Category Archives: Denial

Acceptance, Anger, Anxiety, Avoidance, Blame, Choice, Denial, Depressed Anonymous, Honesty, Hope, Positivity, Purpose

DARVO, Depression, and the Erosion of Self Trust

Section 1, Scope and Intent

This article looks at a pattern often referred to as DARVO, and how it can intensify depression, anxiety, and self doubt, especially when it shows up repeatedly, or in relationships where power, safety, or dependence are not equal. My focus is not on diagnosing anyone, assigning blame, or deciding what something “counts” as. My focus is on impact, patterns, and why some interactions leave you feeling confused, ashamed, or smaller than you did before.

I am writing this for people who live with depression and find themselves repeatedly destabilized by certain conversations, particularly when those conversations involve someone they cannot easily avoid. I am also writing this for people who notice that, under stress or shame, they become defensive or reactive in ways that do not reflect who they want to be, and who want language for that without turning it into self punishment.

DARVO is used here as a private lens for clarity and support, not as a label to use in arguments, and not as a tool to prove anything.The aim is stability and dignity, a way to protect self trust when it feels fragile. You do not need certainty, confrontation, or a verdict to deserve care.

Section 2, Starting With the Lived Experience

Before naming any theory or pattern, it helps to start with what this can feel like from the inside.

You may notice that after certain conversations you do not feel relieved or resolved, but more unsettled than before. You might feel pressure to apologize or take responsibility without being clear what actually changed. You may leave interactions doubting your memory, your intent, or even your character, replaying what was said and how you reacted, trying to locate the moment where you went wrong.

For some people, the strongest feeling is not hurt but a heavier sense of being “bad,” or unsafe to be around. For others, it shows up as confusion, exhaustion, or a fog that makes it hard to trust your own thoughts. Over time, this can turn into rumination, anxiety before contact, or a shrinking of what feels safe to say.

If you recognize yourself here, you are not alone. The purpose here is orientation, not proof, so pause and come back if you need to.

Section 3, What is DARVO?

DARVO is an acronym that stands for Deny, Attack, Reverse Victim and Offender. It describes a pattern of response that can show up during conflict or moments of accountability.

In everyday terms, it can look like this. A concern is raised, or harm is named. Instead of that concern being addressed, the harm is denied or minimized. The focus then shifts to attacking the other person’s reaction, tone, or character. Finally, the roles reverse, and the person who raised the issue is treated as the problem, while the other person may end up positioned as the one who has been wronged.

A simple example can make this clearer.

  • You say, “That hurt me, I wish you had not said it like that.”
  • They say, “I did not do anything wrong, you are overreacting.”
  • Then, “You are always so sensitive, you make everything a problem.”
  • And finally, “You are attacking me right now, I am the one being mistreated.”

What matters most here is not the acronym, but the effect. Conversations that follow this pattern often leave one person feeling confused, ashamed, and responsible, rather than heard or resolved.

A few clarifications help keep this grounded and safe. DARVO describes behavior, not a diagnosis. People can fall into parts of this pattern under stress or shame and still come back later, acknowledge harm, and repair. One instance does not define a relationship. The pattern becomes most harmful when it is repetitive and one sided, especially across different topics and over time, and it can feel even more destabilizing when the relationship involves unequal power, safety, or dependence.

DARVO is not being named here so you can confront someone with it. In this article, it is offered as a private lens for understanding patterns and impact, particularly when interactions leave you feeling worse rather than clearer. The goal is not to decide who is right or wrong, but to understand why certain interactions may be eroding your sense of safety and self trust. 

Section 4, DARVO Versus Ordinary Defensiveness

Not every difficult conversation, sharp response, or defensive moment is DARVO. People get reactive when they feel criticized, misunderstood, or overwhelmed. That is human, and on its own it does not signal a harmful pattern.

A more useful starting point is what happens after the heat of the moment.

In ordinary conflict, even if someone denies, deflects, or snaps, there is often movement back toward repair. The person may return later, acknowledge impact, clarify intent, or make a change. The conversation may still feel messy, but it does not reliably end with one person carrying confusion, shame, and responsibility for both sides.

When DARVO shows up as a repeating pattern, the topic may change, but the ending stays the same. The concern is minimized or dismissed, focus shifts to your reaction or character, the roles flip, and you leave feeling blamed or unsure of yourself. Time passes, but repair does not arrive, or it arrives briefly without changing the structure.

You do not need a final conclusion. You are noticing direction over time. Do things become steadier and more mutual, or more destabilizing and one sided.

Section 5, Why DARVO Can Land Harder When You Live With Depression

DARVO can be destabilizing for anyone. When you live with depression, it can land harder and take longer to recover from.

Depression often affects concentration, emotional regulation, and confidence in your own judgment. You may already question whether your feelings are “too much,” whether you are being unfair, or whether you are the problem. When a conversation follows a DARVO shaped pattern, it can hook straight into that self doubt. What felt confusing starts to feel like confirmation that you are flawed.

It helps to say this clearly. Depression can reduce confidence in your perception. It does not automatically make your perception wrong. You are still deserving of fairness, and a shared understanding of what happened.

There is also a nervous system component. Under emotional threat or intense shame, many people freeze, shut down, or go foggy. Words disappear, working memory narrows, and details get harder to access. Later, that gap can become fuel for rumination, because the mind tries to reconstruct what it could not say at the time. Difficulty thinking clearly under stress is a biological stress response, not proof of guilt or manipulation.

When character or intent is repeatedly questioned, the injury can shift from “I was hurt” to “I am bad.” That shift is part of the damage, and it is one reason this pattern can deepen depression. Depression can also make someone more likely to defend with denial, attack, or reversal when shame or frustration spikes, especially when they feel misunderstood.

