On this Thanksgiving 2015 we received a link to the section of Rick Hanson’s Foundations of Wellbeing course that talks about thankfulness and gratitude. Rick talks about how thankfulness and gratitude promote long term well-being, reduces anxiety, and improves mood. He introduces the notion that it is possible to grow this sense and change our own experience, and perhaps change …
Mindfulness Based Cognitive Therapy for Bipolar
Mindfulness Based Cognitive Therapy for bipolar may reduce anxiety and bolster emotional stability As with many psychiatric disorders, bipolar disorder isn’t impossible to treat but it has its own unique and unremitting way of seriously wearing down a patient’s resolve. Mindfulness based cognitive therapy (MBCT) for bipolar joins a handful of therapies that can help. A kind of yo-yoing of …
Mindfulness Apps Updated
Mindfulness Apps Updated We have updated our mindfulness links based on a nice review in the New York Times. The reviewer suggests starting with one of the two apps (both available on iPhone and android) that has a complete program for beginners – Calm or Headspace. We particularly liked the fact that the reviewer pointed to the very personal aspects …
Bright Light for Non-Seasonal Depression
Bright light may work for non-seasonal depression. This is the conclusion of a study published in the prestigious psychiatric journal JAMA Psychiatry. Researchers at the University of Toronto and the University of British Columbia in Canada conducted a randomized, double-blind, placebo- and sham-controlled, 8-week trial in adults (aged 19-60 years) with major depression of at least moderate severity. 122 patients were …
Poor Health Predicts Bipolar Outcomes
John has not been doing well. He used to be optimistic about all challenges and, although he had ups and downs, he managed to overcome these shifts in mood and maintain a focus on achieving his life goals. For the last year and a half he seems to be having difficulty focusing on those goals. And he seems discouraged, particularly …
Fish Oil for Depression
Is fish oil effective for treating depression? Just this past week a new patient in my practice asked me that question and I said that I didn’t know. I mentioned that ever since a study of people with bipolar depression was published in the Archives of General Psychiatry (the leading journal in psychiatry) by Andy Stoll in 1999 there has been …
Taking Care of Yourself
Part of the key to self care is finding ways of being nice to yourself that don’t require a huge investment of time. Yes, it would be great to spend the day at one of those fancy spas. I can almost feel the sense of relaxation soothing all of the tension that I carry around in my body… But who …
S-Adenosyl-Methionine Update
SAM-e S-adenosylmethionine, or SAM-e for short, is one of the few nutritional supplements that has good clinical research to support its safety and effectiveness. Although SAM-e is used for many purposes, we are particularly interested in it as a compound that may have antidepressant properties. Clinical Significance S-adenosylmethionine (SAMe) is involved in many reactions that involve methylating chemicals (transferring a methyl …
Apps and Links Updated
I have just been a couple of hours updating the apps and links page on this site. There are a lot more choices for mood charting including many more that are available on both android and iPhone. I’ve also been using three different apps concurrently for the last two months to get a sense of what it’s like with different mood …
Can Junk Food Shrink Your Brain?
Did you know that increasing or even maintaining your intake of burgers, fries and soda pop—and pretty much any other hallmark of the “Western diet,” high in saturated fats and refined sugar—isn’t just an efficient way of rotting your teeth out and raising your risk of cancer, diabetes or heart disease, but that you may also be shrinking your brain? …
Sleep Deprivation in Western Society
In February the National Sleep Foundation announced the publication of new guidelines for the amount of sleep that we should be getting based on a rigorous review of the literature. The guidelines suggested that adults should be getting between seven and nine hours of sleep. The results were widely distributed and commented on. It was noted that many people in our …
Self Affirmations by Songify
A good friend and colleague suggested a new technique for “self affirmations.” A technique which makes something that can seem ponderous, but is also a powerful technique for positive change, seem like a lot more fun… Self affirmations are things that you tell yourself about yourself and the world. In psychological terms, they are about reshaping our constant internal dialog through …
Centering
Feeling scattered and distracted is such a common experience in our lives these days. Rick Hanson talks about getting centered in today’s post in his Just One Thing series. If you are feeling scattered, take one moment to be aware of your body as you take a long, slow breath, or think about something you feel good about. In that moment …
Bipolar Support
I want to encourage readers of this blog to consider signing up for Bipolar Disorder Connect. It is an easy to navigate social media site devoted to helping people with chronic health conditions. It seems to have a good cadre of moderators, which is important to prevent the tendency of support groups to veer off into an unproductive direction (“Ain’t …
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. This article will talk about …
Controlling Crazy Behavior
A young man came in and wanted to talk about his friend with bipolar, who, when he gets manic, can become uncontrollable. I said that the idea of controlling dangerous behavior can be problematic. The need to control someone else’s recklessness can lead towards confrontation and anger, which often does not work out well. I thought of the often repeated story …
Mental Health Awareness Week
It is Mental Health Awareness Week in the US. The National Alliance on Mental Illness has announced a “Go Green for Mental Health” campaign (although I am still pretty fond of the sliver ribbon campaign to fight stigma). Meanwhile, the Depression and Bipolar Support Alliance has just put out a video called “I’m Here” that makes the point that there …
Cannabis and Bipolar
More than half of people with bipolar will qualify for a substance use disorder diagnosis at some point. In many places, the most popular drug (other than alcohol) in people with bipolar is cannabis. People with bipolar are almost 7 times as likely to use cannabis than the general population. In the United States, many states have legalized cannabis for medical indications, and two states have legalized its recreational use. …
Mind Maps and Post Its
Stuck with a problem that you can’t figure out? Having trouble generating ideas? One of the things that the mind is very good at is coming up with potential pitfalls. And all of us have found ourselves trapped with recurring negative thoughts that make it hard to do any creative thinking. Sometimes changing the process or framework for thinking about …
Parity is What We Want
An overwhelming majority of Americans want parity. A large study found that almost 90% of Americans reported that mental health and non-mental health care were equally important to them in terms of their overall well-being. At the same time nearly a third of those Americans surveyed felt that mental health care was inaccessible and 40% felt that it was something that …