I feel like failing brought me depression. How can I be myself again? How to start again?

One year ago after years of success, I had been through my first failure when it comes to business and school. Since then it has been hard for me to pick myself up and start working again. I procrastinate constantly. I really want to change and start over but it is so hard for me. It feels like I lost interest in literally everything. I just feel like I do not care for anything. All of the things I have been dealing with:
Little interest or pleasure in doing things
Feeling down
Sleeping too much
Feeling tired or having too little energy
Trouble concentrating on things, such as reading the newspaper or watching television
Not wanting to go out with friends, feeling safest in the house
I truly do not know how to be like my old self anymore, Therapy is expensive for me, so if you have any advice or maybe book recommendations (although I think I have read every self-help book there is) it would be helpful.
Thank you very much!
Asked by Eva
Answered
11/21/2022

Hello Eva,

Thank you for reaching out.  It sounds like last year was challenging professionally.  You are feeling the residual effects of last years events and it has made it difficult to focus, see tasks through completion and think about moving forward and changing your current trajectory.  The symptoms you list in your message are consistent with depression and many are listed diagnostic criteria in the DSM for depression.  When going through a professional loss and trying to chart a path forward, it can feel both daunting and broad. 

One thing to consider doing is defining what future success looks like to you and then narrowing it down into a smaller more attainable goal.  Working to set a SMART goal (something that is Specific, Measurable, Attainable, Realistic and Time Sensitive) can help you work towards a larger goal and have something to build off of and scale up.  For example, lets imagine someone wants to improve their physical fitness and they say to themselves "I want to get stronger."  This, much like saying one wants professional success, is an admirable goal but is broad and can feel overwhelming in terms of accomplishing said goal.  A SMART goal for an individual looking to become stronger could be 'over the course of the next two weeks, I am going to go to the gym three days a week to work on my bench press and look to increase the weight I can bench press by five pounds.'  This is a goal that is specific, measurable, attainable, realistic and time sensitive which works towards the broader goal of becoming stronger.  Achieving this goal can provide a tangible data point showing the individual is working towards her goal and can build and scale up towards feeling and becoming stronger.  You have been through a lot professionally and looking to set a SMART goal towards your professional development or increasing productivity could be beneficial for you and create positive forward momentum. 

Another thing to look at are the automatic thoughts you are having about the past negative event.  Documenting the negative thoughts you are having and challenging the negative thoughts with data.  For example, you may be having certain negative thoughts about yourself but you may be overgeneralizing and attributing negative attributes to yourself which can be combatted by data.  You may have had a professional hardship occur last year and be telling yourself you are not successful, but there is data from your life showing you have been successful in multiple instances and this is one negative event that is not indicative of you overall.  I know you mentioned there is a financial barrier currently preventing you from entering therapy.  I hope this has helped in some capacity and would love to expand further if you are able to message or have a session together in the future.

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LCSW, LICSW