Vulnerability to harm is not the same as responsibility for harm. If symptoms worsen after particular interactions, that may be information about context, not a personal failure. 

Section 6, When It Keeps Happening, How the Impact Accumulates

When DARVO appears repeatedly, especially alongside depression, the impact is not limited to individual conversations. Over time, it can reshape how you think, feel, and relate to yourself.

Cognitively, confusion can grow. You may replay conversations trying to find where things shifted or what you “missed.” Reflection is normal, but relentless replay drains energy rather than restoring clarity. The mind keeps searching for certainty that never quite arrives.

Emotionally, shame often moves to the center. Instead of feeling hurt, you may feel exposed or fundamentally flawed. Anxiety can rise, especially before contact. A message notification, a phone call, or an upcoming conversation can trigger a stomach drop or a tightening in the chest. Over time, the nervous system can stay braced.

Some people withdraw, speak less, or minimize themselves to reduce risk. Others become more reactive because their system is already strained. Both are understandable responses to repeated pressure.

One of the deepest impacts is on identity. When intent, integrity, or character are repeatedly questioned, the injury can shift from “that interaction hurt” to “there is something wrong with me.” This is the erosion of self trust.

Naming these impacts is not about proving harm. It is about understanding why the inner world may feel more fragile than it once did. The argument ends, but the self doubt stays.

Section 7, The Feedback Loop, How Self Doubt Becomes the Outcome

When a DARVO shaped exchange happens once, it can be upsetting. When it happens repeatedly, it can create a loop where self doubt becomes the default outcome.

  • A concern is raised.
  • The concern is denied or minimized.
  • The focus shifts from the issue to your reaction, tone, or character.
  • The roles flip, you become the problem, the other person the victim..
  • Your nervous system reacts; fog, shutdown, anxiety, shame.
  • You reflexively try to make it stop, over explaining, appeasing, apologizing etc.
  • You leave destabilized, the original issue remains unresolved.
  • Rumination fills the gap, you replay it trying to recover clarity.
  • The next conversation starts with less self trust, and the loop is easier to repeat.

This is not about assigning a villain. It is about seeing how repeated reversal can train the mind and body to associate speaking up with losing your footing.

Section 8, Early Recognition Without Escalation

Early recognition is not about catching someone out. It is about protecting clarity before you get pulled into the loop.

Early signs can include

  • Your concern is not addressed, and your reaction becomes the topic.
  • You feel an urgent pull to explain, justify, or prove.
  • You notice a body shift, tight chest, stomach drop, heat, mind going blank.
  • You start fact checking in your head mid conversation, doubting your memory.
  • You feel yourself shrinking, appeasing, or apologizing just to end the tension.

Stabilizing moves can include

  • Slow down, shorten sentences, speak less.
  • Name a limit without arguing, I cannot do this clearly right now, I need a break.
  • Step away and return later with support, or do not return until you feel steady.

This is a skill, not a test. Noticing sooner and pausing sooner reduces cumulative damage.

Section 9, When You Notice It in Yourself

Under stress, shame, fear, or overwhelm, many people can slide into pieces of this pattern. The point is not self condemnation. The point is what happens next.

Depression can increase the risk of this in a specific way. When energy is low and frustration is high, small disagreements can feel like threat. If someone is already carrying shame or helplessness, accountability can land as humiliation. In that state, denial can feel like self protection, attack can feel like regaining control, and reversal can feel like the only way to be seen.

It is also possible for two people to move into this pattern in the same conflict, especially when both feel cornered. That does not mean both are equally responsible in every situation, and it does not erase power differences or safety issues. It simply means the dynamic can become mutually destabilizing, and depression can make it harder to step out of it once it starts.

Some common reflexes include denial, minimizing impact because it feels threatening, attack, going sharp or contemptuous to regain control, and reversal, positioning yourself as the injured party so you do not have to face the original concern.

A simple self check is this.

  • Did I respond to the concern, or did I make it about their tone, character, or motives.
  • Did I deny or minimize impact because I felt threatened, instead of staying curious.
  • Did I flip the roles so I became the injured party, to avoid accountability.

If any of those are true, an interrupt can be simple.

Pause. Lower the temperature. Return to the original concern. Name impact. Make one concrete commitment.

That can sound like:

“I hear you. I got defensive. I can see how that landed. I am sorry. I will handle it differently.”

If that cannot happen in the moment, it can still happen later. Repair is not self punishment, it is integrity, and it is one of the most protective moves against shame driven escalation.

Section 10, Repetition and Repair

A single defensive exchange is not the same thing as a repeating pattern. The more useful question is what happens over time, and whether repair is real.

To spot direction over time, these questions help.

  • Does the original concern ever get addressed, even later, or does it keep getting rewritten.
  • Does accountability show up, or does it consistently shift into tone, flaws, and intent.
  • After conflict, do both people get steadier, or does one person reliably end up destabilized.
  • Do apologies lead to change, or do they reset the conversation without changing the pattern.

Depression often turns repetition into proof that the depressed person is the problem, because it is already looking for reasons to believe that. Try to treat repetition as information, not a verdict. Direction is often enough to make safer choices.

Section 11, Rebuilding Self Trust After Reversal

The hardest part of repeated reversal is not the argument itself, it is what it does to the relationship with the self. Over time, the question stops being what happened, and becomes can I trust my own mind.

Rebuilding self trust starts small. Confusion, shame spikes, the urge to over explain, and the body tightening before contact are not proof on their own, but they are information. It is reasonable to take information seriously.

It also helps to separate ideas that depression loves to merge.

  • Someone can be imperfect, and still deserve fair treatment.
  • Someone can make mistakes, and still be telling the truth about their experience.
  • Someone can feel uncertain, and still set boundaries that protect them.

