by Marcus Clarke Jones

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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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karenyoung_heysigmund

Behaviour is never from ‘bad’. It’s from ‘big’. Big hungry, big tired, big disconnection, big missing, big ‘too much right now’. The reason our responses might not work can often be because we’ve misread the story, or we’ve missed an important piece of it. Their story might be about now, today, yesterday, or any of the yesterdays before now.

Our job isn’t to fix them. They aren’t broken. Our job is to understand them. Only then can we steer our response in the right direction. Otherwise we’re throwing darts at the wrong target - behaviour, instead of the need behind the behaviour.

Watch, listen, breathe and be with. Feel what they feel. This will help them feel you with them. We all feel safer and calmer when we feel our people beside us - not judging or hurrying or questioning. What don’t you know, that they need you to know?♥️

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Sep 22

Open
Behaviour is never from ‘bad’. It’s from ‘big’. Big hungry, big tired, big disconnection, big missing, big ‘too much right now’. The reason our responses might not work can often be because we’ve misread the story, or we’ve missed an important piece of it. Their story might be about now, today, yesterday, or any of the yesterdays before now. Our job isn’t to fix them. They aren’t broken. Our job is to understand them. Only then can we steer our response in the right direction. Otherwise we’re throwing darts at the wrong target - behaviour, instead of the need behind the behaviour. Watch, listen, breathe and be with. Feel what they feel. This will help them feel you with them. We all feel safer and calmer when we feel our people beside us - not judging or hurrying or questioning. What don’t you know, that they need you to know?♥️

karenyoung_heysigmund

We all have first up needs. The difference between adults and children is that we can delay the meeting of these needs for a bit longer than children - but we still need them met.

The first most important question the brain needs answered is, ‘Is my body safe?’ - Am I free from threat, hunger, exhaustion, pain? This is usually an easier one to take care of or to recognise when it might need some attention.

The next most important question is, ‘Is my heart safe?’ - Am I loved, noticed, valued, claimed, wanted, welcome? This can be an easy one to overlook, especially in the chaos of the morning. Of course we love them and want them - and sometimes we’ll get distracted, annoyed, frustrated, irritated. None of this changes how much we love and want them - not even for a second. We can feel two things at once - madly in love with them and annoyed/ distracted/ frustrated. Sometimes though, this can leave their ‘Is my heart safe?’ needs a little hungry. They have less capacity than us to delay the meeting of these needs. When these needs are hungry, we’ll be more likely to see big feelings or big behaviour.

The more you can fill their love tanks at the start of the day, the more they’ll be able to handle the bumps. This doesn’t have to be big. It just has to be enough. It might look like having a cuddle, reading a story, having a chat, sitting with them while they have breakfast or while they pat the dog, touching their back when they walk past, telling them you love them.

All brains need to feel loved and wanted, and as though they aren’t a nuisance, but sometimes they’ll need to feel it more. The more their felt sense of relational safety is met, the more they’ll be able to then focus on ‘thinking brain’ things, such as planning, making good decisions, co-operating, behaving.

(And if this today was a bumpy one, that’s okay. Those days are going to happen. If most of the time their love tanks are full, they’ll handle when it drops a little. Just top it up when you can. And don’t forget to top yours up too. Be kind to yourself. You deserve it as much as they do.)♥️

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Sep 21

Open
We all have first up needs. The difference between adults and children is that we can delay the meeting of these needs for a bit longer than children - but we still need them met. The first most important question the brain needs answered is, ‘Is my body safe?’ - Am I free from threat, hunger, exhaustion, pain? This is usually an easier one to take care of or to recognise when it might need some attention. The next most important question is, ‘Is my heart safe?’ - Am I loved, noticed, valued, claimed, wanted, welcome? This can be an easy one to overlook, especially in the chaos of the morning. Of course we love them and want them - and sometimes we’ll get distracted, annoyed, frustrated, irritated. None of this changes how much we love and want them - not even for a second. We can feel two things at once - madly in love with them and annoyed/ distracted/ frustrated. Sometimes though, this can leave their ‘Is my heart safe?’ needs a little hungry. They have less capacity than us to delay the meeting of these needs. When these needs are hungry, we’ll be more likely to see big feelings or big behaviour. The more you can fill their love tanks at the start of the day, the more they’ll be able to handle the bumps. This doesn’t have to be big. It just has to be enough. It might look like having a cuddle, reading a story, having a chat, sitting with them while they have breakfast or while they pat the dog, touching their back when they walk past, telling them you love them. All brains need to feel loved and wanted, and as though they aren’t a nuisance, but sometimes they’ll need to feel it more. The more their felt sense of relational safety is met, the more they’ll be able to then focus on ‘thinking brain’ things, such as planning, making good decisions, co-operating, behaving. (And if this today was a bumpy one, that’s okay. Those days are going to happen. If most of the time their love tanks are full, they’ll handle when it drops a little. Just top it up when you can. And don’t forget to top yours up too. Be kind to yourself. You deserve it as much as they do.)♥️

karenyoung_heysigmund

Things will always go wrong - a bad decision, a good decision with a bad outcome, a dilemma, wanting something that comes with risk.

