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Perfectionism is defined as refusing to accept anything except flawlessness. At first glance, this may seem like an admirable trait that will lead to, if not perfection, at least much higher quality in everything we do. However, perfectionism doesn’t work that way, it makes sufferers fearful of attempting anything that may turn out to have flaws. Human life being what …
Electronic screens of all kinds emit light, especially from the blue end of the color spectrum, and blue light is known to increase insomnia and disrupt circadian rhythms. Our ancestors woke up when the sun rose, and went to bed when it set, with maybe a brief lengthening of waking times using firelight or lamplight. Nowadays, however, we have light, …
The actress and singer Selena Gomez has just released a documentary: “My mind and me”, available on Apple+ TV. In the documentary, Gomez describes her struggle with the autoimmune disease, lupus, in parallel with severe bipolar disorder. For several years, she suffered from extreme mood swings and dangerous manic episodes followed by depressive episodes when she couldn’t get out of …
Abundant evidence shows that exercise is helpful in depression and anxiety, in fact, some specialists suggest that exercise should be the first intervention attempted in cases of mild to moderate depression. However, research into the relationship of exercise and bipolar has been spotty, at best. The available studies have used very small study groups, and have not considered different types …
As the global Covid-19 pandemic winds down and people return to work and school, many are experiencing feelings of discomfort with face-to-face interactions that, once, were normal everyday occurrences. People are feeling “weird” about being in public spaces and interacting with teams, workgroups, staffs, or classes full of people. Data from the “Understanding America Study” an ongoing internet panel at …
Growing evidence shows a strong correlation between poor diet and mental illness. People suffering from severe mental illness consume more calories, more salt and sugar, and fewer nutrient dense foods like vegetables, nuts and fruit. Evidence also shows that the poor diet is not a result of mental illness, but is discernable in the months and years before diagnosis. Furthermore, …
People seeking treatment for major depression and bipolar tend to do well if they have two related characteristics. The first is persistence: the ability to keep doing what needs to be done, no matter the mood. The second is willingness to do whatever it takes, even if that means giving up control over which treatments are acceptable and which are …
Can full-time work stabilize mood? We had a really encouraging session with a patient this week; she had a lot of insight into her needs, and also had begun taking her medications regularly, which had been almost impossible for her in the past. What made the difference? She had started working full time. After huge layoffs in 2020, the job …
Loneliness is an important public health issue The American Medical Association has defined loneliness as a public health issue for all Americans. Why loneliness? Why public health? Loneliness is found across demographics, at every age level. It is not a matter of how many friends you have, rather, loneliness is feeling a lack of connection with other people. You may …
A discussion with a patient this past week really brought into focus the power of the mind to affect the world. Or maybe it would be better to say how we decide to live in the world. Our patient, I’ll call her “Amy”, is a teacher’s aide in a crowded, underfunded special ed. classroom, and she was saying she is …
Get close to the people you’re close to. We all know how easy it is to take people for granted, and everyone has had the experience of attending a funeral, or just hearing of someone’s death, and thinking “I wish I had told her I love her one more time!” But close relationships can also be draining, stressful, and many …
10 USEFUL* things you can do for suicide prevention *Spoiler: none of these things are about “fixing” a suicidal person. I’d like to apologize for missing the actual National Suicide Prevention Day, which was September 10, but, really, any day is a good day to talk about suicide prevention. Suicide prevention is not a matter of telling your distressed friend …
“I was losing hope that I would ever feel like myself again… but I finally got my full self back.” In an open-hearted and moving op-ed piece in the Los Angeles Times on Thursday, Dr. Devika Bhushan, who has been serving as Acting Surgeon General of the State of California, told her personal story of bipolar disorder, which was diagnosed …
Fall is just around the corner in the Northern Hemisphere, and the impending seasonal change means impending mood changes, too. For every person who goes into September with a New Year’s feeling: new school year, new challenges, new friends; there is another who starts the autumn with anxiety, melancholy, or even dread of the dark days to come. Our agrarian …
Depression is awful. It takes all the meaning and joy out of life, it reduces our capacity to care for, or even defend ourselves, and it can lead to an endless downward spiral leading to years of anhedonia and even suicide. So why would anyone want to talk about any value of depression? Scholars who take an evolutionary approach to …
What is rumination and how can it be overcome? Rumination, or repetitive negative thinking, can be a symptom, and possibly even a cause of depression. But where does it come from, does it have any upsides, and what can you do about it if you feel stuck in an endless loop of regret, recrimination and overthinking the past? Psychologists distinguish …
Too Busy? Not Busy Enough? A recent consultation with a patient got us thinking about activities and depression. The patient was saying that she was not looking forward to the long 4th of July weekend because she had to plan some activities to keep busy, because this is not a holiday that has a lot of actions to take, other …
Diets and Moods Evidence for the importance of diet for mental health is slowly gathering. People are looking into the importance of specific diets like the Mediterranean diet, which we have highlighted here before. And the next big area of research into diet and mental health looks like being the ketogenic diet. Many people have heard of the Atkins diet, …
Some reflections by Denise Collins on The Mighty We were struck by this great post on The Mighty, (which is a fascinating site with lots of discussion groups to explore). One of their discussion groups is about depression, and Denise Collins is a regular contributor there. Recently, she posted this reflection on how writing helps her when she is depressed. …
Consumers’ Checkbook for the San Francisco Bay Area has a ratings table for medical care practitioners in the area that looks at a number of important criteria, including patient recommendations and peer recommendations (other doctors). This is a subscription service, and you have to sign up for at least the free 7-day trial period to get the list, but if …
