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The Upward Spiral: Using Neuroscience to Reverse the Course of Depression, One Small Change at a Time Paperback – Illustrated, March 1, 2015

4.6 4.6 out of 5 stars 2,346 ratings

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Depression can feel like a downward spiral, pulling you into a vortex of sadness, fatigue, and apathy. In The Upward Spiral, neuroscientist Alex Korb demystifies the intricate brain processes that cause depression and offers a practical and effective approach to getting better. Based on the latest research in neuroscience, this book provides dozens of straightforward tips you can do every day to rewire your brain and create an upward spiral towards a happier, healthier life.
 
Whether you suffer from depression or just want a better understanding of the brain, this book offers an engaging and informative look at the neuroscience behind our emotions, thoughts, and actions. The truth is that there isn’t
one big solution to depression, but there are numerous simple steps you can take to alter brain activity and chemistry. Some are as easy as relaxing certain muscles to reduce anxiety, or getting more sunlight to improve your mood. Small steps in the right direction can have profound effects―giving you the power to become your best self as you literally reshape your brain, one small change at a time.
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Customer reviews

4.6 out of 5 stars
2,346 global ratings

Customers say

Customers find the book provides positive and helpful ways to improve mental health. They describe it as a great read, easy to understand, and moralizing. Readers also say the information is clear, concise, and doable.

AI-generated from the text of customer reviews

156 customers mention "Information quality"156 positive0 negative

Customers find the book provides positive and helpful ways to improve mental health. They say it's fascinating with a practical approach. Readers also mention the book makes them think and adjust some of their ways.

"...symptoms of sadness or depression, and this book does a good job of backing up the methods...." Read more

"Really makes you think, and adjust some of your ways. Very helpful." Read more

"...of chapters can feel a little bogged down at times though they are interesting and insightful...." Read more

"...I found it to be fascinating. I realized how my brain had become programmed and how to reverse the programming...." Read more

137 customers mention "Readability"133 positive4 negative

Customers find the book to be a great read and an asset. They say it offers sensible, easily employed positive changes. Readers also mention the information is readable without being moralizing or patronizing. They describe the book as the best no-nonsense book on depression they have ever read.

"...Overall though, I think this is a well done book, one I believe in enough to provide to my daughter for reading, and on a personal note, I totally..." Read more

"This is a good guide to the basic mechanisms of depression and would be useful as a primer on the neuroscience of depression, or for a family member..." Read more

"...At any rate, this book is very reasonably priced, a pretty easy read (as long as you don't try to memorize it all in the first reading) and can..." Read more

"...It is evidence-based, practical, easy to read, and takes a balanced approach to interventions that involve medication...." Read more

19 customers mention "Ease of use"14 positive5 negative

Customers find the book easy to follow, clear, and concise.

"...feedback from clients: not overwhelming to read--easy read; easy to apply the skills; reduced symptoms of depression, a go-to book to remember the..." Read more

"...and the author's personal experience that make the book such an easy and enjoyable read...." Read more

"Extremely basic concepts. If you have ever been to therapy or know anything about CBT, this book will not teach you anything new...." Read more

"...Alex explains everything in a science-based but easily understandable way that anyone can understand without having to be a neuroscientist...." Read more

10 customers mention "Understanding"7 positive3 negative

Customers find the book's explanations clear. They appreciate the author's empathy and understanding of the sensitive subject. Readers also say the book provides explanations for bad times and hope for better ones.

"The author does a good job explaining the roles of the different parts of the brain, the hormones involved and how each of them contributes to/helps..." Read more

"...in the early chapters but I persevered and was able to understand many of his explanations...." Read more

"Very good explanation of the neuroscience behind mental health. Well-written and rigorous...." Read more

"...Again, not academic style and in the writer's defense, the theory was complicated yet important to get out of the way...." Read more

9 customers mention "Actionable"9 positive0 negative

Customers find the book actionable, with plenty of action steps. They say it takes things chapter by chapter, explaining everything they want to know. Readers mention challenges become normal activities, and bad habits are slowly being broken. They also appreciate the science well-described.

"...It's a rather short book as far as pages go and the font is larger and easier to read for me, all of which made me more inclined to read it...." Read more

"...I did like that the book was nonsense and was meant to be actionable to the readers fight against depression...." Read more

"...I can already tell my brain is changing, challenges become normal activities, and bad habits are slowly fading out of my life the more..." Read more

"A nice breezy read with plenty of action steps...." Read more

Practical and easy read
5 out of 5 stars
Practical and easy read
Fascinating book with practical approach. Excellent!!! Love the two sections “Down Spiral” and Upward Spiral.
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Top reviews from the United States

Reviewed in the United States on November 29, 2017
Congratulations Alex Korb, you have a book that is accessible to my 11 year old, and I mean that as a good thing. So, I saw a news article on this book recently that had some snippets of advice from the author, which I had agreed with, and so I checked it out from the library to peruse it before deciding to purchase it because I have been hunting for something credible for her that would not be too esoteric or sleep inducing, because we've been having a tough month with pets and people passing away.

So overall, I actually really thought this was a well done book. It is solidly written in an engaging, conversational manner, which is what makes it feel more accessible I think. The author does frequently refer to different structures in the brain, but he also provides a couple of diagrams to show you the location of what he is talking about. All of the self-help techniques mentioned are backed by research. It is true that probably you as a reader may have heard many of these things before, but you may be like some people I know and not so interested in trying them unless you understand that they have been studied and proven effective for improving symptoms of sadness or depression, and this book does a good job of backing up the methods. The author also steers entirely clear of spiritual or religious matters, which I also tend to think could be a benefit. I am a deeply spiritual person myself, but not everybody is and I think the neutrality in that matter makes it accessible to a wider range of people.

