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7 Non-Medication Ways to Improve Depression and Anxiety

7 Ways to Improve Depression and Anxiety without Meds

Depression and anxiety exist on a spectrum, but what do we do when it starts happening too often and it doesn’t it go away? Medication can be a useful option for many people, but there are also many ways to improve depression and anxiety without using medication.

If you are on medication, it’s critical that you don’t withdraw from this without the guidance or supervision of your doctor. 

The strategies that work best, or the combination that works best, will be different for everyone. Here are some that have been proven by research to have the capacity to ease depression and anxiety, but it will be important to be patient, consistent, and kind to yourself along the way.

  1. Journaling – write your way out.

    You don’t have to be good at writing to start journaling. No one has to read it. It’s a space to express however you feel at the moment. It can be your way to understand your thoughts and feelings. After you put every single thought that causes chaos inside your head on paper, your thinking will become clearer, giving you a chance to make plans to do something about it. There is increasing evidence to support the notion that journaling has a positive impact on physical well-being.  Writing engages and occupies the left side of your brain, leaving the right side free to create and feel. Journaling is a great tool to remove your mental blocks, so you’ll be able to use all of your brainpower to better understand yourself and the world around you.

  1. Self-talk – “Mirror, mirror on the wall”.

    Talking to a friend is something that we all should do when we are feeling depressed and anxious, but the person who can understand you best is you. Try getting in front of a mirror and having a deep conversation with yourself, through your thoughts. Give yourself some encouragement, stop blaming yourself for being depressed and even speak out loud, telling yourself how amazing and valuable you really are. The results of the study, in which participants were practicing motivational self-talk, showed that self-talk can enhance self-confidence and reduce cognitive anxiety. 

  1. Irrational thoughts – don’t believe everything you think.

    Feeling self-compassion and self-love can be tricky when you’re feeling anxious or depressed. There are certain thoughts that can come between you and your feeling of self-worth, self-belief, or the future that’s in front of you. Seeing only the worst possible outcome in everything is an example of a problematic thought. It’s important to identify those irrational thoughts and minimize their meaning, since they are only products of your current emotional distress. Irrational beliefs have been shown to be related to a variety of disorders such as depression and anxiety.

  1. Self-help – get inspired to find a solution.

    Self-help books for psychological disorders, particularly, have become increasingly popular. What does science have to say about self-help books, their overall usefulness, and the extent to which it offers specific guidance for implementing the self-help techniques? The most highly rated books tended to be those having a cognitive-behavioral perspective, those written by mental health professionals, those written by authors holding a doctoral degree, and those focusing on specific problems. 

  1. Exercise and eat healthy.

    Healthy life habits are an unavoidable weapon of any “fight” against depression or anxiety. Even though exercise requires motivation, that can be hard to find when feeling anxious or depressed, once you get motivated, exercise can make a big difference. Regular exercise probably helps ease depression in a number of ways, which may include: releasing feel-good brain chemicals that may ease depression, reducing immune system chemicals that can worsen depression and increasing body temperature, which may have calming effects. When it comes to eating habits, it’s important to consume only moderate amounts of sugar and foods containing added sugar, limit caffeine intake and eat regular meals and snacks throughout the day. A balanced diet should give you all of the nutrients your body needs but some supplements containing particular vitamins can be useful when battling depression.

  1. Explore psychotherapy.

    If depression or anxiety is getting in the way of your everyday life, it may be time to consider psychotherapy. Anxiety and depression are treatable, and the majority of people can be helped with professional care. Every person is different and treatment must be tailored specifically for each individual. Cognitive-behavioral therapy is mostly used for treating depression. In CBT therapy the patient is actively involved in his or her own recovery, has a sense of control, and learns skills that are useful throughout life. Explore different possibilities that psychotherapy has to offer in order to find the one that gives you the most benefits.

  1. Music-therapy.

    After recognizing the power of music, professionals started using it while working with people on their mental health. Could they really succeed in treating depression or anxiety with music? There are scientific evidences that the music-therapy group had less depressive symptoms than the psychotherapy group. The study pointed out that depression is caused by lower dopamine levels and a lower number of dopamine receptors in the brain. Since music helps stimulate the areas of the brain connected to feeling rewarded it can provide intense pleasure in that area. This increases the positive affect which helps reduce depression.

When going through depression or anxiety, it’s important to be aware that there are many helpful options for you, such as positive self-talk, reevaluating your thoughts, exercising and eating healthy. You can also explore available self-help material or start with psychotherapy or music therapy.


