5.11 Cognitive Basis of Depression

'Stop seeing everything so negatively.' they say. But the cognitive behaviors underlying depression don't allow it. Let's talk about mental reactions and sticky patterns that outweigh false brightsides.

summary

This conversation delves into the cognitive basis of depression, focusing on how neural networks, memory games, language, cognitive inhibition inhibition, outdated working memory, and rumination contribute to depressive states. It explores the mechanisms behind cognitive depression, compassionate views for the state of human suffering, and offers strategies for managing depression through attention training and environmental changes.

takeaways

  • Neural networks, schemas, and representations automatically shape our understanding of experiences.

  • Even singular stimulation events can activate depressive schemas, limiting potential perceptions.

  • Memory biases in depression lead to a resonating focus on negative experiences.

  • Over generalized and explicit memories are unique experiences associated with depression.

  • Cognitive inhibition is ironically inhibited during depression.

  • Working memory cannot update with relevant material under depressive spells.

  • Emotional regulation is hindered by cognitive control loss in depression.

  • Rumination causes or exacerbates depression, anxiety, and PTSD due to a negative focus on the self.

  • Automatic reckoning with the human condition may be the cause of many varieties of cognitive disorders.

  • Training attention can redirect focus away from negativity.

  • Ambiguous or negative social environments spark rumination which leads to depression.

  • Changing environments and behaviors can help disrupt negative neural networks.

  • Understanding the cognitive processes behind depression can bolster compassion and help deactivate negative schemas.

keywords

cognitive depression, memory bias, cognitive inhibition, working memory, overgeneralized memory, semantic memory, rumination, emotional regulation, reappraisal, self-doubt, neural networks




This month, just in time for the holidays and seasonal affective disorder, we discussed the basis of cognitive depression. AKA – the depression that comes from unpleasant environmental events and subsequent thought patterns, not the depression that’s caused by chemical imbalance.

And we did so by examining two articles.

Cognition and Depression: Current Status and Future Directions

Ian H. Gotlib, Jutta Joormann

Annu Rev Clin Psychol. 2010

And

Rumination as a Mechanism Linking Stressful Life Events to Symptoms of Depression and Anxiety: Longitudinal Evidence in Early Adolescents and Adults

Louisa C. Michl, Katie A. McLaughlin, Kathrine Shepherd, Susan Nolen-Hoeksema

J Abnorm Psychol. 2013

The findings?


Neural networks may be responsible. 

These are the broad, spanning, branching structures made by neuronal connections. They are the foundation of “schemas” or “representations” of what we have learned to understand about life. You see a dog, you have a long history of positive experiences with dogs, you automatically assess that contact with this dog will have similar outcomes as past dogs without any thought in between as the neural network representing “dog” gets lit.

The same thing can happen, in a negative sense, with depressive networks.

If you’ve had bad experiences and created negative representations from these experiences, even a single similar-enough stimulation event can activate or prime that enormous grouping of emotional, mental, and physical memories. Launching a brain into the same framework of understanding life and limiting what else it CAN perceive.

This is especially true because it brings up memory biases. You won’t recall your relaxing vacation when it’s incongruent with the tone of your insides. All you can see or remember seeing is similarly-valanced negative material.

This is because:


“like activates like” memories, thoughts, and emotions.

The mind works by resonance. The neural networks and contents within that will be active during a depressing set of circumstances are… depressing. If you’re sad, you’ll remember sad things. If you’re thinking of a potential failure, you’ll see failure everywhere you look.

The brain becomes biased, very easily, towards seeing more of what it’s already experiencing. At the opportunity cost of experiencing or recalling the experience of anything else.

And, memory games don’t stop there.


Explicit memory is also implicated as a problem in depression.

Meaning, wordy memories. Narratives. Semantic recollections. These become negatively slanted very easily and cause perceptions to become equally defined by negativity when they are described by the confines of negative, potentiated, language.

