Monday, December 1, 2014

Practice of gratitude as an antidote to depression and PTSD

     I have heard and read about gratitude and its positive impact on health for years before the first attempt to apply it to my situation. Every spiritual approach and religion out there teaches about importance and helpfulness of gratitude. In the past twenty years or so scientists have been catching up with the idea as well. For example, Robert Emmons, Ph.D. is a director of the lab at UC-Davis that has been studying gratitude and well-being for many years now. In one of the projects they asked people to keep daily journals. One group was asked to record things they are grateful for, another group was asked to write about difficulties and events causing negative feelings, and the third group was asked to write about any of their daily experiences. The study found that those who kept gratitude journals exercised more regularly, reported fewer physical symptoms, felt better about their lives as a whole, and were more optimistic about the upcoming week compared to those who recorded hassles or neutral life events (Emmons & McCullough, 2003). Other studies showed positive effects of gratitude on the functioning of immune system, mood, anxiety, recovery from trauma, relationships, and so forth. 
    Despite all the overwhelming evidence that practicing gratitude may improve both physical and mental health, I never considered applying those findings to myself. When it was first suggested to me to write in a gratitude journal, I thought my therapist was full of shit. REALLY???? Gratitude journal? What the fuck do I have to be grateful for? Nightmares? Panic attacks? Constant problems with my physical health? Immigration issues? Inability to get out of bed, because I am so fatigued and depressed? Struggling with simple things like making meals for my family and cleaning my house? My anger took the best out of me at that point, and I did not follow up on this idea. Just a year later I found myself so depressed that I was willing to try anything. At that point, my therapist suggested gratitude journal again, and I agreed to give it a go.
    The idea was to write down 3-5 things I am grateful for on a daily basis.  My first entries in gratitude journal had 1 or 2 items. Most of them read something along the lines: “I am grateful that this day is over” or “I am thankful I can go to bed now”. I was NOT sarcastic. This is how I really felt. As months went by my entries became more comprehensive and included a number of different appreciations. I became capable of feeling grateful for good night’s sleep and for enough energy to wash dishes and for play time with my daughter. Few months later I graduated to being thankful­­ for my husband’s sense of humor, my daughter’s curious mind, my body’s ability to practice yoga, and for the safety of my neighborhood. What was happening to me? I believe that my ability to notice good things and blessings in life was developing. It has been exercised daily for a while. So, a year after I started this practice I was more capable of paying attention to and focusing on things that were right. And, I discovered through this practice that there was much more right than wrong with my life. I kind of knew it before, but I did not feel or experience it until I put time and effort into the gratitude journal.
     In addition to my sharpened ability to notice good things, I believe that the practice of gratitude led to improved mood, decreased anxiety, and increased sense of well-being. Since my first gratitude journal, I keep coming back to this practice over and over again. I start making entries on the daily basis, when I notice first signs of depression creeping in. Also, I actively use my journal through the holiday season to stay grounded in the hurricaines of commercialism and entitlement that I observe around me. Some entries in my journal are about big things, like my house or peace and safety of my community; others are about small things like playing with my cat or beautiful colors of fall leaves. Sometimes when I had a difficult day, I read through the journal entries in the evening and they remind me of the wider positive context of my life and help me escape the tunnel vision.
     I highly recommend this practice to anyone struggling with depression, anxiety, or PTSD. If you are willing to try, start with a clean notebook and a pen. Write down today’s date and underneath it describe 3-5 different things you are grateful for today. Then repeat the same thing tomorrow, the day after tomorrow, and daily for two weeks. In the end of the two weeks, read through your entries. Notice how they make you feel. Reflect on how this practice affected you (even in tiniest ways) in the past two weeks. If you noticed any positive effects at all, consider continuing with it.

     Helpful tips about gratitude journal:
  1. You don’t have to write in it every day to get the benefits. Even writing in it once a week could be very helpful. HOWEVER, consistency and continuity are very important like with any practice. After all, you would not go to the GYM just once and expect that this visit will get you in good shape. Right?
  2.  If you feel resistant towards this idea, ask yourself what concerns you. Maybe it seems cheesy to a part of you or maybe it feels like too much work. Maybe a part of you feels hopeless and not willing to try yet another approach only to find it did not help in the end. Acknowledge any and all concerns that you are hearing from different sides of you. Treat those questions and worries as very important. Ask what can help that side feel less worried. And then follow through with that. You may be surprised how easy internal resistances could be resolved once we listen with respect and show desire to work things out.
  3.  Make the experience of writing in the journal pleasing for you. Use supplies that you like. Buy a notebook that appeals to you and that you want to use. Be creative with the journal if you feel like it. Doodling, drawing, writing in circles, create collages, using mixed media, or whatever else that appeals to the different sides of you will facilitate this process and make it more interesting.

If you would like to learn more about gratitude’s impact on well-being and different gratitude practices, check out the following resources:
·         http://www.gratefulness.org/
Thank you for reading,


Irina Diyankova