Depression Articles

Create Confidence Over Depressive Rumination

Monday, August 18th, 2014

shutterstock_150673370Almost 19 million Americans have periods where they feel a lack of pleasure or interest in what was once pleasurable and interesting. They feel tired and heavy, potentially overly emotional or numb, and experience an onslaught of negative and self defeating thoughts that can keep  invading the mind over and over again. The more periods of this depressed mood we have in life, the more likely we are to fall back into them again. Why does this relapse occur and how can mindfulness offer hope?

Falling into a depression feels traumatic and just like getting bit by a dog causes us to be fearful of and oversensitive to dogs, our minds and bodies become oversensitive to associations with the depression causing our brains to flinch at any sign of a relapse.

Feeling low mood is normal for everyone, but if we’ve experienced depression in the past, this may be a trigger for a relapse. If we feel tired or if we notice sadness, the mind pops up with the worry “uh oh, that is how I felt when I was depressed, maybe I’m getting depressed”. Our minds begin to go in overdrive with negative self judgments, “I am a failure” or “I am weak” or “I am worthless”. It then tries to solve the mystery as to why we are becoming depressed again and the more it tries to solve this puzzle, the deeper it sinks into depression. Think of a worried, judging person coming at you trying to solve your problems when you’re already not feeling well. Probably not what you’re looking for. You see, it’s not the low mood that’s the problem here, it’s the way we get stuck in habitually relating to it that pours kerosene on the fire, with our minds continuing to fan the flame rolling us into a full blown depression.

The practice of mindfulness teaches us a different way to relate to our thoughts, feelings, and emotions as they arise. It is about learning to approach and acknowledge whatever is happening in the present moment, setting aside our lenses of judgment and just being with whatever is there, rather than avoiding it or needing to fix it. It’s the mind’s attempt to avoid and fix things in this moment that fuels the negative mood.
With Uncomfortable Emotions
If sadness is there, instead of trying to fix it or figure it out, we might just acknowledge the sadness, let it be and get a better understanding of what we need in the moment.
With Self-Judgments
If self-judgments arise (e.g., I am weak, I am a loser) out of past sensitivities to having been depressed before, we can acknowledge that they are associations from the past, let them be, and then gently bring ourselves back to whatever we were doing. In doing this, we’re stopping the ruminative cycle that might occur between our thoughts, feelings, physical sensations and behaviors that can play off one another leading into another relapse (I call this “The Depression Loop” in the upcoming book Uncovering Happiness).

Now, this is easier said than done and it takes practice.

Confidence with Rumination Practice:


7 Essential Lessons I’ve Learned as a Psychotherapist

Monday, August 11th, 2014

alive possibelOne of the wonderful surprises of being a therapist all these years is how big the gift of being of service can be. I have the privilege of knowing people intimately and supporting them in opening their hearts and uncovering happiness. When I sit with that, it gives me an immense sense of purpose. Herein lies life’s beautiful paradox: The more love you give away, the more love you have. The ripple effects give me immense joy.

Through this experience I’ve realized at times it’s important to relay back what I’ve learned.

1. Essential Books to Have at Your Bedside

Aside from Uncovering Happiness: Overcoming Depression with Mindfulness and Self-Compassion (debut: January, 2015) - wink! – I’m a big fan of books that keep it simple. Thich Nhat Hanh is a Vietnamese Buddhist Monk who writes simply and elegantly and I am a fan of many of his works. Taming the Tiger Within and The Miracle of Mindfulness are some of my favorites.

2. What’s the biggest myth about therapy?

That there’s an end goal.

I don’t mean that people need to be in therapy for an indefinite time, but there’s a faulty notion of achieving some end state. This focus makes therapy more difficult as the mind is cluttered with an expectation instead of focusing on learning. Even if insurance only covers 10 sessions and wants a definitive end goal, we have to always keep in mind that therapy is a vehicle for learning and while we can begin to master certain ways of being, growing and learning about ourselves in life never ends.

