The Challenge of ADHD and Bipolar

Bipolar disorder and attention-deficit hyperactivity disorder (ADHD) have overlapping clinical symptoms. Both disorders are associated with impulsive decision making, physical hyperactivity, mood reactivity, difficulty with sustained focus, among other symptoms. The challenge of distinguishing between two conditions with similar presentations can cause delays in treatment, inaccurate diagnosis, adverse reactions to treatment, and needless suffering. Approaches to treatment are quite different …

Increased Alcohol Use in US

Increased Alcohol Use in the US

A detailed and impressive study finds dramatically increased alcohol use disorders in the US in the past decade. Between 2001-2002 and 2012-2013, regular high-risk drinking increased by almost 30%, and the number of people meeting criteria for alcohol use disorder grew by 49.4%. What else do we know about the health of Americans in the past few years? We know …

Fear of Catastrophe

Fear of Catastrophe

How to respond to the fear of catastrophe? Many people are having trouble getting to sleep these days. Fear of catastrophe has reemerged as we contemplate the craziness of nuclear war. This seems like a good time to review what we know about situations where there is the potential for something really bad to happen but the magnitude and nature of that …

Coming Out Proud – Disclosure

Coming Out Proud is the name of a program that was developed Patrick Corrigan to help people with a “mental illness” think through the risks and benefits of disclosure, and come up with a strategy that not only fits their values but avoids some of the many pitfalls of greater honesty about bipolar or depression. The full program takes you …

Yoga Practice Five Reasons

5 Reasons to Start a Yoga Practice – Gina

Yoga can be an incredible tool in well-being and recovery, why not check out the five reasons to start a yoga practice below! 1. Stress Management Stress management is a huge factor in managing mood and well-being. Increases in stress can lead to disrupted sleep, weakened immune systems, and mood episodes. Yoga has shown to help people manage stress on …

Elon Musk is Bipolar

Elon Musk is Bipolar – Twitter

Elon Musk is bipolar, according to a series of articles based on an exchange on Twitter. Responding to another tweet he said, “The reality is great highs, terrible lows, and unrelenting stress…” “I’m sure there are better answers than what I do, which is just take the pain and make sure you really care about what you’re doing.” He was …

States of Mind and Task Planning

How can we think about the relationship between states of mind (moods, energy levels, focus, etcetera) and task planning? All of us are aware that there are times when we are able to be very effective with certain tasks, and other times when it is practically impossible to complete a certain kind of project. This is not entirely a random …

Bipolar 101 Group Fall 2017

We are excited to announce a repeat of the very successful Bipolar 101 Group Fall 2017 is being offered at Gateway Psychiatric Services. The group is co-facilitated by Gina Gregory and Peter Forster. Do you want to learn more about bipolar disorder and connect with others who may have experienced similar symptoms to you? Gateway Psychiatric will be hosting an …

Pets and Mental Health – Gina

As I write this article about pets and mental health, I sit next to my 4 year old dog, Rufus. I am regularly reminded in my daily life of the valuable role pets can play in our lives. Pets can play a huge role in providing support and have been shown to have both physical and psychological benefits in the …

New Spouse by Friday

I’ve been working with a very successful attorney who has been struggling to find a way to stay in his marriage for a couple of years.  The heart of the matter is that his wife had a serious health problem, which is now resolved. Through the process of dealing with this health problem she probably became depressed and certainly became …

Successful Job Hunting

A young man in the tech industry who worked with me for nearly a decade got me started thinking about the key to successful job hunting. The tech industry is notorious for its high turnover and this young man enjoyed working in startups, where the turnover is even greater. As a result, he found himself looking for work every year …

Motivating Healthy Behavior Changes

What is the most effective way of motivating healthy behavior changes? And how does medical practice best  take advantage of information about what motivates people to make positive changes? It should be obvious that just telling someone that a certain behavior is healthy is often not enough to motivate change. An article in the Journal of the American Medical Association Internal …

Impatience Warning

Sometimes I wish that my depressed patients had more impatience. Eagerness for change when you have been depressed for a long time can be a good thing. But if you have bipolar depression, impatience is not always a useful emotion. This past week, several people began expressing impatience with their progress. A couple of them expressed the view that I …

Higher Carbohydrate Meals Increase Punishment

A study in 2017 finds that the composition of food in one meal can significantly affect behavior in the following hours, higher carbohydrate meals increase punishment behavior. How does this work and what does it mean in terms of understanding how diet affects mood? In the study, a high carbohydrate breakfast boosted tryptophan and lowered tyrosine. Tryptophan is the key …

Mindful Speech

Mindful speech seems to be in short supply these days. A pervasive sense of urgency about communication propels us into comments that we later regret. Rick Hanson reminds us of the words of Buddha, wise speech always has five characteristics. It is: Well-intended – Born of goodwill, seeks to support and strengthen rather than belittle and criticize.  True – Not overstated, taken out …

Fall 2017 UCSF Bipolar Psychoeducation Group

The UCSF bipolar psychoeducational group starts on August 7, 2017. It runs for 8 weekly sessions, Mondays 12pm to 130pm. Most commercial insurance accepted. I often describe this group as “an advanced class about bipolar disorder for people who have bipolar disorder.” I have attached a flyer and a draft schedule. Please feel free to give/show either to your patients. There is also …

Ride the Tiger

Ride the Tiger is a wonderful PBS documentary that covers a lot of important information about bipolar in an entertaining and informative one hour program. One of my patients strongly recommended it. Treatment Stories about treatment, the good, the bad and the ugly. Self Care The importance of self care. A brief introduction to some useful ideas. The Genetics of …

Sitting with Emotions – Gina

Sitting with Emotions I regularly work with clients who are trying to avoid and push away feelings of sadness, anger, loneliness — so-called “negative” emotions. On the one hand, I can entirely relate with this draw and have experienced it myself. However, the more I’ve learned to sit with these emotions, and witnessed others sit with them, the more important …