{"id":152229,"date":"2024-03-03T15:02:36","date_gmt":"2024-03-03T20:02:36","guid":{"rendered":"https:\/\/effectsofanxiety.net\/archives\/152229"},"modified":"2024-03-03T15:02:36","modified_gmt":"2024-03-03T20:02:36","slug":"cbt-for-depression-treatment-week-1-of-14-start-addressing-depression-now","status":"publish","type":"post","link":"https:\/\/effectsofanxiety.net\/archives\/152229","title":{"rendered":"CBT for Depression Treatment Week 1 of 14 | Start Addressing Depression Now"},"content":{"rendered":"
https:\/\/www.youtube.com\/watch?v=XWr0AEWUY5M<\/div>00:00:04<\/a>Hey there everybody and welcome to this episode\u00a0 of the week by week guide to depression treatment\u00a0\u00a0 this is part 1 of 14 and i’m\u00a0 your host dr dawn elise snipes\u00a0\u00a0 in this series i’m going to explore one potential\u00a0 treatment path for somebody with depression\u00a0\u00a000:00:21<\/a>depression looks different for each and\u00a0 every person so no one treatment path\u00a0\u00a0 will look exactly the same but this gives you a\u00a0 general idea of what treatment might look like\u00a0\u00a0 this particular video explores what\u00a0 the initial session will look like00:00:40<\/a>as a helpful hint over the next few\u00a0 weeks i will be going over a lot of\u00a0\u00a0 stuff for more in-depth information\u00a0 about particular techniques or issues\u00a0\u00a0 in-depth videos can be found on the youtube\u00a0 channel at doc snipes dot com slash youtube00:00:59<\/a>the first thing that i do when people come into\u00a0 treatment is you know get to know them and then\u00a0\u00a0 we start talking about what their symptoms are i\u00a0 typically don’t get too hung up on the dsm or the\u00a0\u00a0 diagnostic criteria because depression may look\u00a0 different for every person and there are a lot\u00a0\u00a000:01:18<\/a>of symptoms that occur with depression that are\u00a0 not in the diagnostic manual so i start by asking\u00a0\u00a0 for each symptom the person has when it started\u00a0 is it something that started a week ago or three\u00a0\u00a0 years ago what was different before it started\u00a0 what do they think causes it what makes it worse\u00a0\u00a000:01:43<\/a>and what makes it better even if just a little bit\u00a0 or for a short period of time this will give us an\u00a0\u00a0 idea about potential causes of the symptom about\u00a0 potential things that the person already does or\u00a0\u00a0 skills they already have that we can build on and\u00a0 about things the person knows already don’t work\u00a0\u00a000:02:04<\/a>i also encourage them to watch the video what\u00a0 causes that symptom on the youtube channel\u00a0\u00a0 to learn more about what causes each of the\u00a0 symptoms that we’re going to start talking about physically when somebody is depressed\u00a0 they may experience sleep disturbances\u00a0\u00a000:02:23<\/a>likewise people who don’t sleep\u00a0 well often develop depression\u00a0\u00a0 many of these symptoms can either cause depression\u00a0 or be caused by depression and it’s important to\u00a0\u00a0 understand that and recognize the reciprocal\u00a0 nature eating disturbances are another issue\u00a0\u00a000:02:45<\/a>that come up sometimes people have no appetite\u00a0 sometimes all they want to do is eat junk food\u00a0\u00a0 and that kind of makes sense because when we\u00a0 are under stress sometimes our body says you\u00a0\u00a0 know what now’s not the time to eat we need to\u00a0 worry about fighting or fleeing not resting and\u00a0\u00a000:03:03<\/a>digesting other times our body is experiencing\u00a0 imbalances in neurotransmitters and foods we eat\u00a0\u00a0 that are high fat high sugar foods tend to\u00a0 cause the release of dopamine and serotonin\u00a0\u00a0 and endorphins which are feel-good chemicals i\u00a0 always look at what is the behavior telling me\u00a0\u00a000:03:26<\/a>another symptom is gi distress some\u00a0 people may experience constipation when\u00a0\u00a0 people get depressed it’s often a\u00a0 slowing of their whole system including\u00a0\u00a0 their gut so we want to look at constipation and\u00a0 pain pain in the gut can be made worse because of\u00a0\u00a000:03:48<\/a>changes in the gut bacteria because of the\u00a0 depression or