seasonal depression

5 More Tips for Times of Transition

By: Abby Lombardo, LMFT

If you missed part one of this post, head here to read it now

 

6. It’s OK to not be OK.

       The phrase “It’s OK to not be OK” is meant to normalize your experience, whatever the not okayness may be or may stem from. It is sad to me that we need these reminders, because the society we live in, in most of America, subscribes to this toxic positivity, good vibes only, put your best foot forward at all times, filtered social media persona… The messiness of our humanity is often experienced behind closed doors. And when that is the case, we often isolate ourselves further because of the lack of representation or the belief that no one else has moments like these, struggles like these. What I mean when I say it’s okay, is that it is NORMAL. It is part of the range of human experiences. Shit happens. Life happens. It is not a personal failing. You are not failing at life. When things become significantly distressing and cause bigger issues in our life, that’s a sign to address and work on some things, maybe with a therapist. Still, most of my sessions, despite the issue or diagnosis of the client, is about reminding people that what they are experiencing is valid, it makes sense, and it is a normal experience within the realm of human experiences. We often have to start there before we can get anywhere else.

What it’s OK to not be OK looks like:

Being sad.

Grieving.

Crying.

Hugging yourself.

Telling a friend how you’re truly doing.

Being vulnerable with your partner about your needs in the relationship.

Being messy.

Having a bad day.

Not feeling generous towards people.

Not wanting to say yes to things, people, events, invites…

Not wanting to smile.

Not forcing yourself to smile.

Taking a mental health/sick/self care day off from work.

Not liking yourself or how you look.

Feeling anxious

Feeling depressed.

 

7. Know when to take control and when to let go.

This is a common struggle I can highlight in my own life and the life of most of my clients: the struggle to know when to take control and when to just let a thing go. They are two very important skills. One, feeling empowered in your sense of agency and sense of self control in the world. Two, feeling the peace of knowing you’ve done all you can and it is now time to switch course, pivot, regroup, and proceed differently. The third skill is knowing how to discern when the situation calls for one or the other. So, how do you know when it’s time to take control and empower yourself to push through or to relinquish control and graciously surrender?

What taking control and letting go can look like:

Asking yourself:

What is my goal here?

Am I afraid of something happening if I let go of control?

       What do I have the ability to impact in this situation?

       What would accepting the situation do for me?

Realizing the limits of your own control.

Surrendering to the unknown mystery of life that cannot be controlled.

Practicing meditation.

Move your body, which can help regulate your nervous system and the intensity of the situation.

 

8. Connect with yourself.

The world is raging around you. Sometimes, you have nowhere else to go but inward. I encourage you to make a home within yourself. A retreat. A place where you can rest, gain insight, sit with what is, explore a new place through visualization, imagination, reading, curiosity. Cultivate connection with yourself in a way that becomes your best resource when everything around you feels too much or too out of control. In order to do this, we often have to shine a light on all the shadowy corners of our selves we’d really rather not have to face. These are the most important places we can go in order to befriend ourselves. When we can engage the parts of ourselves we deem unworthy, shameful, or unacceptable with curiosity, compassion, and gentleness then we can learn to inhabit ourselves more fully. Embodied people learn to be grateful for their shadows, because they have much to teach us about ourselves.

What connecting with our selves can look like:

Journaling.

Being vulnerable.

Identifying areas where you carry shame.

Identifying parts of yourself you often reject or find intolerable in others.

Sitting with yourself in silence.

Bringing curiosity to your experiences and behaviors.

Validating your own feelings.

Offer yourself compassion, care, and kindness.

Imagine interacting with a younger version of yourself, what would you say or do for the is younger you, that maybe you needed then?

 

9. Remember your values.

When I feel adrift in session with a client, it’s usually because I don’t know what guides them, what matters to them, what they value most. Sometimes they aren’t even aware themselves! Values ground us and transcend us, they give our actions purpose and meaning. They make this existence matter. When we live into our values, we feel aligned and purposeful. We feel satisfied and fulfilled. When we walk away from our values, we often feel dissonance between the person we want to be and the person we are behaving like. The easiest way to close that gap is to 1) be aware of what your values are 2) Find small actionable steps that lead in the direction of your value. We can never “accomplish” a value. Living into a value is never done, it is something we continually must choose to step towards. No one lives into their values 100% of the time. Yet the more mindful we are about our choices lining up with our values, the more direction, purpose, and meaning we derive from life.

