Terry McGuire is an award-winning journalist and news anchor turned mental health and hope advocate. The Giving Voice to Depression podcast that she created and cohosts has been downloaded more than 2.5 million times, and ranks in the top 1% of global podcasts.
Terry McGuire is an award-winning journalist and news anchor turned mental health and hope advocate. The Giving Voice to Depression podcast that she created and cohosts has been downloaded more than 2.5 million times, and ranks in the top 1% of global podcasts.
This article is a summary of a conversation from an episode of the Giving Voice to Depression podcast hosted by Terry McGuire. In this episode, Terry and Dr. Anita Sanz explore the Spoon Theory and how it offers a unique lens for understanding and managing depression.
Living with depression is often described as exhausting, invisible, and misunderstood. For many, finding the right words to explain what it feels like day-to-day can be incredibly difficult. That is where Spoon Theory comes in. Originally developed by Christine Miserandino to explain the experience of living with lupus, Spoon Theory has become a valuable framework for people living with a variety of chronic illnesses, including depression. It provides a simple yet powerful way to describe energy limits, decision-making, and the constant weighing of priorities that many face daily.
On this episode of the podcast, Terry McGuire and co-host Dr. Anita Sanz dive into this metaphor and unpack its relevance to mental health. Anita brings her experience living with chronic illness, and Terry shares how depression has impacted her life. Together, they shed light on how Spoon Theory can help people manage depression, communicate with others, and practice self-compassion. Their discussion is full of practical strategies, heartfelt reflections, and relatable stories that make the concept come alive.
If you’ve ever struggled to explain your depression to others or to yourself, or if you’re looking for new ways to approach self-care and energy management, the insights from this conversation are invaluable. Below, we explore nine of the most powerful lessons shared in this episode and offer context, quotes, and examples to help you apply them in your own life.
Spoon Theory uses a simple, everyday object—spoons—to represent energy. Each spoon stands for a unit of energy you have available in a given day. Unlike people who wake up with what feels like unlimited energy, those living with depression often start with far fewer spoons.
Dr. Anita Sanz explained:
Spoon theory and using spoon theory is like a self-pacing strategy that allows you to become more and more mindful of how much energy tasks take from you — so that you can plan accordingly.
Christine Miserandino created Spoon Theory spontaneously while explaining to a friend what it feels like to live with lupus. Her friend asked her to describe life with chronic illness, so Christine handed her a handful of spoons and began taking them away as she listed daily activities: getting dressed, cooking, commuting, working. Each task cost a spoon, and when the spoons were gone, so was her energy.
Why it resonates: For people with depression, this analogy hits home. Energy feels finite and fragile. The spoons help make invisible struggles visible, giving a language to something that often goes misunderstood.
When depression is at its worst, even the simplest tasks can feel monumental. Getting out of bed, brushing your teeth, or eating a meal can consume multiple spoons. What might seem effortless to others can feel impossible.
Terry shared:
The idea of a shower when I am in a depression is a very different thing.
This reframing helps explain why people with depression often cancel plans or struggle with routine responsibilities. It’s not laziness or a lack of desire—it’s about limited resources. Understanding this helps build empathy, both for yourself and from those around you.
Key point: On tough days, every activity comes at a cost. Recognizing this is the first step to making compassionate choices.
Energy management becomes an essential skill when you know your spoons are limited. Planning with spoons in mind means prioritizing tasks and making intentional choices.
Dr. Sanz explained that some days, you might start with 20 spoons, while other days you might have only 10 or even 5. Every decision—whether to cook dinner, attend a social gathering, or clean the house—draws from this limited supply.
Sometimes people will even push themselves and borrow spoons from the next day, but that’s not a sustainable strategy.
Practical tips for planning:
When you have few spoons, high-effort self-care isn’t always an option. Instead, focus on low-barrier self-care—tasks that require minimal energy but still support your well-being.
Some low-barrier self-care ideas shared in the episode include:
Anita advised:
What we’re looking for are low energy, low-barrier self-care tasks. Things that hopefully take almost no spoons.
This approach emphasizes gentleness. You don’t need to overhaul your day—sometimes it’s enough to take your medication, eat a snack, and rest.
One of the most empowering aspects of Spoon Theory is recognizing the value of small wins. In depression, monumental tasks can feel out of reach, but small steps still count.
Examples of small wins:
Terry put it simply:
You can’t ask yourself to do things with spoons that you don’t have.
Celebrate the small actions. They might not seem like much, but they are proof of resilience and forward movement.
Spoon Theory isn’t just about managing your own expectations—it also improves how you relate to others. When friends, family, or coworkers understand that your energy is limited, it becomes easier to set boundaries without guilt.
Anita shared:
You need to be assertive and communicate that, and my husband has absolutely no problem. I’ll pick up something, not an issue.
Using spoons as a shared language can:
One of the most transformative insights from this episode is the importance of self-compassion. When you’re living with depression, it’s easy to criticize yourself for not doing more. Spoon Theory offers a kinder framework.
Terry emphasized:
If you are, you’re doing fabulous. You’re doing great. So no shaming, no blaming yourself for not doing what you could do on a day where you’ve got many, many, many more spoons.
Instead of asking, Why can’t I do more? ask yourself, Am I doing the best I can with the spoons I have today? This shift allows space for grace, understanding, and healing.
Spoon Theory has created a global community of people who call themselves Spoonies. This identity helps people feel less alone in their struggles.
Terry observed:
Once people understand the spoon theory, they seem to understand me a little better. But I also think they live their life a little differently, too.
Being part of a community where others “get it” reduces isolation. It also helps normalize discussions about invisible illnesses, including depression.
Community benefits:
Recovery isn’t a straight path. Spoon Theory reminds us that progress often comes in small, sustainable steps. On days when you have more spoons, you can do more. On low-spoon days, you focus on essentials.
Dr. Sanz said:
Little by little by little we start seeing the improvements. Once we get a few more spoons, which we can do if we don’t waste a bunch that we don’t have, we can do something else.
Ideas for gradual progress:
The conversation between Terry McGuire and Dr. Anita Sanz on the Giving Voice to Depression podcast offers a compassionate, relatable, and practical look at what it’s like to live with depression. Spoon Theory provides a way to make sense of the daily challenges, prioritize self-care, and communicate more effectively with others. It helps those struggling to embrace self-compassion and celebrate small victories while moving toward gradual improvement.
Whether you are living with depression, love someone who is, or simply want to understand this experience better, these insights are invaluable. Spoon Theory doesn’t solve every problem, but it gives us language, perspective, and a roadmap for navigating life with limited energy. And perhaps most importantly, it reminds us that doing our best with the spoons we have is enough—and that we’re not alone on this journey.
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