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MODULE 6CONTENTS Tackle Depression –> Change your thinking –> Contents ©DENISE MEYER &THE CHARLIE WALLER MEMORIAL TRUST www.studentsagainstdepression.org Module 6 Change your thinking Contents 1. Challenging my depressed thinking 2. Modifying my stress levels 3. Managing anxiety and anger 4. Learning self-compassion Changing the attitudes and patterns of thinking that maintain depression is one of the most effective longer-term strategies for overcoming depression and building resistance to its return. The strategies covered in this section are based on the techniques of Cognitive Behavioural Therapy (CBT) which has a strong evidence base as an effective therapy for both anxiety and depression. Take Action workbook

Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

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Page 1: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

MODULE 6 CONTENTSTackle Depression –> Change your thinking –> Contents

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

www.studentsagainstdepression.org

Module 6Change your thinking

Contents1. Challenging my depressed thinking2. Modifying my stress levels3. Managing anxiety and anger4. Learning self-compassion

Changing the attitudes and patterns of thinking that maintain depression is one of the mosteffective longer-term strategies for overcoming depression and building resistance to itsreturn. The strategies covered in this section are based on the techniques of CognitiveBehavioural Therapy (CBT) which has a strong evidence base as an effective therapy forboth anxiety and depression.

Take Action workbook

Page 2: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

MODULE 6 WORKSHEET 1

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

Our thoughts have a very powerful effect on our feelings and behaviour. There are many common negativethinking habits which help depression to flourish, and which are also reinforced by depression. Knowinghow your habitual ways of thinking might be affecting your mood is an important tool for tacklingdepression.

1. Understand types of depressed thinking

Use the list to tick which types of depressed thinking you recognise in yourself. Write down a specificexample of each type of thinking which is relevant to you, if you can think of one:

MODULE 6 WORKSHEET 1Tackle Depression –> Change your thinking –> Challenging my depressed thinking

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

www.studentsagainstdepression.orgChallenging my depressed thinking

Types of depressed thinking Yes/No? My own example

Tunnel visioneg. “There is nothing good in my lifewhatsoever.”

All-or-nothing thinkingeg. “If I’m not part of the in group then I’m a loser.”

Over-generalisationeg. (After a break-up) “No one will ever love me. I’ll never find someone else.”

Jumping to conclusionseg. “She ignored me so she must hate me.”

Control freakeryeg. “If I’m not in total control then everything is unacceptably out of control.”

Perfectionismeg. “If I don’t come top of the class, I’m a failure.”

Thoughts about death or suicideeg. “The only way I can fix this is to end my life.”

Emotional reasoningeg. “I feel so bad that I must be bad.”

Avoidance-justificationeg. “No one will talk to me so I might as well not go.”

Superstitious thinkingeg. “If I let myself hope for a 1st I won’t getone.”

Disappointment ‘insurance’eg. “I expect the worst so I won’t bedisappointed.”

Cynicismeg. “There’s no point investing hope or energyin anything because the world always lets youdown.”

Page 3: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

www.studentsagainstdepression.orgChallenging my depressed thinking: p2

MODULE 6 WORKSHEET 1

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

2. Identify your own forms of depressed thinking

Spend a day or a week ‘tuning in’ to your own internal running commentary. Use copies of the attached ‘Thought Diary’ to write down what you learn about yourown habits of depressed thinking.

3. Challenge your depressed thinking

Challenging depressed thinking is about becoming a detectiveto find evidence to test the validity of your beliefs, and thenusing reasoning skills to modify them and develop more helpfulattitudes in their place.

It is a very powerful way to change your depressed feelings and behaviour. Use the second section on the Thought Diary to work through the thoughts you have identified. Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has been affected.

MODULE 6 WORKSHEET 1Tackle Depression –> Change your thinking –> Challenging my depressed thinking

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

The ABC modelis a commonly used

model for identifying negativethoughts in Cognitive BehaviouralTherapy. You can read more aboutthis method in some of the

books listed in the MoreResources section.

Control freakery:eg. “I have to be fully in control of my life.”

Rule-bound thinkingeg. “I should be able to manage on my own.”

Catastrophisingeg. “It’s a disaster if I lose control/fail a testetc.”

