When I was studying psychology in college, I remember having a particular distaste for the behavioral approaches of B.F. Skinner. Defining the sacred depths of being human by behavioral impulses akin to a mouse motivated by cheese was not for me. I was much more into psychoanalytic therapy and Jung.

How then later did I come to embrace cognitive behavioral and related therapies that spell out that we are, essentially, just a mess of behaviors (good and bad)?

If you dig into your family dynamic, and maybe establishing relationships with others from equally dysfunctional backgrounds, you are bound to have a change of heart about old Skinner. Maybe there is something to behaviorism after all, and it can jibe with the deeper therapies that ask you to reflect on early places of pain and identity-molding.

Dialectical Behavior Therapy (DBT) is particularly of interest not just to me, but folks trying to come to grasp with certain subsets of mental illness — borderline personality disorder, bipolar and other depressive disorders. But its principles can be significantly farther-reaching than mental illness circles alone.

Whether you’re experiencing anxiety, depression, anger, jealousy, envy, guilt, hurt or shame, you are most likely (perhaps unintentionally) perpetuating your problem by your thoughts. Let me explain.

When we function in a healthy manner, we don’t just experience joy and happiness, prancing around without a care in the world. We actually still experience a range of emotions, some of which can be very difficult to live with.

It’s absolutely healthy to feel anxiety, depression, anger, jealousy, envy, guilt, hurt or shame. But what makes experiencing these emotions healthy is that we don’t linger in them for longer than is good for us. We don’t demand that they ‘go away.’ We accept the appropriateness of how we feel, and do something about our situation.

Let me give you an example of how a person’s thinking can perpetuate depression.

Did you ever find yourself questioning an arrangement between yourself and another person? Not an arrangement that was mutually agreed upon or even spoken about –- but a habit, or series of habits that detrimentally affect you but which you find yourself continuing to do nevertheless?

It could be between yourself and a partner, a parent, a co-worker — even a boss, an adult sibling or an annoying someone you run into every day on your way to work. Likely, it is doing something to temporarily boost yourself or the other person in the mix. Ultimately, however, it is not to anyone’s benefit.

Unspoken bargains, these so-called “arrangements,” are those things that rear their heads in times of challenge, chaos, crisis or just haste. They appear out of nowhere and can be maddening, upon first reflection, demanding us to ask ourselves, “why did I say or do that again to this person?”

“Until one is committed, there is hesitancy, the chance to draw back, always ineffectiveness. Concerning all acts of initiative (and creation), there is one elementary truth, the ignorance of which kills countless ideas and splendid plans: that the moment one definitely commits to oneself, then Providence moves too. All sorts of things occur to help one that would never otherwise have occurred. A whole stream of events issues from the decision, raising in one’s favor all manner of unforeseen incidents and meetings and material assistance, which no man could have dreamt would have come his way. I learned a deep respect for one of Goethe’s couplets:

‘Whatever you can do or dream you can, begin it.
Boldness has genius, power and magic in it!’”
~W. H. Murray

As we ride the planet around the sun, life can sometimes be hard and complicated. We dream of living better lives or achieving great goals. For many, our present lives result from being born into difficult circumstances or surviving tragedies.

No matter where we find ourselves, it is also a result of all the choices we’ve made along the way.

Anger is a naturally occurring emotion. However, often people do not express anger in a healthy, appropriate way. They allow frustrations to build up, then reach a point where they erupt.

Over time, pent-up anger and resentment causes tiny problems to become big ones. Anger can become displaced or is expressed in a way that becomes problematic. Many people feel more upset when they realize that they overreact or explode with anger, especially if it causes hurt for themselves or someone else. Thus, it creates the terrible cycle of struggling with anger.

But there is help for anger that doesn’t require you to dig up your past, explore your thoughts, or send letters to a dead loved one. It’s called biofeedback, and it offers individuals readily-learned techniques that are safe and effective (based upon decades’ worth of research).

As soon as your body hits the bed, it’s like a gun firing at the starting line. Your thoughts take off like a pack of horses, each thought racing faster than the first.

Did I do everything on my list? Did I pay the cable bill? What’s the due date on that project, again? Work has been so demoralizing lately. But I can’t quit. I’ll never find another job in this economy.

I’m screwed.

