Ads from Google:


Google ad
End of ad
Google Adsense ad
End of ads.

Depression and Positive Activities

Abstract: Activities and depression (cognitive behavioural therapy of depression)

Crocodilu logo
psychologist Independent medical expert answers on psychiatry and psychology

Depression and Positive Activities

Go the top of the page Top Forum iconDiscuss this Forum iconGet expert advice Printer Print
Question(s): 
Written by: Martin Winkler
First version: 22 Jul 2008.
Latest revision: 29 Jul 2008.

Why does cognitive behavioural therapy of depression focus on positive activities?

Answer:

It is a rather common experience of depressed patients that they feel not only sad but have a rather low energy level and get tired very easily. Many clients with depressive disorder have a lack of activation (esp. in the morning). Any task costs hard effort (even reading the newspaper in the morning is distressing and hard due to additional problems of concentration or memory).

It seems to be a natural idea to reduce activity or stay in bed all day, but this does not actually help to refresh or get new energy in case of depression. The reduction of every-day activities and the social withdrawal is a severe problem for most severely depressed patients and their family.

While most patients try hard to fight this energy lack this might cause additional impairment and a complete break-down.

What does Cognitive-behavioural therapy offer for this problem? First of all the therapist will recommend the patient to keep an activity diary. What does a normal day look like? What are your normal activities on a regular day (with depression), what was your life like prior to depression?

Sometimes this will be combined with a rating of the patient's mood. (e.g. 6 very low mood, feeling deeply depressed and hopeless) to 1 (feeling fine, no symptoms of depression).

Because of the impairment due to depression we do not expect good mood or high energy at the beginning of the therapy. A "normal day" of a 45 year old woman (Maren) with major depression might look like this:

  • 5.30 Mood 6 (very, very bad) was not able to sleep, feeling tired, low energy. What a terrible day to come...
  • 6:30 Mood 5 tried to get up. Decided to stay in bed for a while. Listened to the radio.
  • 7:00 Mood 5 should get up to prepare breakfast for my family. Feel so blue and have no energy.
  • 7:30 Mood 3 My son John prepared breakfast for me. First time I got help from a family member. Low appetite, but had some coffee and a snack.
  • 8:30 Mood 5 I am alone in my house. Everyone gone. Feeling sad and despaired. Is there any hope for a change?
  • 10:00 Mood 4 Therapy session with my psychotherapist. She wants me to make this diary... We talk about the activities of a normal day... She might be right. I should try to include some positive activities in my day...
This is just an example of such a diary. Most patients do not include positive activities in this schedule for the day. So they will have mainly bad or sad things to write down for the diary.

Cognitive behavioural therapy will try to focus on things that are positive for you. This is a very simple but effective approach. If you try to include more positive activities you have a higher chance to feel a little bit better. But if you do not plan or schedule these activities, they will not happen. So the therapist suggested a list of some positive activities to her patient. The "homework" for the next session with the therapist was to read this list of positive activities and to try at least one of them.

Maren decided to include a daily walk with her favorite dog Teddy at least 4 times a week in the morning (11:00).

Intelligent natural language question-answering in the area of psychology and psychiatry. Ask a simple question:
Local help Info
Google ad
End of ad
Disclaimer: The documents contained in this web site are presented for information purposes only. The material is in no way intended to replace professional medical care or attention by a qualified psychiatrist or psychotherapist. It can not and should not be used as a basis for diagnosis or choice of treatment. If you find anything wrong, please notify us at .
Go to top of page To top of page
Crocodilu in other languages: Finnish German Greek Italian Polish Russian Swedish

bipolar-cbt-activation Copyright 2003-2017 Crocodilu
Copyright 2003-2017 Crocodilu.
Crocodilu was selected as finalist for the 2008 Stockholm Challenge Award
Translate Crocodilu
We seek voluntary translators who are interested in translating Crocodilu to new languages. We can provide the servers, and pay you 50 % of the income from ads on pages, which you have translated. We are especially interested in translators from German To English, From German, Swedish or English to French, Spanish, Italian, Greek, Finnish, Polish, Farsi, Russian.
crocodilu.info/en/tr/

Advertise here
Reach 300 000 visitors reading one million pages for a cost of 600 US $/month.
/en/ad/

Карепрост

www.steroid-pharm.com/

ссылка gepatite.com