Depression can feel like being trapped in a dense fog, cut off from joy, energy, and a sense of meaning. But beneath the weight of this condition, there is hope and a clear path toward healing. Addressing the needs of someone with depression starts with understanding the nervous system’s role in mental health and creating a supportive environment that promotes healing.
Depression affects not only mood but also the nervous system, which governs our fight, flight, or freeze responses. When the nervous system is overwhelmed, the body may get stuck in a freeze state, leading to feelings of hopelessness, exhaustion, and detachment. In healing, addressing both emotional and physiological needs is key. Here are the top 10 needs of someone experiencing depression, with a focus on holistic healing: 1. Connection and Support Depression can make people feel isolated, yet the most important thing they need is connection. Support from friends, family, or a mental health professional helps break through isolation. Compassionate, non-judgmental listening can make a profound difference. Healing Tip: Encourage connection by gently reaching out and offering your presence. Simple acts like a text message or sitting quietly together can provide emotional relief. 2. Safety and Stability The nervous system thrives in environments that feel safe. For someone with depression, any uncertainty or stress can be overwhelming. Establishing routine, structure, and a sense of predictability can calm the nervous system, providing a foundation for emotional recovery. Healing Tip: Help create a consistent daily routine that includes small, manageable tasks. Having predictable touchpoints like meals or bedtime can offer a sense of stability. 3. Rest and Sleep Chronic fatigue is a common symptom of depression. When the nervous system is in a state of freeze, energy conservation becomes a priority. Deep, restorative sleep allows the body and brain to reset, but depression often interferes with restful sleep. Healing Tip: Support sleep hygiene practices, such as a regular bedtime, limiting screen time before bed, and creating a calm environment for sleep. Consider relaxation techniques like deep breathing or guided meditations. 4. Gentle Movement Exercise is often prescribed for depression, but for someone in the depths of it, vigorous activity can feel impossible. The nervous system benefits from movement, which helps release built-up tension and restore balance between the body and mind. Gentle forms of movement, such as walking, yoga, or stretching, can be more accessible. Healing Tip: Start small—five minutes of stretching or a short walk in nature can stimulate the nervous system without overwhelming it. Movement is medicine, and even tiny doses count. 5. Nervous System Regulation Depression often occurs when the nervous system is dysregulated, stuck in freeze mode, or swinging between fight-or-flight and shutdown. Tools that directly support nervous system regulation, such as breathing exercises or grounding techniques, can help restore balance. Healing Tip: Encourage slow, deep breathing, focusing on long exhales, which calm the parasympathetic nervous system. Techniques like mindfulness or body scans can also increase awareness of physical sensations and support regulation. 6. Self-Compassion and Reduced Self-Criticism Depression often brings a harsh inner critic, making people feel unworthy or like a burden. Counteracting this negative self-talk is essential for healing. Encouraging self-compassion and kindness toward oneself can help break the cycle of shame and guilt that deepens depression. Healing Tip: Suggest self-compassion practices like writing down affirmations or gently reminding someone that depression is an illness, not a personal failure. Reframing thoughts with “I’m doing my best right now” can soften self-judgment. 7. Nutrition and Hydration A nourished body is better able to heal. Depression often leads to a lack of interest in food or poor dietary habits, which can worsen symptoms. The brain relies on certain nutrients for optimal functioning, and hydration is key to overall health. Healing Tip: Encourage balanced, nutrient-rich meals, even if they are simple. Foods rich in omega-3s, antioxidants, and proteins support brain health. Hydration can also help with energy levels and cognitive function, so remind your loved one to drink water throughout the day. 8. Creative Expression Art, music, writing, or any form of creative expression can provide an outlet for emotions that may be difficult to verbalize. Creative activities can engage different parts of the brain, offering a form of therapy that bypasses verbal processing. Healing Tip: Encourage creative outlets without pressure for the result to be “good.” Whether it’s coloring, journaling, or playing an instrument, creative expression can help release suppressed emotions and provide a sense of accomplishment. 9. Professional Guidance While support from loved ones is essential, professional help from a therapist, counselor, or psychiatrist is often necessary for managing depression. Having a strong relationship with a mental health professional who can guide the healing process can be very supportive. Medication can also be a valuable tool for many. Healing Tip: Gently suggest seeking professional help and offer to assist in finding resources. Online therapy options have made it easier for people to access help in the comfort of their own homes. 10. Hope and Reassurance Depression can feel endless, but recovery is possible. Those experiencing it need to be reminded that the darkness will lift and that healing happens over time. Offering hope and reassurance helps rekindle the belief in a brighter future. Healing Tip: Share stories of recovery and provide encouragement. Remind your loved one that they are not alone in this experience and that every step, no matter how small, is a victory toward healing. Final Thoughts: There Is Hope Depression is a deeply challenging experience, but it is also treatable. With the right support, attention to both emotional and physical needs, and a focus on nervous system regulation, healing can happen. Recovery is not linear, but every effort contributes to moving forward. Compassion, patience, and hope are the cornerstones of healing, reminding us that even in the darkest moments, light can break through. If you or someone you know is struggling, reach out. Healing is possible, and no one has to face depression alone.