What remembering your values can look like:

Complete a “Values Sort Exercise” by reading through a list online and organizing the words that stand out to you most.

Investigate past positive experiences where you felt you had a strong sense of self, direction, satisfaction, fulfillment, purpose, or meaning and mine those experiences for clues as to what you might have been valuing or living into at those times.

Break down small, actionable, realistic steps for living into one of your identified values.

Offer yourself compassion for making mistakes or not living up to your goals/values.

Surround yourself with people who share similar values or inspire you to move towards your goals and values.

Be curious about your values, where they originate, how they feel to you, is there a socio-cultural narrative that impacts these values (positively or negatively)?

Make conscious choices about the things you choose to value and how you show you value them.

 

10.  Prioritize what’s most important.

In times of transition, and in general, we only have so much energy. While it is a renewable resource, our energy is also limited per day. Our world is so full of distractions and non-stop media grabbing for our time and attention – also precious resources. We seek entertainment and distraction to soothe our overwhelmed and overstimulated nervous systems, thereby re-starting the whole cycle. Prioritizing what’s important is a skill that helps us cut through the static, narrow our focus, and direct our energy where it matters most. It takes conscious effort and mindful awareness to choose where our energy, time, and attention is invested. But that’s exactly what is happening, no matter what we are doing we are investing it somewhere. We invest it in entertainment and media, we invest it in work for money to live off of, we invest it in our relationships to maintain and enjoy them, we invest it in ourselves to learn and grow. Or you could say: Wherever you spend your time and energy, there your heart and treasure lie also. So be wise with where you allocate your most precious of resources. Ensure that you are investing in the things that truly matter to you, that truly are important.

What prioritizing what’s most important can look like:

Taking stock of your daily routine/agenda

Clarifying your needs and goals for a day/week.

Identifying what is important in your life and ways you show that to yourself and others

Being honest about areas in your life that are important yet have been neglected in terms of “investment” of your time, energy, and attention

Look for small, actionable steps for re-investing in neglected areas

Make a schedule/create a routine/set a reminder in order to continually and intentionally prioritize what’s important

 

 

Remember that these are only suggestions of things to possibly try, things that might help. Please trust yourself to navigate your needs in this time of transition. And when you feel like it’s too hard or you can’t do it much more on your own, please know that we at Riverbank Therapy would love to partner with you in your journey and come alongside to support you.

5 Beginner Friendly Plants for Your Mental Health

Plants are with us in every breath- from the weeds in the sidewalk cracks to the giant Redwoods.  They are integral to our life (and all life!) on this planet. When we breathe in, we are breathing in the product of our leafy friends!

Plants, specifically houseplants, are having a moment right now. They are everywhere on social media, many non-plant stores have begun selling lil’ succulents, and you might have seen them on the shelves and tables at your local coffee shop!

Ah yes, taking a moment to revel in the resurgence of plants as having value to us as humans!

Indoor plants have such amazing benefits as:

-lifting your mood

-keeping moisture in the air, which helps prevent colds and flus

-reducing stress levels

-increasing feelings of well being for those who are experiencing depression, anxiety and other mental health conditions (*)

That being said, taking care of plants, especially if you are a beginner, can be a daunting task. 

I have been paying closer attention lately to the care certain plant babies of mine require, and have been noticing that some are less finicky and more forgiving than others. This is my list of 5 starter plants for newbies, based on my personal experience as a burgeoning houseplant cultivator:

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1. Pothos

Ah. pothos! These plants are sold almost everywhere plants are sold, including IKEA! That is where I got my first one years ago. Usually sold for $6-$8, they grow quickly and don’t require much knowledge to get started.

