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Beyond the Blues: Understanding the Different Faces of Depression

3/31/2025

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Beyond the Blues: Understanding the Different Faces of Depression

Depression is often misunderstood as simply feeling sad, but it is far more complex. It affects how we think, feel, and function in daily life. For some, depression manifests as persistent sadness or emptiness, while for others, it may show up as irritability, exhaustion, or even physical pain. 
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Depression can be triggered by a life event, such as loss or trauma, or it can develop without a clear reason due to genetic or biochemical factors. Understanding the different forms of depression and how to navigate them is essential for healing.
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Different Types of Depression

Depression is not a one-size-fits-all condition. There are several types, each with unique characteristics:

Major Depressive Disorder (MDD)
MDD is characterized by persistent low mood, loss of interest in activities, fatigue, sleep disturbances, and difficulty concentrating. It can make even small daily tasks feel overwhelming. 

Symptoms last at least two weeks but often persist much longer if left untreated.

Persistent Depressive Disorder (PDD)
Also known as dysthymia, PDD is a milder but long-term form of depression. Individuals may not experience extreme sadness, but they feel a constant low-level gloom, low self-esteem, and a lack of motivation for two years or more. This form of depression can go unnoticed because it becomes part of a person’s “normal” experience.

Atypical Depression
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Unlike classic depression, people with atypical depression may experience mood improvement in response to positive events. However, they also struggle with increased appetite, excessive sleeping, and a heavy, leaden feeling in the limbs.
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Situational Depression
This form of depression arises in response to a specific life stressor, such as a breakup, job loss, or major life transition. While painful, situational depression often improves with time and coping strategies.

Bipolar Disorder and Depressive Episodes
Bipolar disorder includes depressive episodes similar to MDD, but they alternate with manic or hypomanic states. During the depressive phase, individuals feel hopeless and lethargic, while manic episodes involve high energy, impulsivity, and decreased need for sleep.

Recognizing the Signs of Depression

​Depression can look different from person to person, but common symptoms include:
  • Persistent sadness or emptiness
  • Loss of interest in activities that once brought joy
  • Fatigue and low energy, even after rest
  • Changes in appetite and sleep patterns
  • Difficulty concentrating or making decisions
  • Feelings of worthlessness or excessive guilt
  • Physical symptoms like headaches or body aches
  • Thoughts of self-harm or suicide (seek immediate help if this applies to you)

Healing from Depression: What Helps?

Recovery from depression is possible, and there are multiple paths to healing.

Therapy and Medication
Psychotherapy, including Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), helps reframe negative thought patterns and develop coping skills. For some, medication such as antidepressants can regulate brain chemistry and alleviate symptoms.

Lifestyle Changes
Regular movement, such as walking, yoga, or strength training, has been proven to boost mood by increasing endorphins. Nutrition also plays a role—foods rich in omega-3s, leafy greens, and lean proteins support brain health. Sleep hygiene is equally important, as poor sleep exacerbates depression.

Connection and Support
Isolation fuels depression, while social support helps combat it. Talking with trusted friends, family, or a therapist can lighten the emotional burden. Support groups and community involvement can also provide a sense of belonging and purpose.
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Mindfulness and Self-Compassion
Practicing mindfulness through meditation or breathing exercises can help regulate emotions and reduce stress. Self-compassion is also critical—rather than judging yourself for feeling depressed, acknowledge your struggles with kindness and patience.

Final Thoughts

Depression is not a weakness, nor is it something you should simply “snap out of.” It is a legitimate medical condition that deserves attention and care. If you or someone you know is struggling, reaching out for support is the first step toward healing. 
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With the right treatment and tools, it is possible to find relief and reclaim joy.

Resources for Further Support

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  • Lost Connections by Johann Hari – A powerful exploration of the root causes of depression
  • Feeling Good: The New Mood Therapy by Dr. David Burns – A guide to CBT strategies for overcoming depression
  • Depression screening tool: PHQ-9, available through mental health organizations and therapists
  • National Suicide Prevention Lifeline (988) for immediate support
​If you're searching for expert support in understanding depression, Thrive Advantage Group offers compassionate, personalized therapy. Our Thrive therapy group provides evidence-based treatment through a secure Telehealth platform, serving clients in Michigan, Florida, and Texas. Let us help you build resilience and regain balance in your life.
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How to Regulate Anxiety: Evidence-Based Strategies

3/30/2025

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How to Regulate Anxiety: Evidence-Based Strategies

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Anxiety is a natural response to stress, but it can interfere with daily life. The key to managing anxiety is to calm the nervous system and retrain the brain to recognize when there is no real danger. In addition to working with your therapist, practicing evidence-based techniques at home can significantly reduce anxiety symptoms. 

