Singer-songwriter Mariah Carey has bipolar according to an interview with People magazine, carried on their April cover. Now in her late 40’s, Carey says that she did not seek treatment for many years, thinking she only had severe insomnia. Now, she is in therapy and taking medication for bipolar II disorder and continuing to work in the studio on her …
Spring Mania – Nancy
Spring Mania – Fact or Fiction? People struggling with mood disorders frequently find their moods tied to the rhythm of the seasons. Spring heralds an upswing in energy and cheerfulness, while autumn and winter mean “down” times for many. As the northern hemisphere enters the Spring season, people with bipolar symptoms are cautioned to watch out for signs of mania …
Finding a Psychiatrist
Finding a psychiatrist should not be so hard. With all of the feelings that people experience that can stand in the way of getting help (shame, guilt, hopelessness, etc.), Once people finally decide to get help it should be a lot easier to find a good psychiatrist than it is. It all begins with finding good doctors. In many parts of the country …
Bipolar Light Therapy – Timing and Effect – Nancy
Bipolar light therapy can improve mood and daytime alertness. Light therapy is often used as an adjunctive treatment for patients who experience residual depressive effects while taking lithium or valproate as mood stabilizers. Light therapy can also be useful for those who need to minimize medications, such as pregnant women or the elderly. A study conducted at the at Northwestern …
Chronotherapy Success!
How can something as simple as manipulating the time you sleep – chronotherapy – work so well to improve the quality of your sleep, your energy during the day and your mood? A young mother who has often complained of feeling tired with many problems with aches and pains came in with a big smile today… “I am feeling so …
Preventing Mood Episodes – Nancy
A recent article in Bipolar News reminds us of the value of preventing mood episodes, even if that means aggressive treatment. By reducing the number of bipolar episodes a patient may experience, preventative treatment can protect the brain from the damaging effects of such episodes. Preventative treatments with multiple medications have been shown to be very effective but the medication …
Binge Eating and Bipolar – Nancy
In our practice we often see a link between binge eating and bipolar. Recent studies are showing that there is a link between emotional eating and bipolar disorder, with as many as 10% of bipolar sufferers also struggling with eating disorders, a much higher percentage than in the general population. The Mayo Clinic, which has studied the link between binge …
Returning to Work
Returning to work after a period of increased symptoms of depression or bipolar can seem daunting. And, indeed, there are major challenges to be dealt with. If you are returning to work, you are in a happy minority of people with bipolar or recurrent depression. Congratulate yourself! Or at least that is what the, admittedly incomplete, evidence suggests. Trying to …
Fatigue, Depression and Sleep
One of the curious quirks of how our brain works has to do with how it responds to situations associated with fatigue, depression and sleep. Usually the brain regulates sleep well. Every night, after we have been awake for the appropriate amount of time, our brain responds to signals from the “clock” cells in the pineal gland and to the …
Stopping Medications – How and When to Do It
Most people with depression and/or bipolar think about stopping medications at one point or another. The results can be disastrous or good depending, in part, on the motivation for change and how it is done. As with any major life decision, it is best not to approach the decision with too much of a sense of urgency. If you’re feeling …
Bipolar Depression Light Therapy
The news that bipolar depression light therapy may be effective is good news and follows a series of studies this past year highlighting the importance of treatments that affect circadian rhythms by manipulating light and dark in treating mood disorders. Bipolar depression is one of the hardest conditions to treat effectively. Antidepressant medications may have significant side effects, including inducing …
Bipolar at Work – Nancy
Bipolar At Work: Disclosure and Accommodation Federal law provides important protections for workers who are coping with disabling mental or physical illnesses in the workplace. Know your rights, and plan carefully for whether, when and how to request accommodations and disclose special needs at work. The Americans with Disabilities Act (ADA) prohibits discrimination against anyone with a health-realted disablitiy in …
Mood Planning – Gina
Mood planning is an activity that is closely aligned with the goal of this website: helping people to live creatively with moods. Having a plan in place ahead to time for when you notice warning signs or full symptoms of mania can minimize the negative impact a mood episode can have on your life. I often work with patients in …
Mood Spectrum
Author and psychiatrist James Phelps presented a thought provoking presentation about the notion of a mood spectrum (from very unipolar to very bipolar) and how that idea is changing the way that clinicians work with people with depression. The title of the presentation was “A More Nuanced View of Hypomania” but the talk itself is broader than that. The spectrum …
Online Group Therapy – Bipolar 101 – Gina
Gateway’s Bipolar 101 – Online Group Therapy Last week we started the Bipolar 101 Group at Gateway Psychiatric, the second time we’ve hosted this group. It was inspiring to see how a sense of community and connection can develop so quickly in an online meeting. I regularly hear of the value that support plays in the lives of people I …
When Is a “Good Mood” Too Good
The question of when is a good mood too good and what to do about it lies at the heart of my recurring experience that, as a psychiatrist specializing in working with people with bipolar and depression, I find myself in the uncomfortable position of being a spoilsport from time to time. Actually, sometimes it is much worse than that. …
Bipolar 101 Group Fall 2017
We are excited to announce a repeat of the very successful Bipolar 101 Group Fall 2017 is being offered at Gateway Psychiatric Services. The group is co-facilitated by Gina Gregory and Peter Forster. Do you want to learn more about bipolar disorder and connect with others who may have experienced similar symptoms to you? Gateway Psychiatric will be hosting an …
Impatience Warning
Sometimes I wish that my depressed patients had more impatience. Eagerness for change when you have been depressed for a long time can be a good thing. But if you have bipolar depression, impatience is not always a useful emotion. This past week, several people began expressing impatience with their progress. A couple of them expressed the view that I …
Fall 2017 UCSF Bipolar Psychoeducation Group
The UCSF bipolar psychoeducational group starts on August 7, 2017. It runs for 8 weekly sessions, Mondays 12pm to 130pm. Most commercial insurance accepted. I often describe this group as “an advanced class about bipolar disorder for people who have bipolar disorder.” I have attached a flyer and a draft schedule. Please feel free to give/show either to your patients. There is also …
Ride the Tiger
Ride the Tiger is a wonderful PBS documentary that covers a lot of important information about bipolar in an entertaining and informative one hour program. One of my patients strongly recommended it. Treatment Stories about treatment, the good, the bad and the ugly. Self Care The importance of self care. A brief introduction to some useful ideas. The Genetics of …