What to Expect as You Overcome Major Depression

Learn what to expect as you go through treatment and recover from major depression.

After a bout of major depression, it’s a relief when you start to feel like your old self again. Overall, you’re improving as you go through treatment for major depression, “but it’s often two steps forward and one step back,” says Shoshana Bennett, PhD, a clinical psychologist. “It’s rarely a straight line up.” Just knowing to expect some bad days with the good can help you be more patient with yourself. “These are dips, not relapses,” Dr. Bennett says.

A risky time during depression recovery is when you start having several good days in a row. It’s easy to think that — since you’re not having symptoms — you don’t need treatment for depression anymore, but going off medication or quitting therapy for depression too soon can lead to symptoms coming back.

American Psychiatric Association guidelines recommend that people with depression who have been successfully treated with antidepressants keep taking them for at least four to nine months, and sometimes longer. Similarly, people with depression who have fewer symptoms with talk therapy should talk with their therapist about how long to continue treatment.

Keeping Depression Symptoms Away Besides sticking with your depression treatment, you can take steps to keep symptoms under control. Connecting with friends and family, thinking positively, staying active, eating well, and getting enough sleep all help, but there’s a catch, says Jon Allen, PhD, senior staff psychologist at the Menninger Clinic in Houston: “The nature of depression makes it difficult to do those things.”

Don’t be surprised if these healthy steps feel unnatural at first. Depression fosters hopeless thinking, so you may have trouble believing that they’ll ever get easier. “They will,” Dr. Allen notes, “as you pull out of depression.”

Friends and family might see a change in your depression symptoms and depressed behavior before you do. “It’s remarkably common,” Allen says. “People will say, ‘Gosh, you look better,’ or ‘You sound better,’ and the depressed person is thinking, ‘Well, I still feel terrible.'” It can be very frustrating for the depressed person, who ends up feeling that other people don’t understand how tough things really are.

Building a Depression Support Network A support group is one place to find other people who know what you’re going through because they’ve had depression themselves. To locate in-person and online depression support groups, call the Depression and Bipolar Support Alliance (800-826-3632).

If you pulled away from friends and family while depressed, now is the time to start rebuilding those bonds. Allen suggests making concrete plans; for example, to meet a friend for coffee. “By making that commitment to someone else, you may feel obligated to show up,” he says. It’s added motivation to get out and rejoin the world. Friends and family can also be a source of encouragement on days when depression symptoms or worries about symptoms get you down. Gradually, you’ll start to feel more hopeful, too.

9 Secrets of Motivated People

Real-life strategies that will help you to actually accomplish the goals you’ve set for yourself this year from ©Real Simple

New year, new you. It’s the perennial January catchphrase that holds such conquer-the-world promise. And then, well, you get sidetracked with conquering your to-do list. But even the loftiest resolutions (running a marathon, writing a book) don’t have to fall by the wayside come February. Staying motivated―and achieving what you set out to do on that bright New Year’s Day―is surprisingly possible. Just follow these nine mantras, provided by researchers who study motivation and backed up by women who have used them to realize their biggest ambitions.

1. When you make a plan, anticipate bumps. Before even trying to achieve a goal, target potential pitfalls and troubleshoot them. Peter Gollwitzer, a professor of psychology at New York University, in New York City, says that people who plan for obstacles are more likely to stick with projects than those who don’t. In a 2009 study published in the American Journal of Preventive Medicine, Gollwitzer compared two groups of women who wanted to be more active. Both groups were given information on leading healthy lifestyles. But the second was also taught how to foresee obstacles (example: “The weather forecast is bad, but I’m planning to go for a jog”) and work around them using if-then statements (“If it rains, then I’ll go to the gym and use the treadmill rather than skip exercising altogether”). No surprise, those in the second group fared better. Michelle Tillis Lederman of New York City practiced this strategy when she was writing a book last year. She installed blinds on her home-office door to minimize disruptions and hired an editor to give feedback on each chapter so she wouldn’t get stuck along the way. She also established rules, like checking e-mails only after she had written for two hours. “It was easier to follow this plan,” says Lederman, “than to wrestle with every distraction in the moment.” Her book, The 11 Laws of Likability (American Management Association), will be published later this year.