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Mindfulness is a powerful tool in supporting anxiety, as it helps shift focus away from anxious thoughts and toward the present moment. When anxiety strikes, our minds often race into the future, anticipating worst-case scenarios or reliving past stresses. Mindfulness, however, invites us to pause, notice, and observe our current experience without judgment. This practice creates a sense of space between us and our anxiety, offering relief from the constant cycle of worry. Simple techniques like mindful breathing, where you focus on the sensation of air entering and leaving your lungs, can calm both your mind and body, signaling to your nervous system that it’s safe to relax.
From the perspective of nervous system healing, mindfulness plays an essential role in regulating our body's stress response. When we practice mindfulness, we activate the parasympathetic nervous system, sometimes referred to as the “rest and digest” system, which counters the “fight, flight, or freeze” response triggered by anxiety. By engaging in grounding exercises—like noticing the sounds around you, feeling your feet on the ground, or focusing on a single object in your environment—you help soothe an overstimulated nervous system. Over time, these small moments of mindfulness can lead to lasting changes in how your body responds to stress, creating a more resilient and balanced nervous system. Dialectical Behavior Therapy (DBT), a highly effective approach for managing intense emotions, includes mindfulness as a core skill to support anxiety. Two useful DBT techniques are Observe and Describe. When practicing Observe, you simply notice your thoughts, feelings, or sensations without trying to change or judge them. It’s about creating awareness. Describe takes this a step further by naming what you're experiencing. For example, instead of saying, "I am anxious," you might say, "I notice a tightness in my chest and a sense of unease." This creates emotional distance from the anxiety, giving you room to respond calmly rather than react out of fear. By utilizing mindfulness skills to support nervous system healing, you can develop a toolkit that not only manages anxiety but fosters a greater sense of control and hope. Healing is possible, one mindful breath at a time. Anxiety can often feel like a relentless wave of worry, spiraling into thoughts that are difficult to control. While anxious thoughts are natural, they can sometimes become overwhelming, leaving us feeling stuck or isolated. The good news is that with the right tools, we can manage these thoughts and reduce their impact on our daily lives. The first step in easing anxious thoughts is to understand them. Anxiety thrives on uncertainty, so identifying the specific worries can reduce the feeling of chaos. Simply naming the fear or concern—whether it’s about work, relationships, or health—helps bring the issue into perspective, allowing you to take a step back and evaluate it more clearly.
A compassionate way to counter anxiety is through grounding techniques, which are designed to bring you back to the present moment. Anxiety often drags our minds into the future, worrying about things that may never happen. Grounding exercises, such as deep breathing, sensory awareness (like noticing the texture of an object), or even a short walk, can help you reconnect with the present. This process of anchoring yourself in the "now" interrupts the anxious loop, giving your mind a break and allowing you to refocus with greater clarity. Finally, it’s important to remind yourself that managing anxiety is a journey, not a quick fix. Healing takes time, and setbacks don’t mean failure—they are simply part of the process. Seeking support, whether from a therapist, a loved one, or a trusted community, can make a world of difference. With patience and self-compassion, you can learn to soothe your mind and move through anxious moments with more ease, knowing that anxiety doesn’t have to define your life. There's hope in every step forward. Anxiety can feel overwhelming, but understanding the needs of people who struggle with it can bring a sense of hope and healing. Anxiety often originates from an overactive nervous system, which becomes stuck in a state of heightened alertness. For those who experience anxiety, the path to healing involves both addressing the underlying causes and providing the nervous system with the support it needs to return to balance. Here are 10 key needs of anxious people, centered on calming the nervous system and fostering emotional well-being.
