|
ELIZABETH MAHANEY, M.A.
|

|
|
To view more information... Please visit my website at
www.SouthTampaTherapy.com www.MissingPieceCounseling.org
|
|
JOIN OUR LIST
|
 |
| PLEASE FORWARD THIS NEWSLETTER...THANKS!
|
|
|
|
|
Issue: #11
|
DECEMBER / 2008
|
Greetings!
I hope this newsletter finds you well! In this DECEMBER issue you will find information pertaining to DEPRESSION: WHAT IT IS AND HOW TO DEAL WITH IT (PART 2) and HOW TO STOP PROCRASTINATING. Enjoy:)
|
|
Depression: What It Is and What to Do about It (Part 2)
By Elizabeth Mahaney, M.A.
|

Depression: What It Is and What to Do about It (Part II)
This is the second of a two-part series on depression. In this issue, I will describe how depression is treated and prevented. If you or someone close to you suffers from depression, it is important to educate yourself about it and seek treatment from qualified mental health professionals.
There are three basic ways to treat depression: psychotherapy, self-help, and medication. Many people respond best to a combination of two or more methods.
1. Psychotherapy: Exploring one's beliefs and ways of thinking, and learning new ways of thinking and behaving, with the guidance of a professional. 2. Self-help: Exploring one's beliefs and ways of thinking on one's own. 3. Medication: Altering one's brain chemistry by taking antidepressant medication.
A physician may recommend medication when four conditions exist:
1. The patient's depression is severe. 2. The patient has suffered at least two previous depressive episodes. 3. There is a family history of depression. 4. The patient asks for medication only and refuses psychotherapy.
There are four types of antidepressant medication available today:
· Tricyclic antidepressants (TCAs) · Monoamine oxidase inhibitors (MAOIs) · Selective serotonin reuptake inhibitors (SSRIs) · Structurally unrelated compounds
The TCAs and MAOIs have been used for decades. The SSRIs (such as Prozac) and structurally unrelated compounds are newer and are being prescribed more and more frequently. They have fewer and less pronounced side effects than the TCAs and MAOIs.
Treatment without Medicine
One of the leading methods for treating depression is cognitive therapy. Cognitive therapists help depressed clients feel better by identifying how faulty ways of thinking are making him or her feel bad. The client analyzes his or her thoughts and beliefs, and learns to substitute more healthy ways of thinking and believing. Many mental health professionals believe that the ideal treatment of clinical depression is medication in conjunction with psychotherapy.
Prevention of Depression
Depression can often be prevented. It is especially important to take preventive action if you are aware that you have predisposing factors such as those mentioned in the last newsletter.
1. Identify your risk factors and be aware of where you are vulnerable. Each of us has unique risk factors, such as things we were taught in our families of origin, values we have learned, and the presence or absence of a family history of depression. Anything that has been learned can be unlearned and replaced with something healthier. 2. Learn to manage stress. You can learn proven techniques for calming and relaxing yourself. Consider taking a stress management class or buying a set of relaxation tapes. 3. Learn problem-solving skills. Many people who develop depression never learned problem-solving skills. They need to develop the ability to see problems from many viewpoints and to look for a variety of solutions. 4. Build your life around things you can control. Learn to recognize what you can control and what you can't. Avoid spending much effort on situations that won't pay off for you. 5. Learn self-acceptance. Instead of rejecting the parts of yourself you don't like, learn to manage them more productively. 6. Become aware of selective perception. Observe how you generate ideas and opinions about people and events. Remember that these are just your views, not necessarily objective facts. 7. Focus on the future, not the past. Depressed people tend to be focused on the past. People who set goals and focus on the future tend to be more positive about life. 8. Develop a sense of purpose. Many depressed people lack a sense of purpose or meaning. This means they have no goals and nothing in the future drawing them forward. To prevent depression, develop your sense of purpose and meaning. 9. Strengthen your emotional boundaries and set limits. Boundaries define your role in a social situation. They determine how you will or won't behave in a given situation. Having clear, strong boundaries is empowering, while boundary violations make you feel victimized and helpless. Setting limits means having and enforcing rules for the behaviors you expect in a relationship. 10. Build positive and healthy relationships. Think about what you need from others in relationships. Learn to read people and trust your instincts about which people are good for you. 11. Avoid isolation. Talk to others about what's going on with you. If you keep your thoughts to yourself, you may be unaware that your thoughts are distorted. If you share them with another person, you can become more objective.
Signs That Professional Therapy Is Needed
1. Thinking about death or suicide. This is always dangerous and you should see a professional therapist immediately. 2. When symptoms of depression continue for a long time, you may need professional help. Acute responses to events are normal, but they should not last beyond a reasonable time. 3. Your ability to function is impaired by your depression. Seek help before your life situation deteriorates to a serious level. 4. You have become so isolated that you have no one with whom to test reality. Seek someone out to share your thoughts and feelings with. 5. Depressive symptoms have become severe.
