Checking Up Versus Building Intimacy
Moodsurfing has often focused on improving the quality of intimate relationships, in a therapy session today I explored with a young woman the difference between checking up on her partner and building a more intimate and connected relationship. Early in a relationship it is pretty common to have anxiety about the other person. Are they really committed to the relationship, are the trustworthy, etc. In fact, not having thoughts can be a significant problem as we have often had to work with people who ended up entangled in relationships with partners who are manipulative and dishonest. But when is this behavior excessive? Isn't it always good to share anxieties with a partner? Isn't that what honesty in a relationship is about? The ... Read More
internet addiction
Internet addiction increases suicidality, according to a recent meta-analysis that looks at 25 published studies on the topic.  Definitions of internet addiction, and other related disorders such as internet gaming disorder are still in flux, and the subject of much debate, but the broad outlines of a serious disorder are gradually being filled in. Several studies have documented links between internet addiction and suicidal thoughts and behaviors, but how they are related, or whether there is another cause, such as severe depression remains unclear. Nonetheless, there is sufficient evidence for the authors to warn of a real risk of suicidality connected with internet addiction, and especially with gaming.  They call for all individuals with internet addiction disorder to be screened ... Read More
too busy to smell the roses
Are you busy?  Why?  Are you rushing? Why? Being busy and accomplishing a lot of things is supposed to get us somewhere we want to be, or something we want to have.  But is it working? We usually believe that we have to rush to get everything done and we have to get everything done in order to get what we need.  But sometimes what happens is the rush and the busyness take on a life of their own and we are forced to keep rushing even though there is no objective reason for it. These reflections were sparked by a great essay by Rick Hanson, PhD in his free newsletter Just One Thing.  It’s a weekly practice suggestion that ... Read More
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 of pregnancy and mental health which we wrote a couple of years ago and an article reminding us that depression in pregnancy affects the child. Depression and Pregnancy Lauren Osbourne, Assistant Director of the Women’s Mood Disorders Clinic at Johns Hopkins Hospital summarized the literature in this area in a presentation in November 2017 at the Maryland Psychiatric Research Society’s ... Read More
Undiagnosed Hypomania
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 of mental illnesses with which bipolar disorder may be a “comorbidity” (illness occurring at the same time). Doctors are urged to use screening tools, and to supplement them with “paper and pencil” inventories that a patient or relative can fill out.  These provide clues to possible mood disorders that should be followed up on by an alert medical practitioner.  Undiagnosed ... Read More
Present Moment Awareness with ACT
Present Moment Awareness in Acceptance and Commitment Therapy (ACT) is a way of learning to live outside of your head.  So often we spend time and energy thinking about how we wish our situation was, or (even more often) trying to avoid thinking about how it isn’t what we wish it was. ACT encourages us to start by Accepting what the reality is.  That doesn’t mean resigning yourself to never changing, or to despair, it means looking clearly at what is really happening, not at how you think the world ought to be.  Even if your reality is painful or worrisome, you will find that fighting not to think about it, or struggling to create thoughts that are not painful ... Read More

About MoodSurfing

Welcome to, the site that highlights strategies for living creatively with moods and coping with depression. This site is for people with bipolar, depression, cyclothymia, and others who experience powerful moods and want to figure out how to integrate these experiences into successful lives.

Although most of us are mental health clinicians of one kind or another, this site is not about providing people with medical or clinical advice (see below). We hope that we can help you cope with depression, maybe even allow you to live well with moods. 

If you like what you see here, be sure to sign up to get updated with new posts. 

We have done a series of interviews with people who have interesting things to say about different aspects of living creatively with moods. You can find those under the heading “Conversations.


This site is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual. Through this site and linkages to other sites, Moodsurfing provides general information for educational purposes only. The information provided in this site, or through linkages to other sites, is not a substitute for medical or professional care, and you should not use the information in place of a visit, call consultation or the advice of your physician or other healthcare provider. Moodsurfing is not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this site.

IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY, YOU SHOULD IMMEDIATELY CALL 911 OR YOUR PHYSICIAN. If you believe you have any other health problem, or if you have any questions regarding your health or a medical condition, you should promptly consult your physician or other healthcare provider. Never disregard medical or professional advice, or delay seeking it, because of something you read on this site or a linked website. Never rely on information on this website in place of seeking professional medical advice. You should also ask your physician or other healthcare provider to assist you in interpreting any information in this site or in the linked websites, or in applying the information to your individual case.

Medical information changes constantly. Therefore the information on this site or on the linked websites should not be considered current, complete or exhaustive, nor should you rely on such information to recommend a course of treatment for you or any other individual. Reliance on any information provided on this site or any linked websites is solely at your own risk.

Moodsurfing does not recommend or endorse any specific tests, products, procedures, opinions or other information that may be provided on the linked websites. The linked websites may contain text, graphics, images or information that you find offensive (e.g., sexually explicit), Moodsurfing has no control over and accepts no responsibility for such materials.