Latest / Becoming Anchored / Becoming Anchored S1E1: Managing Depression During the Winter Months
Transcript
- 0:00Hi everyone.
- 0:01Welcome to the Becoming Anchored podcast.
- 0:04I am Lauren.
- 0:05Hi, I am Laura.
- 0:08And yeah, we're two therapists in the Nashville area.
- 0:11We're in Brentwood and we have decided to start a podcast to create
- 0:18a place of community for you all to come and talk about all things.
- 0:24Mental health therapy and how that relates to our real lives.
- 0:28And so, like I said, we are two licensed therapists located in the Brentwood area.
- 0:32We are in a group private practice with eight other gals.
- 0:36We work closely together and we work from anything from.
- 0:41Anxiety, depression, life transition, eating disorders grief and loss.
- 0:47And then anything and everything in between.
- 0:49We see all ages through the lifespan men and women and we
- 0:53love, love, love what we do.
- 0:55And we're so excited as well to find this new way to connect with you guys.
- 1:01Yeah, and so Lauren actually came to me with this idea, I wanna
- 1:06say about a year ago now, and.
- 1:10Yeah, we both have little ones at home, and so this is finally
- 1:14coming to fruition, and the purpose of this podcast is twofold.
- 1:19First and foremost, we want to be relatable, and so we want
- 1:22to share our lived experiences managing our own mental health.
- 1:27And being in relationship with ourselves and others.
- 1:31And then we also wanna share some stories and some wisdom that we have gleaned over
- 1:35the years practicing and being therapists.
- 1:38And so we love this idea of becoming anchored.
- 1:42So it's this idea that none of us have arrived and we always have something
- 1:48to learn and we can always grow.
- 1:50And we also love this idea of.
- 1:53Being anchored in hope.
- 1:54So this idea that we can, we can always find something
- 2:00that points us towards hope.
- 2:02So we're so excited that y'all are here on this journey with us.
- 2:05Yes, thanks Laura.
- 2:07A quick disclaimer as well.
- 2:09So even though we are licensed therapists, we aren't your therapist.
- 2:13So the purpose of this podcast and these seasons and episodes is really
- 2:19for informational purposes only.
- 2:21This.
- 2:21Isn't meant to be a substitute for therapy in any way.
- 2:24And so if you are finding that as you listen to our episodes and connect
- 2:28with us and engage in the content that you could benefit from your own
- 2:31therapy, we really encourage you to either reach out to us if you're local.
- 2:36Or find someone local to you who is licensed and who can help you
- 2:41on your own therapeutic journey.
- 2:43And we're here to walk this with you as well.
- 3:06So here we go.
- 3:07This is our first episode and we thought it might be helpful to
- 3:12talk about navigating depression, especially during the winter months.
- 3:19And so we acknowledge that depression can occur at any time of year, and there
- 3:26is a piece that sometimes our clients report more symptoms of depression.
- 3:32During the winter months and so Lauren and I just thought it might be really
- 3:35helpful just to chat through, you know, how we work with clients, our own
- 3:41histories of low mood and or depression.
- 3:45So here we go.
- 3:46First episode.
- 3:48So when I think about depression I feel like in society and Lauren you tell me
- 3:53what your thoughts are on this, but I feel like in society it's, it's kind
- 3:57of seen as staying in bed all day.
- 4:00There's this, there's this kind of picture that I think a lot of us hold in our minds
- 4:05when we bring up the word depression.
- 4:07So, as someone who has personally walked the road of depression at various
- 4:12seasons in my life, when clients come in and tell me that they're experiencing
- 4:16depression or low mood, my heart goes out to them because I personally
- 4:21understand what that feels like.
- 4:23And it can, it can just be so, so hard to feel depressed, to
- 4:29feel disengaged from your life.
- 4:32So I remember a specific time in my own life when I was walking
- 4:36through depression, and it was in college when I was actually also
- 4:42going through an eating disorder.
- 4:43I didn't have appropriate support and I remember I.
- 4:47I was that person that just wanted to stay in my dorm room.
- 4:52I didn't want to engage with friends.
- 4:55I also had a really, really strong inner critic at that point.
- 4:59And so a lot of my depression was fueled by that.
- 5:03Like I, I didn't know how to practice self-compassion.
- 5:07I, I didn't want to do the things that had previously brought me joy.
