Behavioral activation is a powerful treatment for depression. However, simply doing more pleasant activities often isn't good enough, especially for people with treatment-resistant depression. By leveraging the DBT "how" skills of mindfulness, it may be possible to open your mind to joy and happiness again.
Craig Marquardt, PhD, LP
Updated: March 2026
Recovery from depression works better when paired with a mindset of openness toward rewarding experiences.
Being nonjudgmental, one-mindful, and effective provides a roadmap for “how” to open your mind.
When you are intentional about reward, you can rewire your brain and strengthen your ability to experience positive emotions in the future.
Meaningful change comes through repetition and small, doable moments rather than waiting for a "perfect" opportunity.
If you are struggling with depression, the world may feel like it has been drained of joy. Activities that once brought happiness don’t feel the same anymore. As a result, positive emotions seem out of reach.
You may have heard of behavioral activation—the practice of doing rewarding activities to improve how you feel. It is a powerful way to jumpstart your ability to feel pleasure again. But for many, simply going through the motions with pleasant activities can feel hollow or frustrating. This is especially true when enjoyable activities don't initially help in the way you expected.
It is possible to retrain your mind at a more basic level to notice pleasure again. By practicing specific ways of paying attention, you can gently open the door to positive feelings in your life. It starts with leveraging what we already know about mindfulness and attention.
Mindfulness encompasses a collection of skills for changing how your mind works and how you pay attention. In many situations, your feelings are dictated less by your external environment and more by your current level of mental engagement.
In the scientific literature, it is increasingly clear that the psychological impact of positive events depends on how we deploy our attention. If our attention is clouded by "mental noise," the impact of reward fizzles out before it can be registered by the brain.
Simply "doing" more activities often isn't enough for people with depression. To amplify how we feel in response to our actions, we must change how we pay attention. In my clinical work, I have found it effective to focus on the dialectical behavior therapy (DBT) mindfulness "how" skills. This provides a practical roadmap for opening the mind to pleasure.
The first barrier to feeling reward is often the "chatter" of judgment. When depressed, we tend to label experiences as "boring" or "not good enough." People also tell themselves that they don't deserve to feel good. These judgments act like static on a radio, drowning out the actual experience.
Drop the expectations: Let go of your strict standards about how an activity "should" feel.
Stick to the facts: Instead of evaluating a pleasurable experience, describe the sensory details—a "warm mug" or a "quiet room"—without attaching a label of "good" or "bad."
Allow mixed feelings: Understand that it is common to feel both discomfort and a small spark of enjoyment at the same time.
If judgment is the "static," multitasking is the "distraction." We often cut pleasant experiences short by rushing to the next task. To help the brain register a positive experience, you must practice being one-mindful—doing one thing at a time without being pulled away.
Slow down: Intentionally extend a pleasant moment by 10–20 seconds.
Use your senses: Focus on one specific detail—the first crisp bite of an apple or the feeling of sunlight on your skin.
Stay through the end: Let the moment finish on its own; staying through the end of an experience helps the mind fully register it.
The final barrier is often our own perfectionism. We wait for the "ideal" opportunity to be happy rather than being effective with what is available right now.
Choose doable over ideal: A 5-minute walk today is more effective for your brain than waiting for the "perfect" weekend hike.
Pivot: If your original plan hits a wall, pivot to the nearest available pleasant opportunity. If you can't meet a friend for dinner, send a quick voice note instead.
Keep track of small wins: Write down the subtle, positive effects of your actions (“How does my body and mind feel now that I’ve done the activity?”).
For those living in the gray cloud of chronic depression, behavioral activation often feels like just another chore. However, these techniques are not about just staying busy; they are a method for brain retraining. By integrating mindfulness, you shift from being a passive consumer of pleasure to being an active participant in your recovery.
If your brain is "out of practice" with pleasure, these small moments of intentional engagement help change the way you experience the world. Each time you use mindfulness "how" skills, you strengthen your brain’s ability to register positive emotions in the future.
I am a clinical psychologist focused on the assessment and treatment of mood, anxiety, and trauma-related disorders. I offer individual and group therapy options. I welcome new referrals to help people make meaningful progress with their mental health recovery.
Evening availability.
Telehealth authorization in 43 states.
Specialized expertise in depression.