The crops dry up, the seas empty and the riverbeds lay bare as mankind is doomed to fight and brawl over bottled water, pepsi, coke, 7up, doctor pepper - and every other softdrink available before the last survivor dies from diarrhoea and dehydration.
you notice every little menial detail about every single lover you ever encounter across your life. You die alone and frail; However all your ex's say you have an amazing attention to detail.
Well, yeah. But they've been agitated by the commotion, so they need to go find the food that made the sound, because that sound has to have been food.
The crops dry up, the seas empty and the riverbeds lay bare as mankind is doomed to fight and brawl over bottled water, pepsi, coke, 7up, doctor pepper - and every other softdrink available before the last survivor dies from diarrhoea and dehydration.
So I realised I never actually wrote something for this - sorry for that, been very busy recently. Short essay incoming.
What ulfstein talks about is very interesting. The biggest predictor of a relapse of depression is in fact the number of times you been depressed before - the more times you have the higher the chance it will happen again. One attempt at explaining this is a concept called 'cognitive reactivity'. Essentially what this means is that you build an association between negative thinking patterns/behaviour and feeling low, such that even transient or mild low mood can activate the same thinking patterns you have when depressed (if you want to read more, google 'Teasdale differential activation hypothesis'). In this way depression comes back much easier. One way we might teach relapse prevention to people is to change your relationship to your thoughts (also called meta-cognition, or your thoughts about your thoughts) and to not accept their meaning straight off the bat or get caught up in them. Cognitive Behavioural Therapy (CBT) does this implicitly by decentring you from your thoughts, but other approaches such as mindfulness does this explicitly. What's interesting is that ulfstein sounds like he is doing a lot of that; not getting fighting or ruminating on his thoughts, or making judgement of what comes into his mind. In this way thoughts pass without getting stuck there. A bad day stays as a bad day without necessarily building the momentum into full blown depression.
Every experience of depression is unique. As a psychologist I believe there is never not a reason to be depressed. The basics questions I ask and formulate is: why them and why now? I tend to lean towards different ways of understanding it depending on the person and what they bring. For example, someone older with recurrent depression over many years I might want to explore their life story/explanations/theories and see how they view themselves, and perhaps lean towards a narrative therapy approach with mindfulness based relapse prevention. This is because it is less likely that there is life event that has triggered their depression, as explained above, and so examining someone's current life in detail for a clue to the 'trigger' of depression might be less fruitful. Likewise, they might have a clear stressor in their life causing it, such problems at work. Again though, this might be complicated because they might have inadvertently caused it. Best example of that is that someone who tells me they have been bullied in the last 6 jobs they have... the probability they are running into bullies so consistently is very low, so it is more likely they have problematic interactional patterns.
Though I digress. Every person's depression is unique - in terms of the causes, experiences (e.g. symptoms) and meaning. One person's depression means they are a failure, or worthless, or unloveable, or that they are not good enough and so on. However, there is much variation in the 'depth' you need to help yourself. The basic way you can understand depression is what is called a maintenance cycle in CBT. This looks at the things that maintain a depressive state in the current moment and tackles these first. One analogy for this is that if you see a man hanging off a cliff, you help him up first before asking how he got there. This can include rumination (the constantly going over of memories or problems with no end - it's like the mind is trying to problem solve but there are no solutions), which is both unhelpful (as it achieves absolutely nothing, not to be mistaken with actual problem solving) and has a strong negative impact on mood. It might include activity levels - i.e. how much you are 'doing' during the day and impact on mood. Depression leads to inactivity, and inactivity leads to more depression (the so called negative spiral). In addition, some activities might make you feel worse (most common: watching TV, because it feels pointless and people usually ruminate during), and some might be missing (most common: socialising, because they say they won't enjoy it anyway). What you decide to do moment-to-moment affects how you feel, and turning this into micro choices can be a very powerful tool. Avoidance (including emotional, situational, and cognitive) is the big thing in both depression and anxiety - often it causes more problems due to the lack of facing other ones. Sitting down and planning problem solving is useful here. Another CBT approach would be start to analyse your thoughts and behaviours and understand their impact on you. You might then do some basic thought challenging to better react and handle situations, this involves examining the truthfulness of both the contents of your thoughts and the conclusions from them. Drugs and alcohol almost always have a negative impact, especially as they act as emotional avoidance, as well as disrupting sleep and causing hangovers. I might also look at some other factors such as sleep (where sleep hygiene would be useful) and diet (not eating and eating the wrong things will make you feel worse).
After this you might want to examine further in your history to see where these negative beliefs about yourself, others and the world. I say afterwards because this can resemble rumination ('why me?') if done poorly, which is why therapy can be helpful. Sometimes they can be linked to childhood, such as parental expectations (e.g. getting depressed having a set back at work - when you had it taught to you that you were only worthwhile if you were succeeding). You might then want to think about seeing if you want to believe something different in your life.
Sometimes depression goes away by itself (called spontaneous remission), other times you can tackle the cause yourself either by removing the problem or using self-help, another option is therapy. The type of therapy will vary depending on the formulation of your depression, though the big recommended first line of treatment is CBT (protocol driven CBT is often offered first... though I am not a particular fan of this). The list is endless, but might include mindfulness based therapies (I'd argue are better for relapse prevention), dynamic interpersonal therapy (if you think interpersonal patterns are a key part and are prepared to explore this), cognitive analytical therapy (another good interpersonal one - especially for the times when interact in a way which doesn't feel like yourself or is how you were once treated), acceptance and commitment therapy (probably better when you also experience significant anxiety as well), behavioural activation (now a part of CBT but also an approach in of itself, recommended for severe depression), psychodynamic psychotherapy (long term therapy, better for long term problems or if goal directed therapy is too intense) etc.
Generally for anything, you need to notice and understand before knowing what to change (i.e. formulate). Doing this will help you pick the most effective thing, as what works for others may not work for you because it might not be related to the depression you get. It's like saying you want to get fit and then get bombed with advice; the best thing is someone to make a bespoke program with you depending on your strengths, weaknesses, current knowledge and experience. You might even have a very particular idea of what 'fit' means compared to others. Your goals for change will be your own.
Like I said before, if you have any specific you wanted to ask I am happy to attempt to answer, thought I cannot guarantee I know. I hope something in the above wall of text is helpful.
"Escalator: An escalator is a moving staircase – a conveyor transport device for carrying people between floors of a building. The device consists of a motor-driven chain of individually linked steps that move up or down on tracks, allowing the step treads to remain horizontal."
Working motor-driven escalators in the mall confirmed, the escalators from the mall will make the whole map go corrupt.
Once again, I must press, going and getting professional help from healthcare locally is *not* a bad thing, and doesn't reflect badly on you. Help is available, and it can be life-changing.
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