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Action Before Motivation, Using Behavioral Activation for Depression

Introduction

When depression, trauma, anxiety, or emotional exhaustion take hold, life often starts to shrink. We stop reaching for the things that used to steady us. We pull back from people, routines, responsibilities, and even small sources of comfort. The worse we feel, the less we do. Then the less we do, the harder it becomes to feel any sense of movement at all.

Behavioral activation is built on a simple idea, action often has to come before motivation, not after it. Instead of waiting to feel ready, hopeful, or energized enough to re-engage with life, behavioral activation focuses on small, deliberate steps that help restore structure, connection, and momentum over time.

This article is about what behavioral activation is, where it comes from, and most importantly, how to actually use it. The practical side is the real focus. We will look at how behavioral activation techniques can be used in everyday life when energy is low, avoidance is high, and follow through feels difficult. To support that, we will also look at the history behind behavioral activation, the cycle it is designed to interrupt, why it works, and how to stay with it long enough for it to help.

This is not about pretending everything is fine or trying to force yourself into a better mood. It is about understanding that small actions, repeated often enough, can help open life back up again.

Section 1, What Behavioral Activation Is, and Where It Comes From

Behavioral activation, often shortened to BA, is a structured therapeutic approach that helps people re-engage with life through planned, meaningful action. It is not just about staying busy, and it is not the same as distracting yourself until the day is over. The point is more specific than that. Behavioral activation targets patterns of withdrawal and avoidance, and helps people increase contact with activities that bring reinforcement, meaning, connection, or a sense of progress.

That matters because when someone is depressed or emotionally shut down, inactivity is often part of the problem, not a character flaw. People stop doing things because everything feels heavier, flatter, more effortful, or less rewarding. In the short term, pulling back can feel understandable, even protective. Over time, though, it usually cuts people off from the very experiences that help support mood, routine, confidence, and connection. Behavioral activation is designed to interrupt that pattern.

The basic idea is simple, do not wait for motivation to show up before taking action. In many cases, waiting is exactly what keeps someone stuck. Behavioral activation works from the other direction. It starts with manageable, deliberate actions, not because a person already feels better, but because action can help create the conditions where feeling better becomes more possible.

The roots of behavioral activation go back to behavioral theories of depression developed in the 1970s, especially the work of Peter Lewinsohn. Those early models focused on reduced positive reinforcement. In plain language, when someone has less contact with experiences that bring pleasure, accomplishment, meaning, or connection, mood can worsen. As mood worsens, people often withdraw further, which reduces those experiences even more. Later research, including work by Neil Jacobson and colleagues, helped show that the behavioral side of therapy for depression was especially powerful. That helped behavioral activation become recognized as a treatment in its own right, rather than being seen only as one part of cognitive behavioral therapy.

That history matters because it shows behavioral activation is not a motivational trend or a watered down version of something more serious. It is a well-established, evidence-based treatment approach with a clear theory behind it. It is also recognized in mainstream clinical guidance as a treatment option for depression, which places it firmly inside standard therapeutic practice, not at the edges of it.

Just as important, behavioral activation has lasted because it is practical. Many people already know they are stuck. What they do not need is another abstract explanation of why. They need a realistic way to begin moving again. Behavioral activation offers that by focusing on actions that are small enough to be doable, but meaningful enough to start changing the pattern.

Useful sources for this section include:
https://pubmed.ncbi.nlm.nih.gov/21275642/
https://pubmed.ncbi.nlm.nih.gov/20677369/
https://www.nice.org.uk/guidance/ng222/chapter/recommendations
https://pmc.ncbi.nlm.nih.gov/articles/PMC7390059/

Section 2, The Cycle Behavioral Activation Is Designed to Break

One of the hardest parts of depression, trauma, anxiety, or emotional shutdown is that they do not just change how we feel. They change what we do. We start pulling back from ordinary life. We cancel plans, ignore messages, put things off, let routines slide, and stop doing small things that used to help us feel steadier. Over time, that withdrawal can stop being just a result of low mood and start becoming part of what keeps it going.

In the moment, pulling back can make complete sense. If everything feels overwhelming, staying home can feel safer. If people feel draining, avoiding them can feel like relief. If a task feels huge, putting it off can feel like self-protection. That is part of what makes this cycle so difficult. Avoidance often helps in the short term. It reduces pressure for a moment. But the relief usually does not last.

The longer that pattern continues, the more it starts to cost us. We lose structure. We lose small moments of enjoyment. We lose chances to feel capable, connected, or accomplished. Things that once broke up the day and gave it shape begin to disappear. Life can start to feel flatter and more repetitive, with less to look forward to and less to feel good about afterward.

That is how the cycle tightens. Low mood leads to less activity. Less activity means less contact with the things that support wellbeing, enjoyment, achievement, connection, routine, movement, and purpose. That leaves us feeling worse, which makes it harder to do anything at all. After a while, the problem is not only the depression, anxiety, or shutdown itself. It is also the pattern that has formed around it.

Most of the time, this does not look dramatic. It looks ordinary. A person stops going for walks. Stops answering texts. Stops cooking proper meals. Leaves dishes in the sink. Puts off paperwork. Stays in bed longer. Skips meetings. Stops doing hobbies that used to make them feel like themselves. None of those things on their own seem huge. Put together, though, they can quietly reshape a person’s life.

