*Accidentally posted in a thread about PSP RPGs*
I forgot to add this to my list of resources about depression:
This is a widely used workbook that walks you through cognitive behavioral therapy (CBT). It's often used as the text in group therapy sessions, but can also be used on your own.
I think many people put too much stock in the idea that, if you can just stop thinking depressed thoughts, you can cure yourself of depression. It can be helpful to think of depression as like an autoimmune disorder. How does your body fight off an attack from your immune system if the immune system is exactly what your body uses to fight off that kind of an attack? So, in depression, you're trying to out think a diseased mind using...your mind. You have to understand that people aren't willfully going, "well, my life is shit and there's no way out." The illness is causing your mind to work in that way.
Having said that, part of the treatment for depression does involve trying to change the way you think. This is where psychotherapies like CBT come in. CBT is a structured method for examining your thoughts and identifying the unhelpful messages being generated by your sick brain. The questions asked in
Mind over Mood, or asked by a therapist, are sort of a way to examine your mind from the outside. You sort of run CBT as an external, extra mind (I really like the idea of embodied cognition so I'll end the analogy here before I REALLY start rambling!), if that makes any sense.
Anyway, it has been consistently shown that the combination of CBT and medication(s) works better than either approach used in isolation. If you want to see what CBT is all about, don't have access to a therapist, can't afford professional help, or are absolutely opposed to taking any medications, you can get a surprising amount of help from your $15 copy of
Mind over Mood.
Exercise and Depression
This is brought up very frequently. Exercise is obviously generally a good thing for your overall health, but it can be incredibly difficult to take up when you're depressed. Hell, it can be hard to take up when you're not depressed.
I need to look at the literature more, but the last I checked, it seemed like there was good support for the use of exercise in mild to moderate depression. In fact, in some cases, as someone mentioned above, exercise alone can work as well as an antidepressant. However, it doesn't seem to work for severe depression - it can make you feel better, but not enough to "cure" your depression. These studies are hard to do, so I want to spend some time digging around in the psychiatric literature.
I mentioned it in another thread, but it's worth repeating.
ANYONE can search the medical literature through pubmed, a giant database of published research with abstracts and links to the actual articles (which may be free or may be available through a university library). There are ways to optimize your searches, but you'd be surprised what you can find with a keyword search for "depression" and "exercise." If you're not a science type, look for review articles - these are summaries of the latest research on a particular topic.
If you need help or want to discuss something interesting that you find, I'm happy to talk here or in PM.
Keep at it, depressed people! We can fight this thing!