As a therapist, I see many clients with depression. However this increasingly common condition can be difficult to treat. Though I also see many individuals with anxiety, there seems to be more immediately effective tools to address it’s symptoms (and ultimately it’s root cause) as compared to depression. The reason for this may partly be due to depression’s multifaceted character. In my experience as a clinician, there can be many different factors that can cause or contribute to an individual’s suffering of depression. They included biological inheritability, stress and anxiety, trauma, loss/ grief, relationship problems and lack of social support, physiological/ health reasons (which is why I recommend a health checkup for depression), mood disorder, drug and alcohol abuse and more.

That being said, there exists established and effective means to treat depression. For myself, I have found an integrated approach to be most helpful. In severe cases, especially if there is indication of suicidal thoughts, it is highly recommended that clients see a psychiatrist for a comprehensive evaluation to see if medication is needed. Even in these cases, past research has shown that medication treatment with psychotherapy is most beneficial.

But where individuals are still able to safely function in there daily lives, it’s typically acceptable to try individual therapy first. An integrated approach to treating depression may include the following techniques: learning and use of behavioral coping skills (like mindful controlled breathing to encourage relaxation), traditional ‘talk therapy’ and an assessment and support of all aspects of the whole-health model (especially but not limited to physical health issues like nutrition and exercise, social support and connectedness and a sense of meaning and purpose in life). We can also address any deeper, underlying issues, often from the past, that contribute to ongoing depression. These might include grief from loss, trauma and attachment issues. Exploring these areas can often bring to light for processing and healing old thought patterns that reinforce maladaptive ways of interpreting and reacting to our world.

Finally, about attitude. In our society, as part of an effort to support treatment, there exists a tendency to pathologize mental health problems. Clearly severe problems do exist and should therefore be treated as such. However, when possible, depression should be seen as an invitation and a call to do the deeper work of self-exploration, healing and self-actualization. Viewing our suffering in this manner can help liberate us to our true potential.

Stress/ Mood Tip

This tip is also equally helpful for stress and mood. It is mastery of a new skill, especially a fun skill or activity. Most of us harbor some desire or long-held dream of learning or doing something. For many it is something creative like painting or pottery, for others it is some physical activity or sport. But often either stress from a hectic, demanding life or doubts about our ability to reach our own high standards get in the way of our living out our desired pursuits. However, when we muster the courage and commitment, fulfilling our passions and dreams for whatever activities can bring us more joy, energy and calm in all other aspects of our lives.

Please visit my web site at www.harborcounseling.net to learn more about my work as a therapist.

Wishing you peace and happiness!