Cognitive Behavioral Therapy (CBT) is a highly effective approach for treating depression without medication. Here’s a brief overview of what CBT might look like:

1. Identifying Negative Thought Patterns: A key part of CBT is identifying negative or harmful thought patterns that may be contributing to your depression. This could be a tendency to focus on the negatives, jump to conclusions, or see things in black-and-white terms.
2. Challenging Negative Thoughts: Once these patterns are identified, the next step is to challenge them. This might involve testing the reality of these thoughts, or looking for alternative explanations. For example, if you tend to blame yourself for everything that goes wrong, you might start to question whether that’s actually accurate.
3. Replacing Negative Thoughts: The ultimate goal of CBT is to replace negative thought patterns with more positive and realistic ones. This might involve practicing positive self-talk, or using techniques like visualization or affirmations.
4. Behavioral Activation: This technique helps individuals engage in activities they once found pleasurable or fulfilling but have stopped doing because of depression. Starting these activities again, even when one doesn’t feel like it, can help improve mood over time.
5. Relaxation Techniques and Stress Management: This could involve learning and practicing techniques such as mindfulness, meditation, deep breathing exercises, or progressive muscle relaxation. Managing stress effectively can have a significant positive effect on mood and can help to control symptoms of depression.
6. Problem-Solving: CBT can also teach valuable problem-solving skills, to help deal with stressful or difficult situations more effectively.

Remember, CBT should ideally be conducted with a trained professional, like a psychologist or a psychiatrist. While you can certainly do some of this work on your own, a professional will be able to guide you through the process more effectively and can provide valuable feedback and support.

And if you’re struggling with depression, it’s important to reach out to a healthcare provider or a trusted person in your life, even if you’re not interested in using medication. Depression is a serious illness, but with the right help and support, you can manage it effectively.