Hyper-vigilanceeg. “I have to be constantly on the alert toprevent bad things from happening.”

Jumping to conclusionseg. “I got a bad mark on this essay so I’mprobably going to fail this degree.”

Over-focus on blameeg. “If I can identify who’s fault it is then I canstop it happening again.”

Perfectionismeg. “If I make sure I don’t make any mistakesthen everything will be okay.”

Self-blameeg. “If something bad happens it’sprobably my fault.”

Over-personalisationeg. “She ignored me, maybe I did something to upset her.”

Perfectionismeg. “It’s all going wrong because I’m not tryinghard enough.”

Self-bullyingeg. “I need to drive myself harder to make sureI do better/get things right.”

Page 4: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

A =

Act

ivat

ing

Eve

ntW

hat h

appe

ned?

(giv

e a

brie

f des

crip

tion,

with

dat

e an

d tim

e)

Exam

ple:

Mond

ay, 6

Nov

,I g

ot m

y essa

y bac

k wi

th a

lowe

r mar

ktha

n I h

ad ho

ped

for.

C =

Con

sequ

ence

sW

hat d

id I

do?

Wha

t fee

lings

did

I ha

ve?

(rate

the

inte

nsity

of e

ach

feel

ing

from

0 to

10,

and

und

erlin

e th

eon

e th

at is

mos

t int

ense

)

I wen

t quie

t and

then

skipp

ed th

e nex

tlec

ture

and

went

home

inste

ad.

I felt

num

b, a

bit si

ck, t

earfu

l,di

sapp

oint

ed, p

anick

y, ov

erwh

elmed

7

B =

Bel

iefs

Wha

t was

I th

inki

ng b

efor

e, d

urin

g an

d af

ter t

he e

vent

?(•

list a

ll th

e th

ough

ts y

ou c

an th

ink

of, a

skin

g yo

urse

lf w

hy y

outh

ough

t it a

nd w

hat w

as b

ad a

bout

that

and

wha

t it s

ays

abou

t you

•now

und

erlin

e th

e th

ough

t tha

t is

mos

t ass

ocia

ted

with

the

feel

ing

that

you

rate

d as

mos

t int

ense

)

Oh n

o, I’m

so d

umb.

My le

cturer

prob

ably

think

s I’m

not

worth

muc

h.If

I kee

p gett

ing m

arks

like

this

I won

’tge

t a g

ood

degr

ee.

My pa

rent

s are

going

to be

disa

ppoi

nted

in me

.I d

on’t u

nders

tand

what

I did

wro

ng. I

’mob

vious

ly no

t clev

er en

ough

to be

at u

ni.I c

an’t m

anag

e.ww

w.s

tuden

tsag

ainst

dep

ress

ion.o

rgTh

ough

t dia

ry

Page 5: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

Cha

lleng

e de

pres

sed

thin

king

Ask

you

rsel

f:1.

Is th

is a

n ex

ampl

e of

a ty

pe o

f dep

ress

ed

thin

king

? If

so, w

hat?

2.

Wha

t’s th

e ev

iden

ce fo

r thi

s pe

rspe

ctiv

e?3.

Wha

t evi

denc

e is

ther

e fo

r a d

iffer

ent p

oint

of v

iew

?4.

How

did

I ge

t int

o th

e ha

bit o

f thi

nkin

g th

is w

ay?

5. W

hat o

ther

exp

lana

tions

cou

ld th

ere

be?

6. H

ow re

alis

tic a

re m

y ex

pect

atio

ns a

nd b

elie

fs?

7. I

s it

help

ful f

or m

e to

see

thin

gs th

is w

ay?

8. W

hat w

ould

be

a m

ore

posi

tive

way

to s

ee th

is?

9. W

hat w

ould

I sa

y to

a fr

iend

who

was

thin

king

th

is w

ay?

Exam

ple:

1. Y

es. Tu

nnel

visio

n. Ju

mping

to co

nclu

sions

. 2.

I got

a d

isapp

oint

ing m

ark

for t

his e

ssay w

hen

I tho

ught

I had

don

e well

.3.

