Practical Brain-Focused Strategies for Working with Depression
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1 Practical Brain-Focused Strategies for Working with Depression Video 11 - Transcript - pg. 1 Practical Brain-Focused Strategies for Working with Depression How to Help Clients Avoid Falling into the Deficiency Gap with Elisha Goldstein, PhD National Institute for the Clinical Application of Behavioral Medicine
2 Practical Brain-Focused Strategies for Working with Depression Video 11 - Transcript - pg. 2 Practical Brain-Focused Strategies for Working with Depression: Elisha Goldstein, PhD How to Help Clients Avoid Falling into the Deficiency Gap Dr. Goldstein: Let s go a little bit deeper into the natural antidepressants of purpose and meaning. The 13th-century Sufi poet Rumi said, Sometimes you hear a voice through the door calling you: As a fish out of water, here are the waves. Come back, come back. This turning toward what you deeply love saves Most of us aren t really in touch with what we deeply love. you. What we deeply love most of us aren t really in touch with what we deeply love, and our clients certainly aren t necessarily either. In touch with what we deeply love it s almost like a term that maybe causes some people to cringe, but we know that when we re connected, we feel a sense of meaning and purpose in life. If you remember, that s a study done by Steve Cole and Barbara Fredrickson that showed that correlation with reduced cellular inflammation in the body. Cellular inflammation in the body has been associated with depression in particular, and also a variety of different diseases. We want to reduce cellular inflammation. Feeling good means connection, meaning, and purpose in life and that s correlated with reduced cellular inflammation, so let s go for it! I ll give you just a brief sense of this. What I do with people to help them uncover their sense of meaning and purpose in life is to help them understand a little bit of a page out of Acceptance Commitment Therapy. Feeling good means connection, meaning, and purpose in life. ACT can help them understand what they value, and that s usually where it stops with a lot of people. People will have this experience they ll value the feeling of having a strong connection to family ties, let s say. They ll value being a compassionate person, of they ll value world peace or they ll value whatever it is maybe a healthy body.
3 Practical Brain-Focused Strategies for Working with Depression Video 11 - Transcript - pg. 3 But the idea is: the brain has nothing to grab on to when it just has these general values that don t necessarily lead to anything. They re just these ideas, and often, more ideas for us to fall short on, enhancing that gap between where we think we should be and where we are, and that puts us in the gap of deficiency, which just feeds the depression loop. The Dalai Lama said, It s not enough to be compassionate we must act. The Dalai Lama said, It s not enough to be compassionate we must act. ACT, Acceptance Commitment Theory is a funny play on words, but we must ACT! And maybe that s something they can grab onto and use. So, the question is: What do you value? That s the first question What do you value? People say, I value compassion. And you say, OK, then, let s turn those values into verbs. Now, what we re doing is we re getting more specific and we re allowing the brain to grab on to something: I want to turn those values into verbs. You say, If you value compassion if you were to turn it into a verb, what would it be? You might say, I m going to have a daily practice of thinking about people in this world and in my family who are struggling, and I want to support them maybe I can support Whatever you value we want to turn that value into a verb. them with a text, maybe I can support them with a phone call, maybe I can support them with just the intention of wishing them well and to be at ease That s a compassion practice, and now, we can start to make it our practice. Now, it s something real to create that left prefrontal shift. It s important to do, and we re turning those values into verbs. It s the same with: I value a strong family. If you value a strong family, how do you turn that value into a verb?
4 Practical Brain-Focused Strategies for Working with Depression Video 11 - Transcript - pg. 4 We re going to have nightly meals together and we re going to put the technology aside for the time of the meal. That s one way I can value/turn the value of a strong family into a verb. Great! Now, you say, I value world peace. What do you do? How do you turn that into a verb? You can find CharityNavigator.com it s a great way of finding a variety of charities, and you or your clients can look on that and say, OK, there s one way of turning that value into a verb, which is giving money even something as small as 50 cents a month it doesn t really matter. What matters is that we are doing something. What matters is that we are doing something. Another even more powerful way to act is to be of service. A client of mine a while ago when we were doing this and other people have done this in the past he borrowed this idea decided that he would make a whole bunch of peanut-butter-and-jelly sandwiches and he would pass them out to the homeless people around where he lived we re in Santa Monica we have a lot of services for people in need we attract a lot of homeless people. So, he decided to go out and do that. This was his way of turning a value into a verb, and I asked him, How does it make you feel when you do that? He said, I actually feel really good. I feel really connected. That s the opposite of when someone feels depressed, and he was someone who was heavily entrenched in his depression. When we re talking about this, we can ask ourselves: What natural antidepressant is the one I want to put my foot forward with? Here we have what we ve talked about throughout this course: the depressed brain and what a brain looks like when it s depressed as well as the different areas we want to begin to activate around the left prefrontal shift, cooling down the amygdala, and growing the hippocampus. We ve talked about how we can reduce cellular inflammation and how we can act on our values to feel more connected feeling a deeper sense of meaning and purpose. It s no wonder that sometimes more actionable things for someone who s really depressed might be the beginning.
5 Practical Brain-Focused Strategies for Working with Depression Video 11 - Transcript - pg. 5 Play and turning values into verbs might be the place to enter more than mindfulness and self-compassion even, especially if someone is too vulnerable to be self-compassionate. These are some areas where we can begin. It s not a one size fits all. It s no wonder that sometimes more actionable things for someone who s really depressed might be the beginning. Where we enter with somebody depends on where they are at. As you know and it s worth reiterating, we always start we always meet the person where they are at. We can enter with one of these natural antidepressants, depending on where the person is at. For some people, it might be turning values into verbs; for others, it might be starting with self-compassion; for others, we might want to start with mindfulness; for others, play might be the place to begin. We re learning all about this together. Now, when I talk about compassion, I want to make a little caveat here for people who are depressed because they re burnt out on giving being caretakers and in various roles like that. Then, the giving part is obviously not the place to begin the place to begin here is with self-compassion. That s really important to understand We have to understand where the person s at before we begin. Just as when we re talking about working with these natural antidepressants the mindfulness, the selfcompassion, the compassion, which includes purpose and meaning, or play we have to understand where the person s at before we begin. The more deeply entrenched, the more actionable ones are better to begin with the play and the uncovering of values and turning those into verbs may be the place to begin, and other ones will come after that. Certainly, these all create important shifts neural shifts in the brain that inevitably are the natural antidepressants. Oftentimes, and we ll just end with this before moving to this final section, which is that neuroscience is so fantastic.
6 Practical Brain-Focused Strategies for Working with Depression Video 11 - Transcript - pg. 6 We re touching the tip of the iceberg of understanding how and what we do, the way we think, and how the way we are in the world impacts the brain. At the same time, neuroscience often just reflects what we already know in our experience, and that s a really important point to make. We know that giving makes us feel good, and it s in every childhood book from the dawn of time, and it s true we know it from our experience. Neuroscience often just reflects what we already know in our experience. I always lead with, Let s just do this as an experiment and allow our experience be our teacher that s where we ll begin. In this next and final section of working with natural antidepressants and uncovering happiness, we ll talk about how to create confidence how you tie all of these natural antidepressants and everything we ve learned together and create confidence.
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