I. TWO
PRIMARY MODES OF TREATMENT FOR DEPRESSION
A.
Biochemical Approach
B. Counseling Approach
- for feelings of sadness or irritability
that won't go away
II. RECOGNIZED
SYMPTOMS OF DEPRESSION
Loss of interest or pleasure in activities you used to enjoy, such as
hobbies
A change in
weight or appetite
Sleep
disturbances, such as trouble falling asleep, waking up too
early or
oversleeping
Feelings of
guilt, lack of self-worth or helplessness
Decreased
ability to concentrate
Fatigue or loss
of energy
Restless or
slowed activity noticed by other people
Thoughts about
life not being worthwhile, or about suicide or death
KEY: Persistence of symptoms
III. COGNITIVE
APPROACH STUDY VS. DRUG TREATMENT
Main Principles of the Approach:
A. Your moods (depression, anxiousness, fearfulness, feelings of guilt)
are
created by your "cognition" or thoughts.
NOTE:
Cognition refers to the way you look at things--your
perceptions, mental attitudes
and beliefs
B. When you are feeing depressed, anxious, your thoughts are dominated
by a pervasive negativity. And these negative thoughts you have
seem more and more to be reality to you.
C. The negative
thoughts, which cause the emotional turmoil, nearly
always contain gross
distortions; they are twisted, are irrational.
Some
examples:
COMMON
IRRATIONAL IDEAS
1. It is a dire necessity to be loved and approved of.
2. I should
be thoroughly competent, adequate and achieving in all
possible respects.
3. Some
people are bad, wicked or vile and should (or must be)
punished.
4. If things
do not go (or stay) the way I very much want them to, it
would be awful, catastrophic or terrible!
5. Unhappiness
is externally caused and I cannot control it (unless I
control the other person).
6. One should
remain upset or worried if faced with a dangerous or
fearsome reality.
7. It is easier
to avoid responsibility and difficulties than to face them.
8.
I have a right to be dependent and people (or someone) should
be
strong enough to rely on (or take care of me).
9. My early
childhood experiences must continue to control me and
determine my emotions and behavior!
10. I should become
upset over my and other people's problems or
behavior.
11. There is
invariably one right, precise, and perfect solution and it
would be terrible or catastrophic if this perfect solution
is not
found.
12. The world (and
especially other people) should be fair and justice
(or mercy) must triumph.
IV.
DESCRIPTION OF COGNITIVE/MOOD ORIGINS
A. Stimuli: World of experiences affecting all sensory
modes
B. Brain processing: You interpret the events with a
series of
evaluation (+ - 0) that affect your thoughts (internal dialogue)
C. Moods: Your feelings are created by our thoughts and not
the
actual events. Your brain gives a meaning to all experiences before
an
emotional response is triggered.
V.
THOUGHT REFORM THOUGHTS
Six Major Cognitive Distortions:
A. ALL OR NOTHING THINKING
Definition:
Tendency to evaluate your personal qualities or life in extreme,
black-or-white categories. It's seeing life in boxes of absolutes.
Examples:
"I'll never be able to find another group of people to care
about me
like Worldwide Church of God/Philadelphia Church of God/etc.
did."
"My life is a total mess. I've screwed everything up."
"No one really loves me. I'll be left alone forever with no
one with
which to share a future."
"No one understands me or cares how I feel about
things."
"I'll never be able to fit into this world system. I
just don't belong."
"I'm always making stupid choices in life. I let myself be
deceived
and exploited. I'm
a total failure."
"I'm forever ruined because my parents raised me in a
cult."
B.
OVER GENERALIZATION
Definition:
Occurs when you expect uniform bad luck because of 1 or 2
bad
experiences.
You assume that once something has happened to
you, it will continue to occur over and over again.
Examples:
"I've
lost all my close friends that were in the
group. I know I'll
never find any close friends
like that
again"
"My
dad 'used' me; the deceptive leader 'used' me. I
can't trust
anyone anymore."
John (or
Julie) broke up with me. I'll never be
able to have a
loving relationship with anyone
again. I'm gonna be
miserable and
lonely the rest
of my 1ife"
C. JUMPING
TO CONCLUSIONS
Mind Reading:
Definition:
You
assume that others or God look
down on you without
checking the validity of the assumption.
Examples:
"God must really be ashamed of me for
messing up.
