Depression: distraction, activities and creativity

No one we talked to found that rumination (over-thinking issues in your head), was helpful in depression. In fact, the reverse was true: rumination could make negative thoughts worse. As one man said, initially, ‘you don’t know which is right, whether to look inwards or outwards.’ Clearly though, chewing over issues while depressed, without a skilled counsellor or therapist to guide you, was of little help to anyone.

Any kind of distraction from the tendency to ruminate (e.g. such as counting different coloured cars) can give at least temporary relief from depression. However, for better relief from depression in the long term, distraction is just a first step.

The second step was to replace inactivity and rumination with meaningful activities. It was pointed out that initially, the meaningful activity could be very small (e.g. getting out of bed, getting dressed, going for a walk or baking bread). As one man explained, to people who are depressed, these apparently small achievements are as important as the larger achievements of people who are not depressed.

Says that you may only be able to tackle small activities when depressed, but you can progress to…

Age at interview 35

Gender Male

Age at diagnosis 17

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The third step is to try engaging in more difficult activities. One man used all his energy to push himself to go to the gym every day during his depression and he also found he got distracted by Wimbledon! Another isolated man eventually started to play bowls, and was able to make valued friendships as well as become ‘one of the boys’ – something he had longed for in life. One young man was initially sceptical that his doctor’s advice to ‘do just physical things’ could work to help lift his depression. Nevertheless, he was pleasantly surprised to find that gardening made it easier for him to defeat negative thoughts.

While very depressed, doing exercise helped to fill in the day, and watching Wimbledon also…

Age at interview 45

Gender Male

Age at diagnosis 45

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Says that having a hobby can distract from negative thoughts as well as provide meaningful…

Age at interview 73

Gender Male

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His doctor recommended physical activities, so he took up gardening, even though sceptical, but…

Age at interview 31

Gender Male

Age at diagnosis 17

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One very depressed woman often forced herself to get out of bed and do gardening while very depressed. She found being active in nature distracting and beneficial for her wellbeing. There is research evidence to support the view that just being in nature reduces stress, increases positive thinking and aids concentration (Townsend & Mahoney 2004).

Several people emphasised the benefits of creative activities, such as writing poems, singing, drawing and painting, as an important outlet for feelings. People frequently said that feelings during depression are difficult to put in words, yet they could find an outlet in creative activities. One woman was able to get an NHS referral to a Day Centre. She believed that being able to attend the Centre every day during her depression and engage in creative activities, exercise and companionship was a saviour. Some fortunate people were able to express themselves creatively in paid work. Some people wanted to express their creativity on our website, by reciting a poem they had written or singing a song.

Feels people need to find ways to express their feelings (e.g. poetry, music, dancing) so that…

Age at interview 33

Gender Female

Age at diagnosis 24

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Wrote a poem called ‘Time in hospital to express her experiences of working and living in a…

Age at interview 43

Gender Female

Age at diagnosis 40

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An NHS Day Centre near her home offering creative activities was a welcome distraction from her…

Age at interview 55

Gender Female

Age at diagnosis 53

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Has chosen work that is creative and allows him to express himself, connect with others, and help…

Age at interview 45

Gender Male

Age at diagnosis 32

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Recites a poem she wrote while depressed in hospital.

Age at interview 33

Gender Female

Age at diagnosis 24

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Sings a song where he wrote the last verse.

Age at interview 69

Gender Male

Age at diagnosis 39

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Some people started doing voluntary work in their areas of creative interest. Not only were such jobs satisfying and beneficial to their wellbeing, but unpaid work sometimes also led to paid employment.

Says that doing voluntary work can be enjoyable and less pressured than paid work, helping you to…

Age at interview 36

Gender Female

Age at diagnosis 34

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Depression: managing the mind

Everyone we talked to engaged in a conversation with themselves in their minds. Even when very young, some people said they thought negatively about themselves,...