Depression; In addition to being the most common psychiatric disorder all over the world, it is also seen as an important public health problem due to the serious accompanying complications. Depression is a very common disorder in our society. “I'm depressed.” Expressions such as "... happened, I got depressed" are some complaints that are heard quite frequently in daily life as well as in session rooms. Although it is very common to describe a distressed mood as “depression,” it is very important to be able to distinguish between depression and depressive mood. We can get help from DSM-5 to make this distinction. According to the DSM diagnostic criteria, to be diagnosed with depression, at least five of the following symptoms must be seen within the same two-week period:
*Depressed mood
*Inability to enjoy almost all activities, significant loss of interest a decrease
*Losing a lot of weight or gaining weight when not trying to lose weight
*Insomnia or excessive sleeping almost every day
*Psychomotor excitation almost every day (agitation) or slowing down
*Low energy almost every day
*Feelings of worthlessness or excessive and inappropriate guilt almost every day
*Thinking almost every day and having difficulty focusing or experiencing indecision
*Recurrent thoughts of death
Depression is a condition in which a person has intense negative thoughts about himself, his environment, and the future. Obsessive thoughts about the past can be seen in many different types of depression. These thoughts may always be about the person himself or those around him.
What are the causes of depression?
It is now a known fact as a result of today's research that depression may have biological origins. In addition, it may be a result of negative emotions/thoughts/beliefs created in the person by negative and even traumatic events experienced in the past. For example, as a result of the accumulation of situations or events in the past that made the person feel "worthless", this inappropriate belief may have become a self-defining belief of the person. As a result, any event or situation experienced in the present can lead to past negative experiences. It can trigger the person's negative cognition of worthlessness or turn into a self-fulfilling prophecy. In other words, the worthlessness/inadequacy etc. that the person creates for himself as a result of his past experiences. Negative beliefs are people's sensitive points. Unfortunately, it is not surprising to see a depressed mood in a person who has beliefs such as "I am worthless, I am inadequate, I am unimportant" that constantly work independently of the person in the background.
While psychoanalytic theorists state that depressive people are stuck in the oral stage, these people are the most They stated that the defense mechanism they commonly use is introversion. They state that in this introjection defense mechanism, the hated qualities are unconsciously internalized through the introjection mechanism and experienced as a part of the self.
When we look at the formation of depressive processes from the perspective of object relations, early and/or repeated losses lead to a depressive personality organization. We see the result that he issued an invitation. This experience of loss need not always be concretely observable (e.g. the loss of a parent); An internal and psychological loss, such as pressure on the caregiver to give up dependent behavior (for example, weaning) before he or she is emotionally ready, may also trigger this process. According to Furman, a psychological or real loss experienced during the separation-individuation period makes it inevitable for some depressive dynamics to settle in the person.
The fact that depressed people fundamentally believe that they are bad is a pattern expressed by psychoanalytically oriented therapists. As we mentioned above, it is stated that this is a result of their past experiences becoming distorted in the process of determining their self and the fact that they may have developed a negative self-perception.
Depression is the inability to get rid of the negative effects of past events and not be able to benefit from positive emotional accumulations, which is seen in many moments of not feeling well psychologically. It is also a very common pattern. Many of us have memories in our daily lives that are "unreasonable" to think about or have a negative emotional burden on, and which we know are in the past. We can be influenced by it. Some of us feel bad when we think of this, some know that it is in the past and are not affected, and some cannot get rid of its effects. At this point, working on those memories with the EMDR therapy school will be a starting point that will liberate people.
The use of EMDR in the depression treatment process has increased considerably in recent years. So, what does EMDR do to help people get rid of their past burdens and improve their well-being? Let's take a look...
Vitriol and his colleagues determined that traumatic experiences are common in the histories of depression patients and suggested that trauma-oriented interventions are necessary in addition to drug treatment in the recovery of these people. . It is now a proven fact in EMDR research that maintaining the processing of trauma and intervening in negative cognitions provides relief from the disturbing effects of trauma (physical, cognitive and emotional).
Shapiro calls the way EMDR works Adaptive Information Processing (UBI). explained with a mechanism. He reported that distressing memories are not adequately processed in the brain and become tangled and stored inappropriately. In EMDR, this processing process, which the brain cannot do for various reasons, is carried out during the session and the person's traumatic memories are targeted and neutralized. EMDR then turns to current situations and triggers. When working with a therapist, self-defined beliefs such as "I am worthless/unimportant/inadequate" decay and positive cognitive processes begin to take place. It is a phenomenon that therapists constantly observe in clients who undergo EMDR.
By using EMDR, the client's past experiences affect the present. The knots can be untied and the negative burdens of these experiences that negatively affect people can be neutralized. After these are realized, it is aimed to establish contact with the person's positive emotional capacity, which he/she has not touched before due to his/her mood, and to create a more positive self-perception.
If we were to describe EMDR in one word, this word would be for me personally. It would be “liberation”. From your burdens that are too heavy for you, Don't waste any more time to get rid of your overwhelming mood; Consulting a therapist who is trained in this field will be the greatest reward you can give yourself!
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