Depression has been called the worlds number one public health problem. In fact, depression is so widespread it is considered the common cold of psychiatric disturbances. But there is a grim difference between depression and a cold. Depression can kill you.

What sentence will you choose to impose on yourself? Are you willing to stop suffering and making yourself miserable when your sentence has expired? This would at least be a responsible way to punish yourself because it would be time-limited.

What is the point of abusing yourself with guilt in the first place? If you did make a mistake and act in a hurtful way, your guilt won't reverse your blunder in some magical manner. It won't speed your learning processes so as to reduce the chance you'll make the same mistake in the future. Other people won't love and respect you more because you are feeling guilty and putting yourself down in this manner. Nor will your guilt lead to productive living. So what's the point?

Learning to accept failure on multiple levels is, to my way of thinking, the key to become a world-class therapist. But that means humility, and setting your ego aside, while you develop superb new technical skills.

If a hungry lion suddenly appeared, you'd be terrified. So terrified you'd probably run away. Great, fear's doing its job. But you might get so afraid that you lock up and can't move. This would be very bad. Guilt's the same. It can prevent you from fixing the situation, make you feel so bad you can't function at 100% and even lead to more guilt-provoking bad behavior.

Apologies do make a difference. Believe it or not, research shows people often prefer them over money.

Negative thinking patterns can be immensely deceptive and persuasive, and change is rarely easy. But with patience and persistence, I believe that nearly all individuals suffering from depression can improve and experience a sense of joy and self-esteem once again.