This book does not really go much into thought or behavioral modification therapies (though arguably the sections on focusing on more positive memories and gratitude certainly overlap), but I tend to think often without some of the other lifestyle supports that encourage optimal hormone levels included in this book, those methods alone aren't going to present as much of an improvement, and they are involved enough that it is appropriate to mention them only and direct someone to seek further for more detailed information elsewhere.

The only think that had me quirking an eyebrow on this book was the brief dip into chaos theory in the introduction, where the author likened the methods in this book to the beating of a butterfly's wings in LA breaking up a storm in New York. I'm going to be up front and say chaos theory isn't something I am very well versed in, while I am capable of going all sciency on someone, my happy place actually tends to be the arts. However, I have read enough to know that there are thinkers of the opinion that there are so many different systems acting upon one another when it comes to butterflies and the weather that it would actually be difficult to demonstrate a relationship in real world conditions between any one butterfly and any one meteorological event.

However, I think relationships between the methods described in this book and positive outcomes can be more strongly demonstrated, as the author has done throughout the book. My only reason for mentioning this is that the reference occurs in the beginning of the book, and I offer it as a word of encouragement to anyone who might read the butterfly sentence and either think it didn't make sense or that it was nonsensical and that therefore the rest of the book would be as well. There is actually a mathematical theory the statement is based on, so I can kind of see the point he was trying to make with it about how small changes in your routines can lead to big effects, but...I personally think an oft used analogy about a very small turning of the helm in a ship leading to a totally different destination might have been something easier related to by many, and I think that's pretty much what he was trying to say with that whole butterfly thing.

Overall though, I think this is a well done book, one I believe in enough to provide to my daughter for reading, and on a personal note, I totally endorse and use many of the techniques the author mentions and have for years and have found that they can help get me through some of the of the more difficult things life can offer.
100 people found this helpful
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Reviewed in the United States on September 23, 2024
Really makes you think, and adjust some of your ways. Very helpful.
One person found this helpful
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Reviewed in the United States on October 16, 2022
This is a good guide to the basic mechanisms of depression and would be useful as a primer on the neuroscience of depression, or for a family member or friend of a depressed person who wants to gain a better understanding. I think it would also be useful in making small habit changes for someone who has chronic mild depression or is unmotivated or feels stuck.

For the “advanced depressive” like myself it doesn’t offer any groundbreaking advice. The actionable advice is things like exercise and being more social. There were a couple writing things that galled me. The author is worried his writing level is out of the readers depth, and constantly reassures them he’ll break things down simply, or uses distracting metaphors. I found this kind of condescending and would prefer information to be offered in a more neutral and straightforward way. I don’t think the average person would be intellectually overwhelmed by the book, considering it offers pretty basic information about brain structures. I wanted to know more about how things like inflammation, glutamate, and NMDA work since I am pretty sure the cause of my depression lies in genetic factors related to these. Since the author is not a sufferer himself, the examples of being sad in college feel a little trivial and situational.

I also wondered about the assertion that nothing was “fundamentally wrong” with the depressed brain followed by descriptions of various things that did seem to be wrong with it, as well as the assertion the depressed brain looks no different on an MRI.
30 people found this helpful
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Reviewed in the United States on August 10, 2024
I've read this book three times over the years and recommended it to multiple friends.
The first couple of chapters can feel a little bogged down at times though they are interesting and insightful. The second half of the book where he gets into different actionable ideas around what we learn in the first half of the book really where this book shines tbough.
One person found this helpful
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Top reviews from other countries

Ekaterina
5.0 out of 5 stars Great self-help book
Reviewed in Canada on December 29, 2023
Personally, one of the best (if not the best) self-help books out there! My therapist recommended it to me, and it was everything I was hoping for! Provides with a simple explanation how our brains work and gives straitforward steps on getting out of a downward spiral. Highly, highly recommend!
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Ekaterina
5.0 out of 5 stars Great self-help book
Reviewed in Canada on December 29, 2023
Personally, one of the best (if not the best) self-help books out there! My therapist recommended it to me, and it was everything I was hoping for! Provides with a simple explanation how our brains work and gives straitforward steps on getting out of a downward spiral. Highly, highly recommend!
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Paolo Padovani
5.0 out of 5 stars Brilliant book
Reviewed in Italy on October 21, 2024
I am not at all into "self-help" books but this is amazing. It's full of small suggestions, which when taken into account, can really make a difference. It changed my life, for the better. It can take some time to do that but it can be done. I think this is the main message of the book
vik
5.0 out of 5 stars Must read for anyone who is or has family suffering from depression
Reviewed in Germany on October 13, 2024
This is an awesome book. While at times there is a lot of medical jargon, and some things are repeated, there are so many ideas, concepts, research findings and examples from others that will open your eyes on what lies behind depression and certain kinds of depressive behaviour. It will improve your understanding of depression and hopefully help you (or the family member or friend, as the case maybe). Very happy to have been recommended this book on a YouTube video.
Vibha T.
5.0 out of 5 stars Understanding how brain works makes all the difference.
Reviewed in India on July 12, 2024
This book is so much fun reading it. A real self help and it is for everyone who wants tips and tricks to manipulate brain in a good sense.
Maria
5.0 out of 5 stars Great practical advise everyone should know
Reviewed in France on November 21, 2022
Everyone should know about depression as it can happen at any time of life and great to know how to help a loved one going through it. This Book helps understanding how the brain works when suffering with depression and gives many practical advise on how to get out of the downward spiral.The author writes with empathy .