1.Safety and Stability: A person with anxiety needs a sense of safety, both physically and emotionally. This means creating a stable, predictable environment where they feel secure. Whether it’s a safe home, supportive relationships, or a calming routine, stability helps the nervous system settle. 2.Validation: Anxious individuals often feel misunderstood or judged. They need their emotions to be validated—knowing that their feelings are real, important, and not something to be dismissed or minimized. Validation creates space for healing by reducing shame and isolation. 3.Calm Environment: A peaceful, low-stimulation environment can do wonders for someone who is anxious. Soft lighting, quiet spaces, and soothing colors help regulate an overstimulated nervous system. 4.Predictability: For people with anxiety, uncertainty can be a major trigger. Predictable routines, clear communication, and planning can ease some of the stress that comes with not knowing what’s next. This gives the brain a break from constantly scanning for danger. 5.Mindfulness and Grounding Practices: Mindfulness, deep breathing, and grounding techniques help anxious individuals bring their nervous systems back to the present moment. These practices engage the parasympathetic nervous system, the body’s natural “rest and digest” mode, helping to calm the fight-or-flight response. 6.Movement and Physical Activity: Gentle movement such as yoga, walking, or stretching can regulate the nervous system and help release built-up tension. Physical activity encourages the production of endorphins and lowers cortisol levels, reducing anxiety and promoting emotional balance. 7.Connection and Support: Anxious people need connection to others. Compassionate, understanding relationships can help them feel less alone in their struggles. Knowing there’s someone who listens and supports them, without judgment, is vital for emotional healing. 8.Adequate Sleep: A nervous system that is constantly on high alert requires rest to repair and restore balance. For anxious individuals, prioritizing healthy sleep habits is critical, as sleep deprivation can exacerbate anxiety symptoms. 9.Nutrition and Hydration: A healthy, balanced diet is essential for nervous system health. Nutrient-dense foods support brain function and emotional regulation, while staying hydrated helps maintain overall physical and mental well-being. 10.Therapeutic Support: Whether it’s talk therapy, medication support, or movement-based therapy, professional support is crucial for those managing anxiety. Working with a therapist can help address underlying issues, teach coping strategies, and guide nervous system healing. Healing from anxiety is possible, and it begins by recognizing the body’s needs and creating an environment that fosters calm and connection. With the right support—self-care, professional help, and/or community—individuals with anxiety can nurture their nervous system, find relief, and begin to move forward with renewed hope. Mindfulness can be a powerful tool in easing the pain of grief after the loss of a loved one. Grief often brings a flood of overwhelming emotions—sadness, anger, confusion, and even guilt—that can make it difficult to find moments of peace. Mindfulness, the practice of being fully present in the moment, offers a gentle way to navigate these emotions. By focusing on the present, mindfulness helps to quiet the mind's tendency to ruminate on the past or worry about the future, providing a sense of calm amidst the storm of grief.
Practicing mindfulness during grief doesn't mean avoiding or suppressing emotions; rather, it encourages a compassionate awareness of what you are feeling. This approach allows you to sit with your emotions without being consumed by them. Simple mindfulness techniques, such as deep breathing, body scans, or mindful walking, can help ground you in the present moment, providing relief from the intensity of grief. These practices can also create a space where emotions can be acknowledged and processed in a way that feels manageable, rather than overwhelming. The benefits of mindfulness extend beyond just the moments of practice. Over time, mindfulness can cultivate a deeper sense of resilience and emotional balance. It can help you develop a more compassionate relationship with your grief, allowing you to experience it without judgment. This can lead to a gradual easing of the pain, making room for healing and eventually, for moments of peace and acceptance. While mindfulness doesn't take away the grief, it offers a pathway to navigate it with greater ease and self-compassion, helping you find strength and hope on your journey towards healing. Improving one's spiritual life is a deeply personal and transformative journey that can lead to profound inner peace and fulfillment. Spirituality can provide a sense of purpose, connectedness, and a framework for understanding life's challenges. It goes beyond religious practices, encompassing a broad spectrum of beliefs and experiences that resonate with an individual's inner self. Whether through meditation, prayer, spending time in nature, or engaging in creative activities, nurturing your spiritual life can significantly enhance your overall well-being.
