Many - most? -- of us try to resolve our own issues by ourselves, thank you very much. Fine.
However, in a period of depression a guy or gal doesn't know where to begin. This adds to a feeling of helplessness which is already there.
It has been said that the number of support groups have grown by leaps and bounds in the last 30 years. There are support groups for almost every conceivable need you can imagine 'big toe bursitis' to 'lack a nookey'. . .LOL To be serious, and I am, Starting with Bill Wilson's now famous 12 Step Program for Recovery from Alcoholism and based of variations recovery programs based on his original 12 steps, -- because "they do work IF you work them. . " --- you can find a group to help and support you.
Let's get down to depression. Often. . .even most times. . a depressed person eventually needs outside help because, as I stated above, they do not know where or how to start. This is why such a starter or focus-er like Dr Segal suggests gives the suffering guy or gal something to hang onto, some sort of clear, orderly direction to begin to narrow down the problem.
Once I can say to myself: This is my problem and it is ruining/spoiling/ injurious to the quality of my life. . . and right now I seem unable to change anything, I feel helpless before this huge mess. . . .I am on the road. I have a focus.
Now, how am I going to do this? Practical and do-able things. Not vague and . . .and. . . ..and . . . .and. . .spinning my psychic heels in the beach sand. . . . A definition i hold onto for myself of INSANITY. . .doing the same things over and over again expecting different results.
Ever been depressed? Ever felt like the above def.? I have. My rut kept getting deeper. . . .until I had a plan. I had a blue-print, a road map. I had some good orderly direction, some things outside of me, to work with and hang onto step by step. [This isn't going to be my personal witness story of how I got my head outa my ass. . .LOL ]
All most of us need to work it thru is some tools, some HOW. . . In some instances a person may need medication because there is a chemical imbalance in the brain/body/ gonads??? hahah -- which needs to be corrected, balanced which is causing much of the feelings of depression and symptoms.
What Dr Segal offers. . ..what any therapist can offer. . . is TOOLS to work with. . so I can sort out whatever it is I am doing or allowing to be done and then throw away. . . .so I can return to a good quality of life. . . . .IF I am willing to do the work.
ciao, bambini. . . .