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We’ve Got Depression All Wrong. It’s Trying to Save Us.

If depression is the emotional expression of the immobilization response, then the solution is to move out of that state of defense. Porges believes it is not enough to simply remove the threat. Rather, the nervous system has to detect robust signals of safety to bring the social state back online. The best way to do that? Social connection.

For people who don’t prefer social connection, I’ve seen that exercise works well

Edit: just want to highlight that polyvagal theory, the main point behind this article, is unsubstantiated thus far

https://en.m.wikipedia.org/wiki/Polyvagal_theory

46 comments
  • Overworked is my depression.

    I once was a recluse I didn't go out for months at a time. Most mentally lucid and healthy I've felt.

  • When people are told that depression is an aberration, we are telling them that they are not part of the tribe. They are not right, they don’t belong. That’s when their shame deepens and they avoid social connection.

    And that's not the only reason people are made to feel they're not part of the tribe, that they don't belong. There are many things in this modern (post modern?) world that cause us to become alienated from other people, even and especially those in our own community. The nature of community itself has changed. Many relationships and social institutions feel more tenuous or impermanent.

    It's a vicious cycle: people feel alienated from others, it causes them stress, the stress causes anxiety, that leads to the immobilization response and depression, the effects of the anxiety and depression cause people to become further alienated from others, and the process accelerates and perpetuates.

  • I have to somewhat agree with the author. My experience and understanding of depression is that it is more of a (sometimes very persistent) symptom than an underlying cause. Ideally, we would all have the guidance to deal with depressing scenarios, but similar to dissociation during trauma, our mind defaults back to disconnection to limit the pain.

    I’m not saying this is every case, but I do think as a society we could view depression more as a coping strategy, and try to replace it with healthier practices. After time, it takes more time and effort and support to replace those coping strategies, but that is essentially what psychotherapy does.

    I think too often in the modern world people tend to just shrug and say “this is who I am,” instead of trying to improve their coping skills and quality of life. Like another commentor mentions, this becomes a feedback loop of depression feeding depression and takes immense support and effort to curve and should absolutely not be shamed.

46 comments