This is one reason people can be so hard on themselves. From the outside, many of these tasks look small. From the inside, they can feel loaded. Once shame, low mood, and avoidance have built up around them, even opening a message or stepping outside can feel like too much. That does not mean someone is lazy, weak, or not trying hard enough. It means emotional pain is shaping behaviour in ways that are understandable, but that also keep the pain going.

That is where the central idea comes in, action often has to come before motivation, not after it. If low mood is being maintained in part by withdrawal, loss of routine, and reduced contact with things that bring meaning or relief, then waiting to feel better before doing anything can keep someone stuck in the same loop. Motivation often does not arrive first. It often has to be rebuilt through action.

That does not mean forcing huge changes or pretending things are fine. It means recognising that the cycle has to be interrupted somewhere. If avoidance brings short term relief while making life narrower in the long term, then small, deliberate action starts to make more sense.

Once that cycle is clear, the next question becomes practical. What kinds of actions actually help, and how do you use them when you feel flat, avoidant, or overwhelmed?

Useful sources for this section include:
https://pmc.ncbi.nlm.nih.gov/articles/PMC7390059/
https://www.elft.nhs.uk/sites/default/files/2022-05/behavioural-activation.pdf
https://talkingtherapiessouthwark.nhs.uk/wp-content/uploads/2021/06/1.-Introduction-to-BA-for-depression-revised-2021.pdf
https://www.gmmh.nhs.uk/behavioural-activation/

Section 3, How to Employ Behavioral Activation Techniques in Daily Life

Once you can see the cycle, the next step is not a dramatic reset. It is not getting your whole life together by Monday, building the perfect routine, or becoming the kind of person who suddenly finds all of this easy.

It is smaller than that, and harder in a different way.

Behavioral activation asks a more practical question, what is one small action that would bring a little structure, movement, connection, or meaning back into today?

That is what makes it useful. When you are depressed, overwhelmed, numb, or shut down, “fix your life” is useless advice. “Do one thing that reconnects you with life” is something you can actually work with.

And that is the heart of behavioral activation. You do not wait to feel motivated first. You begin with action, because action often has to come before motivation, not after it.

Start with the right kinds of activities

Behavioral activation is not about staying busy for the sake of it. It is about choosing activities that reconnect you with parts of life that low mood, anxiety, trauma, or exhaustion have pushed out of reach.

A useful way to think about those activities is in five categories.

Pleasure

Pleasure activities are small things that bring comfort, enjoyment, or relief.

That might be sitting outside with a coffee, listening to music, taking a bath, reading for ten minutes, watching one episode of something you actually enjoy, or eating something you like rather than whatever is easiest.

These activities matter because when life gets flat, people often lose contact with simple forms of enjoyment first. Pleasure does not have to be profound to matter. Sometimes a small moment that feels a little lighter, calmer, or more human is enough.

Mastery

Mastery activities are things that help you feel capable, organised, or slightly more in control.

That might be making the bed, washing dishes, replying to one email, paying one bill, sorting laundry, cooking something simple, or clearing one small area of a room.

These are important because depression often strips away a sense of agency. Days start happening to you instead of being shaped by you. Mastery helps push back against that. Not through positive thinking, but through evidence. I did something. I followed through. I moved one thing forward.

Connection

Connection activities reduce isolation.

That might mean replying to a text, calling a friend, attending a meeting, joining a support group, eating with someone, or simply sitting in a shared space instead of hiding away.

These do not have to be deep or emotionally intense. The goal is not perfect closeness. It is to spend less time cut off. When you have been isolated for a while, even light contact can make the day feel less sealed off.

Necessary maintenance

These are the tasks that keep daily life functioning.

Showering, brushing your teeth, taking medication, getting dressed, eating a meal, tidying up, going to an appointment, taking the rubbish out, or setting out clothes for tomorrow all count.

These tasks can feel painfully basic when someone is depressed, but that does not make them less important. Often this is the part of life that starts to collapse first, which then creates more stress, more shame, and more disorder. Sometimes behavioral activation starts here simply because this is the part of life that most needs holding together.

Values-based action

Values-based activities are tied to who you want to be and what matters to you.

That could be parenting with intention, going to a recovery meeting, applying for jobs, journaling, praying, doing service, exercising, keeping a promise, or taking one step toward something meaningful even if it does not feel good in the moment.

These matter because life is not only about feeling better. It is also about living in a way that still feels like yours. Values-based action helps remind you that even when mood is low, direction still matters.

Then make them usable

Knowing the categories helps, but the real question is how to actually use them.

Start smaller than you think

This is where many people go wrong. They decide the answer is to fix everything at once. Go to the gym, deep clean the flat, reply to everyone, rebuild a social life, cook every meal, become consistent immediately.

That usually falls apart fast. Then the collapse gets used as proof that nothing works.

Behavioral activation works better when the action is small enough to be doable even on a hard day, and clear enough that you do not have to negotiate with yourself for an hour before starting.