I got

goo

d ma

rks f

or th

e prev

ious

essa

y. My

teac

hers

said

I wa

s clev

er en

ough

fo

r uni.

4.I u

sed

to be

calle

d thi

ck at

scho

ol be

fore

they r

ealis

ed I

had

dysle

xia.

5.Ma

ybe I

just

didn

’t rea

d the

que

stion

clea

rly en

ough

. 6.

It’s s

till v

ery e

arly

in the

cour

se an

d the

topic

is ve

ry n

ew to

me.

The m

ark

won’t

ev

en co

unt t

o my

fina

l deg

ree.

7.No

! It’s

an u

nhelp

ful t

houg

ht. It

mak

es m

e wan

t to

give u

p.8.

It’s a

lear

ning

expe

rienc

e. I c

an a

sk th

e tuto

r to

expla

in wh

ere I

went

wro

ng so

I’l

l do

bette

r nex

t tim

e.9.

Chee

r up –

it’s a

ll pa

rt of

the l

earn

ing ex

perie

nce.

Let’s

take s

ome t

ime o

ff an

d do

some

thing

fun

toni

ght a

nd g

et ba

ck o

n tra

ck w

ith w

ork

in the

mor

ning

.

Wor

k ou

t you

r ow

n ex

ampl

e he

re:

Now

see

if y

ou c

an re

plac

e th

e ‘h

ot th

ough

t’ (th

e on

eyo

u un

derli

ned

in B

) with

a m

ore

bala

nced

, hel

pful

belie

f. W

rite

it do

wn

here

:eg

: It’s

a lea

rning

expe

rienc

e. I c

an a

skthe

tuto

r to

expla

in wh

ere I

went

wro

ngso

I’ll

do be

tter n

ext t

ime.

Re-

rate

the

feel

ing

that

you

und

erlin

ed in

C:

eg. H

ow pa

nick

y am

I now

? 3W

rite

your

ratin

g he

re:

Giv

e th

e th

ough

t a la

bel

Eg. T

he o

ld ‘I

’m n

ot cl

ever

enou

gh’ t

houg

ht

ww

w.s

tuden

tsag

ainst

dep

ress

ion.o

rgTh

ough

t cha

lleng

ing

This

helps

you

reco

gnise

it a

s an

unhe

lpful

thou

ght a

ndeit

her r

eplac

e it w

ith yo

urmo

re he

lpful

thou

ght

or ju

st ‘le

t it g

o’

Page 6: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

1. Planning and time management

Basic planning and time management is vital for managing stress levels effectively. Make sure you haverealistic expectations about the amount of work you can manage in a day.

If you don’t already have a good quality planner or diary then make a commitment now to get one and use iteffectively. Use the list to tick off the steps taken to get your life better planned:

MODULE 6 WORKSHEET 2

www.studentsagainstdepression.orgModifying my

stress levelsStress itself cannot be avoided altogether – our basic stress response has evolved as part of the way inwhich we protect ourselves. However, managing stress better means learning to use our stress responseeffectively to deal with problems constructively.

MODULE 6 WORKSHEET 2Tackle Depression –> Change your thinking –> Modifying my stress levels

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

Steps to a better organised life Tick

I own a suitable diary and/or planner with enough space for all my commitments to be listed

I have recorded all my study commitments (lectures, tutorials etc) and deadlines in it.

I have planned out each week (or the next few weeks if your timetable changes a lot each week)giving realistic blocks of time for study, paid work (if relevant), exercise, leisure and social time etc.

I have marked when to make a start on each assignment and divided up my study time over thenext few weeks to allow all my deadlines to be met

I have given myself a specific small ‘starting step’ for each assignment

Add your own planning goals below:

Page 7: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

www.studentsagainstdepression.orgModifying my stress levels: p2

MODULE 6 WORKSHEET 2

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

2. Problem solving

Not all difficulties and stresses can be solved through planning – and plans don’t always get followed to the letter.If you are stressed or worried about a real, current problem then use the problem-solving framework at the end of this worksheet to find and implement practical solutions.

The first step is to identify any problems, rather than sticking your head in the sand.

