If you want to figure out if something is true or not, you’re probably better off not going to a psychiatrist. Therapists really have no greater ability to decipher what the truth is than anyone else. On the other hand, if you go to see a decent, “good enough” therapist, with enough experience working with people, he or she might …
10% of Americans Suffered Childhood Sexual Abuse
Approximately 10 percent of American adults were sexually abused as children, according to a study reported in Comprehensive Psychiatry. They are more at risk of psychopathology and suicide attempts than are adults who were not sexually abused as children. This study fits with other evidence. The global prevalence of child sexual abuse has been estimated at 19.7% for females and 7.9% for males, based …
Feeling Already Full
A wonderful friend sent us a note that this post had been very helpful to him. It is, once again, from the Just One Thing site. The practice is called “Feel already full” and it is a perfectly timed reminder that so much of what we see in life (TV especially) is specifically designed to make us feel unhappy with …
Money and Security
How much money does it take for someone to feel really secure? This seems like a sensible question. Certainly, many of us have been dealing with insecurity because of a lack of money. In other words, there is a relationship between money and security. On the other hand, over the years, we have never run into anyone who managed to …
Reclaim Your World
Why You May Need to Reclaim Your World Threats from disasters, and other dangers in the world around us, can lead us to withdraw from normal activity and then we may need to reclaim our world from fear. I have always loved what I now call the territorial sports: the cross country skiing, running, hiking, bicycling, etc. These are sports …
Retraumatization
After nearly 20 years of work in the field of post-traumatic stress disorder, one thing that continues to trouble and baffle me is the phenomena that was described by Freud as the repetition compulsion. Why is it that people who have been victimized in terrible ways are at much higher risk of being victimized again. One would think that they would be …
Disaster’s Aftermath
The recent hurricane that hit New Jersey and New York reminded us of the research on the aftermath of disaster conducted by a friend and colleague, Kent Harber, PhD. Kent has been very interested in posttraumatic stress disorder, and in particular, the work of Dr. James Pennebaker, on the value of sharing one’s story in the aftermath of trauma. Jim …
Ghosts
Today is Halloween. The holiday is felt by many to be derived from the Celtic festival of Samhain. On this night the door of the underworld opened a crack and spirits of the dead, as well as other beings, like faeries, traveled back to their old homes. Costumes developed as a way to avoid being harmed by these spirits, who …
Mood Phobias
We were talking with a couple of wonderful psychologists about what it is that helps people come to terms with moods and learn to live with them creatively. One of the barriers to successful mood surfing is a fear of moods. I suppose the analogy is of someone who is afraid of the waves trying to learn how to surf. …
Sick of Vacation
Hard working professionals go on vacation and immediately get sick. This doesn’t happen just once, it is regular and reliable. What is going on? If this has happened to you, you are getting a crash course on the physiology of the body’s stress response system, and some of its flaws. It was developed to deal with very different problems than …
Fire of Anxiety: Stop, Drop and Roll
Remember those Public Service Announcements about how to protect yourself in a fire? I can hear it in my head now–STOP, DROP, AND ROLL. That PSA must have been on heavy rotation when I was a child because any time I even see a hint of a fire, I can hear the narrator’s voice in my head telling me what …
The Uncertainty Principle
In quantum mechanics, the uncertainty principle is the principle that there is a fundamental limit to our ability to know things about a particle. If you know precisely where it is, you can’t know how fast it is moving, and if you know how fast it is moving you can’t know exactly where it is, and so on. The original …
Performance Anxiety
Fear of public speaking and performance anxiety are very common things. Probably almost all of us have had the experience of desperately wishing to relax before a presentation. This may be a situation where you should be careful of what you wish for. When I was younger I had a terrible fear of speaking in public. And my first job …
When the Pressure Builds
We all have stress. It is a natural part of life. The level of stress in your life may vary from moment to moment. Some folks are more sensitive to stress and others may shrug it off, choosing to find contentment with whatever hand they are dealt in a happy-go-lucky fashion. Whatever your stress management style, it’s important to just …
Bad Memories
Unstable moods and bad memories seem to go together. In the clinic where many of us work we have noticed how often it is that folks who we see with bipolar have had traumatic experiences in childhood. Why that happens is speculation. But we do know that dealing with those experiences can be very, very hard, and, potentially, life transforming. …
Francine Shapiro: EMDR – A Crazy Idea that Works
As a young psychiatrist I was interested in posttraumatic stress disorder (PTSD – psychological reactions to severe traumatic events) and did a research fellowship on the subject with Charles Marmar at the San Francisco VA Hospital. One Thursday morning, during our regular clinical case conference, we had a woman come in to tell us about her recently discovered technique for …
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 …
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 …
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 …
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 …