Category Archives: Isolation

Despair, Isolation

Signs of the Depressive Experience

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Originally published 16 July 2014

  • Wanting to isolate and be alone
  • Change in appetite
  • Shifts in sleeping patterns (too much/not enough sleep)
  • Waking up early in the morning
  • Fatigability or lack of energy
  • Agitation or increased activity
  • Loss of interest in daily activities and/or decreased sex drive
  • Feelings of sadness, hopelessness, worthlessness, guilt or self-reproach
  • Weeping/Not able to cry
  • Lapses of memory
  • Hard time making decisions
  • Fear of losing one’s mind
  • Reluctance to take risks
  • Difficulty in smiling or laughing
  • Suicidal thoughts
Acceptance, Anxiety, Avoidance, Choice, Courage, Despair, Helpful, Isolation, Mindfulness, Negativity, Positivity, Stress, Suffering

DBT Grounding Techniques – Part 5 Putting It Into Use

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Part 5: Putting It All Together – Creating Your Grounding Ritual

You’ve now explored Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness—each offering powerful tools to help you stay grounded in difficult moments. But real-life challenges don’t always fit neatly into one category. That’s why the final step is about combining these techniques into a structured grounding ritual that you can turn to whenever you need stability.

When emotions overwhelm you, drawing from all four DBT modules can create a powerful and structured grounding ritual. Combining these practices helps you address the physical, emotional, and relational aspects of distress, guiding you toward calmness and control.

By integrating skills from all four DBT modules, you can create a personalized approach to managing distress, regulating emotions, and staying present—even in the toughest moments. Let’s explore how to bring it all together.

Step 1: Pause and Breathe Deeply (Mindfulness)

Start by grounding yourself in the present moment. Mindfulness creates the mental space needed to approach the situation with clarity.

How to Practice:

  • Take a deep breath, inhaling for 4 counts, holding for 4, and exhaling for 6.
  • Visualize your breath as a wave, washing tension out of your body.
  • If your thoughts wander, gently guide them back to your breath without judgment.

Why It Works:
This activates your parasympathetic nervous system, calming your body and quieting your mind so you can think more clearly.

Step 2: Splash Cold Water on Your Face (Distress Tolerance)

Engage your body to interrupt the cycle of emotional overwhelm. TIPP skills are especially useful for regaining control in the moment.

How to Practice:

  • Use cold water, hold an ice cube, or place a cold compress on your forehead or cheeks.
  • Pair this with paced breathing to further calm your system.

Why It Works:
The temperature change triggers your dive reflex, reducing heart rate and calming the body. This brings you back to the present.

Step 3: Challenge the Thought Causing Overwhelmedness (Emotion Regulation)

Once your body feels calmer, examine the thoughts driving your emotional reaction.

How to Practice:

  • Ask yourself: “What triggered this feeling? Is it based on facts or assumptions?”
  • Use the “Check the Facts” technique to reframe exaggerated or unhelpful thoughts.
  • Example: Replace “I can’t handle this” with “I’m feeling overwhelmed, but I can take it one step at a time.”

Why It Works:
Shifting your perspective helps you address emotions logically, reducing their intensity and making them easier to manage.

Step 4: Communicate Using DEAR MAN (Interpersonal Effectiveness)

If another person is involved in the situation, use DEAR MAN to express yourself effectively and maintain the relationship.

How to Practice:

  • Describe the situation: “When you didn’t respond to my message…”
  • Express your feelings: “…I felt hurt and unsure if you were upset with me.”
  • Assert what you need: “I’d appreciate a quick reply, even if it’s just to say you’ll respond later.”
  • Reinforce the benefit: “This way, I’ll know everything’s okay between us.”

Why It Works:
Clear, calm communication reduces misunderstandings and fosters connection, even in emotionally charged moments.

