Depression Symptoms | Three Component Model
| Trigger Situation or Thought, perceived as overwhelming |  |
Thoughts Often negative; predicting failure or futility | |
Physical sensations Ex:fatigue, insomnia irritability, ache/pain slow/dulled thinking |
|
Discomfort (Rate 0-10 Discomfort Level) |
 |
 |
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| Increase in Avoidance, Passivity or Negativity |  |
ncreased Vulnerability to triggers | |
Temporary Decrease in Depression | |
Passive, Avoidant or Maladaptive Behavior |
Cycle of Depression | 3 Components of Emotion
Physical Sensations = Physiological
Thoughts / "What-if's" = Cognitive
Passivity & Avoidance = Behavior
—Concept & Diagram by S Josephson, PhD & J Levitan, RN, MS, NP ø The NY Hospital- Cornell Med. Ctr. (1991)
Revised Concept & Diagram by L Martin, RN, MS, NP & Amori Mikami, PhD ø UCSF Medical Center (2003)