Category Archives: Stinking Thinking

Addiction, Choice, Courage, Focus, Powerlessness, Purpose

Adding to saddening tolerance?

When it comes to other addictions the addict typically will use more of the substance/behavior and participate in it more frequently. They typically start exhibiting more risky behavior because what was once a line in the sand that they wouldn’t cross is now being crossed on a daily or more frequent basis. What exactly is your bottom line addictive saddening behavior? What did it start out as?

Perhaps it began with you not being outgoing in social situations. It then may have progressed to you not speaking to a few or many people. Then it may have switched to you staying isolated at home. Then you may be at a point that you find it impossible to get out of bed.

Notice a progression here where you had to start exhibiting deeper and more frequent saddening behavior. Our tolerance grows over time and it takes a bigger hit of saddening yourself before you feel the escape from the troubles of your life.

The nice things about bottoms is that there are so many to choose from. I can get off the crazy train by dedicating myself to a program of recovery. We can’t do it alone but with each other and our Higher Power there is a way out of depression.

Join me on the journey of returning to sanity.

Yours in recovery,
Bill R

Acceptance, Choice, Helpful, Helpful Thinking, Mindfulness, Mutual Aid, Necessity, Serenity, Stinking Thinking

Radical Acceptance – The First Step Toward Healing in Depression

In a 2019 study published in The Journal of Affective Disorders (DOI: 10.1016/j.jad.2019.07.035), researchers found that individuals who practiced acceptance-based coping strategies reported a 30% decrease in depressive symptoms over six months compared to those who used avoidance-based coping. This highlights a crucial reality: resisting painful emotions often intensifies suffering, whereas acknowledging them can lead to significant relief.

Imagine a person struggling with deep sadness due to a recent job loss. Instead of fighting their feelings by telling themselves they shouldn’t feel this way, they choose to sit with their emotions, allowing themselves to process the grief. Over time, this acceptance enables them to regain control over their thoughts, consider new opportunities, and move forward. This is the essence of Radical Acceptance, a core component of Dialectical Behavior Therapy (DBT) that has transformed countless lives.

Researching and writing this article deeply resonated with me. Radical Acceptance was the first DBT technique that truly connected with me because I had come to rely on it in the period immediately following my intent to end my life. It was the foundation that helped me begin the process of healing, giving me the space to understand my emotions instead of being consumed by them. By embracing Radical Acceptance, I found a way to regain control, one moment at a time.

Why Fighting Reality Makes Depression Worse

“I shouldn’t feel like this. This isn’t fair. Why does this keep happening to me?” These thoughts might feel familiar to anyone struggling with depression. It is natural to resist painful emotions, to wish them away, or to believe that if we fight hard enough, we can overcome them by sheer willpower. However, this resistance often has the opposite effect, intensifying our distress and making it even harder to cope. Instead of alleviating suffering, resistance compounds it, leading to frustration, self-blame, and exhaustion.

Radical Acceptance, a core skill in Dialectical Behavior Therapy (DBT), provides an alternative path—not just conceptually but through empirically validated methods. Numerous studies have demonstrated the effectiveness of DBT in reducing emotional distress, improving distress tolerance, and enhancing emotional regulation. Research, such as a meta-analysis by Valentine, Bankoff, Poulin, Reidler, and Pantalone published in Clinical Psychology Review (2014), has shown that DBT interventions significantly decrease symptoms of depression and anxiety, supporting the role of Radical Acceptance in mental health treatment. 

By incorporating these scientifically-backed techniques, individuals can develop healthier coping mechanisms and build resilience. one of resignation but of acknowledgment. Developed by Dr. Marsha Linehan, DBT incorporates mindfulness and acceptance strategies rooted in both psychological research and Eastern contemplative practices. Studies have shown that acceptance-based approaches can significantly reduce emotional distress and increase psychological flexibility, making it easier to cope with difficult experiences. By fully recognizing reality without resistance, we can shift our energy from futile struggle to meaningful healing. This article will explore what Radical Acceptance is, how it alleviates depression, how it serves as a foundation for other coping strategies, and practical ways to cultivate and maintain it.

The Science Behind Dialectical Behavior Therapy (DBT) and Radical Acceptance

Dialectical Behavior Therapy (DBT) was developed by Dr. Marsha Linehan in the late 1980s as a treatment for individuals with borderline personality disorder (BPD). Over time, research has demonstrated its effectiveness in addressing a range of mental health conditions, including depression, anxiety, and post-traumatic stress disorder (PTSD). One of DBT’s core pillars is Radical Acceptance, which has been shown to play a significant role in emotional regulation and distress tolerance.