Creating a Flow for Your Grounding Ritual

  1. Pause and Focus (Mindfulness):
    Take 1-2 minutes to ground yourself through breathing or observing your surroundings with the Five-Senses exercise.
  2. Shift Your Physical State (Distress Tolerance):
    Use a temperature-based TIPP skill or self-soothing technique to calm your body. Radical Acceptance of the situation may assist now or at the next stage in this flow.
  3. Examine and Adjust Your Thoughts (Emotion Regulation):
    Check the facts or use opposite action to address unhelpful emotional patterns.
  4. Engage With Others Mindfully (Interpersonal Effectiveness):
    If the situation involves another person, use DEAR MAN or FAST to maintain your boundaries and self-respect while fostering understanding.

Example in Practice:

Scenario: You’re feeling overwhelmed after receiving criticism from a colleague.

  1. Mindfulness: Step outside for a moment, take a deep breath, and focus on the sensation of the air against your skin.
  2. Distress Tolerance: Hold a cold water bottle against your wrists to calm your body.
  3. Emotion Regulation: Ask yourself, “Was their criticism factual, or am I interpreting it as a personal attack?” Reframe the thought: “This feedback is an opportunity to grow, not a judgment of my worth.”
  4. Interpersonal Effectiveness: Use DEAR MAN to address the issue with your colleague:
    • Describe: “When you shared your feedback earlier…”
    • Express: “…I felt caught off guard and a bit overwhelmed.”
    • Assert: “I’d like to understand more so I can improve.”
    • Reinforce: “This will help me meet expectations better in the future.”

Why This Works

By integrating techniques from all four DBT modules, you address the emotional, physical, and relational aspects of distress. This holistic approach helps you regain control, navigate challenges effectively, and build resilience over time.

12 Step Meeting, Forgiveness, Helpful, Isolation, Suffering, The 12 Steps

Humility is not a constant harping on our faults

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“Humility is not a constant harping on your faults and errors and general worthlessness. When you find yourself doing this (like being unable to say anything good about yourself or constantly apologizing or feeling quite unable to do anything even moderately well) remember what Archbishop Fenelon wrote to one of his parishioners,

It is mere self-love to be inconsolable at seeing one’s own imperfections, but to stand face to face with them, neither flattering nor tolerating them, seeking to correct oneself without becoming pettish – this is to desire what is good for its own sake and for God’s.

Humility, self-acceptance and forgiveness are all aspects of the one process where we come to see ourselves as we are and other people as they are. Since we no longer have the pride and arrogance to try to control ourselves and our world so as to make ourselves and our world into something which they are not, we can now be spontaneous. Since we no longer have to hide ourselves from other people, to put a barrier between ourselves and our world, and so feel ourselves to be alive. Since all desire leads to suffering, ceasing to desire perfection reduces our desires and so our suffering. We then know along with Lao Tsu Tau, that,

It is more important
To see the simplicity,
To realize one’s true nature,
And temper desire.

Learning to accept oneself and others, to be courageous, loving, humble and forgiving, and to face death with equanimity, is no small task. But this is what you must undertake if you are to find your way out of the prison of depression.”

Copyright(c) Dorothy Rowe. Depression: The way out of your prison. Second Edition. Routledge and Kegan Paul. New York, 1986. P.230.

For the fellowship,
Hugh S.

Courage, Fellowship, Hope, Isolation, Mutual Aid, People Pleasing, Prayer, Step 04, Step 05

Are you driving with your brakes on?

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I have been known to drive with my brakes on at times. It sure slows things down. Anyway, here is a thought from Anthony De Mallo who shares some positive thoughts on how to navigate through the tough times in our lives.

When you get rid of your fear of failure, your tension about succeeding… you can be yourself. Relax. You’ll no longer be driving with your brakes on.
Anthony De Mallo

When we are depressed, we isolate, we abandon ourselves to what others think about us, who we should be, a life that is lived as someone that we are not. If you can’t be free of what others want you to be, you’ll spend time with the brakes on, afraid to make courageous choice to change!

