EXAMINING MOOD DISORDERS AND IDENTIFYING WORKABLE SOLUTIONS DEPRESSION, BIPOLAR DISORDER, DISORDER ALONG WITH ANXIETY

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EXAMINING MOOD DISORDERS AND IDENTIFYING
WORKABLE SOLUTIONSDEPRESSION, BIPOLAR
DISORDER,DISORDER ALONG WITH ANXIETY

• DEVELOPED BY
• TINA HOLLAND
• DIRECTOR OF EDUCATION
• THE MOOD DISORDERS OF MANITOBA

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EXAMINING MOOD DISORDERS

• 90 of people who have a mood disorder
• never seek treatment
• 1 in 3 Canadians will be affected by a mood
  disorder sometime in their lifetime
• 1 in 5 will be affected by a mood disorder this
  year
• The Canadian economy losses
• Approximately 52 Billion dollars per year
• Due to Mood Disorders

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EXAMINING MOOD DISORDERS

• What are Mood Disorders?
• They are
• Treatable ILLNESSES

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What do Mood Disorders Affect

• The way a person feels about themselves
• The way they think about things
• The way they may act or react in certain
  situations

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WHO MAYBE AT RISK FOR A MOOD DISORDER?

• People who have family members with depression.
• People who have experienced a stressful or
  traumatic life event.
• People who lack self-esteem
• People who abuse alcohol, drugs or gamble.
• People who lack the social support of a spouse,
  friends or extended family.
• People who have a chronic medical illness or
  persistent pain.

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WHAT IS DEPRESSION ?

• DEPRESSION IS
• Not the same as a blue mood.
• It is not a sign of personal weakness.
• or a condition that can be willed away or wished
  away.
• People with depressive illness cannot merely
• pull themselves together.

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HOW CAN YOU TELL IF SOMEONE IS DEPRESSED?

• A PERSON WHO IS DEPRESSED WILL EXIBIT
• 4 OR MORE
• OF THE FOLLOWING SYMPTOMS
• FOR
• LONGER THAN 2 WEEKS
• The severity of symptoms varies with individuals
• ONLY A DOCTOR CAN PROPERLY DIAGNOSE YOU

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SYMPTOMS OF DEPRESSION

• Feelings of sadness, hopelessness
• Empty mood
• Feelings of guilt, worthlessness
• Low self esteem
• Irritability, getting angry for no reason

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SYMPTOMS OF DEPRESSION

• Isolating yourself from people you once enjoyed
  being with
• Loss of energy, no motivation
• Sleeping disturbance increase or decrease

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SYMPTOMS OF DEPRESSION

• Eating disturbance increase or decrease
• Poor concentration, difficulty making decisions
• Sense of impending doom or disaster
• Thoughts of death or suicide

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TYPES OF DEPRESSION

• CLINICAL DEPRESSION
• DYSTHYMIA
• SEASONAL AFFECTIVE DISORDER or SAD
• SITUATIONAL DEPRESSION
• SECONDARY DEPRESSION

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TEEN DEPRESSION

• Teenage depression is surprisingly common.
• It is one of the most common emotional
  disturbances among high school students. More
  girls are affected than boys.
• Depressed teenagers may show different behaviour
  than depressed adults.
• Children and teens often have additional
  psychiatric disorders, such as behaviour
  disorders or substance abuse problems.

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How do you know if a teenager has depression?

• The following is a guide
• To say a child has clinically significant
  depression (aka Major Depressive Disorder),
• they must have five of the following symptoms
  listed below to such a degree that it
  significantly interferes with their functioning
  for at least
• two weeks straight.

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TEEN DEPRESSIONHow do you know if a teenager has
depression? (continued)

• Neglect of personal appearance
• Aggression refusal to cooperate, antisocial
  behaviour
• Extreme sensitivity to rejection or failure
• Use of alcohol or other drugs
• Perception of being ugly when not

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LOW SELF-ESTEEM

• Depression does not go away by itself however,
  almost all people with depression can overcome it
  with the proper treatment

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TEEN DEPRESSIONHow do you know if a teenager has
depression? (continued)

• Thoughts or expressions of death or suicide
• Self-destructive behaviour
• Talk of or efforts to run away from home
• Risk-taking behaviours
• Frequent complaints of physical illnesses, such
  as aching arms, legs, or stomach when no cause
  can be found

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TEEN DEPRESSION

•  What causes teenage depression?
• Stress Teen years are naturally a time of
  emotional and social-turmoil
• Biology Many people who have depression have a
  biochemical imbalance in the brain that affects
  behaviour and mood.
• This imbalance can cause depression even when
  no stressful situation exists. Because a
  persons biochemistry is partially determined by
  genetics, teens that have a close relative with
  depression are more likely to have the problem
  themselves.

