risk calculator for youth

Risk Calculator for Youth – Nancy

New research may lead to a risk calculator that can help predict which young people at risk of bipolar go on to develop either bipolar 1 or bipolar 2. Young people with a history of depression and some features of bipolar (a brief period of being energized, for example, that doesn’t meet criteria for hypomania) are at risk for developing …

Famous People

Famous Bipolar People – Nancy

Why are there so many famous bipolar people? Will a diagnosis of bipolar make you famous?  Probably not, at least not immediately.  Nonetheless, it is a reality that a surprising number of famous people, contemporary and historical have a confirmed or suspected diagnosis of bipolar. Winston Churchill, Isaac Newton, Ernest Hemingway, and other household names are included in this inventory.  …

stigma in mental illness

Stigma in Mental Illness – Nancy

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 …

pregnancy and depression

Pregnancy and Depression

Bipolar Network News just published a set of articles on pregnancy and depression which are a useful update of the research in this important area. Other recent articles on moodsurfing about pregnancy include one by Nancy on apps for depression in pregnancy, an article summarizing a controversial study suggesting a link between antidepressants in pregnancy and autism, an article on the subject …

Undiagnosed Hypomania

Undiagnosed Hypomania – Nancy

How big a problem is undiagnosed hypomania?  By some estimates as many as 50% of people being treated for depression may have hypomania (similar to mania, but milder) episodes as well. A recent article in Psychiatric Times encourages doctors to maintain an increased level of suspicion about the possibility of hypomania in patients who are receiving treatment for a range …

App Predicts Mood in Bipolar

App Predicts Mood in Bipolar – Nancy

A new smartphone app predicts mood in bipolar according to a recent series of studies. The mobile phone app shows promise for identifying early warning signals for users of mood episodes, based on a user’s keyboard behavior, such as typing speed and message length. The app does not consider the content of messages typed by users on their phones, but …

Mariah Carey has Bipolar

Mariah Carey Has Bipolar – Nancy

Singer-songwriter Mariah Carey has bipolar according to an interview with People magazine, carried on their April cover.  Now in her late 40’s, Carey says that she did not seek treatment for many years, thinking she only had severe insomnia. Now, she is in therapy and taking medication for bipolar II disorder and continuing to work in the studio on her …

bipolar light therapy

Bipolar Light Therapy – Timing and Effect – Nancy

Bipolar light therapy can improve mood and daytime alertness.  Light therapy is often used as an adjunctive treatment for patients who experience residual depressive effects while taking lithium or valproate as mood stabilizers.  Light therapy can also be useful for those who need to minimize medications, such as pregnant women or the elderly. A study conducted at the at Northwestern …

Preventing Mood Episodes

Preventing Mood Episodes – Nancy

A recent article in Bipolar News reminds us of the value of preventing mood episodes, even if that means aggressive treatment. By reducing the number of bipolar episodes a patient may experience, preventative treatment can protect the brain from the damaging effects of such episodes.  Preventative treatments with multiple medications have been shown to be very effective but the medication …

Sharing About Bipolar – Gina

Sharing about bipolar with others can be a very personal and vulnerable decision. I often have clients ask my opinion about who they should share with and how to go about doing that. I think it can be helpful to pull apart these questions to assist them in getting to their own answers to these questions. When thinking about sharing …

binge eating and bipolar

Binge Eating and Bipolar – Nancy

In our practice we often see a link between binge eating and bipolar.  Recent studies are showing that there is a link between emotional eating and bipolar disorder, with as many as 10% of bipolar sufferers also struggling with eating disorders, a much higher percentage than in the general population. The Mayo Clinic, which has studied the link between binge …

Raising Healthy Children

Raising Healthy Children

Raising healthy children is always challenging, a source of joy but also a source of anxiety. And having depression can add to the challenge. And yet many, many women that we have worked with have had successful pregnancies and raised wonderful, healthy, happy children. One key to success is paying attention to how mood can influence not only ourselves but …

Bipolar at Work

Bipolar at Work – Nancy

Bipolar At Work: Disclosure and Accommodation Federal law provides important protections for workers who are coping with disabling mental or physical illnesses in the workplace.  Know your rights, and plan carefully for whether, when and how to request accommodations and disclose special needs at work. The Americans with Disabilities Act (ADA) prohibits discrimination against anyone with a health-realted disablitiy in …

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 …

Online Group Therapy – Bipolar 101 – Gina

Gateway’s Bipolar 101 – Online Group Therapy Last week we started the Bipolar 101 Group at Gateway Psychiatric, the second time we’ve hosted this group. It was inspiring to see how a sense of community and connection can develop so quickly in an online meeting.  I regularly hear of the value that support plays in the lives of people I …