About the Author: Marcus Clarke

Marcus has a degree in psychology, a masters degree in health psychology and has worked within the NHS as well as private organisations. Marcus started psysci a psychology and science blog in order to disseminate research into bitesize, meaningful and helpful resources.

8 Comments

raisabebita

I have an anxiety for more than 3 months and every time anxiety attack I felt chest pain and my blood pressure increase. I take medicine but I felt getting worse everyday.

Reply
Ali

My son has been diagnosed severe general anxiety, although I suspect depression as well. I am at a loss as to what to do and say when he suddenly snaps into a tirade. Nothing helps so I shut up. I want him to know I am there for him and care.

Reply
Karen Young

When people are in high emotion, it’s impossible for them to hear any logic we might want them to hear. All you can go is let the storm wash over and then talk to him about it. Let him know the impact on you, and talk about other things he can do. I’m not sure about the age of your son, but here is an article that might help make sense of things for both of you https://www.heysigmund.com/anxiety-or-aggression-children/. If he is a teen, this might help https://www.heysigmund.com/anxiety-in-teens/ and if he is younger https://www.heysigmund.com/anxiety-in-kids/. It sounds as though you are a wonderful support for him. He will get through this.

Reply
Dee

Music therapy seems interesting to me and I’d love to earn more about it. I’ve always found music to be helpful form me.

Reply
Lisa

Thanks for this. I’m working on a music curriculum for a private school founded on ‘multiple intelligence theory’…your last point is leading me to think I should include some work in musical therapy…teaching children to help themselves through dark times with music…valuable.

Reply
Duncan

It’s great to see music therapy included on this list, and it’s worth mentioning it alongside other arts therapies (as they’re known to us arts therapists!) such as art psychotherapy, drama therapy, dance movement therapy, and even play therapy. These modalities have decades worth of research showing their clinical efficacies match and often exceed the results of purely verbal therapy, such as CBT. Indeed, art psychotherapy has been clinically proven to benefit even those dealing with the symptoms of psychoses, including paranoid schizophrenia, for example. It’s also worth mentioning that somatic psychotherapy is another fantastic modality, especially for those living with symptoms of trauma/PTSD. It’s a pity though that so many mental health treatments are prescribed by psychiatrists who often have little experience of engaging their patients in psychotherapy due to their reliance on using only medication.

Reply
Sunny

Yes, yes, yes. The Heart of Madness is a wonderful movie about art therapy. Also, pet therapy.

Reply

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Children will look to their closest adult - a parent, a teacher, a grandparent, an aunt, an uncle - for signs of safety and signs of danger.

What the parent believes, the child will follow, for better or worse.

Anxiety doesn’t mean they aren’t safe or capable. It means they don’t feel safe or capable enough yet.

As long as they are safe, this is where they need to borrow our calm and certainty until they can find their own. 

The questions to ask are, ‘Do I believe they are safe and cared for here?’ ‘Do I believe they are capable?’

It’s okay if your answer is no to either of these. We aren’t meant to feel safe handing our kiddos over to every situation or to any adult.

But if the answer is no, that’s where the work is.

What do you need to know they are safe and cared for? What changes need to be made? What can help you feel more certain? Is their discomfort from something unsafe or from something growthful? What needs to happen to know they are capable of this?

This can be so tricky for parents as it isn’t always clear. Are they anxious because this is new or because it’s unsafe?

As long as they are relationally safe (or have an adult working towards this) and their bodies feel safe, the work is to believe in them enough for them to believe it too - to handle our very understandable distress at their distress, make space for their distress, and show them we believe in them by what we do next: support avoidance or brave behaviour.

As long as they are safe, we don’t need to get rid of their anxiety or big feelings. Lovingly make space for those feelings AND brave behaviour. They can feel anxious and do brave. 

‘I know this feels big. Bring all your feelings to me. I can look after you through all of it. And yes, this is happening. I know you can do this. We’ll do it together.’

But we have to be kind and patient with ourselves too. The same instinct that makes you a wonderful parent - the attachment instinct - might send your ‘they’re not safe’ radar into overdrive. 

Talk to their adults at school, talk to them, get the info you need to feel certain enough, and trust they are safe, and capable enough, even when anxiety (theirs and yours) is saying no.❤️
Anxiety in kids is tough for everyone - kids and the adults who care about them.

It’s awful for them and confusing for us. Do we move them forward? Hold them back? Is this growing them? Hurting them?

As long as they are safe - as long as they feel cared for through it and their bodies feel okay - anxiety doesn’t mean something is wrong. 
It also doesn’t mean they aren’t capable.

It means there is a gap: ‘I want to, but I don’t know that I’ll be okay.’