2. Channel the little engine that could―really. A person’s drive is often based on what she believes about her abilities, not on how objectively talented she is, according to research by Albert Bandura, a professor of psychology at Stanford University. His work has shown that people who have perceived self-efficacy (that is, the belief that they can accomplish what they set out to do) perform better than those who don’t. That self-belief is what helped Ingrid Daniels of Newark, New Jersey, leave a stable corporate job to develop a T-shirt line after the birth of her first child. “It never occurred to me I could fail, even though I had no experience,” she says. Today Daniels runs two successful small businesses (the T-shirt company and a line of stationery), which allows her to stay at home with her three children.

3. Don’t let your goals run wild… When your sights are too ambitious, they can backfire, burn you out, and actually become demotivating, says Lisa Ordóñez, a professor of management and organizations at the Eller College of Management, at the University of Arizona, in Tucson. Instead of aiming unrealistically high (such as trying to save enough money for a down payment on a home in six months), set goals that are a stretch but not an overreach (come up with a doable savings plan for your budget).

…But work on them everyday. According to Daniel Pink, author of Drive: The Surprising Truth About What Motivates Us ($27, amazon.com), taking small steps every day will not only help hold your interest in what you’re trying to achieve but will also ensure that you move slowly, but surely, toward your goal. So, for example, set up a down-payment-fund jar and dump your change into it every night. You’ll get a sense of accomplishment each day, to boot.

4. Go public with it. Instead of keeping your intentions to yourself, make them known to many. “Other people can help reinforce your behavior,” says James Fowler, a political scientist who studies social networks at the University of California, San Diego. After all, it’s harder to abandon a dream when you know that people are tracking your progress. Take Stefanie Samarripa of Dallas, 25, who wanted to lose 20 pounds. She created a blog and told all her friends to read it. “I wanted something to hold me accountable,” she says. Samarripa weighs herself weekly and announces the result on Desperately Seeking Skinny (skinnystefsam.blogspot.com). During her first three weeks, she lost six pounds. “People read my updates and make comments, which helps me keep going,” she says.

5. Lean on a support crew when struggling. Think of the friends and family who truly want to see you succeed. Enlisting those with whom you have authentic relationships is key when your motivation begins to wane. Choose people who may have seen you fail in the past and who know how much success means to you, says Edward L. Deci, a professor of psychology at the University of Rochester, in New York. For Jane Arginteanu of New York City, support came in the form of her fiancé, Glenn. Arginteanu had smoked from the time she was a teenager and had tried to quit before. When she decided to give it another go, Arginteanu says, “Glenn stood by me and told me, without ever issuing an ultimatum, that he wanted to grow old with me. That was terrific motivation.” A year later, she’s smoke-free.

6. Make yourself a priority.Put your needs first, even when it feels utterly selfish. You will derail your progress if you sacrifice yourself for others in order to please them (such as eating a cupcake that a coworker baked even though you’re on a diet). A few years ago, Karen Holtgrefe of Cincinnati was at the bottom of her own priority list. “I had a demanding full-time job as a physical-therapy manager and was teaching physical therapy part-time,” she says. “Plus, I had a husband and two children to care for.” As a result, she found herself stressed-out, overweight, and suffering from constant backaches. “I hit a wall and realized I needed to make some changes for my sanity,” Holtgrefe says. So she quit the part-time teaching job, joined Weight Watchers, and scheduled nonnegotiable walks six days a week―just for her. In a year, she lost 85 pounds, and her back pain (and stress) disappeared.

7. Challenge yourself―and change things up. It’s hard to remain enthusiastic when everything stays the same, says Frank Busch, who has coached three Olympic swimming teams. To keep his athletes motivated, he constantly challenges and surprises them―adding a new exercise to a weight routine or giving them a break from one practice so they can recharge. Amy Litvak of Atlanta did the same thing. She had several half-marathons under her belt but wanted something new, so she signed up for a series of mini triathlons. “Each race was longer than the last or had a slightly different challenge,” she says. She breezed through them and is now training for a full marathon.

8. Keep on learning. To refuel your efforts, focus on enjoying the process of getting to the goal, rather than just eyeing the finish line. Janet Casson of Queens, New York, set out to teach yoga. She completed her training, but finding a position took longer than anticipated. So she wouldn’t lose steam and become discouraged, Casson used the time to perfect her skills. She attended workshops and studied with different teachers. “It was invigorating and kept me working toward my goal,” says Casson, who now teaches five classes a week.

