Postnatal Depression - Self-help Exercises
Постнатальная депрессия - помоги себе сам
Anxiety and depression can be completely overwhelming and it's often hard to know where to turn. There is treatment available in the form of counselling, anti-depressants and anti-anxiety medication so if you feel overly anxious or depressed, do please see your doctor. There are also some self-help exercises and activities that you can try. Although they sound simple, they are rooted in basic therapeutic principles and there are reasons why they help.
Self-help exercises
Here are some basic self-help principles. Read through each of these pages, print them out if you want to, and perhaps try one or two that you think might be particularly useful to you. Get used to doing the exercises and perhaps move on to another one in a week's time. You are developing the skills that will help you to cope and to work through your condition.
• An exercise in reducing anxiety
• A compassionate mind
• A comfort box
• A grab jar
• Making time for you
• Mindful relaxation
1. Reducing anxiety
One of the most debilitating symptoms of postnatal depression is anxiety. Sometimes we find ourselves worrying about something, and for some reason the worry takes on enormous proportions and starts to pre-occupy our mind. It gets in the way of concentration and/or sleep, and in some cases undermines our self confidence.
This page offers support for those showing signs of post natal depression, and includes a questionnaire to help you assess your symptoms. In addition we have more self-help exercises to help you cope with the symptoms of postnatal depression.
Mind over Mood - Help to beat depression
Christine Padesky and her colleague Dennis Greenberger have devised a way of finding out what it is that's concerning us, and then to find a more helpful way of thinking about it. We have adapted their work for self-use, but you can see the whole exercise in their book 'Mind over Mood: change how you feel by changing the way you think' (1995); they call it a 'thought record'.
You may find this exercise upsetting as you are going to take yourself into your anxiety. So find a good time and place to do this, e.g. half-an-hour before your favourite TV programme. If you have someone who you trust and feel you could do the exercise with - then ask them to help.
• Write down what it is that is causing your anxious feelings: be specific, e.g. who you were with, what were you doing and where you were.
• Then name your feeling - anxiety, fear, dread or panic.
• How big is the feeling? Rate it on a scale of 1% (not much), to 100% (at its worst).
• Jot down all the thoughts that come into your mind as you become aware of this feeling.
Ask yourself 2 questions and write the answers:
• What am I afraid might happen?
• What is the worst thing that could happen to me?
Hopefully, these 2 questions will help you get to the root of your anxiety/fear. Once you have done this, read over what you have written down and pick out the one thought that really pushes the feeling.
Then ask yourself questions like:
• When did this actually happen? What were the circumstances?
When you have exhausted this list, ask yourself:
• When did it not happen (even though you were worried that it might happen)?
Again, once you have written everything down, read over both of your lists and ask yourself:
• Is there a more helpful way that I could think about my anxiety/fear?
Write it down, and then reconsider your initial feeling and how you rated it (1-100%). And see if you have been able to bring your rating down. If you have - then well done. If you haven't - then you might have to go over it again to see if you missed something out that would have been helpful to you. It might be best if you gave yourself time to think about it before you do the exercise again.
Reference:
Mind over Mood: change how you feel by changing the way you think Ссылка
by Dennis Greenberger PhD, Christine A. Padesky PhD,
Publisher: The Guildford Press, New York (1995),
ISBN: 0-89862-128-3