Pothos need to be watered about once every week - two weeks, depending on the season. They will need less water in the winter and more in the summer. You can test the soil by sticking your finger in up to the first knuckle and seeing if its dry or still moist. Also, if you forget to water them, or do the finger test- they will always tell you they are thirsty! Their leaves will start to wilt and face downwards. When this happens, give them a good drink of water and they will pop back up in a day or so!

Pothos do well in mild to indirect light, which is perfect for Seattle homes and apartments! I put one in a dark-ish corner, and was worried she wouldn’t survive…. To my surprise and delight, she loves that dark corner!

They can be rotated to grow evenly and more bushy, or they can be kept in one position and the vines will reach down to the floor. They are lovely for bookcases and shelves as their gentle sloping vines are quite pretty!

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2. Aloe vera

Aloe vera is another plant that is easy to find most places, including the QFC! They usually cost $5-$10 and again, begin as smaller guys. Aloe vera is so lovely because they adore getting dried out, so for those of you who are worried about remembering to water, aloe vera is a good choice!

Aloe will grow strongly and consistently in direct sunlight, but also do well in bright indirect light, like a north facing window that gets good light but doesn’t get direct sunbeams. 

They also aren’t complainers. I had an aloe in the pot he came in from the grocery store for years...no complaint from him! He even gave me several new growths. I replanted him about 2 months ago and he’s happily growing even bigger. Aloe vera is hearty and resilient. They can take a little bit of neglect.

Bonus- they can easily be trimmed with scissors or a knife for some soothing relief for burns or cuts.

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3. Wandering Dude

Wandering dude is an absolute favorite of mine, as he does really well with breaks between waterings and grows strongly and quickly. You may be familiar with him by his historically known name, wandering jew, and this lovely article explains the plant community’s shift away from using that name for this plant. This plant is also often call an inch plant.

I got my wandering dude from taking clippings from a friend’s house. Clip off a few stems from the larger plant, and put them in water for 3-5 days. Little tiny white roots will appear, which is the clue it is time to plant him in soil! The amazing thing is, he can survive in water for a while…… (ahem, yep, like 9 months because I was being forgetful!) and then will still take to soil. 

I have seen these guys at many plant stores for between $10-$15. The vibrant greens and purples on their leaves frequently leave me in awe. The natural sparkle the leaves have inspires me daily. 

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4. Jade

Wow, ok, discovering my bias as I write this because I LOVE jade. I find them stunningly beautiful! They are also a succulent, like aloe vera, which means jade does well when she isn’t watered that frequently. Jade should be watered when her soil is dry (the finger test will do) but she can handle longer bouts of no water. So if you realize it’s been a while since you watered her, like 3 weeks or a month, go ahead and give her a drink! Much like aloe, she prefers a sunny spot (yes, I mean where direct sunbeams can touch her) but will do well in bright, indirect light. 

Jade plants begin small, and are frequently sold for as little as $3 for a tiny one to $10 for a more moderately sized one. When they are young/small they are completely green, including the stalk. As they begin to mature, their stalk turns into bark! Talk about swooning! I have several jades which all seemed to be the same when I got them as littles, but who have grown up with very different personalities. Jade is a friendly plant who really likes to be talked to! Perfect if you are looking for a plant companion. Personally, all my jades are on my kitchen table (gets the best light) and I enjoy filling them in on my day. 

oxallis.jpg

5. Shamrock/ Oxalis 

I admit that I was a reluctant owner of two lil’ shamrock oxalis. A neighbor dumped them on me! Now, I have come to love and admire them. They are the only one on this list who opens and closes their leaves at night time. WOW! It is such a treat to watch the leaves open in the morning, and close in the evening. Plants are very much alive, and this daily ritual is a grounding reminder of that. 

These guys are unique on this list in more than one way-- they also prefer to be “bottom fed”. This means that watering them from above with a cup or a watering can is ok- they will survive. But what they really prefer is to soak up water from below- so making sure their pot has drainage holes in it, and placing it in a bowl full of water, or a sink or tub. I let them drink it up for a few hours and then return them to their spots. Their soil will become cracked and hard on top when they need to be watered, and they will also tell you with their leaves-- they’ll begin to droop. A good bottom feeding session and they are back to normal! 