Research Supporting DBT and Radical Acceptance

Numerous studies support the efficacy of DBT, particularly in reducing emotional distress and improving overall well-being. A 2006 study by Hayes, Luoma, Bond, Masuda, and Lillis published in Behavior Research and Therapy (DOI: 10.1016/j.brat.2005.06.006) found that individuals who practiced acceptance-based strategies, including Radical Acceptance, experienced a significant reduction in emotional suffering compared to those who engaged in suppression or avoidance. Similarly, a 2014 meta-analysis in Clinical Psychology Review reported that DBT-based interventions led to improvements in mood regulation and a decrease in self-harming behaviors.

A study conducted by Neacsiu, Rizvi, and Linehan (2010), titled “Dialectical Behavior Therapy Skills Use as a Mediator and Outcome of Treatment for Borderline Personality Disorder,” found that patients who underwent DBT showed greater emotional resilience and improved distress tolerance. Their findings suggest that Radical Acceptance helps individuals break the cycle of avoidance, allowing them to process emotions more effectively rather than getting trapped in self-perpetuating cycles of resistance and frustration. 

The full study is available at https://doi.org/10.1016/j.brat.2010.06.001. And found that patients who underwent DBT showed greater emotional resilience and improved distress tolerance. Their findings suggest that Radical Acceptance helps individuals break the cycle of avoidance, allowing them to process emotions more effectively rather than getting trapped in self-perpetuating cycles of resistance and frustration.

Why Radical Acceptance Works

From a psychological standpoint, Radical Acceptance reduces what is known as “secondary suffering”—the distress caused by resisting or suppressing emotions. When individuals accept their emotions as they are, they shift their focus from trying to control or eliminate their pain to managing it in healthier ways. This aligns with research in mindfulness and cognitive behavioral therapy (CBT), which emphasizes the importance of acknowledging emotions without judgment.

Furthermore, neuroscience has demonstrated that acceptance-based strategies can reduce activity in the amygdala—the brain’s fear and stress center—while increasing activation in the prefrontal cortex. A study by Goldin et al. (2010) published in Biological Psychiatry found that individuals practicing mindfulness and acceptance techniques showed decreased amygdala reactivity to negative stimuli, suggesting that these strategies enhance emotional regulation by shifting neural activity toward rational processing. This shift enables individuals to respond to distress with greater clarity and emotional control rather than impulsive reactivity. brain’s fear and stress center—while increasing activation in the prefrontal cortex, which governs rational thinking and problem-solving. This shift enables individuals to respond to distress with greater clarity and emotional control rather than impulsive reactivity.

Radical Acceptance, therefore, serves as both a philosophical approach and a scientifically supported method for improving mental health. By embracing reality as it is, individuals can cultivate greater emotional stability, resilience, and overall well-being.

What Is Radical Acceptance?

Radical Acceptance is the practice of fully acknowledging reality as it is, a concept deeply rooted in Dialectical Behavior Therapy (DBT), developed by Dr. Marsha Linehan. Linehan introduced Radical Acceptance as part of a broader strategy to help individuals regulate emotions and tolerate distress without becoming overwhelmed. Drawing inspiration from both Western cognitive-behavioral therapy and Eastern mindfulness traditions, DBT integrates acceptance-based strategies to help individuals break cycles of avoidance and resistance. This approach has been particularly effective in treating borderline personality disorder, depression, and anxiety, as it enables individuals to fully engage with their emotions and circumstances without being controlled by them. without trying to deny, minimize, or change it. It is about seeing things clearly and allowing ourselves to experience emotions without judgment or resistance. This does not mean approval of suffering or accepting a miserable fate, but rather recognizing the present moment so that we can respond effectively.

What Radical Acceptance Is Not:
  • Not approving of suffering: Accepting something does not mean we like it or agree with it.
  • Not resigning to a miserable life: It is about reclaiming energy to create change, not giving up.
  • Not ignoring emotions: Acceptance allows emotions to be processed fully, preventing them from overwhelming us.
Resistance vs. Acceptance

Imagine waking up feeling deeply depressed.

  • Resistance Thought: “I hate that I feel this way. I shouldn’t be depressed. Why can’t I just be normal?” This response adds shame and frustration, making emotions feel even heavier.
  • Acceptance Thought: “I feel depressed today. This is my reality right now, and I can work with it.” This response removes unnecessary struggle, creating space for self-compassion and coping strategies.

Radical Acceptance does not eliminate pain, but it prevents additional suffering caused by resistance. By acknowledging our emotions without fighting them, we create a foundation for moving forward.