As long as they are safe, they don’t need to avoid the situation. They need to keep going, with support, so they can gather the evidence they need. This might take time and lots of experiences.

The brain will always abandon the ‘I want to,’ in any situation that doesn’t have enough evidence - yet - that they’re safe.

Here’s the problem. If we support avoidance of safe situations, the brain doesn’t get the experience it needs to know the difference between hard, growthful things (like school, exams, driving tests, setting boundaries, job interviews, new friendships) and dangerous things. 

It takes time and lots of experience to be able to handle the discomfort of anxiety - and all hard, important, growthful things will come with anxiety.

The work for us isn’t to hold them back from safe situations (even though we’ll want to) but to help them feel supported through the anxiety.

This is part of helping them gather the evidence their brains and bodies need to know they can feel safe and do hard things, even when they are anxious.

Think of the space between comfortable (before the growthful thing) and ‘I’ve done the important, growthful thing,’ as ‘the brave space’. 

But it never feels brave. It feels like anxious, nervous, stressed, scared, awkward, clumsy. It’s all brave - because that’s what anxiety is. It’s handling the discomfort of the brave space while they inch toward the important thing.

Any experience in the brave space matters. Even if it’s just little steps at a time. Why? Because this is where they learn that they don’t need to be scared of anxiety when they’re heading towards something important. As long as they are safe, the anxiety of the brave space won’t hurt them. It will grow them.❤️
In the first few days or weeks of school, feelings might get big. This might happen before school (the anticipation) or after school (when their nervous systems reach capacity).

As long as they are safe (relationally, physiologically) their anxiety is normal and understandable and we don’t need to ‘fix’ it or rush them through it. 

They’re doing something big, something brave. Their brains and bodies will be searching for the familiar in the unfamiliar. They’re getting to know new routines, spaces, people. It’s a lot! Feeling safe in that might take time. But feeling safe and being safe are different. 

We don’t need to stop their anxiety or rush them through it. Our work is to help them move with it. Because when they feel anxious, and get safely through the other side of that anxiety, they learn something so important: they learn they can do hard things - even when they feel like they don’t have what it takes, they can do hard things. We know this about them already, but they’ll need experience in safe, caring environments, little by little, to know this for themselves.

Help them move through it by letting them know that all their feelings are safe with you, that their feelings make sense, and at the end of the day, let those feelings do what they need to. If they need to burst out of them like a little meteor shower, that’s okay. Maybe they’ll need to talk, or not, or cry, or get loud, or play, or be still, or messy for a while. That’s okay. It’s a nervous system at capacity looking for the release valve. It’s not a bad child. It’s never that. 

Tomorrow might be tricker, and the next day trickier, until their brains and bodies get enough experience that this is okay.

As long as they are safe, and they get there, it all counts. It’s all brave. It’s all enough.❤️
Anxiety on the first days or weeks of school is so normal. Why? Because all growthful, important, brave things come with anxiety.

Think about how you feel on their first day of school, or before a job interview, or a first date, or a tricky conversation when you’re setting a boundary. They all come with anxiety.

We want our kids to be able to do all of these things, but this won’t happen by itself. 

Resilience is built - one anxious little step after another. These anxious moments are necessary to learn that ‘I can feel anxious, and do brave.’ ‘I can feel anxious and still do what I need to do.’

As long as the are safe, the anxiety they feel in the first days or weeks of school aren’t a sign that something is wrong. It’s part of their development and a sign that something so right is happening - they’re learning that they can handle anxiety.

Even if they handle it terribly, that’s okay. We all wobble before we walk. Our job is not to protect them from the wobble. If we do, they won’t get to the walking part. 

To support them, remind them that this is scary-safe, not scary-dangerous. Then, ‘Is this a time for you to be safe or brave?’

Then, ask yourself, ‘Is this something dangerous or something growthful?’ ‘Is my job to protect them from the discomfort of that growth, or show them they are so very capable, and that they can handle this discomfort?’

Even if they handle it terribly, as long as they’re not avoiding it, they’re handling it. That matters.

Remember, anxiety is a feeling. It will come and then it will go. It might not go until you leave, but we have to give them the opportunity to feel it go.

Tomorrow and the next day and the next might be worse - that’s how anxiety works. And then it will ease.

This is why we don’t beat anxiety by avoiding it. We beat it by outlasting it. But first, we have to handle our distress at their distress.

We breathe, then we love and lead:

‘I know you feel […] Of course you do. You’re doing something big and this is how big things feel sometimes. It’s okay to feel like this. School is happening but we have five minutes. Do you want me to listen to your sad, or give you a hug, or help you distract from it?’❤️