How and when to stand up to intimidation is a topic much on the minds of many people in the United States and around the world. I’m on the board of a regional society of psychiatrists and at our most recent meeting this topic generated the most vigorous and enthusiastic discussion that I have seen at that meeting in years. The …
Psychopharmacologist
I am not a psychopharmacologist. A patient who I have been seeing for almost a year and who has been depressed throughout that period came in to see me today and we talked about her mood over the last couple of months. She has been markedly less depressed, and I was congratulating myself on the most recent medication change we …
Contemplative Practice Options
Contemplative Practice Options Explored in New Research Mindfulness has been much in the news. Skeptical readers have commented that it seems to be “good for what ails you,” no matter what the challenge. Others have noticed that mindfulness seems to now encompass some practices (focused meditation) that were historically seen to be an alternative to mindfulness practice. “Contemplative practice” is …
Harm Reduction
Reducing the Harm of Substances in Your Life: A Harm Reduction Approach Have you noticed that your substance use is impacting your mood, relationships, or work? Are you looking to reduce the negative impact substances are playing in your life? Harm Reduction methods can be useful in exploring ways to prevent harm and reduce risks in your life caused by …
Bipolar and Success
What is the relationship between bipolar and success? This excerpt from the American Psychiatric Association’s book Understanding Mental Disorders, suggests one kind of relationship… “The symptoms of bipolar disorder can damage relationships, cause problems with work or school, and even lead to suicide. People with the disorder may feel out of control or ruled by their extreme moods and behaviors. Although there may …
Social Media and Mood
Research looking at the relationship between the use of social media and mood continues to offer tantalizing hints about this new aspect of human experience. Are the effects positive or negative? There seems to be no doubt about the impact of television watching on mood. Heavy television watching is associated with depression and impaired cognitive function, even when controlling for other risk factors …
Interpersonal Effectiveness and DEAR MAN
For many people with depression, it can be hard to find an assertive, but not hostile, way of dealing with conflict. Marsha Linehan’s Dialectical Behavior Therapy (DBT) addresses many practical problems such as this with straightforward answers. This comes from the “Interpersonal Effectiveness” module of DBT. The acronym to remember is DEAR MAN: Describe Describe the situation in as objective …
Dangers of Mania
A cheerful young woman comes in for a consultation and soon we come to a topic that can be remarkably frustrating for all: trying to explain the dangers of mania. She is only mildly manic. It’s true she often gets into arguments that don’t really make much sense and she has been smoking more marijuana and hooking up with an …
Frequent Lying and Biology
Frequent lying and its biology is the subject of a fascinating article in Nature Neuroscience. Scientists have shown that the brain’s fear and alarm circuitry (the amygdala) is usually triggered when one lies (even lies of omission or “white” lies). They’ve also shown that reducing this response by giving someone medications that affect the amygdala increases the likelihood that a …
Darkness Treats Mania?
Bright light is one of the most rapidly effective treatments for depression and may be helpful for depression even in people without a clear seasonal pattern (winter depression). A recent study suggests that it may also be true that darkness treats mania. The portion of the light spectrum that affects circadian rhythms the most strongly is blue light, which is …
Facebook Friends May Save Your Life
Facebook friends may help you live longer. This is the surprising result of a recent study that received a lot of attention, and which some of you may have thought was a marketing ploy. However, the study was published in the prestigious journal the Proceedings of the National Academy of Sciences. Here is a summary of the study and the findings …
Chronotherapy and Getting Up Early
Getting up early is one of the best ways of counteracting depression. And having a strong circadian rhythm is especially important for people with bipolar depression because their internal “clock” may be less powerful. But it can be a challenge making a change in your sleep cycle, especially if you have always been a late riser. …
Why Do I Have To Have a Regular Schedule?
“Why do I have to have a regular schedule” was the lurking question that hung over my conversation with Ann. She didn’t actually ask me that question but I could see that there was a rebellious child hiding in the corner of the room who was making the conversation we were having about getting regular sleep much less productive than …
Starting the New Year Right
Starting Off the New Year Right: 5 Areas of Your Life to Implement Self-Care As we start off the new year it’s important to remember the value of taking care of ourselves and engaging in regular self-care. Our mood, anxiety, substance use and relationships can be greatly impacted by stress levels and self-care is an important way of supporting ourselves …
Coping with the Holidays – Gina
Coping with the Holidays: Having a Plan The holiday season can be a time of increased stress. It is often said to be the “happiest time of year” when in fact, for many of us, it can be one of the most challenging times of year. Know, you are not alone if this is the case for you. Whether it is …
Depression and Reward Insensitivity
Why do some people get depressed and what can be done about it? Studies of brain response to rewards suggests that there is a strong link between depression and reward insensitivity. People who are at risk of depression literally don’t react to rewards in same way as other people. A large study of adolescent girls without any history of depression found …
More Happiness
We all need to be reminded about ways that we can bring more happiness into our lives. Rick Hansen has devoted his professional life to understanding the neuroscience of happiness and has created a set of tools that can help. His course “The Foundations of Wellbeing” has helped many people I know to experience more pleasure and joy in daily life, to have …
Technology and Bipolar
Colin Depp recently gave a presentation on technology and bipolar as part of the excellent International Society for Bipolar Disorders monthly (free) video lecture series. You can find out information about these video lectures on the ISBD website. I encourage you to sign up to get updates. Back to Dr. Depp’s lecture. He discussed a number of topics of interest to people …
Hamster Brain
A young woman who has been making good progress tackling the problem of severe depressive episodes suddenly is having trouble managing the opposite end of the mood spectrum. She gets energized and is consumed with getting stuff done. She is unable to stop until she is exhausted and she crashes. I call this state of mind “hamster mind” because it is like the …
Avoiding Heartbreak in a Relationship
An attractive, intelligent young woman asked me, “Why can’t he show me any love, what is wrong with me?” The two of them have been having a difficult time recently and she was feeling sad about how their relationship had changed in the last several months. She told me that she was in the shower crying about this when her partner …