How to Achieve Radical Acceptance

Cultivating Radical Acceptance is an ongoing process that requires conscious effort and practice. It is not something that happens overnight but a skill that can be developed over time. Here are some key steps to achieve and maintain Radical Acceptance:

1. Acknowledge Reality as It Is

The first step in Radical Acceptance is to simply recognize what is happening in the present moment. This means allowing yourself to see reality without judgment or denial. When you find yourself resisting a situation, pause and remind yourself: This is what is happening right now.

2. Observe Your Thoughts and Emotions Without Judgment

Mindfulness is a crucial part of Radical Acceptance. Practice observing your thoughts and emotions as if you were watching clouds drift across the sky. Instead of getting caught up in judgments like this is terrible or I shouldn’t feel this way, try thinking, I notice that I am feeling sad right now.

3. Use Validation Techniques

Self-validation helps reinforce acceptance by acknowledging that your emotions and reactions make sense given your circumstances. Instead of dismissing your feelings, try statements like:

  • It’s understandable that I feel this way given what I’m going through.
  • This emotion is valid, even if it’s uncomfortable.
  • I can accept that this is how I feel in this moment.
4. Shift from “Why Me?” to “What Now?”

When we resist reality, we often get stuck in self-pity or frustration. Instead of asking Why is this happening to me? shift your focus to What can I do to take care of myself in this moment? This shift in perspective opens the door to constructive action rather than prolonged suffering.

5. Use Acceptance-Focused Mantras

Repeating simple phrases can help reinforce Radical Acceptance, such as:

  • It is what it is.
  • I don’t have to like this to accept it.
  • Fighting reality only increases my suffering.
  • I choose to work with what is, not what I wish it to be.
6. Practice Deep Breathing and Grounding Exercises

Physical techniques can help the body relax into a state of acceptance. Deep breathing, progressive muscle relaxation, and grounding exercises like focusing on sensory experiences can shift the nervous system from resistance to calm acceptance.

7. Accept Incrementally When Full Acceptance Feels Impossible

Sometimes, fully accepting a painful situation feels overwhelming. In such cases, break it down into smaller steps:

  • Instead of saying I fully accept my depression, start with I accept that I am feeling depressed at this moment.
  • Take acceptance one moment at a time, allowing yourself to adjust gradually.
Using Radical Acceptance as a Springboard for Recovery

Radical Acceptance is not about surrendering to suffering but about using it as a foundation for change. Once we accept a situation fully, we can better understand it. And with understanding comes clarity—allowing us to process emotions, work through pain, and begin healing. Acceptance grants us the mental space to focus on solutions, whether that means seeking professional help, using coping strategies, or simply finding small ways to re-engage with life.

To accept something is to enable ourselves to understand it, and to understand it is to equip ourselves with the tools to move forward. When we remove resistance, we create space for growth, healing, and recovery. By embracing Radical Acceptance, we set the groundwork for transformation, allowing us to regain control over our emotional and mental well-being.

The Power of Letting Go of Resistance

Depression is painful enough on its own, and resisting reality only adds to the suffering. Many individuals believe that if they resist, deny, or fight against what they feel, they can somehow force it to disappear. However, this struggle often leads to greater frustration and self-defeating thoughts. Letting go of resistance does not mean embracing passivity—it means allowing reality to be what it is without additional self-imposed suffering.

When we stop fighting against reality, we gain the power to change it. This is the paradox of Radical Acceptance: when we let go of resistance, we open ourselves to new possibilities, emotional healing, and the ability to take purposeful steps forward. The journey to healing begins with a simple but profound truth—acceptance is the first step toward lasting change.

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The Dopamine Trap: Why Depression Makes Even Fun Things Feel Like a Chore

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The Strange Effect of Depression on Enjoyment

Imagine this: You finally have some free time. You sit down to play a game, read a book, or pick up an old hobby—but something feels wrong. The excitement you once felt is gone. The activity that used to bring you joy now feels exhausting, almost like a chore. Instead of looking forward to it, you procrastinate, feeling guilty that you “should” be enjoying it.

If this sounds familiar, you’re not alone. One of the most frustrating aspects of depression is that it robs you of motivation and pleasure, even for things you used to love. This phenomenon isn’t just about mood; it’s rooted in neuroscience, particularly in how dopamine, the brain’s motivation and reward chemical, functions.

This article explores why depression makes fun things feel like work, how dopamine plays a role, and what you can do to break the cycle—with the help of evidence-based strategies from Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and neuroscience-backed techniques.

Why Hobbies Stop Feeling Rewarding: The Role of Dopamine Dysregulation

To understand why hobbies stop feeling enjoyable, we first need to look at how dopamine works and what happens when it becomes dysregulated.

Dopamine: More Than Just a “Feel-Good” Chemical

Dopamine is a neurotransmitter that regulates motivation, anticipation, and effort—not just pleasure itself. It helps your brain determine what is worth doing and provides the drive to pursue rewarding activities.

