Loving Kindness or Metta

Love is something that if you give it away, give it away, you’ll end up having more… Last Sunday at church there was a children’s chorus singing, and this was one of the songs. It seemed very familiar… The cultivation of loving-kindness (mettā bhāvanā) is a popular form of meditation in Buddhism. In some Buddhist traditions, the meditator begins cultivating loving-kindness …

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 …

Bipolar Brains

After years of trying, a group of researchers down at UCLA (led by Lori Altshuler) may have succeeded in identifying important changes in brain function that are associated with bipolar moods. They have found two specific areas of the brain that show pretty consistent changes associated with bipolar. One area (the orbitofrontal cortex) is generally less activated in bipolar, no …

NAC (n-acetyl-cysteine)

We were impressed by a recent study of n-acetyl cysteine as a treatment for marijuana dependence. It was a well designed study from a very reputable research group and the results were significant: the number of clean urines in the group getting NAC was twice as high as in the placebo group. It got us more interested in the agent …

Learned Helplessness

This is an animal model of the human experience of depression. In the learned helplessness model an animal is repeatedly placed in a situation where it has no ability to avoid a painful outcome After a while the animal begins to look depressed (listless, passive). At that point if you place the animal in a situation where it could escape …

Vulnerability

Recent research points to vulnerability as an important component of deep, meaningful connection to others and to life. But, for some, just hearing the word can conjure up strong feelings of fear. But what is vulnerability exactly? What is its relationship to mood? And, if it is such a good thing, what is the fear about? Vulnerability can be simply defined as taking an emotional …

Resilience

Why are some people able to move through difficult situations, and others seem to get stuck in them? A lot of what distinguishes people who lead successful lives from those who struggle has to do with how much we are affected by negative events. There isn’t really much we can do to avoid setbacks (even the fabulously successful people have …

Medications

Getting the right medicine, medication side effects, fear of being dependent on a medication, medications that stop working mysteriously… psychiatric medications evoke in us as many reactions as do psychiatric disorders… and psychiatrists. What we propose to do on this page is to try to collect and organize information that we have found helpful in thinking about psychiatric medications. As …

Self Compassion

I once worked with a lovely woman who had a personal assistant who yelled at her all day.  She hurled insult after insult, screaming loudly in her ear things like—You’ll never get that done! There you go again, you idiot! Give it up, you’re never going to amount to anything! This is pointless, you may as well throw in the towel! …

Doctors Part 2

Once you have found a good doctor (see Doctors Part 1 for thoughts on finding doctors), how can you make sure that you get the best help from that doctor (or doctors). Here are a few thoughts collected from our experiences working with many people over the years – 1. Plan ahead. It is almost always a good idea to …

Supplements – Overview

Supplements are drugs that are found in nature (note: supplements don’t have to be any more “natural” in terms of how they are made than prescription drugs). Because they are found in nature they are not, in the United States, subject to review and approval by the Food and Drug Administration. Also, because they are found in nature, they tend …

Doctors Part 1

Managing your relationships with doctors can be a challenge. Here are a few tips that might help. It all begins with finding good doctors. In many parts of the country this can be hard. There may not be many choices. Start with a list of “candidates” – For a primary care doctor – look under “internal medicine”, “family practice” or …

Music and Mood

People naturally turn to music to change or improve their moods. There are surprisingly few studies on this. But those studies that do exist confirm what we already know, music can definitely affect our mood. Enough of the science, if we know music affects mood, how can we use that knowledge to “moodsurf” better? One thing that we have discovered …

Relationships and Chronic Depression

Many people with depression, particularly if they have been depressed for a long time, develop a pattern of interacting with others that is designed to protect them from disappointment. Avoiding disappointment is obviously a good thing, but it can lead to relationships that are not satisfying.  Addressing relationship issues is important. Almost everybody who is unsatisfied with their relationships can …