What is Cognitive Behavior Therapy (CBT) and How Can it Help Me?

Cognitive behavioral therapy (CBT) is a form of effective psychological treatment for depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness. 

Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications, referenced at ada.org.

According to the American Psychological Association, the core concepts of CBT include:

  • psychological issues are partly based on unhelpful ways of thinking
  • psychological issues are partly based on learned patterns of behavior
  • those living with these issues can improve with better coping mechanisms and management to help relieve their symptoms

Healthline provides some of the most popular techniques used in CBT:

  • SMART goals. SMART goals are specific, measurable, achievable, realistic, and time-limited.
  • Guided discovery and questioning. By questioning the assumptions you have about yourself or your current situation, your therapist can help you learn to challenge these thoughts and consider different viewpoints.
  • Journaling. You might be asked to jot down negative beliefs that come up during the week and the positive ones you can replace them with.
  • Self-talk. Your therapist may ask what you tell yourself about a certain situation or experience and challenge you to replace negative or critical self-talk with compassionate, constructive self-talk.
  • Cognitive restructuring. This involves looking at any cognitive distortions affecting your thoughts — such as black-and-white thinking, jumping to conclusions, or catastrophizing — and beginning to unravel them.
  • Thought recording. In this technique, you’ll record thoughts and feelings experienced during a specific situation, then come up with unbiased evidence supporting your negative belief and evidence against it. You’ll use this evidence to develop a more realistic thought.
  • Positive activities. Scheduling a rewarding activity each day can help increase overall positivity and improve your mood. Some examples might be buying yourself fresh flowers or fruit, watching your favorite movie, or taking a picnic lunch to the park.
  • Situation exposure. This involves listing situations or things that cause distress, in order of the level of distress they cause, and slowly exposing yourself to these things until they lead to fewer negative feelings. Systematic desensitization is a similar technique where you’ll learn relaxation techniques to help you cope with your feelings in a difficult situation.

How CBT Can Help

Healthline states that typical CBT treatment often involves the following:

  • recognizing how inaccurate thinking can worsen problems
  • learning new problem-solving skills
  • gaining confidence and a better understanding and appreciation of your self-worth
  • learning how to face fears and challenges
  • using role play and calming techniques when faced with potentially challenging situations

The goal of these techniques is to replace unhelpful or self-defeating thoughts with more encouraging and realistic ones.

CBT can help with a range of things, including:

  • depression
  • substance misuse
  • post-traumatic stress disorder (PTSD)
  • anxiety disorders, including panic disorder and phobia
  • obsessive-compulsive disorder (OCD)
  • schizophrenia
  • bipolar disorder
  • eating disorders

CBT can also help with:

  • grief and loss
  • chronic pain
  • insomnia
  • relationship difficulties like a breakup or divorce
  • a serious health diagnosis, such as cancer

If you are interested in Cognitive Behavioral Therapy, SouthEnd Psychiatry is here for you. Our amazing team of licensed therapists are ready to walk along side you in this journey. 

Contact Southend Psych today to inquire about appointment availability and get you on your way to a better place.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

Am I Depressed? Symptoms & Treatment

Everyone has experienced sadness at some point in their life, but not everyone has experienced depression. So, how do you know if you are depressed? In recognition of Depression Awareness Month, we will uncover the symptoms of depression and the different treatment options available.

According to the National Institute of Health, depression (also known as major depression, major depressive disorder, or clinical depression) is a common but serious mood disorder which can cause severe symptoms that affect how a person feels, thinks, and handles daily activities, such as sleeping, eating, or working.

About 21 million U.S. adults—8.4% of the population—had at least one major depressive episode in 2020 according to The National Survey on Drug Use and Health.

Symptoms of Depression

The National Alliance on Mental Health says that depression can present different symptoms, depending on the person. But for most people, depressive disorder changes how they function day-to-day, and typically for more than two weeks. 