  • Instead of “go for a long walk,” make it “walk for five minutes.”
  • Instead of “clean the kitchen,” make it “wash five dishes.”
  • Instead of “sort my life out,” make it “pay one bill.”

Small does not mean pointless. Small means repeatable.

Be specific

Vague plans are easy to avoid.

“Do something nice” is vague.
“Take tea outside at 9 a.m.” is specific.

“Tidy up” is vague.
“Clear the bedside table” is specific.

“Reach out to someone” is vague.
“Text Sam after lunch” is specific.

Behavioral activation works best when the activity is concrete enough that you either did it or you did not.

Schedule it instead of waiting to feel like it

If the plan is “I’ll do it when I have the energy,” it often does not happen.

  • A better approach is to attach the activity to a time or an existing routine.
  • After coffee, I go outside for five minutes.
  • At noon, I eat something.
  • After dinner, I wash dishes for ten minutes.
  • Before bed, I set out clothes for tomorrow.

This matters because it makes the activity less dependent on mood and more dependent on structure. When motivation is unreliable, structure carries more of the load.

Choose based on what has dropped out of your life

Behavioral activation works best when it responds to the gap.

  • If you are isolated, connection may need attention.
  • If your space is becoming chaotic, mastery or maintenance may matter most.
  • If everything feels joyless, pleasure may need rebuilding
  • If you feel aimless, a values-based activity may matter more than another comfort habit.

You do not need a perfect balance every day. You need to notice what has gone missing and start putting some of it back on purpose.

Use a simple daily structure

A good starting point is to choose:

  • one thing for pleasure,
  • one thing for mastery,
  • and one thing for maintenance or connection.

That might look like:

  • sit outside for ten minutes,
  • reply to one email,
  • take a shower.

Or:

  • listen to music while making lunch,
  • clear the kitchen counter,
  • text one person back.

That is enough to count.

It may not sound like much, but when you are shut down or avoidant, doing three small things on purpose can change the tone of a day. Not because it fixes everything, but because it stops the whole day from being handed over to the spiral.

Scale down, do not quit

This is one of the most important parts.

On bad days, the goal is not to do the ideal version of the activity no matter what. The goal is to keep some contact with the pattern.

  • If the plan was a twenty minute walk, the scaled down version might be five minutes. If five minutes feels too much, it might be standing outside for one minute.
  • If the plan was cooking dinner, the scaled down version might be making toast and eggs.
  • If the plan was attending a full meeting, the scaled down version might be joining for fifteen minutes.

All-or-nothing thinking ruins consistency. If the only options are “do it properly” or “do nothing,” difficult days usually end in nothing. A scaled-down version still counts because it protects the rhythm.

Track completion first, mood second

A common mistake is deciding an activity failed because it did not make you feel noticeably better straight away.

But behavioral activation is not really about instant mood repair. It is about changing a pattern over time.

Sometimes the result is not “I feel good now.” Sometimes it is:

  • I feel slightly less stuck.
  • I did not spend the whole day in bed.
  • I proved I could do one thing
  • I made tomorrow a little easier.

That still counts.

A simple way to track this is to write down what you planned, whether you did it, and anything you noticed afterward. Completion comes first. Mood matters too, but not as the only measure of whether the activity was worth doing.

Ask whether the activity helps you reconnect

Not every activity helps in the same way.

Some things bring temporary relief but leave you feeling just as shut down afterward. Hours of scrolling, numbing out in front of the TV, drinking to get through the evening, or disappearing into avoidance disguised as comfort may feel easier in the moment, but they usually do not rebuild structure, mastery, connection, or meaning.

A useful question is:

Will this help me reconnect with life, even in a small way?

That question is not there to shame you. It is there to help you notice the difference between something that restores you and something that only helps you vanish for a while.

Keep the bar low enough to keep going

Behavioral activation does not ask you to feel convinced before you begin. It asks you to start where you are.

  • One shower.
  • One short walk.
  • One text.
  • One load of laundry.
  • One meal.
  • One meeting.
  • One five minute task.

Done often enough, these actions start to rebuild rhythm. And rhythm matters. It helps life feel less shut down and more lived in.

That is also why behavioral activation can look almost too simple on paper. What makes it effective is not complexity. It is repetition. Small actions, chosen on purpose and repeated often enough, can begin restoring the things depression and avoidance tend to strip away, structure, movement, confidence, connection, and a sense that your day belongs to you again.

This is the part people often underestimate. Not because it is complicated, but because it is small. But when someone has been stuck for a while, small is often exactly what makes change possible. A shower can be an interruption. A walk can be an interruption. One answered message can be an interruption. And sometimes an interruption is where recovery starts.

The next question is why this works as well as it does, not just emotionally, but psychologically and neurologically too.

Useful sources for this section:
https://pubmed.ncbi.nlm.nih.gov/20677369/
https://pmc.ncbi.nlm.nih.gov/articles/PMC11104310/
https://www.elft.nhs.uk/sites/default/files/2022-05/behavioural-activation.pdf
https://medicine.umich.edu/sites/default/files/content/downloads/Behavioral-Activation-for-Depression.pdf

Section 4, Why These Techniques Work, Therapeutically and Neurologically

The practical side of behavioral activation can look almost too simple on paper. Go outside for five minutes. Answer one message. Take a shower. Wash the dishes. Go to the meeting. Make the meal. It is easy to look at actions like that and wonder how something so small could really matter.

