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
(Rate 0-10 Discomfort Level)
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)