Traveling

Traveling can be exciting, but it can also be very stressful. It is particularly important for people living with moods to do prepare for travel before they leave. A surprisingly high percentage of serious mood catastrophes, in our experience, happen during trips. And they are almost always preventable. First, if your traveling to some place without good medical care, it’s a …

Money and Security

How much money does it take for someone to feel really secure? This seems like a sensible question. Certainly, many of us have been dealing with  insecurity because of a lack of money. In other words, there is a relationship between money and security. On the other hand, over the years, we have never run into anyone who managed to …

reclaim your world

Reclaim Your World

Why You May Need to Reclaim Your World Threats from disasters, and other dangers in the world around us, can lead us to withdraw from normal activity and then we may need to reclaim our world from fear. I have always loved what I now call the territorial sports: the cross country skiing, running, hiking, bicycling, etc. These are sports …

All About Happy: Resources

What makes us happy? How can we have more happiness? Is happiness just the absence of sadness and depression? These are some of the questions that are addressed in an entertaining, informative and inspiring movie called “Happy.” Some ideas we saw – 50% of our happiness is determined by genes, 10% is related to life circumstances (financial situation, what country …

Retraumatization

After nearly 20 years of work in the field of post-traumatic stress disorder, one thing that continues to trouble and baffle me is the phenomena that was described by Freud as the repetition compulsion.  Why is it that people who have been victimized in terrible ways are at much higher risk of being victimized again.  One would think that they would be …

Disaster’s Aftermath

The recent hurricane that hit New Jersey and New York reminded us of the research on the aftermath of disaster conducted by a friend and colleague, Kent Harber, PhD. Kent has been very interested in posttraumatic stress disorder, and in particular, the work of Dr. James Pennebaker, on the value of sharing one’s story in the aftermath of trauma. Jim …

The Different Types of Vacations

This past weekend, we were at a Halloween party talking to a computer engineer who recently moved here from Holland.  The topic turned to a discussion of things that are unusual about Americans, in particular,  the American relationship to work and vacations.  We take less vacation than almost any industrialized country in the world.  Of course, we think it’s responsible …

Sick of Vacation

Hard working professionals go on vacation and immediately get sick. This doesn’t happen just once, it is regular and reliable. What is going on? If this has happened to you, you are getting a crash course on the physiology of the body’s stress response system, and some of its flaws. It was developed to deal with very different problems than …

Fire of Anxiety: Stop, Drop and Roll

Remember those Public Service Announcements about how to protect yourself in a fire? I can hear it in my head now–STOP, DROP, AND ROLL. That PSA must have been on heavy rotation when I was a child because any time I even see a hint of a fire, I can hear the narrator’s voice in my head telling me what …

Performance Anxiety

Fear of public speaking and performance anxiety are very common things. Probably almost all of us have had the experience of desperately wishing to relax before a presentation. This may be a situation where you should be careful of what you wish for. When I was younger I had a terrible fear of speaking in public. And my first job …

When the Pressure Builds

We all have stress. It is a natural part of life. The level of stress in your life may vary from moment to moment. Some folks are more sensitive to stress and others may shrug it off, choosing to find contentment with whatever hand they are dealt in a happy-go-lucky fashion. Whatever your stress management style, it’s important to just …

Bad Memories

Unstable moods and bad memories seem to go together. In the clinic where many of us work we have noticed how often it is that folks who we see with bipolar have had traumatic experiences in childhood. Why that happens is speculation. But we do know that dealing with those experiences can be very, very hard, and, potentially, life transforming. …

The Heart of Evil

We have had the experience of feeling that we were in the presence of evil. A sense of foreboding, a shiver that involuntarily runs down the spine. An awareness that our expectations of rational behavior in others may be misplaced. As we have experienced it evil may be clever, but it is not creative. At its heart lies fear. Fear …

Francine Shapiro: EMDR – A Crazy Idea that Works

As a young psychiatrist I was interested in posttraumatic stress disorder (PTSD – psychological reactions to severe traumatic events) and did a research fellowship on the subject with Charles Marmar at the San Francisco VA Hospital. One Thursday morning, during our regular clinical case conference, we had a woman come in to tell us about her recently discovered technique for …

Running a Bit Late

This has been a super busy week and for the first time since we started this website we missed a couple of days of posts. That, plus the experience of waiting for someone to show up for coaching, made me think back on when I used to always be late for events and appointments. I was an absolutely incurable late …

Breathing Techniques

One of the oldest “self help” practices is based on breathing, changing how we breathe in order to reduce stress and to achieve a sense of connection with the world around us: Pranayama Yoga. Prana is the Sanskrit word for “breath” and also means “life.” Therefore, prana can be translated as “the breath of life” or “life energy.” Yama means …

Stress, Distress and Eustress

We met this afternoon with a delightful young man who said he was having more anxiety and depression because of all of the stressful things that he had to deal with. He gave us a list, and, perhaps because we are natural skeptics, we started to wonder whether that list really explained what was going on. For one thing, as …

Loving Kindness or Metta

Love is something that if you give it away, give it away, you’ll end up having more… Last Sunday at church there was a children’s chorus singing, and this was one of the songs. It seemed very familiar… The cultivation of loving-kindness (mettā bhāvanā) is a popular form of meditation in Buddhism. In some Buddhist traditions, the meditator begins cultivating loving-kindness …