But that is exactly the point. Small actions can matter because depression and emotional shutdown are often maintained through small patterns too, putting things off, pulling back, losing structure, dropping routines, and slowly losing contact with anything that brings enjoyment, connection, meaning, or a sense of progress.

On the therapy side, behavioral activation works because it targets avoidance directly. When someone feels low, numb, overwhelmed, or hopeless, pulling back often makes sense in the short term. It reduces pressure. It can feel protective. But over time it usually cuts the person off from the very things that might help them feel steadier, a bit of structure, a bit of accomplishment, a bit of connection, a bit of relief. Behavioral activation tries to reverse that by helping a person re-enter life deliberately, even before they feel fully ready.

That is part of why the approach is so practical. It does not depend on winning an argument with your own mind before doing anything different. It starts with changing the pattern. In real life, that means creating more opportunities for something useful to happen, even if the effect is small at first. A little enjoyment. A little mastery. A little movement. A little contact. Not every action will feel rewarding in the moment, but over time they increase the chances that life contains more than avoidance and inertia.

The neurological side helps explain why this matters. Depression often affects reward processing, which is part of how the brain helps us anticipate, notice, and respond to things that might feel worthwhile. This is one reason anhedonia can be so difficult. It is not only that pleasure feels dulled. It is also that effort can start to feel pointless, because the brain is no longer expecting much reward at the other end of it.

That is an important distinction. A lot of people with depression do not just struggle to enjoy things. They struggle to imagine that doing anything will lead to anything good. Once that happens, motivation can collapse. If nothing seems likely to help, then even basic actions can feel irrational or exhausting.

Behavioral activation works against that by putting a person back in contact with experiences where something useful, comforting, meaningful, or relieving might happen. Not guaranteed, but possible. In that sense, BA is not just about “doing healthy things.” It is also a way of giving the brain repeated chances to relearn that action can still lead somewhere worthwhile.

That relearning matters. You go for the walk and feel slightly clearer. You shower and feel a little more human. You answer one message and feel less cut off. You make the meal and the evening becomes a bit easier. None of that is dramatic, but each one is a small piece of evidence against the idea that nothing helps. Over time, those experiences can begin shifting not only what a person does, but what they expect from doing anything at all.

There is also growing evidence that behavioral activation may help reduce the kind of stuck, repetitive mental loops that come with depression, especially rumination, while strengthening the systems involved in reward, engagement, and goal-directed behavior. That fits the lived experience of BA quite well. The person is not only doing more. They may also be getting less trapped in the mental grooves that keep them shut down and more able to move toward life again.

Put simply, behavioral activation seems to work on at least two levels at once. Psychologically, it interrupts avoidance and increases contact with structure, connection, accomplishment, and meaning. Neurologically, it may help re-engage reward-related learning and shift some of the patterns that keep a person stuck in anhedonia and rumination.

That does not mean every activity will feel good. It does not mean BA is a trick or a shortcut. It means the small actions in Section 3 matter more than they seem to at first glance. They are not random acts of self-improvement. They are repeated chances to interrupt the depressive pattern and show the brain, slowly and through experience, that action can still lead to something worthwhile.

That is also why consistency matters more than intensity. One big burst of effort rarely changes much on its own. Repeated contact does. Behavioral activation works less like a sudden breakthrough and more like teaching yourself, again and again, that life is still something you can move toward.

Useful sources for this section include:
https://www.nature.com/articles/s41398-019-0644-x
https://pmc.ncbi.nlm.nih.gov/articles/PMC4626008/
https://pubmed.ncbi.nlm.nih.gov/38951971/
https://pubmed.ncbi.nlm.nih.gov/38774780/
https://pmc.ncbi.nlm.nih.gov/articles/PMC9577157/

Section 5, How to Stick With Behavioral Activation Over Time

Starting behavioral activation is one thing. Staying with it long enough for it to help is something else.

That matters because BA is meant to work gradually, not all at once. It helps most when you build it step by step, not when you try to force a complete turnaround in a week.

One of the biggest obstacles is waiting to feel like it. But BA is built on the reality that motivation is often unreliable when mood is low. The point is not to wait for a better mood before acting. The point is to act in a way that gives mood a chance to shift.

Another common mistake is aiming too high, too fast. People turn BA into a self-improvement project instead of a recovery practice. They try to fix everything at once, fill every hour, and hold themselves to a standard they would struggle to meet even on a good week. That usually backfires. BA works better when the plan matches your actual energy, attention, and emotional bandwidth, not the version of you that you wish would suddenly appear.

All or nothing thinking is another trap. If the plan becomes “do it properly or it does not count,” then one hard day can turn into several. BA works better when the goal is not perfection, but contact. No activity is too small to count if it keeps you in the pattern. Bigger tasks can be broken into smaller steps. A ten minute version counts. A reduced version counts. What matters is keeping some link to the routine instead of dropping it completely.

