078: Five Simple Ways to Boost Your Happiness–#5: You Can CHANGE the Way You FEEL!

Building Self-Esteem and Overcoming Toxic Shame–as well as feelings of depression, anxiety, inferiority, hopelessness, and anger!

Let’s face it–nearly all of us fall into the black hole of depression, anxiety, shame, and self-doubt at times. Then it’s time to ask yourself what you’re telling yourself, write down your negative thoughts, identify the distortions in them, and substitute thoughts that are more positive and realistic. Sound too easy? The results can be mind-blowing!

David and Fabrice discuss a therapy session with a woman who had been hiding something about herself for nearly ten years due to feelings of shame. When she receives a phone call from someone in her church, her feelings of anxiety and shame hit the ceiling. Learn how she overcomes her feelings of angst and self-doubt using TEAM-CBT.

David hopes to make the actual video of this dramatic therapy session available soon right here at www.feelinggood.com in his new Feeling Good Store! (still under development at the time of this write-up.)

While listening, you can download pdfs about each of seven steps to help you break out of bad moods and boost your self-esteem:

Step 1. Identify the Upsetting Event

If you click on Melanie’s Daily Mood Log you will see that the Upsetting Event was something seemingly innocuous.

Step 2. Rate Your Negative Feelings

If you click on Melanie’s Daily Mood Log again, you will see how she circled her feelings and rate each type of a feeling on a scale from 0% to 100%. You will see that her negative feelings were actually incredibly intense.

Daily Mood Log with feelings circled and rated

Step 3. Record Your Negative Thoughts

Cognitive therapists, going all the way back to the Greek Stoic philosopher, Epictetus nearly 2,000 years ago, say that we are upset, not by things, or events, but by our thoughts about them. If you click on Melanie’s Daily Mood Log with Negative Thoughts yet again, you will see what she was telling herself about the phone call from the member of her church.

Step 4. Positive Reframing

This is one of the many powerful new features of TEAM-CBT. Before trying to change the way you think and feel, focus on your negative thoughts and feelings one at a time and ask yourself two questions:

  1. What are some benefits, or advantages, of this negative thought or feelings?
  2. What does this negative thought or feeling show about me and my core values that’s positive and awesome?

Briefly stop the recording and review Melanie’s Daily Mood Log. Then see how many positives you can list. For example, what does Melanie’s shame show about her that is awesome and positive? And what are some really beautiful things about her sadness and depression? What are some potential benefits of her anxiety?

Step 5. Identify the Distortions

After the Paradoxical Agenda Setting (in this case, Positive Reframing), I asked Melanie what Negative Thought she wanted to work on first. She selected the second negative thought, “She’ll tell other people who will judge me.” See how many distortions you can find in this thought, using the list of ten distortions on her Daily Mood Log.

When you’re done, you can see how Melanie identified the distortions in this thought, using abbreviations, in the Distortion column of her Daily Mood Log. However, on the podcast, David identified one additional distortion he had overlooked during the live session with Melanie. Can you figure out which one it is?

Step 6. Challenge the Negative Thought

There are more 50 techniques that you can use to challenge a Negative Thought. After listing roughly 17 promising methods during the session, Melanie decided that she wanted to start out with a gentle method called the Paradoxical Double Standard Technique. If you click on Melanie’s Daily Mood Log  again, you can see the Positive Thoughts Melanie came up with to challenge the Negative Thought, “She’ll tell other people who will judge me.” You will also see how strongly she believed them. Remember that the Necessary Condition for Emotional Change is that the Positive Thoughts all have to be 100% true. Rationalizations and half-truths will rarely, if ever, give anyone genuine relief or mood elevation.

Now the question is this: Did the Positive Thoughts reduce Melanie’s belief in the Negative Thought? Remember the Sufficient Condition for emotional change: the Positive Thoughts must drastically reduce the belief in the Negative Thoughts. That’s the whole goal, in fact, of cognitive therapy. Remember, when you change the way you THINK you can change the way you FEEL!

If you click on Melanie’s Daily Mood Log again, you’ll see that her belief in the Negative Thought was, in fact reduced. Sometimes, you will want to reduce your belief in a Negative Thought all the way to zero. But in this case, 35% was sufficient, since some people may, in fact, judge Melanie, although most people probably will not.

Step 7. Outcome: Re-rate Your Negative Feelings

Once you’ve clobbered one negative thoughts, it’s generally much easier to knock the rest of your Negative Thoughts out of the park. This was the case with Melanie. If you review her final Daily Mood Log, you can see how she challenged the rest of her Negative Thoughts and the incredible impact this had on her feelings.

