by Molly Pierce | Dec 19, 2023 | Confidence, Depression, Life Style, Relationships, Self Image
Depression is a mental health condition that goes beyond mere feelings of sadness. It would be better described as a persistent and overwhelming sense of despair that can linger for weeks, months, and even years. Depression affects millions of people worldwide, oftentimes having a negative impact on personal well-being, relationships, work, school, and overall quality of life.
Contrary to common misconceptions, depression isn’t a sign of weakness, nor is it a mere mood swing that one can easily snap out of. Rather, depression involves a combination of biological, psychological, and/or environmental factors. Physiologically, there can be multiple neurotransmitters involved, making it difficult to regulate mood. Genetic predispositions can also make certain individuals more susceptible to experiencing depressed mood. Additionally, life events such as trauma, loss, or chronic stress can act as triggers, exacerbating the condition.
Being able to recognize the symptoms of depression is essential, not only for those who experience it, but also for those close to them. Detecting depression at its earliest signs is optimal, as it allows for prompt initiation of treatment, which can prevent the condition from worsening. Common symptoms include persistent sadness, loss of interest in previously enjoyable activities, changes in sleep and appetite, fatigue, and difficulty concentrating.
The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) outlines the following criterion for depression (otherwise known as major depressive disorder or MDD). In order to meet diagnostic criteria, an individual must exhibit at least five of the following symptoms during the same 2-week period, representing a change from previous functioning. Additionally, at least one of the symptoms must be either (1) depressed mood, or (2) loss of interest or pleasure.
- Depressed mood most of the day
- Significantly decreased interest or pleasure in all (or almost all) activities
- Major change in weight or appetite (not due to dieting)
- Insomnia or hypersomnia
- Excessive restlessness or observable reduction in activity levels
- Fatigue (exhaustion) or loss of energy
- Feelings of worthlessness or excessive/inappropriate guilt
- Diminished ability to think, concentrate, or make decisions
- Frequent thoughts of death or attempt to end one’s life
These symptoms must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. It’s important to note that the diagnosis also considers ruling out other medical conditions or substances that could contribute to the symptoms. Diagnosis and treatment should be conducted by qualified mental health professionals.
Seeking professional help, whether through therapy, medication, or a combination of both, is a crucial step for managing depression. It is certainly not a sign of weakness, but a courageous step towards healing. By fostering awareness, understanding, and compassion, we can collectively promote mental health treatment for those in need of support. The best thing we can do for those affected by depression is (1) listen without judgment, (2) validate their experiences and emotions, (3) connect them with a professional, and (4) continue to connect with them throughout their journey toward a brighter future.
by Molly Pierce | Nov 11, 2023 | Balance, Depression, Life Style, Relationships
As the seasons change and holidays approach, managing mental health becomes crucial. For many, these transitions can bring a mix of emotions, including excitement, stress, sadness, and more. Here are some strategies to navigate the potential impact on mental well-being during these times:
Acknowledge and Validate Emotions
Recognize that it’s normal to experience a range of emotions during seasonal changes and holidays. Whether it’s the joy of festivities or the pressure of expectations, validating your feelings is the first step in managing them.
Maintain Consistent Routines
Stick to regular routines as much as possible. Consistency in daily habits, such as sleep patterns, exercise, and meals, can provide a sense of stability during periods of change.
Set Realistic Expectations
Be realistic about what you can accomplish and what you expect from yourself and others during the holidays. Avoid overcommitting and focus on what brings genuine joy rather than succumbing to societal pressures.
Connect with Others
Loneliness and isolation can exacerbate low mood and negative outlook. Prioritize connection with loved ones, whether it be planning a fun activity together, catching up on a phone or video call, or just a quick meet-up for coffee. Be intentional about engaging in activities that help you feel a sense of community and support.
Mindful Practices
Mindfulness is a simple and effective practice for managing stress and promoting overall emotional well-being. It can be as simple as pausing for a moment to enjoy, soak in, and appreciate a nice experience. Choosing times to set your phone aside may help facilitate this, as it helps to minimize distractions that take you away from the present moment. Practicing gratitude (such as writing down an appreciation from the day), meditation (headspace is a great resource to facilitate the process), or yoga can help you stay connected to yourself and the here-and-now.
Manage Seasonal Mood Changes
Seasonal changes, particularly during fall and winter, can trigger changes in mood, from feeling tired and unmotivated, to feeling depressed and hopeless. For milder cases, exposure to natural light and engagement in outdoor activities can help reduce symptoms. If seasonal mood changes last more than one week, consider contacting a mental health professional to help you navigate to a better headspace.