  • In a healthy brain, dopamine is released in response to an anticipated reward, reinforcing behaviors that lead to pleasure or fulfillment.
  • In depression, however, this system doesn’t function properly. Rewards don’t trigger the expected dopamine response, making even enjoyable activities feel unrewarding or exhausting.

How Dopamine Function Becomes Disrupted

Dopamine dysregulation in depression happens due to a combination of biological, psychological, and environmental factors:

  1. Chronic Stress and Cortisol Overload
    • When the brain is under prolonged stress, cortisol (the stress hormone) increases.
    • Excessive cortisol interferes with dopamine production and signaling, making it harder for the brain to recognize rewards.
    • Studies have shown that high cortisol levels blunt dopamine transmission, contributing to anhedonia (Pizzagalli, 2014).
  2. Reduced Dopamine Receptor Sensitivity
    • Over time, if dopamine is not used efficiently, the brain reduces the sensitivity of dopamine receptors.
    • This means that even when you engage in an activity that should be rewarding, the brain fails to process the pleasure properly.
  3. Lack of Novelty and Dopamine Burnout
    • The dopamine system thrives on variety and challenge. When life becomes repetitive or monotonous, dopamine activity naturally declines.
    • If a person is stuck in the same routine with little variation, they stop associating hobbies with excitement, making them feel more like obligations.
  4. Inflammation and Neural Fatigue
    • Research suggests that inflammation in the brain can lower dopamine levels and contribute to depression-related fatigue (Felger & Lotrich, 2013).
    • This can make even small tasks feel overwhelming, as the brain doesn’t generate enough energy to initiate effort.
  5. Avoidance Behavior and Dopamine Deprivation
    • Depression often causes avoidance behaviors—people stop doing things because they expect them to be exhausting or unfulfilling.
    • But avoidance itself deprives the brain of dopamine, reinforcing the cycle of low motivation and anhedonia.

In short, dopamine dysfunction in depression isn’t just a lack of pleasure—it’s a system-wide failure of motivation, anticipation, and effort regulation.

The Difference Between Wanting vs. Enjoying an Activity

One of the biggest mental traps in depression is the belief that not wanting to do something means you don’t actually enjoy it. This false belief can lead to unnecessary self-doubt and reinforce avoidance behaviors.

“I Don’t Want To” vs. “I Don’t Enjoy It”

  • Depression makes it hard to start activities, but that doesn’t necessarily mean the activity itself has lost all meaning or value.
  • Some people still enjoy things once they start, but the initial activation energy required to begin feels too high.
  • Others experience “numb pleasure”—going through the motions of an activity but feeling disconnected from it.

Why This Belief Develops in Depression

This mental distortion happens because depression disrupts the way the brain anticipates rewards. Instead of expecting something to feel good, the brain expects it to be effortful or empty, making motivation harder to access.

🔹 Key study: Research shows that depressed individuals tend to underestimate future enjoyment, even when they later report having liked the activity once they started (Dunn et al., 2011).

CBT Insight: The “Emotional Reasoning” Trap

Cognitive Behavioral Therapy (CBT) identifies this thinking pattern as “emotional reasoning”—the belief that because you don’t feel like doing something, it must not be worth doing (Beck, 1979).

The truth? Motivation often follows action, not the other way around.

CBT practitioners emphasize that small actions can create momentum, even if motivation is low at first. This is why behavioral activation—starting with small, manageable activities—is a core part of depression treatment (Dimidjian et al., 2006).

How to Reignite Interest in Hobbies (Without Forcing Fun)

The key to rebuilding motivation isn’t about waiting for inspiration to strike—it’s about using small, intentional actions to reignite engagement.

1. The 5-Minute Rule: Trick Your Brain Into Starting (CBT – Behavioral Activation)

One of the biggest hurdles in depression is getting started. The 5-Minute Rule helps bypass this resistance:

👉 Tell yourself, “I’ll do this for just five minutes.”

Why it works:

  • It removes pressure—five minutes feels manageable.
  • Once you start, you often keep going.
  • Even if you stop after five minutes, you’ve still disrupted avoidance behavior (a key CBT principle).

🔹 Example Behavioral Activation Activities Using the 5-Minute Rule:
✔ Draw a single line on paper. If you feel like continuing, do so. If not, you still did something.
✔ Put on workout clothes. You don’t have to exercise—just wear them for five minutes.
✔ Read one paragraph. If you want to stop, stop—but more often than not, you’ll keep reading.

2. Micro-Rewards: Hacking Dopamine with Small Wins

When depression reduces the brain’s ability to anticipate pleasure, introducing small, tangible rewards can help rebuild dopamine associations.

