Quotes from Richard O'Connor

I realize now that no simple, single-factor theory of depression will ever work. Depression is partly in our genes, partly in our childhood experience, partly in our way of thinking, partly in our brains, partly in our ways of handling emotions. It affects our whole being.

If you are treated like dirt long enough, you begin to fell like dirt

This is a little dirty secret of mental health economics: if you're depressed, you don't think you're worth the cost of treatment. You feel guilty enough about being unproductive and unreliable.

Keep a journal of disappointments, failures, and self-destructive actions. It's important to write this down because these are the kinds of things your self-serving bias will want to forget or minimize.

There is a lot of research to suggest that we feel better overall as we are progressing toward our goals; we have a sense of purposeful involvement, we give ourselves mental pats on the back for being so good and industrious, our self-esteem is enhanced, and our general life satisfaction is raised.

Procrastination is a way for us to be satisfied with second-rate results; we can always tell ourselves we'd have done a better job if only we had more time...If you're good at rationalizing, you can keep yourself feeling rather satisfied this way, but it's a cheap happy. You're whittling your expectations of yourself down lower and lower.

Avoid triggers. If you're an alcoholic, stay out of bars. If you're a depressed or impulsive shopper, don't go shopping. When you have to, go in with a list, rush in, and rush out. If you watch too much television, don't sit in your favorite chair. In fact, move it (or the TV) to another room.

Avoid enablers. These are people who make it easy for you to perform your self-destructive behavior. People you go on a smoking break with. People who encourage you to take risks. Your partner, if he or she encourages you to be lazy or feeds you too much food. Try to enlist these people in your reform efforts, and if you can't, put some distance between you.

People often attempt to compensate for this loss of hope by comforting themselves with "consolation prizes": easy but self-destructive habits like too much TV, too much junk food, too much shopping, not enough exercise, endless video games. And sometimes they distract themselves with riskier behavior: alcohol and drugs, debt,

It seems like the value you attribute to something, more than its inherent value, influences your expectations, and your expectations, to a great extent, influence the life you live.

Perhaps the best antidote and preventive for burnout is the feeling of solid connection with the people in our lives. When we can share our frustrations with family and friends, our burden is eased and we can get new perspectives.

Neuroscientists know now that bad habits have a physical existence in the structure of the brain; they become the default circuits when we are faced with temptation.

People believe they lack will power, but will power is not something you either have or don't, like blue eyes. Instead, it's a skill, like tennis or typing. You have to train your nervous system as you would train your muscles and reflexes. You have to take yourself to the psychic gym—but with the certainty that each time you practice an alternative behavior, you've made it easier to do next time.

Most experts agree that treatment with medication and psychotherapy combined is best, but very little research is being conducted on combined treatment because in the U.S. drug companies fund research, and they're not interested in supporting that conclusion. So psychotherapy for depression became the exception, and a scrip from your GP became the norm.

Depression becomes for us a set of habits, behaviors, thought processes, assumptions, and feelings that seems very much like our core self; you can't give those up without something to replace them and without expecting some anxiety along the way. Recovery from depression is like recovery from heart disease or alcoholism.

Here's a simple intervention to show what a little change in your negative narrative can do. First-year college students who receive worse grades than they anticipate are highly likely to drop out. Some conclude they're just not college material, while others, who have a positive narrative, will absorb the news and decide to work harder.

We tend to assume that our hearts are pure, that we usually do the right thing, that we're better than average in almost every way you can imagine. Of course this is statistically impossible; it's just a comforting delusion. And

Across thirty-two cities worldwide, people in 2006 were walking an average 10 percent faster than they were in 1994.

Each day's practice does some good, and if you slip and fall off your diet or exercise program or mindfulness practice, all that you have learned before is not undone; it's still there in your brain waiting for you to get back in the saddle.

Though there can be other causes, most self-destructive behavior is the result of the fact that we have two minds that don't communicate very well.

We confuse depression, sadness, and grief. However, the opposite of depression is not happiness, but vitality — the ability to experience a full range of emotions, including happiness, excitement, sadness, and grief.2 Depression is not an emotion itself; it's the loss of feelings, a big heavy blanket that insulates you from the world yet hurts at the same time. It's not sadness or grief, it's an illness.

Like alcoholism, depression is a lifelong condition that can be cured only by a deliberate effort to change our selves.

There is clearly a biochemical component to depression, and medication can be helpful for many people, but medication alone is not sufficient treatment for most.

and relationships in the here and now.