The Upward Spiral by Alex Korb — book cover

The Upward Spiral

Alex Korb · 2015

The Upward Spiral (2015) is a book by Alex Korb on Neuroscience of Depression. A UCLA neuroscientist explains depression as a self-reinforcing loop between the thinking and feeling brain, then shows how small changes to exercise, sleep, decisions, gratitude and touch reverse the spiral.

11 min read · 9 chapters · Mental Health

Why it’s on the shelf

A neuroscientist's case that depression is a circuit stuck in a loop, and that tiny, unimpressive actions are enough to bend the loop the other way.

Two of the ideas you’ll keep

The Clif summary of The Upward Spiral pulls out 7 insights. Here are the first two.

  1. Depression isn't a broken brain, it's a working brain tuned to a bad setting. The prefrontal cortex and limbic system fall into a self-reinforcing pattern, which is why the same circuits that trap you can also carry you out.
  2. Worry and anxiety are different animals. Worry lives in the prefrontal cortex and anterior cingulate as thinking about a bad future; anxiety is the amygdala's bodily alarm, which is why reasoning with anxiety fails and why calming the body works.

The other 5 — and the full 11-minute summary — are in the app.

What’s inside: 9 chapters

The whole summary runs about 11 minutes, read or listened to.

  1. A Map of the Depressed Brain
  2. The Downward Spiral: Worry, Anxiety, and the Negative Filter
  3. Why Nothing Feels Fun Anymore
  4. Exercise: The Closest Thing to a Wonder Drug
  5. Decide Something, Even Imperfectly
  6. Sleep as Circuit Maintenance
  7. Biofeedback: Steering the Brain Through the Body
  8. The Gratitude Circuit
  9. Other People, Therapy, and the Compounding Effect

Finish The Upward Spiral tonight.

Read or listen to the full summary in about 11 minutes, then keep the ideas with a minute of review a day. Start with the 2-minute quiz — no card required.