Psychodynamic Self-Help for Depression
- Scott Smith
- May 19
- 4 min read

Much of modern self-help culture (well, the effective stuff, anyway) comes from Cognitive Behavior Therapy. But - despite what you may have read on social media - depression isn’t always a matter of faulty brain chemistry, negative thinking, or the after-effects of trauma. There are different kinds of depression. Feeling depressed can often be a signal from inside of you that something is wrong. Self-help gurus might advise you to fight these feelings - but it can be incredibly helpful to explore them with curiosity and compassion.
Instead of immediately challenging negative thoughts or repeating positive mantras, what if you invited these thoughts and feelings to come out, into the light, so that you can get to know them?
Why Might You Be Depressed?
One of the most important lessons we’ve learned from psychoanalytic research is that we can never fully understand our own minds. It’s not just that our minds are too complicated to fully grasp: it’s also that there are things about ourselves that we really, really don’t want to know.
The roots of chronic emotional problems are often found in unresolved emotional conflicts, many of which stem from early relationships and experiences. We can end up carrying unconscious burdens (feelings of loss, guilt, anger, shame) that we have learned to hide from ourselves, because being aware of them is just too uncomfortable. Over time, these burdens can weigh us down and leave us feeling helpless and hopeless - either completely empty or else filled with self-loathing.
If, for example, we’ve internalized the harsh, critical voice of a parent, we might be unable to stop telling ourselves how worthless, stupid or unloveable we are. If we’ve learned to suppress our own needs in order to preserve important relationships, we may go through life feeling constantly deprived, or resentful. If we felt repeatedly hurt or betrayed by significant others when we were children, we might find it hard to settle into a long-term adult relationship with anyone.
Recognizing these patterns (and I mean taking the time to really, deeply recognize them) is the first step toward feeling better.
Psychodynamic Self-Help for Depression
While deep exploration is often best done with a skilled therapist, there are psychodynamic techniques and attitudes you can cultivate on your own to begin understanding and easing your depression:
Be curious about your feelings. Try to accept and understand them. Instead of fighting or avoiding your depression, try to approach it with gentle curiosity. Ask yourself: When did you first start feeling this way? Are there particular situations, people, or memories that seem connected to your depressed feelings? What might my depression be trying to tell you about your life, your needs, or your relationships?
Notice repetitive patterns. Psychodynamic work often involves identifying recurring themes in our lives - ways we relate to others, respond to stress, or view ourselves. Journaling about your emotional ups and downs can help you spot these patterns. For example, do you tend to withdraw when you feel criticized? Do you take on too much responsibility for other people’s feelings? Do you find yourself always assuming the worst? One reason why this step is so important is that our reactions to our own feelings can actually make us feel worse. For example, if I habitually hide to protect myself from criticism, I might also be making it hard for anyone to give me positive feedback. And if I do this for years, I may come to believe that everyone criticizes me and that nobody is ever going to treat me kindly.
Explore your early experiences. Reflect on your childhood relationships. Were there times when you felt unseen, unloved, or pressured to be someone you’re not? Our current struggles can echo these early experiences in ways that aren’t always easy for us to see. Understanding this can help loosen the grip of old patterns.
Practice self-compassion. Notice your inner dialogue: Is it harsh or supportive? Try to soften self-criticism and acknowledge your pain without judgment. Treat yourself with the same empathy and respect you would offer a friend. Or, if you feel ready for a real challenge, imagine that you are talking to your much younger self. Would you speak so cruelly to a child?
Allow yourself to grieve. Another common factor in depression is unresolved or unprocessed grief. Have you ever lost someone or something precious to you? Have you ever been disappointed, humiliated, or betrayed? Do you feel as though your most deeply-held wishes or longings will never come true? No matter what social media influencers say, nobody gets everything they want. Nobody. We've all been hurt; we've all lost people or things. Even never having something that you've always wanted (true love? great physical health? a parent you've never met?) is a kind of loss. Could you allow yourself to mourn your losses, big or small? Despite what that self-critical voice might be telling you, grieving is not self-indulgent; it is a necessary step toward healing. Positive self-talk works when it's appropriate, but when you're dealing with an irretrievable loss, it's time to mourn.
Seek connections with other people. Relationships can be stressful and troubling, it’s true - but relationships are also the ultimate source of healing for emotional pain. We are social animals, and we tend to wither and die in isolation. Reach out to trustworthy, supportive friends or family, if you have them. If you don’t have anyone like that, it may be time to find someone who fits that description.
Living More Happily: Small Steps Forward
Recovery from depression is rarely quick or linear, so it pays to focus on small, meaningful changes rather than dramatic transformations. Celebrate moments of insight, self-compassion, or genuine connection. (Talk back to that critical voice that tends to dismiss or minimize things like this.) Over time, as you become more aware of your inner world and more accepting of your emotional life, you may find that the weight of depression begins to lift, and a deeper sense of vitality and authenticity emerges.
If your depression feels overwhelming or persistent, consider reaching out for professional support. There is no shame in needing help; in fact, the willingness to seek support is itself an act of courage and self-respect.
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