Work is one of our biggest sources of anxiety and stress. So often a small incident at work can turn into something bigger, resulting in negative supervisor reviews, which results in more anxiety and ruminative thinking about the original incident. “What really happened?” “What should I have done differently?” “What should I have said when I got called on it?” …
Inflammation and Mental Illness
There is no such thing as an illness that is “all in your head”. Just because the current level of medical science can’t understand what’s happening in the brain-body connection doesn’t mean your symptoms don’t exist. Research is beginning to find more and more ways that “mental” illnesses are caused by “physical” stimuli, and vice versa. This insight leads to …
Fear
What is catastrophism? Even if it’s realistic to know that there are forces able to wipe out your home, job, possessions, and community in a single stroke, worrying about the catastrophe maybe coming today or tomorrow can harm your health without improving your chances of escape. Anybody going in for medical checks and tests knows the feeling, but now, if …
Anxiety Breathing Necklace
A client writes to say the hot new trend in breathing exercises has proven “effective” in controlling his panic attacks. So what is a breathing necklace? In simple terms, it’s a small tube, about 2 inches long. The inner diameter can vary from about one-tenth to one-third of an inch. When you feel an anxiety or panic attack coming on, …
Managing Holiday Stress
Tips for managing holiday stress How’s your holiday spirit? Dreading that time of year again, with all its mental health challenges? Have you already started planning how you will handle possible mood swings, holiday anxiety, or seasonal affective depression? For many, if not most people, the holidays can be bittersweet. My own parents died many years ago, but it’s at …
Firearm Related Violence Is a Public Health Challenge
Vivek Murthy, the US Surgeon General, has called for a massive, nationwide campaign to reduce the harm related to firearm violence that is spreading throughout our society. “The collective trauma and fear that Americans are experiencing is contributing to the mental health challenges that we are facing today. Nearly 6 in 10 U.S. adults say they worry about a loved …
Anxiety and Avoidance
A recent conversation with a patient (call him Bill) brought up a pattern we’ve seen before: his anxiety scores on tests for levels of anxiety have not improved, but Bill reports that he is feeling more in control of his life, the anxiety has less power over him now. Like many people with severe anxiety problems, Bill uses procrastination and …
Stress and Depression
Exploring the links between stress, anxiety, and depression Stress and mental illness The stress response is unfortunately very familiar to modern people. We all know that when something bad happens, our brains flood our bodies with chemicals that would have been useful in the remote past, stimulating the “fight, flight, or freeze” response. Useful for dealing with a hungry sabre-toothed …
Marijuana and Bipolar
Marijuana and Bipolar-Yes or No? The use of marijuana in treating many and various illnesses is a hot topic among many of our San Francisco-area patients. Since legalization for medical uses, and even for recreation, seems to be spreading throughout the country, more and more people are looking into helpful uses for this ancient but little-understood plant. However, medical advice …
Mental Illness in India
Even today, people still have a lot of stereotypes about mental illness, and one of them is that it’s a “First World” problem, meaning that people in poorer places don’t have time for mental illness. But studies consistently find that rates of severe mental illness are pretty constant across economic, religious, cultural and geographic boundaries. Here are some stories from …
Mindfulness and Anxiety
More evidence for Mindfulness Mindfulness practices continue to gain in acceptability and evidence of effectiveness in a variety of settings. MoodSurfing has reported on several of these studies in the past, and we continue to monitor the state of the current research. A recent study1 looked at anxiety and considered pharmaceutical intervention compared with Mindfulness-Based Stress Reduction (MBSR), finding similar …
Job Benefits Mood Stability
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 …
How To Build Self-Confidence
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 …
Seasonal Change and Mood
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 …
Rumination
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 …
Exercise and Depression
Exercise is more than just cardio Moderate exercise is associated with lower rates of depression, longer life and reduced cognitive impairment in a number of recent studies. Evidence is accumulating that exercise is for more than just cardio-vascular health, and confers significant benefits at all stages of life. A 2019 observational study looked at exercise rates correlated with depression rates …
Own Your Courage
Living with mental illness or mood disorder day after day can be taxing and tiring. You have to be more disciplined, stronger, more organized and more on top of things than anyone else you know. You are bombarded with advice about dealing with a chronic illness: exercise helps, diet is important, be sure to get enough sleep, but not too …
Horticulture Therapy
Gardening improves mood Spring has sprung and people are looking to the outdoors, plants and gardening for a mood lift, a lifestyle change and a tried and true path to happiness and fulfillment. For those who think such attitudes are maybe a tad over-optimistic, we can show a surprising amount of research on the mental and physical health benefits of …
Exercise Reduces Anxiety
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 …
Daytime Anxiety Impacts Insomnia
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 …