When you’re in a shitty mood, word choice tends to reflect it. When you think in these buttstained words, life begins to take on the same brown tone.

And we also deal with:


Over general memories

In depression, the mind appears to navigate towards a set of memories again and again. But these memories are not appropriate for every situation – they’re over-applied. They come up with inaccuracy.

And research also says that they lack important detail in order to make sense of them.

So an individual returns to the same thoughts and recollections again and again, without access to information that would help lay them to rest.

This can help explain:


Negative interpretations of the unknown

Once we’re feeling negative, as already described, ambiguous or uncertain information begins to appear the same way. Shittily.

The mind predicts what’s around every corner based on what it has experienced in the past and is currently experiencing now. In a depressed state, all it can anticipate is more disappointment coming its way.

How’s the meeting with your boss going to go? I don’t know, probably terribly.

What’s the weather going to be like during this event you were looking forward to? Who knows, I anticipate a hurricane.

We only see what we can see, and our brains gate those perceptions based on what we’ve seen already.


Attentional elaborators and hangers on

The interesting thing is, depression doesn’t appear to make us vigilant in seeking out negative signs. That’s the role of anxiety.

Anxiety causes hypervigilance towards signs of bad things to come.

Depression, on the other hand, causes a hyperfixation what has already happened, which then clouds the ability to have other expectations.

I’m saying, once negative material enters the brain, research suggests that it does not exit. This is because:


Cognitive inhibition inhibition

Depressed individuals struggle to (or cannot) inhibit their thought processes. Normally we have a degree of cognitive control that permits us to disengage from material and redirect attention elsewhere. But this capacity is lacking in depressive spells.

The mind never receives the “stop” signal and instead continues to build the negative narrative on top of the negative thoughts, feelings, and memories that have been crowding the inner experience.

This issue can also be seen in:


Working memory clutter

The depressed person also suffers a loss of working memory function because they cannot update it.

Normally working memory temporarily holds information for us to work with, to manipulate, to make sense of. And then the data is released when it’s no longer “the issue of the moment.”

But in depression, the information that is no longer relevant due to time or circumstance remains in working memory. The mind attempts to process or utilize the information over and over again without making headway. And this comes at the opportunity cost of allowing other information into working memory.

Problem solving, mental clarity, and motivation take a nosedive.

As you might anticipate, this contributes to:


Emotional regulation difficulties

With this loss of cognitive, emotional, and motivational control… we lose access to our best emotional regulation strategies. Instead, often turning to suppression to try to tamp down the unwanted inner events, because attempting to constructively frame or resolve them are too complex of tasks with all the mental activities and deficits already described.

Notably, this means we have a:


Reappraisal ineptitude 

When all we can see, think, feel, and recall is contained in depressive neural schemas and we don’t have the mental capacity to dream wildly outside the box of our own lived experience…. we can’t reframe or reappraise situations.

Rather than finding an alternative, useful, meaning in any event, the mind gets trapped in its original and historical estimations. Perceiving a story and getting stuck with that narrative.

Only once the depressive spell passes can we emotionally regulate and “let shit go” with the help of reappraisal.

This is partially true because:


Lack of motivation for solution finding or implementing

With the life-distorting cognitive behaviors we’ve talked about so far, the sufferer struggles to have excess energy or novel thought or constructive planning capacity to tackle the root of their issues. Those issues, themselves, are veiled behind a confounding inner experience and cannot be seen clearly. And the depressed individual doesn’t estimate that their actions will be fruitful, even if they could create a detailed plan for action.

So, they get stranded in a depressed state with no way out, no way to help themselves, and no imagination that doing so is a reasonable expectation.

None of which is assisted by perhaps the mental behavior that underlies depression, anxiety, and PTSD.

The real culprit that we need to be on the lookout for….


Rumination and depressive symptoms

Rumination is the regurgitating and rechewing of mental material, over and over again, attempting to make meaning of it.

