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Starting Strength is the bestselling book on the most fundamental and effective approach to strength training ever written. Mark Rippetoe hosts Starting Strength Radio where he discusses topics of interest, primarily to him, but perhaps also to you.
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In this episode of Giving Voice to Depression, Dr. David Jacobi of Rogers Behavioral Health explains how Cognitive Behavioral Therapy (CBT) works as an evidence-based treatment for depression. Together with hosts Terry and Anita, Dr. Jacobi breaks down the CBT “triangle” of emotions, thoughts, and behaviors, and explains why behavioral activation — doing something different, even small — can help break the cycle of depression.
Listeners will learn how CBT can reduce avoidance, reintroduce pleasure and valued activities, and provide tools to support both self-healing and loved ones. This conversation highlights why no step is too small when moving toward recovery and how we can give ourselves the help we need.
Primary Topics Covered:
- What Cognitive Behavioral Therapy (CBT) is and why it works
- The CBT triangle: thoughts, emotions, and behaviors
- How behavioral activation helps reduce depression symptoms
- The importance of routine, pleasurable, and valued activities
- The role of support systems without enabling avoidance
- Medication as a tool alongside CBT practices
- Why small steps matter in recovery
Timestamps:
00:00 Intro to the episode
01:25 What is Cognitive Behavioral Therapy (CBT)?
02:17 The CBT triangle: emotions, thoughts, and behaviors
03:48 How CBT changes depressive thoughts and behaviors
05:13 Behavioral activation and why doing something matters
06:24 Avoidance patterns and how they maintain depression
07:22 Active coping vs avoidance
08:28 Routine, pleasurable, and valued activities in recovery
10:05 How small actions build momentum out of depression
11:11 Motivation follows action, not the other way around
12:20 The importance of support and accountability
12:57 Symptom accommodation: helping vs enabling
14:13 Encouraging activation while offering empathy
14:42 Medications as another tool in recovery
15:34 Combining CBT, medication, and daily actions
16:14 Why no step is too small in depression recovery
17:24 Supporting yourself with encouragement and patience
17:52 Closing thoughts and takeaways
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Facebook Community: https://www.facebook.com/GivingVoiceToDepression/
Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/
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