I also love that they have varied colors, between purple and green, with some light reds. Their delicate triangle leaves are quite unique and you will again find these at most plant stores for about $8. They enjoy most types of light. They can get a little crispy and burned if they are kept in direct sunlight, so indirect or low light is a good bet for these guys!

That is my starter list for a plant newbie! I hope you enjoyed! Again, this list is not exhaustive, it is simply a list of the top five easiest to care for plants that I am personally familiar with. And the plants who have forgiven me when I have forgotten to water them!

A few other beginner’s notes:

-It is ok to water your plants with tap water! That is what I do! Adding a liquid plant food in the summer months can be a nice addition, but is definitely not a requirement. They will do fine without it.

-Start small- try getting one plant from this list (or a different list!) and see how they do for a few weeks. Do you like having it around? Do you remember to look at it and check in?  If not, that’s ok! Plant care is a new habit and habits take time.

-Plants are sold lots of places! If there isn’t a plant specific store near you, try Home Depot/ Lowes/ Fred Meyer/ QFC. They frequently have really great selection and low prices on small plants.

-You can do this! Plant care can be very simple, and if you want a plant, then now is the right time to get one!

Happy planting!

10 Ways to Connect with Yourself

by Abby Lombardo, LMFT

1.     Write a “Where I’m From” poem.

What it is: The Where I’m From poems are part of the I Am From Project (for examples and more information: https://iamfromproject.com/poems-thru-8-2020/) connecting people to themselves and to each other through our personal stories and backgrounds. It is a type of prompted poem that incorporates aspect of your history, background, family, location, identities, memories, and feelings of your beginnings.

Why it works: Often times, we forget that stories are deeply connecting and help us make sense of our own existence. Humans are storytellers, brains respond well to stories. They give us a framework for our experiences and for things we do and do not quite understand. Working on a “Where I’m From” poem could help you connect to aspects of you that have gone unexamined, but that remain an integral part of who you are and how you see the world today.

 

2.     Create rituals and routines.

What it is: Just like stories, most brains and bodies respond well to rituals and routines. Maybe it is a morning routine, a way to make space for time that does not belong to anyone else or your job or your never-ending to-do list. Maybe it is an after-work routine, a way to unwind your body and mind. Maybe it is a bed time routine, a way to cue your mind when it is time to rest and get sleepy. Whatever and whenever it may be, a ritual or routine can be a great way to connect with yourself better.

Why it works: I once heard: wherever we spend time, we invest it. Wherever we give our time, one of our most valuable and limited resources, is where we are investing ourselves. Rituals and routines are powerful placeholders in our fast- and faster- paced lives because they cause us to invest time in what sustains us, give us moments of pause and intention, and create structure around what we truly value and need.

 

3.     Move.

What it is: When I use the term movement, I use it very intentionally. I’m purposefully not using the world “exercise”, though that does fall under the umbrella of “movement”. Movement is anything from neck and shoulder rolls, to yoga, to Pilates, to stretching, to shaking, to dancing and all and everything else that you can do with your body!

Why it works: Finding joyful movement, moves that feel good, create feel good feelings, etc. is one of the body’s natural ways to process emotional energy and boost mood! Some movement is challenging and sweat-inducing, some movement is calm and relaxing, whatever your body needs and wants go for it! Remember to have fun with it, stay within your body’s limitations, and that you do not have to move if you do not want to!

 

4.     Use your breath.

What it is: Your breath is most often the most accessible way to connect with yourself—it’s always there. Connecting to yourself through your breath can happen many different ways:

  • simply noticing your breath as it is with no changes (the speed, depth, quality, sound, sensation, movement of body parts, temperature of the air, etc.)

  • deepening your inhales and exhales (counting can help you slow down your breathing and keep your mind busy)

  • adding a pause at the top or bottom of your breath (stopping when you’re full of air and stopping when your lungs are completely emptied. *not fully recommended for those who experience panic attacks or are triggered by holding their breaths.

