Category: Mental Health

Approximately 30% of modern adults will experience symptoms of anxiety disorders in their lifetime. Not just anxiety. An anxiety disorder. 

Our society has more access to news and information than any previous civilization in history. It’s often our phone that we see first thing in the morning, full of headlines that pump our adrenaline and send our nervous system into a state of panic.

As a result, the constant influx of adrenaline can exhaust our nervous system, making it harder for our bodies to deal with the stress we experience on a daily basis.

Symptoms of an overactive nervous system include:

• Anxiety
• Insomnia
• Panic attacks
• Feelings of hopelessness
• Exhaustion
• Hypertension (high blood pressure)
• Poor digestion
• Insulin resistance

Social media prescribes self-care baths, wine, and Netflix as the primary way to de-stress. While these activities may be enjoyable, they are only band aids for deeper problems. Your nervous system requires more than just sitting back and watching TV, it must be reset through targeted healing practices. 

The good news is that these targeted practices can easily be incorporated into your daily routine. Once you begin implementing them, you’ll feel calmer in the face of daily stressors.

 

Why is Calming the Nervous System Important?

The primary (central) nervous system is located in the brain and spinal cord. This is the command center for sending important messages throughout the body. The primary nervous system allows you to breathe, move, think, and function under pressure.

The peripheral nervous system is connected to the central nervous system by branching out across the body to reach all of our organs and limbs. 

There’s also the famous vagus nerve which runs from the brain down through the neck and abdomen and regulates many parts of the body, including the digestive system.

An overworked nervous system can cause your body to enter a chronic fight-or-flight response. This is when your body thinks it’s in danger — even when it’s not.

For instance, when you see traumatic events on the news, your nervous system thinks that you’re in danger even though you are not. As a result, your adrenals release stress hormones, sending your cells into high alert. Clearly, this is not a recipe for a healthy lifestyle.

Keeping the nervous system calm is crucial for a longer, healthier life. In doing so, you’ll replace your anxiety with feelings of contentment and gratitude. Stress will be less noticeable in your daily life, and you’ll give your body space to focus on healing itself — physically and emotionally.

 

How to Calm the Nervous System

Healing your nervous system doesn’t always require prescription pills or fancy equipment. (However, you should consult a doctor if you are experiencing symptoms)

Here are some simple and accessible practices and tools you can use to reset your nervous system. 

1. Deep Breathing Practices

Using deep breathing techniques, you can repair your nervous system naturally. If you’re in a state of panic, box breathing, diaphragmatic breathing, and alternate nostril breathing can help you calm down. Meditation or yoga paired with deep breathing is also a great option, even if you only have 5 or 10 minutes to spare. 

2. EFT Tapping or Acupuncture

You can’t always escape stressful situations. Some days, it may seem that simply existing at your job — or even at home — can cause your blood pressure to rise. If this is the case, Emotional Freedom Technique (EFT) tapping or acupuncture can restore your body’s natural balance.

Originally developed in ancient Chinese medicine, these techniques are used to balance your body’s energy. They are based on the idea that unblocking energy channels can help you release painful emotions.

You can learn EFT tapping at home or get acupuncture treatment from a local specialist. Nowadays, there is even needle-free laser acupuncture for those who dislike needles. 

3. Forest Bathing (Aka, Hiking or Walking Outside)

Grounding, fresh air, and gentle exercise. It is well known that these elements possess incredible healing abilities and are capable of controlling the nervous system. Remember the last time you immersed yourself in nature. After a few minutes with your bare feet on the ground, did you feel your stress start to slowly melt away?

In Japan, forest bathing is used as a treatment for a wide variety of ailments. A simple walk in the trees can do your body and mind wonders. You don’t need to walk for a long time or to go anywhere special – just allow yourself to be fully present and relaxed.

4. Decrease Your Adrenaline Output

Is it possible that watching intense TV shows or listening to true crime podcasts is giving your body a high level of adrenaline? It’s important to remember that your nervous system cannot distinguish between a stressful event on TV and one in real life.

Whenever the body receives large amounts of adrenaline (through a traumatic event or long-term stress), it may begin to crave more adrenaline to get its “high.” This is similar to the adrenaline junkies who climb rocks or seek dangerous activities in order to feel that rush. 

If you find yourself checking off a mental to-do list in the car or in the shower — only to become anxious the moment you face reality, chances are that your body is looking for adrenaline.

Consider temporarily switching out activities that spike your adrenaline for calmer ones. For example, watch all your favorite rom-coms or pick low-intensity workouts next time you’re at the gym. As a result, you will be able to calm your nervous system and help it heal naturally.