That is why bad days do not mean the approach has failed. Most of the time, they mean the plan needs adjusting. If something did not happen, the useful question is not “What is wrong with me?” but “Was this too ambitious, too vague, badly timed, or too dependent on me feeling good first?” BA works best when it stays flexible. Sometimes success means doing the smallest version. Sometimes it means postponing something and trying again tomorrow. The point is to keep working with the process rather than treating one difficult day as proof that nothing helps.

It also helps to stop judging BA only by whether it creates instant relief. Sometimes people decide an activity did not work because it did not make them feel noticeably better straight away. But that is too narrow a test. Sometimes the gain is that you kept a promise to yourself. Sometimes it is that you made tomorrow easier. Sometimes it is that you stopped the whole day from sliding further downhill. Those changes may be modest, but they still matter.

This is one reason consistency matters more than intensity. What tends to help is not one perfect day or one burst of effort. It is repeated contact with actions that restore routine, pleasure, necessity, and engagement. BA works best as a steady practice, not a performance.

Over time, that repetition can become more than symptom management. It can become a way of rebuilding trust in yourself. Depression and emotional shutdown often damage that trust. You stop believing your plans, your intentions, or your ability to follow through. BA helps repair that slowly. Not by asking you to make grand promises, but by giving you small chances to keep one.

A shower. A short walk. One meal. One text. One task done on purpose.

Repeated often enough, those actions start to say something different: I may still be struggling, but I am not absent from my own life.

That may be the most important thing BA offers in the long run. Not a perfect routine, and not a guarantee that every day will feel good. What it offers is a practical way to keep turning back toward life, even when the turn is small.

Useful sources for this section include:
https://www.elft.nhs.uk/sites/default/files/2022-05/behavioural-activation.pdf
https://talkingtherapiessouthwark.nhs.uk/wp-content/uploads/2021/06/1.-Introduction-to-BA-for-depression-revised-2021.pdf
https://www.gmmh.nhs.uk/behavioural-activation/
https://www.nice.org.uk/guidance/ng222/chapter/recommendations

 

12 Step Meeting, Acceptance, Anxiety, Choice, Courage, Depressed Anonymous, Exercise, Faith, Fear, Fellowship, Helpful, Honesty, Hope, Isolation, Mutual Aid, Negativity, Positivity, Purpose, Spirituality, Step 12, Stress, Supportive Actions, The 12 Steps, The Promises

Depression made me think I was losing my mind, until I did two things that changed my life forever

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“What is happening to me,” I asked myself, as I spent another week of struggling to get out of bed. It was like a 500 pound lead weight had dropped on top of me. I felt that whatever commands I issued to my body, “like get out of bed,” the message never reached my body.

The only thing that I knew what to do was to force myself to move the body and hopefully the mind would follow, be it reluctantly. And that is exactly what happened. Every morning after was a struggle, but I did manage to push myself out of bed and I got myself to work. When work ended, I went home and immediately hit the bed. What’s going on here? I asked. I had no clue that what was the matter was that my body was shutting down and that my mind gradually became powerless to make any positive changes in my behavior or thinking.

It was only as I started to walk five miles a day in a local mall, just to promote the fact that I was up and out and able to get to work. I want to make the point here that even though this walking continued for over a year and half, I still was forcing myself to get out of bed. Every morning the debate in my head started all over again. By now I had developed some resistance to staying in bed and just realized, if I was to save my job, I had to walk.

Eventually, the walking was a way out of the prison that my mind had constructed. Eventually, I learned that the way I was living my life and the negativity that I had embraced in my thinking, together threw me into a deep dark pit. Before I was able to figure out what was happening to me, I became depressed. The more I tried to figure out, in my mind, why I was depressed the more I became further depressed, isolated and alone. Then I did something that changed my life to this very day.

The first thing that I did was to force myself to get out of bed and walk, walk, and walk some more. (I still walk three times a week). I know first-hand, the potential life-threatening nature of depression.

The second most important discovery for my recovery was to find a group of men and women just like myself, all who were depressed and looking for a way out of their depression. It was this 12 Step fellowship group, Depressed Anonymous, that has been an integral part of the way I live my life today. If you are looking for what I found, namely, a way to quit saddening yourself, this support group may be your lifeline as much as it continues to be for me today. And I still attend this meeting, even though I have not been depressed for many years, I attend because I find that I can help others to find the hope and peace that it promised and provides for me today.

Discover important information at depressedanonymous.org for our online virtual Zoom meetings which meet every day of the week. Other DA sponsored groups also meet during the week. There are no fees and dues. Come and share or just come and listen. You will find that you are not alone. We are all on this journey of hope together…and we do recover.

For the fellowship, Hugh S.

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.

Affirmations, Belief, Choice, Courage, Exercise, Faith, Higher Thoughts for Down Days, I'll Do It When I Feel Better, Mutual Aid, Necessity, Positivity, Purpose, Step 03

I will keep physically fit. Exercise is my priority now!

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MOTIVATION FOLLOWS ACTION

AFFIRMATION
I promise myself that I will walk today to regain a positive feeling about myself and my world.
Keep physically fit. It is a must for us who are and have been depressed. Walking not only restore harmony to the body, it likewise restores my self-esteem and self confidence. Remember that motivation follows action.