Depressed Anonymous, is a 12 Step fellowship where we learn how to relax, see ourselves as we really are, restored, and ready for a new adventure, as we thrive and continually prize our newly restored self.

Hugh S., for the fellowship

Acceptance, Choice, Fellowship, Helpful Thinking, Hope, Isolation, Mutual Aid, Step 11, Supportive Actions, The 12 Steps

Change always involves uncertainty

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“When we listen we learn, and to learn means to keep listening. Is there anything today that you have learned by listening. Write down what you have heard that specially applies to you today. Write down what you have learned.
Dorothy Rowe wrote the following:
Dangers,perhaps even greater dangers threaten you if you leave your prison of depression for the ordinary world. There you might have to change, and change always involves uncertainty. The good thing about being depressed is that you can make every day be the same. You can be sure of what is going to happen. You can ward off all those people and events that expect a response from you. Your prison life has a regular routine, and like any long-term prisoner, you grow accustomed to the jail’s security nd predictability. The prison of depression may not be comfortable, but at least it is safe. ”

SOURCES; The Depressed Anonymous Workbook (2002) Depressed Anonymous Publications. Louisville, Ky Page 85. Question 11.19.
*Originally appeared in Rowe, D., Depression: The way out of your prison. Page 127.

12 Step Meeting, Addiction, Community building, Fellowship, Helpful Thinking, Hope, Isolation, Mutual Aid, Purpose, Service, Spirituality, Stinking Thinking, Supportive Actions, The 12 Steps

Good mental health practices help us thrive

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“I believe that for me to finally integrate the spiritual program of the 12 steps into my personal and relational life is to believe that I can live without depression, drinking, gambling, overeating, and whatever else might take all my attention. I can overcome my “stinking” thinking.

One doesn’t tell people at DA that they’ll have to go to meetings for the rest of their lives. But if you really feel that you have learned something about depression, and how to overcome it – one way to continue recognizing the “red flags” in one’s own life, is to give away how it is nowthat you are beating the urge to sad and isolate oneself.

This really seems to be the secret of most good mental health efforts, whether for groups or individuals-namely, give others help and out of all of your own experiences. This will help you from relapsing.”

Hugh S., for the fellowship
(c) The Antidepressant Tablet Volume 4, Number 3, Spring 1993. Louisville, KY. Page 5.

Avoidance, Belief, Denial, Depressed Anonymous, Fear, Isolation, Pain, People Pleasing, Stress, The 12 Steps

Depression and Security

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“Being depressed is a state of great security.Jackie said (client of D.Rowe) , ‘I get very quiet. I don’t want to know anyone. Very angry. I get very hurtful, not intentional hurt, but that’s the only way I can get through to people, so they don’t get any closer. If I hurt them, they’ll stay away and therefore I can be on my own in this depression, and hide behind the mask and just solely by hurting people, being quiet, feeling angry inside and putting the barrier up, that’s how I can keep people away, which I feel helps me in the state of depression.I need to feel safe within the blackness. A fear of being with people. Being really frightened of everything and anybody around you. It’s just so painful. You feel drained of everything. Hiding behind the mask is putting yourself away from the outside world. The world you were frightened of stepping into, but people still seeing you with that smile, the joking, the laughing, and that is where the mask comes on. Behind the mask, I am suffering hurt and pain, rejection, helplessness, but behind the mask and shutting myself within four walls, I feel secure, because none of the outside world can come in unless I let them hurt me.
Because depression gives a feeling of security, the depressed person can feel very much in control. (We are always capable of being two contrary things at once. Depression is always a state of complete helplessness and complete control,) A depressed person can take great pride in being in control.”

SOURCE: BEYOND FEAR. Dr. Dorothy Rowe, Fontana, London, 1987, pp. 307-308.

Published in The Antidepressant Tablet(c) Issue: Volume 4, Number 3 SPRING 1993. Louisville, Ky.