Common symptoms of depression include:

  • Changes in sleep
  • Changes in appetite
  • Lack of concentration
  • Loss of energy
  • Lack of interest in activities
  • Hopelessness or guilty thoughts
  • Changes in movement (less activity or agitation)
  • Physical aches and pains
  • Suicidal thoughts

While depression does not have a single cause, it can be triggered by a life crisis, genetics, brain changes, drug/alcohol misuse and other medical conditions. For example, people who have a history of sleep disturbances, medical illness, chronic pain, anxiety and attention-deficit hyperactivity disorder (ADHD) are more likely to develop depression. 

Treatment Options

Treatment for depressive disorder is available for those who have experienced a depressive episode lasting longer than two weeks. The first step to treatment is contacting your primary care doctor, a psychiatrist, or a psychotherapist for an evaluation. 

Psychotherapy (cognitive behavioral therapy, family-focused therapy and interpersonal therapy), medications (antidepressants, mood stabilizers and antipsychotic medications) and exercise can help with depressive disorder. These are highly effective treatments for those suffering from depression.

If you suspect you have depression, or if you’re feeling troubled by your symptoms, have suicidal thoughts, or just need to talk, SouthEnd Psychiatry is here for you. Our amazing team of licensed therapists are ready to walk along side you in this journey. 

Contact Southend Psych today to inquire about appointment availability and get you on your way to a better place.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

Fighting Depression Together

In the US alone, about 1 in 10 people experience depression. From the pandemic to social unrest, there are many factors in today’s society that contribute to this rising mental health condition.

Psychology Today states:

“The trigger for depression can be almost any negative experience or hardship. Triggers can be external—losing a parent (especially when young), losing a job or developing a debilitating disease—or they can be internal and invisible, such a brooding over that most common of experiences, a failed relationship. People differ in their susceptibility, both by virtue of the biological heritage, their parenting heritage, their styles of thinking, the coping skills they acquire or deliberately cultivate, and the degree to which situations afford them the ability to control their fate.”

What is Depression?

Webster defines depression as a mood disorder that is marked by varying degrees of sadness, despair, and loneliness and that is typically accompanied by inactivity, guilt, loss of concentration, social withdrawal, sleep disturbances, and sometimes suicidal tendencies.

Signs of Depression

According to the latest edition of Diagnostic and Statistical Manual of Mental Disorders, depression can be considered an illness when at least five symptoms occur together for at least two weeks. Symptoms include:

  • Feelings of sadness, emptiness, or hopelessness
  • Irritability, angry outbursts, or low frustration tolerance
  • Loss of interest in or ability to enjoy usual activities, from sex to sports
  • Sleep disturbance, whether inability to sleep (insomnia) or sleeping too much (hypersomnia)
  • Fatigue and lack of energy; everything feels effortful
  • Appetite disturbance, including loss of interest in eating and weight loss or overeating and weight gain
  • Anxiety, agitation, and restlessness
  • Slowed thinking, moving, or talking
  • Feelings of worthlessness and guilt, a focus on past failure, self-blame
  • Difficulty concentrating, remembering things, and making decisions
  • Recurring thoughts of death
  • Physical pain such as headaches or back pain that has no clear cause.

How Can Therapy Help?

At SouthEnd Psychiatry, our therapy team first helps patients understand what thoughts, feelings and beliefs are contributing to their depression. We then begin to develop healthy coping skills to combat and prevent depressive episodes. 

Negative thought patterns directly affect our mood. Cognitive Behavioral Therapy (CBT) helps us understand these patterns. We learn how to reframe our thoughts through newly developed skills including meditation.

How Can We Help a Loved One With Depression?