- 5:12I was also in the thick of an eating disorder, which as we know.
- 5:15Mood disorders can go, can frequently co-occur with an
- 5:19eating disorder diagnosis.
- 5:20And so I felt really lost.
- 5:23I felt like pretty pretty low frequently.
- 5:28I also felt like things wouldn't get better.
- 5:31And so those were things that were going through my mind when I was
- 5:35experiencing symptoms of depression.
- 5:38And, and it was just so, so hard.
- 5:41And so yeah, depression is, is a toughie and it can feel like we're
- 5:45kind of walking around aimless.
- 5:47And that's certainly my experience of depression.
- 5:51Yeah.
- 5:52So like Laura said it's not uncommon to kind of have a image in our minds of what.
- 6:02Maybe somebody looks like, or what somebody does or doesn't do when they
- 6:08have depression, where they're struggling with depression to some degree or another.
- 6:14And although some of those, if you will, stereotypes for lack of a better word,
- 6:21maybe are true to some extent, depression can look like a lot of different things.
- 6:28And, and.
- 6:31And that perhaps stereotype maybe can even keep people or individuals from seeking
- 6:39out the support that they do need because they don't feel like they look like or
- 6:45act like they should have depression.
- 6:50And so, offering that, you know, piece of like insight
- 6:55and validation can be helpful.
- 6:57Just in an individual's own kind of journey in seeking out, in seeking out
- 7:03support and, and like I said, any, any.
- 7:08Mental health issue, if you will typically lives on a spectrum.
- 7:13So you know, as therapists, we have this big book that we use to help us
- 7:17diagnose things when that's appropriate.
- 7:20And and those, the, those diagnoses are pretty limited in the people that they
- 7:27reach And the, the, the real lived.
- 7:32Struggles that that individuals have, even if somebody doesn't
- 7:36maybe meet criteria for something.
- 7:39And so that's a helpful resource for us as therapists and, and it's important
- 7:45for us to acknowledge in our own personal lives and in the lives of all of our
- 7:50clients that that these symptoms and these struggles, particularly depression.
- 7:59Don't show up black and white.
- 8:01They, they can show up on a spectrum.
- 8:04And anywhere that you land on that spectrum of experiencing low mood
- 8:08to full depressive episodes is valid and it's worth it's worth
- 8:14seeking out, you know, support.
- 8:16Support for whether that's professional, whether that's
- 8:18relational whatever that need is.
- 8:21So, so that's, you know, that's where.
- 8:28This particular topic around seasonal, seasonal depression, depressive
- 8:36mood during the winter months can be a particular like pain point
- 8:43for some people because because we.
- 8:46We can, we tend to be a species of highly being, highly critical, right?
- 8:52Like we're, we're pretty highly critical of ourselves.
- 8:54And so when we, when we find that we're in a season where we're not operating
- 9:01as maybe productively as we have been, that can feel really frustrating
- 9:06validly, and there's maybe more going on.
- 9:09And so that's, that's what we're here to explore with you guys.
- 9:15To encourage you guys around and to offer hope around.
- 9:18So yeah, that was a little bit long-winded, but just some thoughts
- 9:22that I had around the, the, the spectrum piece of where we can all kind of land
- 9:26on, on our mood and how even, even being on the lower end of the spectrum.
- 9:37That can still be significantly impactful in how we move about our
- 9:42lives.
- 9:43One of the things that I have come to love and just so appreciate about Lauren
- 9:50is this opening of perspective and just this idea that it doesn't necessarily
- 9:55have to be this clinical diagnosis.
- 9:58F for you to, to seek out help or for it to feel really bad or hard.
- 10:04And yeah, like Lauren said, there's lots of different presentations
- 10:07for individuals with depression.
- 10:09So I know I shared my story is a harsh, harsh inner critic and learning
- 10:14how to develop more self-compassion.
- 10:16Other people may sleep too little or too much.
- 10:21Other people may start.
- 10:23Saying no to more social engagements or.
- 10:27I know some clients will tell me that they maybe don't answer their loved ones
- 10:33via text message or call people back.
- 10:34That can be pretty common.
- 10:36And so there is that threat of avoidance.
- 10:39And, and a lot of times that's indicative that our nervous system is not regulated.
- 10:44And then two, there's a lot of research on the benefit of sunlight.
