Depression. What is your body actually telling you?

Happy Friday everyone! Today is going to be a purely reflective piece, and I hope to make it somewhat shorter. A tall order for me, I know. God bless the tangent.

Depression is a very well known condition, which modern science and psychology evidence has suggested is a dopaminergic issue. Your brain is struggling to generate enough dopamine - the neurotransmitter of pleasure, motivation and inner drive. Hence why we feel so listless, tired, unmotivated and down when we are experiencing a depressive episode.

Thus, the current treatment recommendation for depression is a cognitive behavioural approach of something called Behavioural Activation. Schedule in tasks of either pleasure or mastery in order to boost your dopamine levels, thereby dealing with the root cause of the depressive symptoms and abra cadabra - you are feeling happy, energised and motivated once more! And yes, this is the case, for endogenous forms of depression. But what about exogenous depression, the depression that is a direct consequence of circumstances, stressors and life-changing events? To read more about the difference between those forms of depression, see the link here (https://www.verywellmind.com/what-is-endogenous-depression-1067283).

Certainly, we cannot ‘pickle ball’ or ‘craft’ our way out of grief, a feeling of suffocation from debt, or confusion on how to proceed in your career. We cannot productively proceed when our systems are misaligned with our reality. What if depression is actually protecting us, rather than punishing us?

I think we have made a fatal error in our interpretation of depression, and I think it is an invisible consequence of seeing the world and our experiences through the biased lens of capitalism and individualism. When we stop functioning in a way that suits the system of productivity, measurable outcomes, progress and optimisation (shudders), then surely we must be the problem, not the system? Right?

This biased perspective might sound like:
“If I can no longer produce, work, socialise, then I am deficient, broken, and unworthy. Something is wrong with me, I need to fix my depression to better fit the world. No-one else seems to be suffering like I am, so I must be the problem”

What if we have been misunderstanding depression all along? What if it is our body’s most protective and ancient defence mechanism against pursuing a life that does not align with your soul’s truest desires?

I have come to believe, over my many years of practice, that depression is incredibly wise and protective, stopping you from proceeding in a life that you are deeply unhappy and dissatisfied with.

For my visual folk out there, I see depression as a weathered and wise old grandmother that gently approaches you in the night, as you burn the midnight oil, frantically working yourself into the ground. She wraps a warm blanket over your shoulders, gently blows out the light and guides you to bed, reminding you of your exhaustion and your need for rest.

“But I have to finish this or everyone will be disappointed in me!” You shriek, unable to shake off the adrenaline of stress, still coursing through your veins.

Then let them be disappointed, she answers. Completely un-phased by your grand ventures, goals or desires. You are tired. You need rest. And how do you even know the path you so desperately tread is leading you to the destination you desire?

You stop, not because you want to, but because you have to. You realise you cannot continue, and the exhaustion washes over you. Motivation flees. Pleasure eludes you. The whole world stops around you, like someone pressed the big red button that says Do Not Push.

We have been fooled into believing that a life of comfort and pleasure is the very best thing for us. We mistake anhedonia - the psychological symptom of losing pleasure or interest in things you normally enjoy - as a horrible symptom that must immediately be corrected. Throw behavioural activation at it! Bring more pleasure and mastery into your life, more dopamine, more comfort, more enjoyment! In reality, that just worsens the depression. What if anhedonia is actually the solution being subtly communicated to you through your body.

Not more pleasure, less please.

“Modern humans are in a "comfort crisis" - an evolutionary mismatch where the elimination of physical friction and hardship has left us physically and mentally ill. Because our brains are wired for survival in a harsh, scarce world, engineered comfort creates a void that fuels anxiety, depression, and a loss of purpose.”

The Comfort Crisis - Michael Easter (https://www.teesche.com/bookshelf/michael_easter_the_comfort_crisis)

Following this intuitive wisdom, I have been prescribing dopamine fasts to my clients who present with treatment-resistant depression and the results are staggering! They report an almost immediate resolution of depressive symptoms, greater clarity, focus and a sense of inner peace returns.

Here is my radical take - Depression is not the disease or the disorder, it is the antidote to an overly manufactured, highly structured, restrictive life that divorces us from the undeniable reality that we live in a wild, beautiful, untamed world that demands alignment, presence, and gratitude from us. We don’t need to experience more, possess more or accomplish more. Sometimes, we need to slow down, take stock of what we have and plan for the journey ahead, to ensure that both the path we tread and the destination we are moving towards, are aligned with our deepest selves, honours the intuitive spirit of our souls and respects our values in life.

Therapeutic Skill of the Week

I challenge you to conduct the dopamine fast experiment that I give to my clients. For just 1-3 weeks, try the following:

1. No music, podcasts or auditory stimulation while you complete a task, like driving, walking, cooking or cleaning. Just listen to the sounds of the task itself, hear the world around you unfiltered.

2. Limit fast food, high fats and high sugary food intake as much as possible. Get that cheap dopamine out of here! Opt for whole foods instead, like healthy fats, high protein, fruits, leafy greens and legumes.

3. No screen time at all. Yep. AT ALL! No social media, delete all the apps. No TV series, no movies, no documentaries, no true crime. Instead, you can read a book, or listen to a podcast (and not while you are doing something else, just listen to the podcast).

4. If you drink alcohol, use cannabis or smoke nicotine, significantly reduce, if not stop the usage completely.

5. If there is anything else you secretly do that gives you a big rush of dopamine without you earning it, stop doing that thing.

Here is a list of slow dopamine exercises you can do instead:

• Exercise

• Walking

• Reading

• Meditating

• Mindfulness

• Yoga

• Socialising with friends and loved ones

• Writing

• Journaling

• Tidying up

• Cooking

• Completing a little goal or chore

• Listen to nature sounds (I will go as far as allowing emotive, instrumental tracks)

• Laying in the sunshine

• Swimming

• Visiting a new place

Poetic Reflections

    “Water wouldn't sound so melodious if there were no rocks in its way.
It's the resistance that gives it rhythm,
the obstacles that give it a voice.
A river flowing without interruption would be silent, almost unnoticed.
Just like that, ease rarely creates depth.

It's the friction that shapes movement into something meaningful.
The wind becomes music only when it passes through leaves.
A flame dances brighter when it meets the dark.

Stars are only visible because of the night that surrounds them.
Even a heartbeat is felt because of its steady rise and fall.
What challenges you is often what defines your presence.
Because without something to move through, even the strongest force goes unheard.” ‍

- Unknown

Thank you for reading.

All my very best,

Tala