When spiraling starts, it can help to return to one simple line.

My experience counts, even if someone disagrees with it.

Self trust returns when choices consistently protect that clarity, especially in small ways.

Section 12, Safety and Support

If any of this is landing hard, it helps to end simply. This does not have to be carried alone. If a situation feels unsafe, physically or emotionally, safety comes first. That might mean stepping away from a conversation, reaching out to someone trusted, attending a meeting, talking to a professional, or choosing distance where distance is possible.

Support can be asked for without diagnosing anyone. Someone can speak from the “I,” what happens internally, confusion, shame, rumination, loss of self trust, and ask for help staying grounded. Another person does not need to be named for that experience to be real.

And if someone notices themselves getting defensive or reversing under pressure, it is still possible to come back later and repair. Pausing, calming down, and returning to the original concern with ownership is part of recovery too.

The point of naming DARVO here is not to sharpen conflict. It is to reduce confusion, reduce shame, and protect self trust, so that depression does not get extra leverage.

Bibliography

Deny, Attack, and Reverse Victim and Offender (DARVO)
Author: Sarah J. Harsey
URL:https://www.tandfonline.com/doi/full/10.1080/10926771.2020.1774695

The Influence of Deny, Attack, Reverse Victim and Offender (DARVO) and Apologies on Observers’ Judgments in a Sexual Violence Scenario
Authors: Sarah J. Harsey, Jennifer J. Freyd (and co authors, see paper)
URL: https://pubmed.ncbi.nlm.nih.gov/37154429/

DARVO (history and definition, primary source page)
Author: Jennifer J. Freyd
URL: https://www.jjfreyd.com/darvo

Gaslight, APA Dictionary of Psychology (definition supporting memory doubt and perception undermining)
Author: American Psychological Association
URL: https://dictionary.apa.org/gaslight

The role of rumination in depressive disorders and mixed anxiety depressive symptoms
Author: Susan Nolen Hoeksema
URL: https://pubmed.ncbi.nlm.nih.gov/11016119/

Rethinking Rumination
Authors: Susan Nolen Hoeksema, Blair E. Wisco, Sonja Lyubomirsky
URL: https://journals.sagepub.com/doi/10.1111/j.1745-6924.2008.00088.x

Rumination as a Mechanism Linking Stressful Life Events to Symptoms of Depression and Anxiety
Authors: Lauren C. Michl (and co authors, see paper)
URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC4116082/

Anxiety and Shame as Risk Factors for Depression and Related Outcomes (discussion of shame concepts and depression links)
Authors: Hannah Weingarden, Tyler Renshaw
URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC5026856/

Fear and the Defense Cascade, Clinical Implications for Understanding Trauma Related States (fight flight freeze type responses)
Authors: Kasia Kozlowska (and co authors, see paper)
URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC4495877/

Self Compassion, Theory, Method, Research, and Intervention (evidence base linking self compassion to reduced shame and distress)
Author: Kristin D. Neff
URL: https://self-compassion.org/wp-content/uploads/2023/01/Neff-2023.pdf

 

Acceptance, Anger, Avoidance, Blame, Choice, Courage, Denial, Depressed Anonymous, Despair, Fear, Helpful, Helpful Thinking, Honesty, Hope, Judgment, Pain, Purpose, Shame, Suffering

When Sadness Turns to Fire: Part 1 – Making Peace with Anger in Depression

Section 1 — Anger as a Hidden Face of Depression

Waking Into The Loop

I used to wake with a flood of feeling already moving through me. Anxiety. Frustration. A knot in my chest before the alarm finished its first ring. Most mornings I lay still, trying to will myself up while the same handful of thoughts circled. Not new thoughts. The same five to ten stories about past wrongs and past mistakes, replaying on loop. For months, this became my night routine too. Five to seven nights a week, two or three times a night, I jolted awake soaked in sweat, annoyed by the discomfort and the regularity, and confused about why my sleep was broken.

I did not know then that these were night terrors. I did not remember nightmares. I did not know the sweat on my skin was my body in a panic attack. I only knew that my sleep was shattered and that every morning started with rumination. I would revisit conversations where I had said the wrong thing, times I had acted on impulse, moments I had been treated unfairly, and I carried that heat into the day. Over time, my baseline shifted. I was quicker to get irritable and I stayed there longer. What looked like a short fuse was really a constant pilot light that never went out.

Naming And Normalizing The Anger

Getting diagnosed helped me name it. The anger I felt was not just bad temper. It was part of my depression. I learned something I wish I had known sooner, anger and marked irritability are common in depression, possibly approaching half of people with major depression. Knowing that earlier would have eased a lot of shame.

The Cycle And What Keeps It Going

Let’s look at how the cycle worked for me. Broken REM sleep left my body on alert, my mind primed to scan for threat. No wonder I woke up exhausted. Through a partial hospitalization program and an intensive outpatient program, I learned skills I had never been taught, and my medication began to work the way it is meant to work. I am practicing new habits now. I still have thoughts that pull me toward rumination, but I do not feed them for long, and they come less often. That change did not happen by accident. It happened because I learned what was happening to me and what I could do about it.

Why do so many of us feel a fire of anger beneath the sadness? For me, a higher baseline of irritability slid into frustration and then into powerlessness. Anxiety rode on top of that, and then frustration at the anxiety itself. The more often that cycle spun, the more likely I was to flip into hyperarousal, the body’s alarm stuck on high, then crash into hypoarousal, shut down and drained. Sometimes I dissociated. Often I was left with a mental tiredness that sleep alone could not fix.

