#BehavioralTherapy

The persistent inability to experience pleasure—a symptom known as anhedonia—is emerging as a significant and stubborn challenge in the treatment of depression, according to recent research that is sparking hope for new therapeutic approaches (WebMD). While most people associate depression with low mood, anhedonia is recognized by psychiatrists worldwide as a key, yet often overlooked, impediment to recovery. Its impact is widespread, contributing to longer and more severe episodes of depression, and placing affected individuals at higher risk for suicide.

A newly published article is reigniting debate around the roots of depression, presenting fresh analysis and decades of scientific evidence that question the long-standing view that depression is primarily a biological illness requiring medical treatment. The piece asserts that psychological, not biological, factors may lie at the heart of depression—a claim with profound implications for how the disorder is diagnosed and treated globally and in Thailand.

For years, the mainstream belief—widely propagated by medical authorities and reinforced by pharmaceutical marketing—has been that depression is caused by chemical imbalances in the brain and should be approached like other physical illnesses. This perspective shifted in the 1980s, coinciding with the publication of the American Psychiatric Association’s DSM-III manual and the widespread introduction of antidepressant medications, especially selective serotonin reuptake inhibitors (SSRIs). However, the article cautions that this medicalization of depression is not firmly founded on scientific evidence and may be failing patients worldwide (madinamerica.com).

A fresh wave of research and practical advice is emerging for those hoping to swap the comfort of phone scrolling for the energizing benefits of physical movement—a trend with urgent relevance for Thais of all ages as smartphone use, sedentary work and study, and stressful news cycles become daily realities. According to clinical psychologist Dr. Diana Hill and movement specialist Katy Bowman, co-authors of “I Know I Should Exercise But… 44 Reasons We Don’t Move and How to Get Over Them,” habitual screen use—especially when we’re stressed or tired—can subtly trap us in cycles of fleeting dopamine rewards, leaving us craving ever more screen time and less inclined to break out for a walk, a stretch, or a dance session. But their message, backed by findings in neuroscience and behavioral therapy, is hopeful: with practice and a few novel strategies, it is possible to retrain your brain to yearn for movement instead of another scroll through Facebook or TikTok (full report: KCBX/NPR).