- 10:47And so when you think about the winter months and that seasonal piece that
- 10:51Lauren was talking about, you know, it gets dark earlier and it can just,
- 10:56that can greatly impact our mood.
- 10:58It's cold outside, so maybe we're not going to a park or walking outside or
- 11:02doing things that really, you know, help us through those depressive episodes.
- 11:08And so depression can be more common for lots of different reasons.
- 11:12I mean, I'm, I'm just, as I'm talking, I'm thinking about, you know, spending
- 11:15time with friends and family over the holidays and that can lead to.
- 11:20You know, problematic conversations and then that can fuel depression.
- 11:24So there's lots of different things over, over the winter months that
- 11:28can, can cause depressive episodes.
- 11:31But like Lauren said, no matter what your presentation is, you are
- 11:35deserving of, of support and of help if you're struggling with lower mood.
- 11:41And yeah.
- 11:41So one thing that we wanted to talk about today was how.
- 11:46How we can get support and what things actually support us in
- 11:50working through depression.
- 11:52So I don't currently identify as having depression right now at this, in this
- 11:59season of life, but there are times when I wake up and I feel lower mood.
- 12:05And so one of the best things that I can do is engage in what
- 12:09we call behavioral activation.
- 12:11And it's this idea that.
- 12:14I can do things and I can engage in a behavior with the intent
- 12:18of helping myself feel better.
- 12:20So one thing that that looks like for me, if I wake up and I'm feeling
- 12:25low mood or I'm feeling a little bit aimless, or I'm not really sure what
- 12:29my day is going to hold, I love to just jump in a hot shower and get ready.
- 12:33And that can mean throwing on yoga pants and getting out of the house,
- 12:37you know, whatever it might mean.
- 12:39But that, that small, those small behavioral activations.
- 12:43Just really help my mood, and that might seem small, but I think one
- 12:48thing that's important to remember with depression is that small steps matter
- 12:53and we have to really be intentional about not minimizing those small steps.
- 12:58And so.
- 12:59My husband Sean, you guys will hear me talk about him.
- 13:02But if I'm telling him like I'm just feeling kind of off or I
- 13:05feel like I'm having low mood today, he will ask me like, Hey,
- 13:08do you wanna get outta the house?
- 13:10And time and time again, I might say like, Ugh, I don't wanna do that thing,
- 13:15but then I do the thing and it helps me.
- 13:17And so that's another piece about behavioral activation is a lot of
- 13:20times we don't wanna do the thing that will help us actually feel better.
- 13:25And so Lauren, I don't know if you have any strategies that work for you with
- 13:29behavioral activation, but I'd love
- 13:30to hear those.
- 13:32Yeah, so another thing that's coming to mind as you're talking about
- 13:35behavioral activation and kind of, and in the same vein of DBT, so
- 13:40that dialectical behavioral therapy which if you've ever been in therapy
- 13:44that might sound familiar to you.
- 13:46Is a skill called opposite action.
- 13:49So it's, it's really similar to that.
- 13:51Right?
- 13:52And it's particularly effective with depression.
- 13:54So when we're feeling, when we're feeling low down low energy, it
- 14:02doing something opposite from what.
- 14:05That depressive state is wanting us to do it is intended to help us feel better
- 14:11which is also activating us, right?
- 14:15Like that, like, like the behavior activation.
- 14:18So something that I think my clients find interesting and, and,
- 14:28what's the word I want to use?
- 14:30Kind of shocking.
- 14:32I mean, that feels like a big word, but I'll just use that anyways.
- 14:34Is this idea that, so when we think of being anxious or when we think
- 14:38of being really riled up, we, we think of maybe feeling dysregulated,
- 14:46if you've ever heard that word.
- 14:48So when we're really heightened, it's, it's.
- 14:54Common to associate that with being in a state of dysregulation.
- 14:59And what's interesting is that that's really just one end of
- 15:04the spectrum of dysregulation.
- 15:06And when we are in a low state, we're also dysregulated.
- 15:10Our nervous system is also experiencing dysregulation.
- 15:14So there's this thing in the therapy world called our window of tolerance,
- 15:19and our window of tolerance is.
- 15:21Is the emotional state in which our nervous system is regulated.
- 15:28And so anytime that we're really, really heightened, really anxious,
- 15:32we're outside of that window.