Problems I am facing at the moment are:

__________________________________________________________________

___________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

3. Challenging unhelpful thinking

Before you start working on practical solutions for your problems, check that you are not making thingsworse with depressed thinking habits like control freakery or self-bullying:

• Use the attached Thought Diary to identify Beliefs and Consequences that arise around the problemsyou have listed (see more about how to do this in the ‘Challenging my depressed thinking’ worksheet).

• Use the Thought Challenging section of the diary to work out a balanced and constructive descriptionof each problem you are facing.

• Now use the attached Problem-solving Framework to identify and implement possible solutions.

Tackle Depression –> Change your thinking –> Modifying my stress levels

“I would recommendlearning about whatone can and cannotcontrol, and realising howone can only control oneselfand not others.” – Joshua

Page 8: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

1. Id

entif

y th

e pr

oble

m c

lear

ly a

nd s

peci

fical

ly:

The e

lectri

city b

ill is

muc

h high

er th

an ex

pecte

d an

d I d

on’t h

ave e

noug

h mon

ey to

pay m

y sha

re –

it’s th

e las

t stra

w,be

caus

e I’m

reall

y stru

gglin

g to

make

ends

mee

t.

2. M

ake

a lis

t of a

ll po

ssib

le s

olut

ions

, inc

ludi

ng th

ose

you

don’

t lik

e:

!go

and

see t

he ba

nk to

arra

nge a

nov

erdr

aft e

xtens

ion,

!as

k my

pare

nts/

hous

emate

s for

a lo

an,

!do

some

extra

shift

s at w

ork

to ma

ke u

pthe

diff

erenc

e, !

take o

n an

extra

shift

each

wee

k, !

see St

uden

t Fina

nce f

or a

dvice

and

apo

ssible

hard

ship

loan

, !

look

at w

here

else I

can

save m

oney

e.g.

don’t

go

out f

or a

few

week

s, !

pick

a fig

ht wi

th my

hous

emate

s bec

ause

they’r

e the

one

s who

kee

p lea

ving

the li

ghts

on et

c 3.

Cro

ss o

ut th

e on

es th

at a

re u

nrea

sona

ble

or u

ndes

irabl

e!

pick

a fig

ht wi

th my

hous

emate

s bec

ause

they’r

e the

one

s who

kee

p lea

ving

the li

ghts

onetc

(will

just

make

thing

s wor

se)

!tak

e on

an ex

tra sh

ift ea

ch w

eek

(I’m

alrea

dysq

ueez

ed fo

r tim

e to

get m

y uni

wor

k do

ne)

4. P

ut th

e re

mai

ning

one

s in

ord

er o

f pre

fere

nce

and

eval

uate

the

top

3 or

4 fo

r the

ir pr

os a

nd c

ons:

1. As

k my

pare

nts (

not m

y hou

semate

s) fo

r a lo

anCo

ns: I

kno

w the

y’re a

lso st

rugg

ling

finan

cially

Pros

: The

y’ve s

aid th

ey’ll

try a

nd he

lp if

nece

ssary

2. Do

some

extra

shift

s at w

ork

to ma

ke u

p the

diff

erenc

eCo

ns: I

migh

t hav

e to

miss

out o

n the

nigh

t out

my m

ates a

nd I

had

plann

ed (b

uttha

t’ll a

lso sa

ve m

e som

e mon

ey!)

Pros

: A co

uple

of ex

tra sh

ifts t

his w

eek

and

next

week

shou

ld co

ver i

t3.

See St

uden

t Fina

nce f

or a

dvice

and

a ha

rdsh

ip lo

anCo

ns: I

feel

emba

rrasse

d. I’m

scar

ed th

ey’ll

just

see m

e as a

nothe

r ski

nt st

uden

twh

o ha

sn’t m

anag

ed th

eir fi

nanc

es pr

oper

lyPr

os: T

hey’r

e the

re to

give a

dvice

and

there

’s no

harm

in a

sking

for a

loan

. I co

uld

proba

bly

do w

ith so

me a

dvice

abo

ut ho

w to

mana

ge th

ings b

etter.

4. Lo

ok w

here

else I

can

save m

oney

eg n

ot g

oing

out

for a

few

week

sCo

ns: I

nee

d to

have

some

‘dow

n tim

e’ to

o an

d I d

on’t w

ant t

o mi

ss ou

t soc

ially

Pros

: I co

uld

proba

bly d

o wi

th ea

sing

up o

n the

drin

king

any

way.

