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 …
Do Maternal Antidepressants (SRI’s) Cause Autism in Their Children?
Maternal Antidepressants. Two studies have suggested a link between prenatal exposure to antidepressant medication and autism spectrum disorders. We are pleased to learn: that does not appear to be the case! Not surprisingly, the studies mentioned above received a lot of attention and created a lot of concern for women taking antidepressant medications, and their partners, who planned to have …
Transcranial Direct Current Stimulation for Depression
Can direct stimulation of the brain with an inexpensive device help treat depression? Someone I have been working with for several months asked me about this product – “foc.us” – and the science behind TDCS. And, as it happened, a colleague had asked the same question a couple of weeks earlier. We were intrigued. Especially since this particular device was …
The Irony of Suicide: Book and Other Resources
One of our favorite readers sent us a link to an article entitled “The Irony of Suicide” that recently appeared in the New York Times. We liked the article and thought it might we worth reposting it here. Especially since, irony of ironies, this holiday season is for many people a time when thoughts of suicide can become very difficult …
Bay Area Bipolar Educational Group
Dr. Descartes Li (see interview in our “Conversations” section) is starting another Psycho-Educational Group for Bipolar Disorder this spring. We are happy to encourage all readers in the Bay Area to find out more information about these excellent groups. The group is an especially good option if you still suffer from mood swings, or have questions about managing your meds (and …
Mediterranean Diet and Depression
Boost your brain power naturally! Try this simple intervention to reduce depression, stroke, heart disease and improve cognition. Does that statement make you a bit wary? A recent meta-analysis of 22 studies spanning two decades finds that the Mediterranean diet is associated with significant reductions in the risk of depression and stroke, and significant improvements in cognition. Across the studies, …
Sleep Therapy and Depression
What would you do if you could double the effectiveness of your antidepressants? Let’s say that this new treatment also had no known side effects, and was completely safe. That is what four studies have suggested could happen if people who were started on antidepressants received cognitive behavioral therapy for insomnia (CBTi). However, this treatment is not widely available. We …
Endurance of Pain and Suffering
He knew how to handle pain. You had to lie down with pain, not draw back away from it. You let yourself sort of move around the outside edge of pain like with cold water until you finally got up your nerve to take yourself in hand. Then you took a deep breath and dove in and let yourself sink …
Herbal Supplements Often Not What They Claim
A recent study concluded that herbal supplements are often not what they claim to be. The study was published in the journal BMC Medicine and it got front-page coverage on the New York Times website. Using DNA analysis, researchers tested 44 products from a dozen companies. The DNA signatures were compared with samples obtained from horticultural greenhouses. The study was summarized in the New …