We saw this article and thought it probably has a lot to say about the reasons to be direct with others about moods, and how they affect you. It is from Psychiatric News, January 29, 2013. The same reductions in stress hormone levels have been shown in a number of studies about disclosing potentially stigmatizing conditions. For more on the …
Crisis – When to Consider Hospitalization
A delightful, funny, smart young man we know called us on Friday to say that he had stopped his medications a few weeks ago, and now he felt he was entering a mania. We did our best over the weekend to patch things up, got him more medications, talked to him every day, worked with him to make sure that …
Sleep and Memory
An interesting story published in the New York Times suggests that the reason we are less able to remember things as we get older is that we sleep less well. The article is based on a report posted online on Sunday in the journal Nature Neuroscience. The report suggests that as the brain ages, changes take place that interfere with sleep quality, which …
Take a Chance
If you are feeling depressed or anxious, today’s post from Rick Hanson (part of his Just One Thing blog) may be helpful. If you are already feeling energized, you might not need more encouragement to do something risky/taking a chance… Rick’s post is about how, as children, we learn to avoid certain types of conversations that seem too risky, and …
The Cycle of Disappointment
Today’s post revolves around the universal desire to find one or more other people who is perfectly attuned to our needs, and the resulting cycle of disappointment. A woman we have seen for years continually experiences a strong sense of disappointment and loss because her highly anxious mother was never really able to be attuned to her needs. She told …
January 2013 Update
It’s probably time for another update about this blog and where it’s heading. Many of you may have noticed that the promised upgrade of our forum never happened. As I noted previously this is because the project turned out to be much more complicated than I thought and the work that has already been done on it suggests that the …
Running a Marathon
Many of us are strongly motivated by the desire to achieve results, complete tasks and succeed. Often we want to get where we are going quickly. Life is too short. Seize the day. Dealing with moods can be very frustrating. Change may take place slowly. Sometimes you have to put in a fair amount of energy just to hold on …
Parody No More: Mental Health Parity Law
In yesterday’s clinical team meeting we were talking about the mental health parity law, which has been largely ineffective at ensuring access to care. One of the psychologists said, “I call it the mental health parody act,” because it is a parody of meaningful change. That may be changing. President Obama announced that the Sandy Hook school killings had galvanized …
Power out of Depression
It sometimes can be very hard to think of ways of getting out of a lurking depression. A recent email from Moodscope (a site with a mood tracking program that many people find very useful) highlights one very useful strategy: instead of staying stuck in your brain, switch your focus to physical activity. This strategy can be surprisingly effective. If …
Coming Out Bipolar
When and whether to tell people about a mood disorder is a topic of great interest to readers of this blog. Disorderly Chickadee is a very personal, and very well written, blog about living with bipolar. Yesterday’s post was all about coming out about bipolar – in this case it was about telling your boss. We think many of you …
Borderline Emotions
Originally, the label “borderline personality disorder” was applied to patients who were thought to somewhere between patients with neurotic and psychotic disorders in terms of psychopathology. Increasingly, though, this area of research has focused on the heightened emotional reactivity observed in patients carrying this diagnosis, as well as the high rates with which they also meet diagnostic criteria for posttraumatic …
Matt Tierney on Take What You Need
Running out the door at the end of a long day, I paused to talk with Matt Tierney, our resident substance use expert, about the conversations I had yesterday about 12 step programs, their value and the role they play in people’s lives. When I was new to psychiatry, I had a natural antipathy to 12 step. It seemed to embody the notion of rigid …
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 …
Chronic Health Condition
A woman who works in the health care field came in for a visit with us today. We’ve been seeing her for about five months. She had a problem with depression and then developed a hypomanic episode. She has continued to have mood cycles for the last several months. It’s now clear that she has developed a bipolar type of …
Mismatched Energy
The wife of one of the people I work with sent me a short note saying that her husband was energized (not quite hypomanic), and she was finding it hard to cope with his constant animation and enthusiasm. It got me thinking about scale and how we constantly change the way we talk based on our audience. I am in …
Of Two Minds
This morning I was thinking about the relationship between your pre-frontal cortex and your limbic system. I know, it’s a little strange to be having these thoughts while out riding a bicycle in the morning… a hazard of the profession I guess. The reason I was thinking about this subject is that people’s moods appear to be affected by both …
Body Work
Several months ago a young attorney who I have been seeing for a couple of years came in and, reluctantly, told me that he and his wife had not had sex for the past year. It took two or three months to get him to consider going for couples counseling. I found a therapist who specialized in working with couples …
Who’s to Blame?
“Is it my fault?” This is one of those questions that seems to easily dominate conversations between people in a romantic relationship who are having trouble getting along. It is also a question that is usually impossible to answer (who decides? what standards do you use?) and quite unhelpful. I was talking with a recently married woman yesterday about her …
Relationship Fear
I have been working with a couple of young women who seem to be unable to move beyond a recently ended relationship with a young man. In both cases, there’s no question that the young man is coming back, and yet their thoughts keep turning back to trying to analyze the failed relationship, wondering what might have gone differently and …
No More New Year’s Resolutions
We’re going to make a strong pitch for you to not have to make any more New Year’s Resolutions. Honestly, why this idea of deciding to make big changes in your life on January 1st has persisted, is one of the mysteries of human mythology. Perhaps it’s because we are such incurable optimists at heart. Or maybe it’s because we …