💡 Ways to introduce micro-rewards:
✔ Checklists (crossing things off provides a dopamine boost).
✔ Listening to music while engaging in activities.
✔ Gamifying tasks (using apps like Habitica to turn chores into a game).

3. Curiosity Over Fun: Lowering the Expectation (DBT – Radical Acceptance)

If nothing feels fun, shift your focus from “enjoyment” to curiosity.

👉 Instead of asking, “Do I feel like doing this?”, try: “What if I just explore it?”

📌 Low-pressure ideas:

  • Watch a random documentary.
  • Learn a single new fact.
  • Doodle without the pressure of creating something “good.”

🔹 DBT encourages radical acceptance—the idea that you don’t have to like your current situation to engage with it. This can help reduce the pressure of trying to “force” enjoyment (Linehan, 1993).

4. Change the Medium: A New Way to Engage

Maybe the format is the problem, not the hobby itself.

✅ Try a different version:

  • Books feel overwhelming? Try audiobooks.
  • Gaming feels empty? Try multiplayer or cooperative games.
  • Used to write? Try voice memos instead of full drafts.

5. Body Before Mind: Use Physical Priming (CBT + DBT – Opposite Action)

  • Physical movement increases dopamine and energy.
  • Even small actions (stretching, walking, cold exposure) can help jumpstart motivation.

🔹 Research shows that light exposure, movement, and cold stimulation can increase dopamine levels, potentially improving mood regulation (Caldwell & Wetherell, 2020).

Conclusion: Redefining “Enjoyment” During Depression

Depression makes motivation difficult, but not impossible. The feeling that hobbies are meaningless or exhausting is not a permanent state—it’s a reflection of how depression affects the brain’s ability to anticipate and experience rewards. This means that even if an activity doesn’t feel enjoyable right now, that doesn’t mean it’s lost its value forever.

The most important thing to remember is that you don’t have to wait to feel motivated before you take action. In fact, waiting for motivation often reinforces the cycle of avoidance. Taking small, intentional steps—without pressure—helps signal to the brain that engagement is still possible.

How to Approach Recovery: Small, Intentional Shifts

  • Start small. Even the smallest action—reading a sentence, pressing play on a song, stepping outside for one minute—can help break the cycle of avoidance and retrain the brain to associate activities with engagement rather than exhaustion.
  • Focus on curiosity over pressure. Instead of trying to “force” enjoyment, allow yourself to explore, experiment, and experience things without expectation. Sometimes, curiosity itself is enough to create momentum.
  • Remember that action precedes motivation. Depression tells you that you should wait to “feel” like doing something before acting. But in reality, taking action—even in small ways—creates the conditions for motivation to follow.

Progress Is Not Linear—And That’s Okay

Rebuilding motivation is not about pushing yourself to feel joy immediately. It’s about creating opportunities for engagement—even if that engagement feels different from before. Some days, you might find enjoyment, while other days, everything may still feel numb. Both experiences are part of recovery.

If an activity feels unbearable, try a smaller version of it. If it still doesn’t feel rewarding, that’s okay too. The goal is not perfection—the goal is persistence.

The Science of Hope: Dopamine Pathways Can Recover

One of the most encouraging findings in neuroscience is that dopamine pathways can regenerate. Research suggests that with time, engagement, and small behavioral changes, the brain can restore its ability to anticipate and experience pleasure (Heller et al., 2009). This means that the feeling of enjoyment can return—even if it feels out of reach right now.

Final Takeaway

Depression may make hobbies feel meaningless, but that doesn’t mean they are. You are not broken, and your capacity for joy is not lost—it is just temporarily inaccessible. By taking small steps, embracing curiosity, and shifting focus from pressure to exploration, you can gradually rebuild your connection to the things that once brought you happiness.

Until then, remember: even small steps forward are still steps forward.

Despair, Isolation

Signs of the Depressive Experience

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Originally published 16 July 2014

  • Wanting to isolate and be alone
  • Change in appetite
  • Shifts in sleeping patterns (too much/not enough sleep)
  • Waking up early in the morning
  • Fatigability or lack of energy
  • Agitation or increased activity
  • Loss of interest in daily activities and/or decreased sex drive
  • Feelings of sadness, hopelessness, worthlessness, guilt or self-reproach
  • Weeping/Not able to cry
  • Lapses of memory
  • Hard time making decisions
  • Fear of losing one’s mind
  • Reluctance to take risks
  • Difficulty in smiling or laughing
  • Suicidal thoughts
Acceptance, Anxiety, Avoidance, Choice, Courage, Despair, Helpful, Isolation, Mindfulness, Negativity, Positivity, Stress, Suffering

DBT Grounding Techniques – Part 5 Putting It Into Use

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Part 5: Putting It All Together – Creating Your Grounding Ritual

You’ve now explored Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness—each offering powerful tools to help you stay grounded in difficult moments. But real-life challenges don’t always fit neatly into one category. That’s why the final step is about combining these techniques into a structured grounding ritual that you can turn to whenever you need stability.

