Take Action Workbook: Change Your Thinking
Take Action Workbook: Change Your Thinking
Take Action Workbook: Change Your Thinking
org
Module 6
Change your thinking
Changing the attitudes and patterns of thinking that maintain depression is one of the most
effective longer-term strategies for overcoming depression and building resistance to its
return. The strategies covered in this section are based on the techniques of Cognitive
Behavioural Therapy (CBT) which has a strong evidence base as an effective therapy for
both anxiety and depression.
Contents
1. Challenging my depressed thinking
2. Modifying my stress levels
3. Managing anxiety and anger
4. Learning self-compassion
MODULE 6 CONTENTS
Tackle Depression –> Change your thinking –> Contents
Our thoughts have a very powerful effect on our feelings and behaviour. There are many common negative
thinking habits which help depression to flourish, and which are also reinforced by depression. Knowing
how your habitual ways of thinking might be affecting your mood is an important tool for tackling
depression.
Tunnel vision
eg. “There is nothing good in my life
whatsoever.”
All-or-nothing thinking
eg. “If I’m not part of the in group then I’m
a loser.”
Over-generalisation
eg. (After a break-up) “No one will ever love me.
I’ll never find someone else.”
Jumping to conclusions
eg. “She ignored me so she must hate me.”
Control freakery
eg. “If I’m not in total control then everything
is unacceptably out of control.”
Perfectionism
eg. “If I don’t come top of the class, I’m
a failure.”
Emotional reasoning
eg. “I feel so bad that I must be bad.”
Avoidance-justification
eg. “No one will talk to me so I might as well
not go.”
Superstitious thinking
eg. “If I let myself hope for a 1st I won’t get
one.”
Disappointment ‘insurance’
eg. “I expect the worst so I won’t be
disappointed.”
Cynicism
eg. “There’s no point investing hope or energy
in anything because the world always lets you
down.”
MODULE
ODULE 6 WORKSHEET
ORKSHEET 1
Tackle Depression –> Change your thinking –> Challenging my depressed thinking
©D
© DENISE MEYER
ENISE M & TTHE
EYER & CHARLIE
HE C WALLER
HARLIE W MEMORIAL
ALLER M TRUST
EMORIAL T RUST
Challenging my depressed thinking: p2
www.studentsagainstdepression.org
Control freakery:
eg. “I have to be fully in control of
my life.”
Rule-bound thinking
eg. “I should be able to manage on my own.”
Catastrophising
eg. “It’s a disaster if I lose control/fail a test
etc.”
Hyper-vigilance
eg. “I have to be constantly on the alert to
prevent bad things from happening.”
Jumping to conclusions
eg. “I got a bad mark on this essay so I’m
probably going to fail this degree.”
Over-focus on blame
eg. “If I can identify who’s fault it is then I can
stop it happening again.”
Perfectionism
eg. “If I make sure I don’t make any mistakes
then everything will be okay.”
Self-blame
eg. “If something bad happens it’s
probably my fault.”
Over-personalisation
eg. “She ignored me, maybe I did something
to upset her.”
Perfectionism
eg. “It’s all going wrong because I’m not trying
hard enough.”
Self-bullying
eg. “I need to drive myself harder to make sure
I do better/get things right.”
MODULE
ODULE 6 WORKSHEET
ORKSHEET 1
Tackle Depression –> Change your thinking –> Challenging my depressed thinking
©D
© DENISE MEYER
ENISE M & TTHE
EYER & CHARLIE
HE C WALLER
HARLIE W MEMORIAL
ALLER M TRUST
EMORIAL T RUST
Thought diary
www.studentsagainstdepression.org
Now see if you can replace the ‘hot thought’ (the one Give the thought a label
you underlined in B) with a more balanced, helpful Eg. The old ‘I’m not clever enough’ thought
belief. Write it down here:
eg: It’s a learning experience. I can ask
the tutor to explain where I went wrong
so I’ll do better next time.
This helps you
Re-rate the feeling that you underlined in C: recognise it as an
eg. How panicky am I now? 3 unhelpful thought and
Write your rating here: either replace it with your
more helpful thought
or just ‘let it go’
Modifying my
stress levels www.studentsagainstdepression.org
Stress itself cannot be avoided altogether – our basic stress response has evolved as part of the way in
which we protect ourselves. However, managing stress better means learning to use our stress response
effectively to deal with problems constructively.
If you don’t already have a good quality planner or diary then make a commitment now to get one and use it
effectively. Use the list to tick off the steps taken to get your life better planned:
I own a suitable diary and/or planner with enough space for all my commitments to be listed
I have recorded all my study commitments (lectures, tutorials etc) and deadlines in it.
I have planned out each week (or the next few weeks if your timetable changes a lot each week)
giving realistic blocks of time for study, paid work (if relevant), exercise, leisure and social time etc.