 

Benefits of Maintaining a Calm Nervous System 

These tips and tricks aren’t just for calming panic attacks. A reset of your nervous system opens up all kinds of possibilities, such as: 

• Improved emotional health
• Better brain function
• Longer attention span
• Better performance at work and at home
• Decreased risk for disease
• Improved sleep
• Normal blood pressure

Check-in with yourself both before and after you try these suggestions. Can you feel your energy softening or calming? Starting small can help you practice regular nervous system regulation, which is helpful in a time that feels particularly overwhelming. In time, your body will begin to relax and regulate naturally, without the need for quick fixes.

If you’re looking for more ways to regulate your nervous system and manage stress in your life, consider seeking professional support from SF Stress & Anxiety Center. Our team of experienced therapists can help you develop personalized strategies to reduce anxiety and improve your overall wellbeing. Don’t let stress control your life any longer, take the first step towards a calmer, more fulfilling future and book an appointment with us today.

No matter what job you have, it’s normal to occasionally feel anxiety at work. Taking on a new responsibility, giving a presentation to a group, or facing a looming deadline can all ratchet up the pressure, leaving you feeling nervous about performing to expectations and to the best of your ability. However, the anxiety and stress some people experience at work go well beyond the ordinary jitters you might feel over a temporary professional challenge. When anxiety is excessive and/or persistent, it can become debilitating, interfering not only with your ability to do your job effectively, but also with your overall well-being.

Unfortunately, workplace stress that can contribute to anxiety is an all-too-common phenomenon. According to the Occupational Health and Safety Administration, 83% of U.S. workers suffer from work-related stress, with 54% of workers reporting that their home life is affected by work stress. With work-related stress so prevalent, it can be difficult for people to immediately perceive that the level of anxiety they’re experiencing on the job is not healthy. Anxiety and stress do not have to be an invariable feature of professional life, however—it is possible to learn how to reduce anxiety at work for better mental health both in and away from the office.

 

What Does Workplace Anxiety Look Like? 

When people struggle to cope with anxiety at work, that difficulty can manifest in myriad ways. You might find your stomach in knots on Sunday night at the prospect of working the next day. Maybe you procrastinate on work-related tasks, paralyzed into inaction by your anxiety. Or perhaps you can’t focus on what you need to do and end up rushing through assignments or missing key details because you’re so overwhelmed. You may also increasingly avoid new projects, meetings, or work events. While at first, you may be able to power through your symptoms to try to stay on top of your responsibilities, over time, your work performance, work quality, and relationships with your colleagues can suffer.

Physical symptoms can also accompany anxiety about work. These may include headaches, gastrointestinal upset, insomnia (that doesn’t have any other obvious causes), tension and/or muscular pain, fatigue, nausea, dizziness, or even full-blown panic attacks. You may miss work more and more often, either coming in late or taking sick days because your anxiety has become so intense.

If any of this sounds familiar, it’s also likely that you’re not even sure when your work anxiety became unbearable. It doesn’t have to stay that way, though.

 

Tips to Manage Anxiety at Work

There are many strategies for reducing work anxiety, and doing so successfully will require a multi-pronged approach. Here are a few tips on how to manage anxiety at work so you can be happier and more productive at your job.

Pay attention to your overall wellness: While good nutrition, adequate sleep, and regular exercise won’t solve anxiety problems on their own, the lack of them will almost certainly exacerbate the physical and mental symptoms of anxiety. Try to avoid using too much caffeine, alcohol, or other substances as well.

Identify your triggers: Workplace stress and anxiety can spring from a variety of sources: The pressure to meet deadlines. High-stakes presentations for upper management or clients. Conflict with difficult coworkers. Take note of the situations that provoke your anxiety, as this information will help point the way to solutions.

Develop coping techniques: Because it is so easy to get swept up in worry, you should practice coping strategies that will help calm you and keep you grounded in the present moment when you feel anxiety start to build. This might mean meditation techniques, listening to music, breathing exercises, taking a quick walk—what works is highly individual, so experiment to find what works best for you.

Communicate with your employer: Some people may hesitate to tell their employer when they’re struggling with anxiety, and whether you do so is a personal choice. However, the Americans with Disabilities Act (ADA) is designed to protect employees from discrimination due to a physical or mental disability when they are otherwise qualified to do their job, so you should not assume that being honest will have a catastrophic effect on your career. Moreover, speaking up allows your workplace to put reasonable accommodations in place that can help in reducing anxiety or to correct situations that are unintentionally contributing to your stress. For example, if a too-heavy workload or inadequate training is part of the problem, it’s important to let management know so that solutions can be found.

