Depression and Anxiety: Where's the Cure?

When enter treatment for a medical condition, you want a cure. Same with depression or anxiety; you want your therapist to prescribe a cure. In most cases, you don't really care what the treatment is, you just want to know that there is an end to the pain.

While this thinking is common, it may actually be the wrong way to think about change. If you are 100 lbs. overweight, then it is unwise to consider how to lose 100 lbs. That is an overwhelming goal. Instead, you want to set smaller, more achievable goals. Instead of a goal of losing 100 lbs., it is better to choose a goal such as eating fewer carbs and increasing fruits and vegetables, taking a walk three times this week, etc. Why are these better goals than losing 100 lbs.?

Goals are better when they are achievable within a short period of time. Goals are achievable when they are in reasonably easy reach and you can measure whether you have met the goal. We measure progress toward goals when we have set specific enough goals and are accountable.

Back to mood disorders. When you think in terms of a cure, then the goal becomes vague and is difficult to measure. As an alternative use these guidelines to set goals:

1. Imagine being cured of your mood disorder. List ten changes that would be reflected in your behavior if you were not depressed or anxious.
2. Take one of those behaviors and think of five steps that could be taken toward behaving this way.
3. Rank the five steps from the easiest to the most difficult. If they are all too difficult, then think of a couple easier steps that can be taken (for instance, imagine changing your behavior in your mind rather than actually acting on it).
4. Now take a step today. Goal-setting should not be an exercise in fantasy, it should translate into action. Take that action today.

A psychologist, B.F. Skinner managed to teach pigeons to play ping pong (click here if you don't believe me). How did he accomplish this? By breaking down this goal into small bits of behavior. If it works for pigeons, it will work for you!