Depression tends to make us see things through a negative filter. It can flood our minds with dark and painful thoughts, blinding us from seeing any of the positives in our lives.
With depression, it’s easy to find ourselves ‘stuck in our heads,’ caught in spirals of negative thinking. We may have a critical inner voice that repeatedly reminds us of past mistakes and flaws, constantly worries about the future, or endlessly compares us to the people around us.
Dealing with depression can be a confusing experience, often making us feel like it’s us against our minds.
Negative thoughts, also known as cognitive distortions, can be a source of chronic stress, damaging our overall health and continually dragging down our mood. They can manifest as incorrect assumptions and unrealistic self-criticisms, convincing us of things that aren’t true.
Common negative thought patterns include:
- All-or-nothing thinking
- Over-generalization
- Jumping to conclusions
- ‘Shoulds’ or ‘Musts’
- Self-blame
We’ll go into more detail on these and others patterns on the next page.
Negative thinking is a major component of depression, so we need to learn strategies to manage these thoughts. One of the best tools we can use to combat negative thinking is called “cognitive restructuring”.
What is Cognitive Restructuring?
Cognitive restructuring, a technique of Cognitive Behavioural Therapy (CBT), is a strategy that helps people change the way they think. The goal of cognitive restructuring is to replace stress-provoking automatic negative thoughts, or cognitive distortions, with healthier, more balanced thoughts.
Even though our thinking may feel automatic and beyond our control, with the right techniques and practice, we can learn how to restructure negative thoughts.
The more we recognize how depression distorts our thoughts, the less influence depression will have over us.
Steps to Restructure Thoughts
This course will guide you through four key steps of cognitive restructuring, breaking down and explaining each one as we go. These steps include:
Step 1: Identifying the triggering situation
This step involves recognizing what initially sparked our negative thoughts. For instance, we might think:
- ‘I made a suggestion at my workplace’s meeting, but my idea did not get implemented.’
Step 2: Recognizing the automatic negative thoughts activated by the triggering situation
Here, we uncover how we’ve interpreted the triggering situation, identifying negative biases or incorrect assumptions that are part of our thinking. Continuing the example above, we may then think:
- ‘I have no good ideas. People think I am stupid. I am a terrible employee.’
- (This automatic thought reflects multiple cognitive distortions, as we will explore on the next page)
Step 3: Identifying one’s feelings and behaviours in response to the negative thoughts
This step involves reflecting on our emotions and any actions resulting from them, helping us to better understand their impact. From the example above, our thoughts may result in:
- Feelings: Embarrassed, disrespected, stupid, stressed.
- Behaviours: I stayed to myself the rest of the day and did not talk with any of my co-workers.
Step 4: Challenging and replacing the negative thoughts
To help challenge our thoughts, we need to first convince ourselves that they may not be true. In Part 4 of this course, we’ll explore two different strategies. Here, we’ll use the “Putting Thoughts on Trial” technique to expose inconsistencies or unfair assumptions we are making.
By the end of this course, we aim to:
- Better identify our thoughts and understand how they impact us.
- Shift our thoughts to be more realistic and adaptive.
- Confidently use cognitive restructuring in both:
- The moments before our thoughts spiral
- When looking back and reflecting on tough situations
Ready to take back control of your thoughts? Let’s get started by exposing the most common negative thought patterns we can fall into.