Set healthy boundaries: Some work anxiety can stem from a lack of work-life balance when it feels like you can’t ever escape work responsibilities. Make sure you have clear separations that define your workday, even if you work remotely—this means setting specific hours in which you don’t check your email or work messages and having a defined work space, so you have regular downtime to decompress.

Take advantage of employer-provided resources: If your company offers an employee assistance program, see if it provides benefits that might help you manage your anxiety. Other perks, such as a gym membership, may also help by facilitating useful coping strategies.

Consult a mental health professional: A therapist or counselor can provide valuable expertise and outside perspective on your situation. Often people are inspired to look for a therapist when they’ve already tried to manage anxiety on their own without success, but seeking professional advice doesn’t have to wait until things feel out of control. A mental health professional can help you figure out the cause of your anxiety and make effective changes to reduce it.

 

Finding Relief from Anxiety at Work

At the SF Stress and Anxiety Center, we help clients suffering from work anxiety develop psychological resilience and find balance with evidence-based practices grounded in research. With both in-person and online therapy sessions available, we make treatment accessible no matter how busy your schedule. To be matched with the right specialist who can help you feel more in control of your career and your life, schedule your free introductory phone call with one of our compassionate Care Coordinators today.

 

What Type of Therapy Is Right for Me & What Kind of Therapist Do I Need?

Often, the biggest step in seeking out therapy is deciding you need it—acknowledging that your mental health could benefit from talking to a professional can take courage. Once you’ve made that decision, the next question becomes, “What type of therapist do I need?” Therapy is not a one-size-fits-all proposition, so finding both the right kind of therapy and the right therapist to address your individual needs is essential for getting the most out of your experience. Understanding some basics about your options can help you find a therapist appropriate for your situation.

 

Misconceptions about Therapy

According to the National Center for Health Statistics, the percentage of adults of all ages who received treatment for their mental health increased from 19.2% in 2019 to 21.6% in 2021. This growth may mostly be a sign of the stressful times we’ve all been through in the past few years, but it also shows that seeking therapy is not a rare phenomenon. The truth is, almost everyone will encounter a time in their life when they could benefit from therapy. Some, however, might be discouraged from pursuing it by common misconceptions.

The first misconception is that therapy is only for those with diagnosed (or suspected) mental health conditions. While therapy is beneficial for people who know they’re struggling with anxiety, depression, and other mental health problems, it’s also a powerful tool for dealing with issues that may seem more “ordinary,” such as constantly feeling overwhelmed or stressed out.

Another mistaken view is that going to therapy means you’re weak or unable to solve your own problems. In fact, it takes both strength and wisdom to acknowledge that you could use help and to take action to tackle issues head-on. Finally, therapy is not just talk—it’s a way to help you build self-awareness, cultivate healthier patterns of thought and behavior, and develop coping skills to navigate life’s challenges.

 

Different Types of Therapy

There are many different types of therapy, and the right one for you depends both on your personality and your reasons for seeking treatment. Again, there’s no one “correct” way to approach therapy, and what might be effective for one person may not work as well for another. Some common types of therapy include:

Cognitive Behavioral Therapy (CBT): CBT is a kind of psychotherapy (talk therapy) based on the idea that patterns of negative thoughts and behaviors are a factor behind psychological conditions, and that learning to change those patterns can help you view and respond to challenging situations more effectively. CBT is structured and goal-oriented, taking place over a limited number of therapy sessions.

Dialectical Behavior Therapy (DBT): DBT is another type of psychotherapy based on the principles of CBT that focuses on how thoughts affect emotions and behaviors. DBT is considered especially effective for those who have trouble managing intense negative emotions. Features of this approach include teaching mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation.

Psychodynamic Therapy: Psychodynamic therapy is in-depth talk therapy based on the principles of psychoanalysis. This therapy is focused on the “why” behind thoughts and actions, helping patients gain insight into how past experiences shape their current behavior and relationships. With this knowledge, patients can work on changing patterns that no longer serve them.

Mindfulness Based Therapy: This type of therapy uses mindfulness strategies to develop the ability to experience thoughts and emotions without getting caught up in them. This can help break spiraling patterns of negative thoughts that can lead to anxiety or depression and which interfere with the ability to be fully present in the moment. Therapeutic approaches include Acceptance and Commitment Therapy, Mindfulness-Based Cognitive Therapy, and Mindfulness-Based Stress Reduction.