Coming Soon!

Next week we will have something very special and very precious for you–

Podcast 079: What’s the Secret of a “Meaningful” Life? Live Therapy with Daisy

This will be a dramatic and inspiring podcast that Fabrice and I feel very grateful to be able to share with you. The podcast will be based on an actual therapy session with a young woman who is struggling with depression, anxiety, and self-doubt because of fertility issues, due to strong. societal messages that women should have children and should want children. This will be a unique opportunity to go behind closed doors to see TEAM-CBT live and real with someone like yourself who is struggling with intense negative thoughts and feelings.

The live therapy sessions we have published previously–with Mark, who felt like a failure as a father, and with Marilyn, who was confronted by a sudden and totally unexpected horrific diagnosis of Stage 4 lung cancer–received tremendously positive feedback from all of you. Now we are proud to present yet another live therapy session next week! So mark your calendars!

Two Cool Upcoming Workshops for you!

May 20th, 2018  Advanced, High-Speed CBT for the Treatment of Depression and Anxiety A one day workshop by Drs. David Burns and Jill Levitt. 6 CE Credits, $135
You can join in person or online from wherever you live!

March 22 and 23, 2018 Rapid Recovery from Trauma, (David D. Burns, MD) J&K Seminars, Lancaster, Pa 15 CE credits, includes live evening demonstration on the evening of day 1.
You can join in person or online from wherever you live! 

Additional Resources for the General Public (all available at Amazon.com, as well as other booksellers)

  • Feeling Good: The New Mood Therapy
  • The Feeling Good Handbook
  • Feeling Good Together
  • When Panic Attacks

General public and mental health professionals might enjoy the recent article about David in Stanford Magazine authored by Robert Strauss entitled “Mind Over Misery.”

Additional Resources for Mental Health Professionals

David’s TEAM-CBT Psychotherapy ebook: Tools, Not Schools, of Therapy

David’s Tuesday evening TEAM-CBT meets at the Behavioral Sciences Building, 401 Quarry Road, Room 2209 from 5:00 to 7:30 PM, and is free. It is open to all SF Bay Area mental health professionals as well as graduate students in any mental health field, including but not limited to Stanford graduate students. There are teachers include:

  • David Burns, MD
  • Helen Yeni-Komshian, MD
  • Jill Levitt, PhD
  • Daniele Levy, PhD

For information, requirements, and consent form, contact our Greeter, Sara Swedorski, saraswedorski@gmail.com.

Fabrice and I hope you like our Feeling Good Podcasts, and also hope you can leave some positive comments for us and five star ratings if you like what we’re doing!

Subscribe

At least one listener has had problems leaving an iTunes review from his i-phone, so Fabrice has created some simple to follow instructions if you need help.

 

 

Depression is the World’s Oldest Con!

Depression is the World’s Oldest Con!

How to Overcome Depression and FEEL GOOD!

Hi folks,

Sometimes I do podcasts for other pod casters in addition to the weekly Feeling Good Podcasts I do with our beloved Dr. Fabrice Nye. If you click the link below, you’ll discover a podcast I did with Larry Weeks that apparently received some excellent feedback from listeners.

Click here for the link on how to overcome depression and the distorted thinking that triggers it. 

Take a look and a listen. He did a really nice job, and I think you’ll enjoy it!

David

 

If you are reading this blog on social media, I appreciate it! I would like to invite you to visit my website, http://www.FeelingGood.com, as well. There you will find a wealth of free goodies, including my Feeling Good blogs, my Feeling Good Podcasts with host, Dr. Fabrice Nye, and the Ask Dr. David blogs as well, along with announcements of upcoming workshops, and tons of resources for mental health professionals as well as patients!

Once you link to my blog, you can sign up using the widget at the top of the column to the right of each page. Please forward my blogs to friends as well, especially anyone with an interest in mood problems, psychotherapy, or relationship conflicts.

Thanks! David

TEAM Training Works! (But only if you work at it!)

TEAM Training Works! (But only if you work at it!)

 

FullSizeRenderHi folks,

I just got an awesome email from a psychiatrist who attended my Philadelphia workshop. You might enjoy it!

David

Hi Dr. Burns,

How are you doing Sir. I’m doing well in Michigan.

