Here’s How to Use Expressive Writing for Depression

I’m a big believer in the use of expressive writing to help manage anxiety and depression.

Over the last ten years especially, expressive writing has helped me to explore my own mental health. It has also been something that has helped in my recovery, in addition to counselling, medication and implementing some well-needed changes in my life.

What Is Expressive Writing?

Expressive writing is a tool for self-reflection. It’s also a way to explore, using the written form, how you feel. Furthermore, it can be a great way to get those thoughts out of your head, and it can be a simple way to express yourself:

…the process of putting your thoughts, feelings and experiences into words. Expressive Writing is what you are doing when you write in a journal or a diary, although don’t let that limit you.

JAMES W. PENNEBAKER

Much of the work on expressive writing has been led by James Pennebaker, a Psychology professor at the University of Texas. In the 1980’s, Pennebaker discovered that writing about life’s stresses helped people heal from both physical and emotional ailments. 

In one of Pennebaker’s experiments, college students were asked to write for 15 minutes a day about an important personal issue or superficial topics. Afterwards, the students who wrote about personal issues had fewer illnesses and visits to the student health centre.

The benefits of expressive writing

Expressive writing has been found to result in numerous physical and psychological improvements, including but nowhere least:

  • Improved memory

  • Decreased blood pressure

  • Improved immunity

  • Decreases stress and depressive symptoms

  • Greater psychological wellbeing

Personally, writing has been one of the main tools in my arsenal that has helped me to manage a lifetime of anxiety, deal with grief, work through various stressors in life, and recover from my depression.

Not only that but it has helped me to gain clarity in life through a whole lot of self-reflection. As a result, it led me to changing careers in my mid-30’s, to one where writing became central to what I do.

Tips to help you explore your mental health using expressive writing

Exploring your mental health through writing can be cathartic, however it can also be emotionally challenging and mentally draining. So, as you start to explore your depression through expressive writing, do so slowly, gently, and with support if you need it.

Here’s some tips to consider before you start using expressive writing to explore your mental health:

  • Start slowly

  • Write when you feel ready

  • Write when you have the time. Otherwise free up some time so you don’t feel pressured

  • Write continuously for an allotted timeframe i.e. 2 or 20 minutes

  • Be gentle on yourself and tune out of your inner critic

  • Don’t censor yourself

  • Beware of trigger points. If anything feels too much to write about stop and try something different

  • Don’t worry about perfection – grammar, spelling, structure. Throw it all out the door and write how you feel, even if it seems like nonsense

  • Keep it personal and keep it for your eyes only

  • If you feel like sharing, do so only when ready and with your trusted network

  • Know when to stop and walk away

  • Expect to feel wiped out after writing. All going well you will feel a bit better after a few hours

  • Writing does not replace therapy. It compliments it when done gently. Write when you have your support structures in place

Writing prompts

I love writing prompts as they help when my mind is full of thoughts racing around and around. And then there’s the times I suffer from writer’s block (which is a lot!).

So, here’s 14 writing prompts to help you to get started with expressive writing:

  1. What is motivating you to write to ease your depression?

  2. Take a deep breath and close your eyes for 10 seconds. Tune in to how you are feeling, both physically and mentally. Write down what you are experiencing

  3. What does your depression look like? Using descriptive words to describe its shape, size, colour, smell, etc. Is it a black dog, a dark cloud, thick fog, a shadow or veil? How does it act? What does it say?

  4. Write about the person/s who have helped you most in life

  5. How does your depression make you feel?

  6. Write about something you are thinking or worrying about

  7. Make a list of the people in your life who support you and who you trust. This will be a great guide in future

  8. What do you wish others knew about you and your depression?

  9. Write the words you need to hear

  10. What do you do to take care of yourself? To practice self-care? If you don’t do anything, what could you do?

  11. What is one thing that helps you manage your depression?

  12. Write a gratitude list. Here’s an example of one I wrote.

  13. Have you ever been treated differently or felt stigmatised in regards to your depression? What happened? How did this make you feel?

  14. What memory do you cherish the most?

It’s important to stress that expressive writing should never replace therapy, but rather compliment it. If you find you are struggling, please reach out and talk to someone.


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Thank you for reading. Janine is someone of many things: a proud red head, writer, communicator, mentor, lover of books and more. Read more from her here.