Im doing standard CBT stuff btw not mindfulness right now. This is easier since its more straightforward but I just find it hard to apply sometimes.
Is rumination truly a "risk factor" for depression given that it often occurs after the depression itself occurs. I feel like a lot of these things are written for the 80-90% (just throwing out a number I don't really know what exact number) who have identifiable factors such as "real stress" coming from a job or divorce or whatever you name it.
Id like to restrict the population to the people who DID NOT get depression or anxiety through psychological stress BUT got it directly through the cortisol elevation stuff you just mentioned. I know wiki had that article about endogenous depression but nowhere have I seen an article about how to actually use CBT when the problem did not begin with stress. A lot of the examples I see are very basic and discuss "real stressors" and they are just difficult to connect to if you know what I mean. So many articles just say CBT as a generic term but nothing describes what to do and the psychologists ive seen havent been very good at tailoring it to me.
They just say "manage" it and then I leave never to see them again as that just triggers a bunch of negativity I don't need.
But maybe thats why a lot of places suggest meds and therapy rather than just one.
I have talked to a doctor who said that at least within his patient population the vast majority of people have gone to him due to stressors and that I am an exception where stress at a psychological level did not originate the anxiety.
This is really the something I need to know: lets say I just wake up feeling depressed or more so right no anxious. But as far as I examine I dont see many thoughts behind it--its just there. What exactly did you do in these moments. I should be clear that the part of the rumination about the past etc I don't really engage in. I hardly think about MDMA. Im more concerned with the solution.
Is rumination truly a "risk factor" for depression given that it often occurs after the depression itself occurs. I feel like a lot of these things are written for the 80-90% (just throwing out a number I don't really know what exact number) who have identifiable factors such as "real stress" coming from a job or divorce or whatever you name it.
Id like to restrict the population to the people who DID NOT get depression or anxiety through psychological stress BUT got it directly through the cortisol elevation stuff you just mentioned. I know wiki had that article about endogenous depression but nowhere have I seen an article about how to actually use CBT when the problem did not begin with stress. A lot of the examples I see are very basic and discuss "real stressors" and they are just difficult to connect to if you know what I mean. So many articles just say CBT as a generic term but nothing describes what to do and the psychologists ive seen havent been very good at tailoring it to me.
They just say "manage" it and then I leave never to see them again as that just triggers a bunch of negativity I don't need.
But maybe thats why a lot of places suggest meds and therapy rather than just one.
I have talked to a doctor who said that at least within his patient population the vast majority of people have gone to him due to stressors and that I am an exception where stress at a psychological level did not originate the anxiety.
This is really the something I need to know: lets say I just wake up feeling depressed or more so right no anxious. But as far as I examine I dont see many thoughts behind it--its just there. What exactly did you do in these moments. I should be clear that the part of the rumination about the past etc I don't really engage in. I hardly think about MDMA. Im more concerned with the solution.
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