an illness that makes a person feel sad and hopeless much of the time. It's
different from feeling a little sad or down. Depression can be treated with
counseling or medicine, or both.
Healthy thinking also can help
prevent or control depression.
If you have thoughts of harming yourself or
others, you need to see your doctor or therapist right away. Healthy thinking
can help with depression. But you may also need medicine and
Negative thoughts can make depression worse or can be a symptom of depression.
Cognitive-behavioral therapy, or
CBT, is a type of therapy that can help you replace negative thoughts with
accurate, encouraging ones.
Changing your thinking will take some time. You
need to practice healthy thinking every day. After a while, healthy thinking
will come naturally to you.
How can you use healthy thinking to cope with depression?
Notice and stop your thoughts
The first step is to notice and stop your negative thoughts or "self-talk." Self-talk is what you think and believe about
yourself and your experiences. It's like a running commentary in your head.
Your self-talk may be rational and helpful. Or it may be negative and not
Ask about your thoughts
The next step is to ask yourself whether your thoughts are helpful or unhelpful. Does
the evidence support your negative thought? Some of your self-talk may be true.
Or it may be partly true but exaggerated. There are several kinds of irrational
thoughts. Here are a few types to look for:
Focusing on the negative: This is sometimes called filtering. You filter out the good
and focus only on the bad. Example: "I'm sad that I don't have many friends.
People must not like me." Reality: You have some friends. So that means you're
likable and can make more friends if you want them.
Should: People sometimes have set ideas about how they
"should" act. If you hear yourself saying that you or other people "should,"
"ought to," or "have to" do something, then you might be setting yourself up to
feel bad. Example: "I should get married before I'm 30. If I don't, it means
I'm a loser." Reality: There's nothing wrong with having a time line in mind.
But you're not being fair to yourself if you make your self-worth depend on
meeting a deadline.
is taking one example and saying it's true for everything. Look for words such
as "never" and "always." Example: "I got laid off. I'll never get another job."
Reality: Many people lose their jobs because of downsizing and other things
beyond their control. It doesn't mean that you won't be able to get another
All-or-nothing thinking: This is also
called black-or-white thinking. Example: "If I don't get a big raise at my next
review, then it means I have no future with this company." Reality: There's
nothing wrong with wanting a big raise. But if you don't get the raise, there
may be reasons for it that have nothing to do with you.
Choose your thoughts
The next step is to choose a more helpful thought to replace the unhelpful one.
Keeping a journal of your thoughts
is one of the best ways to practice stopping, asking, and choosing your thoughts. It makes you aware of your self-talk. Write down any negative or
unhelpful thoughts you had during the day. If you think you might not remember
at the end of your day, keep a notepad with you so you can write down any
irrational thoughts as they happen. Then write down a helpful message to
correct the unhelpful thought.
If you do this every day, accurate and helpful
thoughts will soon come naturally to you.
But there may
be some truth in some of your negative thoughts. You may have some things you
want to work on. If you didn't perform as well as you would like on something,
write that down. You can work on a plan to correct or improve that area.
If you want, you also could write down what kind of irrational thought
you had. Journal entries might look something like this:
Stop your negative thought
Ask what type of negative thought you had
Choose an accurate, helpful thought
"I'm sad that I don't have
many friends. People must not like me."
"I have some friends, so I know I can make
"I should get married before
I'm 30. If I don't, it means I'm a loser."
"There's no guarantee that I'll meet the
right person by the time I'm 30. If I don't get married by then, I still have
time to find a good relationship."
"I got laid off. I'll never get
"Our company ran into financial trouble, so
I got laid off. It may take some time to get another job, but I know I
"If I don't get a big raise at
my next review, then it means I have no future with this company."
All or nothing
"I would love to get a big raise. But it
might not be in the company's budget this year."
Hart SL, Hart TA (2010). The future of cognitive behavioral interventions within behavioral medicine. Journal of Cognitive Psychotherapy: An International Quarterly, 24(4): 344–353.
Layous K et al. (2011). Delivering happiness: Translating positive psychology intervention research for treating major and minor depressive disorders. Journal of Alternative and Complementary Medicine, 17(8): 675–683.
Lightsey OR, et al. (2012). Can positive thinking reduce negative affect? A test of potential mediating mechanisms. Journal of Cognitive Psychotherapy: An International Quarterly, 26(1): 71–88.
McKay M, et al. (2011). Changing patterns of limited thinking. In Thoughts and Feelings: Taking Control of Your Moods and Your Life, 4th ed., pp. 27–45. Oakland, CA: New Harbinger.
McKay M, et al. (2011). Coping with panic. In Thoughts and Feelings: Taking Control of Your Moods and Your Life, 4th ed., pp. 85–104. Oakland, CA: New Harbinger.
McKay M, et al. (2011). Uncovering automatic thoughts. In Thoughts and Feelings: Taking Control of Your Moods and Your Life, 4th ed., pp. 15–25. Oakland, CA: New Harbinger.
Newman CF, Beck AT (2009). Cognitive therapy. In BJ Sadock et al., eds., Kaplan and Sadock's Comprehensive Textbook of Psychiatry, 9th ed., vol 2., pp. 2857–2873. Philadelphia: Lippincott Williams and Wilkins.
How this information was developed to help you make better health decisions.