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 …

Getting It Done Anyway

From time to time I am inspired to pass on portions of a post from a favorite blog. Today’s Moodscope blog was all about those days when you feel a bit “blah” and what you can do to not get trapped in indecisiveness and time wasting. As it happened this arrived on a day when I was struggling to get …

Crisis – When to Consider Hospitalization

A delightful, funny, smart young man we know called us on Friday to say that he had stopped his medications a few weeks ago, and now he felt he was entering a mania. We did our best over the weekend to patch things up, got him more medications, talked to him every day, worked with him to make sure that …

Take a Chance

If you are feeling depressed or anxious, today’s post from Rick Hanson (part of his Just One Thing blog) may be helpful. If you are already feeling energized, you might not need more encouragement to do something risky/taking a chance… Rick’s post is about how, as children, we learn to avoid certain types of conversations that seem too risky, and …

Running a Marathon

Many of us are strongly motivated by the desire to achieve results, complete tasks and succeed. Often we want to get where we are going quickly. Life is too short. Seize the day. Dealing with moods can be very frustrating. Change may take place slowly. Sometimes you have to put in a fair amount of energy just to hold on …

Parody No More: Mental Health Parity Law

In yesterday’s clinical team meeting we were talking about the mental health parity law, which has been largely ineffective at ensuring access to care. One of the psychologists said, “I call it the mental health parody act,” because it is a parody of meaningful change. That may be changing. President Obama announced that the Sandy Hook school killings had galvanized …

Power out of Depression

It sometimes can be very hard to think of ways of getting out of a lurking depression. A recent email from Moodscope (a site with a mood tracking program that many people find very useful) highlights one very useful strategy: instead of staying stuck in your brain, switch your focus to physical activity. This strategy can be surprisingly effective. If …

Of Two Minds

This morning I was thinking about the relationship between your pre-frontal cortex and your limbic system. I know, it’s a little strange to be having these thoughts while out riding a bicycle in the morning… a hazard of the profession I guess. The reason I was thinking about this subject is that people’s moods appear to be affected by both …

Who’s to Blame?

“Is it my fault?” This is one of those questions that seems to easily dominate conversations between people in a romantic relationship who are having trouble getting along. It is also a question that is usually impossible to answer (who decides? what standards do you use?) and quite unhelpful. I was talking with a recently married woman yesterday about her …

Relationship Fear

I have been working with a couple of young women who seem to be unable to move beyond a recently ended relationship with a young man.  In both cases, there’s no question that the young man is coming back, and yet their thoughts keep turning back to trying to analyze the failed relationship, wondering what might have gone differently and …

Exercise and Brain Health

According to the Exercise and Brain Health: Good Points to Remember article in the December 27, 2012 issue of Bipolar Network News, “(…) exercise is extremely important in (…) helping to improve depressed mood, increasing cardiovascular fitness, and maintaining healthy cognition.” It is also suggested that aerobic fitness may increase the size of the hippocampus which in turn decreases risk factors for …

Something Fishy

Journal Watch (which is published by the very well respected New England Journal of Medicine) recently reviewed the evidence about omega – 3 fatty acids and depression. The editors concluded that fish oil can be helpful but the key to effectiveness is the amount of one of the two fatty acids that are the primary ingredients in fish oil. The …

Healing the Inner Child

Right off, we have to say that much of what has been written on this subject sounds pretty flaky. The problem is that the ideas have been popularized and applied to people and situations where they really didn’t apply. “My ‘inner child’ was wounded by your refusing to pay for the ballet lessons that I wanted,” for example. And yet the …

To Tell or Not – Part 2

In another post, we talked about the question of whether or not to tell friends and family about the challenges of living with mood disorders and, in particular, whether or not to share a diagnosis (such as bipolar). The discussions there about the many misunderstandings and misconceptions about moods and mood disorders that are commonplace in our society is relevant …

How Could Light Help?

There has been considerable skepticism about the value of light therapy for people with seasonal depression, despite a very compelling research literature. Perhaps this might, in part, be because the way that light might affect mood has not been clear. In a recently published animal study, change in light exposure increases stress hormones, depresses mood, and impairs learning through changes light …

Traveling

Traveling can be exciting, but it can also be very stressful. It is particularly important for people living with moods to do prepare for travel before they leave. A surprisingly high percentage of serious mood catastrophes, in our experience, happen during trips. And they are almost always preventable. First, if your traveling to some place without good medical care, it’s a …

Giving Thanks

A friend asked “What is Thanksgiving all about?” There is the traditional answer about the Pilgrims and the Indians, but Thanksgiving as a national holiday has a shorter history. The holiday was first celebrated on the same date by all states in 1863. The idea was largely the product of author Sarah Josepha Hale, who wrote letters to politicians for …

Talking to Yourself

Sometimes talking to yourself is a sign of health. Those of you who have been following this blog for a while, know that I am very impressed with how mood shapes our reality. One day I wake up and the world is bright and filled with hope, and the next day, nothing works, nothing feels right, and there is no …