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 …
Staying Connected: How to Maintain Communication Even When You’re Not in the Mood
Let’s say you’re having one of those shabby old days when your mood’s in the gutter and you’re in the doldrums.If you’re feeling grim and can’t face the thought of a conversation of any kind? How can you possibly do the connecting thing at times like this? Here are five ideas: Opt for a more indirect channel of communication such as …
Yoga
Many people we know report that beginning yoga and doing it consistently has been associated with periods of remarkable stability, energy and effectiveness. There are studies supporting yoga as an evidence based approach to the treatment of depression. But it is hard to figure out where to begin. At the end of this page are some additional resources. One thing …
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 …
Breaking Up: How to Cope
Breaking up is hard. (At least for most people – we do know a couple of people – mostly guys – who seem to have made an art of it – but that is another post). There are things to do and to avoid doing that might make it less painful. 1. Think it through. At some point you are …
Impossible Jobs
In this world, there are two kinds of jobs: Jobs that one could perhaps do adequately, and jobs that are impossible. For whatever reason, a lot of folks’ we know tend to prefer impossible jobs. Maybe because they’re more exciting and interesting. The key to an impossible job is recognizing that no person could do all the work that falls …
Crisis Prevention
If you are feeling OK but planning on making some changes that might affect your mood, now is the time to do a little prevention work. A young man we know decided to go to visit his guru in Sri Lanka. It was a wonderful trip and changed his life for the good. It might have turned into a catastrophe …
Natural Supplements for Depression
There are many, many supplements that people have suggested are effective treatments for depression. How do you decide what is worth trying? Here we will list the much smaller list of supplements that have been shown to be effective in clinical trials. S-Adenosyl Methionine. SAMe was recently shown in a well designed (but small) clinical trial to help people who …
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 …
Mood and Food
Many people have an intuitive sense that a good diet is a foundation stone of good mental health. We don’t disagree, although the evidence for dietary manipulation’s effectiveness is not overwhelming. There are a couple of things that we have noticed over the years about food and its effect on mood that might be useful tips. For one thing, simple …
Self-Consciousness: You Can’t Fool Yourself
Many years ago we read a book by renowned social psychologist George Herbert Meade entitled Mind, Self and Society. In it Meade wrote about the origins of self-consciousness in childhood experiences. If you follow the development of children you notice that at first they act as though they and the world are one, with no apparent sense of others (especially …
What Happens in Depression?
We were just getting ready to write a post about brain imaging findings that help to explain what happens in depression when we got the latest copy of the American Journal of Psychiatry and found an elegant meta-analysis (review of many other studies) that does much of the work for us. If you want to read the article you will …
The Antidepressant without Side Effects
Medications for depression can be life saving, but for many people they have disturbing side effects. But there is one antidepressant that doesn’t have side effects – behavioral activation (BA). Behavioral activation is a treatment that has been shown to work for people with moderate and even severe depression and, in some studies, it works about as well as antidepressants. …
Riding the Waves
MoodSurfing is about the idea that the ups and downs of mood are normal (we aren’t trying to achieve some elusive “stability”). But dealing with moods requires focus, discipline and some common sense. You can’t go to Maverick on your first day surfing and not get hurt (see photo to the right). The first step for many people is to …
Morning Routine
For people learning to live with moods, it is often very important how the day starts. The morning sets the stage for the rest of the day and, for instance, we know that one of the best ways of getting depressed, is lying in bed after you wake up for the first time thinking about how you really “should” get …
Acceptance: Helpful Readings
Acceptance. We have been influenced by many people in setting up this website. One of those great thinkers is a man whose vision of psychotherapy was founded in acceptance, Carl Rogers. In his book On Becoming a Person he wrote: “The curious paradox is when I accept myself just as I am, then I can change.” This phrase has resonated …
The Importance of Good Relationships
Good relationships are one of the foundations of creative living. In another post, we talked about one of the most effective therapies for people with bipolar: Interpersonal Social Rhythm Therapy (IPSRT). In that post we focused on regular routines (the SRT part) but equally important in that therapy was paying attention to the quality of interpersonal relationships and particularly addressing …
The Practice of Tacking: How to Get Going
Sometimes it is important to get going. We generally think that it is wise to have a clear idea of where you want to go and to head towards that distant goal. However, sometimes we all find ourselves in situations where we have to “tack.” In sailing terms, tacking is how you sail into the wind. If you want to …
Sleep: Helpful books for Insomnia
It’s one of great ironies of working with people with trouble sleeping that often the path to better sleep heads first in an unexpected direction. Most of the people we see with complaints of fatigue are having problems because they are sleeping too long, and with poor quality. In fact, most people can get by with just seven to seven and a …