9. Remember the deeper meaning. You’re more likely to realize a goal when it has true personal significance to you, according to Deci. (For example, “I want to learn to speak French so I can communicate with my Canadian relatives” is a more powerful reason than “I should learn French so that I can be a more cultured person.”) And when the process isn’t a pleasant one, it helps to recall that personal meaning. Not all dedicated gym-goers love working out, Deci points out, but because they have a deep desire to be healthy, they exercise week after week. Jennie Perez-Ray of Parsippany, New Jersey, is a good example of this. She was working full-time when she decided to get her master’s degree. However, she knew that pursuing that goal would mean spending less time with her friends and family. “But I was the first person in my family to get a degree, so it was very important to me,” Perez-Ray says. She kept this in mind every evening that she spent in the classroom. Although the sacrifices she made were hard, she reflects, “reaching my goal made it all worthwhile.”

Is Your Major Depression Treatment Plan Working?

Track your progress with a journal of your clinical depression symptoms.

As you start to overcome major depression (also known as clinical depression, major depressive disorder, or MDD), you can boost your success by being an active member of your own treatment team. Once you’ve worked with your doctor and/or a psychotherapist to put a depression treatment plan in place, the next step is to watch for signs that you’re feeling better. Overcoming depression may take some time, but keeping regular tabs on your progress will help your depression-treatment team fine-tune the right mix of antidepressant medication and psychotherapy for you.

Keep a Depression Symptoms Journal

Day-to-day variations in your depression symptoms can be misleading, so it may be more helpful to assess your progress at the end of each week instead of daily. To keep track of subtle changes in your symptoms, use a depression symptoms journal for at least the first month of treatment. Write in it daily.

Use this checklist to assess your progress around the same time each week:

___I feel more rested in the morning.
___I’m interested at work and able to concentrate.
___My energy level seems to be improving.
___Feelings of lethargy or restlessness were less noticeable.
___I tried to eat regularly and healthfully most days of the week.
___I took my antidepressant medication daily (if applicable).
___I exercised at least 3 times this week.
___Feelings of loss, sadness, guilt, or worthlessness were not distracting.
___I engaged in an activity with friends or family.
___Overall, this week was better than last week.

If you’re taking an antidepressant, take note of the following potential side effects and contact your doctor or therapist right away if you have them:

  • Feelings of worthlessness or thoughts of self-harm
  • Worsening depression
  • Changes in your sexual interest

Modifying Your Depression Treatment Plan

Research shows that a combination of antidepressant medication plus psychotherapy offers the best chance for lasting relief from major depression, says Gerry Neely, MA, LMFT, who works with clients in her Seattle practice. For people who feel a stigma about taking medication, Neely adds, “finding the right medication can serve as a short-term bridge to feeling better and being able to fully engage with life.”

If you don’t see improvement right away, don’t give up hope. Research funded by the National Institutes of Mental Health (NIMH) shows that switching antidepressants or adding a medication to your depression treatment plan can help. If your symptoms persist, your doctor will review your current plan and your overall health to be sure nothing was missed. Your psychotherapist can try a variety of techniques to find the right match.

Exercise and Major Depression

Learn how exercise and physical activity can change your brain chemistry and support your major depression treatment plan.

Exercise is prescribed for a wide variety of health conditions — from heart disease to diabetes. Science shows being active can improve your physical and mental health, and make positive changes in your brain chemistry. But if you’re battling major depression, the thought of working out may seem unthinkable. Here’s some information about the benefits of exercise that may change your mind.

Exercise and Nerve Growth    Early brain chemistry research found that mice living in an exercise-friendly environment stopped acting depressed after a stressful social experience — while mice who didn’t exercise stayed depressed. Scientists attribute the mice’s recovery to the growth of new brain nerves caused by exercise.  This and other research has led scientists to understand how brain nerve growth works in humans, too. Adults affect their brain chemistry through experiences — such as physical activities — and how they respond to them. The proteins largely responsible for the brain’s ability to adapt and change are called neurotrophins. Antidepressants affect neurotrophins in the brain — and so does exercise.