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TEEN DEPRESSION

• How do you know if a teenager has depression?
• The best way to determine if a teenager is
  depressed is to arrange for a diagnostic
  evaluation.
• Only a licensed physician or psychologist can
  diagnose a person with a psychiatric disorder.

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TEEN DEPRESSION There is help

• Depending on the results of the evaluation, your
  physician or mental health professional may
  recommend
• Professional counselling.
• Psychotherapy helps teens with depression
  understand their feelings and problems and how to
  deal with them.
• Medication.
• Sometimes used in combination with
  psychotherapy, medication can correct the
  biochemical imbalances that cause depressive
  feelings and behaviours.
• Several different categories of antidepressant
  medications, which are not habit-forming, are
  available today.
• When carefully prescribed and monitored by a
  physician, these medications can relieve the
  severity, frequency, and duration of depressive
  episodes in three to six weeks.

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TEEN DEPRESSION

•  Adolescent and child depression is usually
  accompanied by the following behaviors
• Uncooperative towards others
• Doing poorly in studies and difficulties in
  getting along with others
• Frequent complaints of headaches, stomachaches or
  other physical illnesses
• Sliding personal appearance
• Feeling misunderstood / disapproved of
• Excessive sleeping
• Persistent boredom, low energy, poor
  concentration

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NEXT BIPOLAR DISORDER
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BIPOLAR DISORDER

• is a treatable illness marked by extreme changes
  in mood, thought, energy, and behaviour.
• it used to be known as Manic Depression
• a persons mood can alternate between the "poles"
  mania (highs) and depression (lows). This change
  in mood or "mood swing" can last for hours, days
  weeks or months.
• These swings can be severe, ranging from extreme
  energy to deep despair.
•  

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Bipolar Disorder

•  Bipolar Disorder affects approximately 1.5 of
  all people.
• In Canada, more than 450,000 people have, or
  will have this disorder.
• Although not a single cause has been identified,
  it is known that many factors, including
  biochemical, genetics, and environment play a
  part in this illness. 

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BIPOLAR DISORDER

• BIPOLAR I DISORDER
• Bipolar I disorder is the most severe form of the
  illness marked by extreme manic episodes.
• BIPOLAR II DISORDER
• Hypomanic episodes have symptoms similar to manic
  episodes but are less severe, but must be clearly
  different from a persons non-depressed mood.
• For some, Hypomanic episodes are not severe
  enough to cause notable problems in social
  activities or work. However, for others, they can
  be troublesome.
•  

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Symptoms of mania the "highs" of bipolar
disorder

• Increased physical and mental activity and energy
  
• Heightened mood, exaggerated optimism and
  self-confidence
• Excessive irritability, aggressive behaviour
• Decreased need for sleep without experiencing
  fatigue
• Uncontrolled spending

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Symptoms of mania the "highs" of bipolar
disorder

• Grandiose delusions, inflated sense of
  self-importance
• Racing speech, racing thoughts, flight of ideas
• Impulsiveness, poor judgment, distractibility
• Reckless behaviour 
• In the most severe cases, delusions and
  hallucinations

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Symptoms of - the "lows" of bipolar disorder are
significantly more destructive then in depression

• Prolonged sadness or unexplained crying spells
• Significant changes in appetite and sleep
  patterns
• Irritability, anger, worry, agitation, anxiety
• Pessimism, indifference
• Loss of energy, persistent lethargy

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Symptoms of - the "lows" of bipolar disorder are
significantly more destructive then in depression

• Feelings of guilt, worthlessness
• Inability to concentrate, indecisiveness
• Inability to take pleasure in former interests,
  social withdrawal
• Unexplained aches and pains
• Recurring thoughts of death or suicide

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What causes Bipolar Disorder?

