Feeling down? An article in Psychiatric Times suggests that drinking a couple of cups of coffee in the morning might help your mood. The study they cite found that those people who drank two or three servings of coffee per day (8 ounce cups of drip coffee – or shots of espresso) had a 50% lower rate of suicide compared …
Take Action… Why Do I Have to Pick Up My Room?
Sometimes wrestling with depression can seem an awful lot like having to deal with a truculent eight year old. It is 7:00 in the morning, and the alarm goes off. When you aren’t feeling depressed, that means that you get up without thinking about it too much, and take a shower or make some coffee to start the morning. But when you …
Dual Treatment: Medications and Therapy Work Together to Treat Depression
A review in the prestigious journal JAMA Psychiatry suggests that there may be a clear biological explanation of how medications and psychotherapy work together to treat depression. The authors note that recent, unexpected, research findings suggest that antidepressant medications reactivate the brain’s ability to relearn old lessons. The medications allow the brain to modify old neuron connections in a way …
Therapy or Medications for Depression?
A new study published in the most prestigious psychiatric journal (JAMA Psychiatry – see reference below) strongly suggests that a brain scan might be able to help people decide whether therapy or medications are more likely to treat their depression. As background, although some people feel that for more severe depression medications are more effective, the fact is that most …
I Need New Friends
“I thought I needed to replace my friends.” This is how one of our patients described her experience of a several week period of mania last summer. Her friends insisted that she needed to get help and that something had to be done about her energized state. But she had just emerged from a many year depression and felt that …
Men Get Mad Not Sad
There are hundreds of papers written about why it is that women have a much higher rate of depression than men. A new article published in the journal JAMA Psychiatry (August 28, 2013) suggests that some if not all of that difference may have to do with the fact that men express and experience depression differently. The authors of the …
Brain Scan Diagnosis?
A newly developed brain scanning method that measures blood flow to different parts of the brain may help to distinguish between bipolar and unipolar depression, according to a study that got a fair amount of media attention. The study of 54 adult women used a novel way of measuring brain function called arterial spin labeling (ASL). This approach allowed much …
Late Night TV Blues
Studies have tended to find that watching more TV is correlated with higher levels of depression, but is that just because TV is so boring? A recent review published in the New England Journal’s Journal Watch for Psychiatry suggests that the link might in part involve the fact that watching TV at night exposes you to blue and white light, …
Cluelessness: Getting Stupid
Late on a Friday afternoon, I found myself with two patients (back to back) who were yawning and seemingly drifting off during the course of our conversation. Now, that could have meant that I was being particularly boring. But, in this case, it was the manifestation in the office of something that had been going on at home and causing …
Something Better Change
Occasionally, I realize that this business of helping people change their moods is a bit like the false pride that proceeds a fall. It’s easy to have an overweening sense of power. A woman who I’ve been seeing for a couple of years has been in an increasingly flat, depressed state. She has taken care of most of her obligations, …
Blood Flow Measures Predict Bipolar Disorder
To the delight of the medical community, there has been a surge of new methods and techniques for more effectively diagnosing bipolar disorder. One of these new methods is a blood-flow measure, where clinicians use different levels in blood flow activity to determine whether an individual is suffering from bipolar disorder or unipolar depression. In the British Journal of Psychiatry, …
Get Ready for Fall
As August winds itself up, it is time to start thinking about the fall and then winter coming up. A little bit like the squirrels, who are already putting away food for the winter, it may make sense to make sure that you have what you need to have a happy and energetic fall and winter. The first thing is …
The Hunt for New Medications for Depression and Bipolar Disorder
Dr. Gerald Sanacora, Professor of Psychiatry and Director of Yale Depression Research at Yale School of Medicine, explains that when it comes to depression and bipolar medications, there are some serious limitations. Although in the short term, it seems like many people are doing better with current medications, as time goes on, these same people start showing signs of relapse. …
Proactivity
Proactive behavior refers to actions taken that are forward thinking, that anticipate future problems, and are aimed at avoiding those problems. They are focused on changing the environment for the better. Proactivity contrasts with reactivity as an approach to challenges. Reactive behavior is about dealing with the crisis that is present right now. Reactivity also often is associated with a wish …
Life Energy
Freud came up with the term libido to describe the sum of all the human instincts related to love. In his view, there was a limited amount of this libidinal energy and it was important to use it wisely. Invest it in the wrong activities and you could end up with nothing to show for it. This notion of limits …
Postpartum Episodes
Summary and Comment Perinatal Mood Episodes Common in Women with Bipolar Disorder Women with bipolar I disorder had higher risk for episodes within 6 weeks of delivery than those with bipolar II disorder or recurrent major depression. All mood disorders tend to recur during pregnancy or the postpartum period, but does the frequency and timing of recurrences vary by …
Mood and the Brain’s Clock
As we slowly move from summer to fall, it may be timely that the issue of Biological Psychiatry that arrived in the mail today is devoted to how the brain’s clock affects mood. It points to growing evidence that part of what drives mood cycles are disruptions in the brain’s daily (circadian) rhythms. It appears that people who are vulnerable …
Selective Attention
One morning, while I was riding a bike, I got to thinking about how mood affects attention and how that, in turn, creates a different reality for us depending on what mood we’re in. To think all these thoughts were sparked by my reaction to the image of a dead squirrel… Several weeks ago, it had been an especially dark …
Hypothyroidism Diagnosis Confusion
Hypothyroidism elicits many similar symptoms to other mental health disorders. Dr. Kristi Estabrook, MD, explains where the symptoms overlap and how unfortunately those experiencing Hypothyroidism are misdiagnosed. First, what exactly is hypothyroidism? Hypothyroidism is a thyroid hormone deficiency and there are two types: Primary and Secondary. In Primary, the thyroid gland does not respond to thyroid stimulating hormone correctly. Causes …
My Brain is Trying to Kill Me
Sometimes brains do terrible things. One of the worst of those things is the suicidal preoccupation that can, eventually, lead to suicide itself. Over the years I have done a lot of thinking about suicide and suicidal preoccupation. One aspect of thoughts of suicide is the data about what happens when someone tries to kill him or herself and is …