Mayb

e I co

uld

comp

romi

se an

d jo

in the

m fo

r a fe

w dr

inks,

but n

ot g

o on

to th

e clu

b ?

5. D

ecid

e on

a p

lan

and

impl

emen

t it.

Eval

uate

and

retu

rn to

pre

viou

s st

eps

if it

hasn

’t he

lped

.I’m

goi

ng to

do

all fo

ur th

ings –

I’ll

ask

my pa

rent

s for

a lo

an, b

ut the

n pa

y the

m ba

ck by

doi

ng ex

tra sh

ifts f

or a

coup

leof

wee

ks a

nd sa

ving

up by

pulli

ng ba

ck a

littl

e on

nigh

ts ou

t. I’l

l also

go

and

get s

ome a

dvice

from

the S

tude

nt F

inanc

eof

fice a

nd se

e wha

t I ca

n do

to bu

dget

bette

r in

futu

re.On

e mon

th lat

er: T

hat’s

sorte

d it

and

I’m m

anag

ing th

ings b

etter

now

.

ww

w.s

tuden

tsag

ainst

dep

ress

ion.o

rgP

robl

em-s

olvi

ng fr

amew

ork

Page 9: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

1. Id

entif

y th

e pr

oble

m c

lear

ly a

nd s

peci

fical

ly:

2. M

ake

a lis

t of a

ll po

ssib

le s

olut

ions

, inc

ludi

ng th

ose

you

don’

t lik

e:

3. C

ross

out

the

ones

that

are

unr

easo

nabl

e or

und

esira

ble

4. P

ut th

e re

mai

ning

one

s in

ord

er o

f pre

fere

nce

and

eval

uate

the

top

3 or

4 fo

r the

ir pr

os a

nd c

ons:

1. Cons

: Pr

os:

2. Cons

: Pr

os:

3. Cons

: Pr

os:

4.

Cons

: Pr

os:

5. D

ecid

e on

a p

lan

and

impl

emen

t it.

Eval

uate

and

retu

rn to

pre

viou

s st

eps

if it

hasn

’t he

lped

.

ww

w.s

tuden

tsag

ainst

dep

ress

ion.o

rgP

robl

em-s

olvi

ng fr

amew

ork

Page 10: Take Action …...Make more copies of the Thought Diary and Thought Challenging form to keep using this strategy whenever you have a difficult experience or find that your mood has

1. Changing your attitude towards control

Unhelpful anxiety and anger spirals arise mainly from the kinds of depressed thinking which focus onimposing unrealistic control over life – such as control freakery, rule-bound thinking, catastrophising, hyper-vigilance and avoidance. Learning a new attitude towards the idea of ‘control’ is essential for addressinganxiety and anger problems, as well as depression.

! Make a list of your most important ‘shoulds’ and ‘oughts’ about life in general and your own life inparticular. To help identify these, ask yourself what kinds of things make you annoyed with yourself orothers, or what kinds of things upset you if they don’t work out.(eg. “I mustn’t make mistakes,” “I must do well,” “I shouldn’t have to ask for help,” “I need to be in control,” “I shouldn’t ever let anyone else down,” etc)

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

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! Now re-write these in the form of preferences instead of demands:(eg. “It’s not a good feeling making mistakes, but it’s not the end of the world”, “I would very much like to do well, butmy worth as a person doesn’t depend on how well I do”, “It can feel difficult to ask for help, but it is part of being humanto give and receive help and support,” “I like feeling in control, but when I try too hard to control things it can makethings worse – I will take a more realistic attitude to what can be controlled and what can’t,” “I would like to bedependable for others, but I also need to take care of my own needs,” etc)

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MODULE 6 WORKSHEET 3

www.studentsagainstdepression.orgManaging my anxiety

& anger

Certain levels of anxiety or anger are part of our natural ‘fight or flight’ stress response mechanisms. Thekey is to learn how to channel this response constructively, rather than letting it contribute to increasingspirals of unhelpful stress, anxiety or anger.