When emotions overwhelm you, drawing from all four DBT modules can create a powerful and structured grounding ritual. Combining these practices helps you address the physical, emotional, and relational aspects of distress, guiding you toward calmness and control.

By integrating skills from all four DBT modules, you can create a personalized approach to managing distress, regulating emotions, and staying present—even in the toughest moments. Let’s explore how to bring it all together.

Step 1: Pause and Breathe Deeply (Mindfulness)

Start by grounding yourself in the present moment. Mindfulness creates the mental space needed to approach the situation with clarity.

How to Practice:

  • Take a deep breath, inhaling for 4 counts, holding for 4, and exhaling for 6.
  • Visualize your breath as a wave, washing tension out of your body.
  • If your thoughts wander, gently guide them back to your breath without judgment.

Why It Works:
This activates your parasympathetic nervous system, calming your body and quieting your mind so you can think more clearly.

Step 2: Splash Cold Water on Your Face (Distress Tolerance)

Engage your body to interrupt the cycle of emotional overwhelm. TIPP skills are especially useful for regaining control in the moment.

How to Practice:

  • Use cold water, hold an ice cube, or place a cold compress on your forehead or cheeks.
  • Pair this with paced breathing to further calm your system.

Why It Works:
The temperature change triggers your dive reflex, reducing heart rate and calming the body. This brings you back to the present.

Step 3: Challenge the Thought Causing Overwhelmedness (Emotion Regulation)

Once your body feels calmer, examine the thoughts driving your emotional reaction.

How to Practice:

  • Ask yourself: “What triggered this feeling? Is it based on facts or assumptions?”
  • Use the “Check the Facts” technique to reframe exaggerated or unhelpful thoughts.
  • Example: Replace “I can’t handle this” with “I’m feeling overwhelmed, but I can take it one step at a time.”

Why It Works:
Shifting your perspective helps you address emotions logically, reducing their intensity and making them easier to manage.

Step 4: Communicate Using DEAR MAN (Interpersonal Effectiveness)

If another person is involved in the situation, use DEAR MAN to express yourself effectively and maintain the relationship.

How to Practice:

  • Describe the situation: “When you didn’t respond to my message…”
  • Express your feelings: “…I felt hurt and unsure if you were upset with me.”
  • Assert what you need: “I’d appreciate a quick reply, even if it’s just to say you’ll respond later.”
  • Reinforce the benefit: “This way, I’ll know everything’s okay between us.”

Why It Works:
Clear, calm communication reduces misunderstandings and fosters connection, even in emotionally charged moments.

Creating a Flow for Your Grounding Ritual

  1. Pause and Focus (Mindfulness):
    Take 1-2 minutes to ground yourself through breathing or observing your surroundings with the Five-Senses exercise.
  2. Shift Your Physical State (Distress Tolerance):
    Use a temperature-based TIPP skill or self-soothing technique to calm your body. Radical Acceptance of the situation may assist now or at the next stage in this flow.
  3. Examine and Adjust Your Thoughts (Emotion Regulation):
    Check the facts or use opposite action to address unhelpful emotional patterns.
  4. Engage With Others Mindfully (Interpersonal Effectiveness):
    If the situation involves another person, use DEAR MAN or FAST to maintain your boundaries and self-respect while fostering understanding.

Example in Practice:

Scenario: You’re feeling overwhelmed after receiving criticism from a colleague.

  1. Mindfulness: Step outside for a moment, take a deep breath, and focus on the sensation of the air against your skin.
  2. Distress Tolerance: Hold a cold water bottle against your wrists to calm your body.
  3. Emotion Regulation: Ask yourself, “Was their criticism factual, or am I interpreting it as a personal attack?” Reframe the thought: “This feedback is an opportunity to grow, not a judgment of my worth.”
  4. Interpersonal Effectiveness: Use DEAR MAN to address the issue with your colleague:
    • Describe: “When you shared your feedback earlier…”
    • Express: “…I felt caught off guard and a bit overwhelmed.”
    • Assert: “I’d like to understand more so I can improve.”
    • Reinforce: “This will help me meet expectations better in the future.”

Why This Works

By integrating techniques from all four DBT modules, you address the emotional, physical, and relational aspects of distress. This holistic approach helps you regain control, navigate challenges effectively, and build resilience over time.