Just like to gladly inform you that since attending your workshop in Philadelphia in April 2017, learning from your podcasts regularly, reading your work and going through your previously held workshops on DVDs few times, I have been constantly using your inventive TEAM CBT process with my veteran and non-veteran patients over a year and vigorously for the last six months. Now I can say with confidence that there are miracles happening almost every few days and weeks, as my patients are “feeling good and joyful” in their lives again. They are learning tools to heal themselves and prevent relapses.

 I also feel proud of myself again that I am doing something meaningfully therapeutic for my patients since I left my ophthalmology practice and Pakistan in 1995.

Thank you for awarding me with a new sense of purpose in my life which is to help my patients feel better about themselves and give them the tools to heal them collaboratively.

Thank you again!

I am teaching my Psychiatry Residents (who rotate with me once a week) TEAM-CBT on an ongoing basis, though most are still heavily influenced by the notion of cure via psychopharmacology–though I was of the same opinion, too, back in my residency days.

Sincerely,

Hashim Raza, MD
Diplomate American Board of Psychiatry and Neurology,
Aleda E. Lutz VA Medical Center, Saginaw, Michigan
and Assistant Clinical Prof. of Psychiatry, Central Michigan University, Michigan

Hi Hashim,

It was a real thrill to receive your gracious email. My experience is similar, and I think the more you practice TEAM-CBT the better and better you’ll get. One of the greatest joys of my life is seeing someone recover before my very eyes and get transformed from intense despair and fear to joy. It is, as you say, like a miracle.

We have just started a new Thursday evening class for psychiatric residents at the Stanford Medical School. The residents this year are incredible enthusiastic and fun to teach, and very hungry to learn some good psychotherapy. So I now have two weekly training groups at Stanford. The Tuesday night group has over 30 members, including PsyD students, PhD students, Stanford therapists, and community therapists who can receive unlimited free training and personal work at our Tuesday group.

I also offer Sunday morning hikes for several hours for people in the training groups, followed by a dim sum feast at a local Chinese restaurant. We have great fun on the hikes and do personal work and difficult case consultation. All three events are highlights of my week and my life!

If you come to the bay area, I’d love to have you visit us!

David

If you are reading this blog on social media, I appreciate it! I would like to invite you to visit my website, http://www.FeelingGood.com, as well. There you will find a wealth of free goodies, including my Feeling Good blogs, my Feeling Good Podcasts with host, Dr. Fabrice Nye, and the Ask Dr. David blogs as well, along with announcements of upcoming workshops, and tons of resources for mental health professionals as well as patients!

Once you link to my blog, you can sign up using the widget at the top of the column to the right of each page. Please forward my blogs to friends as well, especially anyone with an interest in mood problems, psychotherapy, or relationship conflicts.

Thanks! David

The Animated David!

The Animated David!

 

One of my students, Kyle Jones, sent me this cute link to an animated version of my work, which is actually pretty good, I think! Let me know if you like it. And thanks a bunch to the creative and brilliant man who created it. I don’t actually know who he is, and would like to find out so I can say thanks!

David

 

If you are reading this blog on social media, I appreciate it! I would like to invite you to visit my website, http://www.FeelingGood.com, as well. There you will find a wealth of free goodies, including my Feeling Good blogs, my Feeling Good Podcasts with host, Dr. Fabrice Nye, and the Ask Dr. David blogs as well, along with announcements of upcoming workshops, and tons of resources for mental health professionals as well as patients!

Once you link to my blog, you can sign up using the widget at the top of the column to the right of each page. Please forward my blogs to friends as well, especially anyone with an interest in mood problems, psychotherapy, or relationship conflicts.

Thanks! David

Feeling Good “Bibliotherapy”–Does it REALLY work? Or is it just hype?

Feeling Good “Bibliotherapy”–Does it REALLY work? Or is it just hype?

“Bibliotherapy” means “reading therapy.” Is there any valid research suggesting that simply reading a self-help book can really help someone with moderate to severe depression? Or is it all just a lot of hype and marketing?

There are actually many published research indicating that my book, Feeling Good: The New Mood Therapy, has fairly potent antidepressant effects, even without treatment with medications or psychotherapy. That sounds encouraging, but is the research valid? Can reading a book actually cure depression? This may not seem possible, given the sad fact that antidepressant medications as well as psychotherapy are often not effective.

So how could someone recover just by reading a book? No way!

Here’s an email I received a few days ago, and I am sharing it with you with the permission of the author. I have withheld his / her name to protect this person’s identity, but want to thank him/her in advance for kindly writing me and allowing me to share this with all of you!