Tackle Depression –> Change your thinking –> Managing my anxiety & anger

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

“If something is not in mycontrol then I use simplebreathing exercises, orcounting exercises, to help bringdown stress levels. Once my stresslevels are a bit more in control,things seem a little bit easier to copewith.” – Leigh

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! Make a list of ways you can soothe and help yourself when things don’t work out the way you’d like them to:(eg. taking a few deep breaths and practising my relaxation techniques, speaking kindly to myself and acknowledgingthe disappointment, giving myself a treat like a long soak in the bath with a book, calling up a friend for a chat etc)

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2. Facing your fears

A very important strategy for reducing chronic anxiety as well asdepression is to tackle the avoidance behaviour which contributes somuch to it spiralling out of control. By planning this carefully and doingit in small manageable steps you give yourself the opportunity to buildup your ‘anxiety immunity’.

! Make a list of your daily fears and the things you are avoiding. Include smallthings as well as big ones.

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Tackle Depression –> Change your thinking –> Managing my anxiety & anger

Make sureyou are properly

supported. Either ask afriend or get professionalsupport especially when

facing the more difficultthings on your list.

See ‘Taking care ofyourself’ in the Self-help First

Steps section for self-soothing ideasto add to your list. At the top of your list

should be ‘Take a few deep breaths’ becausedeep breathing and relaxation techniquesintervene directly into the anxiety/

anger spiral at a physiological level (see the Practising relaxation

page for more).

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! Go back over the list and grade it in order of difficulty, with the least difficult as number 1.

! Write down the fear/avoidance labelled at number 1 on your list (ie the least challenging one) here, thenuse the following steps to address it:(eg. “I’m avoiding checking my bank account because I think I might have gone over my overdraft.”)

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! What is the worst thing that could happen? How likely is this?(eg. I find I have gone into overdraft and have had lots of extra charges - it’s quite likely I’ve gone into overdraft, butprobably not got too many charges yet.)

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! What practical things can you do to deal with this? Use the Problem-solving Framework to generate andevaluate practical solutions.(eg. I can use the problem-solving framework to think of solutions and stop myself from building up more charges.)

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! Notice what depressed thinking habits are getting in your way and use the Thought Challenging form tochallenge them(eg. I’m scared the charges will have mounted up and I’ll never be able to get back on track – catastrophising, all-or-nothing thinking)

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Move on to the next thing on your list. If necessary, break the task downinto smaller steps and do the easiest thing first. Make sure you havepractised techniques to help you manage any difficult feelings thatmay come up, such as deep breathing and other self-soothingstrategies.

3. Acknowledging and working with your anger

Go through the same process for identifying the things that make you angry. Anger is an important emotion that helps us protect or stand up for ourselves when necessary. Denying or suppressing anger can lead to problems with aggression, but it can also be diverted into anxietyand/or depression. We need to be able to acknowledge and harness our anger to solve problemsconstructively.

Acknowledging and accepting your anger is an important first step. Then by identifying what you can andcan’t control in situations you can make more helpful choices about how to channel and manage youranger, when it arises.

! Make a list of the things that make you angry at the moment.

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! Go back over the list and grade it in order of importance, with the least important/annoying as number 1.

! Write down the number 1 anger point on your list and use the following steps to address it:(eg, “It gets me really annoyed when my housemates don’t do the washing up.”)

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Tackle Depression –> Change your thinking –> Managing my anxiety & anger

Read thefamous self-help book

‘Feel the fear and do itanyway’ to help you understandthe importance of tacklingavoidance in order to reduce

anxiety. See the Bookspage for more.

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! What can and can’t you control in the situation? (eg. I can’t control whether or not my housemates do the washing up. I can control how I respond when they don’t dothe washing up and how I communicate my feelings about it.)

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! Use the Thought Diary to notice if there are any depressed thinking habits fuelling your anger, especiallyany related to ‘control freakery’ or the sense that you need to be able to control things unrealistically. Listthem here: (eg. They are doing it because they don’t respect me – over-personalisation. Everyone must do their equal share in thehouse – rule-bound thinking. They’ve just finished supper, so I’m going to check whether they’re doing the washing upor not – hyper-vigilance)

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! Use the Thought Challenging form to replace these thoughts with more balanced, constructive evaluations.(eg. “They probably don’t realise how much it annoys me because they are less bothered about tidiness than I am. I’d reallylike everyone to put as much effort into keeping things tidy as I do, but I can’t force anyone to do so. Constantly checking upon whether they’ve done it or not is just winding me up even more, so it would be better if I tried to ignore it for a while.)

