In most types of depression, the lack of physical energy and not feeling excited about anything can make you feel immobile. Your response can range from dragging yourself through your day to actually not doing anything you know you ought to do. This problem is typical for people with endogenous depression or who are in the exhausted phase of situational depression. When immobilized, you probably think or even say out loud, "What's the use?" regarding any suggestion to try something. The feeling of hopelessness can ooze out of you. Even things that used to be interesting or fun or rewarding just do not seem worth the effort. You may stop doing the very things you know would make you feel better. What you lack is the energy to get started.
The neurobiology of depression - particularly the low levels of serotonin and dopamine in the basal ganglia and the prefontal cortex causes low energy, the feeling of being physically "sick" and not getting a kick out of life. The interplay between low energy and not taking action results in a downward spiral in which emotional lows are made worse by physical lows. The less you do when you are depressed, the less you will do. Reversing that spiral is one of the first things to do in depression. Changing your thoughts and changing your behavior will have an immediate effect because both thought and movement stimulate the brain. If you can start thinking there might be hope, it moves you mentally, and if you can get your body moving, you will see surprising gains in improving depression.
When you feel immobilized it is a good time to enlist the help of others in reversing the downward spiral. Although you can turn to family, sometimes partners or parents don't react well to their depressed family member, especially if the depression has lasted a while. Family members react to your hopelessness. They might turn it against themselves or you, thinking you don't believe they are worth living for, or they might turn against you, angry at your helplessness when they know you are a competent person. They may throw their hands up in frustration (literally or metaphorically) when you don't get moving. You may work better with a therapist or counselor who will not take your depression personally. Besides, those of us in clinical practice are taught early in training not to throw our hands up in frustration! A therapist can see your immobilization and listen to your feeling helplessness while helping you ease into changes that will raise your physical and emotional energy. The point is that you may well need a jump start from someone else's energy, from their insight or encouragement. If you do not work with a therapist, by all means ask a friend or family member who is able to encourage you so you can use that person's external energy to help you overcome your lethargy. It is wise to mobilize.I really like this idea of just getting moving. It doesn't matter really what it is, but even getting out of bed or making coffee or getting started at some sort of daily activity can put a stop to the debilitating stagnation and downward spiral depression causes. Just keeping all this in mind lately has given me that little extra push to get out of bed each morning, knowing that the more I try, the more I'm going to see results gives me hope. And adding gratitude to that, is a very powerful combination. When I get out of bed on-time several days in a row, and actually shower and do a few things that are productive, and stop and reflect and give thanks for those things and focus on the few positive things rather then all that is bad, I tap into something very powerful. Hope and gratitude are a very powerful combination!
For those of you who have never experienced long term depression, all of this stuff I'm talking about will sound like common sense to you, and you won't understand why I am finding it to be so profound. But, if you do suffer from long term depression, then you do understand that feeling of "what's the use." Engaging in "active mindfulness" and consciously talking yourself through these mobilizing steps, is a big deal that the non-depressed person easily does naturally, but for the depressed, it is a big deal. Remember, "thought and movement stimulates the brain." If something you consciously & mindfully talk yourself through in combating depression propels you to some sort of action, then REJOICE and SAVOR that. That movement, that energy, that accomplishment, that small victory, really isn't small at all! It is You grabbing hold of your power and reversing the downward spiral.
Some of this advice and techniques I've actually heard and tried before, but was never able to "mindfully" act on it. For some reason, some element was missing from the equation for me. I'm starting to believe it was "gratitude." Gratitude is underestimated in my opinion. Mindfully "Savoring the positive" and "being grateful" for it is the new part of the equation for me.
Take a moment and be grateful for these small victories because "this time", that crucial ounce of motivation and will, didn't just slip through your fingers and render you out for the count. If you manage to get yourself moving, out of bed, off the couch, into the shower, out to get the mail, out of the house all together....then REJOICE and say to yourself "congratulations, I did it, that's one more minute of my life not stolen by the foul beast!" This is empowering and you can do it again. You are not the hopeless victim depression has convinced you of. You have un-realized storehouses of energy, skills and motivation just waiting to get out and have a party! ;-) I bet you didn't know that.
I'm happy today because every time I succeed in writing another post on this blog, and most times I have hardly any motivation to do so at all, it is a small, yet BIG victory for me that leads to smiles, satisfaction and positive energy that oozes out rather then hopelessness, lethargy and defeat. God Bless & report in anonymously if you want to share your victories on this blog. Positive energy and success are contagious. In sharing, you may just help mobilize somebody else today. That's worth living for, is it not? :-)