Stop smoking – antidepressant effects? Smoking cessation is associated with improved mental health, even among patients with psychiatric conditions, according to a BMJ meta-analysis. Researchers reviewed 26 longitudinal studies that measured mental health immediately before smoking cessation and at least 6 weeks afterward. Average follow-up periods in these studies ranged from 6 to 12 months. Compared with those who continued to smoke, those who …
Seasonal Affective Disorder – Fall Reminder
Seasonal affective disorder affects many of us to some degree. Once again, it is nearing the Autumnal Equinox. This is the so-called “beginning of fall.” And for many people, it is around this time that they notice the shift from summer towards fall and winter and begin to experience a sense of fatigue or lethargy that can be the precursor …
Are Negative Ions Antidepressants?
Are negative ions antidepressants? This has been the topic of an extensive discussion among a group of psychiatrists with an interested in pharmacologic and non-pharmacologic treatment of depression recently. Negative ions can be generated by negative ion machines, but they are formed naturally where water mixes with air, such as at the seaside (waves), near waterfalls, and after a rainstorm. And …
The Power of Daily Rituals: A Morning Walk
What is the power of a morning walk? Even such a simple daily ritual can have profound effects on mood. After two years working with a young woman who is now heading off to graduate school and bright future, we were reflecting on lessons learned. “I can be a bit dense about cause and effect. I am surprised when something …
Robin Williams: Preparing for Depression – Lyndsey
Much has been made of Robin Williams’ ongoing struggle with darkness culminating with his suicide after being diagnosed with Parkinson’s disease. People have commented mostly on how confusing it seems that someone who gave so much laughter could be visited by such exquisite pain. But we bipolars know all about this. It’s almost like living with two distinct personalities in …
Fatigue and Depression or Bipolar
Fatigue is a common symptom in people with recurrent depression or bipolar. And in fact a common symptom in the general population. It is estimated that up to 10% of otherwise healthy people suffer from fatigue. And it is a more common symptom in women than in men. Sometimes fatigue may persist well beyond other symptoms of depression. First, it …
In Memoriam of My Favorite Neighbor – Arnrow
“That you are here – that life exists, and identity; that the powerful play goes on and you may contribute a verse. That the powerful play goes on and you may contribute a verse. What will your verse be?” – Robin Williams in Dead Poets Society Having grown up in San Francisco in the 90s, I was always proud of …
Memory and Cognitive Problems
Memory and/or cognitive problems are the rule rather than the exception in people with mood disorders1. There are a number of reasons for this and figuring out the best approach to these problems is tricky. Mood episodes (episodes of mania, hypomania or depression) appear to be harmful to the brain. Studies find that those with the largest number of episodes …
Bipolar Disorders and Exercise: Working Out Can Tone Up Your Neurotransmitters – Arnrow
Neurotransmitters are the chemicals that your brain cells (neurons) use to transmit information, without them we cannot think or act. It is no wonder that too much or too little of any one particular neurotransmitter can have substantial effects on how our body and brain functions. For example, people with mood disorders tend to have low levels of the four major …
Cognitive Therapy versus Medications for Depression
There is often a debate about the effectiveness of cognitive therapy versus medication for depression. Below are the findings from some studies that help us the role of cognitive therapy and medications in the treatment of depression. 1. Robert J. Derubeis in the Archives of General Psychiatry did a study with random assignment of 240 patients to 16 weeks of medications, 16 weeks of cognitive …
Let There Be Light
Those who experience depression regularly at certain times of the year (in San Francisco, a winter depression usually begins in late October or early November and, depending on where you live, there may be a summer depression linked to heavy fog in July and August) should definitely know about the importance of light exposure in treating depression. In fact, regular exposure …
How Mood Can Influence Events
What I do for a living often involves asking dumb questions. For example, we all know our moods are usually affected by events. In fact, if we happen to notice we’re in a bad mood, the first thing we start to do, often unconsciously, is try to figure out what caused that bad mood. It’s not that it’s a bad …
Mood Disorders and Summer Nutrition – Arnrow
We recently wrote about healthy eating for people with mood disorders (original post can be viewed here). Today, we bring you some delicious and easy ideas to enjoy in this summer weather—well rather, July in San Francisco that so happens to be co-occurring with the hot and sunny climate in other places. Infused water Drinking infused water is a great and …
Does Psychiatric Treatment Work?
How well do psychiatric treatments work? Aren’t psychiatric medications just placebos? Does psychotherapy really do anything? These are the kind of questions that mental health clinicians run into all the time. Dr. Maximilian Huhn and colleagues from the Munich Technical Institute (Huhn – reference 1) have conducted a major review of the data. They evaluated results from 852 clinical trials involving …
Longevity and Having a Purpose in Life
Studies in older adults have suggested that having a sense of purpose in life can add years to longevity. Now researchers have taken a look at the question of whether these beneficial effects occur in younger people. The study looked at a group of 6163 people aged 20 to 75 and followed them for 14 years. They found that having …
Office Work and Moods – How to Stay Effective
I recently spent an interesting half an hour talking with a very successful businessman who has bipolar about how to get his office work done even though he has periods when he is depressed, and his thought processes are slowed down. One of his big issues is that when he is depressed he finds himself staring off into space rather than working his …
Acceptance: Living with Bipolar
I recently came across an article that described a man’s experience with bipolar disorder. I was struck by his reported shift in his relationship to the disorder from one of fighting it to one of embracing it and learning how to live with it as opposed to against it. This is such a powerful and difficult transition; one that can …
Mood Swings – What Causes Them?
What causes mood swings? What do we think about when someone says their mood has been “up and down?”Among the most common causes of mood shifts are the following: A mood disorder such as bipolar, or an atypical depression. Bipolar as a cause is obvious, but an atypical depression can also be associated with mood swings. In the case of bipolar …
L-Methylfolate for Depression
Methylfolate is the active form of folic acid – which is an essential B vitamin. Methylfolate is essential for the brain to make the neurotransmitters that prevent depression (norepinephrine, serotonin, and dopamine). In other words, a low level of depression can cause or worsen depression because it leads to lower levels of serotonin, norepinephrine and dopamine. Most of us are able to get plenty …
Zinc Might Prevent Depression
In several animal studies, zinc deficiency can cause behavior that looks like depression. In other animal studies, giving zinc can have antidepressant-like activity if the animals are zinc-deficient. And there is some clinical evidence that zinc might boost the effectiveness of antidepressants in humans. Now a large meta-analysis of studies that looked at zinc blood levels in people with depression (Swardfager, et …