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Motivation Follows Action

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AFFIRMATION
I promise to do something positive for myself today.
“When you are depressed you are plagued by tiredness. Indeed, there are many people who experience the major portion of their depression in tiredness.”

Copyright(c) Dorothy Rowe. Breaking the Bonds, Fontana. 1981.

I find that if I am depressed and want to start to feel better, or at least get my mind off of depression, I need to go for a walk and keep on moving. In DA we say MOTIVATION FOLLOWS ACTION. WHAT THIS MEANS IS THAT YOU’LL NEVER GET MOTIVATED TIL YOU GET BUSY DOING SOMETHING. This was my feeling a lot of time. It was only when I started walking that I wanted to walk. I didn’t want to do anything to help myself, until I forced myself to do something.

I believe that one’s tiredness when depressed comes from having too many things going through one’s brain at the same time. The strain of being overwhelmed is too much for the human brain and so it and the body begin to show the signs of stress. I also believe that so many unpleasant emotions constantly coming to surface and being felt by the body results in an overload situation in my brain.

Copyright(c) Dorothy Rowe, Breaking the Bounds. Fontana. 1981

QUOTE FROM:
Hug Smith. HIGHER THOUGHTS FOR DOWN DAYS. DAP. LOUISVILLE, KY. 2005 (January 24) Pg.15.

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So, I admit that I am depressed? Now what do I do?

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“The first thing that I would do, would be to check out our Depressed Anonymous website @depresedanon.com. It is Here that you will be able to participate every day, with people just like yourself, who are seeking hope, and healing. This mutually supportive fellowship will lead you out of the prison of your depression and open your life up to hope, healing, and lasting friendships.

Even though we have a need to be by ourselves, and stay apart from human contact, we also have a need to be in contact with others. For to be in contact with others means that we will have to take some risks to make some choices. But when I am depressed and alone. I don’t have to make as many choices or take any action except to keep isolating myself and staying apart.”

Copyright (C) Depressed Anonymous Publications. (2002) Louisville, KY

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When you’re depressed all you’re interested in is survival – Dorothy Rowe

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THE ORIGINS of MISTRUST

I want to share with you how Dr. Fitzgibbons, a psychiatrist, provides examples how our lack of trust can originate in early childhood. Patterns of isolating behavior and negative thinking, grow strong in a home environment where the child is not loved and nurtured.

Dr. Fitzgibbons, tells us “that the seedbed of mistrust resides in childhood. Many times this lack of trust, of others and ourselves and the world around us, may have begun with the loss of a parent, sister, brother, or a close friend. A serious illness in a parent, sibling or oneself can be the cause of depression. Many times mistrust comes about because of an alcoholic parent so that a child never knows if a drunken loved one is coming home, or in an angry drunken stupor. Anger and rejection by caregivers and/or peers can also have an effect on the ability to trust. Parental divorce or separation can have an effect on a child. Also a cold distant, and unloving parent can have a negative effect on a child. Add to this, a legacy of mistrust and fear in the family will negatively influence a child. Finally, poverty may also be a cause of mistrust”

Brenda, (not her real name ) shares with us some of her own story:

“I have often reflected on how a lack of trust in myself and in others, had a crippling effect on my early childhood development. It was only until I began examining my own childhood, later in life, that I discovered reasons for my mistrust of others. I accomplished these discoveries by getting in touch with those early negative feelings that constantly bombarded my everyday thinking. Most of these early feelings remained unconscious and hidden, until I started to examine my childhood relationships, especially with those significant others who were my caregivers.”

By utilizing the Depressed Anonymous Workbook with its’ 12 STEP COMMENTARY, and questions, directed toward one’s early life experiences, special attention was centered on those caregivers and significant others in one’s family, who, charged with caregiving, to provide the child with the love that a child deserves. For many children, who grew up in a home environment, filled with anger, parental arguing, and violence, made it impossible for a child to defend themselves against such abuse, including mental, sexual, and physical abuse. Some children create fantasy worlds, some with imaginary friends, with whom they can confide in and feel secure in a home environment where chaos reigns.

In our Depressed Anonymous fellowship, we can begin to open up to group members, giving us that opportunity to share and trust, others, who are like ourselves. We happily discovered that we are now no longer alone. Most of us come to our program of recovery, looking to find help, and that welcome relief from the daily crippling burden of depression, which has forced us to isolate from others, believing that we are not good enough.

Earlier, Dr, Fitzgibbons has listed some of the major causes of our childhood depression, and we can resonate with them within our hearts and minds. And in your moments of personal quiet and reflection, celebrate who you are and not who others say you are.