Helping someone with depression can come in many forms. Acknowledgment, understanding and empathy are a great place to start! Here are five ways you can help a loved one battling depression:

  • Encourage therapy treatment. Depression is a complex disorder. Talking to someone who is trained and experienced can mean all the difference in the world. SouthEnd Psychiatry has many different therapy plans and means of communication to help make seeing a therapist easy.
  • Get active. People battling depression tend to loose motivation yet physical activity is a great form of behavioral activation. Invite your loved one on a walk. Exercise, sunshine and companionship all have antidepressant qualities.
  • Intentional sleeping habits. Our sleep patterns can be negatively affected by depression. Encourage your loved one to be intentional about getting a good night’s sleep through meditation, a healthy night time wind down routine and consistent bed times.
  • Keep talking. Maintaining regular contact with someone battling depression is key. Take time to listen without judgement or criticism. Social contact helps prevent alienation and seclusion.

Southend Psychiatry is here as you navigate the complexities of today. We can come alongside you or your loved one to offer support and help. Contact Southend Psych today to inquire about appointment availability and get on your way to a better you.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

The Holidays and Depression: What to Look For and Ways to Cope

You’ve made it through the Thanksgiving meal, and now you’ve got weeks of holiday parties and gatherings ahead. If just the thought of all that fills you with sadness and dread (more than just the introvert kind), you’re not alone. This year, more adults will experience feelings of depression during the holidays than ever before.

The holidays already tend to be a hard time for mental health: the financial stress of gift-giving, the nostalgia of holidays’ past, and the inherent anxiety in getting together with some of the loved ones we prefer to love at a distance. But add loneliness, the loss of a family member, or just the thoughts of what “could be,” and you’ve got Grandma’s recipe for anything but holiday cheer.

And that was all before the pandemic sent depression rates skyrocketing. Since the start of the pandemic, depression among American adults has tripled—and they haven’t dropped. Even with reopenings and the release of the vaccine, rates have only increased, revealing that 1 in 3 adults in the U.S. now suffers from depression.

So, like we said, you’re not alone.

But other than statistics, what else do you need to know, or do, to cope with feelings of depression this season?

Know the Warning Signs.

If you’re reading this post, then you’ve probably already noticed some of the more well-known symptoms of depression in yourself or someone close to you. While sadness and demotivation are at the top of the list, it’s important to know that depression can lead to other, less overt changes, such as unusual sleep patterns, irritability, trouble concentrating, impulsivity, exhaustion, loss of appetite and weight, crying spells, feelings of worthlessness and guilt, loss of interest in normally enjoyable activities, mood swings, feelings of overwhelm and anxiety, and so on.

If you notice yourself experiencing some of these symptoms, take action: Call someone you trust, and consider contacting a mental health professional if they persist. If you observe these in a loved one, kindly express your concern, and be willing to listen.

Get plenty of sleep.

A hectic holiday schedule can easily cut into your sleep schedule, but when feeling distressed, sleep is the last thing that should go. Poor sleep makes you more vulnerable to depression, and sleep deprivation worsens symptoms like irritability, crying spells, exhaustion, and poor concentration. In other words, sleep helps to prevent low moods and manage them! To ensure your sleep is a priority, set a bedtime alarm, create a nightly routine, and avoid keeping your phone near you at night.

Drink only in moderation.

As “at ease” as it can make you feel, alcohol is a depressant, meaning it can bring down your mood, exacerbating negative emotions—the opposite of what you want when you’re feeling depressed. So, to keep spirits high, limit the amount of alcohol you drink during the holidays, aiming to consume no more than one or two drinks in a single setting.

Exercise.

A much better alternative to alcohol for managing emotions is exercise. Exercise increases the production of endorphins in your brain, leaving you feeling euphoric, and research shows that incorporating it into your daily routine can prevent and reduce symptoms of depression. While starting a rigorous, time-consuming workout routine right now is probably a no-go, starting your day with a quick walk or a 30-minute workout video is no big thing and really all it takes to keep some of those holiday blues away.

Don’t isolate.

Whether you’re longing for company or want to be alone (or a little bit of both), resist the inclination to isolate. A tendency to hunker down is a huge factor in the development of depression. If you’re alone this season, reach out to a friend for a Zoom call once a week, and let them know you’re down. Get connected in your community: Join a church, volunteer at a soup kitchen, sign up for a group exercise class. And don’t rule out meeting with a therapist. Seek support even when it’s uncomfortable. Negativity only breeds negativity without sources of positivity.

