We aren’t sure how we feel about the spread of Starbucks into every corner of America. But it does allow us to suggest a kind of intervention that may help you if you are depressed. It is based on Interpersonal Social Rhythm Therapy – which is one of the best validated psychotherapies for people with bipolar moods. Every morning, at …
Marijuana: Reefer Madness
Psychosis Risks with Marijuana Use This article is taken from Bipolar Network News. “At a recent conference Robin Murray, a researcher based in London, gave a talk about the potential adverse effects of tetrahydrocanabinol (THC). Considerable data indicate that chronic long-term smoking of marijuana is associated with the doubling of the risk of psychosis. Moreover, if a marijuana user has a …
Running a Bit Late
This has been a super busy week and for the first time since we started this website we missed a couple of days of posts. That, plus the experience of waiting for someone to show up for coaching, made me think back on when I used to always be late for events and appointments. I was an absolutely incurable late …
Shamelessness
We think it’s about time for a little shamelessness. We have spent our entire lives trying to help people with moods find happy, satisfying lives. Honestly, one of the biggest challenges that we face is the shame and stigma that accompanies, for so many of us, any thought about depression or bipolar, or any of the other labels that we …
Breathing Techniques
One of the oldest “self help” practices is based on breathing, changing how we breathe in order to reduce stress and to achieve a sense of connection with the world around us: Pranayama Yoga. Prana is the Sanskrit word for “breath” and also means “life.” Therefore, prana can be translated as “the breath of life” or “life energy.” Yama means …
Online Resources
There is so much information on the internet. And so much misinformation. How to find good answers to your questions? This is a very selective list of resources that we have found helpful – Medications UpToDate – This is an online medical textbook that is updated continuously. It is the resource we use when we have questions. It also includes …
Creatine for Depression in Women
In a small study of depressed women the dietary supplement creatine significantly boosted the response to an SSRI (serotonin antidepressant). Creatine is an amino acid that is made from other amino acids in the body, so it is not considered an essential amino acid – meaning one that you have to get from diet. Creatine is widely used by body …
Mood and Reality: Mood’s Ability to Shape Perception and Interactions
We have been thinking for a while about how mood powerfully creates our reality. And how hard it is to hold on to a consistent sense of the world as moods change. Mood affects what we notice and remember and how we see it. It also affects where our thoughts naturally tend to go. We ran across an intriguing article …
Reward the Effort
Why is it so hard to make positive changes in our lives? A woman we have been working with came in yesterday and told us about all of the things that she had been doing – making a serious effort to find a satisfying job and career, beginning to get healthy by exercising and joining weight watchers, working on her …
The End of Summer
Every year we notice two weeks that seem to affect a number of folks who have had seasonal depressions. The first period is the “End of Summer” – a foreshadowing of the coming fall that happens in late August or early September (depending on the weather, we guess). The second period is the “Beginning of Winter” – which usually takes …
Men are from Mars: How Gender Affects Communication
Men and women sometimes don’t seem to be speaking the same language, and this is certainly true when it comes to discussing emotions. A young woman we have been coaching was thinking about a conversation she needed to have with her father about something that she was sure was going to be very upsetting to him… but she also knew …
Stress, Distress and Eustress
We met this afternoon with a delightful young man who said he was having more anxiety and depression because of all of the stressful things that he had to deal with. He gave us a list, and, perhaps because we are natural skeptics, we started to wonder whether that list really explained what was going on. For one thing, as …
Loving Kindness or Metta
Love is something that if you give it away, give it away, you’ll end up having more… Last Sunday at church there was a children’s chorus singing, and this was one of the songs. It seemed very familiar… The cultivation of loving-kindness (mettā bhāvanā) is a popular form of meditation in Buddhism. In some Buddhist traditions, the meditator begins cultivating loving-kindness …
Parenting and Oxytocin
Those of us who have been parents probably remember moments of incredible attachment to our children. Times when we were happy to just hold them while they were sleeping, and nothing else in the world seemed important. It is a state that is somewhat like the experience of new love. Recent research suggests that part of what creates that state …
Dynamic Balance
We were talking to a young woman trying to figure out how to maintain more of a balance in her life. She knows that one of the challenges with energized moods is that they can lead to becoming over-committed. On the other hand, one of the great things about that energy is that it often results in getting a lot done. So how do you find …
Making Good Relationships: 4 Behaviors Predictive of Divorce
In a previous post we talked about our view that what is most important in successful long term relationships is not so much who we choose but how we build the relationship (of course, if you choose someone without morals or who is seriously disturbed, this doesn’t probably apply to you). But we deferred discussing what it takes to make …
Stress Eating
Weight gain may be not only a psychological (“I hate how I look, it makes me depressed”) but also a biological (overweight people have elevated levels of inflammation that may increase depression) factor worsening depression. Great, but what to do about this? Most of us already knew that we should lose weight, and more guilt doesn’t help. One very interesting …
Bipolar Brains
After years of trying, a group of researchers down at UCLA (led by Lori Altshuler) may have succeeded in identifying important changes in brain function that are associated with bipolar moods. They have found two specific areas of the brain that show pretty consistent changes associated with bipolar. One area (the orbitofrontal cortex) is generally less activated in bipolar, no …
NAC (n-acetyl-cysteine)
We were impressed by a recent study of n-acetyl cysteine as a treatment for marijuana dependence. It was a well designed study from a very reputable research group and the results were significant: the number of clean urines in the group getting NAC was twice as high as in the placebo group. It got us more interested in the agent …
How to Change Your Sleep Pattern
One of the best studied and fastest treatments for depression is not a medication, it is waking up earlier and get bright light exposure… We will write at a another time about the evidence for this, and maybe even why it works. But for now let’s talk about the practical question. How do I change when I get up? First I …