If you are a ginseng believer, then ginseng is the one supplement that all of us should be taking. Russian scientist Israel Brekhman coined the term “adoptegens” to refer to agents that helped individuals deal with stress. The prime example of this, in his view, was ginseng. [If you are interested in an example of the controversy that surrounds many …
Memory, Stress and Aging
Many older people are concerned about impaired memory, and the relationship between memory, stress, and aging can be difficult to untangle. Obviously worry about memory problems can be a source of anxiety and stress. But can stress and anxiety be a cause of memory problems? And if so what can be done about it? Elsewhere we will be talking about …
Emotion Regulation and Bipolar
Researchers from the University of Mannheim investigated brain activity in people at increased risk of bipolar disorder to see if there was something about how these people handled negative emotions that might them be at increased risk of mood cycles. They used a powerful brain imaging technique called functional magnetic resonance imaging that allows researchers to see which parts of the …
The Hunt for New Medications for Depression and Bipolar Disorder
Dr. Gerald Sanacora, Professor of Psychiatry and Director of Yale Depression Research at Yale School of Medicine, explains that when it comes to depression and bipolar medications, there are some serious limitations. Although in the short term, it seems like many people are doing better with current medications, as time goes on, these same people start showing signs of relapse. …
Proactivity
Proactive behavior refers to actions taken that are forward thinking, that anticipate future problems, and are aimed at avoiding those problems. They are focused on changing the environment for the better. Proactivity contrasts with reactivity as an approach to challenges. Reactive behavior is about dealing with the crisis that is present right now. Reactivity also often is associated with a wish …
Coming Home
In a different post, we talked about the frustrating problem of getting sick at the beginning of vacations. We said that this has to do with the difficultly that our bodies have switching from high stress to relaxation, and something called cortisol withdraw. A version of this same phenomenon may be happening in your home almost every evening. This week …
Life Energy
Freud came up with the term libido to describe the sum of all the human instincts related to love. In his view, there was a limited amount of this libidinal energy and it was important to use it wisely. Invest it in the wrong activities and you could end up with nothing to show for it. This notion of limits …
Postpartum Episodes
Summary and Comment Perinatal Mood Episodes Common in Women with Bipolar Disorder Women with bipolar I disorder had higher risk for episodes within 6 weeks of delivery than those with bipolar II disorder or recurrent major depression. All mood disorders tend to recur during pregnancy or the postpartum period, but does the frequency and timing of recurrences vary by …
Mood and the Brain’s Clock
As we slowly move from summer to fall, it may be timely that the issue of Biological Psychiatry that arrived in the mail today is devoted to how the brain’s clock affects mood. It points to growing evidence that part of what drives mood cycles are disruptions in the brain’s daily (circadian) rhythms. It appears that people who are vulnerable …
Recovery from Disability
Sometimes we are privileged to help someone who is disabled due to bipolar or depression to recover and resume a full and happy life. In the beginning we face many questions about the process. Family members may have become very skeptical about the value of treatment. Or they may wonder if the disabled person is exaggerating his or her symptoms …
The Switch: Manic to Normal Mood
I have been thinking about what it is that we do in Psychiatry that is potentially helpful for people with bipolar and why that works. In many ways, the fulcrum of our work involves addressing the “switch process”. This refers to the way that moods can shift from manic to normal behavior, often quite suddenly. A recent discovery has been …
Perfectly Attuned
Today’s post revolves around a universal wish for others to be perfectly attuned to our needs, and the resulting disappointment when this is not the case. A woman we have seen for years, who has been experiencing a strong sense of disappointment and loss because her highly anxious mother was never able to really attune to her needs, told us …
Selective Attention
One morning, while I was riding a bike, I got to thinking about how mood affects attention and how that, in turn, creates a different reality for us depending on what mood we’re in. To think all these thoughts were sparked by my reaction to the image of a dead squirrel… Several weeks ago, it had been an especially dark …
L-Dopa and the Fear Response
What causes us to be afraid, and how can we control it? Jonathan Silver, MD gives some insight about the role of L-Dopa in the fear response. L-Dopa is the precursor to the neurotransmitter dopamine. Recent studies have shown that the production of L-Dopa may induce an effect on the resurgence of fear in humans. Researchers further investigated this hypothesis …
Just Be Quiet
I just met with a smart, funny, attractive graduate student who had a severely traumatic childhood. She came in looking obviously frazzled and announced that she had been crying continuously since she got a terrible haircut the previous day. I wouldn’t be human if I didn’t feel the urge to reassure her. Especially because, in addition to all her …
Suzanne Alexandra Black
I am excited to be working with Suzanne Alexandra Black again. Suzanne is a psychologist who is an expert in bipolar moods. She is a brilliant woman who has an active Skype practice with patients on several continents and she divides her time between Paris and New York. Over the course of the next couple of months I hope to have …
Men at Work
I have to apologize for the distribution (to those of you who subscribe to this blog) of several nonsensical posts this morning. Some of you were concerned that somehow this site had been hacked. No worries. What actually happened was much more prosaic. We have hired a couple of programmers to create a better system of indexing our posts so …
MoodRhythm: Beta Users Needed
One of our readers forwarded to us a story about a new application called MoodRhythm that was developed at Cornell University and won the prestigious $100,000 Heritage Open mHealth Challenge. The full story is available here. The application, which is available as a beta, is available for both iPhones and Android smartphones (although how to download it may be a bit …
ADHD Medication and Reduced Crime Rate
There have been many complaints about psychiatrists being too lenient with an ADHD diagnosis and prescribing medication too liberally. Stephen Faraone, PhD takes a position in support of ADHD pharmacotherapy as a way of mitigating criminal behavior. Research results in a study conducted by Lichtenstein reveal that stimulant therapy prevents criminal behavior. With stimulant therapy, many criminals with ADHD have …
Anxiety and Substance Abuse
Matt Kushner, PhD discusses the issue of substance abuse in individuals with anxiety disorders. Because substance abuse is more common in those with anxiety in comparison to the rest of the population, Kushner has created a list of risk factors and screening tools to help doctors identify individuals experiencing both disorders. Some risk factors for substance abuse in people who …