Given the uniqueness of each individual, it’s important to recognize that various forms of self-care and coping strategies may work better for different people. By taking a proactive and mindful approach, you can successfully navigate the challenges of seasonal changes and holiday pressures, while maintaining balance and preserving well-being.
by Molly Pierce | Aug 30, 2015 | Anxiety Related, Confidence, Counseling Theory, Depression, Self Image
[from The Confidence Gap: A Guide to Overcoming Fear and Self-Doubt, by Russ Harris]
Rule 1: The actions of confidence come first; the feelings of confidence come later.
The concept of confidence is defined as “an act of trust or reliance” (trusting and relying on one’s abilities and competencies), rather than viewing confidence as “having a feeling of absolute certainty or assurance.” This is a better approach, because if you wait for the feelings of confidence to come before taking any sort of action, then there’s a chance you might end up waiting forever. That’s not very effective. Harris offers four steps to follow in order to become more confident in any action: (1) Practice the skills, (2) Apply them effectively, (3) Assess the results, and (4) Modify as needed.
Rule 2: Genuine confidence is not the absence of fear; it is a transformed relationship with fear.
People believe many myths about fear, such as: fear is a sign of weakness; fear is the enemy; fear holds you back; confidence is the absence of fear. But the truth is that when anyone steps out of their comfort zone, takes a risk, or faces a challenge, they will experience fear. That’s not a sign of weakness; it’s the natural human response. Fear doesn’t have to be viewed as an enemy, or something to hold you back, rather, it can be used as a motivating source of energy to be used for your benefit. It is not true that confident people don’t feel anxious or afraid, but perhaps they have figured out how to handle it and channel it effectively.
Rule 3: Negative thoughts are normal. Don’t fight them; defuse them.
Dealing with negative thoughts can be annoying, but the fact that we have them is actually a good thing! It’s a sign that our brains are working: trying to anticipate what could hurt us or harm us, trying to predict what might go wrong, etc. If your mind has negative or anxious thoughts, congratulations – you have a normal brain. Negative thoughts are not inherently problematic, they only become so if we get all caught up in them, give them all our attention, treat them as the gospel truth, allow them to control us, or get into a fight with them. The goal is defusion: separate from your thoughts and realize that they are simply words.
Rule 4: Self-acceptance trumps self-esteem.
Having high self-esteem means evaluating oneself positively. The trouble is that it gets hard to do this when one is not successful, or when one makes mistakes. On the other hand, self-acceptance means accepting oneself in spite of deficiencies. It involves letting go of all self-judgments. It doesn’t mean that we stop paying attention to the way we behave, and the impact of our actions; it simply means that we let go of blanket self-judgments. When we make a mistake, we reflect on it and assess our actions. Harris puts it well when he poses: “If beating ourselves for every mistake we make was productive, wouldn’t we all be perfect by now?”
Rule 5: Hold your values lightly, but pursue them vigorously.
Values are one’s guiding principles of behavior, according to what is important to them in life. Harris likens values to a compass: they give us direction, guide our journey, and help us stay on track. (Goals are what we want to achieve along the way). Examples of values include: adventure, authenticity, connection, contribution, courage, creativity, flexibility, honesty, humor, intimacy, open-mindedness, respect, self-awareness, spirituality, and trust. One reason to hold your values lightly is the tendency for them to turn into inflexible requirements, such as, “I must be adventurous at all times.” Remember, the goal is to live by guiding values, not rigid rules.
Rule 6: True success is living by your values.
This means using one’s values to set goals, and to sustain movement toward set goals. You don’t have to wait until you achieve a goal in order be successful; you can be successful right now through living by your values. Maybe a goal of yours is to become a doctor because you hold the value of helping others. It will take you several years to actually become a doctor, but you can do many things to help people along the way.
Rule 7: Don’t obsess about the outcome; get passionate about the process.
Process is the way you go about doing something, whereas outcome is the result of what you’ve done. The idea here is not to give up on your goal(s), but to shift the emphasis to engaging fully in the process, and embracing it as an opportunity for learning, rather than obsessing about the outcome.
Rule 8: Don’t fight your fear: allow it, befriend it, and channel it.