because of what they’re eating\u00a0\u00a0 and generally pain can be made\u00a0 worse when people are depressed\u00a0\u00a0 because when we’re depressed our pain tolerance\u00a0 actually often goes down things that may have been\u00a0\u00a000:04:06<\/a>not painful or not you know notable before they\u00a0 were depressed now are are painful to them we want\u00a0\u00a0 to recognize that that actually is a legit symptom\u00a0 of changes in in neurochemicals in the person\u00a0\u00a0 when people are depressed they often don’t move a\u00a0 lot and they often sleep a lot more which can also\u00a0\u00a000:04:28<\/a>contribute to muscle imbalances and pain so we’re\u00a0 going to talk about pain because pain also can\u00a0\u00a0 cause depression low energy can be caused by sleep\u00a0 disturbances poor nutrition or chronic pain or a\u00a0\u00a0 lot of other things and we want to recognize that\u00a0 when we have low energy it’s hard to get motivated\u00a0\u00a000:04:51<\/a>it’s hard to feel like you’ve got any\u00a0 get up and go which can contribute to\u00a0\u00a0 feeling depressed you know you just you want to\u00a0 sit on the sofa all the time different than low\u00a0\u00a0 energy which is just not having the energy not\u00a0 having the gas to go is slowing and that is like\u00a0\u00a000:05:11<\/a>moving into a 60 mile an hour wind when people\u00a0 are depressed it often feels like it takes 10\u00a0\u00a0 times more energy to move to walk to take a shower\u00a0 than it did when they weren’t depressed addiction\u00a0\u00a0 also often comes up because when people are\u00a0 depressed they often try to self-medicate in some\u00a0\u00a000:05:35<\/a>way and make it go away this can be behavioral\u00a0 addictions like shopping or gaming it can gambling\u00a0\u00a0 it can be chemical addictions it can you know\u00a0 and in there we’re also including nicotine\u00a0\u00a0 so addictions may get worse addictions also alter\u00a0 the neuro chemical levels or the brain chemicals\u00a0\u00a000:05:56<\/a>which can contribute to mood symptoms impulsive\u00a0 behaviors some people don’t have enough energy\u00a0\u00a0 to even think about it other people occasionally\u00a0 have these little spurts of energy and they engage\u00a0\u00a0 in risk-taking behaviors or impulsive behaviors in\u00a0 order to feel something you know that’s the brief\u00a0\u00a000:06:18<\/a>moment where they have this adrenaline rush and\u00a0 they’re like oh my gosh that’s incredible and\u00a0\u00a0 immunity when your immune system goes haywire\u00a0 it can contribute to systemic inflammation\u00a0\u00a0 people who have autoimmune disorders are well\u00a0 aware of this but any time your immune system is\u00a0\u00a000:06:38<\/a>triggered it can trigger associated inflammation\u00a0 that inflammation has also been associated\u00a0\u00a0 with an increase in depressive symptoms\u00a0 likewise depression and stress can trigger\u00a0\u00a0 an increase in inflammatory cytokines in the\u00a0 body and an increase in immunity in inflammation\u00a0\u00a000:07:01<\/a>all of these symptoms have a back and forth\u00a0\u00a0 affectively well of course the person\u00a0 is presenting for depression so they’re\u00a0\u00a0 depressed they may also experience apathy or low\u00a0 motivation they just they don’t really care about\u00a0\u00a000:07:16<\/a>much of anything or what we call anhedonia and\u00a0 that’s feeling numb not feeling super depressed\u00a0\u00a0 not feeling you know super happy super anxious\u00a0 just not feeling guilt anger and anxiety are also\u00a0\u00a0 very prominent symptoms in people with depression\u00a0 and in treatment if somebody’s experiencing these\u00a0\u00a000:07:40<\/a>things we talk about what’s triggering them\u00a0 and will process some of those issues but right\u00a0\u00a0 now we’re just trying to get a picture of what\u00a0 depression looks like for the person cognitively\u00a0\u00a0 or mentally people who are depressed often have\u00a0 difficulty making decisions and thinking clearly\u00a0\u00a000:07:58<\/a>now this can be caused by insufficient sleep poor\u00a0 nutrition depression itself a variety of things\u00a0\u00a0 but these things also make it harder to do\u00a0 your daily activities which can contribute\u00a0\u00a0 