Benefits of Exercise Therapy for Depression In addition to stimulating new nerve growth and improving your ability to think, remember, and learn, exercise boosts serotonin, dopamine, norepinephrine, and endorphins in your brain. These neurotransmitters help you calm down and focus. In studies, exercise therapy has also shown an antidepressant effect.

One Duke University researcher, James Blumenthal, PhD, has been studying exercise and MDD for over a decade. “Based on the best available evidence to date,” Dr. Blumenthal believes that “exercise may be generally comparable to medication in the treatment of MDD.” Similar studies continue to find at least modest clinical benefit for exercise and better mental health. But don’t self-treat your depression symptoms or try to get through your recovery with exercise alone. Talk to your doctor about treatment and self-care options — including exercise — that are right for you.

Adding Exercise to Your Treatment Plan Once you start exercising, you’re likely to notice some changes in your symptoms right away. “Simply moving more and sitting less will make a difference in how you feel,” says exercise physiologist and dietitian Amy Ogle, MS, RD. “And if you typically exercise alone, consider working out with a group or partner because the social connection helps lessen depressive symptoms.”

Shoot for at least 2 1/2 hours of exercise in a week. Strength training counts toward that time, too. Just remember to check with your doctor first, especially if you have another medical condition.

“Sticking to a plan and following your progress,” Ms. Ogle adds, “will renew your sense of self-mastery and control.”  You can progress to the following routine:

  • 5-10 min warm-up, gently moving upper and lower body in full range of motion
  • 30 min aerobic exercise, such as walking, light jogging, swimming, biking or a group exercise class. You should be able to talk, but not comfortably sing.
  • 5 min cool-down and stretching

Herbal Remedies and Dietary Supplements

Some people find herbal remedies and dietary supplements useful in relieving the symptoms of depression. Herbs and supplements commonly used for this purpose include:

  • amino acids and their precursors
  • DHEA
  • folate or folic acid
  • SAMe
  • St. John’s wort (Hypericum perforatum)

Scientific evidence supports the effectiveness of at least one herbal remedy (St. John’s wort) and two dietary supplements (DHEA and SAMe) for reduction of depressive symptoms. However, herbal remedies and dietary supplements do not help all people and in some cases, the effectiveness of these treatments has not been completely established.

Top Ways to Get Your Energy Back — Now

February 21, 2010 12:00 AM by Mehmet C. Oz, MD, and Michael F. Roizen, MD

You’re grumpy at the groundhog (who needed extra weeks of winter?) and a little short with your spouse, and you have been spending more time with the mac-and-cheese casserole than the treadmill. Winter can do that. But it doesn’t have to. Use these strategies to cuff the classic energy thieves that are still hanging around this time of year, and get your mojo back before spring hits:

Energy thief #1: Short, dark days.
What happens: Short days can cause seasonal affective disorder (SAD) — neurochemical changes in your brain due to lack of sunlight. This results in depression in up to 6% of Americans (the further north you go, the more likely you are to be a SAD sufferer). From late fall until spring, people with SAD become depressed, sleep too much, withdraw from friends, and battle low energy and relentless carb cravings.
Turn it around: Light therapy — sitting in front of a special box that shines ultra bright lights — has long been considered to be the best way to combat SAD. But a new University of Vermont study reveals that cognitive-behavioral therapy (CBT) may be even better. CBT is a type of psychotherapy that helps people outsmart depression by teaching them to change their negative ways of thinking. In fact, in this study, CBT alone was able to stomp out SAD with a success rate of 81% (compared with 49% for CBT plus light therapy and 32% for light therapy alone). Why wouldn’t more therapies be better? Researchers surmise that trying to balance two therapies was just too confusing, but CBT alone allowed people to focus on the coping skills they needed to banish their winter blues.

Energy thief #2: You can’t get enough comfort.
What happens: When the mercury heads south, we crave calories, carbs (they help our brains make the calming neurotransmitter serotonin), and fat. In fact, a 2006 University of Massachusetts Medical School study found that once the days become shorter, we pack away an average of 86 extra calories a day and weigh more than at any other time of year. We also snarf down more total and artery-clogging saturated fat.
Turn it around: Just cozy up to good-for-you carbs and healthy omega-3 and omega-9 fats that will satisfy your biology and your brain without packing on a gratuitous layer of blubber.

