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AreasLow mood and hard feelings

Low mood and hard feelings

Feelings are information before they are problems. The practices here are about naming what you feel accurately, sitting with what will not move yet, and acting on what matters to you even on the days nothing feels like anything.

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Behavioural activation

The strongest self help evidence in this whole field says the way out of a flat heavy state is through what you do, not through what you think. You act first and the feeling follows, which is the opposite of what the state tells you.

One move, today

Choose one small thing you used to do and do it today without waiting to feel like it. Ten minutes is enough. Waiting to feel like it is the trap.

What matches

4 practices

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Never come off an antidepressant on your own. The taper belongs to the prescriber, and for some drugs it needs to be slower and longer than people expect.

The moment to raise this is before anybody acts, not afterwards. If a client is feeling better and starting to think about stopping, that thought is…

Five minutesWhen everything feels flatMedical and treatmentQur’an 9:118One line of research

Some antidepressants take weeks to build up and weeks to clear, so both the improvement and the aftermath run on a slower clock than you would expect.

Fluoxetine is the usual example. It and the substance it turns into stay around a long time, which means a fair trial is counted in weeks and…

Five minutesWhen everything feels flatMedical and treatmentQur’an 2:214One line of research

Raising a dose does not simply raise the benefit. It raises everything the drug does, including the parts nobody was asking for.

As the amount climbs, a medicine begins touching things it barely touched before, which is why new side effects can appear at a higher dose of…

Five minutesWhen everything feels flatMedical and treatmentQur’an 30:36One line of research

Coming off an antidepressant is a piece of work in itself. Plan it slowly with the prescriber rather than stopping on the day you feel well.

Some, venlafaxine especially, leave the body fast enough that a missed dose is felt within a day: dizziness, strange electrical sensations, a mood…

LongerWhen everything feels flatMedical and treatmentQur’an 16:127One line of research

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