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Depression
HOW TO HELP YOURSELF IF YOU ARE DEPRESSED
Depressive disorders make one feel exhausted, worthless, helpless, and hopeless. Such negative thoughts and feelings make some people feel like giving up. It is important to realize that these negative views are part of the depression and typically do not accurately reflect the actual circumstances. Negative thinking fades as treatment begins to take effect.
In the meantime:
Set realistic goals in light of the depression and assume a reasonable amount of responsibility.
Break large tasks into small ones, set some priorities, and do what you can as you can.
Try to be with other people and to confide in someone; it is usually better than being alone and secretive.
Participate in activities that may make you feel better.
Mild exercise, going to a movie, a ballgame, or participating in religious, social, or other activities may help.
Expect your mood to improve gradually, not immediately. Feeling better takes time.
It is advisable to postpone important decisions until the depression has lifted. Before deciding to make a significant transition change jobs, get married or divorced discuss it with others who know you well and have a more objective view of your situation.
People rarely "snap out of" a depression. But they can feel a little better day-by-day.
Remember, positive thinking will replace the negative thinking that is part of the depression and will disappear as your depression responds to treatment.
Let your family and friends help you.
HOW FAMILY AND FRIENDS CAN HELP THE DEPRESSED PERSON
The most important thing anyone can do for the depressed person is to help him or her get an appropriate diagnosis and treatment. This may involve encouraging the individual to stay with treatment until symptoms begin to abate (several weeks), or to seek different treatment if no improvement occurs. On occasion, it may require making an appointment and accompanying the depressed person to the doctor. It may also mean monitoring whether the depressed person is taking medication. The depressed person should be encouraged to obey the doctor's orders about the use of alcoholic products while on medication.
The second most important thing is to offer emotional support. This involves understanding, patience, affection, and encouragement. Engage the depressed person in conversation and listen carefully. Do not disparage feelings expressed, but point out realities and offer hope. Do not ignore remarks about suicide. Report them to the depressed person's therapist. Invite the depressed person for walks, outings, to the movies, and other activities. Be gently insistent if your invitation is refused. Encourage participation in some activities that once gave pleasure, such as hobbies, sports, religious or cultural activities, but do not push the depressed person to undertake too much too soon. The depressed person needs diversion and company, but too many demands can increase feelings of failure.
Advice for Overcoming an Eating Disorder
Start with little changes.
Remember that you can't make the big switches necessary to recover from this disorder all at once. And that's OK. Start by making smaller changes that don't overwhelm you.
Keep an open mind and be willing to listen.
Be a willing spirit. No one should have to drag you to recovery. You might have to say to yourself, "I can't trust my own judgment right now, so I need to lean on others and trust their judgment."
Set treatment goals.
You need to decide that you are willing to set some goals. Commit to modifying your behavior in order to reach those goals.
Believe you can.
You have to believe you can do this. Don't let your disorder be a life sentence. Give yourself permission to believe that people recover from this disorder. They do.
Be honest about your disorder.
Don't hide it. As Dr. Phil says, "If you're going to throw up...throw up in front of everybody!" The point is that you need to stop hiding in guilt, shame and deception because they can contribute to the disorder.
Accept help from others.
Add someone to the treatment team. Find an expert to help you get through this.
Advice for Overcoming Insomnia
If you spend a nightmarish amount of time in the wee hours counting sheep or wrestling with your pillow—or your worries—you've got lots of company: Up to 70 million Americans either have a sleep disorder or are sleep-deprived. For some of us, it's a physical problem, such as sleep apnea (a brief cessation of air flow). For others, it's caused by emotional or environmental factors. Brush up on these basic rules to getting a good night's sleep.
Be consistent. If you sleep short all week and try to catch up on weekends, you'll never be well-rested. Aim for seven to eight hours every night.
Exercise regularly. Working out not only reduces stress that can keep you awake, it lessens the symptoms of PMS and lengthens slow-wave (the deepest) sleep. But be sure to quit exercising at least four hours before bedtime, because it raises body temperature and adrenaline levels.
Cut out caffeine and quit smoking. . Caffeine and nicotine are short-acting stimulants that disrupt sleep.
Nix the nightcap. Alcohol disturbs the way your body flows from one stage of sleep into the next, which is why if you drink before bed, you may wake up with a start in the middle of the night and have trouble getting back to sleep.
