What Saved When Therapy Didn't
- Dr. Scott Eilers, PsyD, LP

- Sep 26
- 3 min read
I’ve been in therapy as both a client and a therapist. I know how confusing and contradictory it can feel.
When I was younger, I saw two therapists at the same time for the same issue. One told me I was too emotionally closed off. The other told me I was too emotional. Same problem. Opposite advice. That’s not unusual. Therapy can be vague. Sometimes even contradictory.
Later, as a therapist myself, I had sessions where I wondered, “Did I actually help them?” Not because I didn’t care but because the field doesn’t always give clients or therapists a clear structure. That gap bothered me enough to try building one.
If therapy has ever left you without a roadmap, this is my attempt to give you one. These are science-based, practical steps you can actually use today.
Mental Health Isn’t Magic. It’s a System
The core of my framework is simple: your mental health is a dependent variable. It’s not something you can change directly. You can’t just decide to stop being depressed.
But you can change independent variables, the things you control and measure how your mental health responds. It’s the same structure as a scientific experiment. You adjust, you observe, you refine.
In daily life, the key independent variables are how you spend your time, energy, attention, and money. These four resources are spent every single day, whether intentionally or not.
A Daily Question
Ask yourself: “Are the things I’m spending these resources on helping or hurting my recovery?”
Not every decision has to be perfect. I aim for 80 percent. If 20 percent of my time gets wasted, no big deal. But if half of it does, I feel it in my mood, sleep, and motivation.
1. Track Time Without Obsessing
Time is the one resource you’ll spend no matter what. Try a time audit, write down how you spend each 30-minute block for a couple days. Not to judge yourself, but to see the patterns. Once you see them clearly, you can make changes.
2. Protect Your Energy
There’s physical energy and mental energy. Both drain fast.
Mental energy often gets wasted on avoidance, replaying a phone call you never actually make. Your brain counts that as work.
Start noticing what drains you. If a task isn’t worth the cost, don’t spend the energy.
3. Focus Is a Resource Too
Attention is a spotlight. If you only shine it on the broken 10 percent, you’ll feel broken, even if 90 percent is working.
It’s not about pretending things are fine. It’s about noticing what is okay, because attention creates meaning.
4. Spend Money Like It Matters
Money and mental health are deeply connected. When you’re low, it’s easy to chase quick hits, food, gadgets, distractions. But often, what helps more is using money for things that stabilize you long-term.
Ask: “If someone handed me this cash right now, would I still want to trade it for this item?” If not, you’re probably reacting to a feeling, not a real need.
Stacking the Odds in Your Favor
Mental health isn’t about unlocking the perfect insight or waiting for time to heal you. It’s about stacking the odds in your favor, day after day, resource after resource.
You won’t always get it right. You won’t always feel immediate results. But over time, the way you spend your time, energy, attention, and money shapes your mental health far more than you realize.
Because mental health isn’t magic. It’s a system. And the more you work the system, the more it works for you.
In this video, I break down these four resources and show you how to treat your life like a research project.
-Scott
Want practical tools for navigating life with depression and anxiety, delivered right to you every week?
Resources.
If you live in Iowa and need counseling, medication management, or psychological testing please contact my clinic (Iowa residents only)
Out of state counseling needs? This is the most comprehensive resource.
My Books
For those suffering with depression and feeling unseen and helpless, I wrote this for you - because I was you.
Dramatically improve your sleep in 2 steps with my new Sleep Workbook.
FAQ
Q: Can anxiety routines be a sign of depression?Yes. Many people with high-functioning depression use anxiety routines as coping strategies. These routines often mask deeper struggles but also keep people stuck.
Q: What’s the difference between healthy preparation and an anxiety routine?Preparation helps you engage with life. Anxiety routines prevent you from living it. The difference is whether the habit expands or shrinks your world.
Q: What if I’ve tried therapy and it hasn’t helped?You’re not broken. Traditional therapy often overlooks people who need practical, science-based strategies. That’s why I share tools that most mental health providers aren’t teaching.







Comments