Wow! So many great answers! I especially liked the ones where folks talked about their personal experience.
Personally, I too, use many of these techniques. What I think works best is takin my meds. That’s because my depressions are organically rooted, not experientially. Still, it’s not enough. I’ve been working hard to get a sense of self-esteem. I do exercise. I meditate (well, in my case, that means improvisational music). I have a strict schedule (I’m holding down an academic job and I have kids). I go to therapy (a mixed method that includes CBT, but also other things).
I have a question about CBT. If you’re responsible for getting better, which is what I understand CBT to believe, then of course that means you’re also responsible for getting sick. That thought kills any sense of lifting spirits I might have.
I’ve found a way around it, though. I just rule out the thoughts that I know can hurt me. As soon as I start thinking them, I realize what they are, and I stop it. So I can hold off the negative. What I can’t do is try to do the positive stuff, because that leads me into the trap of responsibility.
Does anyone else experience this? Have you found a way to let yourself feel good by just feeling lucky, instead of feeling responsible?
I have trouble with affirmations, too. Again, if I do some kind of mental legerdemain, I can let a few affirmations through. They have to be true things, though, not wishful things. Wishful thinking throws me into the negative spiral again, because I just can’t believe it. I can, however, set a goal, but not be attached to it. I find that I often achieve these goals, though it usually takes years longer than I was hoping. With depression, that can be a problem, because a surprising portion of people who have what I have don’t survive. One number I think I saw said an estimated 11% end up killing themselves. This has to be a pretty bogus number, but even if the truth is a half or a quarter that, it’s still pretty bad.
Ok. That’s being melodramatic. It’s true, but still, melodramatic. I don’t know if I say that to remind myself of the seriousness of my effort, or to make it seem like I’m fighting a more dramatic fight than people might otherwise believe. Maybe both.
Anyway, thanks again for all your comments. This is really interesting. I do wish people who talk about CBT would talk more about what it feels like to use it on yourself.