Trade meatloaf and pot roast for hearty whole grains like whole-wheat pasta and brown rice, or try polenta, a veggie burger, or salmon. Or warm up with a satisfying bean-based vegetable chili or Tuscan white bean soup. Since beans and whole grains are digested slowly, they’ll keep you full longer, so you’ll eat less overall. And if it seems like there are slim pickings in the produce department, now is actually the prime time to load up on nutrient-packed starches, including sweet potatoes and winter squash (roast or bake them with a drizzle of olive oil). Finish your feast with seasonal winter fruit (think apples, pears, oranges, grapefruit, and tangerines, or even frozen berries) topped with a sprinkle of heart-healthy walnuts or almonds and you’ll get all the carbs and fats your body craves — but you’ll do it the healthy way.

Energy thief #3: You stay in. On the couch.
What happens: Your workout plan bites the dust. We log less exercise in winter than any other time of year, with a paltry 45% of Americans and 36% of Canadians keeping active. Pretty ironic, since exercise can lift you out of the winter doldrums by boosting energy, improving mood, and helping you sleep better.
Turn it around: Start with your schedule. Make regular exercise appointments on your calendar the same way you’d ink in any other non-negotiable activity. But give yourself a bit of a break: Don’t think exercise needs to be a hard-core trip to the gym. Taking the dog for an extra-long walk or doing crunches and lifting weights in front of the TV count, too. Still uninspired? Try the 10-minute rule. Make a deal with yourself to get moving for at least 10 minutes. Chances are, once you start, you’ll feel so much better that you’ll keep going.

Self-Help Strategies to help you along in Cope With Major Depression

Build on other depression treatments with small steps to feel better every day.

In addition to the scientifically supported treatments for major depression — antidepressants, psychotherapy, or a combination of the two — there are other steps you can take to help lift your mood and support your recovery. Although clinical depression can rob you of energy, motivation, and the desire to do things that you once enjoyed, remember that inactivity can make depression worse. Staying active will distract you from negative thoughts, and it’s one of the best things you can do to cope with major depressive disorder (MDD).

The National Institute of Mental Health (NIMH) recommends these self-help strategies to ease the burden on yourself while you’re depressed:

  • Don’t wait to seek treatment for major depression. The earlier you start treatment, the better (and faster) your recovery will be.
  • Set realistic goals. Treating major depression isn’t a quick fix, and improvement can be subtle. For example, you may start sleeping better or eating better before your mood brightens.
  • Stay active. Whether it’s exercise, cooking, going to the movies, or dinner with friends, return to activities you once enjoyed. As your treatment starts to take effect, you’ll find yourself enjoying your favorite activities again.
  • Be around other people. Isolating yourself from others worsens major depression, but spending time with family and friends helps boost your mood so you can stick with your treatment program.
  • Don’t let everyday activities overwhelm you. Divide major tasks into smaller chunks, set priorities, and do what you can.
  • Don’t accept roles with a great deal of responsibility, which can be overwhelming when you’re depressed.
  • Recognize negative thinking as a symptom of clinical depression. Try to reframe negative thoughts in a positive light.
  • Don’t engage in self-blame while experiencing depressed mood.
  • Postpone major life decisions until you get relief from depressive symptoms. Don’t change jobs, relocate, enter into or end a primary relationship, or make major financial choices when you’re in the grip of major depression.
  • Each day, make it a point to identify one positive reason to make it through the day.

15 Simple Ways to De-stress

Hypnotize Yourself

Brow furrowed? Pulse galloping? Barely able to breathe? It’s time to relax. We’ve gathered easy strategies to keep tension from taking over.

Forget swaying pocket watches and deep trances. “Hypnosis is a state of highly focused attention,” says David Spiegel, the director of Stanford School of Medicine’s Center on Stress and Health. If done properly, hypnosis can clear your mind, lower your heart rate, and decrease muscle tension. Close your eyes and picture a movie screen with something stressful, like rush-hour traffic, on the left side. Now, visualize a solution playing out on the right, like discovering a new route with no traffic. Eventually, you’ll feel a moment of intense absorption, he explains, like when you’re so caught up in a good movie that you forget where you are. Try doing this for five minutes, three or four times a day.

