Psychotherapy of Depression

Psychoeducation is the first step in therapy. Depression is a common and treatable disorder.

It does not mean that the person is weak or weak.

Unhappiness, pessimism, reluctance, unwillingness to do work, introversion, These symptoms may include not wanting to talk to anyone

, loss of appetite (sometimes, on the contrary, overeating), insomnia, thoughts of guilt, worthlessness

, forgetfulness, attention and concentration problems

It should be explained to the person that all depression is a medical condition and is a treatable disorder.

Depression can cause deterioration in a person's business and private life at different rates. It has nothing to do with being a good or bad person with moral or belief structure.

This should be explained to the depressed person in detail and he/she should stop blaming himself about it. Biological, psychological and environmental factors, individually or together, play a role in the emergence of depression.

To prevent recurrence by explaining that it is a recurring disorder and that recurrence increases with each disease period.

A maintenance and prevention plan should be made by explaining what to do for the disease.

The main goal at this stage is to inform the patient about depression and to help him become his own therapist about his illness.

People's events. There are different interpretations of what happened to them. In depression

Pessimistic thinking style may initiate the disease process, as well as be a factor that delays recovery

.

The basic cognitive feature of depression is that the person's expectations about himself, his environment and the future are negative. /p>

Negative thinking is more about himself. When he sees and compares what the people around him can do, he almost always sees what he cannot do. This situation includes both the present and the past

. Self-criticism and blame also increase in this process. This increases their unhappiness and grief.

In a vicious circle, they think that this situation is mostly due to their own mistakes.

Even in happy events, the thought of "I don't deserve this" prevails.

Teeth prominent in depression In another case, it is a decrease in the person's self-confidence and belief. Underlying this loss may lie excessive expectations that the individual sets for himself.

During the depressive episode, you may constantly make negative comments and negative reactions.

In your conversations with your friends or family, they may not approve of you, criticize what you do, and may even make you feel as bad as before. You can draw the conclusion that they do not like it.

They believe that this situation does not only cover today, but will continue in the future, even forever.

I definitely can't do it, I'm trying in vain, I won't be able to do it,

Those thoughts come to mind. And they believe strongly in negativity, so they stop trying and start doing nothing.

They avoid everything, including activities that would make them enjoy life. The urge to do or finish something gives way to passivity, not doing anything, and isolating oneself from society. Therefore, the first thing to do in depression is behavioral treatment. Because

the area he can control the most is his own behavior.

Second Step Behavioral Activation; Increasing the individual's activities is the main goal. Since Emotion

Thought-Behavior is interconnected, providing an increase in the person's behavioral activity first

even if there is no change in other areas, indirectly affects the Emotion and

Thoughts positively. . After increasing the activity level, the goal is to reduce the behaviors that lead to the continuation of depression (avoiding certain activities that make the person uncomfortable, especially isolating himself socially) and increasing the behaviors that reduce depression.

First of all, the situation is determined by giving the person an activity chart to determine this situation

When the person sees that his activities have decreased and that he is only doing the things he has to do

he is not doing the things he used to like to do. He/she should be shown to see the emotion-behavior relationship. A detailed picture of daily life should be shown to the patient.

After showing the vicious circle, increasing the activities should be planned together.

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