Couples Therapy: Couples therapy is a means for partners to gain a better understanding of their relationship dynamics and work toward interacting and communicating in a healthier way. While couples might go for counseling to address a specific problem or ongoing frustration in their relationship, couples therapy can also be used proactively to preserve healthy bonds when partners are experiencing a period of transition. For instance, counseling before marriage, when becoming parents, or when one partner is going through a significant career change can help keep a relationship strong in the face of increased stress.

 

How Does Therapy Work?

Therapy is a very individual process, so each person’s experience will vary depending on their treatment goals and circumstances. However, there are some common features you can expect. In your initial appointment, your potential therapist will ask about what brings you to therapy and what you’re hoping to get out of it. They’ll also explain their approach so you can determine if it sounds like the right fit for you. If you have any questions, be sure to ask them. Your therapist will want you to understand how treatment works so you can feel comfortable with the process.

The amount of time you will spend in therapy or the number of sessions you may have will be different depending on the therapeutic approach, your mental health concerns, and other individual factors. Your therapist may also assign “homework”—for example, journaling or exercises to do outside of the office—to support the work you do during your sessions.

 

How Do I Find a Therapist?

When looking for a therapist, many people rely on word of mouth or the recommendations of friends and family. Sometimes this works, but it may not be successful unless your mental health needs and goals are similar to those of the person making the referral. Online directories of providers can also be difficult to navigate, as they often provide limited information about services and may not give you a good sense of what to expect.  

At the SF Stress and Anxiety Center, we know it can be hard to find a therapist to meet your specific needs. That’s why our process starts with a free question-and-answer call with one of our compassionate Care Coordinators to help match you to one of our more than 40 licensed psychologists and counselors. We offer in-person therapy at our various California locations or online sessions via a secure, HIPAA-compliant platform.

Don’t wait to make a positive change. To find the right therapist to help you meet your mental health goals, schedule your free introductory phone consultation with SF Stress today.

The start of a new year is a natural time to take stock of our lives and decide to make positive changes going forward. Often these insights lead us to set New Year’s resolutions around the goals we’d like to achieve: Lose weight. Exercise more. Eat healthier food. Save more money. 

While physical health and finances are typical topics of such resolutions, after the turmoil of the last few years, more people recognize mental health and wellbeing as a priority in the upcoming year. According to a Forbes Health / One Poll survey conducted in November 2022, 45% of respondents cited an improvement in mental health as one of their top New Year’s resolutions.

Just as familiar as setting New Year’s resolutions, however, is the idea that most of those resolutions are doomed to fail. That may make you hesitate to set a goal, but it isn’t entirely accurate. Readiness to change is vital to the success of any resolution, so if you find yourself inspired to do things differently in 2023, you’ve already made a significant step in the right direction. You can also improve your odds by considering how you make your mental health resolutions for the new year. Here are some tips to help set yourself up for success.

 

How You Set Your Goals Matters

Before you choose what aspect of your mental health you want to focus on, it helps to consider that how you set your resolution up can influence its likelihood of success. First, choose realistic goals. Small, sustainable actions that can be maintained over the long term are more likely to lead to lasting change than trying to make dramatic alterations all at once.

Try to set specific goals with concrete steps. While setting a vague goal can feel more flexible, it can also make it difficult to assess whether you’re making progress or to feel like you’re doing enough. For example, if you want to practice gratitude, your goal could be jotting down one or two things you feel grateful for in a journal at the same time each day. Keeping the action simple and attainable will help you build and maintain positive habits.

Most importantly, you should approach your goals with the knowledge that setbacks will happen. Perfection is not necessary to make progress—to use the example above, if you missed a day (or three) of journaling because work was overwhelming, the answer is to pick up again when you can, not quit.

 

New Year Mental Health Tips

It’s one thing to know that you want to improve your mental health in the new year, but another to know where to start. Some simple suggestions to try include:

Paying attention to the way you talk to yourself. People can develop a tendency to judge themselves harshly. Listen to the things you tell yourself internally—would you talk to a friend that way? If not, try to replace negative thoughts with more kind, forgiving words.

Limiting screen time. With current news and social media always at our fingertips, it can be hard to limit exposure even when it stresses us out. However, putting your phone and computer away, especially before bedtime, is essential for allowing ourselves to decompress from consuming a steady diet of bad news or comparing ourselves unfairly to other people’s highly curated versions of their lives.