I have marked when to make a start on each assignment and divided up my study time over the
next few weeks to allow all my deadlines to be met
I have given myself a specific small ‘starting step’ for each assignment
MODULE 6 WORKSHEET 2
Tackle Depression –> Change your thinking –> Modifying my stress levels
2. Problem solving
Not all difficulties and stresses can be solved through planning – and plans don’t always get followed to the letter.
If you are stressed or worried about a real, current problem then use the problem-solving framework
at the end of this worksheet to find and implement practical solutions.
The first step is to identify any problems, rather than sticking your head “I would recommend
in the sand. learning about what
one can and cannot
Problems I am facing at the moment are: control, and realising how
one can only control oneself
__________________________________________________________________ and not others.” – Joshua
___________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
• Use the attached Thought Diary to identify Beliefs and Consequences that arise around the problems
you have listed (see more about how to do this in the ‘Challenging my depressed thinking’ worksheet).
• Use the Thought Challenging section of the diary to work out a balanced and constructive description
of each problem you are facing.
MODULE 6 WORKSHEET 2
Tackle Depression –> Change your thinking –> Modifying my stress levels
2. Make a list of all possible solutions, including those you 4. Put the remaining ones in order of preference and evaluate the top 3 or 4 for their pros and cons:
don’t like: 1. Ask my parents (not my housemates) for a loan
! go and see the bank to arrange an Cons: I know they’re also struggling financially
overdraft extension, Pros: They’ve said they’ll try and help if necessary
! ask my parents/housemates for a loan,
! do some extra shifts at work to make up 2. Do some extra shifts at work to make up the difference
the difference, Cons: I might have to miss out on the night out my mates and I had planned (but
! take on an extra shift each week, that’ll also save me some money!)
! see Student Finance for advice and a Pros: A couple of extra shifts this week and next week should cover it
possible hardship loan,
! look at where else I can save money e.g. 3. See Student Finance for advice and a hardship loan
don’t go out for a few weeks, Cons: I feel embarrassed. I’m scared they’ll just see me as another skint student
! pick a fight with my housemates because who hasn’t managed their finances properly
they’re the ones who keep leaving the lights Pros: They’re there to give advice and there’s no harm in asking for a loan. I could
on etc probably
do with some advice about how to manage things better.
3. Cross out the ones that are unreasonable or undesirable
! pick a fight with my housemates because 4. Look where else I can save money eg not going out for a few weeks
they’re the ones who keep leaving the lights on Cons: I need to have some ‘down time’ too and I don’t want to miss out socially
etc (will just make things worse) Pros: I could probably do with easing up on the drinking anyway. Maybe I could
! take on an extra shift each week (I’m already compromise and join them for a few drinks, but not go on to the club?
squeezed for time to get my uni work done)
5. Decide on a plan and implement it. Evaluate and return to previous steps if it hasn’t helped.
I’m going to do all four things – I’ll ask my parents for a loan, but then pay them back by doing extra shifts for a couple
of weeks and saving up by pulling back a little on nights out. I’ll also go and get some advice from the Student Finance
office and see what I can do to budget better in future.
One month later: That’s sorted it and I’m managing things better now.
Problem-solving framework
www.studentsagainstdepression.org
2. Make a list of all possible solutions, including those you 4. Put the remaining ones in order of preference and evaluate the top 3 or 4 for their pros and cons:
don’t like:
1.
Cons:
Pros:
2.
Cons:
Pros:
3.
Cons:
Pros:
5. Decide on a plan and implement it. Evaluate and return to previous steps if it hasn’t helped.
Managing my anxiety
& anger www.studentsagainstdepression.org
Certain levels of anxiety or anger are part of our natural ‘fight or flight’ stress response mechanisms. The
key is to learn how to channel this response constructively, rather than letting it contribute to increasing
spirals of unhelpful stress, anxiety or anger.
! Make a list of your most important ‘shoulds’ and ‘oughts’ about life in general and your own life in
particular. To help identify these, ask yourself what kinds of things make you annoyed with yourself or
others, or what kinds of things upset you if they don’t work out.
(eg. “I mustn’t make mistakes,” “I must do well,” “I shouldn’t have to ask for help,” “I need to be in control,”
“I shouldn’t ever let anyone else down,” etc)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________
______________________________________________________________
MODULE 6 WORKSHEET 3
Tackle Depression –> Change your thinking –> Managing my anxiety & anger
! Make a list of ways you can soothe and help yourself when things don’t work out the way you’d like them to:
(eg. taking a few deep breaths and practising my relaxation techniques, speaking kindly to myself and acknowledging
the disappointment, giving myself a treat like a long soak in the bath with a book, calling up a friend for a chat etc)
______________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
! Make a list of your daily fears and the things you are avoiding. Include small
things as well as big ones.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________
______________________________________________________________
MODULE 6 WORKSHEET 3
Tackle Depression –> Change your thinking –> Managing my anxiety & anger
! Go back over the list and grade it in order of difficulty, with the least difficult as number 1.