One of the key benefits of a robust spiritual life is its positive impact on mental health. Spiritual practices often promote mindfulness, gratitude, and a sense of connection to something greater than oneself. These elements can reduce stress, alleviate anxiety, and improve emotional regulation. Engaging in spiritual practices can create moments of stillness and reflection, allowing you to step back from the hustle and bustle of daily life and gain a clearer perspective on your thoughts and feelings. This introspection can lead to greater self-awareness and emotional resilience. Healing the nervous system is an essential aspect of improving one's spiritual life. Chronic stress and trauma can cause dysregulation in the nervous system, leading to symptoms like anxiety, insomnia, and physical tension. Spiritual practices such as meditation, deep breathing, and prayer can activate the parasympathetic nervous system, promoting relaxation and healing. These practices help to calm the mind and body, reduce the production of stress hormones, and enhance the body's natural ability to recover from stress. By integrating nervous system healing into your spiritual practices, you can create a harmonious balance between mind, body, and spirit. Another vital component of spiritual growth is fostering a sense of community and connectedness. Engaging with like-minded individuals who share your spiritual interests can provide support, encouragement, and a sense of belonging. This can be achieved through participating in group meditations, spiritual retreats, or discussion groups. Sharing your experiences and learning from others can deepen your understanding and commitment to your spiritual path. These connections not only enrich your spiritual life but also offer a network of support that can be invaluable during challenging times. Ultimately, improving your spiritual life is about finding practices and beliefs that resonate with you and integrating them into your daily routine. It requires patience, openness, and a willingness to explore and grow. Whether you are just beginning your spiritual journey or seeking to deepen your existing practices, the path to spiritual fulfillment is a continuous process of self-discovery and healing. By embracing this journey with compassion and hope, you can cultivate a spiritual life that brings you peace, joy, and a profound sense of purpose. The mental health needs of LGBTQ+ individuals are unique and complex, often shaped by the distinct challenges they face in society. Discrimination, stigma, and the pressure to conform to heteronormative and cisnormative expectations can create an environment where LGBTQ+ people are more susceptible to mental health issues. Studies show that LGBTQ+ individuals are at a higher risk for depression, anxiety, and suicidal ideation compared to their heterosexual and cisgender counterparts. These elevated risks underscore the importance of providing tailored and sensitive mental health support that acknowledges and addresses these specific challenges.
One critical aspect of supporting LGBTQ+ mental health is understanding the impact of minority stress. Minority stress refers to the chronic stress experienced by individuals from stigmatized minority groups. For LGBTQ+ individuals, this stress can stem from various sources, including internalized homophobia or transphobia, experiences of discrimination, and social rejection. Such stressors can profoundly affect mental health, leading to feelings of isolation, low self-esteem, and chronic anxiety. Mental health professionals need to be aware of these factors and incorporate them into their therapeutic approaches, creating a safe and affirming space for LGBTQ+ clients. Healing the nervous system is a vital component of mental health care for LGBTQ+ individuals. Chronic stress and trauma can dysregulate the nervous system, leading to symptoms such as hypervigilance, anxiety, and emotional numbness. Techniques that promote nervous system healing, such as mindfulness, deep breathing exercises, and somatic therapies, can be particularly beneficial. These practices help individuals reconnect with their bodies, release stored tension, and cultivate a sense of safety and calm. By integrating nervous system healing into mental health care, therapists can help LGBTQ+ clients build resilience and recover from the impacts of trauma. Moreover, social support plays a crucial role in the mental well-being of LGBTQ+ individuals. Building and maintaining connections with affirming and supportive communities can mitigate the negative effects of minority stress. LGBTQ+ support groups, community organizations, and online forums can provide safe spaces for individuals to share their experiences, receive validation, and find solidarity. These connections not only reduce feelings of isolation but also empower individuals to embrace their identities with pride and confidence. Encouraging LGBTQ+ individuals to seek out and engage with supportive communities can significantly enhance their mental health and overall well-being. Ultimately, a compassionate and holistic approach to mental health care is essential for LGBTQ+ individuals. By addressing the unique challenges they face, promoting nervous system healing, and fostering supportive social connections, we can create an environment where LGBTQ+ individuals can thrive. Mental health professionals, allies, and communities all play a crucial role in this process. Through understanding, empathy, and proactive support, we can help ensure that every LGBTQ+ person has the opportunity to live a fulfilling and mentally healthy life. Originally written by Christian Swan on April 9, 2017
