The Depressed Anonymous community was honored to hear our founder, Hugh S, talking about Relapse Prevention.
Recorded Saturday 19 July 2025. Duration 54:12
To download right mouse click this link and select Save as Relapse Prevention
Category Archives: Relapse Prevention
To keep doing the same thing over and over again and expecting different results is insanity
Maybe and maybe not! We use this slogan many times in our recovery groups, thinking the statement to be true. For example, to keep missing our recovery meetings week after week may result in a possible relapse. I believe this to be true! Insane? It is definitely not helpful when one is trying to find sobriety or a way out of their depression
For the depressed to isolate oneself from family, friends and the world, is to gradually move self into a deepened mood of sadness and ultimately depression. The isolation is not going to defend the individual from depression but is only going to make it worse.
To look at the slogan from another angle is to find that the statement is false. In fact, to keep going to meetings week after week or more often is doing the same thing – expecting different results. By doing the same thing over and over again, in this case, the different results are a strengthened recovery with hopefulness coupled with serenity.
Three Circles
OK we know that depression is a disease, and we can also look at it as an addiction. In my opinion it’s helpful to look at other programs of recovery for understanding, inspiration, and tips on how to best manage your recovery from that addiction.
One topic of recovery is to have a relapse prevention plan. If you go through life unaware and on auto-pilot chances are real good that you will relapse in your depression. You want to avoid that if humanly possible. The trick is to be aware of your behaviors and where those behaviors lead you. There are things that you can do that make you feel useful and whole. There are things that you can do that lead you towards that bottom line addictive behavior. And finally the thing you are trying to avoid: having a relapse of active depression.
The three circles is one way to come up with a relapse prevention plan. The three circles are concentric (see diagram below).
The Outer Circle contains those things that you can do that make you feel good and build your inner resolve. In some circles (pardon the pun) the Outer Circle is sometimes referred to as Top Line behaviors. I’ve put into the diagram some examples of top line behaviors but that is not a comprehensive list. You decide what things fill you up and make you whole. Some other examples include: prayer; hugging loved ones; playing with your pet; talking with friends; doing service; donating time/money to your favorite charity.
The Middle Circle contains those behaviors that lead you closer to a full blown relapse of your depression. Sometimes the Middle Circle is called Mid Line Behaviors. In some recovery groups they are called “People, Places, and Things” – anything that brings you closer to your bottom. As before you decide what belongs in the Middle Circle. What triggers you toward your depression may be a common trigger, or may be unique to you.
The Inner Circle contains those behaviors that you are really trying to avoid and if you do them you are active in your depression. Again, you define what goes into the Inner Circle. I’ve diagrammed some examples, but come up with your own if those don’t ring true for you.
I encourage you to come up with your own Three Circles diagram. Become aware of your behaviors and if you find yourself in the Middle Circle take action with your Outer Circle behaviors. If you find yourself in the Inner Circle take massive action in the Outer Circle. Seek help you are worth it.
Good luck with this task. It only works if you work it. Diagram it and put it into action.
Yours in recovery, Bill R
If you’d like to read more here is a link to a Wikipedia article: https://en.wikipedia.org/wiki/Three_circles
I get it!
It took awhile, but finally I “got it.”
In the work Depressed Anonymous, which provides a step by step commentary for individuals and group members, Dr. Dorothy Rowe points out that if you want to get yourself depressed this is what you must do. You must hold these six options as if they were real, absolute and immutable truths
- No matter how good and nice I appear to be, I am really bad, evil, valueless, and unacceptable to myself and others.
- Other people are such that I must fear, hate or envy them.
- Life is terrible and death is worse.
- Only bad things happened to me in the past and only bad things will happen to me in the future.
- Anger is evil.
- I must never forgive, least of all myself.
What I envision as the best possible world for the depressed and to prevent relapse and recurrence is a model that may include the medication treatment, the psychotherapy interaction between therapist and client and then the holistic model of the mutual aid group, to name a few. What happens in the group support system is basically a replication of what happens in a person’s childhood environment. We can determine if trust is there, can the child have the assumed permission to show initiative, is the child made to feel safe and can the child venture out beyond the boundaries of his home and feel safe? Or does he come from a home which is closed and the world perceived as enemy and unsafe- indeed a setup for a mistrustful attitude about life. All this comes into play in early childhood development. We need to look again at anything in a child’s life where he/she experienced a loss, a separation or a life filled with anger and hurt.
The community in which the child is raised presents all types of messages and this in the beginning is how he or she sees the world. Chemicals in the brain don’t produce thoughts that say ” I’m worthless or unacceptable,” etc. It’s more the messages that one receives when one is in the formative years of one’s life that may predict how one perceives his or her future.”
You might want to ask yourself this question: What messages did you receive as a child growing up. Did you feel that the messages you received give you freedom to explore the world and your environment, or did you feel unsafe and insecure?
SOURCES:
(c) Depressed Anonymous, 3rd edition. (2011) Depressed Anonymous Publications.Louisville. KY
(c) I’ll do it when I feel better. (2017) Depressed Anonymous Publications. Louisville. KY. Pages 25-26.