It’s this kind of internal racket that hinders sleep for many people night after night. In their book Goodnight Mind: Turn Off Your Noisy Thoughts & Get a Good Night’s Sleep, authors and sleep specialists Colleen E. Carney, Ph.D, and Rachel Manber, Ph.D, delve into the many reasons our minds keep us from sleeping. They provide valuable tips and techniques that address these culprits.

Yes, it’s true: You are amazing.

You are wonderful, fantastic, downright spectacular. No? You don’t think so?

Every day I hear people put themselves down. They curse themselves for being stupid, a failure, or weak. My answer to them is always the same — sure. But let’s be clear what we’re talking about. You, the totality of you, is not stupid. The whole of you is not a failure. Your entire being is not weak.

Oh, it’s true that you may fail at certain tasks. You may act stupidly, and do dumb things. You may also show weakness in the face of difficulties. But these are things that you do, not who you are.

And by making this simple but important distinction — the things that you do versus who you are — you are taking a big step toward being a happier, healthier you.

At first the weight gain from my new antidepressant didn’t bother me. All I cared about was that this medicine was working. I felt myself coming into my body again; I could experience emotions and enjoy the present; I wanted to do things again.

One of those things was eat ice cream. A lot. So I gained a few pounds. It was time to buy new pants anyway. The only important thing was that my medicine was working and I was feeling good. I felt like participating in my life again. Feeling good and eating ice cream were natural.

But then I broke the couch.

As I write this, our thoughts are with those in Boston who were affected by the bombings at the 2013 Boston Marathon.

In my 20 years living in the Boston area, I cheered on the runners on many occasions and now, even from far way, these events feel close to home.

Experiencing trauma can have a dramatic effect on our bodies and our minds.  And although it’s a different experience to witness a trauma on television, it still can affect us.

When you perceive a threat, the body activates the stress response. The stress response occurs in both your body and brain.

The body’s response to acute stress is a preparation for emergency.  Adrenaline and other hormones are released.  The body shuts down processes associated with long-term care.  When under immediate threat, digestion, reproduction, cell repair and other body tasks related to long-term functioning are unimportant.

A recent article published in the Journal of Positive Psychology surveyed the life satisfaction of 99 garbage pickers in León, Nicaragua. Researcher Jose Juan Vazquez interviewed these difficult-to-access individuals and found that not only are they happy, there is no correlation whatsoever to their financial well-being.

This is one of those studies that take a moment to get your mind around.

Imagine you are an itinerant individual living in absolute penury in a third-world country. You survive by going through other people’s garbage and extracting your food for the day as well as other essentials like clothing and footwear. You live your life hand to mouth and what your hand finds are the things others have discarded. You recycle what you can for money, and this considerable effort earns you about $3 a day.

By downward social comparison, almost anyone seeing a person living in these conditions would assume the individuals engaged in this activity would resent their life circumstance and view their life as anything but happy.

But this study shows this is a false assumption.

While I believe mindfulness meditation has been the keystone to my recovery, I still think of it as an adjunct therapy. I couldn’t manage mental illness as well as I do now if I did not meditate. But I acknowledge that the medication my doctor prescribes and the therapy visits I have with him are crucial as well. Only through the consistent application of all three therapies am I well.

Mindfulness meditation is currently all the rage, and it works. But I am wary of its proponents who claim it can treat (or even cure) mental illness by itself.

Meditation is a powerful tool when used to decrease stress and increase well-being. But if we are to maintain that mental illnesses are biochemical malfunctions of the brain and nervous system, then we must allow room in treatment for medicine. Therapy also has a long history of positive impact on the lives of those challenged by psychiatric disease. Meditation, when added to more traditional and well-tested methods of treatment, can help a patient successfully manage a challenging life. I, and so many others like me, am proof of that.

I’m sitting down for my yearly physical with the blood pressure machine in view. From the displeased expression on the nurse’s face, I gather it wasn’t a perfect reading. Instead of jotting the numbers down in her notes, realizing that I’m probably just nervous (because I do have “white coat syndrome”), she sighs and expresses the urgency to take my blood pressure again and again, until she’s satisfied with the result.

Then, I walk into the lab next door for a blood test and the line I hear is: “Oh, your blood pressure was high, let me see if I can draw your blood now.”

Wait, what? Do they actually think that these comments will make me feel more relaxed?