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Tackle Depression –> Change your thinking –> Managing my anxiety & anger

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! What practical steps can you take to address the situation? Use the Problem-solving Framework to help you identify a range of ideas and strategies.(eg. I can plan out how to let my housemates know how I’m feeling and ask them if wecould set up a rota for keeping the kitchen tidy. Or I could offer to tidy up the kitchen ifthey take on some of the other tasks that stress me out like paying the bills or dealingwith the landlord.)

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! If the situation is completely out of my control and there is nothing else I can do practically, then whatcan I do to help myself with my anger?(eg. If my housemates still don’t bother and won’t work with me on a mutual solution then I can: – decide that I will dothe washing up myself anyway, because it’s more stressful to live than the mess than with the resentment for doing allthe tidying, - acknowledge my anger and give myself sympathy for it, - go out for a vigorous run when I feel myselfbuilding up a head of steam etc.)

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Tackle Depression –> Change your thinking –> Managing my anxiety & anger

See ‘Assertivecommunication’ in the

Living Well section for auseful skill in dealing

with anger

Rememberto get support, especially when

you are working on the more difficultissues. It can be really helpful to ‘sound out’

your ideas with someone else to get a differentperspective on the things that make you angry. Youruni or college counselling service may have

workshops on Anger Management as well asAssertiveness to help you build on

these skills.

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MODULE 6 WORKSHEET 3

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

Repeat these steps with the other anger points on your list.

Use some of the specific ideas you come up with to make yourself a general Anger Plan which you canremind yourself of when new anger issues come up.

4. Making an anger plan

Example:1. As soon as I notice my anger building, I will ____ step away from the situation for a moment,if possible, or take a few deep breaths, if not ____ .

2. To help me deal with my anger in that moment, I will ____ remind myself to take a few deepbreaths and think before I act ____ .

3. I will take time to ____ think through exactly what I am feeling angry about andwhether there is anything I have control over in the situation ____ .

4. If there is something constructive I can do in the situation, I will ____ plan in my head what I wantto say and remind myself to speak calmly and assertively ____ .

5. If there is nothing I can immediately do to improve the situation, I will ____ acknowledge myfrustration and recognise its legitimacy; promise myself I will take time later tohelp myself with these feelings ____ .

6. If I still feel angry later, I will ____ go for a run or do some other vigorous activity to ‘letoff steam’ ____ .

7. In order to help myself with similar situations in the future, I will ____ use the step-by-step planabove to help me work out what to do ____ .

My Anger Plan:

1. As soon as I notice my anger building, I will _______________________________________________________

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2. To help me deal with my anger in that moment, I will _______________________________________________

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3. I will take time to ______________________________________________________________________________

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Tackle Depression –> Change your thinking –> Managing my anxiety & anger

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4. If there is something constructive I can do in the situation, I will _____________________________________

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5. If there is nothing I can immediately do to improve the situation, I will

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6. If I still feel angry later, I will _____________________________________________________________________

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7. In order to help myself with similar situations in the future, I will _____________________________________

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Tackle Depression –> Change your thinking –> Managing my anxiety & anger

“My counsellor helpedme to see how to use allmy bottled up anger inconstructive ways. Icontrol it now by going out for a runor to the gym. Even, God forbid,doing some work! I cleaned our flatfrom top to bottom the other week,and my flatmate asked what the**** I was doing!” – Darren

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Are you your own worst enemy? It is very rare for depression to exist without a certain amount of ‘self-bullying’. Depression is a bully, and it preys on and reinforces the habit of self-bullying. To beat depressionyou need to sort your inner bully out!

Self-compassion is a skill that you can learn and practise without having to ‘believe’ it first – we can trainour minds to bring greater compassion to all our thoughts and feelings.

