Does this sound familiar? You used to love strolling through historical downtown, taking kayaking or paddleboard trips down the river, and learning about new things at a museum or library.
Lately, though, you don’t even have the energy to get out of bed. Nothing sounds fun anymore, and if you’re not working, you’re lying in bed scrolling, watching TV, or doing nothing.
“Bed rotting” is a new term to describe what depressed people have been dealing with for ages: the lack of joy or interest combined with a deep fatigue and lack of motivation that makes lying in bed feel like the only thing you have energy to do.
When depression is severe enough that you feel like you can’t get out of bed, treatment is warranted. Fortunately, treatment for depression is effective, and our Toms River depression therapists can help.
When you have severe depression, it can be hard to get out of bed. Let us come to you with our virtual therapy, or challenge yourself to see one of our in-person Toms River depression therapists.
Bedrotting feeds into the toxic cycle of self-blame, shame, and harmful behavior that depression can create. This shame cycle looks like:

Depression starts to hit, and you begin to feel tired, burnt out, and experience brain fog. Everything feels harder than it should be, so you retreat to your room for a quick break.
Therapy for Severe Depression
A quick break turns into a few hours of scrolling on your phone. The fatigue hasn’t left you either, and now you feel like you can’t get up.
Therapy for Severe Depression
You blame yourself for getting into this situation. “Just try harder!” You might think, “Stop being lazy.” These are common cognitive distortions (harmful thinking patterns) that depression can bring. They aren’t the truth, but in the middle of depression, it sure can feel like it.
Therapy for Severe Depression
Blame turns into shame, which begins to solidify into your sense of self. “I’m being lazy right now” turns into “I’m lazy”, and “This is a waste of time” becomes “I’m a waste of space.” These thoughts are dangerous and can lead to more harmful behaviors and thinking patterns down the road.
Therapy for Severe Depression
The shame makes it hard to face yourself, so you turn further inward into dissociation and bedrotting. You stop talking to friends and stop taking care of yourself. These behaviors make the self-blame and shame worse, which in turn makes the symptoms worse. The toxic loop of depression has begun, but there is hope to break out of it.
Therapy for Severe Depression
Cognitive Behavioral Therapy for High-Functioning Depression
CBT is considered the gold standard for treating depression. Our Toms River therapists have used CBT to help many clients identify and deconstruct shame spirals that lead to bed rotting. CBT is also useful for building self-esteem and addressing core beliefs that could be contributing to depression.
Therapy for Severe Depression
Mindfulness to Combat Depression
Mindfulness-based therapy has been proven highly effective at treating depression, even severe depression. Mindfulness isn’t just meditation; it’s about bringing your awareness to the present moment and to yourself. Coping mechanisms taught through this therapy can help you find the motivation you need to get out of bed and start living brighter.
Therapy for Severe Depression
Living By Your Values
ACT therapy is about choosing to act based on our values and not our knee-jerk emotional response. For example, if you strongly value community and a friend asks you to hang out, ACT will help you live according to your values instead of your initial desire to stay in bed.
Part of ACT is accepting that this won’t always be easy, and that sometimes we might fail. Instead of internalizing these failures to live by our values, ACT teaches us to accept and move forward to the next opportunity. It focuses on personal forgiveness and growth.
Therapy for Severe Depression
Therapy for Severe Depression
If you are spending hours in bed and feel unable to get up, you might have severe depression. In this case, DBT is a good treatment option for you. DBT can help people with self-harming behaviors, severe withdrawal and isolation behavior, and negative self-esteem. Talk to a Toms River depression therapist about how DBT can help you.
Therapy for Severe Depression
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