When anxiety starts to creep into your daily rhythms, having the right tools can make all the difference. Try these strategies to help you regain control and find calm in the moment.
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​1. Breathwork: Activate the Relaxation Response
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Deep breathing is one of the quickest ways to signal to your body that you are safe. Slow, controlled breathing activates the parasympathetic nervous system, which helps neutralize the body’s stress response. One of the most effective techniques is box breathing. 

  • Inhale for 4 seconds
  • Hold for 4 seconds
  • Exhale for 4 seconds
  • Hold for 4 seconds

Practicing this technique for a few minutes can bring immediate relief by regulating your nervous system and reducing the physical symptoms produced by anxious feelings.

2. Grounding Techniques: Shift Focus to the Present Moment
Grounding techniques help move your attention away from anxious thoughts and bring you back to the present by engaging your senses. 

The 5-4-3-2-1 method is a simple yet powerful exercise:
  • 5 things you can see
  • 4 things you can touch
  • 3 things you can hear
  • 2 things you can smell
  • 1 thing you can taste

By focusing on sensory input in your body and your environment, you can break the cycle of anxious rumination and shift to the present moment.

3. Cognitive Reframing: Challenge Anxious Thoughts
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Anxiety is often fueled by cognitive distortions—automatic, negative thought patterns that exaggerate threats. One common thought pattern is catastrophizing, or assuming the worst-case scenario (e.g., asking “What if everything goes wrong?”).

Don’t stay stuck in these thought patterns—challenge them instead.
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Ask yourself: Is this thought 100% true?
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Reframe it: What’s a more balanced way to see this situation?

For example, instead of thinking, “I’ll fail this presentation,” reframe it as, “I’m prepared, and even if I make mistakes, I can handle it.” Over time, this practice helps rewire your brain to look for opportunities to reframe you thinking to approach challenges more realistically.

4. Progressive Muscle Relaxation (PMR): Reduce Physical Tension
Anxiety doesn’t just affect the mind—it also creates muscle tightness, and in turn, physical pain or discomfort. Progressive Muscle Relaxation (PMR) is a technique that involves tensing and then relaxing different muscle groups, starting from your feet and moving upward. 

This technique trains your body to release stored tension and promotes relaxation.

To practice PMR:
  • Start with your toes. Squeeze the muscles for 5 seconds, then release.
  • Move up throughout different muscle groups across your body, such as your legs, abdomen, arms, and shoulders, repeating the process.
  • Finish the exercise with deep, slow breaths to enhance relaxation.

This is a wonderful tool to practice regularly and improve your body’s ability to release stored-up tension and stress. 

5. Lifestyle Habits: Build Long-Term Resilience
Daily habits play a crucial role in regulating anxiety. Consider incorporating these small but powerful changes into your routine:
  • Exercise regularly: Even a 10-minute daily walk can significantly reduce anxiety by releasing endorphins and decreasing cortisol levels.
  • Limit caffeine: Consider how coffee or energy drinks might be impacting your anxiety. Find alternatives, such as herbal tea or decaffeinated beverages, to enjoy when you’re experiencing overwhelm and stressors in your routine.
  • Prioritize sleep: It sounds simple enough, but the impact of sleep deprivation on anxiety should not be underestimated. Aim for 7-9 hours of quality sleep per night to support your mental and emotional resilience.​

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​Anxiety is a natural response, but it doesn’t have to control your life. 

By practicing these strategies, you can train your brain to react to stress more calmly and regain a sense of control. If anxiety persists, working with a therapist can provide additional support and personalized strategies to help you manage it effectively.

Resources for Further Support
  • Unwinding Anxiety by Dr. Judson Brewer
  • Apps: Headspace, Calm, Waking Up
  • Podcast: The Anxiety Coaches Podcast
If you’re looking for personalized strategies to regulate anxiety and build long-term resilience, our therapist team at Thrive Advantage Group is here to help. We provide compassionate, expert support through our secure Telehealth platform, serving clients in Michigan, Florida, and Texas
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    Author

    Megan Gunnell, LMSW, Psychotherapist and Founder of The Thrive Advantage Group and The Thriving Well Institute. 

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