These moments have roots. Rumination is not harmless thinking. It is fuel for depression. Depression nudged me toward three habits that felt like relief in the moment but kept the cycle going, rumination, isolation, and avoidance. Practice any habit enough and the brain gets better at it, including the ones that hurt. I had been reinforcing negative pathways every time I replayed an old story, pulled away from people, or dodged small tasks that felt too heavy. The cost showed up as more anxiety, lower self-esteem, and a shrinking sense of worth. None of that meant I was weak. It meant my brain and body were doing what brains and bodies do when survival mode runs the show.

What Helped And What Comes Next

The same systems that get stuck can be retrained. New pathways can be built. Skills from therapy helped me notice when my thoughts were spiraling and gave me simple steps to interrupt the loop. Medication steadied the floor so I had enough energy to practice. Community mattered just as much. In rooms where we practice honesty and mutual support, I could say, “I was angry when…,” and be met with understanding rather than shame. That is the heart of recovery for me, shared struggle, practical tools, and hope that grows in company, not in isolation.

Here is how this piece is organized. First, I will name the link between depression and anger in plain language. Then I will describe anger attacks, the sudden, panic-like surges many of us never knew had a name. From there we will look gently at the brain and the body as a map, so we know where the alarm lives and where the brake is. Finally, we will focus on treatment and day-to-day tools that lower the heat, shorten the rumination, and widen the space between spark and action.

If any part of my story sounds like yours then understand this, you are not broken. Your brain and body have been signaling distress. Learning that language is not about blame. It is about choice. With practice, the mornings can feel different. The nights can grow quieter. And anger can shift from a fire that burns you to a signal you can hear, respect, and respond to with care and skill.

Section 2 — Understanding the Link Between Depression and Anger

When I finally put words to what was happening, I learned something that would have helped me years earlier. What I was feeling is not rare. Many people living with depression also report persistent irritability or anger, and in some large clinical samples it appears in roughly half of those in a depressive episode. Knowing that does not mean anyone is failing at recovery. It means we are noticing a common part of how depression can show up.

What anger means inside depression

Depression is not only quiet sadness. It can look like impatience, restlessness, a quick snap in the voice, or a low boil that never fully cools. Clinicians often call this irritability, a lowered tolerance and faster trigger for frustration. The DSM lists irritability clearly for children and teens, and many adults with depression report it too, so clinicians take it seriously in adults as well.

Anger can also be protective. Sometimes the brain reads hopelessness or shame as threat, so the body brings up anger as a shield. That does not make anger wrong. It makes it a signal, the nervous system’s way of saying, something feels unfair or unsafe.

Why sadness and anger feed each other

Think of a pressure cooker. Low mood and low energy keep a person quiet, so pressure builds. Then a small spark sets off a burst. Research on emotion dynamics shows that when the system is strained, feelings stick around longer, and reactions grow bigger than the moment. 

Add self-critical thoughts or perfectionism and the loop tightens. The anger turns inward, I am furious with myself, or outward, why can nobody understand, and both routes deepen guilt, withdrawal, and more depression. This is not a character flaw. It is an overloaded alarm system doing what overloaded systems do.

Common fuels for the burst

Poor or broken sleep, missed meals or blood sugar dips, pain or illness, alcohol or caffeine spikes, conflict that is not repaired, too many open tabs and no recovery time. On thin-energy days, any one of these can tip the system from quiet to hot in seconds.

How the body carries it

Here is a tiny map you can keep in your pocket.

Hyperarousal means the alarm is high, heart rate rises, breath shortens, hands feel warm, jaw tightens, thinking narrows, voice gets sharp.
Hypoarousal means the system crashes, energy tanks, limbs feel heavy, focus blurs, you go quiet, numb, avoidant.

Learning these body states helped me notice earlier and choose a different path sooner.

Try this now, 30 seconds
Feel your feet on the floor. Breathe out slowly for six counts. Name three colors you can see. Name two sounds you can hear. Touch one textured object. Your body learns safety from repetition.

Everyday life when the baseline is depleted

On a thin-energy day, small frictions hit like sparks on a dry fuse. A curt email. A dish left in the sink. Traffic that keeps you ten minutes late. A childcare pickup snafu. None of these are dramatic on their own, but when the baseline is already low, the reaction can feel bigger than the moment. That does not mean you are dramatic. It means the circuit is overloaded and your body is trying to protect you with the tools it has.

Sometimes these surges arrive as anger attacks, short bursts of overwhelming anger that seem to come out of nowhere. A small frustration, a sense of being trapped or misunderstood, or a sudden spike of shame can flip the body into “fight mode,” flooding you with adrenaline. You might feel heat in your face, tightness in your chest, trembling, a racing heart, or a kind of tunnel vision where it is hard to think clearly and all you want to do is shout, slam a door, or make the feeling stop. 

Often, the attack is followed by a crash, guilt, or exhaustion, which can feed the depression and self blame. Naming this pattern does not excuse harm, it gives us a map of what is happening inside so we can plan a safer route, learn earlier warning signs, and choose different actions next time.

Two quick snapshots, same loop

Outward route: A terse message lands, my chest tightens, my voice sharpens, I defend before I connect, afterward I feel guilty and drained.
Inward route: I forget a small task, shame floods in, I call myself names, I go quiet and avoidant, afterward I feel small and tired.

Different routes, same loop. Guilt rises, withdrawal grows, mood drops.

What this means for recovery

If you have felt this, you are not broken. Your brain and body are signaling distress. Recognizing that is the first step to loosening the link between sadness and anger. The same systems that get stuck can be retrained. Skills can interrupt rumination earlier. Medication can steady the floor so practice is possible. Community matters. Saying this out loud in rooms where honesty and mutual support are normal turns anger from a secret flaw into a signal we can work with, together. Understanding anger does not excuse harm. It gives us earlier choices to prevent it.

Mini-FAQ

Isn’t anger just my personality
Depression lowers emotional margin and makes anger more frequent. As mood improves and skills grow, the heat often lowers too.