Taking care of your body. Mental and physical health are linked, so making positive changes for your physical wellbeing can help improve your state of mind. This can be as simple as going for a short walk each day, going to bed a half hour earlier to get more sleep, or adding a serving of fruit or vegetables to your diet.  

Reaching out to a mental health professional. If you’re suffering from anxiety and depression, your own efforts to boost your mental health in the past haven’t been successful, or you’re just feeling stuck, the right therapist can be a catalyst for positive change. You don’t have to wait until things feel out of control to benefit from an impartial listener who can give you a new perspective and techniques to promote better mental health.

 

Individualized, Convenient Therapy

At the San Francisco Stress and Anxiety Center, we know that anxiety and stress impact every facet of your life. We offer accessible therapy in person or online to fit your busy lifestyle. Our evidence-based treatment helps you meet your goals with research-tested, structured, proven interventions. If you’re ready to make your New Year’s resolution for better mental health stick, schedule a free introductory phone consultation with an SF Stress Care Coordinator to get started.

Have you ever had the experience of feeling like things are unreal? Like, you’re in your experience, living your life, doing your thing, but it just feels like a dream?

Called depersonalization (feeling like your self is unreal) or derealization (feeling like the world is unreal), it can be a jarring, unsettling experience. And it not unusual for people who are struggling with severe anxiety and panic attacks.

To clarify, when we talk about depersonalization/derealization, we are talking not talking about an abstract philosophical idea (such as solipsism), a metaphysical insight (such as Zen’s kensho), or a firmly held and acted-upon belief (such as occurs in a psychotic or drug-addled experience).  Rather, this is just a feeling, a sensory experience. You feel like the world is fake and disconnected from you, even though you don’t actually believe this to be the case.

Derealization (I’ll use this term to encompass depersonalization, for brevity’s sake) has been a recognized psychological phenomenon for decades. It is unusual, but not exactly rare; in a 2000 study of 1008 randomly-chosen people, nearly one in four reported having experienced it at some point.

Sometimes, you can simulate this feeling of unreality (in a mild sense) by hyperventilating, by standing up too quickly, or by staring at something (like a chain link fence) for a very long time. You can also bring it on (intentionally or otherwise) by using recreational drugs such as marijuana and hallucinogens.  In any case, derealization feels, well, weird. And when it occurs spontaneously and for no apparent reason, it can cause considerable anxiety and fear.

If you experience derealization, and you try to understand it by Googling it (assuming you even happen to know the word for it), you might come across some things that scare you. You might read that derealization is a feature of psychiatric conditions such as panic disorder, posttraumatic stress disorder (PTSD), and psychosis. You might also read about derealization disorder, which is a chronic experience of derealization. Or, you might read about how it is associated with neurological conditions such as epilepsy, traumatic brain injury, and migraines.

All of that sounds pretty scary. But it really shouldn’t. Because even though these conditions can include derealization as a symptom, derealization neither causes nor indicates these conditions. It’s like how coughing can be a symptom of emphysema, but you shouldn’t assume that your cough means you have emphysema. Statistically speaking, a cough probably just means you have a cold, and derealization probably just means you have anxiety.

However, as is usually the case with anxiety disorders, the problem is not the anxiety itself, but the interpretation of the anxiety. If you experience derealization, you might start to think things like…

• “I’m losing my grip on reality”

• “I have brain damage”

• “This will last forever”

• “I’m not in control of myself”

In my experience, none of those beliefs have ever been valid for any of my clients. However, they can become part of the Panic Cycle, and serve to further amplify anxiety and panic. Because you’re worried about derealization, you become hypersensitive to it, so you think it’s happening more frequently, which makes you more anxious, which leads to more derealization, and so on and so on.

When this is the case, we address it in therapy like we would any other physiological experience that triggers a panic attack. We identify and counter the problematic beliefs, and we practice experiencing it mindfully, without judgment or reaction. We try to understand what else may be feeding the preoccupation with this experience. And often, once derealization is no longer experienced as threatening, its significance fades, and it becomes a non-issue.

 

Anyone with depression can tell you how hard productivity is when you’re fighting this debilitating mental illness. Having no motivation to do anything is one of depression’s many honorable qualities. In order to do anything, you have to fight really – and I mean really – hard to be productive. Some days might come harder than others, and that’s totally okay. Take every day as it comes and try your hardest to focus on the here and now. Fortunately, there are mental techniques and strategies you can employ to gradually regain the motivation needed to live a full life.