Often, the ‘right thing’ lives somewhere in the very blurry bounds of the grey. Sometimes it will be about what’s right for them. Sometimes what’s right for others. Sometimes it will be about taking a risk, and sometimes the ‘right’ thing just feels wrong right now, or wrong for them. Even as adults, we will often get things wrong. This isn’t because we’re bad, or because we don’t know the right thing from the wrong thing, but because few things are black and white.

The problem with punishment and harsh consequences is that we remove ourselves as an option for them to turn to next time things end messy, or as a guide before the mess happens.

Feeling safe in our important relationships is a primary need for all of us humans. That means making sure our relationships are free from judgement, humiliation, shame, separation. If our response to their ‘wrong things’ is to bring all of these things to the table we share with them with them, of course they’ll do anything to avoid it. This isn’t about lying or secrecy. It’s about maintaining relational ‘safety’, or closeness.

Kids want to do the right thing. They want us to love and accept them. But they’re going to get things wrong sometimes. When they do, our response will teach them either that we are safe for them to come to no matter what, or that we aren’t.

So what do we do when things go wrong? Embrace them, reject the behaviour:

‘I love that you’ve been honest with me. That means everything to me. I know you didn’t expect things to end up like this, but here we are. Let’s talk about what’s happened and what can be different next time.’

Or, ‘Something must have made this (wrong thing) feel like the right thing to do, otherwise you wouldn’t have done it. We all do that sometimes. What do you think it was that was for you?’

Or, ‘I know you know lying isn’t okay. What made you feel like you couldn’t tell me the truth? How can we build the trust again. Let’s talk about how to do that.’

You will always be their greatest guide, but you can only be that if they let you.♥️

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Sep 18

Open
Things will always go wrong - a bad decision, a good decision with a bad outcome, a dilemma, wanting something that comes with risk. Often, the ‘right thing’ lives somewhere in the very blurry bounds of the grey. Sometimes it will be about what’s right for them. Sometimes what’s right for others. Sometimes it will be about taking a risk, and sometimes the ‘right’ thing just feels wrong right now, or wrong for them. Even as adults, we will often get things wrong. This isn’t because we’re bad, or because we don’t know the right thing from the wrong thing, but because few things are black and white. The problem with punishment and harsh consequences is that we remove ourselves as an option for them to turn to next time things end messy, or as a guide before the mess happens. Feeling safe in our important relationships is a primary need for all of us humans. That means making sure our relationships are free from judgement, humiliation, shame, separation. If our response to their ‘wrong things’ is to bring all of these things to the table we share with them with them, of course they’ll do anything to avoid it. This isn’t about lying or secrecy. It’s about maintaining relational ‘safety’, or closeness. Kids want to do the right thing. They want us to love and accept them. But they’re going to get things wrong sometimes. When they do, our response will teach them either that we are safe for them to come to no matter what, or that we aren’t. So what do we do when things go wrong? Embrace them, reject the behaviour: ‘I love that you’ve been honest with me. That means everything to me. I know you didn’t expect things to end up like this, but here we are. Let’s talk about what’s happened and what can be different next time.’ Or, ‘Something must have made this (wrong thing) feel like the right thing to do, otherwise you wouldn’t have done it. We all do that sometimes. What do you think it was that was for you?’ Or, ‘I know you know lying isn’t okay. What made you feel like you couldn’t tell me the truth? How can we build the trust again. Let’s talk about how to do that.’ You will always be their greatest guide, but you can only be that if they let you.♥️

karenyoung_heysigmund

Whenever there is a call to courage, there will be anxiety - every time. That’s what makes it brave. This is why challenging things, brave things, important things will often drive anxiety.

At these times - when they are safe, but doing something hard - the feelings that come with anxiety will be enough to drive avoidance. When it is avoidance of a threat, that’s important. That’s anxiety doing it’s job. But when the avoidance is in response to things that are important, brave, meaningful, that avoidance only serves to confirm the deficiency story. This is when we want to support them to take tiny steps towards that brave thing. It doesn’t have to happen all at once.l and it doesn’t matter how long it takes. Brave is about being able to handle the discomfort of anxiety enough to do the important, challenging thing. It’s built in tiny steps, one after the other.

We don’t have to get rid of their anxiety and neither do they. They can feel anxious, and do brave. At these times (safe, but scary) they need us to take a posture of validation and confidence. ‘I believe you, and I believe in you.’ ‘I know this feels big, and I know you can handle it.’

What we’re saying is we know they can handle the discomfort of anxiety. They don’t have to handle it well, and they don’t have to handle it for too long. Handling it is handling it, and that’s the substance of ‘brave’.