Can meds make irritability worse or better
Some people feel relief with the right medication, some feel jittery on certain doses. If irritability rises, tell your prescriber so the plan can be adjusted.

What if I mostly feel numb, not angry
Numb can be the shut-down side of the same system. Grounding and gentle activation skills help widen that narrow window.

Reflective prompts

  • When does my anger most often show up, mornings, late afternoons, after conflict, after poor sleep?
  • What helps me catch the first 1 percent of heat, a phrase, a breath, a body cue, a pause I can practice?

References for Section 2

  • Judd LL, Schettler PJ, Coryell W, et al. (2013). Overt Irritability or Anger in Unipolar Major Depressive Episodes. JAMA Psychiatry, 70(11), 1171–1180. https://jamanetwork.com/journals/jamapsychiatry/fullarticle/1737169

  • Fava M, Rosenbaum JF, Pava JA, et al. (1998). Anger attacks in depression. European Archives of Psychiatry and Clinical Neuroscience, 248(5), 231–239. https://pubmed.ncbi.nlm.nih.gov/9809215/

  • Perlis RH, Smoller JW, Fava M, et al. (2004). The prevalence and clinical correlates of anger attacks in unipolar versus bipolar depression. Journal of Affective Disorders, 79(1–3), 291–295. https://pubmed.ncbi.nlm.nih.gov/15023510/

  • Perlis RH, Fraguas R, Fava M, et al. (2005). Prevalence and clinical correlates of irritability in major depressive disorder, a preliminary report from STAR*D. Journal of Clinical Psychiatry, 66(2), 159–166. https://pubmed.ncbi.nlm.nih.gov/15705000/

  • Fava M, Tossani E, Sonino N. (2018). Irritability in major depressive disorder, prevalence and clinical implications. CNS Spectrums, 23(5), 378–384. https://www.cambridge.org/core/journals/cns-spectrums/article/irritability-in-major-depressive-disorder-prevalence-and-clinical-implications/4B7D0B5B03F2D1AD16F01E0F6C6B6D39

  • Stringaris A, Vidal-Ribas P, Brotman MA, Leibenluft E. (2013). Irritability in youth and adult depression, a common phenotype. American Journal of Psychiatry, 170(10), 1041–1052. https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2013.12070939

  • Kuppens P, Sheeber L, Yap MBH, et al. (2012). Emotional inertia prospectively predicts the onset of depressive disorder in adolescence. Emotion, 12(2), 283–289. https://ppw.kuleuven.be/okp/_pdf/Kuppens2012EIPPT.pdf

  • Bylsma LM, Taylor-Clift A, Rottenberg J. (2011). Emotional reactivity to daily events in major and minor depression. Journal of Abnormal Psychology, 120(1), 155–167. https://pubmed.ncbi.nlm.nih.gov/21319928/

  • Beck AT. (1976). Cognitive Therapy and the Emotional Disorders. Basic Books. https://archive.org/details/cognitivetherapy0000beck

  • Tangney JP, Dearing RL. (2002). Shame and Guilt. The Guilford Press. https://guilford.com/books/Shame-and-Guilt/Tangney-Dearing/9781572307598

Section 3 — Anger Attacks: When Emotion Breaks Through

Sometimes that signal does not whisper, it shouts. The sadness and tension that have been quietly building suddenly burst out as heat, a raised voice, or tears. It can feel like being taken over for a minute, then the wave passes, and you are left spent.

Naming the experience

Here is how it often starts. Your chest heats up, your heart pounds, your hands clench before your mind catches up. Words feel sharp and fast. A minute later the edge drops, and in its place comes a heavy let-down, guilt, exhaustion, maybe shame. Psychiatrists eventually gave this pattern a name, anger attacks, because they often behave more like panic than ordinary anger.

Plain-language definition.
An anger attack is a sudden surge of anger or rage, usually peaking within minutes, often bigger than the situation, and paired with strong body sensations like pounding heartbeat, heat, sweating, shaking, short breath, or lightheadedness. It may end with tears, guilt, or exhaustion. Some people have them a few times a year, others more often. These are stress-system symptoms, not proof that you are bad or violent. Naming it helps you separate the person from the pattern.

In the early 1990s, clinicians began noticing that many people with major depression described panic-like episodes of rage. They documented the pattern and studied it. Across several samples, roughly one third to one half of adults with major depression reported these episodes. Similar findings appeared in different countries and settings. The point is not to inflate numbers, the point is relief. If you recognize this in yourself, you are not alone and you are not broken.

What it feels like in real life

You drop a glass. It shatters. Something inside you seems to snap too. Heat floods your face. Your heart slams. A shout leaves your mouth before you decide to say anything. Then, almost as quickly, you are crying and apologizing, drained, confused about where that came from. Later you tell yourself a harsh story about it. That harsh story keeps the cycle going.

How anger attacks differ from regular anger

  • Sudden onset, they rise fast, sometimes with no clear trigger you can name.
  • Big body charge, heart, breath, heat, and shaking mark the episode.
  • Aftermath, regret, shame, and fatigue often follow.
  • Mismatch, the reaction feels larger than the moment.

What it is, and what it is not

  • Anger attack: fast rise, big body charge, mismatch with the moment, drop into fatigue or tears.
  • Ordinary anger: builds with a clear cause, proportionate, leaves you functional.
  • Panic attack: fear and doom are central, anger may be absent, breath and heart race.
  • Overwhelm in ADHD or autism: sensory or task overload can look similar, pacing and shutdown are common. If you relate to this, note it for your clinician.

Safety first
If you ever fear you might harm yourself or someone else, seek help now, call local emergency services or a crisis line. If attacks include blackouts, weapons, or injuries, get urgent medical support. Understanding the pattern is step one, safety is step zero.