• Research suggests that an improper balance of
  neurotransmitters in the brain is related to the
  symptoms and episodes of depression and mania.
• The biochemical imbalance may represent a genetic
  vulnerability set into motion by prolonged
  stress, trauma, physical illness, or some other
  environmental factor.
• Medications work for most people by correcting
  the chemical imbalance.
• There is growing evidence that heredity is
  involved, especially in the more recurrent forms
  of the disorder. The exact mechanism by which
  Bipolar Disorder is transmitted from one
  generation to the next is not known.
•  

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BIPOLAR DISORDER

• Fortunately very effective treatments are
  available to stabilize your mood and help you
  regain and maintain a satisfying and productive
  life

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BIPOLAR DISORDER

• People with bipolar disorder need to remember
• Every mania is followed by a sudden and deep
  depression.
• It is almost impossible to stay focused and
  really accomplish anything if you are off your
  medication.

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Keep in mind

• No two people become depressed or Manic in the
  same way.
• Bipolar and depression are illnesses.
• Having it is not your fault.
• Depression affects both men and woman.
• Address depression or bipolar now, before it gets
  any worse.

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EARLY-ONSET Bipolar Disorder
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EARLY-ONSET Bipolar Disorder

• It is a disorder of the brain marked by extreme
  changes in mood, energy, and behavior.
• Symptoms may be present since infancy or early
  childhood, or may suddenly emerge in adolescence
  or adulthood.
• Until recently, a diagnosis of the disorder was
  rarely made in childhood.
• Doctors can now recognize and treat bipolar
  disorder in young children.

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EARLY-ONSET Bipolar Disorder

•  Early intervention and treatment are key
• Children with emerging bipolar disorder need to
  achieve stability, gain the best possible level
  of wellness, and grow up to enjoy their gifts and
  build upon their strengths.
• Proper treatment can minimize the adverse
  effects of the illness on their lives and the
  lives of those who love them.

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EXAMINING MOOD DISORDERS

• What to look for?
• Symptoms increasing in duration and intensity.
• Inability to function as usual.
• What seemed a temporary mood may have become a
  clinical illness if it lasts for a longer period
  of time.

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EARLY-ONSET Bipolar disorder

• How common is bipolar disorder in children?
•  It is suspected that a significant number of
  children diagnosed with attention-deficit
  disorder with hyperactivity (ADHD) have
  early-onset bipolar disorder instead of, or along
  with, ADHD.
• According to the American Academy of Child and
  Adolescent Psychiatry, up to one-third of the 3.4
  million children and adolescents with depression
  may actually be experiencing the early onset of
  bipolar disorder.
• Bipolar disorder looks different in children than
  it does in adults. Children usually have rapid
  and severe cycling between moods producing
  chronic irritability and few clear periods of
  wellness between episodes.

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EARLY-ONSET Bipolar disorder

• Symptoms may include
• An expansive or irritable mood
• Depression
• Rapidly changing moods lasting a few hours to a
  few days
• Explosive, lengthy, and often destructive rages
• Separation anxiety
• Defiance of authority
• Hyperactivity, agitation, distractibility
• Strong and frequent cravings, often for
  carbohydrates and sweets

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EARLY-ONSET Bipolar disorder

• Symptoms continued
• Sleeping little or, alternatively, sleeping too
  much
• Bed-wetting and night terrors
• Excessive involvement in multiple projects and
  activities
• Impaired judgment, impulsivity, racing thoughts,
  pressure to keep talking
• Dare-devil behaviours
• Inappropriate or precocious sexual behaviour
• Delusions and hallucinations
• Grandiose belief in own abilities that defy the
  laws of logic (Ability to fly, for example)

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EARLY-ONSET Bipolar disorder

•  
•  Adolescents who seemed normal until puberty
  and experience a comparatively sudden onset of
  symptoms are thought to be especially vulnerable
  to developing addiction to drugs or alcohol.
• Substances may be readily available among their
  peers and teens may use them to attempt to
  control their mood swings and insomnia.
• If addiction develops, it is essential to treat
  both the bipolar disorder and the substance abuse
  at the same time.

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EARLY-ONSET Bipolar disorder

• What role does genetics or family history play in
  bipolar disorder?
• The illness tends to be highly genetic, but there
  are clearly environmental factors that influence
  whether the illness will occur in a particular
  child.
• Bipolar disorder can skip generations and take
  different forms in different individuals.