to feeling hopeless helpless and depressed\u00a0 pessimism can cause depression if you’ve\u00a0\u00a000:08:20<\/a>always been sort of a negative nelly then that\u00a0 can contribute to feeling helpless and hopeless\u00a0\u00a0 a lot of times when people are depressed\u00a0 though they can start feeling more pessimistic\u00a0\u00a0 because when they’re depressed they notice\u00a0 more of the negative stuff they notice more\u00a0\u00a000:08:39<\/a>of the stuff that’s out of their control and\u00a0 it can contribute to feelings of depression\u00a0\u00a0 ruminations a lot of times\u00a0 when people are depressed\u00a0\u00a0 they have thoughts that bounce around in\u00a0 their head and you know there’s a lot of\u00a0\u00a000:08:56<\/a>reasons for this but what’s important to\u00a0 recognize is those thoughts are generally\u00a0\u00a0 critical negative pessimistic and they tend to\u00a0 be very overwhelming and loud that negative inner\u00a0\u00a0 critic or that those hecklers in your gallery\u00a0 tend to be a lot louder when when you’re depressed\u00a0\u00a000:09:16<\/a>environmentally i found that for a lot of people\u00a0 they’re outside represents what’s going on on\u00a0\u00a0 their inside so if they’re disorganized or\u00a0 disheveled that gives me a clue that that\u00a0\u00a0 that may be how they’re feeling inside because\u00a0 of all the things that we’ve talked about already\u00a0\u00a000:09:36<\/a>people may be experiencing difficulty at school\u00a0 or work and resulting financial difficulties\u00a0\u00a0 difficulty in these areas contributes to stress\u00a0 and distress and often worsens depression\u00a0\u00a0 relationally people who are depressed often\u00a0 withdraw from others they can’t take the input\u00a0\u00a000:09:59<\/a>from other people they don’t have the energy to\u00a0 deal with their own stuff let alone anybody else’s\u00a0\u00a0 stuff they may withdraw from others because other\u00a0 people may try to cheer them up which makes them\u00a0\u00a0 feel rejected or misunderstood or other people\u00a0 may withdraw from them because they just can’t\u00a0\u00a000:10:18<\/a>take being around somebody who’s so depressed\u00a0 they may experience impatience or irritability\u00a0\u00a0 again because they are overwhelmed when people\u00a0 bring stuff to them when when life happens it\u00a0\u00a0 can feel overwhelming and it can trigger that\u00a0 fight-or-flight response low self-esteem is very\u00a0\u00a000:10:39<\/a>common in depression a lot of times because of\u00a0 the depression the person is not doing the things\u00a0\u00a0 they think they should or the way they used to\u00a0 and it makes them feel bad about themself now\u00a0\u00a0 people with low self-esteem from long ago can also\u00a0 develop depression partly as a result of that so\u00a0\u00a000:11:04<\/a>yin and yang toxic relationships\u00a0 also tend to cause depression and may\u00a0\u00a0 flourish when somebody is depressed\u00a0 because people who are depressed may\u00a0\u00a0 tolerate toxic behavior more because they\u00a0 just don’t have the energy to address it00:11:27<\/a>once we’ve identified what each symptom looks\u00a0 like for that person when it’s started what\u00a0\u00a0 makes it better what makes it worse etc then\u00a0 we’re going to identify what recovery from each\u00a0\u00a0 symptom looks like and for a lot of things when\u00a0 we talk about psychology we use what’s called\u00a0\u00a000:11:44<\/a>a likert scale and an anchored likert scale has\u00a0 words that go along with each point on the scale\u00a0\u00a0 so for somebody’s mood one may be miserable two\u00a0 may be okay three is happy four is really excited\u00a0\u00a0 and five is unbelievably ecstatic we don’t expect\u00a0 them to get to five a whole lot but that gives\u00a0\u00a000:12:14<\/a>us an idea of where we are starting so people can\u00a0 rank their moods or rank the behavior on a regular\u00a0\u00a0 basis so we can track its progress we will work to\u00a0 define goals for people’s symptoms that are smart\u00a0\u00a0 specific measurable achievable rewarding and time\u00a0 limited for example i will have more energy as\u00a0\u00a000:12:40<\/a>evidenced by being able to work out go to work and\u00a0 do at least 90 percent of