Are you down in the dumps?

Depression is a common condition and can be described as a persistent feeling of sadness which affects the way we think, behave and live. While it is common for doctors to prescribe medication for depression, in this article I would like to discuss my perspectives and experience in dealing with depression.

Depression can occur from a variety of different provoking incidents such as a death, a financial loss or a failure in an examination ( Acute and chronic stressors). Whatever be the provoking cause, I look at depression as a situation where a person digs a hole in the ground jumps into it, cries for help and stays in the same hole as he refuses the help that is offered. I believe that there is a way to get out of depression without medication especially if one has the strong desire, mental strength and knowledge on how to do it. I love to quote the Eagles song “get over it” where Don Henley sings “ the big bad world doesn’t owe you a thing, get over it!” The realisation that it’s all up to you and that no one owes you anything and that it is up to you to stay happy, could be the start to your coming out of depression. So let’s look at what I think are important points to consider when you want to come out of depression.

1. Hope (work on your mind)– there is a popular saying that goes that you can live without food for up to a month, without water for up to a week, without air for a few minutes, but you won’t last even a few seconds without hope!

Your spiritual beliefs are extremely important for you to have hope in your life. Praying with the belief in God gives many people solace in times of difficulties. Belief that your prayers would be answered and that things would get better could help you overcome many challenges. Meditation could also help you focus your mind on being happy and on finding solutions to your problems.

2. Maintaining a positive mindset in the worst situations. It is very important to filter out negative thoughts, especially those that get you down and avoiding all sources of negative inputs such as television, radio, social media etc. To stay positive with a hope of finding the solution for your problems and not giving up, would keep you in the fight.

At all times, you must be able to look beyond the difficulties of the present and focus on a brighter happier future. This is crucial.

3. Change your thinking. Thinking is a mental exercise that doesn’t come naturally to most of us. If there is a problem, it’s important that we sit down in a quiet place and introspect, and think the thought right through to its best solution/conclusion. Most often, we get distracted and lose our way. It would be helpful to use pen and paper and devise an algorithmic approach to all our problems and with adequate practice this can be done entirely in the mind. Meditating regularly can help the mind focus and think better.

4. Change your situation/environment. Very often we find ourselves stuck in an environment that causes depression. We may be living with people who get us down or working in a very negative or stressful environment. If you can change this environment, you may be able to live happily again. Get out of your comfort zone, meet new people and make new friends.

5. Action steps to cure depression. Always focus on the A U C – area under control i.e., the only person you can control is yourself as opposed to A B C – area beyond control i.e. everyone and every thing that’s outside your physical body. There is a story told about a man who wanted to change the world when he was young. As he reached his middle age he realised that changing the world was going to be difficult and so tried to change his children. When he was much older, he realised that he had failed to change his children and tried hard to change his wife. On his death bed, he realised that the only person he could have changed was himself and that he could have saved himself a lot of mental turmoil and stress if only he had focused on himself instead of trying to change others.

Worrying about the future is such a waste of time, worrying about the past is also wasted time. Don’t look for problems that don’t exist. So focus on the present and spend your time in trying to find solutions for your problems. What can’t be cured must be endured. So it would give you a lot of peace to accept your situation especially if you can’t change it.

Many people find or feel that they are trapped by circumstances that are unique to them. Many people love to live in the past. They love to talk and think about how nice the past was and how terrible the present is. This kind of escapism doesn’t help them at all. Some people actually seem to get a lot of enjoyment from their suffering, and are very reluctant to change the way they look at things, many people can find happiness by chasing a worthwhile dream. Looking forward into the future i.e., chasing dreams will help them escape from the difficulties of their present circumstances.

Form new habits to change the course of your life. Each habit has a cycle where you have a stimulus, a response, a consequence and the repetition of the cycle which establishes the habit. To make new and good habits one needs to change the response to a particular stimulus and break the old habit cycle.

Exercise your body. Improving your physical fitness definitely helps your mind stay happy. Exercise releases certain happy hormones in the brain that can help you cope with stress.

6. Count your blessing and be grateful for what you have got. Being grateful immediately brings to focus all the good things in your life. Even in the worst of times, you will realize that your life hasn’t been all bad and that should give you the strength to recover.

7. A few more suggestions.

Reduce your screen time. There have been many studies that have shown that the more time that someone spends in front of the screen of an electronic device, the greater the chances of feeling low.

Get out of your homes, get some fresh air and start a new exercise program.

