The structure of what he's saying is this: "I've coded my experience such that I am living in the delusion that I have been in the same state of consciousness for sixteen years." I
But if you take this man's statement, "I've been depressed for sixteen years," at face value, you're accepting the presupposition that he's been in one state of consciousness for that long. And if you accept the goal that you're going to go after making him happy, you'll be attempting to permanently put him in
A lot of people are depressed because they have good reason to be. A lot of people have dull, meaningless lives, and they're unhappy. Talking to a therapist won't change that, unless it results in the person living differently. If someone will spend $75 to see a psychiatrist, instead of spending it on a party, that's not mental illness, that's stupidity! If you don't
When someone tells me she's depressed, I do the same thing I always do: I want to find out how to do it. I figure if I can go through it methodically step by step, and find out how she does it well enough that I can do it, then I can usually tell her something about how to do it differently, or else find somebody else who is not depressed and find out now that person does that.
Some people have an internal voice that sounds slow and depressed and makes long lists of their failures. You can talk yourself into very depressed states that way. It would be like having some of my college professors inside your head. No wonder those people are depressed. Sometimes the internal voice is so low that the person isn't consciously aware of it until you ask her. Because the voice is unconscious, she'll respond to it even more
powerfully than if it were conscious — it will have a stronger hypnotic impact.
Any of you who have done therapy for a long time during a day may have noticed that there are times when you mentally drift away while you are seeing clients. Those are called trance states. If your client is talking about bad feelings and being depressed, you'll begin to respond to those suggestions, like anybody does in a trance. If you have "up" and cheerful clients, that can work for you. But if you have clients who are depressed, you can go home at the end of the day feeling terrible.
If you have a client who depresses herself with one of these voices, try increasing the volume of that voice until she can hear it clearly, so it won't have the hypnotic impact. Then change the tonality until it's a very cheerful voice. She'll feel a lot better, even if that cheerful voice is still reciting a list of failures.
Many people depress themselves with pictures, and there are a lot of variations. You can make collages of all the times things went wrong in the past, or you can make up thousands of pictures of how things
Every time something nice happens, you can say to yourself, "This won't last," or "It's not real," or "He doesn't really mean it." There are many ways to do it. The question is always, "How does this person do it?" A detailed answer to that question will tell you everything you need to know in order to teach him how to do something else instead. The only reason that he doesn't do something more sensible is that it's all he knows how to do. Since he's done it for years, it's "normal" — unquestioned and unnoticed.