REFLECTION
How can motivation follow action? Isn’t it the other way around, namely that action follows motivation? In a sense the criticism is true, but in another sense, it isn’t quite that accurate. When speaking about the paralysis of depression the individual’s motivation is almost completely nonexistent. That is why it is important for me, a depressed person to force myself to get moving -that’s right, force myself into an activity because even though I say “I will do it when I feel better.” I never usually feel better. So I need to find that point in my day, when I feel better and get out in the air and walk, if nothing else, it tends to distract from my wanting to sad myself.
When I take care of myself physically and begin giving myself p[permission to express my feelings, especially the unpleasant ones, I begin to speak more assertively and begin to like myself.

MEDITATION
Today, help me sort out what needs to be thrown away and what we need to keep. Help us keep those memories that had love attached to them.

RESOURCES
Copyright(c) Higher Thoughts for Down Days: 365 daily thoughts and meditations for 12 Step fellowship groups. (2002)Depressed Anonymous Publications. Louisville. Ky. Pages 150-151.

Copyright(c) Believing is seeing: 15 ways to leave the prison of depression. Depressed Anonymous Publications. Louisville. Ky. Chapter Six. Pages 33-36.

Exercise

When will I feel better?

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Often I ask myself about the length of the depression experience and what makes it end.  One author quotes  someone who  asks “When will I feel better?”   I asked myself the very same question, with never getting a  satisfactory answer.  That is, until I read Jonathon Rottenberg’s book The Depths. His work, is my “go to ” guy when I want to learn more about moods and how they affect our daily lives.

Rottenberg, whom I have just finished reading gives us some pertinent information on the subject.  He tells us that ” Martin Keller and his colleagues followed a cohort of 431 patients diagnosed with depression – many of them so debilitated that they had been hospitalized over a five year period. Two months into the observation, nearly one in three had recovered from the episode. By six months, over half the patients had recovered ….

Likewise, data from samples that are more representative of the average depressed person  in the community, suggest that depression will last a year or less 90% of the time.”

The author,Jonathon Rottenberg, in his insightful and helpful account,  Out of the Depths: The Evolutionary Origins of the Depression Epidemic,  tells us that the experts have referred to depression as a self-limiting condition, a problem that ends in by itself.

“…But as depression grinds on, vague bromides don’t work so well. For someone at the end of her rope, whose patience is measured in days or hours, it’s the pace of improvement that is critical. Someone who  has already the best years of life torn up by depression wants to know, “When will I be better?” Hearing that most people recover eventually, even if it’s true, is not good enough.” We all want to know what can make this recovery possible? With my own personal battle with depression and a feeling that I might never escape that tight hold that it had on my thinking and feelings, I   wanted to know how long this journey in “death valley  was to continue. As I never got an answer to my question,I continued the trek through the fog.  It was  about a year and half later that I began to have a rise in my mood. I felt just a tad of cheer and hope as I continued my long walks in the mall where I spent all of my daily mornings before work.  Even though I never had a  clue as to when I would feel better, I kept  waiting for the moment when the gut wrenching  pain would be over. When the mood changed for me, from sad to hopeful, my life and moods began to spiral upwards instead of following  their usual negative trajectory downwards.

I do know this, that I  have lived my life without depression for at least three decades now. I attribute the fact of my recovery to a continued use of a resource, the Depressed Anonymous meeting, plus putting  the Twelve Principles of the 12 Steps in action in my everyday life.

Back to the question: “When will I feel better?” When will anybody feel better? I can’t answer that. I wish that I could. I did not know that 90% of persons depressed, do get better in time.  That is good news. That is something to share with depressed persons, and sometimes various treatments do  help in ending the torment of the depression experience. Even though the experts tell us that  the depression experience is self-limiting, this in a small way can provide some hope for the  one who has suffered  depression all of their life.

Jonathon’s,The Depths, is a work that  has a permanent  place in my reference  library.

RESOURCES:

Jonathon Rottenberg. The Depths: The Evolutionary Origins of the Depression Epidemic. Basic  Books.  A Member of the Perseus  Books Group. New York.  NY.

Depressed Anonymous, 3rd edition. (2011) Depressed Anonymous Publications. Louisville, KY.

 

Exercise

Physical activity/Exercise

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“One of the cardinal features of depression is inevitable fatigue. I’m always wondering, when people say to severely depressed patients, “You need exercise.” Well, yeah, it’s hard enough to exercise when your not depressed, right.” Charles Nemerdoff M.D. quoted in an interview in Psychiatric Times, April 30, 2018.

When I read this comment by Dr. Nemerdoff  I tended to agree. When  I reflected upon my own experience with depression and the “inevitable fatigue” being  a big part of my own symptoms of depression, I felt I had to take action. I began taking action as soon as I realized that if I didn’t force myself to get out of bed and get to work, I would lose my job.

Granted, I didn’t intend to run a marathon, or start a daily jog around my neighborhood. The first thing that I had to do was not argue with myself, to get out of bed and do something. I did not want to get out of bed. I felt I was paralyzed and unable to motivate myself for such a monumental decision.