(Really) Forgive Someone

Although it may be tempting to rehash the details of how your sister’s boyfriend snubbed you, letting go of negative feelings really does lower stress. “When our minds keep rehearsing troubling interactions, the body’s calming system becomes impaired,” says Charlotte vanOyen Witvliet, a psychologist at Hope College in Holland, Mich. A cursory hug won’t do, though. You have to sincerely replace your anger toward the wrongdoer with an attempt to understand the reasons behind his actions. “Forgiveness helps you see more of the truth, not less. When we are upset, our vision is limited in scope,” says Witvliet.

Open the Window

Just looking out your window can have a relaxing effect. In a study led by Peter Kahn, an associate professor of psychology at the University of Washington in Seattle, participants in an office were shown one of three views: a natural setting, a digital display of the same scene, and no view. When stress levels were artificially increased, those looking at the real natural scene returned to their normal heart rate more quickly. Those who looked at the digital display did no better than those looking at a blank wall, suggesting the brain is not easily fooled. “We do best mentally and physically when we’re connected to nature,” says Kahn.

Send Yourself Flowers

“Without question, stress is mitigated by nature,” says Mehmet C. Oz, coauthor of “You: Stress Less” (Simon & Schuster). Scientists at Harvard University delivered flowers to one group of women and gave candles to a second group. Within a week, the first group felt less anxious and depressed, perhaps because humans are comforted by vegetation—a means of survival in caveman days. Oz suggests keeping a plant on your desk and cut flowers at the dinner table.

Pucker Up

A kiss (or two) a day can keep the stress away. You’ll feel less isolated, which is a common source of anxiety. According to Laura Berman, a professor of obstetrics-gynecology and psychiatry at Northwestern University, women in particular respond to locking lips by releasing endorphins. She recommends at least one ten-second kiss a day — deep and emotional, but not necessarily sexually arousing. “Just enjoy the physical connection,” she says.

Take a Time-Out

You don’t need to slip into bed to get the benefits of a good rest. Kate Hanley, author of “The Anywhere, Anytime Chill Guide: 77 Simple Strategies for Serenity” (Skirt!), suggests a simple exercise you can do at your desk that is just as refreshing as a nap:

  • Keeping both feet on the floor, stack your forearms on the edge of the table.
  • Scoot back in your chair so your spine is extended.
  • Rest your forehead on your arms for a minute or two.

This opens the neck and shoulders, where physical tension commonly builds up, and creates space in your rib cage for deep breathing. Visualize your next task going well, or simply focus on your heartbeat. Either way, this exercise gives you a break.

Take it Easy

Working out is a great way to take a bite out of tension—but think twice before you sign up for a boot camp. “When you are mentally tired, intense exercise adds to the stress you are feeling,” says Samuele M. Marcora, a physiologist at the University of Kent in England. After a draining day, he suggests a moderate-intensity workout, like walking or light running. “It won’t improve your fitness level, but it is good for the mood.”

Say ‘Om’

Yoga is a proven stress buster, but not all poses give the same relief. Inverted stances, such as back bends and headstands, may have a greater effect on your mood and anxiety, say researchers. The part of the nervous system that relaxes the body and mind may be stimulated when the spine is bent, explains Chris Streeter, a professor of psychiatry at Boston University School of Medicine.

Go Into the Light

“Stress can be triggered when our bodies don’t know what time it is,” says Julie Holland, an assistant clinical professor of psychiatry at New York University School of Medicine. “Exposing your retina to sunlight resets your circadian rhythm so your brain is on a schedule.” Take a walk outside without sunglasses for 20 minutes a day, three times a week. Phototherapy lamps and vitamin-D supplements also help.

Watch a Tearjerker

If you’re still crying your contacts out on your 100th viewing of “Blue Valentine,” try watching it a 101st time with a new outlook: A recent study suggests that thinking positively while watching a sad movie may help you cope with setbacks in the real world. Women who had experienced stress were shown sad scenes from movies such “I Am Sam” and “Fatal Attraction” and asked to come up with happy endings and good advice for the characters. Test subjects who were best at this showed fewer signs of depression than women who watched the movies passively, says Allison S. Troy, a researcher at the University of Denver. Solving other people’s problems is always easier, she says. Practicing as you make your way through your Netflix queue may sharpen your skills.