Choice, Community building, Courage, DA Literature, Depressed Anonymous, Depressed Anonymous Workbook, Fellowship, Focus, Helpful, Hope, Isolation, Mutual Aid, Negativity, People Pleasing, Positivity, Purpose, Service, The 12 Steps

Wellness Steps: A personal fitness plan that builds self-esteem

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BUILDING SELF-ESTEEM
1. Appraise yourself: Identify strengths and problem areas.
– Check out the Depressed Anonymous Workbook for a 12 Step self-study of one’s strengths and problem areas.
2. Try changing in small ways. Keeping it simple and manageable.
3. Emphasize your positive skills, talents and strengths. A sponsor will be most helpful in leading you to discover your hidden strengths. When we are depressed and in lockdown, it is hard to see the light. In the beginning, you will let the Da fellowship group serve as the key to unlock your potential.
4. Take what others say at face value- Free yourself from the burden of figuring out others motives.
5. Choose role models you respect. It’s possible that your presence at a DA meeting will discover others who are making the 12 Steps recovery program work for them, finding serenity an hope.
6. Stop activities you don’t like or have an aptitude for. Examples: People pleasing, isolating oneself from friends and family, catastrophic thinking, having negative thoughts about self, not trusting others.
7. Accepting yourself without judgment. Use the “SUNSPOTS” or the “Rule of Threes” to discipline oneself to use what works for you and leave the negatives behind. (See Pages 47-48 in DEPRESSED ANONYMOUS. 3rd EDITION. Depressed Anonymous Publications. 2011.)

Please read the story of Margie, a charter member of Depressed Anonymous, as she shares her story. Personal Stories section.#31. Page 131. Depressed Anonymous.
8. Talk to your friends. This is an avenue that leads you to finding who you are. The DA fellowship, which meets every day.(Check out Website for meeting information). Here in this group, your friends will share how their Journey of Hope gave them a most valuable gift–namely, a choice to work their way out of depression or to continue to live a life of misery and hopelessness.
9. Choose one particular task and do it. Just one task. One small baby step. Keep it simple. Stay in the now–one day at a time. Walk and get out into nature. Walk around the block. Use the TOOLS of Recovery. (See Homepage at depressedanon.com and click onto TOOLS of Recovery menu. You will find an array of ways to begin your own life journey, with a commitment for your own personal wellness and fitness.)
10. Take charge of your life and set goals. Make decisions. Take some risks. Reach out to others for help!

Depression thrives and grows strong in isolation where the depressed individual can spend time ruminating over past defects and self-alleged wrongdoing. The very worthlessness can grow in this darkened environment. But if the solitary confinement is to end, the depressed person has the right and the responsibility to examine the various ways to fight back the isolation, immersing oneself in a supportive and healing environment. If there is no environment where they feel safe and secure, one will have to buildup their courage and get one. You cannot think yourself out of depression. You hold the key that will unlock your prison of depression. We recommend that you start using it now.

Hugh S.

(C) Copyright. Shining a light on the dark night of the soul.: A personal experience for healing the darkness of depression. (1999) Depressed Anonymous Publications. Louisville, KY.
(c) Depressed Anonymous (2011) 3rd Edition. Depressed Anonymous Publications. Louisville, KY. Pages 47-48.
(c) The Depressed Antonymous Workbook.(2002) Depressed Anonymous Publications. Louisville, KY.

Please visit the DA literature store for more information.