my normal adulting tasks\u00a0\u00a0 without getting completely worn out or feeling\u00a0 weighed down now this is a goal the person is\u00a0\u00a0 setting for three months from now not for next\u00a0 week this is ultimately where they want to be\u00a0\u00a000:13:00<\/a>i will sleep better as evidenced by getting at\u00a0 least seven solid hours of quality sleep each\u00a0\u00a0 night i will get motivation back as evidenced\u00a0 by doing the things that i need and want to do\u00a0\u00a0 most days it’s important with goals not to\u00a0 set extreme goals that are a hundred percent\u00a0\u00a000:13:17<\/a>of the time because generally we can’t\u00a0 do things a hundred percent of the time\u00a0\u00a0 so if you set a goal that’s like that then\u00a0 you’re setting yourself up for failure the next thing i do in this first session\u00a0 with the person is create a support\u00a0\u00a000:13:34<\/a>plan change causes crisis and crisis causes change\u00a0 it doesn’t matter what the change is it can be a\u00a0\u00a0 positive change like getting healthier or bringing\u00a0 a new baby to the into the family but that causes\u00a0\u00a0 changes which can be stressful it may not be like\u00a0 an overwhelming crisis but it can be stressful\u00a0\u00a000:13:56<\/a>change takes a lot of energy and work and i\u00a0 encourage the people that i work with to recognize\u00a0\u00a0 that they’re going to need at least 15 minutes in\u00a0 the morning 15 minutes of the evening and about\u00a0\u00a0 30 sometimes 60 minutes some other time during\u00a0 the day so when they get up at lunch time and\u00a0\u00a000:14:16<\/a>before they go to bed possibly that’s not a huge\u00a0 time commitment but people who are depressed have\u00a0\u00a0 very little energy so this still feels like a\u00a0 lot we talk about what things can you eliminate\u00a0\u00a0 or simplify to free up time and energy for\u00a0 this change and that may mean things like\u00a0\u00a000:14:37<\/a>preparing meals ahead of time or getting\u00a0 pre-prepared meals for a little while\u00a0\u00a0 so you don’t have the dishes and you\u00a0 don’t have the prep time and all that\u00a0\u00a0 stuff so you have more time you can\u00a0 focus on working your recovery plan\u00a0\u00a000:14:54<\/a>how can you alter your environment to stay\u00a0 motivated and remind you to use your new skills\u00a0\u00a0 for change there are a lot of new behaviors\u00a0 and habits that i ask people to do and those\u00a0\u00a0 behaviors and habits can be programmed into your\u00a0 your mobile device you can get an app that people\u00a0\u00a000:15:11<\/a>often use for medication and get push\u00a0 notifications for things like meditation\u00a0\u00a0 then i ask them to think about who in in your\u00a0 life is supportive and how can they help you and\u00a0\u00a0 how will you let them know about plans and what\u00a0 you need from them don’t expect them to read\u00a0\u00a000:15:33<\/a>your mind and know that you need them to do extra\u00a0 work around the house or help you watch the kids\u00a0\u00a0 or something else it’s important to articulate\u00a0 to other people what they can do to help\u00a0\u00a0 it’s also important for the people to identify\u00a0 what they can do to help themselves feel safe\u00a0\u00a000:15:53<\/a>in general feel safe when they’re triggered and\u00a0 feel safe so they can work on their assignments\u00a0\u00a0 so they’re not afraid of becoming overwhelmed or\u00a0 spiraling and then they’re asked to identify three\u00a0\u00a0 strategies they can use to cope when they begin\u00a0 to spiral when people are experiencing depression\u00a0\u00a000:16:14<\/a>you don’t expect them to start treatment and never\u00a0 have another spiraling episode and i believe it’s\u00a0\u00a0 important to create this safety support plan ahead\u00a0 of time to help people feel empowered so they have\u00a0\u00a0 tools at their disposal that can help them endure\u00a0 what’s going on it’s not going to necessarily make\u00a0\u00a000:16:36<\/a>them feel wonderful but it helps them endure it\u00a0 so they feel safe they don’t feel like they’re\u00a0\u00a0 going to be completely overwhelmed the next thing\u00a0 we do is talk about which two or three symptoms do\u00a0\u00a0 you want to focus on