"Would it be preposterous to you that, before we diagnose seasonal affective disorder, we have to rule out first starvation of the spirit, and that before we prescribe serotonin reuptake inhibitors or megalight, we first prescribe courses on Emerson and Thoreau and lessons in cross country skiing?" -Paul Fleischmann, M.D., delivered to the American Psychiatric Association, May 1993 During my undergraduate years in South Carolina, I participated in a sorority. When sorority "rush" occurred every January, we were asked to stay away from the Three Bs: No Bush (the president at the time), Bedroom, or Bible. For many, talk of politics, sex, or religion is viewed to be inappropriate or impolite. By mentioning them, you run the risk of making someone feel uncomfortable or marginalized. There are times in my life when I have understood people's desire to steer clear of these subjects. However, I have noticed a change in my personal life where I now notice an increased comfort around conversations related to politics or sexual themes. Talking confidently about politics can now be seen as a sign of increased education, while speaking of sexual matters demonstrates a confidence in one's self. And yet, even among circles where individuals share a common religion/spirituality, I sometimes experience tension when the topic comes up. Talk of spirituality can easily be perceived as a weakness, or something so intimate that it should not be shared with others. As I've entered the therapy world, I have been surprised to learn that spirituality is still perceived as an uncomfortable subject. In my practice, I am passionate about including my clients' spiritual beliefs as they best see fit during our time together. After all, if we cannot experiment with topics that make us uncomfortable in the counseling setting, how are we ever going to be able to navigate them in our daily lives? Before or during my first session with every client, I ask a variety of questions so that I can get a better understanding of who he/she is. Toward the end of my questions, I always ask about spirituality. Personal spiritual beliefs, practices, and past experiences immensely shape one's view the world. "But what if I believe in no deity and have no spiritual practice in my life?" You may wonder. Knowing this about my clients before we begin to do healing work is very helpful to me as a therapist, as it still makes a statement about how you view the world. There are times in which one's spirituality can be an asset in counseling. For example, consider an individual who professes to have few friends and is new to Denver. As a therapist, one might assume that this person has a limited support system and operate accordingly. But what if this same individual feels very connected to God and finds comfort in daily prayer and Scripture study? Knowing this about a client is very helpful in assessing the client's support system and also in using the client's perceived closeness with God as an asset in the therapeutic work. On the other hand, consider an individual who has recently experienced a trauma. While she felt connected spiritually before the event occurred, she now confidently proclaims that she doesn't believe in God and feels frustrated that she spent so much time investing in her spirituality in the past. It is important for me to know this information as a therapist in order to factor this individual's loss of a previous support system into her healing. After I ask about a client's spiritual background, I may ask follow-up questions. Specifically, are there ways that we can integrate your spirituality into our sessions to enhance your healing? It is important to me that we integrate your spiritual background to your comfort level in our time together. Does spirituality matter in the healing process? Yes. However, you get to be the one to decide the extent of its integration. Spirituality is a deeply personal and multifaceted aspect of human experience that encompasses a sense of connection to something greater than oneself. At its core, spirituality involves seeking meaning and purpose in life, often through practices that nurture the soul and foster a sense of inner peace. Unlike religion, which is typically organized around specific beliefs, rituals, and communal worship, spirituality is more individualized and can be practiced in various ways that resonate personally with an individual. Whether through meditation, prayer, nature walks, or acts of kindness, spirituality is about finding a path that aligns with one's innermost values and beliefs.