Suggested Reading
David D. Burns, M.D., Feeling Good: The New Mood Therapy. New York, Avon Books, 1980.
Michael Yapko, Ph.D., Breaking the Patterns of Depression. New York, Doubleday, 1997.
Please pass this newsletter along to a friend. Or call 813-240-3237 to request additional copies or to make an appointment.
|
HOW TO STOP PROCRASTINATING
By Elizabeth Mahaney, M.A.
|
This is the second of a series of two newsletters that explore the dynamics of procrastination. In my last newsletter, you learned what procrastination is and why people do it. In this issue, you will learn how to change your procrastination behaviors and enable yourself to be more productive.
You will have the greatest success if you read the first newsletter and take some time to observe your own procrastination patterns. Once you have accomplished that, choose a few of the strategies outlined here. Keep working at it until you understand what you need to do to stop putting things off.
Set Specific Goals
The most effective goals are specific, measurable, and achievable. An example of a good goal is, "I will buy paint on Friday and paint the living room on Saturday." This is better than saying, "I am going to get the house ready to sell."
Set Priorities
Write down all the things that you need to do, and place them in order of importance. The most important tasks belong at the top of your list and the distractions go at the bottom. Start at the top of your list and work your way down.
Organize Your Work
Set up a system for yourself. Prepare a daily schedule and keep it within view during your working time. List the tasks for each day. Check things off as you complete them. When you are working on a project, lay out all of the needed supplies or materials before you begin.
Divide and Conquer
Sometimes a project is overwhelming if you think about all of the work that is involved. Do yourself a favor: Break the activity down into smaller steps and set progress goals for each of the steps. This is especially helpful when you are beginning a writing project, studying for a degree, or building a new set of skills. For example, if you need to write a report, make an outline before you start writing. If you have to clean your house, make your goal to do the first two rooms by 10:00, two more by noon, and two more by 2:00. Check tasks off your outline as you complete them.
Make It a Game
Turn the temptation to avoid working into a challenge. Use your imagination. For example, if you need to study the first five chapters of your history book, pretend that you are a substitute teacher and will need to lecture on the material tomorrow. Take notes and organize the information into an outline that you could speak from. Sometimes changing the frame around a situation makes it more interesting and less of a chore.
Schedule a Small Amount of Time
Tell yourself that you will only spend ten minutes on the task right now, just to get your feet wet. Work on the task for the ten minutes and then choose whether to continue for ten more minutes. Continue doing this until you decide to stop, or when you are finished with the task. If you stop working on the task before it is finished, spend a few more minutes to plan a strategy for the next steps.
When you are tempted to substitute a fun but unimportant activity (such as reading a magazine or watching the weather channel) for an important project (such as finishing pages of your report), make the substitute activity your reward for doing the important task. Do the high-priority job first and reward yourself with the fun activity.
Ward Off Self-Defeating Thoughts
Telling yourself that you are going to do a poor job or even fail can seriously undermine your ability to function. It is important to realize that your negative statements are not facts. Keep your focus on the present moment and the positive steps you can take toward accomplishing your goals. If these thoughts are based on a need for perfection or low self-esteem (described in the "Managing Perfectionism" newsletter), you may want to work on these issues.
Make a Commitment
Make a verbal and written commitment to completing the task or project. Write a contract and sign it. Tell someone about your plans and ask them to follow up with you. One trainer wanted to create a how-to workbook and market it to other training professionals. After weeks of procrastination, she decided to motivate herself by creating a deadline. She wrote an ad for the workbook and placed it in the professional publication that she knew her colleagues would be reading. When her telephone began to ring with orders for the workbook, she suddenly became very focused.
Remind Yourself
Write notes to yourself and post them in conspicuous places. Leave them where you will see them-on places like the outside of your briefcase, the bathroom mirror, refrigerator, television, your front door, and the dashboard of your car. The more often you remind yourself of what you plan to accomplish, the more likely it is that you will follow through with action.
Reward Yourself
Reinforcement is a very effective way to motivate yourself. When you complete even the most minor task, be sure to acknowledge what you have done. This is especially important in the beginning when you are struggling with procrastination behaviors. After you have mastered these issues and have regained your peak productivity, don't forget to celebrate the completion of the big projects. You worked hard for it and shouldn't take it for granted. Use the information from this newsletter to develop your personal program for accomplishing the things that are most important to you. How will you use this information to improve the quality of your life? Write your notes here:
_____________________________________________
Please pass this newsletter along to a friend or call Elizabeth Mahaney 813-240-3237 to request additional copies.
|
|
|
Thanks for reading this months Newsletter!
Sincerely,
Elizabeth Mahaney
South Tampa Therapy & The Missing Piece of Counseling and Well-Being Inc. Address: 425 S. Orleans Ave. Tampa, FL 33606 Phone: 813-240-3237 Email: Elizabethmahaney@msn.com Website: www.SouthTampaTherapy.com www.MissingPieceCounseling.org |
|
|