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EARLY-ONSET Bipolar disorder

• The small group of studies that have been done
  vary in the estimate of risk to a given
  individual
• For the general population, a conservative
  estimate of an individuals risk of having
  full-blown bipolar disorder is 1 percent.
  Disorders in the bipolar spectrum may affect 46
  .
• When one parent has bipolar disorder, the risk to
  each child is 15 to 30.
• When both parents have bipolar disorder, the risk
  increases to 50 to 75.
• The risk in siblings and fraternal twins is 15 to
  25.
• The risk in identical twins is approximately 70.

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EARLY-ONSET Bipolar disorder

• The need for prompt and proper diagnosis
• Tragically, after symptoms first appear in
  children, years often pass before treatment
  begins, if ever.
• Meanwhile, the disorder worsens and the childs
  functioning at home, school, and in the community
  is progressively more impaired.
• The importance of proper diagnosis cannot be
  overstated. The results of untreated or
  improperly treated bipolar disorder can include

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EARLY-ONSET Bipolar disorder

• The need for prompt and proper diagnosis
• An unnecessary increase in symptomatic behaviours
  leading to removal from school, placement in a
  residential treatment center, hospitalization in
  a psychiatric hospital, or incarceration in the
  juvenile justice system.
• The development of personality disorders such as
  narcissistic, antisocial, and borderline
  personality.
• A worsening of the disorder due to incorrect
  medications.
• Drug abuse, accidents, and suicide.

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EARLY-ONSET Bipolar disorder

•  It is important to remember that a diagnosis is
  not a scientific fact
• There is no blood test or brain scan, as yet that
  can establish a diagnosis of bipolar disorder.
• Parents who suspect that their child has bipolar
  disorder (or any psychiatric illness) should take
  daily notes of their childs mood, behaviors,
  sleep patterns, and unusual events, and
  statements by the child of concern to the
  parents.
• Share these notes with the doctor making the
  evaluation and with the doctor who eventually
  treats your child.
• Some parents fax or email a copy of their notes
  to the doctor before each appointment.

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EARLY-ONSET Bipolar disorder

•  The response to medications and treatment
  varies.
• Medication
• Few controlled studies have been done on the use
  of psychiatric medications in children.
• Only a handful of medications for pediatric use
  have been approved.
• Psychiatrists must adapt what they know about
  treating adults to children and adolescents.

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EARLY-ONSET Bipolar disorder

• Other treatments, such as psychotherapy, may not
  be effective until mood stabilization occurs.
• In fact, stimulants and antidepressants given
  without a mood stabilizer (often the result of
  misdiagnosis) can cause havoc in bipolar
  children,
• potentially inducing mania, more frequent
  cycling, and increases in aggressive outbursts.

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EARLY-ONSET Bipolar disorder

• A Turning Point
• Learning that ones child has bipolar disorder
  can be traumatic.
• Diagnosis usually follows months or years of the
  childs mood instability, school difficulties,
  and damaged relationships with family and
  friends.
• However, diagnosis can and should be a turning
  point for everyone concerned.
• Once the illness is identified, energies can be
  directed towards treatment, education, and
  developing coping strategies.
• There is hope and there is help.

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YOU CANT CATCH A MOOD DISORDER

• Depression and Bipolar Illness can be triggered
  by
• Chemical imbalance
• Biological vulnerability, heredity
• Psychological make-up

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SITUATIONAL FACTORS

• THAT CAN CAUSE A MOOD DISORDER
• Loss (death, job, status)
• Chronic illness
• Trauma
• Any unwelcome change

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What Causes a Mood Disorder?

• Traumatic life events
• like the death of a loved one,
• the loss of a job,
• Incest
• Abuse
• Neglect
• or some of the things soldiers see
• send some people into deep depression, while
  others cope with the same problem and move on.
• PTSD will be discussed this afternoon.

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Causes of Mood Disorders

• Chemical Imbalance
• Brain chemicals like
• serotonin, norepinephrine, and cortisol may
  influence a persons energy, emotions,
• sleeping patterns and
• eating patterns

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Causes of Mood Disorders

• Chemical Imbalance
• Studies show the most successful treatment
• of the illness
• involves medication
• along with counselling
• or therapy and self-help

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CHEMICAL IMBALANCE
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EXAMINING MOOD DISORDERS

• What to Do?
• Depression and bipolar are serious illnesses, and
  must be properly diagnosed.
• See your Doctor
• ITS UP TO YOU
• To take responsibility for getting better, but
  there is lots of help out there.

