Feeling down? An article in Psychiatric Times suggests that drinking a couple of cups of coffee in the morning might help your mood. The study they cite found that those people who drank two or three servings of coffee per day (8 ounce cups of drip coffee – or shots of espresso) had a 50% lower rate of suicide compared …
Hormones and Food
In an earlier post we talked about some of the research on appetite. We reviewed some of the peptide hormones that regulate appetite and how the entire system that controls appetite is really designed to cope better with a time of scarcity than a time of plenty. Here I want to talk more specifically about the interplay between other hormone …
Take Action… Why Do I Have to Pick Up My Room?
Sometimes wrestling with depression can seem an awful lot like having to deal with a truculent eight year old. It is 7:00 in the morning, and the alarm goes off. When you aren’t feeling depressed, that means that you get up without thinking about it too much, and take a shower or make some coffee to start the morning. But when you …
Dual Treatment: Medications and Therapy Work Together to Treat Depression
A review in the prestigious journal JAMA Psychiatry suggests that there may be a clear biological explanation of how medications and psychotherapy work together to treat depression. The authors note that recent, unexpected, research findings suggest that antidepressant medications reactivate the brain’s ability to relearn old lessons. The medications allow the brain to modify old neuron connections in a way …
Diagnosis
I just finished updating the “Diagnosis” page under our “Topics” section. Of course, there is much more to be said on this subject, but I hope what I was able to convey was a useful overview of the distinction between unipolar and bipolar depression. I would love to get feedback from you. This topic is one that is especially difficult …
Therapy or Medications for Depression?
A new study published in the most prestigious psychiatric journal (JAMA Psychiatry – see reference below) strongly suggests that a brain scan might be able to help people decide whether therapy or medications are more likely to treat their depression. As background, although some people feel that for more severe depression medications are more effective, the fact is that most …
I Need New Friends
“I thought I needed to replace my friends.” This is how one of our patients described her experience of a several week period of mania last summer. Her friends insisted that she needed to get help and that something had to be done about her energized state. But she had just emerged from a many year depression and felt that …
Men Get Mad Not Sad
There are hundreds of papers written about why it is that women have a much higher rate of depression than men. A new article published in the journal JAMA Psychiatry (August 28, 2013) suggests that some if not all of that difference may have to do with the fact that men express and experience depression differently. The authors of the …
Brain Scan Diagnosis?
A newly developed brain scanning method that measures blood flow to different parts of the brain may help to distinguish between bipolar and unipolar depression, according to a study that got a fair amount of media attention. The study of 54 adult women used a novel way of measuring brain function called arterial spin labeling (ASL). This approach allowed much …
Childhood Trauma – Brain Effects
Experiencing trauma in childhood is associated with changes in the brain during teenage years, according to a study of 117 adolescents using magnetic resonance imaging (MRI). The researchers compared MRI’s from age 12 with MRI’s from age 16. They asked the teenagers about childhood trauma and also did psychiatric diagnostic interviews. There were significant differences in how the brains of teenagers …
Hunger Regulation
Recently several folks have asked us questions about diet, hunger, weight gain, and nutrition. Certainly for many people with depression, gaining weight is an important issue, both as a cause and consequence of depression. Let’s begin by trying to make some sense of hunger. In other posts we will be talking about how stress and the hormone system relates to …
A Farewell from Emma Swayze
Hello all, I am sad to say that the time has come for me to say goodbye to creating new posts on the moodsurfing blog, for today is my last day interning for Dr. Forster. I will be studying abroad in Scotland for a semester and then returning to Boston College for my junior year. I am extremely grateful for …
Late Night TV Blues
Studies have tended to find that watching more TV is correlated with higher levels of depression, but is that just because TV is so boring? A recent review published in the New England Journal’s Journal Watch for Psychiatry suggests that the link might in part involve the fact that watching TV at night exposes you to blue and white light, …
A Healthy Lifestyle
Jan Graham, MFT, is a Life and Wellness Coach who encourages people to make the change from a sedentary lifestyle to an active one. Incorporating exercise into your daily routine will not only reap physical benefits, but will also have a positive effect on your brain. With more physical activity, comes a healthier, sharper mind. Many people have heard this …
“Normal” Sleep
One of the justifiable criticisms of psychiatry is that it has a tendency to define a relatively narrow range of behavior as normal. We often tell the psychiatry residents to watch out for this tendency, and try to avoid it. Certainly sleep medicine is at least as prone to this tendency as psychiatry, as we are reminded by a fascinating …
Cluelessness: Getting Stupid
Late on a Friday afternoon, I found myself with two patients (back to back) who were yawning and seemingly drifting off during the course of our conversation. Now, that could have meant that I was being particularly boring. But, in this case, it was the manifestation in the office of something that had been going on at home and causing …
Something Better Change
Occasionally, I realize that this business of helping people change their moods is a bit like the false pride that proceeds a fall. It’s easy to have an overweening sense of power. A woman who I’ve been seeing for a couple of years has been in an increasingly flat, depressed state. She has taken care of most of her obligations, …
Blood Flow Measures Predict Bipolar Disorder
To the delight of the medical community, there has been a surge of new methods and techniques for more effectively diagnosing bipolar disorder. One of these new methods is a blood-flow measure, where clinicians use different levels in blood flow activity to determine whether an individual is suffering from bipolar disorder or unipolar depression. In the British Journal of Psychiatry, …
Get Ready for Fall
As August winds itself up, it is time to start thinking about the fall and then winter coming up. A little bit like the squirrels, who are already putting away food for the winter, it may make sense to make sure that you have what you need to have a happy and energetic fall and winter. The first thing is …
Pay Attention
We need to be noticed and attended to. It is one of the most important psychological needs we have. For several years, I have been lecturing residents in psychiatry at UCSF on the management of people in crisis. One of the topics, is how to work with people who are potentially violent. On an inpatient psychiatric unit there are, from …