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Seasonal Mood Changes Spring is coming, a season that some call “mania season”. Even those without mood disorders often feel a rush of energy and hopefulness as the days finally start to get longer, and the temperatures go up. Many of our bipolar patients find that their mood swings follow a predictable pattern: for the majority, “up” in the spring …
Deaths of despair increasing, but only in the USA Mortality rates are rising in the United States, especially among poor, rural populations, and specifically among whites. Life expectancy in other groups continues its historic rise, and this rising pattern is also found in 16 other countries with comparable economic levels. This phenomenon has been dubbed “deaths of despair” because the …
Sleep and melatonin Sleep-disruption and circadian rhythm-disruption problems are quite common in people with mood disorders, and insomnia is one of the most common symptoms we help patients deal with. Far and away the best treatment for any kind of insomnia is Cognitive Behavior Therapy (CBT), which we use in a wide variety of situations. In the case of sleep …
Aerobic exercise has long been recognized as an important adjunct to prevention and management of mental illness, especially mood disorders, depression and anxiety. A new study from Sweden looks at almost 200,000 people who participated in cross-country ski racing there, and found that participants (whom researchers considered a “proxy” for physically active people generally) show a much reduced incidence of …
Insomnia has often been related to anxiety and worry at bedtime, but recent research has linked daytime worry and rumination to nighttime insomnia. People often realize that their thinking patterns at night are keeping them awake, but may not consider the impact of worrying that they did earlier in the day to their sleep patterns at night. Anxious, repetitive thinking …
How can I give helpful support to my mentally ill daughter, brother, spouse, best friend? In our practice, we frequently hear from family members of patients desperately hoping for some suggestions or guidelines to tell them what to do in cases of self-harm, addiction, lying, running away, or just plain apathy. It can be a heart-wrenching dilemma: to give support …
The American Psychiatric Association (APA) conducts regular surveys of a representative sample of American adults, and this month the poll asked people how they feel about their mental health and whether they are resolving to do something to improve it next year. The survey findings show that mental health is on many people’s minds and taking steps to improve their …
Sleep patterns in pre-industrial communities highlight the importance of temperature changes What is the connection between insomnia and the modern lifestyle? It has been hypothesized that we sleep less well now than our ancestors did, either because of electric lighting, electronic devices, or increased entertainment options. However, a group of scientists studying sleep patterns among members of hunter-gatherer tribes in …
“I don’t know how people do it. I just can’t juggle work and family and everything I have to do and take time for self-care on top of it all.” Sound familiar? A lot of people think self-care, whether taking time for meditation, exercise, or even just lunch, is a kind of reward, that you get when all the other …
Four basic attachment styles determine the role you play in romance Do you cling to your partner, and take responsibility for their every happy or sad moment? Do you keep your partner at arm’s length, knowing that they may be gone forever any time now? Do you look at friends’ relationships and feel envious of how confident they are in …
Holiday stress is a reality of life for many people, but for those struggling to manage chronic illnesses like bipolar, the holidays can be a real trial. Each year, MoodSurfing encourages readers to spend some time before the holidays reflecting on how they want to face up to, and hopefully get some fun out of, the winter holidays. Here are …
Set goals and stick to them A client recently recommended a new book: Essentialism: the Disciplined Pursuit of Less by Greg McKeown. Our client liked the way the book encouraged her to think “is this (object or activity) going to get you to your goals, or not?” She said she learned to pare down the tools she was using, so …
Winter time insomnia For many, winter is a time to hibernate and sleep more, but others struggle more with insomnia when the mornings are dark. A patient recently shared some morning routines she has discovered to battle both insomnia and depression during the darker months. “I still try to wake up at 6:30 am, which gives me a little bit …
Grade A for effort In a conversation with a patient who was trying to quit smoking we discovered that people often grade themselves only for final success and not for “effort”. The patient said that he did feel like he is doing better, but he still has cravings for a cigarette, and he would like to be at a place …
We were talking with a patient who had taken a jump into what seemed like a potentially difficult situation, by joining an online support group. She had hesitated to join the group for a long time, sharing that she had created a list of “things that could go wrong” about the group. When she joined the group, she initially got …
As days get shorter and nights get longer in the northern hemisphere, seasonal affective disorder starts once again to rear its ugly head. Feeling sad or depressed during times when the outside world is literally darker is a not uncommon experience. According to research, the experience of laziness, avoidance, and even despair in the winter season may affect up to …
The International Bipolar Federation, a frequent mention in this blog (See our sidebar “Outside Blogs”), is again hosting its annual Starry, Starry Night event online. You can view the one-hour video of the event on Oct. 24, any time between 2:00 pm and 7:00 pm Pacific time. The event promises to be a packed hour of motivational speakers and real-life …
Suicide remains a sad mystery in many ways. Those left behind can never really know what was in their loved one’s mind at the last. We blame ourselves, and we deal with all the guilt, anger and grief that the act leaves behind, but we can never completely understand what leads someone to take their own life. Willa Goodfellow, in …
Curiosity is an aspect of the open-minded flexibility that allows us to go on learning and growing for a lifetime. To be regularly reminded that I don’t know everything is to be motivated to go on finding things out, and to recognize that I don’t have the answers to all of life’s questions, and I don’t have to know it …
Hypomania also needs management Of all the different mood states that people working through bipolar I or II have to deal with, hypomania may be the most difficult to understand. Often misdiagnosed, or left untreated for a variety of reasons, hypomania can also have its own stigma attached, as a post in BPHope reminds us. Friends, family members and other …
