
chewing. Notice how the taste and texture change as you chew. Once
you swallow, try to feel the raisin moving through your digestive
system.
Keep it up: Practice the
following three steps every day to make mindfulness a regular part
of your life -- and episodes of depression less likely...
1.Focus on your breath. Focusing your
attention on your breath is perhaps the simplest, most effective
way to anchor your mind in the moment. You think only of this
breath. You can do this anytime, anywhere.
2.Watch your thoughts drift by like
clouds. See them, acknowledge them, but do not
attempt to reason them away. Some people attempt to use logic to
escape depression. They tell themselves, My life is pretty
good -- I should be happy. This just leads to troubling
questions like If my life is good, why am I so unhappy?
What’s wrong with me?
It is also tempting to try to push negative thoughts away so
that you don’t have to deal with them at all. Unfortunately, the
thoughts are still there even if you refuse to acknowledge
them.
Better: When you feel bad,
reflect on what is bothering you. Try to uncover the original
thought or event that set off your bad feelings. Then view it as
just a thought, something independent from you even though it has
popped into your head. Do not dismiss it, though. Even if the
thought or the event that caused it was trivial, the feelings it
has prompted are real and significant.
Next, notice any physical sensations that you are experiencing.
Does your throat feel tight? Is your mouth dry? Are there
butterflies in your stomach? Just as you are learning to watch your
feelings float by, watch these physical sensations in a detached
way. If you can learn to spot the onset of these sensations, you
will be able to identify the early signs of depression sooner --
and head off the bad feelings before they take root.
3.Take action. Ask
yourself: Does this thought have any merit? Is it
connected to negative thoughts that I have had in the past? What
can I do to make myself feel better about this issue?
Example: You feel depressed about
your work life even though you are doing fine in your job. When you
reflect on these negative thoughts, you realize that they began
recently, when you learned that your brother received a promotion.
You feel left behind because it has been some time since your last
promotion.
What actions could you take to allay these negative feelings?
Perhaps you could speak with your supervisor about your job
performance and your prospects for future promotions... or contact
a headhunter to remind yourself that you have other options.
With any problematic thought, identifying it quickly and taking
some positive action is often enough to head off depression.
Important: Learning the
mindfulness approach can be useful for preventing future bouts of
depression -- not for combating an episode that is already under
way. When people are in the midst of depression, they typically
cannot concentrate sufficiently to practice mindfulness. It is
better to use the technique between episodes of depression so that
it becomes a natural part of your thought process.
WHERE TO FIND HELP AGAINST DEPRESSION
For information about depression and links to local support,
contact...
National Institute of Mental
Health, 866-615-6464, www.nimh.nih.gov.
National Alliance on Mental
Illness, 800-950-6264, www.nami.org.