It takes place after life stressors and seems to be connected to the chasm between ideal and merely real. When something takes place that we don’t desire, the mind has to figure out why, what it means, and how it’s causing suffering. It wants to close the gap between what it anticipated and what it was delivered.

Rumination is connected to semantic memory, it seems to decline when perceptual memories are tagged into the ring.

And rumination centers around discrepancies in self-image versus self-experience. AKA the ego is involved. When a person’s sense of self or self-concept is challenged, the mental response is rumination about what went wrong and what it suggests about them, their safety, their capacity, their future.

We won’t go into the neurobiological components of rumination here, but understanding the ruminatory circuit explains the experience and provides clarity on the vicious cycle of emotion, memory, self-appraisal, and disjointed autobiographical processing that characterizes the cognitive behavior.

The point here is? Rumination is a self-focused obsession – for sake of staying safe. In order to navigate the planet and a lifetime safely? One has to understand who they are and what they are capable of.

This is where rumination takes over.

And leads, indisputably, to heightened, prolonged, and more chronic depression and anxiety symptoms.


Solutions

Beyond self-understanding and compassion-offering… I do hope you’re seeing that depression is out of one’s personal control and is a result of the tragic human condition… what can we do with this information? We’re doing two shows on this, so I’ll just give you a taste.

Train attention

If we can strengthen the ability to inhibit attention and redirect it elsewhere, we can help ourselves with the elaboration and rumination problems that come with depression. Re-opening our perceptions so positive information can sneak through. Then, assisting neutral or positive neural networks to get some action. Easier said than done, so I recommend the ole “imagine a giant stop sign” trick.

Use the body

We can also try to get out of our wordy thoughts and memories, and instead engage with the world through sensory perception. As much and as often as you can stop narrating your life or semantically processing information, you can help retrain your brain to experience and process through emotions and sensations, instead. This circumvents some of the depression and rumination issues with biased language and obsessive verbal processing. Feel shitty! Don’t try to explain it away or write novels about the experience.

Avoid negative social environments

Another thing we learned about rumination? It’s often socially-mediated. Because it involves the self (small s), it’s provoked by fears about how others are seeing and estimating us. So, being in difficult social environments? Not an effective way to avoid rumination. A highly effective way to lay awake at night, fearing how you fucked up. Which will exacerbate every issue we’ve spoken about today. When depressed? Get into socially supportive environments. Or, at least, move away from socially destructive ones that cause self-doubt and self-vigilance.

Remember that change is key

Going back to our neural networks… if they’re vast collections of stimulation events linked to mental and emotional patterns, what does that suggest? Aspects of the environment that existed during previous depressive spells can elicit activation of negative schemas and depressive networks. And with every bout of depression, NEW stimuli are added to the network, so that it’s ever-expanding and more-easily activated.

That means?

Don’t live or work or bedrot in the same place as you’ve been chronically depressed, time and time again, for years or decades. Unless you want this to become your constant state. You might be provoking or sustaining depression, through simply observing your environment (unconsciously). And the admission price – the activation threshold - for entering that depressive state will only decrease every time you have a spell.

Change is key, so your mind can stop revisiting the past, calling it the present, and expecting that nothing else can happen in the future.


Wrap

And with that… I hope this episode has helped explain the cognitive bases of depression! It’s not about “choosing to think bad thoughts” or “refusing to look on the Brightside.” It is about the workings of a stupid fucking human brain, obsessed with understanding it’s utility and safety on earth. And all the cognitive behaviors that follow, deepening and extending depression, at the direct expense of the cognitive behaviors that would actually help a fucker to escape from the prison of the depressed mind.

This was an excellent series, if I do say so myself.

Til we talk again next time, you know…

Hail yourself.

Take care out there.

Learn about the brain so you can outsmart its well-meaning antics.

And I’ll talk to you soon.

Cheers.

Resources

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