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geoduck14 | 5 months ago

Can't people with these type of issues control what they think about?

Can't they have a go-to list of positive things to think about when they notice they are thinking negative thoughts?

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timeinput|5 months ago

I can't.

I have a go to list of positive things to think about.

I have physical tactile things (a small rock I carry around) that brings me joy when I touch it because it reminds me of good times.

It is very easy for me to get stuck in negative thought loops, and no matter how many things I see / feel / hear / ... it doesn't get better (at least in the short term).

The question your asking to me is akin to "can't people control what they see" thinking it's like a movie you can choose to go and attend, when instead it's like "A Clockwork Orange" where in fact I do not get to control what I see.

sindriava|5 months ago

My experience quite often is that if I get in a bad state, the things that usually bring me joy just no longer do. In some cases they even produce more sadness.

sindriava|5 months ago

I think this question stems from a fundamental misunderstanding of how depression works for a lot of people. You're asking "why don't they replace negative signals with positive signals" when the problem often is that the positive signaling mechanism itself is broken. It's like trying to balance a bike that only goes left.

dotnet00|5 months ago

It's like how you can't really help but automatically read text you look at in a language you know well.

It's very hard to control, over the years I've worked on reigning in my negative thinking, but every once in a while I still end up in a spiral of increasingly negative thoughts that don't just go away by focusing on positive things.

fwip|5 months ago

It's not quite as simple as that, but what you describe has some relation to Cognitive Behavioral Therapy. Part of CBT involves recognizing when you're ruminating/spiraling in thought patterns that you want to avoid, and strategies to redirect and break that loop.

lokar|5 months ago

Don’t some religious seekers spend a lifetime trying to control what they think about (or don’t)?

notmyjob|5 months ago

No, but you can think less by reducing your cognitive ability through say drugs and alcohol. Notice how the happiest boomers guzzle the wine and don’t have as many (negative) thoughts.

jerkstate|5 months ago

Unfortunately, alcohol use is also linked to dementia.

IAmBroom|5 months ago

Short answer: no, you can't just "think positive" your way out of mental illness.

Also: Correlation is not causation; we don't know that avoiding these RNTs changes anything in the brain chemistry.

throwaway77385|5 months ago

The only thing I'd add to this (as someone with stupidly depressive and negative thought patterns), is that there are techniques that can help.

The parent comment comes off as flippant, but I am going to assume it's not intended that way.

Learning to think more positively takes an incredible amount of effort. An effort which seemingly never goes away. It just never gets easier. It's like my brain is simply wired to assume the worst, worry and of course just constantly make suicide seem like some kind of great way out. So much so, that when I was younger, I had assumed everyone just walked around constantly wondering whether it'd be easier to just die.

To this day, that's where my brain goes first. Decades of nearly daily thoughts of ending it. BUT and this is the crucial part, to me that was just always part of the noise. It's there, but it's not forcing my hand. I can both live and also constantly think that I don't particularly enjoy just existing for existence's sake and therefore death sort of seems like a viable alternative. I don't act upon it, because I'm too curious to see what's next, for the time being.

Anyway, the techniques that people are often taught in therapy sound simple and obvious, but they are harder to do than one might assume. Especially for people deep in depression.

Gratitude journaling is one of those things. It is quite boring and tedious to write down what one is grateful for in life. To write down every single good thing that happened in a day, no matter how small.

BUT, it sort of forces you onto a track of positive thought. It literally blocks / occupies thought, because it takes effort to do and focuses the mind on the positive, even if for a short period of time.

Similarly, as stupid as it sounds, sometimes it can help to simply sit up straight and smile. There is some feedback loop between pretending to be happy and then sort of feeling a bit happier all of a sudden. Doesn't always work, won't work for everyone and deep clinical depressions are a whole different ballgame.

Exercise is a pretty big one for me as well. As much as I hate it, I always feel better afterwards.

Again, the sum of various small techniques can eventually make a bit of a difference.

I've come to terms with the fact that depression is hard-wired into my brain structure and it's not going anywhere. But, I have also made a ton of new pathways that allow me to more quickly switch into more positive and grateful modes of thinking. And this, in some ways, is like a list of positive things to think, like the parent comment alluded to.

Though without all of the above, I'd also take offense at the implication that depressed people can somehow choose to be depressed and need to just stop being depressed. That notion is ridiculous and has prevailed for (what feels like) centuries of ignorance of mental conditions.