Get It Done When You're Depressed (31 page)

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Authors: Julie A. Fast

Tags: #Non-Fiction, #Pyrus

BOOK: Get It Done When You're Depressed
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Use Therapy to Help You Get Things Done
Finding a therapist who understands your needs when you’re depressed is essential. If you want to go into your past and work on emotional issues, you can find a therapist who can help you do that. If you want to see a therapist for advice on how better to get moving with the things you want to do, it’s important that you ask around and interview a therapist before you make an appointment. The relationship between a therapist and a client can be very powerful. Taking the time to find one who works for you can be of significant value to you.
Seeing a therapist is
not
a weakness. When you want or need support and to make changes, you don’t have to do it all on your own. Seeking outside opinions and ideas from a professional who has worked with others like yourself can increase your ability to get things done much more quickly than if you have to discover everything for yourself.
Consider the following signs that therapy might be right for you:
• You find it difficult to get things done on your own.
• You know what you need to do but can’t seem to implement the strategies due to negative and self-incriminating thoughts.
• You want an objective person to help you see the areas you need to change.
• You need someone to talk to about the feelings brought up when you feel you’re not able to meet your potential.
• You’re lonely and want human contact with someone who understands depression and has ideas about how to work on your loneliness.
It can be comforting to know that a therapist can help you with all this stuff. It’s a lot easier than trying to handle the problems all on your own.
Rick’s Story
I decided to go with a male therapist because I felt he would better understand what I go through as a father and as the person who goes to work every day. (My partner is home with our kids.) I don’t tell people at work about my depression; I tell my therapist. I talk to him about my worries that this illness will be passed on to my kids. I worry that I’m setting a bad example by having days when I actually have to call in sick to take care of myself. I talk to my therapist about my inability to move up in the company like I want to. I can’t take on as many clients as my co-workers do, and I see them get the promotions I want for myself. When I got my degree, I wanted to start my own business and have a lot of employees. But I have trouble doing what I do for my company; having my own company probably isn’t in my future.
When my therapist hears my worries, he always points out the fact that I do a good job at work and am always praised. I’ve never had financial troubles because of the depression. My kids are fine, and my partner is understanding. He then reminds me that these worries often go away when the depression is not around, which is good because I can’t see this on my own when I’m depressed. He is one of the most important people in my life because he listens without judging and then calmly points out what I can do to get through this.
My Story
I’ve been in therapy since age 19. Unfortunately, I’ve had many well-meaning therapists who wanted me to “explore my past” in detail to find out why staying in one job was so hard for me. They also wanted me to come up with a reason why I had trouble completing the projects I started with such enthusiasm. We looked at my family life, at my education, and at how I was raised to see what might have influenced my self-confidence.
There’s no question this work helped me get to know myself better, but it never helped my productivity. The severity of the depression was missed for years because my personality is so outgoing and rather excessive. When I started to look at my inability to work as a result of depression and not some personal failing, I found therapists who worked with me on getting around the depression in order to attack the real problem: my brain.
When I get really down on myself for not doing enough, Robin, my therapist of five years says, “Julie, you always asked me to remind you that this is a by-product of an illness. What can you do right now? Let’s focus on that.” She’s right, and it takes her talking to me quite strongly to get through to my depressed brain. I often don’t want to listen to her—rather, depression won’t let me listen to her—but what she says always gets to me later. There are certainly days when I cry over my “lack of ability” to get things done, and she just listens. That helps as well.
What I do now:
• I see an action-oriented therapist who has a lot of ideas about how I can accept my situation and change what I can.
• I often go to my therapy session with a purpose.
• I remind my therapist to remind me that I’m depressed.
• I use therapy as a safe place to cry over what depression does to me.
• I listen to her insightful suggestions and use them.
Exercise
Finding an action-oriented therapist can be a challenge, so it’s very important that you know what you need and want before you see someone. Look over the following list and check the therapy and therapist qualities you feel will help you the most.
I want a therapist who …
Helps me create a plan for getting through the workday.
Doesn’t mind if I cry, complain, and feel sorry for myself, as long as it’s not the whole session.
Uses
cognitive therapy
to help me realize my negative and often distorted thoughts about my lack of productivity.
Helps me change my behaviors with a definite plan.
Knows about depression and how it affects productivity.
When you determine the kind of therapist you seek, you can ask family, friends, and health-care professionals for referrals. It’s very important that you see someone who works for you. You might have to try a few before finding someone who fits.
*Cognitive therapy cuts through the fog of depression and makes you focus very specifically on what you think and say out loud. A trained therapist can listen to what you say, point out how it is possibly distorted, and offer you ways to change the language in order to change the thought behind the language. For example, you can change
I never get anything done and never will
to
I’ve had trouble getting things done lately
. This realistic appraisal of your current situation can give you a lot of hope for the future.
ASK DR. PRESTON
Why does seeing a therapist often work better than asking friends and family for help?
Therapists who understand how to treat depression successfully know the right questions to ask. They realize that responses such as “Snap out of it” or “It’ll be better soon” aren’t helpful. They appreciate the need to discuss some feelings and life events over and over again. They know about specific techniques and homework assignments that can help combat depression, and they know about adjunct treatments such as antidepressants and bright-light therapy. And finally, because they’re not your friends or family, they can maintain a more realistic perspective.
Don’t Fear Therapy
Seeing a therapist is a sign of strength when faced with depression.
Here are some other thoughts to consider:
• Research different styles of therapy, including cognitive therapy that teaches awareness of how what you say and do determines your mood; behavioral therapy that helps you look at the behaviors that lead to more depression so that you can replace them with more constructive behaviors; and interpersonal therapy where you examine what current problematic relationships may be contributing to depression and then learn strategies for more effective communication and problem solving in important relationships. Finding a therapist who uses a combination of the above techniques is often a great help. When you make a decision, you can ask for referrals and make calls.
• You don’t have to want to do the busy work of finding a therapist. It may be overwhelming. But if your goal is to have a supportive therapist who can help you get things done and feel good about yourself, you have to take the first uncomfortable step. It can take less than a few hours for possible years of benefit.
• Listen to yourself and not the others who may say that therapy isn’t what you need.
• Knowing you have someone who will listen to you without judgment can be a tremendous help for depression.
• Action-oriented therapists can have a lot of good advice on how to make the life choices that help you focus on what you can do. Then they can give you practical advice on how to get moving and get things done.
Remember:
Most people take more time picking fruit in a grocery store than they do choosing a therapist. Find someone who works for
you.
The legwork you do up front will pay off down the road.
44
Accept the Limitations Caused by Depression
At one time or another, everyone with depression has dreams of what they could do
if only
they weren’t depressed. Facing the reality of what you can do might feel devastating if you’ve had a dream, possibly since childhood, of how you want to work or where you want to be by a certain point in your life. For many people, it’s the 30-year mark. You think,
I should have reached my goals by 30! Other people are a lot farther than I am by now!
This might be true, but it’s probably also true that they don’t deal with depression.

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