Turn off the TV. Although television is sedating, it simply numbs your mind, postponing stressful thoughts until later in the evening.
Set aside "worry time" earlier in the day. Don't wait until you turn off the light to put together your to-do list.
Get medical advice. If you've tried all the suggestions above but still have trouble sleeping, consult your doctor or contact a sleep disorders clinic. Look for one that's accredited by the American Academy of Sleep Medicine. To find a center in your area, call 708-492-0930 or visit www.aasmnet.org.
Dr. Phil's Ten Life Laws
Life Law #1:
You either get it or you don't.
Strategy: Become one of those who gets it.
It's easy to tell these people apart. Those who "get it" understand how things work and have a strategy to create the results they want. Those who don't are stumbling along looking puzzled, and can be found complaining that they never seem to get a break.
You must do what it takes to accumulate enough knowledge to "get it." You need to operate with the information and skills that are necessary to win. Be prepared, tune in, find out how the game is played and play by the rules.
In designing a strategy and getting the information you need — about yourself, people you encounter, or situations — be careful from whom you accept input. Wrong thinking and misinformation can seal your fate before you even begin.
Life Law #2:
You create your own experience.
Strategy: Acknowledge and accept accountability for your life. Understand your role in creating results.
You cannot dodge responsibility for how and why your life is the way it is. If you don't like your job, you are accountable. If you are overweight, you are accountable. If you are not happy, you are accountable. You are creating the situations you are in and the emotions that flow from those situations.
Don't play the role of victim, or use past events to build excuses. It guarantees you no progress, no healing, and no victory. You will never fix a problem by blaming someone else. Whether the cards you've been dealt are good or bad, you're in charge of yourself now.
Every choice you make — including the thoughts you think — has consequences. When you choose the behavior or thought, you choose the consequences. If you choose to stay with a destructive partner, then you choose the consequences of pain and suffering. If you choose thoughts contaminated with anger and bitterness, then you will create an experience of alienation and hostility. When you start choosing the right behavior and thoughts — which will take a lot of discipline — you'll get the right consequences.
Life Law #3:
People do what works.
Strategy: Identify the payoffs that drive your behavior and that of others.
Even the most destructive behaviors have a payoff. If you did not perceive the behavior in question to generate some value to you, you would not do it. If you want to stop behaving in a certain way, you've got to stop "paying yourself off" for doing it.
Find and control the payoffs, because you can't stop a behavior until you recognize what you are gaining from it. Payoffs can be as simple as money gained by going to work to psychological payoffs of acceptance, approval, praise, love or companionship. It is possible that you are feeding off unhealthy, addictive and imprisoning payoffs, such as self-punishment or distorted self-importance.
Be alert to the possibility that your behavior is controlled by fear of rejection. It's easier not to change. Try something new or put yourself on the line. Also consider if your need for immediate gratification creates an appetite for a small payoff now rather than a large payoff later.
Life Law #4:
You cannot change what you do not acknowledge.
Strategy: Get real with yourself about life and everybody in it. Be truthful about what isn't working in your life. Stop making excuses and start making results.
If you're unwilling or unable to identify and consciously acknowledge your negative behaviors, characteristics or life patterns, then you will not change them. (In fact, they will only grow worse and become more entrenched in your life.) You've got to face it to replace it.
Acknowledgment means slapping yourself in the face with the brutal reality, admitting that you are getting payoffs for what you are doing, and giving yourself a no-kidding, bottom-line truthful confrontation. You cannot afford the luxury of lies, denial or defensiveness.
Where are you now? If you hope to have a winning life strategy, you have to be honest about where your life is right now. Your life is not too bad to fix and it's not too late to fix it. But be honest about what needs fixing. If you lie to yourself about any dimension of your life, an otherwise sound strategy will be compromised.
Life Law #5:
Life rewards action.
Strategy: Make careful decisions and then pull the trigger. Learn that the world couldn't care less about thoughts without actions.
Talk is cheap. It's what you do that determines the script of your life. Translate your insights, understandings and awareness into purposeful, meaningful, constructive actions. They are of no value until then. Measure yourself and others based on results — not intentions or words.
Use any pain you have to propel you out of the situation you are in and to get you where you want to be. The same pain that burdens you now could be turned to your advantage. It may be the very motivation you need to change your life.
Decide that you are worth the risk of taking action, and that your dreams are not to be sold out. Know that putting yourself at risk may be scary, but it will be worth it. You must leave behind the comfortable and familiar if you are to move onward and upward.
