{"id":451,"date":"2015-08-31T11:20:50","date_gmt":"2015-08-31T17:20:50","guid":{"rendered":"http:\/\/www.unk.com\/blog\/?p=451"},"modified":"2024-04-04T07:26:25","modified_gmt":"2024-04-04T13:26:25","slug":"3-depression-metaphors","status":"publish","type":"post","link":"https:\/\/www.unk.com\/blog\/3-depression-metaphors\/","title":{"rendered":"3 Helpful Metaphors for Your Depressed Clients"},"content":{"rendered":"<p>&#8220;Depression is a scary diagnosis,&#8221; Angela said to me, reflecting on the last few years of her life.<\/p>\n<p>&#8220;At first I was relieved to know that it was a disease because it meant it wasn&#8217;t my fault &#8211; it was my chemical imbalance, which I&#8217;d inherited from my mum. But it was terrifying to find out the depression could come back at any time for the rest of my life.&#8221;<\/p>\n<p>Angela had been on\u00a0antidepressants for five years,\u00a0but lately she&#8217;d noticed there was a pattern to her moods. When she ran regularly, she felt much better and after a period of feeling very anxious, the depression would come back.<\/p>\n<p>This led her to question the very nature of the disease she&#8217;d been diagnosed with.<\/p>\n<h3>Prefer to watch instead?<\/h3>\n<div class=\"video-container\"><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/ygpmprRm1PA?si=M3W9usnKDWh4xHC4&amp;rel=0\" title=\"Watch 3 Helpful Metaphors for Your Depressed Clients\" frameborder=\"0\"><\/iframe><\/div>\n<h3>Depression is not a\u00a0&#8216;disease&#8217; but a metaphor<\/h3>\n<p>I have worked with many clients like Angela over the years, who have understandably felt upset to hear they have an illness that\u00a0they&#8217;re told may, at any stage, suddenly reappear and needs to be &#8216;treated&#8217; with lifelong psychotropic drugs.<\/p>\n<p>Others find some solace in hearing depression is a disease. As Angela described, initially it took the onus off her and onto the &#8216;chemical imbalance&#8217; she was told she was born with, reassuring her that being depressed was not her fault (which is true &#8211; no one <em>wants<\/em> to be depressed!).<\/p>\n\n<p>But, in fact, although depression is a state of mind that\u00a0significantly affects energy levels in the body, <a href=\"http:\/\/www.uncommonhelp.me\/articles\/antidepressants-dirty-little-secret\/\" target=\"_blank\" rel=\"noopener noreferrer\">there&#8217;s no real evidence that it has a biological cause<\/a> beyond psychological learning or temporary response to one or more of life&#8217;s setbacks.<\/p>\n<p>So with no real hard evidence for a physical cause, we can see that the idea of depression as &#8216;disease&#8217; is itself nothing more than a metaphor &#8211; but one that is often assumed to be literally true.<\/p>\n<p>And this is problematic for a client&#8217;s recovery, because &#8216;illnesses&#8217; or &#8216;conditions&#8217; imply difficulty, outside agency, potentially long-term trouble, and increased likelihood of recurrence.<\/p>\n<p>The risk is that the &#8216;depression is a disease&#8217; metaphor might cause our clients to be more passive and less likely to take the steps that would make a difference.<\/p>\n<div class='essb-ctt essb-ctt-modern' onclick=\"window.open('https:\/\/twitter.com\/intent\/tweet?text=The+%27depression+is+a+disease%27+metaphor+risks+our+clients+being+passive+about+taking+steps+towards+recovery.&amp;via=marktyrell&amp;related=marktyrell&amp;url=https:\/\/www.unk.com\/blog\/3-depression-metaphors\/', 'essb_share_window', 'height=300,width=500,resizable=1,scrollbars=yes');\">\r\n    \t\t\t<span class='essb-ctt-quote'>\r\n    \t\t\tThe 'depression is a disease' metaphor risks our clients being passive about taking steps towards recovery.