The journey of exploring spirituality often begins with introspection and self-awareness. It's about asking profound questions: "What gives my life meaning?" "What are my deepest values?" "How can I connect more deeply with myself and others?" These questions are not always easy to answer, but they serve as a starting point for discovering a deeper sense of purpose. Spirituality encourages us to look beyond the material aspects of life and consider our connection to the broader universe. This exploration can lead to profound personal growth, increased resilience, and a more compassionate worldview. Compassion is a cornerstone of spirituality. It involves recognizing the shared humanity in all of us and acting with kindness and empathy towards others. Spiritual practices often emphasize the importance of compassion, not only towards others but also towards oneself. This self-compassion is crucial, as it allows us to acknowledge our imperfections and challenges with a gentle and understanding heart. By fostering compassion, spirituality can help reduce feelings of isolation and increase a sense of belonging and interconnectedness. In times of difficulty, spirituality can offer hope and solace. It provides a framework for understanding and coping with life's challenges, offering comfort through the belief in a higher power or a greater purpose. Spiritual practices such as prayer, meditation, or mindfulness can be powerful tools for managing stress and anxiety, promoting mental well-being, and enhancing emotional resilience. They help us stay grounded in the present moment, cultivate gratitude, and maintain a positive outlook even during tough times. Ultimately, spirituality is a journey unique to each individual. It evolves over time, reflecting our changing experiences, beliefs, and needs. Embracing spirituality means embracing the journey of self-discovery, growth, and connection. It's a path filled with hope, compassion, and the search for deeper meaning. By nurturing our spiritual well-being, we open ourselves up to a richer, more fulfilling life, grounded in a profound sense of purpose and interconnectedness with the world around us. Originally written by Christian Swan on March 23, 2017
A couple of weeks ago, I had the privilege of meeting at Whole Foods with my dear friend Debbie Johnson. I learned about her new book, A Pocketful of Seeds, and we exchanged ideas about ways that we wanted to create positive change in our communities. Because I was already at Whole Foods, I decided to buy some groceries following our meeting. As I was checking out, the cashier asked, "is there anything new happening in your life?" Intrigued by his question, I explained that I had just had an encouraging meeting and that I was looking forward to growing my private counseling practice. Curious about his life, I returned the question to him. "Nothing new here," he said, "every day just starts to feel like Groundhog Day." He went on to explain to me that he had met another individual who had also described her life as "Groundhog Day" that morning. Nearly two weeks have passed since this exchange occurred, and I have struggled to stop thinking about it. I have felt saddened by this individual's description of his life as the "same thing every day," and yet remember times in my life when I felt I would never break out of my dissatisfying routines and habits. Before I continue, I want to add that I do not think having a life structured around routine is necessarily bad. I eat two eggs and an apple every morning for breakfast. It's simple and reliable and makes me happy. What would be very unsettling is if I felt trapped by this routine. We've all been there, right? I'm talking about that feeling that you have no control over the trajectory of your life...the feeling that makes even your best efforts seem without purpose...the feeling that no matter what you do, you will be in the same unhealthy relationship or job or stuck with the same unhealthy habit forever. We've seen the movie (or maybe the most recent episode of Mindy Project?--anyone?) where the individual relives the same day every day until some conflict is resolved. The lead character doesn't have any control over when his/her life will resume and begins to lose hope until finally--tomorrow comes. While these scenes are certainly entertaining, they possess a quality that our real life does not--powerlessness. These characters have no power over when "tomorrow" will come. I WANT YOU TO KNOW THAT RIGHT NOW, IN THIS MOMENT, YOU HAVE THE POWER TO CHANGE YOUR FUTURE. What sort of change are you seeking in your life? Is it something small like waking up fifteen minutes earlier every morning? Or maybe it's something larger like a job or relationship that takes joy out of life. Sometimes change can feel so overwhelming that we don't know where to start. When considering change in your life, start at the finish line. When you picture a "changed" life for yourself, what do you envision? Take some time to write it down and imagine all of the details of this changed life. Next, begin to think about the first small step that would help you get to this goal. And if that step seems too great, think about the smaller step that would help you get there! If creating change still seems too overwhelming, consider speaking with a professional counselor or coach. Working with an objective individual can help you to figure out what is keeping you back from creating effective change in your life. But regardless of how you get there, remember that change IS possible, and that YOU already have what it takes to make it happen. |
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