- 15:33And anytime we're really, really low and down and numb and flat, we're
- 15:37actually outside of that window as well.
- 15:39So that, oh, my earbud just fell up.
- 15:42So that can be helpful in identifying.
- 15:50When we are in need of things to do to get regulated because if
- 15:57I'm really anxious and my heart's pounding and I am feeling frantic.
- 16:05It is easier for me to have some compassion for myself and say, okay,
- 16:10I need to take some deep breaths.
- 16:12I need to go find a safe person and get a hug.
- 16:17I need to go splash some water on my face to bring my heart rate down.
- 16:22Right?
- 16:22And I, and my encouragement is around.
- 16:30Noticing how when we're in a low state that we also have a need to to regulate.
- 16:41And so that looks different right?
- 16:43Than I.
- 16:45When I'm trying to bring my nervous system down.
- 16:48So if we think the opposite when we're low, we're actually trying to
- 16:52bring ourselves back up, which is that behavior activation piece we're trying
- 16:56to act, reactivate our nervous system.
- 16:59And so if you think about it in that way things like, yeah,
- 17:03hopping in a hot shower, um.
- 17:06Changing your environment.
- 17:08So if you're inside going outside, that helps me a lot.
- 17:12If I'm feeling just down and maybe irritable and I don't know, lonely
- 17:21and whatever, just, just changing my environment is really helpful.
- 17:25I'm trying to think of some other kind of practical things that, that I do when I
- 17:29am having a day that feels harder where I feel less motivation and I'm feeling,
- 17:37you know, maybe more emotionally tired.
- 17:40I really love, you know, obviously the weather right now is a little bit.
- 17:45Is a little bit yucky, but going on a walk outside talking to a friend.
- 17:49So like connecting with a friend, depression tends to be kind of isolating.
- 17:54And so activating relational engagement can be really
- 17:59helpful and really important.
- 18:01What else?
- 18:02I mean, so my son at home for, for his birthday, his grandparents got him a, a
- 18:08little mini like trampoline and has like a handle on it and it like sings and you
- 18:14can play all these games or whatever.
- 18:15So getting creative with like, things that you have access to.
- 18:21So getting on that and just like jumping around, like playing with my son.
- 18:25Right.
- 18:26Those are, that, that's just a fun, easy, silly way to like.
- 18:31Re-engage in the present moment.
- 18:33So really anytime we're regulating, we're trying to re-engage with the present the
- 18:37present moment and our bodies essentially.
- 18:40So so yeah, I, I, the window of tolerance thing, I use that all the time.
- 18:45I use that with my clients all the time.
- 18:46I use it with myself.
- 18:47It's so helpful to think about.
- 18:49And so if that's something that resonates with you maybe paying
- 18:54attention to, when you notice maybe it's easier to notice when I go
- 18:58outside of my window when I'm anxious.
- 19:01But it's harder to know when that happens, when I'm feeling depressed
- 19:05because maybe we don't really think about depression as being dysregulated.
- 19:10And it is.
- 19:11And so if we're dysregulated, we're in need of something.
- 19:14Right.
- 19:14And so that can be helpful, a helpful kind of.
- 19:18Way to think about, oh, when I'm feeling down, I, I need, like I'm in need of doing
- 19:24something to help myself feel better.
- 19:28Yeah, I love all of this.
- 19:30I'm sure y'all can tell how wise Lauren is, just hearing her talk and Yeah.
- 19:34That identification of building.
- 19:37Well, first of all, the insight around, oh, okay, I might be feeling depressed or
- 19:41low mood, or whatever language or verbiage fits your experience is really important.
- 19:45And then, so first we have to identify what's going on, and that takes.
- 19:49Us pausing, it takes us attuning to ourselves.
- 19:53And then the second piece of this is noticing what the unmet need is.
- 19:57And so.
- 19:58In various seasons of our lives that may look different, right?
- 20:02So sometimes if you're feeling low, it may be helpful to tell your best friend
- 20:06or somebody that you feel safe with, and then other times maybe you need to go on a
- 20:11walk by yourself or whatever it might be.
- 20:13And so really playing with some of this and figuring out what
- 20:17works for you because we're all so different and honoring whatever
- 20:22that need is that shows up for you.
- 20:25And just the both, that intrapersonal connection.
- 20:28So that's the idea of connection with myself.
