Below you'll find a list of all posts that have been categorized as “Anxiety”
Seasonal affective disorder (SAD) is more than just the “blues”. Affecting up to 5% of adults in the United States, it can last as much as 40 percent of the year. SAD can cause significant impairment of normal daily activity, and can lead to deeper complications if left unaddressed. For many of us, 2020 has been a year of “affective …
Media Use and the Pandemic We’ve said it before and we’ll say it again: media use is not always good for you. Now we have the pandemic-related phenomenon of “doomscrolling”, going obsessively through your feeds again and again, reading the bad news and skipping the good. Why do that? Well, 2020 has put a lot of stress on everyone. From …
Anxious Times, Anxious Thoughts Anxiety is a common companion for mood disorders, in fact, anxiety is, for many people, the first mood-related symptom they remember from childhood, before other symptoms began to develop. Studies show that as many as 90% of people with bipolar also have an anxiety disorder. Anxiety often takes the form of constantly repeated worry about worst-case …
In this time of heightened fear and anxiety, all of us need to work on strategies for managing fear. The usual way most people try to manage fear is by repression or distraction, but we all know that those “strategies” just let the fears fester and come sneaking back later. How can we manage our fears in a constructive way …
Anxiety is a reality of our times. Sometimes it comes as a vicious attack with no clear cause, and sometimes it’s raised by the news on TV or the news from neighbors, friends and our own kids, parents, and partners. Whatever brings it on, battling anxiety can be a lonely struggle, often with no end in sight. In an anxiety-ridden …
The human brain is still a mystery in many ways, with much of our brain function difficult or impossible to study under most conditions. What causes worsening moods and why do some people struggle with anxiety and depression while others do not? A recent study at UC San Francisco took advantage of work being done for patients with epilepsy who …
Anxiety and panic attacks are some of the “comorbidities” (concurrently occurring disorders) that folks with bipolar have to contend with. Another concern is the complicated relationship between bipolar and post-traumatic stress disorder. Social anxiety is often found in conjunction with bipolar. Although many people think bipolar is characterized by the extraverted and friendly attitude often experienced during hypomanic episodes, the …
An interesting opinion piece in the New York Times this past week highlights unintended consequences of the ways in which we talk about mental illness and the strategies we use to reduce stigma around it. Dr. Lisa Pryor, a mental health care practitioner in Australia comments that increasing discussion, publicity and stigma reduction around “moderate” mental illnesses like anxiety and …
Moodsurfing has often focused on improving the quality of intimate relationships, in a therapy session today I explored with a young woman the difference between checking up on her partner and building a more intimate and connected relationship. Early in a relationship it is pretty common to have anxiety about the other person. Are they really committed to the relationship, …
Avoidance behavior, or avoidance coping, is a way of trying to stay calm by trying not to pay attention to disturbing thoughts or feelings. Avoidance may work in the short run, but it also tends to take a short term problem and make it a long term one. James Edgar Skye, a bipolar blogger we follow, has a blog post …
Attention Bias Modification (ABM) – also sometimes called Cognitive Bias Modification – may be an inexpensive and effective way of enhancing standard treatment for social anxiety. The standard approach to social anxiety is cognitive behavioral therapy (CBT). CBT focuses on teaching people to modify their thoughts about social situations. First the client is asked to track thoughts before a group …
Progressive Muscle Relaxation is the relaxation technique that I have had the most success with, (and I have tried many of them!) – by that we mean a technique to help in the moment with stress and anxiety, as opposed to something like mindfulness meditation or another meditation technique, which works best as a regular practice that over time reduces anxiety. …
Feeling trapped is one of the most painful emotional experiences. The need to escape from this place can sometimes lead us to do things that are irrational and self-destructive. A young woman who I’ve been working with for couple of years who struggles with chronic depression, finally seem to be making some headway in her life with a new relationship …
This is a quote from one of my patients which illustrates how profoundly a regular meditation practice can affect mood and anxiety. The woman who shared this experience with me is a genuine skeptic about all things “new age” and that made her words even more meaningful in my mind… “The most important thing to know is that for the …
Types of Anxiety and Mood One of the most complicated questions we face working with people who have experienced depression or mood swings has to do with the relationship between mood and anxiety. One way of trying to bring a little bit of clarity to this discussion is by considering the different types of anxiety. In this post we will …
Why would you want to examine your fears? Remember that part in the scary movie when the hero suggests going down into the basement to take a look around and you cringe in your seat and mentally say “don’t do it”? Tim Ferriss, who has bipolar himself, says that engaging with and examining your fears is how to stay mentally …
Rick Hanson has written an elegant and timely newsletter article about how to avoid intimidation and fear from paper tigers and media demagogues. I love his weekly email newsletters and it is again time to encourage readers of this blog to sign up. Here is the link. One of Rick’s themes, elegantly outlined in this most recent article, is how …
In an April 5, 2017 article in the New York Times, Gretchen Reynolds reviews new research on the science of slow breathing and how this ancient technique may work to promote relaxation, reduce anxiety, and prevent panic attacks. The technique of controlled breathing or pranayama (प्राणायाम) is referred to in the Bhagavad Gita, and thus dates back at least to …
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 helpful. And….go. What did you …
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 him on Lexapro (a serotonin …