1. ACCEPT IT AND DON’T PUSH IT AWAY  

I know it may sound a little counterintuitive, but it is so important that you accept your feelings for what they are and when you are feeling them. The more you try to fight those negative feelings, push them away, or try to bury them – the worse you will feel in the long run. Not to mention, the longer you try to escape those negative feelings, the more guilty and shameful you will feel for having those negative feelings in the first place. It really starts to take a harder toll on your mental and emotional health as well, since you’re essentially making yourself deal with it longer.

So instead, allow yourself to be aware of those emotions that you are currently feeling. Feel them, accept them, and trust that they will soon pass. If you need to cry – cry it out. If you need to go away and take some time for yourself – then 100% do so! Because those feelings will pass. Accepting them as they happen can be one of the most provoking ways to handle depression in the moment.

2. ONE TASK AT A TIME

Tell yourself all you have to do is this one task. Just focus on this one task. Breaking a task into smaller sections will help. Even if your goal is as simple as making yourself three healthy meals today, focus on the here and now. All you have to focus on right now is that it’s breakfast time. Look no further. By breaking your daily responsibilities down into smaller steps, the day might feel a bit less overwhelming, while concentrating on smaller, specific tasks can be easier than attempting to focus on an entire to-do list. Be realistic and don’t set the bar too high, because you don’t want to feel worse if you can’t complete everything you set out to. Remember baby steps are still steps. Even if the task takes you all day, it does not matter. Don’t focus on the logistics of things. You are stronger than you know!

3. SET SMALL GOALS AND REWARD YOURSELF

When depression drains your motivation, you have to work to create new incentive to replace what existed naturally before your mental health deteriorated. This starts with setting small goals. For example, your goal could be cleaning out your closet. If you succeed in that, reward yourself by cooking your favorite meal or watching an episode of the latest TV show. This process of small accomplishments and rewards will help restore your motivation.

As you begin to feel better, steadily increase the difficulty of the goals. Try going on a long run, for example, and rewarding yourself with a small dessert. This makes way for accomplishment which leads to a very good feeling. If you start to feel overwhelmed, stop and re-evaluate your expectations. Eventually the goal can be something as challenging as learning a new skill or trying something you’ve never done. Try different options and see what works.

4. DON’T FEED THE BEAST

Feeling bad about your situation will just make things worse. Depression feeds (and grows) from negative emotions, like self-pity, self-doubt, and fears. It’s impossible to eradicate these thoughts but you can learn to identify them, which then helps you minimize them.

The best thing to do is the opposite! Lift yourself up with motivational speeches or videos and gain insights from them.  If you don’t have time for a whole video then you can always read a few positive quotes to boost your mood.  One positive statement can outweigh thousands of negative ones.  Just focusing on positive statements for a few minutes has the power to transform your whole day. Here are a few examples:

• I love myself unconditionally

• I am STRONG!

• Life wants the best for me. I am OK with where I am right now.

• How I feel matters, therefore I concentrate on aspects of life that make me feel good!

• My challenges bring me better opportunities.

• I am in control of my thoughts and my life.

5. ACTION BEFORE MOTIVATION

One of the biggest myths of the human psyche is that we have to feel like doing something before we do it. Not true. Think of all the things you do that you don’t want to: get out of bed on a rainy Monday, pay your taxes, call your cable company’s customer service line. But we do them anyway.

The same principle applies for things that aren’t so aversive, but are still hard: go to the gym, sit down to study, or clean your kitchen, but here’s the thing: you might think you have to psych yourself up before you can get started, but you actually don’t. Instead, you can go through the motions: put on your gym shoes, crack the textbook, unload the dishwasher, all without feeling like doing any of it. But guess what? Surprisingly often, getting started gathers momentum, which in turn changes your mood. In short, rather than waiting until you feel like getting started, just get started. Then, your mood (and motivation) will catch up. Doing something rewarding makes us motivated to do it more.

When you’re in a funk, go through those motions, even if your heart’s not in it. As you reap the reward of getting stuff done, your motivation will catch up and create a success spiral. Sure, it’s not the same as feeling ready to conquer the world, but it will move you forward, which is what matters in the end.

6. ACKNOWLEDGE YOURSELF 

Surviving any day with depression is a huge accomplishment. You are fighting an incredible war, and each day is a battle itself. Understand this. Scream it from your roof if you have to. Don’t compare your accomplishments to other people’s, because that will get you nowhere. Focus on the positive steps you made today. When possible, congratulate others on their accomplishments as well. Being depressed and trying to be productive is no small feat. But with the proper tools and mindset, you’ll be able to find productivity. You can do this!