Depression and anxiety are the main reason people come to see me. We live in such a feel-good culture that when negative emotions emerge we resist them with all of our might. Sadness and dis-ease are a normal part of being alive. Depression, anxiety, disappointment and anger are emotions we all have to contend with and learn to channel or release. This is all easier said than done. The billboards and television shows smother us in images of perfect people with perfect lives. So what is wrong with you if you don’t feel perfect? Why do we all experience depression and anxiety?
Depression and anxiety are actually very different conditions but one often causes the other. Depression is a form of extreme sadness that persists for long periods of time. Depression can be accompanied by hopelessness, lethargy, exhaustion, lack of ambition or desire and inability to experience pleasure. Everyone feels depressed from time to time. Extreme emotions can be caused by external events like death of a loved one, moving, job loss, a relationship ending or financial stress among many other things. Depression can be caused by internal challenges like disconnection from childhood memories, having an incomplete personal narrative about one’s life or unresolved traumas. Rolling with the emotional undulations of life can be challenging.
Anxiety, on the other hand, comes in many packages. Acute anxiety can be felt 24/7. It is a heightened sense of worry that never lets you relax. Anxiety can be accompanied by fear. It is as though the fight-flight-freeze response that helps us survive has been turned on permanently. A person with anxiety might the world as if they are prey with a predator on their heels at all times. There are different versions of anxiety like social anxiety which can be caused by repeated discomfort and humiliation in social contexts. Sometimes these events are only perceived or felt in a subliminal way. Teens with social anxiety feel unfairly judged and picked on. Once they feel the strong emotional charge associated with this experience, they anticipate it in regular social or school situations. They might panic attacks because their physiology is accustomed to heightening when the physical or emotional triggers are present. Re-routing our brain paths and noticing triggers is the first step to addressing anxiety.
The key is not to get stuck. The Dali Lama once said in a conference on negative emotions, ‘I don’t understand why you Westerners name yourselves an emotion like depressed or anxious. We Eastern thinkers know that all of the possible emotions a human can feel will flow through us like a river. If we see it as moving water, then we don’t get attached to any one emotion. Rather we allow them all to move through us – negative and positive
Life didn’t come with an instruction book so how are we supposed to know how to get through the hard times? Counseling and creative endeavors often help us figure out what we already know. It is difficult to ask yourself the important questions that open your mind to that inner-knowing. Mental health challenges are a part of life. But knowing how to address our pain, depression, anxiety, shyness, overwhelm and anger is rarely discussed. We are told to ‘deal’ with it or ‘put on a happy face.
The first step to healing is to name the problem. The next step is to become familiar with each of the elements of the problem. Observe yourself in daily life. Keep a journal about the things that are the hardest and the things that are the easiest. Before you try to make any changes, just be in it. Once you feel like you are truly aware of the circumstances and emotions surrounding your depression or anxiety including how often it comes and goes, choose one small thing that you can change inside of yourself. You might make a list of several changes you’d like to address. But just choose one and work with that for a week or so. Changes come through awareness and small shifts in our own behavior. Here is an actual equation I work with :
Physical Activity + Reduced Airtime for Negative Emotions + Focus on Actions and Resolution = Reduced Anxiety and Depression
Anxiety and depression can be initially addressed through physical exercise or movement (walk to another room even), connecting with others (share your story with a trusted person or counselor), allowing all emotions to flow through you (and name them regularly – not just the negative ones), and focus on actions and resolutions, not problems. We only have the power to change that which is within ourselves.
Anxiety Symptoms:
Feeling of fear, apprehension and excessive anxiety energy
Physical feelings of agitation, muscle tension and symptoms of anxiety eg. heart symptoms, nausea, dissociation, diarrhoea, breathing difficulties etc
General sense of being tense and rigid
May be a perfectionist and is concerned about the results of activities (can lead to poor performance)
May fear death but not focused on suicide (Suicide thoughts come only when Depression is a secondary effect of Anxiety Disorder)
Depression Symptoms:
Feeling of emptiness, deep sadness or misery, loss of hope
Slowing down of physical movement and lack of physical energy
Physical body slumped
Loss of interest and ambition (can lead to poor performance)
Suicidal thoughts present in deep depression
Anxiety and depression are challenging emotions. If you, or someone you know is struggling with these or other challenging emotions, encourage them to get support We all need help sometimes. For some strange reason we have no problem going to a doctor for a sore throat but we resist seeking counsel for negative thoughts or other kinds of emotional pain. Release the depression and anxiety stigma and share your story with a trusted confident – either a close friend or a therapist. Honor yourself. The first step to healing is naming the problem.
By Carrie Wicks, MA, ATR
Art Therapist & Family Counselor
Petaluma CA
707-529-8371
cwicks@artspeaksconsulting.com
Carrie Wicks is an Art Therapist, Family Therapist and Sport Psychology Consultant who is certified by the National Art Therapy Credentials Board. She works with children, teens and adults to reduce stress, depression, anxiety and challenges of daily life. She is available for consultation in her office in Petaluma, CA as well as via phone or email.