Category Archive: Anxiety

Mar 12

Acceptance and Commitment Therapy Part 3: Present Moment Awareness

I hope you have a few minutes to engage in a few exercises with me…. First, I’d like you to take 1 or 2 minutes to imagine that you are sitting on a white sand beach looking at the ocean, watching the waves roll onto the shore. Set your phone timer if that would be …

Continue reading »

Mar 08

Mixed Depression and Anxiety or Bipolar ?

A young man who recently graduated from chiropractic school came in for a second opinion. He has had a many year history of depressive episodes with prominent anxiety symptoms. Is this mixed depression and anxiety? This past summer, he went to see a new psychiatrist to get help with another episode of depression. The psychiatrist started …

Continue reading »

Nov 15

Coping with Political Uncertainty

Many of the people that I work with on a regular basis have been experiencing symptoms of depression and anxiety related to the recent election results. Unfortunately, mental health professionals are no better as news analysts than the so-called professionals. I have been struggling a little bit trying to figure out what to say to …

Continue reading »

Nov 01

Anxiety and Bipolar

For many people with bipolar anxiety is a bigger problem than mood swings. It is not that unusual for someone with bipolar to report that their first “symptom” of a psychiatric nature was the onset of anxiety early in childhood. Let’s take a look at this information again… 90% of people with bipolar have an anxiety …

Continue reading »

Jun 13

Acceptance and Commitment Therapy Part 2: Defusion

Defusion is one of the six core processes that make up Acceptance and Commitment Therapy (ACT). These core processes, which also include acceptance (click here to review this process as described in Part 1), present-moment awareness, self-as-context, values, and committed action, are aimed at cultivating psychological flexibility, or the ability to have all of our …

Continue reading »

Apr 29

Accepting the Loss

One of my patients wrote to me this morning asking if she could get a medication to help with her anxiety. She has been trying to find a good therapist for quite a while and I think she might have found someone who could really help her. But this is making her feel anxious and …

Continue reading »

Apr 13

Acceptance and Commitment Therapy Part 1: Acceptance and Willingness

I recently attended the Anxiety and Depression Association of America conference in Philadelphia, where I offered a two-hour workshop on Acceptance and Commitment Therapy (ACT) and deepening experiential practices in ACT sessions (largely based on the book The Big Book of ACT Metaphors: A Practitioner’s Guide to Experiential Exercises and Metaphors in Acceptance and Commitment …

Continue reading »

May 30

Herd Instinct in Humans

Herd Instinct in Humans: The Source of Anxiety and Depression? Jeffrey Kahn has written a fascinating book (Angst: Origins of Anxiety and Depression in Oxford Press) suggesting an evolutionary source for much of human psychopathology. He gave a Grand Rounds presentation at UCLA in February of 2015 that outlined some of his theories and that …

Continue reading »

Feb 19

Performance Anxiety is Good

performance anxiety

Although I have given thousands of presentations to professional audiences over the course of my career, when I was beginning that career I had severe dread of presenting. I would hardly sleep the night before a presentation and was visibly trembling as I went on to the stage (at least that’s how I saw it). …

Continue reading »

Jan 18

Through the looking glass 2 – Meeting the Therapist

The last blog posted some three hours ago jumped over this one, much as thoughts are given to do in my head. This, in fact is a description of me meeting the therapist for the first time. My earnest apologies. Maestro, the music if you please. …My wife, caught up in a Maelstrom of hypomania, seeks and …

Continue reading »

Jan 18

THROUGH THE LOOKING GLASS: 2 – Depression Assessment

Cartoon

  …I’m returning to do the test suggested by my therapist in our previous meeting – the Beck Depression Inventory II. Tremendous. Doing a test sounds like something you see in those silly magazines that tell you how good a lover you are are some such other rubbish, but apparently this test is rather serious. So I …

Continue reading »

Dec 15

Through the door 1 – Therapy needed

A few years back and I am living in Paris with my Irish wife who works for a large International think-tank based in the city. I work in London and return to Paris on weekends via Eurostar. I have had many ‘episodes’ in the past, but for a while now I’ve been free of them. But I …

Continue reading »

Oct 23

Digital noise – don’t you just love it?

Digital noise: phone chatter, loud music cross-talk, the incessant tip-tapping of keyboards, the beeps, bongs and rings of text messages and horrible mobiles ring tones that expose you to things like Wagner played on what sounds like a xylophone – I’m stuck on a bus in the middle of nowhere. It’s hell. Coping with noisy, busy places …

Continue reading »

Sep 07

Treating Anxiety – An Update by Kelsey

Treating Anxiety - The Role of Exposure Therapy

Treating anxiety is an important part of working with people with depression or bipolar. This update focuses on changes that have taken place in the field in the last five years that might be relevant to many people dealing with depression and anxiety. Imagine that you are taking a nice, peaceful walk in the woods. It …

Continue reading »

Aug 20

Blowing Things Up: Self-Destructive Responses to Frustration

Why do we sometimes come up with self-destructive responses to the unpleasant feeling of being trapped or the anxiety of an unhappy life situation? I talked about this a little bit in an earlier post that was based on an article in the New York Times. In that article, it was noted that many people  may find it so hard …

Continue reading »

Aug 16

Accepting Uncertainty

We are often trapped more by what we think about how things should be, or “have to be,” than by the reality of the challenges we face.  This week I have been noticing how often the phrase “I can’t stand.XX” precedes a statement that is quite obviously not true.  Someone who has been living with the …

Continue reading »

Jul 16

Bipolar Disorders and Exercise: Working Out Can Tone Up Your Neurotransmitters – Arnrow

Neurotransmitters are the chemicals that your brain cells (neurons) use to transmit information, without them we cannot think or act. It is no wonder that too much or too little of any one particular neurotransmitter can have substantial effects on how our body and brain functions. For example, people with mood disorders tend to have low …

Continue reading »

Feb 24

Medications for Anxiety

A writer we have been seeing for about a year for depression and bipolar sent me an email yesterday – “I need something for my anxiety…” Often anxiety is the symptom that is of greatest concern to people who have bipolar or depression. Working through my thought process as I tried to come up with …

Continue reading »

Feb 20

Passing on PTSD to Children

At a recent scientific meeting, Rachael Yehada showed that traits that are related to posttraumatic stress disorder PTSD can be passed on to children during pregnancy. Mothers in New York City who were pregnant on September 11, 2001 and developed post-traumatic stress disorder (PTSD) had children with low cortisol in their blood (a sign of …

Continue reading »

Feb 03

Media Makes PTSD Much Worse

  It was a sunny October day in 1989. Game 3 of the Battle of the Bay baseball World Series between Oakland and San Francisco. Then the largest earthquake in almost a hundred years hit the bay area. I was, as it happens, in my therapist’s office, my wife was at work. I rushed home …

Continue reading »

Older posts «

Fetch more items