I recently attended the Anxiety and Depression Association of America conference in Philadelphia, where I offered a two-hour workshop on Acceptance and Commitment Therapy (ACT) and deepening experiential practices in ACT sessions (largely based on the book The Big Book of ACT Metaphors: A Practitioner’s Guide to Experiential Exercises and Metaphors in Acceptance and Commitment Therapy*). This post is Part …
Secrets are Dangerous
A young, attractive, and very successful man who recently got married came in to see me the other day and told me that he was in recovery from sex addiction. That caught my attention and, I have to admit, living as I do in a very mental health oriented world, made me wonder if this was an example of over …
Intermittent Fasting and Brain Health
Conventional wisdom, especially in the realm of diet and health, often turns out not to be right. Conventional wisdom (as it happens, heavily subsidized by grants from the Kellogg Foundation) has argued that “breakfast is the most important meal” and “fasting diets are unhealthy.” An article published in the New England Journal of Medicine by Casazza in 2013 suggested that the …
TV Watching Leads to Impaired Cognition
How can we build up foundational, long-lasting healthy habits while young? We know it’s important—a perennial question, if not one we face day-to-day. By building those habits early on, we can set ourselves up for healthier living long-term, and place our children on a better track for a healthier, more positive adolescence and early adulthood. In fact, the habits we …
Insomnia Causes the Munchies
In an article that appeared in the journal SLEEP in February, 2016, and which was summarized in a New York Times post entitled “Poor Sleep Gives You the Munchies,” researchers report that one way that poor sleep and insomnia may lead to weight gain is that insomnia increases activity of the endocannabinoid system in the brain, the part of the …
Touched with Fire
I am so happy to see that bipolar is coming out of the closet. One dramatic example of that is the movie Touched with Fire. In it, filmmaker Paul Dalio tries to share the lived experience of bipolar with the world. He strives to share the beauty as well as the pain of bipolar, relying heavily on the imagery of Vincent …
Kevin Briggs and the Golden Gate Bridge
I am away at the annual meeting of the Northern California Psychiatric Society this weekend and while taking a break from the presentations I wanted to try to come up with a quick post that might be relevant to this blog. Probably the most moving part of the weekend was last night’s presentation by Kevin Brigg, who for many years …
Mindfulness Changes Brain Connections
Whereas there is relatively good evidence that mindfulness meditation has beneficial effects on health and mental health, the mechanism of action for the changes seen in mindfulness practitioners has been a little bit obscure. An article published online in Biological Psychiatry in January 2016 provides us with important information about how mindfulness meditation works. In particular it correlates changes in brain …
Kip Health – App for Collaboration
This week one of my fellow psychiatrists in San Francisco and one of my patients both suggested that I check out Kip Health, startup designed to improve collaboration between patients and their mental health providers. The App is in beta and so it is bound to change over time. For example, right now it is free for both mental health …
Aerobic Exercise Stimulates Neuron Growth
Moderate aerobic exercise appears to be the best form of exercise to stimulate neuron growth. One of the great challenges facing anyone who has wrestled with depression is how best to counteract the negative effects on brain development and cognitive function that have clearly been linked to recurrent depression. Depression leads directly to reductions in the brain’s growth hormone (brain …
World Bipolar Day 2016
World Bipolar Day 2016 World Bipolar Day is celebrated each year every 30th of March, the birthday of the well known post impressionist painter Vincent Van Gogh, who was posthumously diagnosed as probably having bipolar disorder. The World Bipolar Day is the fruit of the initiative of the Asian Network of Bipolar Disorder (ANBD) in collaboration with the International Bipolar Foundation (IBPF) and International …
SAD and CBT by Eric
Say Goodbye to SAD with CBT. Light therapy might be the long-standing and go-to treatment for Seasonal Affective Disorder (SAD), but the latest research puts promising new light on CBT (Cognitive Behavioral Therapy) as an effective treatment method. While light therapy does prove effective for some patients suffering acute SAD, there are downsides: nearly 50 percent of patients find it …
Hidden Psychosis
In the last six months I’ve had a couple of experiences that I’m still trying to make a sense of. Two very bright and personable women who seemed to have everything going for them, who both have bipolar, revealed to me that they have been suffering from severe symptoms that they had not told me about, symptoms which suggest that they really …
Nature Advertisement
The family member of one of our patients sent me this link. It reminded me of the post about “awe” from a couple of months ago. Ever since that post I have been searching to add more awe to my life. It really has made a difference. Of course nature includes more than just one ingredient, that’s why it’s so …
Adult ADHD
Adult ADHD May Be Distinct From Childhood ADHD Attention-deficit/hyperactivity disorder (ADHD) in children may be distinct from and unrelated to ADHD in adults, according to a study in the American Journal of Psychiatry. It is long been understood that adult ADHD is the natural extension of childhood onset ADHD. In other words that adults with ADHD began as children with …
Psychopharmacology and Psychobiology
The wonderful thing about having two blogs (www.moodsurfing.com and www.gatewaypsychiatric.com) is that there are two sets of readers for the articles that I post. The problem is that sometimes I’m much more prolific in one area or another. For whatever reason, I have been writing more regularly on the Gateway Psychiatric website, which is where I post articles related to …
Depression Screening Recommended
Although it seems like nothing more than common sense, we were very pleased to see that the United States Preventive Services Task Force (USPSTF), which is the major organization responsible for guidelines for public health interventions in the United States, added depression screening for adults, in particular for pregnant women and women who recently given birth, to its short list of …
Childhood Bipolar: Mother Knows Best
A recent blog post in Bipolar News (one of our favorite resources for up-to-date information on bipolar research) argues that mother’s evaluations of their children are more useful than teacher’s report of symptoms and than reports from the children themselves when diagnosing childhood bipolar. The article summarized research presented at the 2015 International Society for Bipolar Disorders by Eric Youngstrom. Eric Youngstrom, Ph.D., is …
Antidepressants in Pregnancy and Autism
Antidepressants in Pregnancy: Is Excess Risk for Autism Spectrum Disorder Believable? Journal Watch Psychiatry editor, Allison Bryant, MD, MPH, reviewed a recent article on this topic Boukhris T et al. JAMA Pediatr 2015 Dec 14. In this study the risk for autism spectrum disorder appeared to be higher in those women who used antidepressants (especially SRIs) during late pregnancy; but the question is whether maternal …
The Power of a Minute
I got this email from Rick Hanson because I have subscribed to his Foundations of Wellbeing Program. I found it inspirational and thought I would share it. Sometimes we feel too busy to do anything good for ourselves. But maybe just a minute of your time could make a difference. And who doesn’t have a minute… RICK’S REFLECTION: THE POWER …