changing first because when\u00a0 you make positive changes in any area of your life\u00a0\u00a000:16:56<\/a>it often makes reciprocal positive changes in\u00a0 other areas and you can really only effectively\u00a0\u00a0 focus on two or three things at a time we will\u00a0 talk about how we’re going to measure that whether\u00a0\u00a0 we’re going to measure the frequency how often\u00a0 each occurs how long particular episodes last or\u00a0\u00a000:17:15<\/a>the intensity or quality of each again on one\u00a0 of those like likert scales and each time the\u00a0\u00a0 behavior or or symptom occurs the person\u00a0 is also going to know what triggered it\u00a0\u00a0 what helped stop it if anything and what did\u00a0 not help so we continue to get information about\u00a0\u00a000:17:34<\/a>what is helping what doesn’t work what\u00a0 triggers it so we can address those in session another thing i ask them to do\u00a0 is a feelings awareness worksheet\u00a0\u00a0 now this is something they’re going to do\u00a0 between sessions in order to start identifying\u00a0\u00a000:17:53<\/a>early warning signs of distress so they may be\u00a0 able to take action sooner than waiting until\u00a0\u00a0 it’s a big crisis you know waiting till\u00a0 it hits them from quote out of the blue\u00a0\u00a0 i ask people to identify what particular feelings\u00a0 look like for them and what triggers that feeling\u00a0\u00a000:18:16<\/a>what thoughts what activities what people\u00a0 and even what sensations like what sounds\u00a0\u00a0 my the ceiling fan over my bed makes an awful\u00a0 humming sound and it annoys the crap out of me\u00a0\u00a0 and that can trigger my irritation so i know that\u00a0 that’s a sound that will trigger irritability\u00a0\u00a000:18:38<\/a>in me and i encourage them to look\u00a0 at and identify what anger anxiety\u00a0\u00a0 depression and happiness look like for\u00a0 them and what triggers those emotions another thing they’re going to start doing\u00a0 beginning tomorrow you know beginning the\u00a0\u00a000:18:59<\/a>day after this session is morning and evening\u00a0 mindfulness and this is the 15 minutes in the\u00a0\u00a0 morning and 15 minutes in the evening in the\u00a0 morning they’re asked to inhale for a count of\u00a0\u00a0 four envisioning energy and light filling their\u00a0 body hold it for a count of four and feel that\u00a0\u00a000:19:17<\/a>energy spread and then exhale for a count of\u00a0 four and envision fatigue darkness and brain fog\u00a0\u00a0 leaving their body on their breath you know they\u00a0 can even envision their breath coming out a color\u00a0\u00a0 that represents fatigue repeat this four times\u00a0 in the morning this deep breathing helps increase\u00a0\u00a000:19:38<\/a>oxygen and get people get people going\u00a0 so to speak after they do this they will\u00a0\u00a0 do their mindfulness inventory and it seems long\u00a0 on these slides but it really only takes about 10\u00a0\u00a0 minutes they’ll think how do i feel physically\u00a0 what are my needs physically right now\u00a0\u00a000:19:59<\/a>what things might make me more vulnerable to\u00a0 emotional distress today what physical things do\u00a0\u00a0 i have going on that might make me cranky or more\u00a0 prone to be irritable and how can i cope with them\u00a0\u00a0 was it easier hard to fall\u00a0 asleep how well did i sleep\u00a0\u00a000:20:16<\/a>how many hours did i sleep do i feel rested if i\u00a0 woke up a lot why what will i do beginning today\u00a0\u00a0 to address anything that is waking me up\u00a0 in the night if i did not sleep well how\u00a0\u00a0 does that impact my energy concentration\u00a0 productivity mood and patience with others\u00a0\u00a000:20:41<\/a>affectively or emotionally and cognitively or\u00a0 mentally how do i feel am i happy and clear-headed\u00a0\u00a0 or depressed and foggy-headed or something in\u00a0 between what are my needs what might make me more\u00a0\u00a0 vulnerable to distress today if you wake up in the\u00a0 morning and you’re just in a you know awful mood\u00a0\u00a000:21:04<\/a>you know that you know that you’re already kind of\u00a0 at your precipice and it’s not going to take much\u00a0\u00a0 to trigger irritability so what can you do to