Managing Anxiety and Depression

If you have ever experienced a panic attack, or, anIt is much easier to change the way we think and
episode of clinical depression - you could hardly bebehave than how we feel. The good news is, if we
faulted for wanting and seeking a final and everlastingcan change the way we think (correcting distorted
"cure." Some people who experience these conditionsthinking) and behave (powerless behaviors), then
never have a reoccurrence. For others, anxiety andmost often what we get is a resultant change in
depression are persistent intruders in their lives. Whyhow we feel (for the better!). This is why
the difference? Likely, genetics predispose some ofcognitive-behavioral therapy is the treatment of
us to anxiety or depressive reactions as a responsechoice for anxiety and depression and why
to situational stressors in our life. But that does NOTempowering clients is so important.
mean any of us are entirely helpless. Depression andPeople often think of depression or anxiety as a
anxiety are most often manageable.function of low self-esteem. Actually and more
Powerlessness: Beliefs, Behaviors, & Feelingsprecisely, depression and anxiety are made worse by
A key component to anxiety and depression arelow self-efficacy. What is self-efficacy? Self-efficacy
feelings of powerlessness. Perhaps some life stressoris the belief that I have a sufficient measure of
or loss has temporarily overwhelmed or discouragedcontrol and power over my life.
you. Or, perhaps over time you have developedCognitive behavioral therapy is an important tool in
ineffective cognitive habits - styles of thinking - thatidentifying ways we might be lowering our sense of
promote your giving up power. These "distortedself-efficacy, giving up power and control, and
beliefs" lead us to have "distorted feelings" andthereby encountering depression and anxiety as a
"distorted behaviors". For example:persistent companion in our lives.
Suzy Somebody held and reinforced over time theTools for Managing Depression & Anxiety
distorted belief that "No one would be interested inFortunately, we have many tools at our disposal for
someone like me." This distorted and powerless beliefmanaging anxiety and depression. These include:
led her to behave by isolating herself from others.Medications which help treat the biological basis of
Her isolative behavior and belief that no one wasdepression.
interested in her, led to predictable feelings ofCognitive Behavioral Therapy - changing the way we
loneliness. Then, looking at how lonely she felt andthink and behave in order to increase our
isolated she behaved - she reinforced the powerlessself-efficacy.
belief that, sure enough, "See there! I told you noBuilding supportive social networks of friends and
one was interested in someone like me!" And theactivities.
spiraling cycle of powerlessness was complete andIncreasing self-care habits to help us weather the
reinforcing.storms of life.