3. What seems to be the biggest obstacle for clients in therapy?


Overcome These Five Obstacles to Your Mindfulness Meditation Practice

Monday, July 14th, 2014

shutterstock_141990691Many media outlets have been talking for a number of years now about how ubiquitous mindfulness is, the impact it’s having in a variety of sectors and all the wonderful science that continues to be published. But I noticed that many people in the media don’t talk much about the actual formal practice of mindfulness meditation and that’s probably because it can be a hard habit to establish. One thing I’ve learned is if you want to establish a practice you have to look directly at what’s getting in the way and allow those obstacles to be your greatest teachers.

Here are five obstacles that have been in people’s way for thousands of years and the antidotes to get over them.

  1. Doubt – The uncertainty about whether something will “work” or not often plagues many people in the beginning of their practice. The thoughts is, “this can work for others, but it won’t work for me.”  Sometimes doubt is healthy, teaching us to look closely at things before we buy them. But the unhealthy doubt just takes us away from experience before it teaches us anything.

    Antidote: We have to remember that thoughts are just thoughts; they’re not facts (even the ones that say they are). When we notice this doubt slipping


The Mindfulness Backlash: True or False?

Wednesday, July 9th, 2014

snakeoilIt seems like every day interest in mindfulness is reaching new heights. All the major news networks have covered it and recently Sharon Salzberg was on the Katie Couric Show explaining how to achieve mindfulness. But the question on many people’s minds is; has mindfulness become another form of snake oil, claiming to cure everything under the sun from anxiety to sneezing? Last week a post broke out on the New York Times claiming there is a “Mindfulness Backlash” afoot where some people are questioning the science, seeing it packaged as a commodity and even warning against it.

A Backlash: True or False?


The Evolutionary Impulse of Depression: An Interview with Jonathan Rottenberg, PhD

Monday, June 30th, 2014

facepalmIt doesn’t appear that there is a single person on this planet who is not affected by depression in some way. You’ve either experienced it directly or you have a family member or friend who has been caught in the throws of it. One in 10 adults report depression and that doesn’t count the millions more that  live in the shadows of shame and the millions more on top of that who simply live with some low grade life of apathy that doesn’t appear to lift. For this reason it has become one of the most important topics of our time.

That is why I am so happy to bring to you Jonathan Rottenberg, PhD, author of The Depths: The Evolutionary Origins of the Depression Epidemicto give us some insight into why depression is so tenacious and how we can begin making small shifts toward greater health and well-being.

Elisha: Jonathan, what I find so interesting about The Depths is how you explain depression in evolutionary terms. Tell us more about the evolutionary manifestation of depression as we know it today.

Jonathan: Mood is a very ancient adaptation. It’s easy for most people to see that high moods could be useful in energizing behavior to pursue rewards, but, low moods are useful as well. Low moods focus attention on threats and obstacles and restrain behavior. When conditions are unfavorable, or when goals are unreachable, low moods pause behavior to ensure that an animal does not engage in fruitless efforts. This efficiency is important given that resources of every sort — time, energy, or money — are finite.


Mindfulness: Sugar Free, Zero Calories, and Hours of Energy

Thursday, June 19th, 2014

sleepYou’ve heard it before, we’re a sleep deprived nation. If you took a poll, you’d likely find most of your friends feel more tiredness than they would like. That is why 5-Hour Energy Drink and other products like that are so popular. They perk us up, make us more engaged and interested in daily life. But there is another thing you can do, feed your mind specific mindful attitudes and practices that inspire a natural sense of engagement, curiosity and energy.

There is no doubt about it, mindfulness helps us wake up!

The practice of mindfulness opens our eyes, it’s meant to be an active practice where we’re intentionally focusing on some point of attention with an eye of curiosity. Just like


The Gifts of Imperfection: A Mini-Memoir

Friday, June 13th, 2014

make peace with imperfectionA family of four, with two young boys, walked into a Chinese restaurant. The family was sat at a table adjacent to a couple of older women who had already been eating their food. From time to time the father would catch the woman at the nearby table looking over at his family and shaking her head in what seemed like judgement. He was confused, what was she so disapproving of? This happened about two more times. Unnerved a bit, he noted this interaction to his wife. Before the food came he got up to bring his boys to the bathroom to wash their hands and as he did this she stared him down one more time and shook her head in what felt like disgust.