I know he'll
never be close to me anymore"
"My dad (or mom) probably thinks I'm a total
jerk for falling for
this
group. They'll never think much of
me or my judgment
again"
Fortune-Teller Error:
Definition:
You look into the future and only see
disaster.
Examples:
"My future is hopeless. I've messed
it up
royally, how can it get
better?"
"Without
a group to belong to, I'm doomed to live a life that doesn't fit in
anywhere."
D.
EMOTIONAL REASONING
Definition:
Your emotions seem to be evidence for the thought.
Examples:
"I feel inadequate, therefore, I must be
inadequate"
"I
feel guilt, therefore, I must have done
something bad"
"I must be a bad
wife/husband because my marriage is not
very good"
E.
SHOULD STATEMENTS
Definition:
It is imposing thinking that makes you feel guilty about something
without ever helping you to do something about it.
Examples:
"I should have meditated longer, then I'd have more peace in my
life."
"I should have prayed more about this relationship, then it would
have worked out better."
"I should lose weight. I'm too fat. I should be more disciplined
about this thing. I should work hard at sticking to this diet."
"If I work hard at something I should get it or people shouldn't
have treated me that way. I wouldn't have treated anyone that
way."
F.
MENTAL
FILTER
Definition:
Is when you seize a negative fragment of a situation and dwell on
it; it's like wearing a special lens that filters out everything
positive.
You soon conclude everything is negative.
Examples:
"The whole cult/cultic experience was a waste. I've lost
eighteen years of
my life for nothing.
"People are basically cruel and insensitive. My leader was no
different than anyone else. Life is a crock."
G. CHALLENGING IRRATIONAL
THOUGHTS
1. Identify automatic, irrational thought.
2. Name the cognitive distortion
3. Challenge the thought, rationally.
VI.
COGNITIVE FOCUSING IS GOOD FOR EXITERS
A. Stops Cliché thinking/responding.
B. Retrains cognitive channel vs. subconscious modes of stress
reduction.
NOTE:
It is recommended that the reader take a sheet of paper and divide it
into the following four columns and then challenge your own irrational
thoughts (cognitive distortions) and replace them with rational
(cognitive) re-thinking.
An
example is as follows:
| Date |
Automatic
Thoughts |
Cognitive
Distortions |
Rational
Re-thinking |
| Jan. 1 |
I
feel so guilty. |
Emotional
reasoning |
Anyone
can be deceived. If
I had all the facts ahead of time I wouldn't have joined. |
CRITERIA
FOR BEHAVING RATIONALLY
(In my
own best interest)
Would
my feeling or acting this way be:
-
Thinking
objectively about the actual facts and considering real
probabilities?
-
Life
preserving?
-
Likely
to get me what I want? Long term goal producing?
-
Likely
to let me feel the way I want to feel?
-
Likely
to get me into or keep me out of trouble?
These
criteria are rational for you so long as you prefer life to death
and happiness to pain.
HOW
DO YOU CHANGE A BELIEF?
-
You
recognize what the belief is and that you can change
it.
-
You
stop acting or thinking on the basis of the old belief.
-
You
substitute a new, rational, and more personally meaningful
belief for the old one.
-
You
act in light of the new belief.
-
You
continue to behave in the rational new way, even
though it feels to act this new way. That will
cause the new belief to become real and part of your
"natural" behavior (if you persist).
Adapted from an article by Barbara Martin, M.A.
Using Cognitive Re-thinking
After Exiting the Armstrong groups:
The following has proved
helpful for Christians who have exited any of the abusive, authoritarian, Herbert W. Armstrong groups and are having anxiety attacks, or triggers,
due to fear programming in regard to the group's twisting of the Bible. (Note:
These suggestions are best utilized in conjunction with a
knowledgeable, supporting, safe person; i. e., a professional Christian
counselor who utilizes the cognitive approach and also understands the
effects of trauma. Therefore, if you find any of this
difficult, or impossible to
implement in your situation, and/or your symptoms are increasing, don't hesitate to seek
qualified outside
professional help.)
NOTICE:
If you are struggling
with any kind of destructive behavior; i. e., suicidal behavior or
self-injury, Dialectical Behavior
Therapy (DBT) has been found to be helpful. This kind of therapy
helps survivors to use tools to control moods that can go out of control
very rapidly.
