That’s a lovely optimistic title right there & as a person with well over 2 decades of experience in ‘not’ being able to shift a depression I’m going to share what ultimately did work for me eventually with my long undx Bipolar 1 plus concurrent BPD dysphoric fug.
There are some basic principles that are a bottom line that everyone with a tendency to low mood should know off by heart:
Walk, stretch, move as much as you are able. Depression at its core is your Nervous System in freeze mode due to unresolved past stress/trauma or present time conflict. Alternatively, I believe a short depression can simply be a natural reset button for a persons life, with chilling out & looking inwards, journaling, getting talk therapy, developing self regard/care, all important adjuncts, even so movement is vital.
Self massage, scalp, shoulders & neck, get a massage gun & work on anywhere that’s stiff or sore, if you can afford it get massages from someone else.
Drink water - Dehydration is surprisingly common as well as surprisingly depressing.
Be really careful with stimulants & sugar; both have an exaggerated downer effect after the upper
Alcohol is the most dangerous thing for low mood & yet so commonly folk lean on it only to make themselves feel worse, exaggerate & prolong a mood issue unnecessarily.
For myself I find that a long sustaining protein & healthy fat preferential diet is anti-depressant whilst high carbs lowers my mood like nothing else but I am a protein type - so it’s time to find out your macronutrient type. Go here.
High EPA Fish Oil, high dose B vits & Magnesium supplements if your normal diet is a bit nutrient weak. Some depressions can be shifted by this alone plus walking daily.
Getting daylight hitting your eyes before midday everyday is vital in any depression, stop telling your body to hibernate because it will & you will be 6 months in before you realise. Stupefied, groggy depression is no joke, you just can’t be bothered to kill yourself so there’s that advantage over more energised forms but no, it’s a pointless waste of your life & it can be prevented.
Ok that was my ‘everyone everywhere should know this’ list.
So this is my extra-ordinary list for the extraordinary depressions or recurrent low mood/depressive tendencies of Bipolar, BPD, NPD & as well as other disorders.
So all the above apply to this group too obviously.
The Special Forces List
Mindfulness - when dealing with a Personality Disorder or any severe mental health condition your very first job is simply self observation; of thoughts, of words, of deeds, of your inner responses to all of those, as well as external events & as far as possible to what’s going on under your skin in your real human body self. Be suspicious, be kind but curious of the motives underpinning your wants, needs, desires & moods. Basically be interested in yourself, your machinations without too much, if any judgement.
It’s vital to learn to notice when you are dissociating & then how to make yourself &/or others around you as safe as possible. It is not always obvious that you have dissociated, a hallmark of some types of dissociation is extreme mood even personality shifts. Sussing it out is simply a skill you build with use. Start with 10 mins a day, ultimately you will want to make it your baseline state. One of the big gifts of mental illness is the degree of self mastery required to overcome our unconscious wounds is so massive that we end up far more self aware than others who have not had to travel so far to occupy themselves.
I’m open to the idea that Cluster B PDs are essentially Dissociative Disorders with a range of dysfunctional ‘alters’ stepping up to further unhelpfully ffff up your life - mindfulness gives you the space to watch this process from the pure nonjudgmental consciousness aspect of yourself & from here you develop self protective stoicism in the face of these destructive inner forces.
Deep consolation in nature/relating to animals - this is vital for severe mental illness. Without this I wouldn’t be here. I really like the concept that being in nature is being in your own true nature on an unconscious or semi-conscious level. It is an innately healing teacher, it is nourishing in a deep gestational way. I often meditate in nature on how for the entire history of life on Earth & still today for the vastest majority of creatures, death primarily occurs with your face in the earth, going home. Wtv your spiritual belief or not, earth is what made you out of stardust & you are always on your way back.
Absolute stoicism - this is an indispensable quality to develop. When I was missed/wrong dx for my Bipolar 1 in 2008, it was absolutely my only option. I had no choice bar death but to simply accept that I was subjected to seemingly endless mental, emotional & nervous system pain & distortion for reasons that I could not see or know, seemingly meaninglessly, and essentially I was to take it on the chin.
More movement: normal levels of movement work for normal levels of low mood but with extraordinary mental/emotional/nervous system aberration the more low cortisol exercise/movement modalities you can manage the better. The main caveat being not high stress stuff, not high cortisol as so much gym based exercise programs ultimately are, these have a place it’s just not in day to day depression management. You are learning to self sooth, to move & stretch your body despite feeling miserable & then watch your stoicism grow & your mood shift. (some higher stress exercise is acceptable, beneficial actually but I’m driving home a particular point) - your nervous system has habituated crisis, low cortisol exercise rebuilds it’s integrity.
Support is vital, though I failed to get any for the most part & im still here so there is that 🤷♀️ I developed a kind of deep stoicism in the face of permanent overwhelming adversity coming from my own wrecked nervous system, a cPTSD/PTSD overlay, cognitive impairment due to rolling Bipolar episodes & the permanent dysphoric core of undx BPD.
I’m going to mention ADHD plus Autism briefly here - it gets ridiculous, all of my layers, but in some ways my autism made me a more innately honest pwBPD, which is the route out for all PDs & my ADHD drove my desire to get well as well as my massive self study, passion centered on amassing knowledge of natural health specifically for mental health.
If you can get proper support please do take it, it will make healing so much faster.
A note - The dysphoric core of the Personality Disorders
The semi-permanent, uneasy fug that permeates the feeling sense, the sense of self of a person with a currently active personality disorder requires additional approaches. Of course all of the above are helpful, but there is more. All PDs are deep early trauma created splits in the body mind self, sapping the host of vitality as well as driving the need for further pain causing drama in their lives, mainly as attempts at obfuscation & distraction, both from the self as well as others. Drama as disguise of trauma in fact is a great descriptor.
But above all, being free of the dysphoric core myself now, I feel that it is the identification of it then your dis-identification with it that and hastens its demise. Simple as that. Once you decide that being in an off mood/state most of the time is unacceptable, an untenable way of life, this is when you dis-identify from both the feeling state & the often dysfunctional mental states that accompany it. Mindfulness is your key, stoicism is the lock, open the prison door & fly free.
Special therapy recommends go to; EMDR, diy self style or with a therapist, the extremely simple Somatic Healing concepts of Dr Peter Levine, BrainSpotting is another modern eye mvt related modality to explore, IFS Internal Family Systems, also see ACT, Acceptance & Commitment Therapy at the same link there, Poly-Vagal exercises, see side bar link
There is more, there is always so much more to explore when you need to heal something, when you want to heal something is more precisely accurate. I remember friends with depression saying “nothing works” & they would always be saying that before they had even given one thing a decent shot.
Perception of time slows down excruciatingly in real depression, making us even more irritated & impatient to be well as soon as possible as well as casting the convincing illusion that the depressive state is endless. Bodily metabolism slows down too as if to hibernate, making effort feel impossible, creating an unbearable cross purpose of drives. Building a day to day routine that deconstructs that equation is the path out - then adding a therapeutic modality that works for you, that builds you a new nervous system.