12 Step Meeting, Acceptance, Avoidance, DA Literature, Depressed Anonymous, Fellowship, Helpful Thinking, Isolation, Love, Mutual Aid, Supportive Actions, The 12 Steps

Leaving Loneliness Behind (3) – Our Twelve decisions

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DECISION #3. “I don’t expect instant results or results commensurate with efforts that I have made.
One of the mistakes which relatives and friends of those who are depressed make:
A. I have given the person my love and attention. Why isn’t he or she better?
B. I have given the person a good amount of my time and attention, why doesn’t he/she show any amount of improvement?
You can make similar mistakes. You can think:
(a) I have given the them my time and attention, so why aren’t they close friends with me now?
(b) And, I have given this person so much attention, why don’t we have a close friendship now?
(c) I have given them so much of my time, why haven’t I stopped from being lonely?
It can take a person quite a long time to get to know each other, so you need to be patient with other people. It will take you both some time to give up the habit of making friends just on appearances only, when risking the telling to others about yourself. This is not an easy thing to do. We don’t want to be rejected.
We must take into account how any society, has its rules and practices about meeting and making friends. Different cultures and nationalities have different ways of making friends, and even though they are different, doesn’t mean that they are better than my own. They are just different.
We need to spend quality time together to get to know each other. We need to listen to their life stories and they listen to our experiences.
Friendship is not a matter of getting persons to be interested in you alone, as it is about forming a relationship with another.It is most important for you to show interest in the other person.”

Tomorrow: (4) I WILL BE INTERESTED IN THE OTHER PERSON.

12 Step Meeting, Act As If, Anxiety, Avoidance, Depressed Anonymous, Depressed Anonymous Workbook, Fear, Isolation, Mutual Aid, Purpose, Step 01, Step 02, Step 03

LEAVING LONELINESS BEHIND – DISMANTLING THE BARRIERS

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Leaving loneliness behind. Dismantling the barriers.

THE TWELVE DECISIONS
What is loneliness?

“Loneliness is the state of being cut off from other people, through fear of other people. Loneliness is felt as a barrier and an emptiness between yourself and other people. You reach out to other people but the barrier intervenes. You take a step toward other people, but there is no place to put your foot. People come towards you and your loneliness shuts them out.”

“It is your loneliness rather than the absence of other people that leads you to be alone.” Dorothy Rowe. Ph.D
The only person that is going to take your loneliness away is you. This is what you do. You make 12 decisions and carry them out.

DECISION 1. BECAUSE I VALUE MYSELF AND ACCEPT MYSELF I WILL END MY LONELINESS.
In our planned conversation about how to leave our loneliness behind, I have noticed my own presence, as at a Depressed Anonymous meeting, whether on ZOOM or Face to face, each of us is provided a way to risk telling others who we are and what we are not. This presence gradually instills in our mind the fact that “Hey, I feel more with others when I can share.” I no longer feel so alone now. After our sharing at a DA meeting, others in the group connect with who we are.This personal sharing tells others how we intend to live out our lives. We share how our lives were before coming to the meeting of others like ourselves.

I believe this personal sharing and risking things about ourselves, will carry out beyond this one hour of meeting, having a gradual and positive effect in our world where we live out our lives. Now, you are able to maximize a good experience (group sharing) being being accepted and loved. This online group or a face to face group, is like a surrogate family. Whereas, when you were born into a family–not of your own choosing, you make a decision to choose this DA group as your family. I make a choice as to who I share my life. By making the decision, you will begin to value yourself as a worthwhile person. At the meeting, people really listen to what I have to say.

It helps to get close to others by helping them tell us who they are. We will hear their stories. And to get closer to others, you can do this by asking questions, asking how they are, what they are interested in, and other areas of their lives. They will begin to let you into their private world. You will let them into your world. A barrier has been dismantled.

This sharing at our DA meetings, a place of feeling safe,I can allow myself to chip away the barriers that once made me feel alone and afraid. THe old thoughts that we once felt we had to defend ourselves against, by erecting walls, built during our childhood days, will no longer be needed.

It is this first decision that we make, to value and accept ourseves and risk sharing my story with others. This will be the start, for breaking down those barriers which kept me from telling others who I am.

Tomorrow, we will Share Decison 2: “I will take the risk of approaching others.” Stay tuned.

Hugh S.

NOTE: Quotations are from Dorothy Rowe’s “Breaking the bonds. Understanding Depression, finding freedom. Fontana, 1991. London, UK.