Ask for help as the biblical saying goes “ask and you shall receive”.

Find the people who can help you and support you in difficult times.

Be flexible, negotiate with others and don’t be stubborn in holding onto your ideas and views.

While all of this is easy to write or read this in a blog, you need to be really strong to will your way out of depression. You may need to find an experienced counsellor who can guide you through your difficult times. Best wishes!

Why stress, What stress, How stress!

Just today, I lost possession of my phone for a short while. I was quite upset, in fact so upset that I developed some gastritis with severe pain in my tummy. And also today in the case folder of one of my patients, I saw a small scribble on stress that I had made in his case file to help him cope with the situation in his life. So I thought it would be the right time for me to rethink my response to my stress and see how I can deal witth them in a better way in the future and to put down my thoughts on paper. I hope you enjoy reading this article and get something useful out of it.

Stress is usually not something someone does to you but is actually something that you do to yourself when faced with an unpleasant situation or a person or have to make a tough decision. We need to make decisions in every situation in our lives. To stand or to sit, to talk or to stay quiet, to run or to fight. Quite often, we are stuck and find ourselves paralysed and indecisive because we think too much of the consequences of our impending decisions and actions. For example today when my phone went missing, initially I was extremely worried because the phone contained all my passwords and I was worried of the consequences of what would happen if it got into the wrong hands. It took me a while to realise that the missing phone was an iPhone with a complicated password that very few people knew and also that I would be able to lock it remotely if I lost it forever. However the phone had just fallen out of my pocket near my clinic and it was returned to me by those who found it.

Let’s look at the stress diagram below. It is said that a picture can say a 1000 words!

Stress is what happens to you when you are faced with a difficult situation. Stress is what happens to you before you make your mind up, before you make your decision to take action! Every stimulus demands an action. And in this gap lies STRESS! Most of us think about what happens after our actions and worry if the decision and subsequent actions are the best options to take and of how it would affect us! So fear sets in before the decision is made, adrenaline is secreted in the body, the heart starts to race, the BP shoot skywards and a whole set of stress hormones are released causing palpitations, headaches, sweating, tiredness and more. Once the decision is taken, the pressure is off and things slowly return to normal. When this happens repeatedly, it damages the body from within causing various diseases. (hypertension, diabetes, heart attacks, strokes etc).

I could make a few recommedations to you on how to handle stress.

1. The first way would be to take your own time to respond to a particular stressor. Most often we are under pressure to react immediately. e.g., if someone hits the car you are driving from behind, most of us would react by flying into a rage, confronting the offender, abusing him and sometimes even throwing punches. What if you could keep your cool, empathise with the other person and DECIDE not to lose your temper no matter what! If you could handle this situation without losing your temper you could reduce stress considerably. You could decide to give 10 min before your reaction.

2. Having a positive and happy outlook to life will also reduce your stress levels significantly. I have a friend who constantly broods that the world (or the system that is currently running our world) is coming to an end and that there will be anarchy and mayhem. Such a negative worldview would definitely handicap your handling the difficult situations in your life. How bad can life be if you imangined that the whole world is conspiring against you and people are out to get you!

3. Dont worry about consequences when you are choosing your decisions and actions. Decision paralysis leads to stress. Decisions can be changed and your course can be corrected at a later time. Nothing is final and nothing would cause irremediable harm to anyone. Staying in motion reduces stress so make your decisions and take your actions, correct course if you dont like the results of your decision but move on! Dont Stop!

4. You can only change yourself! You cant change anyone else in this world. A story has been told about a man who tried to change the world in his youth. In his middle age, he decided that the world could not be corrected and so decided to change his children. In his old age , he realised that he couldnt change his children and so attempted to change his loving wife of 50 yrs (unsuccessfully). Only on his deathbed did he realise that his life would have been very much easier if he had changed himself instead of trying to change others. So dont expect the world to change for you and you can change if you dont allow your ego to stop you.

5. Ask for help. You will be surprised how many will turn out to help you when you ask them to! The world is full of good people wanting to help their friends. Having helpful friends will reduce stress.

6. Always be on solution mode. Thinking of problems all the time leads to stress. Find solutions to problems, take decisions and don’t expect your decisions to be perfect. If you are wrong, apologize unreservedly and move on. Ask for help unashamedly. You only live once, why stress about anything. After you have made your best choice/ decision, accept whatever follows and keep moving.

7. Exercise daily and exercise well. A fit body can handle all the stress that life throws at it.