As one child survivor (who
underwent DBT) told us: "When you feel powerless,
you feel hopeless. Once
you realize that you have the power to change things in your life, you
will not feel you have to wait for people to be good to you. You have
the power to choose a better option."
Fear and Anxiety:
Anxiety is "fear-driven."
Fears are to the depth that we are afraid they
will destroy us. It might be tied
in with the fear of death, fear of rejection, or fear of abandonment.
In order to
lessen anxiety attacks, we can try and get in touch with the fears, or triggers, by asking questions outloud during the attack. While
it may take awhile to get in touch with what is causing the fear, we
address our fears (what we are afraid of) the best with the facts; i. e., the truth.
- What am I afraid of?
- Cognitive Distortions: "I am afraid of being in the Great Tribulation!" "I'm afraid I'm going to die!" "I'm afraid I
won't gain eternal life!" "I'm afraid God will punish
me!" "I'm afraid God will abandon me," etc. Then confront these fears with the
facts (i. e., the truth).
- What is the truth of the
situation?
- Cognitive Re-thinking:
"Christ has promised to be with me
always and that He will never leave me." "He has promised He will help me
through any and all circumstances," "Jesus
says no one can take me out of His hand," "Nothing can
separate me from His love," "He took all my punishment
on the cross," "My salvation is not contingent on my works; it's based
on His grace alone."
By asking yourself what you are afraid of and then confronting
the fears with the facts (the truth), you are engaging in what is called cognitive
re-thinking, which was talked about in the beginning of this article. Once you ask questions, it starts to make you think, and
once you realize that it's nothing more than an unfounded fear, and that God's perfect love casts out fear, you can
begin to make progress. Even though recovery can be a long process, this
is a step in the right direction.
Note: If you are having panic
attacks, read: How to Walk Yourself Through
a Panic Attack. (This also links to how to do diaphragmatic breathing.)
Often times a trigger will set
off anxiety. For instance, a certain person, place, or activity may come across to you as a minister
or someone else from your former group, and you suddenly find yourself filled with guilt,
fear, or anger.
Or you may feel you have failed Christ because you aren't as "good" as
a certain
other person. Confront this lie:
- Cognitive Re-thinking:
"Christ accepts me even when I fail." "I don't have to
perform
for God." "I am complete in Christ; He loves me." "Why
do I
need others to affirm me?" (Read the
implications of knowing you are
accepted by Him.)
It takes time to get over the impact of certain people's unthinking
comments. (Read: Amazing Words That Have Been Said
to Exiters). But it will help to say words such as the above (you
can think of others), reminding
yourself of the truth of the Word of God and that you are no longer
being controlled by the leader or the group. The truth replaces the lies
we've been fed.
Writing about your thoughts and feelings in a personal journal (and or
emailing them to an accepting, supporting friend) helps to process painful thoughts,
as it helps get them out of your head and down on paper where you can
begin to make sense of them. (Read: Where Do the Feelings Go? (includes
a section on "How Do I Go About Writing and What Do I Write About?") You may
also want to write poetry or draw
pictures
(whatever helps you).
Guilt is something
that almost all survivors of religious abuse have. (Read: An End to Guilt)
You may also have been made to feel guilty when you were young, and then the
exploitive group capitalized on that and made you feel even more guilty. Confront
this lie:
- Cognitive Re-thinking:
"Jesus took all of my guilt and sins upon Himself
when He offered Himself as a sacrifice." "He became a curse
for me on Calvary,
and I am not under any condemnation anymore. He accepts and loves
me completely."
It's normal to take things intensely when one has exited an abusive
group, but with support, survivors of Armstrongism can recover from the spiritual
abuse they have suffered. If you try to go it alone, it will take much
longer to recover. Often it takes
the outside intervention of a knowledgeable, caring Christian counselor in order
to make these spiritual truths become a part of you, but each year you will be
able to look back and see the improvement in
yourself.
Also read about
Cognitive
Dissonance and how it was used in Herbert W. Armstrong's Worldwide
Church of God and in its authoritarian offshoots.
What Were the Lies and What is the
Truth? (replacing HWA's fear-based statements with the truth from
the Word of God)
Panic
Attacks [from our Links]
Where Do the Feelings Go?
(covers processing painful thoughts; includes a section on: "How Do I Go About
Writing and What Do I Write About?")
My Position in Christ (accepted and secure forever)
Back
to Articles For Those Who Were Emotionally and Spiritually Abused