Plan things you can look forward to.

Who says you have to spend the holidays at home? Book a trip, visit a friend across the country, stay with extended family—do something different! Make a schedule of things to do or try, and stick to that schedule even when your enthusiasm dips. Having something to look forward to—like trying that new restaurant!—will motivate you to get up and go and mitigate the hopelessness you feel. Plus, when you’re on the move, your body (and brain) are bound to feel better!

Prioritize your needs.

We often think of the holidays as a time of “have tos,” but the truth is, you’re an adult, and you CAN say no. Don’t want to go to that party with the aunt that always asks why you’re still single? Don’t! This is not to say you should say no to every less-than-pleasant event, but it does mean that you need to consider what is healthiest for you…because nobody else is going to. Assess how you are feeling and what you need throughout the day, and hold yourself accountable to respecting those needs in your decision-making. Remember, just because you’ve always done it, doesn’t mean you should now.

Reconsider your expectations.

Sometimes, the enemy of good is great. Instead of running around in mental circles considering how your holidays don’t look as you had hoped, remind yourself of what is good about your life. Be intentional about staying present with your loved ones in the moment, actively stopping thought processes that lead you to unmet expectations. Don’t like how your days look? Figure out a couple realistic ways to improve them. The key is to realize that an imperfect reality doesn’t make your reality any less meaningful.

We hope that these tools help you and yours have a most joyous, peaceful holiday season! If the holiday blues turn into New Year’s gloom, consider scheduling an appointment with one of our mental health professionals. If at any point your symptoms lead to suicidal thinking, call 911 immediately.

Recognizing These Six Signs of Depression

Unfortunately, depression does not discriminate. This disease has affected the lives of over 300 million people worldwide. Just looking at statistics can be overwhelming, but it’s necessary to understand the magnitude of what’s happening to those around us. It’s imperative that we are in tune with the ones we love and cue in on the signs and flags they are metaphorically waving. 

6 Signs to Watch For:

Feelings of Worthlessness

When someone is constantly doubting themselves, never feeling confident in their abilities and their reflections are negative– this is a sign. 

Loss of Interest- 

When someone suddenly loses interest in activities that previously brought them joy such as sex, sporting events, hobbies, and social gatherings–this is a sign. 

Suicidal Thoughts- 

When someone feels they are no longer of use in this world, makes a plan, or speaks of taking their own life–this is a sign. 

Change in Appetite- 

When someone is overeating or undereating due to stress or anxiety, and these habits cause a dramatic change in appearance–this is a sign.

Trouble Sleeping

When someone begins to lose sleep due to daily stresses such as financial woes, work issues, marital or relationship problems–this is a sign. 

Fatigue-

When someone, rather they get enough sleep or not, has an overwhelming feeling of tiredness–this is a sign. 

Symptoms in children are quite similar, but we must keep a closer watch as 3.1 million children from ages 12-17 are experiencing depression. They might withdraw socially, suddenly become more sensitive, have unusual vocal outbursts, or feel overwhelmed with sadness. 

Regardless of the different outlets available to those who are depressed, 35% still receive no help. Listening is invaluable. Listen to your friends and family.  Check in on them and ask the questions that in a positive way, force an answer that will allow you to help. Here are some examples of questions to ask:

How can I best support you?

  • What specifically is hurting you? 
  • Who do you have in a supportive circle at work? At school? At home? 
  • What night can I bring dinner so we can talk? 
  • My calendar is open, pick a morning and let’s meet for coffee. 

Ask the questions, have the conversations, and tune in to those around you.

The flags will wave, it’s critical that you see them. Once seen, take the next step and have the conversations. Bring a certified professional in. Don’t be afraid to push them toward healing. At Southend Psychiatry, we offer services primarily online and in-person at flexible locations near you, and will be ready to support you and those you love on the path to mental wellness!

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