Why it works: Your breath can tell you a lot about your current state of being. Is your system under stress? Are you scared…relaxed? Breathing is also a powerful tool in changing your current state of being. While breathing changes in response to your brain and body reacting to the environment or situation, it can also work in reverse – something called bidirectionality. Breathing signals your body and brain how to respond to the environment, too! By intentionally noticing and then deepening your breath, you are increasing awareness of your body’s response and are giving it a chance to change that response.

 

5.     Start a “Body Letters Series”.

What it is: When I was working in a higher-level of care eating disorder treatment center, we would have daily therapeutic groups for clients to learn (and unlearn) some things about their relationship to themselves along their recovery journey. One of the most powerful prompts we ever used around connecting people to their bodies is called “The Body Letters Series”. The prompt is this: write a letter to your Body. Then, have your Body write back. You can keep it going as long as you’d like, back and forth, back and forth.

Why it works: In dominant American culture, we are not taught to relate to our body as a being, instead it is a thing, object, project, toy, etc. When we change the way we relate to our body, we create so much more room for change within the relationship. And relationships include all types of feelings and thoughts: love, hate, ambivalence, grief… When we realize that our body has something to say, some wisdom to share with us, we are fundamentally changing how we relate to ourselves. The truth is our bodies have an ancient type of knowledge, one of instinct and intuition, of the intangible. This means that our bodies do not often speak in words, but in images, feelings, sensations, memories, pain, colors, temperature, movements, etc. Body Letters can be a start to allowing your Body the room to speak. Since words might be limited, then you might tweak the prompt and instead of writing a letter—you sit still and ask your body what it has to share with you. The more we do this, the better we can connect to this ancient somatic wisdom that is always with us, always a part of us.

 

6.     Validate yourself.

What it is: I’ve come across clients who were never given validation for their internal experience, who then never learned how to give themselves the validation they so desperately sought, that we all need. This is when I learned the importance of validation and the power of giving it to yourself.

How to validate: 1) acknowledge emotion/sensation/feeling/thought/whatever is part of your experience, 2) name or identify this experience (if you can, if not stay with it and go to next step) 3) say to yourself one or some of these phrases (or something like it):

  • “It makes sense that I am experiencing this (because…)”

  • “Wow, I’m having a hard time struggling with this.”

  • “This is hard.”/ This is scary. / This is overwhelming./ This is ____.”

  • “I’m experiencing a lot right now.”

Why it works: This 3-step validation process encourages us to acknowledge and accept our experience without trying to change it or berate ourselves for feeling it. This process allows space for self-compassion and self-kindness in the form of simple acceptance: This is what I’m feeling. This is ____. From here, we have more room to respond how we want to: with kindness, with comfort, with rest, with asking for help, etc. When we learn how to validate our own experience, we can become less desperate for others to meet that need for us and we get better at meeting it ourselves.

 

7.     Keep small promises to yourself & offer yourself what you need.

What it is: Connecting with yourself through keeping small promises or giving yourself what you need follows nicely after self-validation mentioned in #6. Keeping small promises to yourself builds self-trust. For example, maybe you know already that planning your meals helps you eat more consistently, then keeping the promise to meal plan is a way to take care of yourself and offer yourself what you need. Maybe you know that after you journal, you feel a release of emotion and you feel better, then keeping the promise to journal builds trust that you will do what you need when you need it. The possibilities are endless: going to bed at the time you set for yourself, giving yourself time to read or space out during your day, drinking enough water, it really doesn’t matter what it is as long as it is something you can reasonably offer yourself without getting caught up in the self-shame spiral of “I didn’t do it today”. Self-trust is also forgiving yourself and doing your best at the next opportunity.

Why it works: Your body, your psyche needs to know that you will listen and respond to its needs as they come to your attention. A lot of times we are not paying attention to our needs, physical or emotional or otherwise! Once we cultivate the awareness, we have the responsibility to ourselves to act in a way to meet these needs. If we don’t, bad things usually follow: somatic symptoms, pain, anxiety, depression, restlessness, illness, etc. etc. Needs can be small: drinking water, 3 meals a day, 20 minute naps or they can be abstract needs: purpose, direction, hope. The more practice we get at listening and following through with what we need, the more we connect to ourselves and the better we move through this world.