- 20:30And then like Lauren talked about the connection with others, which
- 20:33is that interpersonal connection.
- 20:36And no matter whether we're introverted or extroverted, we all need other
- 20:40people that we feel safe with.
- 20:42And that.
- 20:43Who, who really see us.
- 20:45And you know, one of the things that I love about Lauren, this just
- 20:49happened yesterday, but I was heating up my lunch and I was a little quiet.
- 20:53And normally if I go in the kitchen I'm kind of rambunctious and I'm
- 20:57a little bit clumsy and so I'm probably dropping water or coffee.
- 21:01And people that know me can like laugh with me about this.
- 21:04But she just looked at me and she was like, are you okay?
- 21:07And.
- 21:08I, I wasn't necessarily depressed yesterday, but something had happened
- 21:11and I was feeling a little bit low.
- 21:13And so people that know us well and see us in those moments of low mood, just feeling
- 21:19seen was what I needed in that moment.
- 21:22And then, you know, I was able to talk through it a little bit
- 21:25with her and then I felt better.
- 21:27And so I'm not, I'm not trying to trivialize or minimize
- 21:29your depression if you are.
- 21:31Going through significant depression right now.
- 21:34And we also wanna be careful not to discount the small moments of
- 21:39connection with ourselves or others.
- 21:42And those are, those add up over time.
- 21:44And then help us, like Lauren talked about, get back in
- 21:47our window of tolerance.
- 21:49And so we hope these ideas were helpful for y'all.
- 21:52If you are struggling with depression, we, we see you and, and
- 21:56we're with you and we know that.
- 21:59There is not a quick fix.
- 22:01And we know that people can really, really struggle and it can be, it
- 22:05can feel like an uphill battle.
- 22:07And so we're with you guys through that.
- 22:10We wanted to offer, you know, an affirmation for you, so just this
- 22:15idea of something to take with you.
- 22:17So definitely look into the concept of both behavioral
- 22:21activation and opposite action.
- 22:23And then one thing that I love to think about when I'm feeling low mood
- 22:27is just this idea that even in the middle of low mood episodes or moments,
- 22:33I am capable of experiencing joy.
- 22:36Or maybe I'm, I'm capable of finding pockets of joy.
- 22:41So like Lauren talked about, if she's experiencing low mood, going
- 22:44and playing on the trampoline with her son, that is a pocket of joy.
- 22:48And I just love this idea that even, even through moments of low mood,
- 22:52we're capable of experiencing joy.
- 22:55And you can interchange that word with joy or gratitude or peace or hope or whatever
- 22:59feels true for you in that moment.
- 23:02Yeah, that's not to invalidate or try and make your, sadness or
- 23:08loneliness or whatever it is, go away.
- 23:11It's to empower you to take action.
- 23:15It's to help, it's to help give you a sense of empowerment that
- 23:18you have some kind of control over what is happening in your space.
- 23:26And typically when we're feeling depressed, we don't
- 23:29yet know exactly what the.
- 23:31What the core emotions are that are going on.
- 23:34And so when we can identify, oh, I am sad, I am lonely, then we can take action.
- 23:38We do know what we need.
- 23:40And so that really is to empower and to, to encourage not to say your depression
- 23:49should just, just, you know, feel joy instead of the depression that you have.
- 23:55It's this idea of like dialectical thinking and we can talk
- 23:58about that in another episode.
- 23:59But holding both right and that flexibility for holding both.
- 24:03So yeah, certainly not to invalidate any struggles, but more so just
- 24:08to empower, like Lauren said.
- 24:11So your homework for this episode, look into those things that we talked about.
- 24:15And then also just be kind and gentle to with yourself, practice some affirmations
- 24:20and then maybe build some insight around.
- 24:23Maybe what behaviors contribute to depression, and then what behaviors
- 24:27help you, you know, lift some of those symptoms of depression?
- 24:34I.
- 24:36We love to give homework as therapists and so we wanted that to
- 24:40be a part of this podcast as well.
- 24:43So really practical takeaways.
- 24:46And so yeah, your homework is just to look into and maybe spend some time
- 24:49journaling or put it in the notes section on your phone and think through
- 24:54what helps you when you're feeling low and, and maybe what is hurting you.
- 24:59So we're so excited for you guys to be on this journey with us.
- 25:01Thanks for joining us today.
- 25:04Thanks guys.