Hello Dr. David,

I just finished your book Feeling Good. My depression score on the first day was 51, and today after I just finished it, I scored 0.

I just wanted to thank you endlessly!

Best Regards, (name withheld)

In case you aren’t familiar with the scoring of my depression test, the one this reader used ranges from 0 (joyous, with no depression at all) to 100 (extremely severe depression.) His / her initial score of 51 indicate moderate to severe depression.

I am always overjoyed to receive emails like this. Since Feeling Good was published, I have received more than 30,000 emails or letters (in the old days) similar to this one.

If you, or a friend or loved one, or even a patient of yours, is struggling with depression or anxiety, you might suggest they give Feeling Good “bibliotherapy” a try. Many outcome studies indicate that my book is effective for two-thirds of patients with moderate to severe depression within four weeks. A three-year follow-up study of patients given copies of Feeling Good are also extremely encouraging, so give it a try. You or someone you care about might also benefit!

All the best,

David Burns, MD

Here are a few references for those of you who are more scientifically oriented:

References

Ackerson, J., Scogin, F., Lyman, R.D., & Smith, N. (1998). Cognitive bibliotherapy for mild and moderate adolescent depressive symptomatology. Journal of Consulting and Clinical Psychology, 66, 685-690.

Floyd M, Rohen N, Shackelford JA, Hubbard KL, Parnell MB, et al. (2006) Two-year follow-up of bibliotherapy and individual cognitive therapy for depressed older adults. Behavior Modification, 30: 281-294.

Floyd M, Scogin F, McKendree-Smith NL, Floyd DL, Rokke PD (2004) Cognitive therapy for depression: a comparison of individual psychotherapy and bibliotherapy for depressed older adults. Behavior Modification,28: 297-318.

Jamison, C., and Scogin, F. (1995). Outcome of cognitive bibliotherapy with depressed adults. Journal of Consulting and Clinical Psychology, 63, 644 – 650.

Mains JA, Scogin FR (2003) The effectiveness of self-administered treatments: a practice-friendly review of the research. Journal of Clinical Psychology, 59: 237-246.

McKendree-Smith NL, Floyd M, Scogin FR (2003) Self-administered treatments for depression: a review. Journal of Clinical Psychology, 59: 275-288.

Norcross, J. C., Santrock, J. W., Campbell, L. F., Smith, T. P., Sommer, R., & Zuckerman, E. L. (2003). Authoritative Guide to Self-Help Resources in Mental Health, Revised Edition. New York: Guilford Press.

Santrock, J. W., Minnett, A. M., & Campbell, B. D. (1994). The Authoritative Guide to Self – Help Books. New York: Guilford Press.

Scogin F, Floyd M, Jamison C, Ackerson J, Landreville P, et al. (1996) Negative outcomes: what is the evidence on self-administered treatments? Journal of Consulting and Clinical Psychology, 64: 1086-1089.

Scogin, F., Hamblin, D., and Beutler, L. (1987). Bibliotherapy for depressed older adults: A self-help alternative. The Gerontologist, 27, 383 – 387.

Scogin, F., Jamison, C., and Davis, N. (1990). A two-year follow-up of the effects of bibliotherapy for depressed older adults. Journal of Consulting and Clinical Psychology, 58, 665 – 667.

Scogin, F., Jamison, C., Floyd, M., & Chaplin, W. (1998). Measuring learning in depression treatment: A cognitive bibliotherapy test. Cognitive Therapy and Research, 22, 475-482.

Scogin, F., Jamison, C., and Gochneaut, K. (1989). The comparative efficacy of cognitive and behavioral bibliotherapy for mildly and moderately depressed older adults. Journal of Consulting and Clinical Psychology, 57, 403 – 407.

Smith, N. M., Floyd, M. R., Jamison, C., and Scogin, F. (1997). Three-year follow-up of bibliotherapy for depression. Journal of Consulting and Clinical Psychology, 65(2), 324 – 327.

If you are reading this blog on social media, I appreciate it! I would like to invite you to visit my website, http://www.FeelingGood.com, as well. There you will find a wealth of free goodies, including my Feeling Good blogs, my Feeling Good Podcasts with host, Dr. Fabrice Nye, and the Ask Dr. David blogs as well, along with announcements of upcoming workshops, and tons of resources for mental health professionals as well as patients!

Once you link to my blog, you can sign up using the widget at the top of the column to the right of each page. Please forward my blogs to friends as well, especially anyone with an interest in mood problems, psychotherapy, or relationship conflicts.

Thanks! David