Lower the pressure to be more effective, tips on managing stress.
Meditation
This is a quote from one of my patients which illustrates how profoundly a regular meditation practice can affect mood and anxiety. The woman who shared this experience with me is a genuine skeptic about all things “new age” and that made her words even more meaningful in my mind… “The most important thing to know is that for the …
An Epidemic of Fatigue
Several of my patients reported odd changes in their sleep and their energy level this past week, as though there was an epidemic of fatigue going around. They noted that their sleep was a bit more disrupted and that they didn’t feel as rested in the morning and, for the first time in months, they began taking afternoon naps. Going …
How High is High?
We met a few days ago with one of our favorite people. She’s a writer and an artist and she has been gradually reducing some of her medications to see whether the combination of more diligent self-care and a lower dose of medications can lead to better quality of life and a return of some of her creative capacities. This …
Types of Anxiety
Types of Anxiety and Mood One of the most complicated questions we face working with people who have experienced depression or mood swings has to do with the relationship between mood and anxiety. One way of trying to bring a little bit of clarity to this discussion is by considering the different types of anxiety. In this post we will …
When Is a “Good Mood” Too Good
The question of when is a good mood too good and what to do about it lies at the heart of my recurring experience that, as a psychiatrist specializing in working with people with bipolar and depression, I find myself in the uncomfortable position of being a spoilsport from time to time. Actually, sometimes it is much worse than that. …
Finding Your Purpose in Life – Nancy
How to find your purpose in life? According to Victor Frankl, a psychotherapist who was imprisoned in concentration camps during WWII, people can survive terrible conditions in life if they have a sense of purpose, and if they believe that their own life has meaning, no matter what circumstances they are experiencing. More recent studies have confirmed that people who …
Return to Work
Successful Return to Work Return to work is an important step in the recovery process for many people with bipolar or depression. Work is not just important financially. It is an key source of self-esteem and purpose, and a place where many people experience a strong sense of community. For these reasons, return to work is often an extremely important …
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 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
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 …
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 – 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 …