How the body carries it

Here is a tiny map you can keep in your pocket.
Hyperarousal means the alarm is high, heart rate rises, breath shortens, hands feel warm, jaw tightens, thinking narrows, voice gets sharp.
Hypoarousal means the system crashes, energy tanks, limbs feel heavy, focus blurs, you go quiet, numb, avoidant.

Learning these body states helped me notice earlier and choose a different path sooner.

After an anger attack, a short reset

A 10-minute playbook

  1. Ground, feet on floor, long exhale, sip water.
  2. Note the facts, what just happened, keep it one or two lines.
  3. Repair quickly, if someone was affected, “I got overwhelmed, I am sorry, I am taking space to settle and will check back.”
  4. Lower inputs, quiet space, dim phone, light snack if hungry.
  5. Prevent rumination, set a 20-minute timer, when it rings, do one small neutral task, laundry, dishes, a short walk.
  6. Log it, see the one-line tracker below.

One-line tracker
Date, time, last three inputs, how it felt first in the body, how it ended, one thing that helped.
Example, Tue 6 pm, poor sleep, skipped lunch, tense email, heat in chest, cried then heavy, water and a walk helped.

A simple repair script
“I got overwhelmed earlier and had what I now know is an anger attack. I am sorry for how it came out. I am learning to catch these sooner. Here is what I will try next time, take a pause, breathe, name it, step away for ten minutes. Thank you for giving me a moment to reset.”

A note on history and culture

Many of us were taught that anger is unacceptable, or that only certain people are allowed to show it. Gender, culture, family rules, and safety histories shape how anger appears and how we judge ourselves for it. If your anger shows up as irritability, tears, or numbness, it still counts. You deserve language and support, not shame.

What helps over time

Skills that widen your emotional margin, sleep repair, regular meals, limits on alcohol and stimulants, movement, and therapy that targets body cues and thinking patterns can all reduce attacks. Antidepressants can help for many, especially when anxiety is present, though some medicines or doses can raise jitteriness for a few people, always talk with your prescriber about what you notice.

Now that we can name the episode, the next step is understanding the loop that drives it, brain alarm, body charge, narrowed thinking, crash. When we see where the pedals are, alarm and brake, we can practice pressing the right one sooner. Part 2 maps that loop in simple terms, and pairs each step with small skills you can try the same day.

Where we go next

If you have read this far, we have already done something important, we have named the pattern. Depression can carry irritability and anger, anger attacks can be real, panic like surges, and the shame afterward can deepen the illness if we treat it as proof of being broken. Naming is not an excuse, it is a map, and maps let us choose safer routes. In Part 2 we will look at what is happening in the brain and body during these episodes, the alarm and the brake, and then we will walk through the treatments and day to day practices that make the gap between spark and action wider, and repair more possible.

References for Section 3

Acceptance, Addiction, Choice, Courage, Denial, Ego Deflation, Honesty, Powerlessness

Addicted to sadness?

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At a recent meeting we were reading from the Depressed Anonymous literature and the topic of being addicted to sadness came up. There were several people in the meeting who bristled at the idea of sadness being an addiction. Is depression really an addiction to sadness?

Instead of answering that question directly I think it would be helpful to list some common characteristics of any addiction.

  1. It’s an unhealthy coping mechanism for life’s ills.
  2. It worked for a while but now it no longer works.
  3. It has made your life unmanageable.
  4. It is a disease that tells you that you don’t have a disease.
  5. You lie about how often you do this drug/behavior.
  6. You think about it most, if not all, of the time.
  7. You have continuously done this drug/behavior even though it has done great harm to you and loved ones.
  8. It may have caused you to be fired from a job.
  9. It may have caused you to be admitted to a hospital/mental institution.
  10. It may have caused you to be arrested.
  11. It may have caused financial harm in your life.

Any addiction, whether it is alcohol, drugs, gambling, depression doesn’t have to meet all of these characteristics. Like the Jeff Foxworthy “You might be a redneck if…” jokes you might be addicted to sadness if say 5 or more of those characteristics are true.

Something doesn’t need to exactly match the medical definition of chemical dependence or physical dependence to be described as an addiction. Let go of your current belief on what is and is not an addiction. Look at the characteristics above and rate your depression against them. The magic number may not be 5. It could be 4 or 6 or whatever makes sense to you. Try it on for size. You may be able to let go of your skepticism.

Yours in recovery, Bill R

Avoidance, Belief, Denial, Depressed Anonymous, Fear, Isolation, Pain, People Pleasing, Stress, The 12 Steps

Depression and Security

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“Being depressed is a state of great security.Jackie said (client of D.Rowe) , ‘I get very quiet. I don’t want to know anyone. Very angry. I get very hurtful, not intentional hurt, but that’s the only way I can get through to people, so they don’t get any closer. If I hurt them, they’ll stay away and therefore I can be on my own in this depression, and hide behind the mask and just solely by hurting people, being quiet, feeling angry inside and putting the barrier up, that’s how I can keep people away, which I feel helps me in the state of depression.I need to feel safe within the blackness. A fear of being with people. Being really frightened of everything and anybody around you. It’s just so painful. You feel drained of everything. Hiding behind the mask is putting yourself away from the outside world. The world you were frightened of stepping into, but people still seeing you with that smile, the joking, the laughing, and that is where the mask comes on. Behind the mask, I am suffering hurt and pain, rejection, helplessness, but behind the mask and shutting myself within four walls, I feel secure, because none of the outside world can come in unless I let them hurt me.
Because depression gives a feeling of security, the depressed person can feel very much in control. (We are always capable of being two contrary things at once. Depression is always a state of complete helplessness and complete control,) A depressed person can take great pride in being in control.”