This father was me and this woman had broken through my mindful barrier and cued my fight or flight response.

I used all kinds of effort to stay present and mindful, but it was as if I was possessed and something inside of me was fighting to come out.


Five Reasons Why Men Should Start Practicing Mindfulness

Thursday, June 5th, 2014

MENFrom my experience the gender that is overwhelmingly attracted to mindfulness is women, men aren’t quite as attracted to it. Why   is this? In the early days, the man’s greatest responsibility was to protect the tribe. Our brains have been crafted over thousands     and thousands of years to guard against vulnerability. The problem with mindfulness for men is that the practice of it asks us to look toward and open up to vulnerability because that is where the gold is. We are also asked to relate to it in very feminine language like with “warmth,” “tenderness,” and “gentleness.” However, the physical threats that men were guarding against in the past, in most cases, are no longer the threats of modern day. But the brain hasn’t figured this out yet and treats emotional vulnerability as a threat, keeping men from truly reaching our highest human potential.

But things are changing! There is an evolution afoot as more men are starting to see the benefits of integrating mindfulness into daily life.

If you’re a man or you know one, here are five reasons why I think men should give mindfulness a try.


The Neuroscience of Focus: Taking Back Control of Our Minds

Monday, April 21st, 2014

billboardsScientists John Gaspar and John McDonald from Simon Fraser University in British Columbia have recently discovered that we have an anti-distraction mode in our brain (See an overview here or the actual study here). This means that focusing on what matters moment-to-moment is not only about intentionally paying attention to something, like reading this blog post or listening to a friend, but also about suppressing all of the distractions in the background.

Why is this important to us and what can we do about it?


All I Really Need to Know I Learned in an Earthquake!

Monday, March 17th, 2014

seismographIt was 6:25 am today when the bed started to shake. I heard a picture frame hit the floor outside our bedroom door. Our youngest son was in the bed with us at the time and woke up and said, “What is going on Daddy?” He didn’t seem too worried and either was I having grown up in Los Angeles where the earth’s little “shake and bake” routine happened from time to time. This was a pretty good one with a magnitude of 4.7. I went to check on my other son, he was still asleep, hadn’t even stirred. One thing it did remind me of was that from time to time, life throws us little reminders to pay attention to what matters.

This morning I was reminded that “Life is about who you love and how you love them.” I gave my son and wife a big hug.

As mindful as we can train to be, we can never control what happens to us in any given moment. Training the mind in presence is a way of preparing the mind to respond with more presence during the difficult events of life (and of course to the joyful events as well).

I’ll never forget the year my wife was pregnant with our first child and it seemed like everywhere I turned people were telling me, “Savor this time, it all goes by so fast.” It didn’t matter what race, ethnicity or socioeconomic status the person was coming from, it was a universal experience.

But this experience doesn’t belong to people who have kids; this is a universal experience across human beings that we often wake up to after some a loss or


Mindfulness & Psychotherapy



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Books and CDs by Dr. Elisha Goldstein:
Mindfulness Meditations for the Anxious Traveler: Quick Exercises to Calm Your Mind
The Now Effect: How This Moment Can Change The Rest of Your Life

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Recent Comments
  • penny: That was Brilliant. If one did not have good role models growing up you don’t learn good EQ. And this...
  • Margaret D. Sayers, Ph.D.: Love this post. Here are my thoughts on what children need: http://wkwutk.wordpress.com...
  • sharon and matt: My father is a Southern Baptist, my sister has two beautiful boys with her Jewish husband, I, Matt,...
  • Karen: Thank you for a timely and insightful article. I love the reminders to practice self-compassion and to let the...
  • Tap Into Yourself: Elisha, what a wonderful collection of lessons. I especially like #3, something I experienced...
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