! Write down the fear/avoidance labelled at number 1 on your list (ie the least challenging one) here, then
use the following steps to address it:
(eg. “I’m avoiding checking my bank account because I think I might have gone over my overdraft.”)
________________________________________________________________________________________________
! What is the worst thing that could happen? How likely is this?
(eg. I find I have gone into overdraft and have had lots of extra charges - it’s quite likely I’ve gone into overdraft, but
probably not got too many charges yet.)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
! What practical things can you do to deal with this? Use the Problem-solving Framework to generate and
evaluate practical solutions.
(eg. I can use the problem-solving framework to think of solutions and stop myself from building up more charges.)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
! Notice what depressed thinking habits are getting in your way and use the Thought Challenging form to
challenge them
(eg. I’m scared the charges will have mounted up and I’ll never be able to get back on track – catastrophising, all-or-
nothing thinking)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________
______________________________________________________________
MODULE 6 WORKSHEET 3
Tackle Depression –> Change your thinking –> Managing my anxiety & anger
Move on to the next thing on your list. If necessary, break the task down Read the
into smaller steps and do the easiest thing first. Make sure you have famous self-help book
practised techniques to help you manage any difficult feelings that ‘Feel the fear and do it
may come up, such as deep breathing and other self-soothing anyway’ to help you understand
strategies. the importance of tackling
avoidance in order to reduce
anxiety. See the Books
3. Acknowledging and working with your anger page for more.
Go through the same process for identifying the things that make you angry.
Anger is an important emotion that helps us protect or stand up for ourselves when necessary.
Denying or suppressing anger can lead to problems with aggression, but it can also be diverted into anxiety
and/or depression. We need to be able to acknowledge and harness our anger to solve problems
constructively.
Acknowledging and accepting your anger is an important first step. Then by identifying what you can and
can’t control in situations you can make more helpful choices about how to channel and manage your
anger, when it arises.
! Make a list of the things that make you angry at the moment.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
! Go back over the list and grade it in order of importance, with the least important/annoying as number 1.
! Write down the number 1 anger point on your list and use the following steps to address it:
(eg, “It gets me really annoyed when my housemates don’t do the washing up.”)
______________________________________________________________
______________________________________________________________
MODULE 6 WORKSHEET 3
Tackle Depression –> Change your thinking –> Managing my anxiety & anger
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
! Use the Thought Diary to notice if there are any depressed thinking habits fuelling your anger, especially
any related to ‘control freakery’ or the sense that you need to be able to control things unrealistically. List
them here:
(eg. They are doing it because they don’t respect me – over-personalisation. Everyone must do their equal share in the
house – rule-bound thinking. They’ve just finished supper, so I’m going to check whether they’re doing the washing up
or not – hyper-vigilance)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
! Use the Thought Challenging form to replace these thoughts with more balanced, constructive evaluations.
(eg. “They probably don’t realise how much it annoys me because they are less bothered about tidiness than I am. I’d really
like everyone to put as much effort into keeping things tidy as I do, but I can’t force anyone to do so. Constantly checking up
on whether they’ve done it or not is just winding me up even more, so it would be better if I tried to ignore it for a while.)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________
______________________________________________________________
MODULE 6 WORKSHEET 3
Tackle Depression –> Change your thinking –> Managing my anxiety & anger
! What practical steps can you take to address the situation? Use the Problem-
solving Framework to help you identify a range of ideas and strategies. See ‘Assertive
(eg. I can plan out how to let my housemates know how I’m feeling and ask them if we communication’ in the
could set up a rota for keeping the kitchen tidy. Or I could offer to tidy up the kitchen if Living Well section for a
they take on some of the other tasks that stress me out like paying the bills or dealing useful skill in dealing
with the landlord.) with anger
_________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
! If the situation is completely out of my control and there is nothing else I can do practically, then what
can I do to help myself with my anger?
(eg. If my housemates still don’t bother and won’t work with me on a mutual solution then I can: – decide that I will do
the washing up myself anyway, because it’s more stressful to live than the mess than with the resentment for doing all
the tidying, - acknowledge my anger and give myself sympathy for it, - go out for a vigorous run when I feel myself
building up a head of steam etc.)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________ Remember
to get support, especially when
______________________________________ you are working on the more difficult
issues. It can be really helpful to ‘sound out’
____________________________________ your ideas with someone else to get a different
perspective on the things that make you angry. Your
____________________________________ uni or college counselling service may have
workshops on Anger Management as well as
_________________________________________ Assertiveness to help you build on
these skills.