\r\n    \t\t\t<\/span>\r\n    \t\t\t<span class='essb-ctt-button'><span>Click to Tweet<\/span><i class='essb_svg_icon_twitter'><svg class=\"essb-svg-icon\" aria-hidden=\"true\" role=\"img\" focusable=\"false\" width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M28.75 9.5c0 0.25 0 0.563 0 0.813 0 8.688-6.625 18.688-18.688 18.688-3.688 0-7.188-1.063-10.063-2.938 0.5 0.063 1.063 0.063 1.563 0.063 3.063 0 5.938-1 8.188-2.813-2.875 0-5.313-1.938-6.188-4.563 0.438 0.125 0.813 0.125 1.25 0.125 0.625 0 1.188-0.063 1.75-0.188-3-0.625-5.25-3.313-5.25-6.438 0-0.063 0-0.063 0-0.125 0.875 0.5 1.875 0.813 2.938 0.813-1.75-1.125-2.938-3.188-2.938-5.438 0-1.188 0.375-2.313 0.938-3.313 3.188 4 8.063 6.625 13.5 6.875-0.125-0.5-0.188-1-0.188-1.5 0-3.625 2.938-6.563 6.563-6.563 1.938 0 3.625 0.813 4.813 2.063 1.5-0.313 2.938-0.813 4.188-1.563-0.5 1.5-1.563 2.813-2.875 3.625 1.313-0.188 2.563-0.5 3.75-1.063-0.875 1.313-2 2.5-3.25 3.438z\"><\/path><\/svg><\/i>\r\n    \t\t<\/div>\n<p>So how can we use more positive metaphors to help our clients recover from depression?<\/p>\n<h2>Here are 3 powerful, hopeful metaphors you can use to help your depressed clients gain a fresh perspective on their experience.<\/h2>\n<h3>1. Flat\u00a0battery<\/h3>\n<p>I&#8217;ll talk to my <a href=\"https:\/\/www.unk.com\/blog\/why-is-your-client-depressed\/\" data-wpil-monitor-id=\"1\">depressed clients<\/a>, both in and out of hypnosis, about having a flat battery (I hear it&#8217;s called a &#8216;discharged battery&#8217; across the Atlantic).<\/p>\n<p>Angela, for example, was a perfectionist and she obsessed over her work <a href=\"\/blog\/how-to-help-a-client-who-feels-they-are-not-good-enough\/\">not being good enough<\/a>, although she always received high marks at university.<\/p>\n<p>I explained to her that the endless negative focus of depressed people during the day creates a <a href=\"http:\/\/www.clinical-depression.co.uk\/depression-faq\/depression-and-dreaming\/\" target=\"_blank\" rel=\"noopener noreferrer\">backlog of negative arousal that REM sleep has to discharge<\/a>. The brain responds by generating more REM, or dream sleep, at the cost of less restful recuperative deep sleep.<\/p>\n<p>So depressed people wake up feeling exhausted, making them want to sleep more, during which they dream more&#8230; It&#8217;s a vicious cycle.<\/p>\n<p>To Angela, I said something like this:<\/p>\n<blockquote><p><i>Depression is really like a battery that&#8217;s run out of power. All that firing off of the REM response at night tires out the system, meaning that rather than getting <b>rested<\/b> from your sleep, it&#8217;s been <b>tiring you out<\/b>.<\/i><\/p>\n<p><i>As you begin to worry less and relax more during the day, you&#8217;ll quickly begin to dream less at night. And the extra deep slow wave sleep you&#8217;ll have as a result will immediately start to &#8216;recharge your battery&#8217; so that you&#8217;ll begin to awaken with renewed motivation and energy&#8230;<\/i><\/p><\/blockquote>\n<p>This explanation made real intuitive sense to Angela and I&#8217;ve found it does with all my depressed clients, who find it\u00a0frustrating\u00a0that they wake up exhausted.<\/p>\n<h3>2. Boat on the river<\/h3>\n<p>I like to normalize and &#8216;de-scarify&#8217; depression as much as possible.<\/p>\n<p>If someone has had a bereavement, been through a divorce, or perhaps got overwhelmed at work and then became depressed, I might suggest that carrying on as normal wouldn&#8217;t be natural \u2013 or even useful! \u2013 under those circumstances.