 

8.     Create a “Body Poem”.

What it is: Much like Body Letters, Body Poems are something I discovered in my own healing journey that allowed me to better connect to my body from a more body neutral capacity. Body Poems are poems, prose, or writings about each body part and what that body part has endured or how it functions to support you as a human being.

Why it works: Body Neutrality, the idea that we can relate to our bodies not for how they look or their shape or size but for what they can do, how they function, and how they support daily life. Body neutrality offers a different way to connect with ourselves, our bodies, that lies outside of the “you must love yourself and you are beautiful all the time and you should feel beautiful all the time because you are just the way you are” extreme body positivity culture. For some, that standard is just too far away and it creates shame and guilt in others. Body positivity is amazing! For some of us, body neutrality is also an amazing, hard-earned place to be at with ourselves. Body Poems allow us to really spend time with the separate parts of our bodies, diving into what they hold for us (memories, pain…) and what they do for us (breathe, lift, move, beat, embrace, rest, dance…).

 

9.     Try something new!

What it is: Could be anything! Try a new hobby, creative pursuit, a new outfit, a new game, a new skill, a new genre of book!

Why it works: Trying something new is a great way to discover parts of yourself you’ve not interacted with. When we face novel situations, we learn a lot about ourselves. We learn that we’re actually rather hard on ourselves and like to be too perfectionistic. We learn that we’re actually rather suited to embroidery or rock climbing. We learn how we fare through new challenges, hopefully earning a new sense of pride and confidence or learning to be okay with not being the best at everything.

 

10.  Go to therapy! :)

What it is: weekly, biweekly, monthly, etc. sessions with a mental health professional where you can work on challenges, practice new responses, create new insights, and acknowledge past dynamics. It’s a space to be heard, seen, understood, validated, and challenged.

Why it works: It’s the magic of therapy. It’s the deep healing that happens within a therapeutic relationship between two people willing to show up and see what happens. Therapy can be what you make it, and you only get out what you put in. Therapy is an excellent tool for connecting better with yourself and with others. If you’re thinking this might be the time for you to start therapy, click here to inquire about our team’s availability!

 

***Disclaimer: Some of these 10 ideas for connecting with yourself could connect you to some deep pain or trauma in working with your body or self in a new way. If this is the case, please stop or take it slow, know that you do not have to do this alone, and seek out help from a professional.

How to Cope with Shame

First things first: Guilt and shame are NOT the same emotion.

Guilt is "I did a bad thing." Shame is "I am bad."

Both are natural human emotions.

Guilt is useful (when it's actually called for). It calls you in to notice when your behavior is out of line with your values. Socially, it spurs you to apologize and do better in the future. In this way, guilt can be useful. (Guilt can certainly take over and become not useful, like we often see with depression or anxiety, so we're not talking about that kind of guilt right now).

Shame, on the other hand, is not useful. Shame says "you are bad, and you no longer belong in society." This is not helpful. Shame prohibits empathy and curiosity, and so gets in the way of even wanting to learn how to do better. Shame also gives you no incentive to change, because you are already "outcast".

**You might at this point be feeling shame about feeling shame. "What is wrong with me that I keep feeling this useless emotion?!" Please be nice to yourself. You are human, and shame is part of being human. We fear disconnection more than almost anything, and shame grows out of this fear. That's okay.**

You might notice that shame has a stronger physical/somatic presence than guilt. It might feel physically different than guilt--showing up in different places in your body with different patterns.

The thoughts associated with guilt and shame are also different.

Guilt thoughts tend to sound like:

"I wish I had called my friend earlier when I knew they were struggling."

"I should have studied more for that test."

"Lying like that was not okay, I don't feel good about that."

Shame thoughts tend to sound like:

"I'm a terrible friend for not being supportive. I don't deserve friends."

"I'm so stupid. I'm an idiot for not studying more and failing the test."

"I am a liar, no one can trust me."

You can practice moving from shame to guilt. Separate the BEHAVIOR from YOURSELF. (Contrary to popular? belief, you are more than your behaviors.) This can help you from spiraling from guilt, to shame, to hopelessness, even to feeling suicidal.