So get a notebook, and begin to write down your answers to those questions in the DA Workbook, which hold meaning for your own personal life and recovery, to which you can relate. Share your DA Workbook with your therapist, sponsor or friends in Depressed Anonymous at the ZOOM meetings online, and/or face to face meetings.

So now, not only will you be a survivor, you will no longer be a victim of those circumstances, which made you believe that you were worthless, unlovable and unacceptable. Progress, not perfection.

By completing my Fourth Step inventory, it became possible to uncover those areas of my early life which made trusting an impossibility. As mentioned earlier, and later into my early adult life, it was my own spiraling downward, into the darkness of depression, the only thing that I could think of was my survival. I was desperate to stop the descent into the darkness and physical pain. I knew that I must get active, preventing my paralyzing desire to take comfort in sleep and shut out the world.

My life is very different now. I continue to take inventory of my life on a daily basis and I finally believe in myself and the Higher Power that has helped me believe that I have a purpose and a meaning for my life. I also believe in a power that is greater than myself and who continually leads me, everyday, on this wonderful journey of hope! Progress and not perfection.

TRUST IS A FEELING OF BEING SAFE IN RELATIONSHIPS AND IN LIFE.

HUGH S., FOR THE FELLOWSHIP

12 Step Meeting, Forgiveness, Helpful, Isolation, Suffering, The 12 Steps

Humility is not a constant harping on our faults

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“Humility is not a constant harping on your faults and errors and general worthlessness. When you find yourself doing this (like being unable to say anything good about yourself or constantly apologizing or feeling quite unable to do anything even moderately well) remember what Archbishop Fenelon wrote to one of his parishioners,

It is mere self-love to be inconsolable at seeing one’s own imperfections, but to stand face to face with them, neither flattering nor tolerating them, seeking to correct oneself without becoming pettish – this is to desire what is good for its own sake and for God’s.

Humility, self-acceptance and forgiveness are all aspects of the one process where we come to see ourselves as we are and other people as they are. Since we no longer have the pride and arrogance to try to control ourselves and our world so as to make ourselves and our world into something which they are not, we can now be spontaneous. Since we no longer have to hide ourselves from other people, to put a barrier between ourselves and our world, and so feel ourselves to be alive. Since all desire leads to suffering, ceasing to desire perfection reduces our desires and so our suffering. We then know along with Lao Tsu Tau, that,

It is more important
To see the simplicity,
To realize one’s true nature,
And temper desire.

Learning to accept oneself and others, to be courageous, loving, humble and forgiving, and to face death with equanimity, is no small task. But this is what you must undertake if you are to find your way out of the prison of depression.”

Copyright(c) Dorothy Rowe. Depression: The way out of your prison. Second Edition. Routledge and Kegan Paul. New York, 1986. P.230.

For the fellowship,
Hugh S.

Belief, Choice, Helpful, Hope, Pain, Purpose, Step 03

How to find hope and let it blossom

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“Hope can only exist in a state of uncertainty.
That certainty means total certainty. That certainty means to be without hope.
The prison of depression is built with the bricks of total certainty.

Certainty. Security. No Hope.
To hope means to run the risk of disappointment.
Avoid disappointment. Stay depressed.
To be insecure means not to be in control.
Stay in control. Be depressed.
To be uncertain means to be unsure of the future.
Predict the future with certainty. Stay depressed.

Hope can exist only when there is uncertainty. Absolute certainty means complete hopelessness. If we want to live fully we must have freedom, love and hope. So life must be an uncertain business. This is what makes it worthwhile.”

Copyright(c) Dorothy Rowe. Depression: The way out of your prison. NY. Kegan Paul. 1996.

“Hope is to seek things and have the expectation that what we desire will come true. In the matter of depression, Dr. Rowe warns us that when we predict that we will always bw the way we are, is to predict a life of certainty, but one without hope. In the way that we construct our world we begin to live with some uncertainty and with this uncertainty we are going to little bit by little bit, accept some pain, hurt and disappointment in our life. This is not bad, but it is not always pleasant.

When we are depressed, it is not so important as to how we got depressed, but what is important, is how we see ourselves. Do we believe. like Dorothy Rowe, that we will always see ourselves as bad, worthless, unacceptable to ourselves and to others when we are depressed? If this is the way that we want to look at ourselves, then we are sure to believe that we will never change. We hold these beliefs about ourselves as immutable truths, and ever binding. This is the thing about depression – we believe that it will always be this way – namely, being possessed by this painful hollow feeling and deadly emptiness, which we carry around in our bodies, day after day, year after year.”

Copyright(c) Hugh Smith. How to hope and let it blossom. Depressed Anonymous Publications. Louisville, KY. Pages 1-2. 2004.