But force myself I did. I quit the head dialogue at each move of my body as it rolled slowly out of the sack. The body said “no;” the mind  said “yes you are!” And it was here that I learnt   a great lesson and that was to “MOVE THE BODY AND THE MIND WILL FOLLOW,.”

I  always encouraged my clients (as a therapist) to do some physical activity–baby steps if you will. But let the body take the lead of the mind and move. Move a little bit. Then move  a little bit more. When I started to walk on a  daily basis, I gradually was glad that I was out walking. It took a struggle to move out of bed but in time it became easier. And so to this day, I am still walking, at least 30 minutes a day. And everything has improved in my life physically and mentally.

Yes, fatigue is a big part of depression I agree. But now, even doctors in the UK are prescribing physical activity for their patients to get involved with. They get a script from their doctor to get out and exercise. Yes, it’s difficult–yes, it’s  hard to get ourselves motivated, but yes, it’s a good way to regain some hope in your life as you gradually lose  those stressful feelings set up in your body over time.

Go slow—but GO!!!

Hugh

Exercise, Hope, Journaling, Mindfulness, The 12 Steps

6 Ways To Help Yourself Through Depression

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6 WAYS TO HELP YOURSELF THROUGH DEPRESSION.

  1. Don’t bottle things up. If you’ve recently had some bad news, or a major upset in your life, try to tell people close to you about it and how it feels. It helps to re-live the painful experience several times, to have a good cry, and talk things through. This is the mind’s healing mechanism.
  2. Do something. Get out of doors for some exercise, if only for a long walk. This will help you to keep physically fit, and you may sleep better. This will help you take your mind off those painful feelings which only make you more depressed when allowed to sweep over you.
  3. Eat a good balanced diet, even though you may not feel like eating. Fresh fruit and vegetables are especially recommended. People with severe depression can lose weight and run low on vitamins, which only makes matters worse.
  4. Resist the temptation to drown your sorrows. Alcohol actually depresses mood, so while it may give you immediate relief, this is very a temporary and you may end up more depressed than ever.
  5. Don’t get into a state of not sleeping. Listening to the radio or watching TV (it’s on all night) while you are resting your body will still help, even if you’re not actually asleep, and you may find that you drop off because you’re no longer worrying about not doing so!
  6. Remind yourself that you are suffering from depression–something which many other people have gone through –and that you will eventually come out of it, as they did, even though it does not feel like it at the time. Depression can even be a useful experience, in that some people emerge stronger and better able to cope than before. Situations and relationships may be seen more clearly, and you may now have the strength and wisdom to make important decisions and changes in your life which you were unable to do before.”

SOURCE: Depression. pg. 9. Pamphlet published as a service to the Royal College of Psychiatrists. Reprinted in THE ANTIDEPRESSANT TABLET, Number 1 Number 4.

NOTE: This post was first published as a BLOG in September 30, 2015.

You can click onto the “tools of recovery” listed on the drop down menu at the Depressedanon.com website to discover more helpful tools for recovery from depression.

12 Step Meeting, Acceptance, DA Literature, Depressed Anonymous, Exercise, Fellowship, Journaling, Kindness, Prayer

My anti-depression tool kit: An arsenal of weapons to defeat depression.

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The following is a personal story of how a member of Depressed Anonymous  used her anti-depression Tool Kit to disarm and dismantle symptoms of  depression in her daily life.

I am no longer alone

” I am writing this information with the hope  that it will help anyone who is suffering from depression that is brought on by stress, anxiety, loneliness, physical or mental emotions, death or insecurity.

I am a thirty-four year old single female, who has been suffering from depression for a long time. Most of my depression was brought on by feelings of insecurity, such as not being able to express my inner feelings, being controlled by a dominating parent, loneliness, stress, workaholic, anxiety attacks (related to work and everyday pressures of living), too much sleep, nervousness, lack of motivation, being tired all the time, sadness, weight gain, digestive problems, a feeling of being trapped, self-consciousness, not trusting myself, dreams of dying but yet managing to come back to life, withdrawal from family, or loss of interest in meeting with the opposite sex.

It seemed that I was living in another world until one of my parents gave me a phone number of Depressed Anonymous meetings, plus reading the Depressed Anonymous manual have provided  me with the tools to live without being depressed. Most important  of all, the Twelve Steps mentioned in the book have made me understand that God (my Higher Power) will give me strength to deal with my depression and get on with my life and be happy with myself.

The book with its Twelve Steps, has taught me that I am not alone. And that I am not the only one who is suffering from depression. It has taught me to believe more in my Higher Power and to let it handle my depression.

I read the Depressed Anonymous manual, go to counseling, and attend the Depressed Anonymous meetings. The meetings are a must. I need them to survive. The support group’s members help each other by listening, talking, expressing their feelings, and give support on how to cope with depression.   By letting my Higher Power help me, I am beginning to feel free from depression. I am not so nervous and tensed up. My Christian inner faith is getting stronger. I am not so stressed out and I am beginning to get confidence  within  myself . I still have problems with sleep patterns and I am getting some motivation back.   I have learned how to handle anxiety by taking deep breaths when I am nervous or troubled. This was suggested by my therapist. I am also learning how to stand up for myself.