cope\u00a0 during your day so when life happens it doesn’t\u00a0\u00a0 bring on extra distress and you don’t spiral\u00a0 environmentally what are three positive things\u00a0\u00a000:21:28<\/a>in my environment right now what things might come\u00a0 into my environment today that cause me distress\u00a0\u00a0 and how can i best deal with them planning ahead\u00a0 for any obstacles that you might have encounter\u00a0\u00a0 relationally how do i feel about myself what\u00a0 relationships do i have that enhance my life\u00a0\u00a000:21:49<\/a>and this can include your pets what can\u00a0 i do to nurture them what relationships\u00a0\u00a0 might trigger or make me more vulnerable to\u00a0 distress today and how can i best cope with them\u00a0\u00a0 so if you know you’ve got to interact with\u00a0 a person at work that typically gets on\u00a0\u00a000:22:08<\/a>your very last nerve how can you best cope\u00a0 with this so it doesn’t cause extra distress\u00a0\u00a0 in the evening you’re going to do deep breathing\u00a0 again but this time inhale for a count of four\u00a0\u00a0 envisioning cool blue entering\u00a0 your body and helping you relax\u00a0\u00a000:22:27<\/a>hold for a count of four and feel that soothing\u00a0 feeling spread then exhale for a count of four\u00a0\u00a0 envisioning stress darkness and irritability\u00a0 leaving your body on your breath if you’ve\u00a0\u00a0 got kids in the house this can be a fun activity\u00a0 to do with them and everybody gets bubble stuff\u00a0\u00a000:22:46<\/a>and you try try to see who\u00a0 can blow the biggest bubble\u00a0\u00a0 in order to blow a single big bubble you have\u00a0 to exhale a lot of breath very very slowly in the evening the questions are a little bit\u00a0 different again physically how do i feel and\u00a0\u00a000:23:06<\/a>what are my needs what things made me more\u00a0 vulnerable to distress today so you’re doing\u00a0\u00a0 a look back how well did i cope with them is\u00a0 there something i will do differently next time\u00a0\u00a0 affectively and cognitively how do i feel you\u00a0 know emotionally and mentally what are my needs\u00a0\u00a000:23:27<\/a>what would make me happy right now how well did\u00a0 i cope with my feelings today how good was my\u00a0\u00a0 concentration and is there something different\u00a0 i will do tomorrow to improve the moment environmentally what are three positive\u00a0 things in my environment right now\u00a0\u00a000:23:48<\/a>what things came into my environment today that\u00a0 caused me distress how well did i cope with them\u00a0\u00a0 is there something different i will do next time\u00a0 and finally relationally what are three things\u00a0\u00a0 i did well today this plays on your relationship\u00a0 with self or your self-esteem what relationships\u00a0\u00a000:24:08<\/a>do i have that enhance my life remember those\u00a0 pets again and what can i do to nurture them i also ask people to get a physical because\u00a0 there are a lot of physiological things\u00a0\u00a0 like low testosterone estrogen imbalances\u00a0 hypothyroid anemia low vitamin d you know there\u00a0\u00a000:24:29<\/a>are a lot of things that have relatively simple\u00a0 fixes that can contribute to depressive symptoms\u00a0\u00a0 and no amount of talk therapy is going to address\u00a0 those things i ask people to schedule their\u00a0\u00a0 physical as soon as possible so that we will have\u00a0 the results including the blood work back by week\u00a0\u00a000:24:48<\/a>six i encourage them to make sure that they get\u00a0 their blood pressure and their oxygen saturation\u00a0\u00a0 evaluated vitamin d and b12 levels liver\u00a0 and kidney functioning their sex hormones\u00a0\u00a0 gonadal hormones and thyroid hormones so like\u00a0 testosterone estrogen and thyroid hormones\u00a0\u00a000:25:08<\/a>assess for anemia and if there might be a chance\u00a0 that they have an undiagnosed autoimmune disorder\u00a0\u00a0 to also ask the doctor if it would be\u00a0 appropriate to look for those autoimmune markers finally i ask people to think about their\u00a0 housing and their finances when you don’t\u00a0\u00a000:25:28<\/a>feel like you’ve got house safe stable housing it\u00a0 adds stress it adds distress which makes it