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This happens over and over and over again
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MOOD DISORDERS ANXIETY
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MOOD DISORDERS ANXIETY

• Anxiety is a normal response to stress or danger.
• At times it is helpful because it can help
  prepare the body for action, and it can improve
  performance in a range of situations.
• Anxiety becomes a problem when it is experienced
  intensely and it persistently interferes with a
  persons daily life.
• Anxiety symptoms are extremely common
• Everybody experiences anxiety from time to time.
• Anxiety disorders are the most common psychiatric
  conditions in the community.

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MOOD DISORDER ANXIETY

• Depression and anxiety commonly occur together.
• Not everybody who is anxious is depressed, but
  most depressed patients have some symptoms of
  anxiety.
• When an anxiety disorder is also present,
  depression is more severe and is more likely to
  fail to respond to treatment.

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MOOD DISORDER ANXIETY

• The presence of panic attacks substantially
  increases the risk of suicide in a depressed
  individual.
• Other debilitating anxiety disorders, including
• social phobia,
• obsessive-compulsive disorder,
• and post-traumatic stress disorder

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MOOD DISORDER ANXIETY

• Anxiety disorders appear to be common in people
  with bipolar disorder as well, yet anxiety is
  rarely discussed in the medical literature on
  bipolar illness
• Clinicians and people with bipolar disorder may
  well be unaware of the potential very negative
  consequences of this seemingly unimportant
  complication.

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GOING INTO THE LIGHT
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GOING INTO THE LIGHT

• There is no easy snappy answer
• We are all looking for a quick fix like when we
  have a head ace and take a pill the head ace
  disappears
• In real life it takes months even years to change
  our way of thinking, which has been tainted by
  our mental illness
• Stick with it each little step is one step closer
  to mental wellness

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Helping yourself move towards mental wellness

• EDUCATE yourself about your illness and its
  effects on your body
• Positive self talk, dont put yourself down
• LIVE a more structured life, up at the same time
  and in bed at the same time everyday
• Reduce or eliminate Alcohol, Caffeine, and
  Illicit Drugs
• Exercise especially outdoors
• Resist the urge to isolate yourself
• Participate in events that will make you feel
  better
• Schedule events and look forward to them

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HELPING YOURSELF IN RECOVERY OF HOPE

• Support groups allow people to privately share
  their feelings and ask questions.
• Provide a safe place where people with mood
  disorders are accepted and understood.
• TREAT IT-DEFEAT IT

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EXAMINING MOOD DISORDERS AND IDENTIFYING WORKABLE
SOLUTIONS

• It is not easy to live with a MOOD DISORDER it
  Takes Work, but
• IT IS SO WORTH IT.
• Everyone develops a different recovery plan and
  the right one is the one that works for you!

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Helping yourself in Recovery

• Remember that you are not alone!
• Let your family or the important people in your
  life know what you are going through so they can
  help, but only if appropriate
• And finally
• Recovery comes in small steps and may seem very
  slow but you are improving

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IDENTIFYING WORKABLE SOLUTIONS

• LETS LOOK AT A VARIETY OF METHODS TO HELP YOU
  LIVE WITH A MOOD DISORDER
• 1.ESTABLISHING A BEACON OR PURPOSE FOR YOUR LIFE
• 2. STRESS
• 3.EXERCISE YOUR SENSES! THE BEGINNING OF
  MINDFULNESS
• 4.REWARDING POSITIVE ACTIVITIES
• 5.PROBLEM-SOLVING
• 6.KNOWING THE DIFFERENCE BETWEEN SADNESS AND
  DEPRESSION
• 7.RECOGNIZING DEPRESSIVE THINKING
• 8.RELATIONSHIPS
• 9.FINANCIAL
• 10.PROCRASTINATION
• 11.SMALLER BITS AND PIECES
• 12.DAILY GRATITUDE TECHINQUE

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1. Establishing a Beacon or Purpose for Your
Life
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1. Establishing a Beacon or Purpose for Your Life

•  Beacons are powerful ideas that can override
  your depressive thinking.
• Few people snap their fingers and get a beacon.
  Beacons are usually inventions of the mind, or
  they may come from a number of other sources.
• Beacon thoughts can appear at anytime, even when
  you least expect them.
• They are like the Aha! moments that Oprah talks
  about on her TV show.
•  

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2. STRESS

• SITUATIONgtgtgtgtgtgtgtgtgtgtgtgt
• INTERPRETATIONgtgtgtgtgtgt
• STRESS RESPONSE

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3. Exercise Your Senses!

