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Depression and Anxiety: Your Old Enemies, Your Best Friends| Zindel Segal

Nov 25, 2020 59m 35s 23 insights
Winter is coming. Not to get all Game of Thrones on you, but... while there are some optimistic signs on the horizon in the form of vaccines, it looks like we could be heading into some dark months of rising caseloads and restrictions on our lifestyle. Consequently, we are launching a 2-part series to help you ride this out. Next week, we will talk to happiness researcher Laurie Santos (host of the Happiness Lab podcast). Today, my guest today is Zindel Segal, a clinical psychologist from the University of Toronto and a pioneer in developing and studying ways to use mindfulness for depression and anxiety. While not all of us will experience clinical depression or anxiety in the coming months, we may well experience significant doses of sadness and worry. In this conversation, we talk about: what the science shows about the benefits of meditation for depression and anxiety; the importance of establishing and maintaining routines as a form of antidepressant; the differences between depression and anxiety; and how to treat depression like an old friend. Where to find Zindel Segal online: Website: https://www.utsc.utoronto.ca/psych/person/zindel-segal Twitter: https://twitter.com/zindelsegal Facebook: https://www.facebook.com/Zindel-Segal-955303284518859/ Book Mentioned: Lost Connections by Johann Hari: https://thelostconnections.com 2020 has been a doozy, so this year we're offering Ten Percent Happier subscriptions at a 40% discount. Get this deal before it ends on December 1st by going to www.tenpercent.com/november. Take Part in the New Year's Series To submit a question or share a reflection dial 646-883-8326 and leave us a voicemail. If you're outside the United States, you can email us a voice memo file in mp3 format to listener@tenpercent.com. The deadline for submissions is Monday December 7th. Full Shownotes: https://www.tenpercent.com/podcast-episode/zindel-segal-303
Actionable Insights

1. Practice Mindfulness for Mental Health

Engage in mindfulness meditation to cultivate states of mind that oppose the automatic negative patterns associated with depression and anxiety.

2. Apply Mindfulness Universally

Practice mindfulness in every possible moment, not solely for negative thinking or self-judgment, to develop metacognitive abilities.

3. Investigate Sensations with Kind Curiosity

When investigating bodily sensations, bring kind curiosity to them, recognizing that you are bigger than these sensations and providing an attentional space for them to exist without defining you.

4. Practice 3-Minute Breathing Space

Engage in the 3-minute breathing space: 1) Notice thoughts, feelings, and sensations without judgment, 2) Focus attention on the breath in the belly, and 3) Expand awareness to the whole body and surrounding space.

5. Practice 4-Step Self-Compassion

When experiencing suffering, follow a 4-step exercise: 1) Notice the suffering, 2) Connect to shared humanity (you’re not alone), 3) Send yourself friendliness, and 4) Recognize that these thoughts are just nature, not solely ‘you’.

6. Befriend Depression for Better Management

Approach depression as you would an old friend, recognizing its presence without aversion, which can create more options for how to react to it.

7. Investigate Problems, Don’t Fix

Approach challenges with a strategy of investigation through mindfulness, rather than immediately trying to fix them, to discover undervalued aspects and new perspectives.

8. Experience for Intrinsic Sake

Practice experiencing moments for their own intrinsic sake, taking the ‘self’ out of the equation, and simply noticing qualities, movement, and intensity of sensations.

9. Notice Flux in Experience

Step into the present moment of experience to notice the flux and change within seemingly static feelings like anxiety, revealing a discrepancy between the mind’s narrative and actual experience.

10. Maintain Routines as Antidepressant

Establish and maintain your routines, as they can act as a form of antidepressant, especially during difficult times.

11. Preserve Routines Amidst Difficulties

Be aware that negative feelings may try to persuade you to abandon helpful routines; hold onto these routines, as they are crucial for self-kindness and connection.

12. Resist Undermining Your Routines

Resist thoughts that suggest your routines are ineffectual or won’t make a difference, as these routines are often the best course of action during restrictive periods.

13. Adapt Activities, Don’t Discontinue

Adapt and continue activities you enjoy, even if the adapted version is a ‘pale facsimile’ of the original, rather than discontinuing them entirely.

14. Regularly Get Outside

Regularly spend time outside, as it can be extremely helpful for mental well-being, enhancing memory, and providing a wider perspective of self.

15. Take Nature Walks for Well-being

Engage in nature walks, as they have antidepressant benefits, enhance memory, and provide an experiential sense of spaciousness that loosens the ego’s grip.

16. Utilize Video Calls for Social Connection

Continue to use video conferencing platforms, not just for work, but also for social connection, like weekly calls with family, to maintain relationships.

17. Sequence Antidepressants with MBCT

Consider sequencing care by getting better on antidepressants first, then transitioning to Mindfulness-Based Cognitive Therapy (MBCT) to help maintain well-being.

18. Train Mindfulness in Daily Life

Utilize everyday moments, like eating an orange or observing self-judgment, as opportunities to practice mindfulness, slow down, and build decentered awareness.

19. Curate Negative Thoughts Playlist

Imagine curating a ‘Spotify playlist’ of your most popular negative thoughts to approach and hold them with a different relationship than aversion.

20. Access Digital MBCT Program

Access a digital, asynchronous version of Mindfulness-Based Cognitive Therapy (MBCT) at mindfulnoggin.com, offering the same treatment as clinical trials.

21. Submit Questions for New Year Series

Participate in the New Year series by submitting questions or reflections via voicemail at 646-883-8326 by December 7th.

22. Join New Year Meditation Challenge

Participate in the New Year’s meditation challenge on the 10% Happier app, and feel free to ask meditation questions for the podcast.

23. Get 40% Off 10% Happier

Get a 40% discount on a 10% Happier app subscription by visiting 10percent.com/November before December 1st.