Self care is an essential aspect of a stable mood. Perhaps that statement seems obvious. You might be surprised, though, by how often people try to ignore that fact. It is common in my practice to be asked, directly or indirectly, to make a person feel good about themselves even though they are not taking care of their most basic …
Stopping Medications – How and When to Do It
Most people with depression and/or bipolar think about stopping medications at one point or another. The results can be disastrous or good depending, in part, on the motivation for change and how it is done. As with any major life decision, it is best not to approach the decision with too much of a sense of urgency. If you’re feeling …
A Morning Ritual Improves Mood
A morning ritual improves mood – For people who are trying to live creatively with moods, how the day starts can have a powerful impact. And the morning ritual is an effective way of changing that experience. Researchers have found that organized patterns of behavior (rituals) help our brains cope with uncertainty and reduce anxiety. So if you’re not sure …
Exercise Prevents Depression
A study of 34,000 healthy adults followed for 11 years shows that exercise prevents depression. The authors of the study found that the dose of exercise needed to optimally prevent depression was surprisingly low. Just 15 – 20 minutes of aerobic exercise per day was effective. The study is the largest prospective study to date to show the benefits of …
Suicide Survivor Day for Loved Ones
Suicide Survivor Day is the one day a year when people affected by suicide loss gather around the world at events in their local communities to find comfort and gain understanding as they share stories of healing and hope. Discover more about Survivor Day. UCSF and the American Foundation for Suicide Prevention are hosting an important event for suicide survivors on November …
App for Depression in Pregnancy – Nancy
Moodsurfing has looked at smartphone apps for depression and those for bipolar disorder and a new study is available that looks specifically at a smartphone app for depression in pregnancy. Mental health in pregnancy is a topic that can raise real anxiety in people’s minds, in part because so much divergent information is readily available on the internet and from family …
Smartphone Apps for Depression
Are smartphone apps for depression effective? Two articles published in 2017 by a group of Australian and American researchers examined the question of whether smart phone apps for depression and anxiety are effective. In both articles the authors comprehensively analyzed the world medical literature for research articles that evaluated the effectiveness of smart phone delivered interventions for either depressive symptoms …
Bipolar Depression Light Therapy
The news that bipolar depression light therapy may be effective is good news and follows a series of studies this past year highlighting the importance of treatments that affect circadian rhythms by manipulating light and dark in treating mood disorders. Bipolar depression is one of the hardest conditions to treat effectively. Antidepressant medications may have significant side effects, including inducing …
Contagious Moods
A well designed study of adolescents suggests that there are contagious moods. This study follows on earlier research suggesting that surrounding yourself with more “contented” or “discontented” people affects how likely you are to feel contented. The new research involved groups of junior-high and high-school students who took part in depression screenings and answered questions about their best friends, many of whom were …
Mood Spectrum
Author and psychiatrist James Phelps presented a thought provoking presentation about the notion of a mood spectrum (from very unipolar to very bipolar) and how that idea is changing the way that clinicians work with people with depression. The title of the presentation was “A More Nuanced View of Hypomania” but the talk itself is broader than that. The spectrum …
An Epidemic of Fatigue
Several of my patients reported odd changes in their sleep and their energy level this past week, as though there was an epidemic of fatigue going around. They noted that their sleep was a bit more disrupted and that they didn’t feel as rested in the morning and, for the first time in months, they began taking afternoon naps. Going …
Sadness Benefits
Are there sadness benefits? It often seems as though the work I am supposed to do is to eliminate all negative emotion on behalf of the people who come to me for psychiatric help. But is that possible, and if it were possible would it be a good thing to do? Are there sadness benefits that would be lost if …
Depression Is Often Untreated
Depression is often untreated, according to the results from the federal government’s National Health and Nutrition Examination study. The vast majority of Americans with depression didn’t seek help from a mental health professional Only 35% of people with severe depression and 20% of those with moderate depression said they had sought help from a mental health professional, according to the report …
Early Intervention Can Prevent Episodes
Early intervention can prevent episodes of depression or hypomania or mania. This is not always the case but most of the people that we work with find that it is helpful to go through a process of systematically identifying possible early warning signs of an episode and working with a friend or partner to come up with a plan for …
Acceptance and Commitment Therapy Part 3: Present Moment Awareness
I hope you have a few minutes to engage in a few exercises with me…. First, I’d like you to take 1 or 2 minutes to imagine that you are sitting on a white sand beach looking at the ocean, watching the waves roll onto the shore. Set your phone timer if that would be helpful. And….go. What did you …
Mixed Depression and Anxiety or Bipolar ?
A young man who recently graduated from chiropractic school came in for a second opinion. He has had a many year history of depressive episodes with prominent anxiety symptoms. Is this mixed depression and anxiety? This past summer, he went to see a new psychiatrist to get help with another episode of depression. The psychiatrist started him on Lexapro (a serotonin …
Biological Basis of Depression
A recent review article in the American Journal of Psychiatry examines data from many functional neuroimaging studies in order to define more clearly the biological basis of depression. Abnormalities in two sets of neural circuits seem to be the most consistent findings in people with depression: Serotonin anxiety and distress circuits that connect the amygdala and several locations in the medial …
Coping with the Holidays – Gina
Coping with the Holidays: Having a Plan The holiday season can be a time of increased stress. It is often said to be the “happiest time of year” when in fact, for many of us, it can be one of the most challenging times of year. Know, you are not alone if this is the case for you. Whether it is …
Depression and Reward Insensitivity
Why do some people get depressed and what can be done about it? Studies of brain response to rewards suggests that there is a strong link between depression and reward insensitivity. People who are at risk of depression literally don’t react to rewards in same way as other people. A large study of adolescent girls without any history of depression found …
4 Ways You Can Help a Loved One Cope with Addiction and Mental Illness
Mental illness and addiction co-occur more than some people may think. People with a mental illness are more likely to abuse substances while those with addictions are likely to either develop the symptoms of a mental illness or a full-blown mental illness. If there is someone in your life struggling with these two problems here are a few ways you …