Questions to reflect on:

What did you actually do/not do?

Was this in line with your values or not?

Can you talk to yourself about the behavior and avoid making a global evaluation of yourself? (See above examples of guilt vs shame talk.)

What can you do to make amends? (Apologize, plan how to change your behavior in the future, etc).

And, as always, practice self-compassion. Everyone makes mistakes. It's human to fuck up. You're still good enough and loveable, even when you fuck up.

So how do we sit with shame??

Like many other emotions:

1) Identify THAT you are feeling it in the first place. Name the emotion: "this is shame."

2) Notice where and how you are experiencing shame in your body. I often feel it as sweaty pits, red face, heavy heart, and difficulty breathing. It will show up differently for all of us. For many who have experienced trauma, shame comes with a hypoaroused collapsed state and dissociation (below the window of tolerance). Notice this.

3) Write down or name what thoughts are coming with shame. "I'm the worst, everyone hates me, I don't deserve what I have..."etc.

4) Separate those thoughts from the moment that triggered shame:

-Maybe you did something you regret, shift "I am awful for doing that" to "That was out of line with my values, can I apologize or do better in the future?"

-Maybe you were just vulnerable with a friend, and now are questioning your disclosure. How did your friend respond? Were they supportive? Are there signs you will be rejected? More likely than not, they responded well and were supportive. Check those facts, and remind yourself that you are worthy of love and connection.

5) SELF-COMPASSION. Remind yourself that we all experience shame, that it is related to our fear of disconnection and abandonment. Remind yourself that all humans make mistakes, it is human to be imperfect, and that imperfect connection is what we're here for. Go for a walk, take a bath, play with your dog...do something that nourishes your soul and shows yourself care.

Coping with Seasonal Depression

What is seasonal depression?

Depression that happens seasonally, of course. Typically, the onset is in the early fall with symptoms worsening throughout the winter months, alleviating in the spring and summer. Seasonal depression, officially called “seasonal affective disorder” tends to be more common in those with preexisting mental health conditions, as well as more common in people who live father from the equator.

Symptoms of seasonal affective disorder mirror major depression. They include: depressed mood, low energy, difficulty sleeping, changes in appetite, feeling irritable or sluggish, difficulty concentrating, hopelessness, feeling unworthy or excessively guilty and having thoughts of death/suicide.

 

What causes seasonal depression?

The causes of seasonal depression are not fully known. However, there are a few factors that have been identified which likely play a role:

  • reduced sunlight in the fall/winter and the time change can upset our internal clock (circadian rhythm). This can impact sleep, which impacts almost everything else, including mood;

  • with less sunlight, there may be a drop in serotonin which negatively impacts depression and mood;

  • darker weather may trigger overproduction of melatonin, creating sleepiness and fatigue;

  • vitamin D deficiency (which can be a cause of depression generally, but worsens when we are exposed to even less sunlight) contributes to depressed mood.

 

There may also be more behavioral or environmental factors:

  • the tendency to be less physically active in fall/winter months;

  • spending less time outside in the fall/winter (we know that nature is highly regulating to a nervous system, so less time outside negatively impacts mood);

  • upcoming holidays (including family stress, uncertainty, grief, etc.) and also the passing of holidays (feeling we built up to something and now are let down that it’s over, disappointment, less to look forward to after the holidays for some).

 

 What helps with seasonal depression?

  • light therapy (phototherapy): lightboxes mimic outdoor light, which may boost serotonin. Exposure to even artificial sunlight at the same time every morning may help reset and regulate our circadian rhythm, stabilizing sleep and therefore mood;

  • medications (antidepressants, specifically SSRIs);

  • vitamin D supplements;

    • *Talk to your doctor about any of the above before starting a course of treatment.

  • Therapy! While the causes of SAD are partially biological, there is also a cognitive, emotiona and behavioral component. Therapy can help make those behavioral and cognitive changes that might help boost mood;

  • body movement and exercise (naturally boosts serotonin levels and boosts mood);

  • social connection;

  • time outside in nature.

 

Do you struggle with seasonal depression? Find out more on the podcast!