• THE BEGINNING OF MINDFULNESS
• Live in the moment. This is called mindfulness
  and includes many more aspects than we may be
  looking at today. In a brief explanation
  mindfulness is being fully present in the
  present.
• Mindfulness is defined as
• the awareness that emerges through paying
  attention on purpose, in the present moment, and
  nonjudgmentally to the unfolding of experiences
  moment by moment

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3. Exercise Your Senses!

• THE BEGINNING OF MINDFULNESS
• Have you ever arrived at work, not remembering
  any scenery or landmarks during your drive?
• At the end of your shower, you are not sure
  whether you washed your hair?
• Or more important, think back to your last
  conversation with a loved one Do you remember
  the details of what you talked about?
•  
• For many, these examples highlight the fact that
  we live much of our days in automatic-pilot mode.
  
• We have our routines at home and at work, and we
  go through the motions, not truly paying
  attention to what we are doing.
• Our minds wander elsewhere, and we end up eating
  without tasting, looking without seeing, and
  talking without knowing what we are saying.

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3. Exercise Your Senses!

• THE BEGINNING OF MINDFULNESS
• Mindfulness actually may lead to changes in
  thought patterns and the attitude of ones
  thoughts cognitive change. 
• We need to practice nonjudgmental thinking as
  well as the understanding that thoughts are not
  always the reality or the truth. For example,
  feeling afraid does not necessarily mean that
  danger is imminent, and thinking I am a failure
  does not make it true
• When you feel you are falling into a world of
  depression, try using your sensory powers to
  focus on external experiences.
• For example walk around your neighbourhood and
  pay attention with all of your senses. Look for
  something you have not seen before. Listen for
  new sounds, like songbirds, touch a tree trunk,
  feel a breeze. Take along some favourite treat or
  coffee, and experience the taste.

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3. Exercise Your Senses!
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4. REWARDING POSITIVE ACTIVITIES

• Life is so much more than trying to overcome
  negative depressive thoughts.
• In your life prior to depression think back to
  some former activities you used to enjoy?
• What were they?
• Did you have dreams?
• Do you remember them?
• How would you spend your time if you were not
  depressed?

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4. REWARDING POSITIVE ACTIVITIES

• The more time you spend in meaningful pursuits,
  the less time you spend with depressive thoughts.
• Positive activities distract from depressive
  thoughts. They can bring a change in your mood.
  For example how would you spend your time if you
  were not depressed?
• In fact, the pursuit of meaningful activities is
  especially useful for people with bipolar
  illness.
• Sometimes an idea that you can focus on may
  actually help you out of a depression as long as
  the depression is not too deep.

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4. REWARDING POSITIVE ACTIVITIES
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5. Problem-Solving

• The problem is not that there are problems
• the problem is expecting otherwise, and thinking
  that
• having problems is a problem (Theodore Rubin)

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5. Problem-Solving

• Rational problem solver
• Avoidance Style of problem solver
• Impulsive/Careless style of problem solving
• Define the Problem in clear language.
• Take care to separate facts from assumptions.
• Set realistic goals and Identify obstacles you
  can change.
• Try brainstorming some problems with people you
  respect. (This is where you talk to someone about
  how you are going to proceed sometimes just
  hearing what you are saying is enough to clarify
  the process you need to map out.)
• Generate alternatives 

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5. Problem-Solving

• Make decision about which to proceed with.
• Think of both the positive and negative
  consequences of each of the alternatives.
• Conduct cost-benefit analysis of the varying
  options
• Develop overall action plan.
• Rehearse the plan
• Carry out the action plan you developed and look
  at the consequences.
• Then evaluate the results.
• If it is successful use the same method for
  other problems.

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5. Problem-Solving

• PROBLEM 1
• I almost never go out or do anything that is just
  fun.
• If your sentence describes something that you
  dont like about your life, rewrite it to say
  what you would like instead.
• I would like to go out with friends a few times
  a week and just enjoy myself.
• There. If you started with a problem, you have
  changed it already.
• You have made it into a goal.
• The fact is that goals without any concrete plans
  often dont get accomplished.

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5. Problem-Solving

• Remind yourself that you dont have to feel any
  pleasure by doing this. The idea is to start to
  program your brain to help prevent further
  depression by stopping the sense of isolation and
  loneliness you feel. That is what changing your
  cognitive thought patterns is all about
  REPETITION.
• Later you can expand on this exercise to include
  positive thinking, emotions, and behaviour that
  can override depressive thinking, anxiety or
  stress-related sensations, and depressive
  behaviours.

