The first time one of my clients said, "I'm depressed," I replied, "Hi, I'm Richard." He stopped and said, "No."

"I'm not?"

"Wait a minute. You're confused."

"I'm not confused. It's all perfectly clear to me."

"I've been depressed for sixteen years."

"That's amazing! You haven't slept in that long?"

The structure of what he's saying is this: "I've coded my experience such that I am living in the delusion that I have been in the same state of consciousness for sixteen years." I know he hasn't been depressed for sixteen years. He's got to take time out for lunch, and getting annoyed, and a few other things. Try to stay in the same state of consciousness for twenty minutes. People spend a lot of money and time learning to meditate in order to stay in the same state for an hour or two. If he were depressed for an hour straight, he wouldn't even be able to notice it, because the feeling would habituate and thereby become imperceptible. If you do anything long enough, you won't even be able to detect it. That's what habituation does, even with physical sensation. So I always ask myself, "How is it possible for this guy to believe that he's been depressed all that time?" You can cure people of what they've got, and discover that they never had it, "Sixteen years of depression" could be only 25 hours of actually being depressed.

But if you take this man's statement, "I've been depressed for sixteen years," at face value, you're accepting the presupposition that he's been in one state of consciousness for that long. And if you accept the goal that you're going to go after making him happy, you'll be attempting to permanently put him in another state of consciousness. You may in fact be able to get him to believe that he's happy all the time. You can teach him to recode everything in the past as happiness. No matter how miserable he is at the moment, he'll always appreciate that he's happy all the time. He'll be no better off, moment to moment — only when he looks into the past. You've just given him a new delusion to replace the one he walked in with.

A lot of people are depressed because they have good reason to be. A lot of people have dull, meaningless lives, and they're unhappy. Talking to a therapist won't change that, unless it results in the person living differently. If someone will spend $75 to see a psychiatrist, instead of spending it on a party, that's not mental illness, that's stupidity! If you don't do anything, then of course you're going to be bored and depressed. Catatonia is an extreme case of that.

When someone tells me she's depressed, I do the same thing I always do: I want to find out how to do it. I figure if I can go through it methodically step by step, and find out how she does it well enough that I can do it, then I can usually tell her something about how to do it differently, or else find somebody else who is not depressed and find out now that person does that.

Some people have an internal voice that sounds slow and depressed and makes long lists of their failures. You can talk yourself into very depressed states that way. It would be like having some of my college professors inside your head. No wonder those people are depressed. Sometimes the internal voice is so low that the person isn't consciously aware of it until you ask her. Because the voice is unconscious, she'll respond to it even more

powerfully than if it were conscious — it will have a stronger hypnotic impact.

Any of you who have done therapy for a long time during a day may have noticed that there are times when you mentally drift away while you are seeing clients. Those are called trance states. If your client is talking about bad feelings and being depressed, you'll begin to respond to those suggestions, like anybody does in a trance. If you have "up" and cheerful clients, that can work for you. But if you have clients who are depressed, you can go home at the end of the day feeling terrible.

If you have a client who depresses herself with one of these voices, try increasing the volume of that voice until she can hear it clearly, so it won't have the hypnotic impact. Then change the tonality until it's a very cheerful voice. She'll feel a lot better, even if that cheerful voice is still reciting a list of failures.

Many people depress themselves with pictures, and there are a lot of variations. You can make collages of all the times things went wrong in the past, or you can make up thousands of pictures of how things could go wrong in the future. You can look at everything in the real world and superimpose an image of what it will look like in a hundred years. Have you heard the saying, "You begin dying the moment you're born." That's a great one.

Every time something nice happens, you can say to yourself, "This won't last," or "It's not real," or "He doesn't really mean it." There are many ways to do it. The question is always, "How does this person do it?" A detailed answer to that question will tell you everything you need to know in order to teach him how to do something else instead. The only reason that he doesn't do something more sensible is that it's all he knows how to do. Since he's done it for years, it's "normal" — unquestioned and unnoticed.

One of the wildest propensities in our culture is to act as if things are normal under any circumstances. The most elegant demonstration of that is New York City, as far as I'm concerned. If you walk down Broadway, no one's looking around and muttering "Good Lord!"

The next best demonstration is downtown Santa Cruz. People are doing things, right out on the street, that would put any mental hospital to shame. Yet there are men in business suits walking down the street talking to each other as if everything is completely normal.