SOURCE: BEYOND FEAR. Dr. Dorothy Rowe, Fontana, London, 1987, pp. 307-308.

Published in The Antidepressant Tablet(c) Issue: Volume 4, Number 3 SPRING 1993. Louisville, Ky.

Acceptance, Addiction, Affirmations, Attachment, Belief, Choice, Community building, Courage, Denial, Fear, Fellowship, Focus, Helpful, Helpful Thinking, Honesty, Hope, Isolation, Meditation, Mindfulness, Mutual Aid, Positivity, Prayer, Purpose, Spirituality, Step 07, Suffering, Victim Thinking

Miss My Sad Thoughts

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Some days I miss my sad thoughts. They are addictive. They fill a space in me and meet a requirement of comfort and familiarity. Humans require and seek a level of comfort and familiarity. The depressed human is no different. Sadly, it’s the sad thoughts that provide the deep level of comfort. When I remove the sadness, I have to work to replace that big open field of nothingness left. It feels hard. It feels like work. Pressure and effort. I want to fall back into the sad thinking because, I know very well how to form those thoughts and how to feel them. How to make use of them, strangely. They serve a strong purpose. They validate my depression and vice a versa. They have lived in me for so long that to have to fill the void of their space feel so hard. It feels like big shoes to fill. I feel pressed, just trying. My mind is having to accept this new training I am putting it through. It doesn’t want to change. It is not welcoming of these new positive thoughts at first. It is a struggle. My mind wrestles back and forth: ‘I just want to go home and go to my bed. No, no! You want to keep grocery shopping…! No, please, I just need to lie down, I’m leaving this group!! I am so depressed. No, no! You are going to do your task today, because, it will make you feel better.’ The better part of me wins and I refuse to be held captive, a victim to this negative dark thinking that is killing me. So, I continue on doing the grocery shopping with an internal mind struggle going on. The whole day seems to continue like this. The back and forth tug of war in my mind! It takes time to truly train the mind to accept the incoming positive thoughts. Affirmations are a needed daily medicine for the saddened mind for sure. It takes consistency. I ask myself how bad do I want to feel better? I continue to retrain my mind every single day. Slowly, I miss my sad thoughts less and less. I feel the need for the positive affirmations more and more. This is the process of healing the depressed mind and thus, my feelings. I look forward to a time where I will not miss my sad thoughts and the struggle between the positive and negative thoughts will not be such a big part of my day.”
Debra NC

“Slowly, I found the positive affirmations more and more and more.”

Copyright(c) Debra Sanford. A Medley of Depression Stories. First edition. (2017) PP> 30-31.( Used with permission.)

You may email Debra: thedepressionstories@gmail.com. She would love hearing from you.

12 Step Meeting, Act As If, Belief, Choice, Community building, Denial, Exercise, Faith, Fellowship, Focus, Helpful Thinking, Higher Power, Hope, I'll Do It When I Feel Better, Indecision, Isolation, Mindfulness, Mutual Aid, Purpose, Service, Spirituality, Step 01, Stress

Motivation follows action

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

I believer much of 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 mind and so it and the body begin to show the stress. I also believe that so many unpleasant emotions constantly coming to surface and being felt by the body results in an overload situation for my brain.

COMMENT
The best way to get into action is to get into action. I know this is so obvious–but when the time comes for me to actually do something–that is a different story. Then my mantra becomes “I’ll do it when I feel better,” and course this doesn’t get me out of bed. This doesn’t get me walking. Instead, what happens, is that my thinking gets caught in that neural rut, much like a merry-go-round. Round and round we go. Nothing ever changes.

Tell yourself that this day is going to be different .Make a commitment to yourself today! Make up your mind that you are not going to ride the merry-go-round horse today.You are going to start small. Take the “baby steps” that just might push you out the door and put some fresh air into your lungs. MOTIVATION FOLLOWS ACTION. Check it out. See, for yourself if this doesn’t work for you.

Copyright(c) Hugh Smith. Higher Thoughts for Down Days:365 daily thoughts and meditations for members of 12 step fellowship groups. Depressed Anonymous Publications. Louisville, KY January 24, p.15.

Acceptance, Denial

I have to say I never really admitted I was depressed. That seemed too heavy and embarrassing to me

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           A Medley of Depression Stories. 2017. (With permission of the author Deborah Sanford.) This work can be found available  at Amazon.com.

                               Cindy’s Story of regrets.

”  I am realizing what a young woman I was when I had my kids. Now at 32 with 13 and 11 year old sons, I can barely find the energy to just live through today. I feel like the weight of the world is on my shoulder to raise them, to teach them morals and care for them and keep them out of trouble.  Since both are diagnosed ADHD, I spend a great deal of time at the school fighting the administration on their behalf. It is exhausting. I hear myself saying in my thoughts: “I just want it to be over.” I feel depressed so often. I think how I just want to run away and leave my husband to raise them. When will  it ever be time for me? Their father works all the time. I would on most day’s trade places with him gladly. The house stays a mess. and their dishes, cups and glasses stay  seated where they leave them. It  doesn’t seem fair.  I don’t remember asking for this job. How could a busy robust life turn into this?  I can’t find the hope to be anything or do anything anymore. By the time I get them raised I will not qualify for any jobs except  spreading peanut butter and jelly on bread!  Some days I think I just could start over but I know I can’t go back 14 years ago. I love my boys to pieces but, I feel so trapped, so hopeless and so valueless. After this ongoing heavy feeling of hopelessness, I found a good therapist who also told me about a local Depressed Anonymous meeting for depression. I have to say I never really admitted I was depressed, that seemed too heavy and embarrassing to me. I didn’t think I was depressed anyway to even search for a depression meeting. I just thought everything in my life was just wrong and messed up. And I just needed  to “figure how to fix it.”   She (therapist) assured me that I had fallen into a depression and that a support group would really benefit me! She was right! I can’t find the words for how much the Depressed Anonymous meetings have helped me. I have been able with help to put things into perspective. I’ve learned to take it one day  at a time. The boys are teenagers and truthfully I wouldn’t have them but for a few more years. I want to treasure the little bit of time left that I will have. And my therapist encouraged me to hire a housekeeper for just three hours a week to mop and catch up laundry  and dishes. My problems are solvable! Thank God! I haven’t  felt trapped and stuck for quite a while now. My husband is always going to have to work long hours but my life has become more manageable in the meantime. And I have met new friends at the support  group who have kids and feel like I was feeling. It’s so nice to be able to relate to them. I am so very grateful for Depressed Anonymous.”

