If you need help now someone to contact, by country
Before you read on

If you are having thoughts of ending your life, this course is not the right place for you to be right now, and reading further will not help you today. Please tell someone today. Call your local emergency number or go to your nearest emergency department. Ring a crisis line in your country. Ask your doctor for an urgent appointment and say the thoughts out loud, in plain words. Or tell a person who is physically in the room with you and stay near them. Having these thoughts is a symptom of an illness, it is more common than people say, and it is treatable. Telling someone is the thing that helps, not the thing that condemns you.

Lesson 1 of 6 · What it looks like from the inside

This is not the same thing as sadness

Sadness is about something. It has a shape, it has a subject, and it moves. You can be sad and still enjoy your food.

What this course is about is different. It flattens things rather than sharpening them. People describe it as grey, or as being behind glass, or as everything costing more than it used to.

The clearest single sign is that the things which used to give something back have stopped giving it. Not that they hurt. That they do nothing.

That last part has a name of its own. Anhedonia, the loss of the capacity to anticipate and to take pleasure in reward, is studied as a symptom in its own right rather than as sadness turned up louder.

The distinction is older than the research. Al-Balkhi, writing in the ninth century in Masalih al-Abdan wa al-Anfus, divided huzn into two kinds. One has a plainly known outward cause. The other arrives with no known reason at all, and he treated the two differently. That is the same move this lesson is making, and it is worth knowing it is not a modern one.

What the research says

The loss of the ability to anticipate and enjoy reward is a distinct thing with its own brain circuitry, not just a by product of low mood. So the flatness you feel is its own problem and can be worked on directly.

Reviews anhedonia, the reduced capacity to anticipate and respond to reward, as a distinct dimension with its own reward circuit substrate rather than as a byproduct of low mood. The honest limit is that low mood remains a core diagnostic criterion, so the claim this supports is that the flatness is a symptom in its own right, not that sadness is absent.

Pizzagalli DA (2014). Depression, stress, and anhedonia: toward a synthesis and integrated model. Annual Review of Clinical Psychology, 10, 393 to 423 doi

What it looks like from the inside · Inshirah