All these new tools have helped me and will continue to do so. They also taught me not to dwell on my past, to live one day at a time, and to look forward to the future, but not live there. It will take me a long time to deal with depression, but I am glad that these tools are available. Life can be good for a change. Please don’t give up.”

-Anonymous.

SOURCE:  Copyright(c) Depressed Anonymous, 3rd edition (Louisville, KY, 2011. Depressed Anonymous Publications. Pages 148-149.

Please go to MENU and click onto TOOLS* FOR RECOVERY.    There you will discover those tools which can be used to dismantle those painful areas of your life which in the past have imprisoned you.

  • RECOVERY TOOLS: Exercise; Meditation; The Serenity Prayer; Cutting off negative thinking-The Law of the Threes; Being in Nature; Journaling; Managing stress; Music; Nutrition; Positive self-talk; Sleep; Social engagement; Stay in the Present.

Read more stories of persons who have dismantled their own depression. Check out the Depressed Anonymous Publications Bookstore and order online.

Affirmations, Exercise, Fellowship, Purpose

Sisyphus and his rock.

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There is an ancient Greek myth about a greedy King (Sisyphus)  from Corinth who was sent to Hades (hell) and who spent all eternity pushing a heavy rock up the hill, only to have the rock roll down again.

What do I make of this myth? What meaning can we give to it? What is its message?  And how can I relate it to my own life?

First of all, it has all sorts of meaning for all sorts of situations in my own life. I like to think of the story about Sisyphus and his rock much like my own story and struggles with the “rock” that I keep pushing up the hill. That rock was my struggle with  depression which  always seemed to be a part of my daily existence. Everyday, I just knew that it was time for me to face the rock and start pushing.   In time, the thought of facing another day with my hands on the rock gradually wore me down. I was exhausted.

I couldn’t get out of bed in the mornings. I couldn’t concentrate. I couldn’t think a coherent thought. My nerves were in revolt and my anxiety precluded any sort of activity that might help me escape my rock pushing. I began to feel hopeless and too helpless to walk away from this rock which was  chained to my mind, body and spirit.  I felt I had no choice but to get up and push the rock.

This started me to force myself to walk each day, and without thinking about the rock. It was like I was distracted from thinking about anything while I walked. And so in time, with my daily walks, I found that my rock grew smaller and smaller. And then one day, I reached the top of the hill without my rock. I was free. I felt free. I felt that my time in hell had ended.  (Read: I’ll do it when I feel better. Depressed Anonymous Publications).

Over the years I have found other tools besides that of walking in dealing with my depression. I founded a group, called Depressed Anonymous, where all the various shapes and forms of Sisyphus could gather, share their hopes, and their  victories and discard their rocks. I knew that being all alone in one’s hell, made life even more unbearable. But with a group of persons together, all with their own situations and experiences could get the strength to find their way out of this rock pushing bondage  .

All in all, I have found that when you get together with others like yourself, and you share your stories, things start to change.  You finally feel accepted, and made welcome  as you share your own rock pushing over the years, months, even a lifetime. We all can check our “rocks” at the door as we discuss ways out of our misery,  week after week .

For more information please check out our stories in our manual Depressed Anonymous, which by the way, is written by those of us who have been depressed and are in recovery, attending Depressed Meetings week after week. And if there is no meeting in our community we can also participate in our Home Study Program of Recovery, accompanied by an online sponsor.

Click onto the Depressed Anonymous Publications Bookstore for  learning more about who we are and what we do.  If you choose you can order online from our website at depressedanon.com.

Join us here everyday as we continue sharing our serenity and our hope online at our BLOG: Depressed Anonymous.

 

Belief, Exercise

Mastery is what we regain

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KEEP PHYSICALLY FIT!  IT IS A MUST FOR US WHO ARE AND WHO HAVE BEEN DEPRESSED. MY WALKING NOT ONLY RESTORES HARMONY TO THE BODY BUT IT RESTORES MY SELF-ESTEEM AND SELF-CONFIDENCE.

THE SIXTH WAY TO LEAVE THE PRISON OF DEPRESSION: AN EXCERPT

“One of the major areas to remember when someone says that they are depressed is to recommend that they get some physical exercise. So many times when we find that we are depressed, feel listless and lacking energy we tend to recoil from any activity that attempts to force us out of our isolation and inactivity.  At one time in our lives, any task or type of activity, even the smallest might have been cause for happiness and a continual life of productivity. When we are depressed , we just want to lie down and sleep. We feel that we have no mastery over our life, thoughts and future. What  we forget is that this is the nature of depression. We believe that there is no use in getting active because we just can’t get the energy to  attempt anything that requires  positive response. No use to get active –I won’t like what I am going to do anyway.  When we are depressed we know that our body’s  metabolism slows down and we lose interest in almost all those hobbies and activities previous to our depression,  which brought us happiness.

Mastery is what we regain when we force ourselves to get out of bed, get going and start an exercise program on a regular basis.” (Our lives might depend on it).

SOURCE: Copyright(c) Believing is seeing: 15 ways to leave the prison of depression. (2014) Depressed Anonymous Publications. Louisville. Pages 33-36.