–Cindy is a member of Depressed Anonymous. Her story is part of a collection of 35 stories,  all centered on persons depressed who have found   help and hope in the fellowship of Depressed 

             *************************************************

NOTE: The author, Debra Sanford, is the Founder of Depressed Anonymous groups in the North Carolina communities of Elizabeth City and Edenton, NC.  We thank her for the permission to post this inspiring story on our Blog today.

  SOURCE: Below you can   get more information  on the new book,  (c) A Medley of Depression Stories.

                        https://the depression stories. wordpress.com/

                        Email: the depressionstories@gmail.com

 

 

Denial

Halloween, false faces, masks and other disguises

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Holloween is a great time to pretend to be someone else. It’s a day when we can all live out our fantasies of being someone than our selves. On this one night of  the year we  are given permission to be  a super hero, a great army leader, an Olympic champion, the world’s greatest athlete. This year there was a great number of Supermen running around, accompanied by a few   Spidermen for the evening , plus the  little Princess and the powerful Wonder woman.

It was great fun. Parents walking with their little one’s, going from door, carrying the bags of booty, like little pirates, with such dreadful threats as “Trick or Treat” belted out  like they meant it.  I recognized some of the monsters and figures of fame, and most I didn’t.  But we all had a great nite acting like we were someone else.

This reminds me of a friend that shared with me his great secret and who he was pretending to be. This wasn’t Holloween though. He was  a doctor addicted to cocaine and other addictive substances. As he gradually removed the mask from his face, tears streaming down his face, and he told me his story. The painful and gradual sinking into the abyss of darkness. He told me  the following and I will never forget the emotion with which he shared this secret of himself.

“I just wish, I wish I could go to the roof of this hospital and tell everyone, those who respect me the  most, as what a fraud I am. I can’t. I want to do it.  I haven’t the courage or the guts. ” And of course he never did. He kept his secret until he died of an overdose.

I took off my mask years ago at an AA meeting. And yes, I told them I was a fraud. Alcohol had given me the best false face a person could have. A fun guy.  A happy Jack who never met a stranger. Then it was time to share another secret, my depression. How I always had a smile pasted on my face even though the tormenting demons of fear, anxiety, and isolation were my constant companions.

What freed me? It was others just like me–all telling  their secrets and paradoxically becoming free. We, all of us in the Depressed Anonymous Fellowship no longer have “to fake it til we make it.”

If you want to tell your story, join us in the new  online group called the Home Study Program. Sign up before November 15th. Here you can have a one on one  Home Study program, with a sponsor and guide.  Check out  the story of Kim at our NEWSLETTER   issue #5. Read how Kim’s life has been changed by working the DA HOME STUDY combo, composed of the Manual and Workbook.

The title of our new Newsletter is THE ANTIDEPRESSANT TABLET, ISSUE 1, FALL, 2017.

hugh

 

Denial

Halloween is always a great time for false faces!

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This past week we all had a great time being somebody else. It was great fun to see the little Princess, the Cowboy, a super hero, astronaut and all the rest. Don’t you think that all of us would like to be somebody else for awhile – even just for a short time on Halloween eve? Yes, we all would like to be somebody important, somebody who was a mover and shaker, somebody whom everyone loved. You know, like a comedian, a super hero, a great military leader or a great statesman, like Abraham Lincoln. Yes, Halloween is a great time to act like we are someone else. To put on a false face. Everyone wants to know who that is behind that mask?

Have you ever imagined yourself someone else and felt like it fit you quite well? A perfect fit, so to speak. It’s obvious that it brings great fun and laughter all around. We all know that it won’t last long and I can be me again, but not so magical when we are someone else.

I remember when it was Halloween every day, for over a year at a painful time in my life. I was no grand champion of civil rights for the down trodden. I was no medal of Honor recipient for his or her valiant deeds. I was just me – still wearing my false face from Halloween. I never took my mask off. I had to always wear it because I could not let anyone see me, the real me, the hurting and isolated me, imprisoned in my habitual self, serving time till someone freed me from my anxiety.

Years ago, I had a friend who was a medical doctor and who was addicted to opioids and other addictive substances. I still remember his words like they were spoken just yesterday. He wore his false face well. As we talked late one night he shared with me his soul, the mask peeled gently from his face , the tears streaming down his face, as he told me something he never was able to tell anyone else. He told me, hesitatingly, that if “I had the courage and the guts, I would get as high on this hospital roof as I could and shout for everyone to listen up. For everyone to look at me – a horrible and pitiful addict. I would tell them what a fake I have been all my life, that I am a fraud. I the healer telling every one how to live their life and I can’t even begin to live a day without the shot, the pills, alcohol. I want so badly to just be me. Me, to tell others who I really am.”

My visit that night with the doctor has stayed with me all my life. It has stayed with me because I too was at a point like him later one in my own life.

It came upon me so slowly, the feelings of hollowness, the jitteriness and fear. Always the fear. Fear, that someone would discover someone else behind my mask.