Life Law #6:
There is no reality, only perception.
Strategy: Identify the filters through which you view the world. Acknowledge your history without being controlled by it.
You know and experience this world only through the perceptions that you create. You have the ability to choose how you perceive any event in your life, and you exercise this power of choice in every circumstance, every day of your life. No matter what the situation, you choose your reaction, assigning meaning and value to an event.
We all view the world through individual filters, which influence the interpretations we give events, how we respond, and how we are responded to. Be aware of the factors that influence the way you see the world, so you can compensate for them and react against them. If you continue to view the world through a filter created by past events, then you are allowing your past to control and dictate both your present and your future.
Filters are made up of fixed beliefs, negative ideas that have become entrenched in your thinking. They are dangerous because if you treat them as fact, you will not seek, receive or process new information, which undermines your plans for change. If you "shake up" your belief system by challenging these views and testing their validity, the freshness of your perspective can be startling.
Life Law #7:
Life is managed; it is not cured.
Strategy: Learn to take charge of your life and hold on. This is a long ride, and you are the driver every single day.
You are a life manager, and your objective is to actively manage your life in a way that generates high-quality results. You are your own most important resource for making your life work. Success is a moving target that must be tracked and continually pursued.
Effective life management means you need to require more of yourself in your grooming, self-control, emotional management, interaction with others, work performance, dealing with fear, and in every other category you can think of. You must approach this task with the most intense commitment, direction and urgency you can muster.
The key to managing your life is to have a strategy. If you have a clear-cut plan, and the courage, commitment and energy to execute that strategy, you can flourish. If you don't have a plan, you'll be a stepping stone for those who do. You can also help yourself as a life manager if you manage your expectations. If you don't require much of yourself, your life will be of poor quality. If you have unrealistic standards, then you are adding to your difficulties.
Life Law #8:
We teach people how to treat us.
Strategy: Own, rather than complain about, how people treat you. Learn to renegotiate your relationships to have what you want.
You either teach people to treat you with dignity and respect, or you don't. This means you are partly responsible for the mistreatment that you get at the hands of someone else. You shape others' behavior when you teach them what they can get away with and what they cannot.
If the people in your life treat you in an undesirable way, figure out what you are doing to reinforce, elicit or allow that treatment. Identify the payoffs you may be giving someone in response to any negative behavior. For example, when people are aggressive, bossy or controlling — and then get their way — you have rewarded them for unacceptable behavior.
Because you are accountable, you can declare the relationship "reopened for negotiation" at any time you choose, and for as long as you choose. Even a pattern of relating that is 30 years old can be redefined. Before you reopen the negotiation, you must commit to do so from a position of strength and power, not fear and self-doubt.
Life Law #9:
There is power in forgiveness.
Strategy: Open your eyes to what anger and resentment are doing to you. Take your power back from those who have hurt you.
Hate, anger and resentment are destructive, eating away at the heart and soul of the person who carries them. They are absolutely incompatible with your own peace, joy and relaxation. Ugly emotions change who you are and contaminate every relationship you have. They can also take a physical toll on your body, including sleep disturbance, headaches, back spasms, and even heart attacks.
Forgiveness sets you free from the bonds of hatred, anger and resentment. The only way to rise above the negatives of a relationship in which you were hurt is to take the moral high ground, and forgive the person who hurt you.
Forgiveness is not about another person who has transgressed against you; it is about you. Forgiveness is about doing whatever it takes to preserve the power to create your own emotional state. It is a gift to yourself and it frees you. You don't have to have the other person's cooperation, and they do not have to be sorry or admit the error of their ways. Do it for yourself.
Life Law #10:
You have to name it before you can claim it.
Strategy: Get clear about what you want and take your turn.
Not knowing what you want — from your major life goals to your day-to-day desires — is not OK. The most you'll ever get is what you ask for. If you don't even know what it is that you want, then you can't even ask for it. You also won't even know if you get there!
By being specific in defining your goal, the choices you make along the way will be more goal-directed. You will recognize which behaviors and choices support your goals — and which do not. You will know when you are heading toward your goal, and when you are off track.
Be bold enough to reach for what will truly fill you up, without being unrealistic. Once you have the strength and resolve enough to believe that you deserve what it is that you want, then and only then will you be bold enough to step up and claim it. Remember that if you don't, someone else will.
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