harder\u00a0\u00a0 to recover and con contributes to feeling helpless\u00a0 and hopeless i encourage people over the next 12\u00a0\u00a0 weeks to start thinking about what they need to\u00a0 do in order to make sure that they feel as safe\u00a0\u00a000:25:51<\/a>as possible in their own four walls so they can\u00a0 relax and what do they need to do if anything to\u00a0\u00a0 ensure the stability of their housing so they know\u00a0 that they’ve got a home i ask them to do the same\u00a0\u00a0 thing with their finances because we need to have\u00a0 enough money to pay the rent to keep the lights on\u00a0\u00a000:26:11<\/a>to get medication to get food all those things\u00a0 and without those things we are at much greater\u00a0\u00a0 risk of experiencing distress and depression\u00a0 so i encourage people over the week to evaluate\u00a0\u00a0 their housing and their finances to identify\u00a0 if there’s anything that needs to be addressed00:26:32<\/a>in this first session people have identified\u00a0 their symptoms and the causes they’ve defined\u00a0\u00a0 the overall overall what recovery looks like for\u00a0 them we’ve worked together in session to develop\u00a0\u00a0 a support and safety plan now throughout the week\u00a0 they’re going to use worksheets to gather baseline\u00a0\u00a000:26:53<\/a>data on their two or three symptoms that they’re\u00a0 going to start addressing they’re going to do the\u00a0\u00a0 feelings worksheet to identify what feelings look\u00a0 like for them begin practicing morning and evening\u00a0\u00a0 mindfulness and bring those mindfulness worksheets\u00a0 to session because we’ll process them in session\u00a0\u00a000:27:12<\/a>we’ll look for themes we’ll look for trends we’ll\u00a0 look for triggers and we’ll look for improvement\u00a0\u00a0 as you start keeping these mindfulness journals\u00a0 it will provide a whole lot of information\u00a0\u00a0 and then they’re going to schedule a physical\u00a0 and assess their financial and housing stability\u00a0\u00a000:27:32<\/a>so that’s a lot to do in the first\u00a0 week but when you really look at it\u00a0\u00a0 there is the feelings activity assessing\u00a0 finances and housing and scheduling that physical\u00a0\u00a0 so none of those should take too terribly\u00a0 long beginning practicing morning and evening\u00a0\u00a000:27:51<\/a>mindfulness so that’s your 15 minutes in\u00a0 the morning and 15 minutes in the evening this show was produced by mr charles snipes and\u00a0 presented by dr donnelly snipes you can learn\u00a0\u00a0 more about depression treatment boundaries and\u00a0 mental health at doc snipes dot com slash youtube\u00a0\u00a0
Source : Youtube<\/a><\/div><\/div>","protected":false},"excerpt":{"rendered":"

https:\/\/www.youtube.com\/watch?v=XWr0AEWUY5M00:00:04Hey there everybody and welcome to this episode\u00a0 of the week by week guide to depression treatment\u00a0\u00a0 this is part 1 of 14 and i’m\u00a0 your host dr dawn elise snipes\u00a0\u00a0 in this series i’m going to explore one potential\u00a0 treatment path for somebody with depression\u00a0\u00a000:00:21depression looks different for each and\u00a0 every person so no … Continue reading CBT for Depression Treatment Week 1 of 14 | Start Addressing Depression Now<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":152230,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[132],"tags":[],"class_list":["post-152229","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-weird-stuff"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/effectsofanxiety.net\/wp-content\/uploads\/2024\/03\/1709496157-maxresdefault.jpg","_links":{"self":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts\/152229"}],"collection":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/comments?post=152229"}],"version-history":[{"count":0,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts\/152229\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/media\/152230"}],"wp:attachment":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/media?parent=152229"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/categories?post=152229"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/tags?post=152229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}