Treat Your Allergies

Itchy eyes and a runny nose aren’t the only plagues of allergy season: Stress may rise with the pollen count. Alvaro Guzman, a psychiatrist at the National Center for the Treatment of Phobias, Anxiety and Depression in Washington, D.C., says research shows that patients with seasonal allergies often report stress, mood dips, and depression when symptoms flare. “When we have an allergic reaction, chemicals are produced in our blood that can aggravate mood changes,” he says. If you notice your stress levels peaking when the weather is changing, Guzman suggests getting tested for allergies.

Drop an F-Bomb

Saying what you really think about the boss over a couple of martinis has its advantages. After observing groups in various workplaces, Yehuda Baruch, a professor of management at Rouen Business School in France, found that people swear as a coping mechanism to release stress. When upset with a difficult customer, one test subject pretended to carry on a conversation as if the client were still on the phone, but with profanity to describe exactly how she felt. In the real world, Baruch warns to use common sense. “Stay professional and never swear in front of someone who would be offended.”

Get Busy

You’re sitting on the couch watching The Real Housewives of Beverly Hills reruns — just like last weekend. And instead of becoming absorbed, part of your brain stays focused on the looming deadlines that have been nagging at you at work. Susan Nolen-Hoeksema, a professor of psychology at Yale University and the author of “Women Who Think Too Much” (Henry Holt), says, “Overthinking without being able to resolve anything draws us deeper into a feeling of being overwhelmed.” A pastime that requires you to pay attention or engage with other people—like tackling a new recipe, taking a foreign-language class, or playing tennis—lets you escape from your own spinning head and break the cycle.

Surround Yourself With Beauty

Admiring a photo of a model or a movie star just as you would a work of art could relieve tension. Half a group of people who viewed photos of females wearing makeup said they were less stressed afterward, according to a study at the University of Louisville in Kentucky. The other half did not report the same benefit, but they didn’t feel any worse, says Patrick Pössel, a professor of psychology who conducted the study.

Be a Pescatarian

Battling stress can be as simple as ordering fish at a restaurant. On “The Truth About Food,” a program on the Discovery Health Channel, researchers measured hormone levels in London cabdrivers, who have highly stressful jobs. When put on a diet of four portions a week of oily fish like mackerel, a source of omega-3 fatty acids, the drivers produced less of the stress hormone cortisol and more of DHEA, a hormone the body cranks out to combat stress. “When the body sees omega-3 fatty acids, it feels calm,” says Oz. Walnuts, flaxseeds, and tofu are other excellent sources.

What Your Liver Can Teach You About Burning Fat

How Psychotherapy Helps Treat Major Depression

 

Counseling from a psychiatrist, psychologist, or other specialist can help you cope with clinical depression symptoms.

Even if your doctor prescribes an antidepressant to treat major depression (also known as clinical depression, major depressive disorder, or MDD), you’ll likely also need to include psychotherapy in your treatment plan. A variety of psychotherapy treatments (“talk therapy”) can help alleviate major-depression symptoms by helping you learn smart coping strategies. Psychotherapy may also help prevent a relapse of major depression.

The National Institute of Mental Health recommends two main types of psychotherapy for major depression :

  • Cognitive behavioral therapy: Based on the theory that a negative mindset is a key component of major depression, cognitive behavioral therapy helps patients reframe negative — and often unrealistic — thought patterns in a more positive light to help counteract depressed feelings and behavior.
  • Interpersonal therapy: This type of therapy works on the premise that negative experiences in personal relationships can trigger or worsen major depression. It focuses on the link between mood and interpersonal relationships, and is particularly helpful in addressing such issues as unresolved grief, interpersonal disputes, poor social skills, and social isolation.

Professionals who offer Interpersonal therapy include psychiatrists (doctors who also may prescribe antidepressants), psychologists, licensed clinical social workers, and licensed marriage, family, and child counselors. People with major depression may work with a psychiatrist, who prescribes antidepressant medications, and with a psychologist or other counselor for psychotherapy. Therapy sessions can take place in a variety of settings, ranging from private-practice offices and clinics to social-service agencies and outpatient mental health clinics.