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6. KNOWING THE DIFFERENCE BETWEEN SADNESS AND
DEPRESSION

• Live in fear of loss and you fear to live
• Write down, what is a sad thought and what is a
  depressed thought? Here is an example
• SAD THOUGHT I miss working at my job and how
  good that made me feel about myself
• DEPRESSED THOUGHT I am a useless person I am
  not worth anything, because I dont have a job
• It is the personal significance of the loss that
  sadness represents.

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7. RECOGNIZING DEPRESSIVE THINKING

• Lets look at depressive feelings, and turn them
  into thoughts. 
• DEPRESSIVE FEELINGS
• "I feel hopeless
• TRANSLATIONS INTO DEPRESSIVE THOUGHTS
• "I tell myself that my situation will never
  change. It is hopeless and I experience
  depression
• Now you write down YOUR depressive FEELINGS.
• That brings them into the open.
• Now you can translate your feelings into
  thoughts.
• By acknowledging these thoughts you can change
  them.
•  

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7. RECOGNIZING DEPRESSIVE THINKING

• In a depressive state, people typically draw
  within themselves, ruminate on what their
  problems are and reflect on how bad they feel.
• Their thinking typically centres on personal
  problems, self-criticism, self-blame,
  helplessness, hopelessness, worthlessness,
  pessimism, and related states such as anxiety,
  shame, guilt, and anger.

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8. Relationships

• Surround yourself with the best people who care
• Who are creative
• Let them bring you other people
• Create together
  
• Listen to your gut
• Thank them

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9. FINANCIAL

• Spending money can become a problem, shopping may
  help you feel temporarily happy but is that the
  way to reach real happiness
• Question purchases is it a Want or a Need? 
• Hint If you have trouble controlling spending,
  try putting your credit card and Interact card in
  a glass of water in the freezer. When you want to
  buy something you need to thaw the cards out and
  that gives you time to question your purchase.
  Putting the frozen glass with your card into the
  microwave will deactivate the card.

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10. PROCRASTINATION

•  
• Procrastination is one of the major barriers to
  overcoming depression.
• This habit of putting things off can be a part of
  depression. It can predate depression and
  contribute to it.
• Procrastination is an automatic habit where you
  put off, postpone or delay doing today what you
  can save for tomorrow.
• When you procrastinate, you always substitute a
  less important activity for the one you put off.

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11. SMALLER BITS AND PIECES

• Always break tasks into smaller pieces
• Write down what you want to accomplish (GOALS) so
  you are reminded of them.
• Put them up on the mirror to remind yourself of
  what you need to do.
• Check off each piece as it is completed
• It is fun to complete things and makes you feel
  good about yourself.
• Dont put to many things down especially when you
  are not sure if you will be feeling well.
•  

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12. Daily Gratitude Technique

• At the end of each day, write down three things
  that happened for which you can be genuinely
  grateful.
• For example, the sunrise, the sunset, the taste
  of honey, the smell of baking bread may all be
  experiences that can evoke a sense of gratitude.
  Seeking experiences to feel grateful for can help
  counteract unhealthy depressive thoughts.

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SUCCESS

• SUCCESS CAN BE DEFINED AS AN ACHIEVEMENT
• therefore any actions against depression are
  achievements.
• Taking this course shows you are willing to try
  to overcome depressive negative thinking.
• If something you try does not work, that is also
  a success, because now you know that it does not
  work and you can get on with something that will
  work.

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(No Transcript)
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Life goes around and around as do out Thoughts,
Feelings and Behaviours
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MOOD DISORDERS ASSOCIATION OF MANITOBA

• We are a self-help organization whose purpose is
  helping others to help themselves through peer
  support, education and advocacy.
• We will increase public awareness about mood
  disorders and empower people to develop and
  manage mental wellness.
• We will provide a welcoming atmosphere to those
  dealing with co-occurring disorders.

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THANK YOU FOR LISTENING

• ANY QUESTIONS

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MOOD DISORDERS ASSOCIATION OF MANITOBA

• SEE YOU THIS AFTERNOON
• Head Office
• 4 Fort Street
• Winnipeg, Manitoba
• R3C 1C4
• sdmdam_at_depression.mb.ca