Russ Harris Speaks of using “The ABC of Fear-Whispering” for dealing with fear (A=allow, B=befriend, C=channel). Trying to fight against or avoid an emotion oftentimes just makes the unpleasant emotion stronger. So, instead of fighting your experience of fear, try simply allowing it to be. Harris encourages befriending one’s fear: building a positive relationship with it. You don’t necessarily have to like it, but haven’t you ever been friendly to a person whom you don’t necessarily like? It’s kind of like that. Also, fear is worth befriending if it helps you live by your values, achieve your goals, perform at your peak, and live a richer, more meaningful life. Fear is kind of like nervous energy, but it can be less scary if you frame it as feeling “excited” or “pumped” instead. Think to yourself, “How can I make good use of this energy? What can I channel it into?” Use your fear to your benefit. And remember, you can have fear and confidence at the same time. If you recall Rule 2: Genuine confidence is not the absence of fear, it is a transformed relationship with fear.
Rule 9: Failure hurts – but if you’re willing to learn, it’s a wonderful teacher.
In the words of John Dewey (American philosopher): “Failure is instructive. The person who really thinks learns quite as much from his failures as from his successes.” Just like fear, failure is a fact of life. It’s also a natural part of learning; we reflect on what didn’t work, and think about what might work better next time. It is productive to acknowledge what went “wrong,” while also appreciating what went well. It provides good feedback from which to learn!
Rule 10: The key to peak performance is total engagement in the task.
Peak performance requires practice, defusing from reasons not to do it, making room for discomfort or fear, and fully engaging in the process. The key to peak performance is having focused attention on the task at hand. This requires mindfulness: defusing from unhelpful thoughts, such as, what you look like, what others are thinking, judging your performance, thinking about past or future events, etc. While you can’t eliminate unhelpful thoughts or feelings, you can make space for them while remaining focused and engaged in what you are doing in the present moment. It is in this state of mindful, focused action that we perform at our best.
by Molly Pierce | Oct 9, 2013 | Self Image
Perfectionism as a Roadblock to Productivity by James Ulrich
The truth behind the personality trait
Published on September 26, 2013 by James Ullrich, M.A. LMHCA in The Modern Time Crunch
Far from being a motivator for productivity, perfectionism (or more precisely, the byproducts of it) can be a debilitating pattern that inhibits healthy functioning.
Though it’s driven many of the great feats of art, science, and sports, it has driven many others to distraction and led to significant problems with beginning and finishing projects. One of the main roadblocks to productivity created by perfectionists is a tendency to procrastinate.
While procrastination is often confused with plain laziness, sometimes it is the byproduct of perfectionism. The daunting nature of the unrealistic goal of perfection can be so intimidating that it leads to a crippling fear of beginning. This is particularly true when one’s self-esteem is closely tied into (or contingent) upon success.
This tendency for perfectionists to yoke their sense of worth to the success of a project can be a prime driver of procrastination. It’s that fear of failure (and the ego-crushing that would inevitably result) that is powerful motivation for avoiding the situation altogether.
Falling short of an unreasonable goal too many times can lead to a sort of learned helplessness, i.e. “no matter what I do, it’s never quite good enough.” Disempowerment follows, which is another significant nail in the coffin of productivity—not perfectionism per se.
The best way to fight this self-reinforcing pattern of negativity is, of course, to water down the perfectionism and thus its unwelcome side effects. How? It’s simple: First, try beginning any project with a good-enough plan and a good-enough skill set. Remind yourself that you can always adjust your plan as you go along, and that you can always find a work-around or draft in help when you’re in over your head.
The important thing is beginning, taking the first steps of the journey. Only then you can develop momentum that can carry you along. Remember the Newtonian gravity rule that, “an object at rest tends to stay at rest”. This can help break through the icy barrier of anxiety that causes procrastination.
Second, decouple your performance from your sense of self-worth. One is not dependent on the other, and punishing yourself for failing to meet an unrealistic goal is simply counterproductive. Talking yourself into a very negative self-image as you castigate yourself is dangerous. Take a more holistic view of yourself and your role in life. Perspective is the key.
This is all easier said than done, and therapy can help.
With these initial steps, you can begin to better manage the anxiety and insecurity issues that drive procrastination and negative self-esteem, the insidious byproducts of perfectionism.
by Molly Pierce | Oct 3, 2013 | Anxiety Related
Interview with Kansas City Blogger Local
High school and college students are no strangers to the effects of anxiety and depression. This segment of the population however, faces a unique type of anxiety and depression that the general population rarely comes in contact with. Test anxiety is a major issue for students the Kansas City metro area. We met up with one local counselor to discuss test anxiety and how to deal with it.
Ben: Hello there. This is Ben Hartman from Blogger Local Kansas City. We’re out in Leawood with Molly Pierce, a Kansas licensed professional counselor and owner of True Self Counseling. We’re meeting with her today to discuss some of the upcoming anxiety that is related to the school season being in full swing. There are a lot of tests coming up. We met with Linden at Get Smarter Prep the other day, and she was actually talking about the ACTs coming up on September 21st. Molly, if you can just tell us a little bit about yourself and True Self Counseling, that would be awesome.
