How can I make myself do better? How can I get motivated to fulfill my resolutions and good intentions? Motivation is something we all hope to get more of, but motivation to get out there and do the work is often elusive. It’s easy to find people to give good advice, even MoodSurfing is full of good advice, but when …
How to Make a New Year’s Resolution Work
Are you contemplating a significant lifestyle change this year? Quitting smoking for good, or really getting fit, not just losing a few pounds and gaining them back later? Research shows that making real changes in life is not just a matter of motivation, commitment, or not being “lazy”. Change requires skills and knowledge that can be learned and applied for …
Change Talk versus “Should” Talk or Loss Talk
For many years I thought that if I berated myself enough for not making some positive change in my life it would motivate me to make the change. A colleague with an interest in motivating people to make big changes got me thinking about this strategy… He would often ask people “how did that work for you?” and after years …
Commit to Values-Based Action – Nancy
We’ve discussed the mental health strategy called “Acceptance and Commitment Therapy” several times in Moodsurfing (see below for links), and it’s an important feature of our Bipolar Disorder Workbook. It’s a multifaceted approach, and there’s a lot to unpack. This post explores the “commitment” part of it all. Once you’ve trained yourself to look squarely at your reality, without focusing …
Meaningful Resolutions for 2018
How can you make meaningful resolutions for 2018? Maybe not something like “adopt more healthy habits”, which can be hard to do. How about resolving to work on something that research shows is foundational to healthy habits and healthy motivations? Cultivating a sense of purpose in life has been shown to affect health and longevity through numerous avenues of study. Those …
Getting Unstuck
When you find yourself unable to make progress towards a goal, it helps to know some tricks for “getting unstuck.” One extremely useful trick is to find a detour around a roadblock. Let’s say you want to lose weight. But every effort to change your diet results in failure. Perhaps you find yourself feeling increasingly irritable and your feelings of …
Time Change Mood Effects
This Sunday the Government will do its best to make its population more depressed. It isn’t a conspiracy, but I encourage you not to let them get away with it! Hundreds of articles have consistently shown that the best way to make someone quickly more depressed is to shift their sleep time so that they are waking up later in …
Feeling Trapped
Feeling trapped is one of the most painful emotional experiences. The need to escape from this place can sometimes lead us to do things that are irrational and self-destructive. A young woman who I’ve been working with for couple of years who struggles with chronic depression, finally seem to be making some headway in her life with a new relationship …
Strength, Rock Climbing and Recovery – Gina
Strength, Rock Climbing and Recovery I recently had a conversation with a client who started rock climbing. As a rock climber myself, I get very excited to see people taking up the sport. Over the years I have witnessed how rock climbing can be an important part of someone’s recovery, whether healing from an addiction, depression, anxiety, or a break …
Successful Job Hunting
A young man in the tech industry who worked with me for nearly a decade got me started thinking about the key to successful job hunting. The tech industry is notorious for its high turnover and this young man enjoyed working in startups, where the turnover is even greater. As a result, he found himself looking for work every year …
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 …
Tools for Change
In my previous post I outlined the idea of “stages of change,” here I want to focus on some of the tools for change. In the picture below you will they the stages of change lined up with appropriate tools for change. Some of the tools are appropriate in more than one stage and, in general, the activities that support …
Ready for Change?
Getting Ready for Change The process of getting ready for change has been the focus of the research of James Prochaska for the last 40 years. James O. Prochaska and Carlo Di Clemente, developed the Transtheoretical Model for change (TTM), which is the most widely accepted framework for understanding change in the mental health and substance use treatment communities. They found …
Travel Preparation for Bipolar
Travel and mood are very much related. Often a trip is associated with a significant change in mood. This can be…
Coping with Political Uncertainty
Many of the people that I work with on a regular basis have been experiencing symptoms of depression and anxiety related to the recent election results. Unfortunately, mental health professionals are no better as news analysts than the so-called professionals. I have been struggling a little bit trying to figure out what to say to these people. Coping with Political …
Travel and Mood
Travel and mood are very much related. Often a trip is associated with a significant change in mood. This can be due to many factors. Getting out of a rut, experiencing new locations and meeting new people can bring you out of the depression. However there is also the possibility that travel may disrupt circadian rhythms in a way that leads …
Positive Change or Mania?
Charlie is concerned that by being too positive he will trigger mania. He has been hospitalized once a year and the pattern always seems to be the same. He will have settled into a seemingly fixed state of depression, and then will begin to feel frustrated with that state and tried to make changes to escape from the swampy morass. He …
Breathing Practices for Stress Relief
Breathing Techniques One of the oldest “self help” movements is based on breathing, helping us to use our breath, and how we breathe in order to reduce stress and to achieve a sense of connection with the world around us: Prana Yoga. Prana is the Sanskrit word for “breath” and also means “life.” Therefore, prana can be translated as “the …
The Power of Daily Rituals: A Morning Walk
What is the power of a morning walk? Even such a simple daily ritual can have profound effects on mood. After two years working with a young woman who is now heading off to graduate school and bright future, we were reflecting on lessons learned. “I can be a bit dense about cause and effect. I am surprised when something …
Working with a Psychiatrist Effectively
If you are a psychiatrist, sometimes you have an opportunity to experience a response to treatment that seems like a miracle. But when miracles don’t happen, what are strategies for working with a psychiatrist effectively? Early in my career, the serotonin re-uptake inhibitors SSRIs) were released, and I had a chance to see a number of people who had given up hope …