<\/p>\n<p>I might say that shutting down energy <i>for a while<\/i> may even be serving a valuable purpose:<\/p>\n<blockquote><p><i>Imagine a boat going along a river, which has many different streams and smaller rivers running off it. If the way ahead is suddenly blocked, you don&#8217;t just carry on as if nothing has happened! The boat needs to stop <b>for a while<\/b>&#8230; in order to reorientate. It needs to <b>do nothing<\/b> for a bit.<\/i><\/p>\n<p><i>Eventually, you may decide you can remove the blockage and continue the way you were going or you might begin to see an alternate route you can take&#8230; But whatever happens&#8230; you need to stop for a while in order to make sense of things and decide what to do next&#8230;<\/i><\/p><\/blockquote>\n<p>Clients find this metaphor helpful because it identifies depression as a <i>natural response<\/i> to feeling stuck. It implies that this is a passing experience, which is not their fault. And, at the same time, it offers a sense of hope for the future without piling on the guilt for not having done anything.<\/p>\n<h3>3. Flying high<\/h3>\n<p>Because it is powered by strong emotion, depression tends to induce &#8216;black-and-white&#8217; or &#8216;all-or-nothing&#8217; thinking. If success is only 99%, then the whole thing has been a disaster!<\/p>\n<p>For example, a depressed person may feel that to get &#8216;well&#8217;, they need to feel absolutely great <i>all the time<\/i> and that any down days must mean the depression is back.<\/p>\n<p>I like to challenge this kind of utopianism indirectly:<\/p>\n<blockquote><p><i>You know, we all go up and down a little bit without becoming depressed, and that&#8217;s fine.<\/i><\/p>\n<p><i>When you&#8217;re travelling in a plane, the plane is constantly going up and down a little bit&#8230; but you don&#8217;t really notice it. Because, for the most part, the plane is travelling forward in the right direction&#8230;<\/i><\/p><\/blockquote>\n<p>And I might illustrate what I mean by this with my hand going up and down ever so slightly.<\/p>\n<p>Introducing these metaphors into your work can be done quite naturally \u2013 you can drop them almost casually into conversation with your clients.<\/p>\n<p>I used all three of these metaphors with Angela both in and out of hypnosis. She began to see how being a perfectionist and a worrier had been affecting her sleep and her thinking styles, leading to anxiety and then depression.<\/p>\n<p>We worked together to find ways she could relax and stay calm. And, after a few sessions, she told me she wasn&#8217;t frightened of depression anymore because she knew she could &#8216;knock it on the head&#8217; if it showed up again.<\/p>\n<p>Now that was a metaphor I liked to hear!<\/p>\n<h3>To learn our structured approach to treating depression, <a href=\"\/blog\/how-to-lift-depression-fast-course\/\">read more here about the How to Lift Depression Fast course<\/a>.<\/h3>\n","protected":false},"excerpt":{"rendered":"<p>Here are 3 powerful, hopeful metaphors you can use to help your depressed clients gain a fresh perspective on their experience.<\/p>\n","protected":false},"author":2,"featured_media":12406,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"episode_type":"","audio_file":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","filesize_raw":""},"categories":[3],"tags":[70,2,103,40,41,27],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>3 Helpful Metaphors for Your Depressed Clients<\/title>\n<meta name=\"description\" content=\"Here are 3 powerful, hopeful metaphors you can use to help your depressed clients gain a fresh perspective on their experience.\" \/>\n<meta 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