Psychiatry News Alert, a service of the American Psychiatric Association that is the source of a number of these posts, reports that a large study finds that people with adult attention-deficit/hyperactivity disorder (ADHD) have an increased risk of serious traffic accidents—those leading to injury or death. The study was recently published in JAMA Psychiatry, and was led by Zheng Chang, Ph.D., …
Media Makes PTSD Much Worse
It was a sunny October day in 1989. Game 3 of the Battle of the Bay baseball World Series between Oakland and San Francisco. Then the largest earthquake in almost a hundred years hit the bay area. I was, as it happens, in my therapist’s office, my wife was at work. I rushed home to make sure that all …
What about Marijuana for Depression or Bipolar Moods?
Since we practice in San Francisco, which was at the forefront of the move to decriminalize marijuana, we find that many of the people with depression or bipolar have smoked, or are smoking, marijuana as a way of treating their depression. Over the years we have developed a general impression of marijuana as a psychotropic (mood affecting) agent.It has been …
Reduce Your Social Stress
Regular readers of this blog know that I really like the writings of Rick Hanson (he has a wonderful email list called “Just One Thing” and a new book that is an excellent resource for personal transformation called Hardwiring Happiness). For the last couple of months, however, his posts have seemed a bit repetitive. Just in time for the New …
Exercise or Inactivity Changes Your Brain’s Structure and Its Resilience to Stress
This past year has been a remarkable year in terms of new studies examining the effects of exercise on your brain. Everyone knows, of course, that exercise is good for you. But these studies together provide compelling evidence that exercise (and inactivity) profoundly change the structure and function of your brain. One set of studies has shown that exercise profoundly …
Blog for Mental Health 2014
One of the benefits of blogging is that you run into interesting people and ideas. If you blog on WordPress you also get regular information about others who are doing the same thing. This past week I learned about a group of bloggers who are all working to reduce stigma and increase understanding of mental health – the Blog for …
Maternal Warmth Protects Against the Negative Effects of Maternal Depression
I recently spent time with a friend who is a mother-to-be and struggles with depression. She was worried about how her depression might affect her relationship with her child as well as how it might affect the child’s own mental health. These are common concerns for many mothers and thankfully research is being done to address these concerns. A recent …
Sleep Deep Cleans Your Brain
Beep, beep, beep, beep! Snooze……Beep, beep, beep, beep! You open your eyes, roll out of bed and start wondering why you stayed up so late to watch another episode of your favorite TV series, play another video or computer game, or catch up with your friends, etc. We have busy and full lives, which results in less and more disrupted …
The Evils of the Snooze Button – Why Sleeping In Makes You Feel Tired
Winter is the time of year that the snooze button on your alarm clock can wreck havoc with your mood. Just as waking up early and getting light and exercise is the fastest way to improve depression, trying to sleep in, or lying in bed thinking about why you don’t want to get up, is the best way to make …
Reinvigorate Your New Year’s Resolutions: Connect Change with Your Values
The celebration of a new year is frequently accompanied by hopes, wishes, and goals for the coming year, which take shape in the form of New Year’s resolutions. I will start exercising. I will spend more time with family or friends. I will get a hold of my finances. I will start volunteering. New Year’s resolutions are wonderful for providing …
Mood and Menopause
What is the relationship between the hormone changes that take place around the time of menopause and depression. It seems as though there are many women who report that their depression gets worse in the peri-menopausal period, but is this a pattern? And if so what does that mean in terms of the interaction between mood and hormones? A recent …
The Trap of Stress Disability
The other day I was asked to evaluate a fellow physician by his disability insurance company. When I do disability assessments I take particular care, because what I say has big implications for the person I am evaluating, and I try very hard to do an extremely careful and thorough job of assessing the person’s situation. Three quarters of the …
Evaluating Emotions and Experiences: Could I Be Bipolar?
People often wonder whether the notion of bipolar moods really applies to their experiences. They compare what they have heard about bipolar (crazy person running berserk) and their life which is never that intense and wonder whether the doctor (or whoever else raised the idea) is just making a wild suggestion about the problem that they have. After all, it …
Shame and Self-Disclosure
There is a lively discussion in our forum about self-disclosure. A couple of forum members are pushing the boundaries by talking honestly about their bipolar when the topic comes up in conversation. So far their experiences are largely positive. The interchange on the forum reminded me of a book I bought for my son when he was being teased. The …
Using a Therapy Light
Christmas vacation is ending, It has been wonderful to spend some relaxing time with family, getting up later in the day, lounging around and playing games, reading, or watching TV… and eating too much good food. Now the challenge is getting back to a more productive schedule. For many of us, our bodies are in a “hibernating” mode that makes …
Long Term Antipsychotics – Adverse Effects on Brain?
This post is a bit off topic. I have tried to not focus on medication issues in this blog on the grounds that there are many, many websites that talk about medications and very little else. However one of the blog’s most loyal readers sent in an email about long term antipsychotic medications and potential adverse effects on brain function …
Was James Bond a Lush?
Always in search of the latest cutting edge medical knowledge, we happened across a fascinating research article in the December 2013 British Medical Journal that asks the question – “Were James Bond’s drinks shaken because of alcohol induced tremor?” Before going any further and looking at the research methods and conclusions, we have to warn readers that this may be …
Distress Tolerance
I have been doing some blog – surfing and happened upon a wonderful series, on the “disorderly chickadee” site that I have referred to in the past, about the skill of “Distress Tolerance.” In working with patients with depression, we often find ourselves encouraging them to learn about Dialectical Behavior Therapy (DBT). And of the many parts of DBT that …
EmPowerPlus – Placebo or Nutritional Treatment for Bipolar?
I have been surfing the web looking for other blogs on the topic of bipolar. It is an interesting and humbling experience. There are so many brave and thoughtful people writing about their struggles (or victories) living creatively with moods. If you haven’t done some surfing (of the web) I encourage you to do so. One of the sites …
Brain Derived Neurotrophic Factor (BDNF) May Prevent Alzheimer’s
Higher blood levels of brain-derived neurotrophic factor (BDNF) appear to protect against Alzheimer’s disease (AD) and other types of dementia, that is the result of a study is published in JAMA Neurology this past month by Sudha Seshadri, M.D., a professor of neurology at Boston University and his colleagues. BDNF is “growth hormone” for the brain. It enhances the creation of connections between …