Many people who have been depressed for a long time, develop a pattern of interacting with others that is designed to protect them from disappointment, this pattern, the psychology of chronic depression, needs to be understood in order to help people successfully emerge from this devastating condition. Avoiding disappointment and rejection is obviously a good thing, but it can lead …
Unhappiness Epidemic – Nancy
Are you finding yourself a part of an unhappiness epidemic? Researchers have found sharp drops in reported happiness among adults since about 2000, and in adolescents since 2012. While there are significant drops reported during economic hard times, such as the recession of 2009, there have not been associated rises in happiness as the economy has improved, making it unlikely …
MoodSurfing and Music – Nancy
Moodsurfing and Music. We’ve all felt the effect that music can have on moods, from a jumpy, cheerful marching band, to a sad-story country and western ballad to an uplifting inspirational song remembered from childhood, music can affect us powerfully, sometimes changing a whole day with just one excerpt on the radio during the morning commute. Syd Baumel in his …
Chronotherapy Success!
How can something as simple as manipulating the time you sleep – chronotherapy – work so well to improve the quality of your sleep, your energy during the day and your mood? A young mother who has often complained of feeling tired with many problems with aches and pains came in with a big smile today… “I am feeling so …
Returning to Work
Returning to work after a period of increased symptoms of depression or bipolar can seem daunting. And, indeed, there are major challenges to be dealt with. If you are returning to work, you are in a happy minority of people with bipolar or recurrent depression. Congratulate yourself! Or at least that is what the, admittedly incomplete, evidence suggests. Trying to …
Fatigue, Depression and Sleep
One of the curious quirks of how our brain works has to do with how it responds to situations associated with fatigue, depression and sleep. Usually the brain regulates sleep well. Every night, after we have been awake for the appropriate amount of time, our brain responds to signals from the “clock” cells in the pineal gland and to the …
Perfectionism and Depression
Perfectionism and depression are opposites that often seem to attract each other, and the combination can be a great challenge for anyone trying to “live creatively with moods.” Depression enhances our brain’s natural tendency to see problems in the world around us… it shines a spotlight on every imperfection. It is a perfectionist’s nightmare. Perfectionism Perfectionism itself is not necessarily …
Persistence Despite Depression
There are two characteristics that seem to define people with bipolar and depression who do well, one of them is persistence despite depression, a trait which is described well in the post Trust the Process by a favorite blogger, Bipolar on Fire. The other is a willingness to “do what it takes,” meaning a commitment to wellness even if it may …
Self Care and Mood
Self care is an essential aspect of a stable mood. Perhaps that statement seems obvious. You might be surprised, though, by how often people try to ignore that fact. It is common in my practice to be asked, directly or indirectly, to make a person feel good about themselves even though they are not taking care of their most basic …
Stopping Medications – How and When to Do It
Most people with depression and/or bipolar think about stopping medications at one point or another. The results can be disastrous or good depending, in part, on the motivation for change and how it is done. As with any major life decision, it is best not to approach the decision with too much of a sense of urgency. If you’re feeling …
A Morning Ritual Improves Mood
A morning ritual improves mood – For people who are trying to live creatively with moods, how the day starts can have a powerful impact. And the morning ritual is an effective way of changing that experience. Researchers have found that organized patterns of behavior (rituals) help our brains cope with uncertainty and reduce anxiety. So if you’re not sure …
Exercise Prevents Depression
A study of 34,000 healthy adults followed for 11 years shows that exercise prevents depression. The authors of the study found that the dose of exercise needed to optimally prevent depression was surprisingly low. Just 15 – 20 minutes of aerobic exercise per day was effective. The study is the largest prospective study to date to show the benefits of …
Suicide Survivor Day for Loved Ones
Suicide Survivor Day is the one day a year when people affected by suicide loss gather around the world at events in their local communities to find comfort and gain understanding as they share stories of healing and hope. Discover more about Survivor Day. UCSF and the American Foundation for Suicide Prevention are hosting an important event for suicide survivors on November …
App for Depression in Pregnancy – Nancy
Moodsurfing has looked at smartphone apps for depression and those for bipolar disorder and a new study is available that looks specifically at a smartphone app for depression in pregnancy. Mental health in pregnancy is a topic that can raise real anxiety in people’s minds, in part because so much divergent information is readily available on the internet and from family …
Smartphone Apps for Depression
Are smartphone apps for depression effective? Two articles published in 2017 by a group of Australian and American researchers examined the question of whether smart phone apps for depression and anxiety are effective. In both articles the authors comprehensively analyzed the world medical literature for research articles that evaluated the effectiveness of smart phone delivered interventions for either depressive symptoms …
Bipolar Depression Light Therapy
The news that bipolar depression light therapy may be effective is good news and follows a series of studies this past year highlighting the importance of treatments that affect circadian rhythms by manipulating light and dark in treating mood disorders. Bipolar depression is one of the hardest conditions to treat effectively. Antidepressant medications may have significant side effects, including inducing …
Contagious Moods
A well designed study of adolescents suggests that there are contagious moods. This study follows on earlier research suggesting that surrounding yourself with more “contented” or “discontented” people affects how likely you are to feel contented. The new research involved groups of junior-high and high-school students who took part in depression screenings and answered questions about their best friends, many of whom were …
Mood Spectrum
Author and psychiatrist James Phelps presented a thought provoking presentation about the notion of a mood spectrum (from very unipolar to very bipolar) and how that idea is changing the way that clinicians work with people with depression. The title of the presentation was “A More Nuanced View of Hypomania” but the talk itself is broader than that. The spectrum …
An Epidemic of Fatigue
Several of my patients reported odd changes in their sleep and their energy level this past week, as though there was an epidemic of fatigue going around. They noted that their sleep was a bit more disrupted and that they didn’t feel as rested in the morning and, for the first time in months, they began taking afternoon naps. Going …
Sadness Benefits
Are there sadness benefits? It often seems as though the work I am supposed to do is to eliminate all negative emotion on behalf of the people who come to me for psychiatric help. But is that possible, and if it were possible would it be a good thing to do? Are there sadness benefits that would be lost if …