The talk will be about Dealing with Depression through cognitive behavior perspective. Signs and Symptoms of Depression and CBT model of depression will be discussed. At the end Different techniques to deal with depression. For info log on to www.healthlibrary.com By Ms. Jai Bapat.

1. DEALING WITH
DEPRESSION
Miss Jai Bapat
Counseling Psychologist
CBT/REBT & AAT
Therapist

2.  jiah khan
 marlyn monroe
 Silk Smita
 Jumanji actor Robin williams
 what was the reason for them giving up on life?
 Everyone of them was undergoing treatment for
depression
 They gave up on life because they thought now
this is the end of world.

3. WHAT IS

4. “DEPRESSION”
 It means a mood or state of sadness, pessimistic
ideation with loss of interest or pleasure in normally
enjoyable activities. Accompanied by consequent
weight loss feelings of worthlessness and
diminished ability to think or concentrate.
 Everyone feels low from time to time which is
pretty normal.
 For some people low mood persists for weeks
months and years with very little relief.
 A lot of time people make themselves depressed
we call it as Rumination

5. SIGNS AND SYMPTOMS OF DEPRESSION
 Prolonged depressed mood
 Thoughts of hopelessness
 Change in Appetite
 Change in Sleep Pattern
 Tired and fatigue
 restlessness
 Difficulty Concentration and memory attention
 Thoughts of Self Harm or Suicide (immediate medical
attention required)

6. CAUSE OF DEPRESSION
 No single cause for depression early negative
experiences.
 Some talk about chemical imbalances in brain and
research shows certain brain chemical imbalances
change in people in a depressed mood.
 Cbt suggests that certain early experiences and life
events such as trauma in childhood early losses
bereavement and bullying.
 Such experiences lead us to develops unhealthy
negative beliefs about ourselves, other people and
the way world works.

7. FIVE ASPECT MODEL OF CBT
Cognitive Behavior Therapy can be explained in the
below format.
Trigger i.e. Event/ Situation
Thoughts
Feelings
Behavior
Physiological Response
Thoughts
Feelings
Behavior
Physiological
Response

8. TRIGGER : LOSS OF JOB
I will never find
another job. They
got rid of me
because I am
completely useless
Sad, Depressed,
Ashamed
Stay in Bed, Avoid
Social Outings,
Avoiding Telephone
Crying, Lack of
Energy, Tired

9. COGNITIVE TRIAD OF DEPRESSION
 Depression comes in three different flavors.
 Negative view of self : I am a no good and
worthless person.

10. CBT MODEL OF DEPRESSION
 Negative view of World: The world is unfair.

11. CBT MODEL OF DEPRESSION
 Negative view of Future: The future is hopeless.

12. COGNITIVE DISTORTIONS
 There are number of ways in which our thinking
style may become distorted when in low mood.
 Mental Filter
My boss said that I haven't done my report
correctly. I am a useless person.
You pick out a single negative detail and dwell on it
exclusively so that your vision of all reality becomes
darkened, like the drop of ink that discolors the
entire beaker of water.

13. COGNITIVE DISTORTION
 Over generalizing:
I can never do anything right
No one will ever love me
You see a single negative event as a never-ending
pattern of defeat. “My life is useless, the whole
world is bad, I will NEVER succeed.”

14. COGNITIVE DISTORTION
 All and Nothing Thinking :
You see things in black and white categories. If
your performance falls short of perfect, you see
yourself as a total failure.“ I failed this test, I’m a
failure!”

15. COGNITIVE DISTORTION
 Mind Reading :
You arbitrarily conclude that someone is reacting
negatively to you, and you don't bother to check this
out.“ The audience is certainly getting bored.”

16. COGNITIVE DISTORTION
 Emotional Reasoning :
You assume that your negative emotions
necessarily reflect the way things really are: "I feel
it, therefore it must be true."
“I feel he does not love me.”

17. COGNITIVE DISTORTION
 Catastrophizing:
You exaggerate the importance of things (such as
your goof-up or someone else's achievement) or
you inappropriately shrink things until they appear
tiny (your own desirable qualities or the other
fellow's imperfections). This is also called the
"binocular trick."
“I got ONLY 80% marks”
“ I am not even 1% of what you are.” “ He has
everything”

18. DO’S AND DON'TS OF BEING IN A DEPRESSED
MOOD
Do’s Don’ts
Tell someone how you feel Beat yourself Up
Get moving- do something active
for 5 minutes
Stay in Bed
Treat yourself as you would a
friend
Expect too much from yourself
Examine your thoughts for biases Listen to the parrot.
Remember your thoughts are not
fact

19. RESEARCH
 Studies suggest that one in five us will experience
depression at some point in our lives.
 CBT is one of the most frequently used therapy
with considerable research supporting its
effectiveness and adaptability.
 First research done by Dr. Aaron Beck was on
Depression and it was very effective.

20. TECHNIQUES TO DEAL WITH DEPRESSION
o Get Active/Behavioral Activation.
o Five Minute Rule.
o Challenge Negative Thinking.
o Balanced Alternatives to negative thoughts.
o Allow yourself to be sad : let yourself experience
and accept the whole array of feelings. Acceptance.
o Cut down on Self Criticism
o Write it down on sheet of paper

21. HOW COGNITIVE BEHAVIOR THERAPY IS
HELPFUL IN TACKLING WITH DEPRESSION
 Ask for help if things are too much to manage.
 It helps in making the client understand about his
biased thinking.
 Thoughts are thoughts not facts.
 Thinking leads to feeling if we think differently then
we feel differently the main concept of CBT.
 CBT views thoughts as to re evaluate them rather
than think in a positive way. Finding a more realistic
balanced way of viewing and interpreting events.

22. BLACK DOG

23. Thank you