Being brave isn’t about doing the brave thing, but about being able to handle the discomfort of the anxiety that comes with that. And if they’ve done that today, at all, or for a moment longer than yesterday, then they’ve been brave today. It doesn’t matter how messy it was or how small it was. Let them see their brave through your eyes.‘That was big for you wasn’t it. And you did it. You felt anxious, and you stayed with it. That’s what being brave is all about.’♥️

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Sep 13

Open
Whenever there is a call to courage, there will be anxiety - every time. That’s what makes it brave. This is why challenging things, brave things, important things will often drive anxiety. At these times - when they are safe, but doing something hard - the feelings that come with anxiety will be enough to drive avoidance. When it is avoidance of a threat, that’s important. That’s anxiety doing it’s job. But when the avoidance is in response to things that are important, brave, meaningful, that avoidance only serves to confirm the deficiency story. This is when we want to support them to take tiny steps towards that brave thing. It doesn’t have to happen all at once.l and it doesn’t matter how long it takes. Brave is about being able to handle the discomfort of anxiety enough to do the important, challenging thing. It’s built in tiny steps, one after the other. We don’t have to get rid of their anxiety and neither do they. They can feel anxious, and do brave. At these times (safe, but scary) they need us to take a posture of validation and confidence. ‘I believe you, and I believe in you.’ ‘I know this feels big, and I know you can handle it.’ What we’re saying is we know they can handle the discomfort of anxiety. They don’t have to handle it well, and they don’t have to handle it for too long. Handling it is handling it, and that’s the substance of ‘brave’. Being brave isn’t about doing the brave thing, but about being able to handle the discomfort of the anxiety that comes with that. And if they’ve done that today, at all, or for a moment longer than yesterday, then they’ve been brave today. It doesn’t matter how messy it was or how small it was. Let them see their brave through your eyes.‘That was big for you wasn’t it. And you did it. You felt anxious, and you stayed with it. That’s what being brave is all about.’♥️

karenyoung_heysigmund

A relationally unsafe (emotionally unsafe) environment can cause as much breakage as as a physically unsafe one.

The brain’s priority will always be safety, so if a person or environment doesn’t feel emotionally safe, we might see big behaviour, avoidance, or reduced learning. In this case, it isn’t the child that’s broken. It’s the environment.

But here’s the thing, just because a child doesn’t feel safe, doesn’t mean the person or environment isn’t safe. What it means is that there aren’t enough signals of safety - yet, and there’s a little more work to do to build this. ‘Safety’ isn’t about what is actually safe or not, it’s about what the brain perceives. Children might have the safest, warmest, most loving adult in front of them, but that doesn’t mean they’ll feel safe. This is when we have to look at how we might extend bigger cues of warmth, welcome, inclusiveness, and what we can do (or what roles or responsibilities can we give them) to help them feel valued and needed. This might take time, and that’s okay. Children aren’t meant to feel safe with every adult in front of them, so sometimes what they need most is our patience and understanding as we continue to build this.

This is the way it works for all of us, everywhere. None of us will be able to give our best or do our best if we don’t feel welcome, liked, valued, and free from hostility, humiliation or judgement.

This is especially important for our schools. A brain that doesn’t feel safe can’t learn. For schools to be places of learning, they first have to be places of relationship. Before we focus too sharply on learning support and behaviour management, we first have to focus on felt sense of safety support. The most powerful way to do this is through relationship. Teachers who do this are magic-makers. They show a phenomenal capacity to expand a child’s capacity to learn, calm big behaviour, and open up a child’s world. But relationships take time, and felt safety takes time. The time it takes for this to happen is all part of the process. It’s not a waste of time, it’s the most important use of it.♥️

View

Sep 5

Open
A relationally unsafe (emotionally unsafe) environment can cause as much breakage as as a physically unsafe one. The brain’s priority will always be safety, so if a person or environment doesn’t feel emotionally safe, we might see big behaviour, avoidance, or reduced learning. In this case, it isn’t the child that’s broken. It’s the environment. But here’s the thing, just because a child doesn’t feel safe, doesn’t mean the person or environment isn’t safe. What it means is that there aren’t enough signals of safety - yet, and there’s a little more work to do to build this. ‘Safety’ isn’t about what is actually safe or not, it’s about what the brain perceives. Children might have the safest, warmest, most loving adult in front of them, but that doesn’t mean they’ll feel safe. This is when we have to look at how we might extend bigger cues of warmth, welcome, inclusiveness, and what we can do (or what roles or responsibilities can we give them) to help them feel valued and needed. This might take time, and that’s okay. Children aren’t meant to feel safe with every adult in front of them, so sometimes what they need most is our patience and understanding as we continue to build this. This is the way it works for all of us, everywhere. None of us will be able to give our best or do our best if we don’t feel welcome, liked, valued, and free from hostility, humiliation or judgement. This is especially important for our schools. A brain that doesn’t feel safe can’t learn. For schools to be places of learning, they first have to be places of relationship. Before we focus too sharply on learning support and behaviour management, we first have to focus on felt sense of safety support. The most powerful way to do this is through relationship. Teachers who do this are magic-makers. They show a phenomenal capacity to expand a child’s capacity to learn, calm big behaviour, and open up a child’s world. But relationships take time, and felt safety takes time. The time it takes for this to happen is all part of the process. It’s not a waste of time, it’s the most important use of it.♥️

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