Freud came up with the term libido to describe the sum of all the human instincts related to love. In his view, there was a limited amount of this libidinal energy and it was important to use it wisely. Invest it in the wrong activities and you could end up with nothing to show for it. This notion of limits …
Leaving War Behind
I spent many sessions working with a successful entrepreneur to try to help him cope better with stress and depression. His problems seem to be neatly encapsulated in Joseph Campbell’s notion of the Hero. Like all of the heroes in the past, he set out as a young man to make fame and fortune and to change the world for …
Stress Free and Happy
It can be extremely difficult to lead a balanced lifestyle. When we are driven to reach a goal, it is easy to become stressed and obsessed with reaching a particular outcome. At what point does all the stress start to have a negative impact on our personal happiness? It is great to have ambitions and to work hard to reach …
Sleep Strategies
One of the most frequent causes of insomnia is anxiety. Insomnia of this kind is caused by increased activation of the sympathetic nervous system at night. The body releases norepinephrine (the flight or fight hormone) at night when that system should be inactive. You wake up and you feel “wide awake.” A current patient of Dr. Forster’s is having difficulty sleeping …
Stress, Resilience and the Neurobiology of Depression
Dr. Eric Nestler, M.D. believes that when it comes to treating depression, we should be doing better. Less than half of those with depression get better after receiving maximum treatment. Dr. Nestler describes depression as a broad syndrome hat involves many different diseases. Because the specific causes of depression cannot be identified, this disorder is difficult to treat. In order …
Coming Home
Where does the mind go when it is not occupied by the worries, frustration, and anxiety? Does it go to a happy place, or are people naturally angry? According to Rick Hanson, PhD, the mind constantly fluctuates between a reactive and responsive state. When in the responsive state, the body is able to relax and reenergize. It is a time …
Stress and Your Brain
Stress has a major affect on our bodies and our brain. The release of catecholamines (adrenaline and related chemicals) and cortisol causes significant changes throughout our body that are designed to prepare us for “fight or flight.” By shutting down all non-essential functions the stress response system prepares us for a life and death struggle Nowadays there are no life …
Awareness and Acceptance
The New York Times has had a series of well written articles on the topic of mindfulness. The most recent article notes that brain scans show that mindfulness can change the way our brains function, and help us improve attention, reduce stress hormones and even bounce back faster from negative information. The increased ability to bounce back from negative information that comes from …
Kindling
What do small sticks used to start a fire have to do with bipolar moods? Not much… Kindling in the context of this post refers to a phenomenon that is well documented in some people with seizure disorders and which may have relevance to some people with bipolar moods. Bob Post, who was for many years Chief of the Biological …
On the Borderline
I am writing a presentation for the UCSF Bipolar Program on the topic of the relationship between Borderline Personality Disorder and Bipolar Disorder and I thought I would jot down some of my thoughts in a quick post. Borderline personality disorder involves a “pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity” which begins by early adulthood …
Needing to be Perfect
The need to be perfect is one of the “dangerous ideas” that can destroy a life. It often comes from the fear of abandonment that all of us have, and which can be easily activated in childhood by a mismatch in personality with one’s parent. A wonderful, smart, attractive, funny, energetic woman talked with us about her experience of this. …
WorkSurfing
The New York Times recently published an intriguing article entitled “Relax, You Will Be More Effective.” It arrived at just the right time. Preparing for an upcoming vacation had made me particularly hectic. And then, while I was on vacation and writing this post, I got a blog post from MoodScope which was devoted to the importance of taking regular …
Trickster Brain
If you want to figure out if something is true or not, you’re probably better off not going to a psychiatrist. Therapists really have no greater ability to decipher what the truth is than anyone else. On the other hand, if you go to see a decent, “good enough” therapist, with enough experience working with people, he or she might …
10% of Americans Suffered Childhood Sexual Abuse
Approximately 10 percent of American adults were sexually abused as children, according to a study reported in Comprehensive Psychiatry. They are more at risk of psychopathology and suicide attempts than are adults who were not sexually abused as children. This study fits with other evidence. The global prevalence of child sexual abuse has been estimated at 19.7% for females and 7.9% for males, based …
Meditate!
Rick Hanson has a wonderful blog of practices that will help you achieve excellent mental health. We encourage you to subscribe to his newsletter (Just One Thing). We were inspired to share with you a summary of last week’s email. It is devoted to one of the five most useful practices – meditation. Meditation increases grey matter in a number of …
Mindfulness in the News
A number of people called my attention to the December 15 NY Times The Power of Concentration article written by Maria Konnikova on the topic of mindfulness. As I read it, I noticed certain parallels with my December 8 2-Minute Meditation blog post, mainly that there is recent research that shows that as little as 5 minutes of mindfulness per …
Mind Body Issues
Health problems fundamentally challenge our sense of self and safety in the world. Those people who are able to maintain equanimity in the face of medical disease and aging are truly admirable. There must be about a million articles about how to accomplish this – so I am not sure that what I have to say adds much to the literature – …
Having Plenty
We have been talking about the many forms of craving (food, love, sex, etcetera) and how the desire to have these things can be like an addiction to a drug. A reader of this blog shared the posts of another fellow Bay Area blogger – Rick Hanson, PhD. His most recent post is all about an antidote to craving – …
How Could Light Help?
There has been considerable skepticism about the value of light therapy for people with seasonal depression, despite a very compelling research literature. Perhaps this might, in part, be because the way that light might affect mood has not been clear. In a recently published animal study, change in light exposure increases stress hormones, depresses mood, and impairs learning through changes light …
Stormy Weather
The first of the big winter storms blew through the Bay Area today. Winds whipped up the already large waves and the pouring rain made it hard to see much more than a few feet in any direction. Of course, there were some hardy folk out there surfing anyway. But we assume that most of you recognize that when there …