Several years ago, I was working with a client who was struggling with depression. During our first session, I asked him to describe what it was like when the depression was there. He described not having any energy and not being able to get out of bed. He mentioned feel sad and despairing. He talked about not wanting to see anyone; instead, he would sit in his house alone. His posture changed as he described the depression, shoulders slouching and head lowering. His voice got lower. He was not that way when we began the session. It was almost like the depression was showing up, and he was allowing it to take over as he talked.

If you struggle with depression, it is not just about the feelings of depression; it is also about the thoughts you have that can keep you depressed. For people with depression, there is the tendency to be harsh and judgmental about the thoughts and feelings that you are struggling with. You have thoughts of wanting to fight the depression because you know how it feels when you get caught up it. You start to get mad at yourself and judging yourself for letting the depression win again. You wonder what is wrong with you; why you are so weak that you can’t overcome these feelings.

Over the last few days, I have posted several blogs that deal with the place of values in our lives. I have talked about how naming and giving expression to our values can help with anxiety, depression, and relationships. For example, living without a sense of purpose and meaning is true for lots of people with depression. You may want to put a lot of energy into figuring out where the depression comes from and come up with strategies to avoid it or at least control it. But it is just as important to consider what you would doing, how would you be living and ordering your life if the depression were not there, or if you decided not to spend all your energy controlling it. The answers to that question would be an expression of your values.

All these efforts to overcome depression are about controlling or managing your thoughts and feelings. You try to control by avoiding or pushing them away. You try to control by identifying and replacing with different ones. You try to control by understanding them which will lead to more positive thoughts and feelings. But here’s the thing.  Let’s say I run into you in ten years and ask you how are doing with your depression.  My guess is that you don’t want your answer to be: Well, for the most part I am managing and controlling it and getting through life.  You want to be able to speak about how your life has a sense of meaning and vitality. 

When people come to me for depression treatment, many of them are taking an antidepressant medication prescribed by a psychiatrist or a primary care physician. Often I will have people ask me whether they should take one of these medications. Will it help with my depression? Will it make it go away?