Sleep Therapy and Depression

What would you do if you could double the effectiveness of your antidepressants? Let’s say that this new treatment also had no known side effects, and was completely safe. That is what four studies have suggested could happen if people who were started on antidepressants received cognitive behavioral therapy for insomnia (CBTi). However, this treatment is not widely available. We …

Winter Leads to Spring

Someone shared with us a wonderful video about John O’Donohue, a Celtic poet, philosopher and writer. In it we found this quote that resonated very much with our experience. It is about winter. And depression. And how life blossoms from the seeming dreariness of a period of fallowness. We think you might appreciate it. If you like this clip we …

Cognition Enhancing Apps

An experimental computer program is associated with improved attention and working memory in people over age 60, even 6 months after training. Somewhat fuzzy-brained after a poor night of sleep I ran across this summary of a paper that was just published in the prestigious scientific journal Nature (Anguera JA et al., Nature 2013 Sep 5; 501:97). Where could I test drive this application, …

Online Resources: Links and Apps Update

The very useful listserve of the Northern California Cognitive Behavioral Therapy association has had a great thread about favorite apps for mental health. We took advantage of the opportunity to update the page entitled “Links and Apps” with some more options. Here is an unedited list of the favorites from that group… note that this list is heavy on iPhone …

Ginseng

If you are a ginseng believer, then ginseng is the one supplement that all of us should be taking. Russian scientist Israel Brekhman coined the term “adoptegens” to refer to agents that helped individuals deal with stress. The prime example of this, in his view, was ginseng. [If you are interested in an example of the controversy that surrounds many …

MoodRhythm: Beta Users Needed

One of our readers forwarded to us a story about a new application called MoodRhythm that was developed at Cornell University and won  the prestigious $100,000 Heritage Open mHealth Challenge. The full story is available here. The application, which is available as a beta, is available for both iPhones and Android smartphones (although how to download it may be a bit …

There’s an App for that

The I-phone has come out with some new, user friendly mood charting apps that have the potential to change the way you live your life. Just when you thought the I-phone couldn’t get any better!  Two of these affordable apps are Senti and Moodkit. The Senti app keeps an emotional history of every day life by asking questions about the …

Abused and Misused: Opiods

The most overprescribed drugs that have have captured public interest are opioids. What a lot of people don’t know is that a 29% increase in pharmaceutical overdose deaths was caused by misuse of benzodiazepines, which have sedative properties. Dr. Steven King, MD, believes benzodiazepines are overprescribed, especially for patients with chronic pain. Benzodiazepines are often overlooked by the public, who …

Escape from Depression

I met a young woman yesterday who got me thinking about the reasons why I feel so strongly about the work I do as a psychiatrist, helping people with chronic mood problems. She came in for help with what she described as a “mild but chronic depression.” She had already seen one psychiatrist, and he had not been terribly helpful; …

St. John’s Wort

St. John’s Wort is a plant which has been shown in many well controlled clinical trials to be more effective than placebo in treating mild to moderate depression (not transient sadness). In fact the evidence supporting its effectiveness is better than the evidence supporting the effectiveness of some FDA approved anti-depressants.  It does not, in our experience, work as well …

Small Rewards

A young woman who was scheduled to go on a big trek in the Himalayas was not doing the training she needed to in order to have a good experience. She had been depressed for the last few months and this was probably a manifestation of that mood. She told me that she felt she “should be doing much more.” …

Fish Oil Update

Since so many people with bipolar and depression take fish oil we thought we would pass on some information in a summary form from Consumer Labs. The full information is available if you subscribe. Consumer Labs is the only source of reliable information about supplements (the only place that does any testing) and if you take supplements we strongly encourage …

Silver Linings

We have heard interesting rumors about the new movie “Silver Linings Playbook” that is supposed to address some of the issues involved in living with moods in a way that avoids stigma. Last week we got this from the American Psychiatric Association News – “It has been a long time since a Hollywood movie actually seemed like it could help people suffering …

Two Minute Meditation

Sometimes when we most need to get to the meditative or mindful state… it can be hardest to get there. For many people, being a bit energized.. with our thoughts going quickly, many ideas, drawn to many things… sounds are more profound, colors are brighter, smells and tastes are richer… is such a time. There is good news. We have …

Creatine for Depression in Women

In a small study of depressed women the dietary supplement creatine significantly boosted the response to an SSRI (serotonin antidepressant). Creatine is an amino acid that is made from other amino acids in the body, so it is not considered an essential amino acid – meaning one that you have to get from diet. Creatine is widely used by body …