___________________________________________________
______________________________________________________________
MODULE 6 WORKSHEET 3
Tackle Depression –> Change your thinking –> Managing my anxiety & anger
Repeat these steps with the other anger points on your list.
Use some of the specific ideas you come up with to make yourself a general Anger Plan which you can
remind yourself of when new anger issues come up.
2. To help me deal with my anger in that moment, I will ____ remind myself to take a few deep
breaths and think before I act ____ .
3. I will take time to ____ think through exactly what I am feeling angry about and
whether there is anything I have control over in the situation ____ .
4. If there is something constructive I can do in the situation, I will ____ plan in my head what I want
to say and remind myself to speak calmly and assertively ____ .
5. If there is nothing I can immediately do to improve the situation, I will ____ acknowledge my
frustration and recognise its legitimacy; promise myself I will take time later to
help myself with these feelings ____ .
6. If I still feel angry later, I will ____ go for a run or do some other vigorous activity to ‘let
off steam’ ____ .
7. In order to help myself with similar situations in the future, I will ____ use the step-by-step plan
above to help me work out what to do ____ .
My Anger Plan:
1. As soon as I notice my anger building, I will _______________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
MODULE 6 WORKSHEET 3
Tackle Depression –> Change your thinking –> Managing my anxiety & anger
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________
______________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
7. In order to help myself with similar situations in the future, I will _____________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
MODULE 6 WORKSHEET 3
Tackle Depression –> Change your thinking –> Managing my anxiety & anger
Self-compassion is the attitude that underpins all other depression-beating strategies. If we can learn to treat
ourselves kindly and support ourselves though our struggles then everything else becomes a lot easier!
Are you your own worst enemy? It is very rare for depression to exist without a certain amount of ‘self-
bullying’. Depression is a bully, and it preys on and reinforces the habit of self-bullying. To beat depression
you need to sort your inner bully out!
Self-compassion is a skill that you can learn and practise without having to ‘believe’ it first – we can train
our minds to bring greater compassion to all our thoughts and feelings.
1. Tune in
First you need to notice how self-bullying you can be, because often we do this without even realising it.
Spend a day or a week writing down some of the things you say to yourself as part of your inner running
commentary when you are feeling low. Just write it all down exactly the way you speak to yourself, with the
words you use – the name-calling, the self-blame, the criticism of specific things that you do etc. Also make
a note of the tone that you use with yourself. It might be interesting to hear if you sound like anyone in your
past (a critical parent or teacher, for example)?
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
2. Evaluate
Now look back over what you have written and think about whether you would ever speak this way to
someone else that you cared about, like a friend? Especially if that person was feeling low? It’s unlikely!
You may feel that your critical voice is trying to ‘help’ you – to keep you safe or help you improve as a
person – but it is important to recognise how ineffective it is to do this in a harsh, self-critical way. Being
caring and encouraging in your tone is much more effective…
MODULE 6 WORKSHEET 4
Tackle Depression –> Change your thinking –> Learning self-compassion
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________
________________________________________________________________________________________________
_____________________________________________________________
_____________________________________________________________
“It has taken me a
_____________________________________________________________ while, but I am learning
to go easy on myself.
_____________________________________________________________ I think my main source of pain is
the level of emotional flagellation
_____________________________________________________________ I administer.” – Ed
_____________________________________________________________
MODULE 6 WORKSHEET 4
Tackle Depression –> Change your thinking –> Learning self-compassion
1. Mindfulness: Bring your feelings to your awareness, trying to be accepting and non-judgemental, just
describing the feelings without either overstating or understating them.
____ eg. I felt embarrassed and uncomfortable when the tutor asked me a question
in the seminar and I didn’t know the answer. I went red and stammered. Then I
felt more and more anxious and in the end I said I needed to go to the loo and
left early ____
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
2. Common humanity: Now write down how your experience connects to imperfection and shared pain of
the human condition.
____ eg. Anyone else would have felt embarrassed and awkward as well – there were
probably lots of others in the seminar who didn’t know the answer and I was just the
unlucky one who got asked! There’ve been so many essay deadlines lately that lots
of us have found it difficult to prepare properly for seminars – it’s not just me. ____
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
3. Self-kindness: Then write yourself some kind, understanding words of comfort using a gentle and
reassuring tone.
____ Poor you – that was bad luck. It’s not nice to get shown up in public like that
and it’s not surprising you felt embarrassed and awkward. You didn’t need to be
so hard on yourself about getting red and stammering. Maybe next time you can
remember to be kinder to yourself and then you won’t get so anxious afterwards. ____
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
5. Next steps
Find a self-compassion test, more self-compassion training exercises, and some mp3 downloads with
self-compassion meditations on Dr Kristin Neff’s website at www.self-compassion.org
MODULE 6 WORKSHEET 4
Tackle Depression –> Change your thinking –> Learning self-compassion