Molly: Aright. I started True Self Counseling in 2010. I really have a passion to help people deal with common everyday problems, such as anxiety, depression, and communication/relationship problems.
Ben: Okay, so you deal with individuals, and then you deal with people in relationships, and then some group counseling as well?
Molly: Yes, absolutely.
Ben: You have a test anxiety clinic going on over at Get Smarter Prep. Tell us about it.
Molly: It’s a one hour clinic in the evening to help students prepare to manage their anxiety, to get the best score that they can on their ACT or SAT. With the ACT test coming up, we actually just did a test anxiety clinic last week.
Ben: Is it open to only people that go to Get Smarter Prep already or is it open to the general public?
Molly: This was the first one we did, and it was just Get Smarter Prep students, but I’m sure that outside people would be welcome to come. There’s just a $25 fee.
Ben: Okay, so this is something that you guys are developing and working on, and it seemed successful this time? There was a good turnout?
Molly: It did seem successful. It seemed like the students really benefited from it.
Ben: There’s kind of two sides to being anxious about tests, the side where it’s impending and you’re stressed and you’re trying to learn as much you can before it comes. Then for some people, afterwards there’s the anxiety of not having gotten the goal they strived for and being let down by or disappointed by their performance. Can you maybe talk a little bit about the difference in the problems face on either side of the test?
Molly: Sure. A lot of the students are getting the help they need in learning how to solve the problems on the exams and they feel confident in that aspect, but they really get freaked out about being timed and running out of time, and then there’s just this train of negative thoughts of like, what if I run out of time? What if I fail? Then I’m not going to get into the school I want to get into, and into my preferred profession.
Ben: It’s a compounding cycle?
Molly: Yes, it can go down this compounding hole of anxiety. Same thing for after the test if they don’t get the score they were hoping for. It’s almost like this sense of impending doom that now they can’t pursue the career that they want.
Ben: Yes, that their life is over.
Molly: Their life is over, even though they can really just go retake the test and go on with life.
Ben: Yes. For some people, they feel like it speaks about them and tells people outwardly something they don’t want to convey.
Molly: That is absolutely true. A lot of people equate their self-worth with how well they perform whether it’s on the test, or in sports, or relationships, or jobs, or whatever, so not getting a good score can actually make people feel pretty bad about themselves.
Ben: Yes. There’s that misconception that the test score you get is a reflection of your worth, and those things are really completely exclusive.
Molly: Exactly, and that type of thinking really leads into depression and just feeling bad about yourself.
Ben: For some people that didn’t come to the clinic what could you recommend? What are some tips that people can follow to get in their habitual nature that will help them avoid getting test anxiety or help them in reducing test anxiety?
Molly: Anxiety is really a twofold issue. There are the physical symptoms of anxiety, so when you feel like your breathing is getting short and shallow, and you might feel tingly. You might feel butterflies in your stomach. One thing you can do is deep abdominal breathing, which really calms your body and soothes the physical symptoms of anxiety.
The other aspect of anxiety is the mental part of it. It’s the thoughts, so if you’re thinking, oh my gosh, I’m so nervous. I’m going to do horrible. I’m going to fail. That thinking is not going to be helpful, so you need to identify that negative thinking and change it into more positive and accurate thinking, such as I’ve prepared for this test. I know what I’m doing. It’s going to work out, and so forth.
Ben: Okay. Do you have any recommended reading for people that need some encouragement, that need to help to and reinforce a better positive mental frame of mind before a test?
Molly: Sure. There’s lots of good reading out there on anxiety and changing negative thinking. One book is the Anxiety and Phobia Workbook by Edmund J. Bourne. Another good one is When Panic Attacks, which is written by David Burns, and he really does a lot in the treatment of anxiety and depression. He’s pretty big in that world.
Ben: Okay, so that would be some good recommended reading?
Molly: Absolutely.
Ben: We will check back in with you soon so we can learn about some of the group work you’ve been doing over at the Leawood Church of The Resurrection on the topics of depression and anxiety. Thanks for your time, and we encourage our readers to check out your test anxiety clinic over at Get Smarter Prep as well as many of the services you offer.
Molly: Absolutely, and really, anyone struggling with anxiety, depression, marital issues can feel free to check out True Self Counseling to see if we might have services that are helpful for them.
Ben: Definitely. Thanks for your time, Molly.
Molly: Thank you.