1. Tune in

First you need to notice how self-bullying you can be, because often we do this without even realising it. Spend a day or a week writing down some of the things you say to yourself as part of your inner runningcommentary when you are feeling low. Just write it all down exactly the way you speak to yourself, with thewords you use – the name-calling, the self-blame, the criticism of specific things that you do etc. Also makea note of the tone that you use with yourself. It might be interesting to hear if you sound like anyone in yourpast (a critical parent or teacher, for example)?

Write down the most common phrases below:(eg. “Idiot! Why did you do that?” “You’re always getting it wrong” “What a loser” “Stop being such a lazy cow.” “That’spathetic” etc)

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2. Evaluate

Now look back over what you have written and think about whether you would ever speak this way tosomeone else that you cared about, like a friend? Especially if that person was feeling low? It’s unlikely!

You may feel that your critical voice is trying to ‘help’ you – to keep you safe or help you improve as aperson – but it is important to recognise how ineffective it is to do this in a harsh, self-critical way. Beingcaring and encouraging in your tone is much more effective…

MODULE 6 WORKSHEET 4

www.studentsagainstdepression.orgLearning self-compassion

Self-compassion is the attitude that underpins all other depression-beating strategies. If we can learn to treatourselves kindly and support ourselves though our struggles then everything else becomes a lot easier!

Tackle Depression –> Change your thinking –> Learning self-compassion

© DENISE MEYER & THE CHARLIE WALLER MEMORIAL TRUST

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3. Try something different

See if you can change the tone and words to how you might say it to a friend you cared about, or elseimagine how your ‘guardian angel’ might speak to you – someone who really cares about you and acceptsyou and is always kind and gentle to you. Practise by writing it out here. It may feel very strange at first ifyou are used to taking a harsh tone with yourself:(eg. “Bad luck mate! That must have been a bit embarrassing for you. Never mind, everyone makes mistakessometimes.” “You’re really tired, aren’t you? Are you up to making a start on work now, or do you need a bit of a restfirst?” “I can see you’re feeling really down at the moment. Poor you. Looks like you need a hug!”)

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Tackle Depression –> Change your thinking –> Learning self-compassion

“It has taken me awhile, but I am learningto go easy on myself. I think my main source of pain isthe level of emotional flagellation I administer.” – Ed

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4. Keep a self-compassion journal

Another way to extend this exercise is described by the leading US self-compassion researcher, Dr KristinNeff, who suggests keeping a ‘self-compassion journal’ for a week (or longer) in which you write down thethings in your day that have caused you pain, that you felt unhappy about, or that you judged yourself for,and then to use her 3 components of self-compassion to process the event:

1. Mindfulness: Bring your feelings to your awareness, trying to be accepting and non-judgemental, justdescribing the feelings without either overstating or understating them.____ eg. I felt embarrassed and uncomfortable when the tutor asked me a questionin the seminar and I didn’t know the answer. I went red and stammered. Then Ifelt more and more anxious and in the end I said I needed to go to the loo andleft early ____

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2. Common humanity: Now write down how your experience connects to imperfection and shared pain ofthe human condition.____ eg. Anyone else would have felt embarrassed and awkward as well – there wereprobably lots of others in the seminar who didn’t know the answer and I was just theunlucky one who got asked! There’ve been so many essay deadlines lately that lotsof us have found it difficult to prepare properly for seminars – it’s not just me. ____

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3. Self-kindness: Then write yourself some kind, understanding words of comfort using a gentle andreassuring tone.____ Poor you – that was bad luck. It’s not nice to get shown up in public like thatand it’s not surprising you felt embarrassed and awkward. You didn’t need to beso hard on yourself about getting red and stammering. Maybe next time you canremember to be kinder to yourself and then you won’t get so anxious afterwards. ____

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5. Next steps

Find a self-compassion test, more self-compassion training exercises, and some mp3 downloads with self-compassion meditations on Dr Kristin Neff’s website at www.self-compassion.org

A very good way to develop more self-compassion is learning the skill of mindfulness – learn more on the ‘Practising mindfulness’ page of the website and look out for courses or workshops run by your uni or college counselling service.

MODULE 6 WORKSHEET 4Tackle Depression –> Change your thinking –> Learning self-compassion