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                    Acacia Counseling
           Gene Douglas, M.Ed. LPC LMFT


To treat a problem using TAT, follow these instructions:
1.) Rate the strength of your feeling you are experiencing right now, on a scale of 1-10, when you think of the problem.
That number is the SUD (Subjective Units of Discomfort.)
2.) Put your thumb against the inside corner of one eye. Place the ring finger against the inside corner of the other eye.
3.) Place the middle two fingers against your forehead, about a quarter inch above a line between the eyebrows so the
two fingers are lined up with the upper part of the eyebrow.
4.) Cup the other hand, and place it behind your head, with the thumb against your neck, right where it meets the base of the skull.
The little finger will be pressed against your head where it rests. Don't lay your hand flat against your head.
5.) Close your eyes and think of the feeling or event or person that bothers you. Continue for one minute, or until you feel a "shift"
in your body before that. This may be a reflexive sigh.
6.) Keep your pose, and repeat a statement reminding you of the problem in your mind. It may be a person's name,
a phrase about what happened, or the name of the feeling. Continue repeating for one minute, or until you feel a shift.
7.) Keep the pose, and repeat in your mind a statement which is opposite of the problem -- even if you don't believe it.
This might be "I will feel comfortable when I do that," or "I will feel calm and relaxed," whatever is opposite to what has been the case.
Continue repeating for one minute, or until a shift occurs.
8.) Keep the pose, and concentrate your attention on the part of your body where you feel your feelings. That will be different for different people.
Continue for one minute, or until a shift occurs.
9.) Rate your SUD again.

TAT Links:
Learning and Using TAT
How To Do TAT

Recommended Reading

Are you depressed?
See how you compare with the description below...

DYSTHYMIA: chronic depression

A. Depressed mood (or can be irritable in children and adolescents) for most of the day, more days than not, for at least two years (one year for children and adolescents.

B. Presence, while depressed, of at least two of the following:

1. poor appetite or overeating
2. insomnia or hypersomnia
3. low energy or fatigue
4. low self-esteem
5. poor concentration or difficulty making decisions
6. feelings of hopelessness

C. During a two-year period (one year for children and adolescents) of the disturbance, never without the symptoms in A for more than two months at a time.

D. No evidence of an unequivocal Major Depressive Episode during the first two years (one year for children and adolescents) of the disturbance.

E. Has never had a Manic episode.

F. Not superimposed on a chronic psychotic disorder.

G. It cannot be established that an organic factor initiated and maintained the disturbance, e.g. prolonged antihypertensive medication.


A. At least five of the following symptoms have been present during the same two-week period, and at least one of the symptoms is (1) depressed mood, or (2) loss of interest or pleasure.

1. depressed mood (or can be irritable mood in children and adolescents) most of the day, nearly every day.

2. markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day.

3. significant weight loss or weight gain when not dieting, or decrease or increase in appetite nearly every day. (In children, failure to make expected weight gain.)

4. insomnia or hypersomnia nearly every day.

5. psychomotor agitation or retardation nearly every day.

6. fatigue or loss of energy nearly every day.

7. feelings of worthlessness or excessive or inappropriate guilt nearly every day.

8. diminished ability to think or concentrate, or indecisiveness, nearly every day.

9. recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.

60 Depression Websites (click)

Kids and Depression (click)

Kids and Depression II (click)

Symptoms of Depression Often not Noticed (click)

If you are depressed, you might be helped by a combination of counseling and antidepressant medication. There is a wide variety of antidepressant medication, having different effects and different side effects.

For example, Prozac tends to also have a wakeful (stimulant) effect, while other antidepressants, such as Trazadone, may have a sleepiness (sedative) effect, especially when you first begin taking them, such as Elavil. Some of the antidepressants for some people, require a couple of weeks before they begin to take effect.

One way to deal with the wakeful/drowsy effect is to take one type in the morning, or to take the other type at bedtime.

For some people, Prozac can also interfere with sexual function. Ask your doctor which is best for you. Keep in mind that a board-certified psychiatrist knows most about what type of medication to use.  In Oklahoma and Texas and some other states, any M.D. can be a psychiatrist just by saying, "I'll do it."  Notice the certificates on the wall, or ask a doctor if he is board certified.

Other treatments, such as EMDR, EFT, TFT, or TAT can also be effective on certain types of depression. (Eye Movement Desensitization and Restructuring, Emotional Freedom Technique, Thought Field Therapy, and Tapas Acupressure Technique.) See these categories under "More."

You Tube discussion of Depression:  

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