I can think of no better example of the phenomenon of state-dependent learning than the mother of two who came into my office one early Fall morning experiencing extremely intense emotions (racing thoughts, and panic attacks) who had had a very similar mood experience 10 years ago when she gave birth to her first child. As the result of the …
What about Marijuana for Depression or Bipolar Moods?
Since we practice in San Francisco, which was at the forefront of the move to decriminalize marijuana, we find that many of the people with depression or bipolar have smoked, or are smoking, marijuana as a way of treating their depression. Over the years we have developed a general impression of marijuana as a psychotropic (mood affecting) agent.It has been …
Maternal Warmth Protects Against the Negative Effects of Maternal Depression
I recently spent time with a friend who is a mother-to-be and struggles with depression. She was worried about how her depression might affect her relationship with her child as well as how it might affect the child’s own mental health. These are common concerns for many mothers and thankfully research is being done to address these concerns. A recent …
The Evils of the Snooze Button – Why Sleeping In Makes You Feel Tired
Winter is the time of year that the snooze button on your alarm clock can wreck havoc with your mood. Just as waking up early and getting light and exercise is the fastest way to improve depression, trying to sleep in, or lying in bed thinking about why you don’t want to get up, is the best way to make …
Mood and Menopause
What is the relationship between the hormone changes that take place around the time of menopause and depression. It seems as though there are many women who report that their depression gets worse in the peri-menopausal period, but is this a pattern? And if so what does that mean in terms of the interaction between mood and hormones? A recent …
The Trap of Stress Disability
The other day I was asked to evaluate a fellow physician by his disability insurance company. When I do disability assessments I take particular care, because what I say has big implications for the person I am evaluating, and I try very hard to do an extremely careful and thorough job of assessing the person’s situation. Three quarters of the …
Transcranial Direct Current Stimulation for Depression
Can direct stimulation of the brain with an inexpensive device help treat depression? Someone I have been working with for several months asked me about this product – “foc.us” – and the science behind TDCS. And, as it happened, a colleague had asked the same question a couple of weeks earlier. We were intrigued. Especially since this particular device was …
The Irony of Suicide: Book and Other Resources
One of our favorite readers sent us a link to an article entitled “The Irony of Suicide” that recently appeared in the New York Times. We liked the article and thought it might we worth reposting it here. Especially since, irony of ironies, this holiday season is for many people a time when thoughts of suicide can become very difficult …
Mediterranean Diet and Depression
Boost your brain power naturally! Try this simple intervention to reduce depression, stroke, heart disease and improve cognition. Does that statement make you a bit wary? A recent meta-analysis of 22 studies spanning two decades finds that the Mediterranean diet is associated with significant reductions in the risk of depression and stroke, and significant improvements in cognition. Across the studies, …
Sleep Therapy and Depression
What would you do if you could double the effectiveness of your antidepressants? Let’s say that this new treatment also had no known side effects, and was completely safe. That is what four studies have suggested could happen if people who were started on antidepressants received cognitive behavioral therapy for insomnia (CBTi). However, this treatment is not widely available. We …
Endurance of Pain and Suffering
He knew how to handle pain. You had to lie down with pain, not draw back away from it. You let yourself sort of move around the outside edge of pain like with cold water until you finally got up your nerve to take yourself in hand. Then you took a deep breath and dove in and let yourself sink …
Food, Mood and Cognition
We recently got a useful update on this topic from one of the clinicians who works with us at Gateway Psychiatric. She had attended a seminary of the same title from the Institute for Natural Resources. Inflammation can be associated with poor diet for example, high consumption of sugars, especially high fructose corn syrup and high saturated fat intake. Chronic …
I’m In An Abusive Relationship… with Myself
Many people I see with chronic depression carry around with them a tormentor who says the most terrible things imaginable about them, their abilities, their worth, their very right to live. That tormentor is their own inner critic (hardly a strong enough term for the cruelty that can be unleashed by these inner voices). Often it is clear where this …
Winter Leads to Spring
Someone shared with us a wonderful video about John O’Donohue, a Celtic poet, philosopher and writer. In it we found this quote that resonated very much with our experience. It is about winter. And depression. And how life blossoms from the seeming dreariness of a period of fallowness. We think you might appreciate it. If you like this clip we …
Acupuncture Works for Depression
A recent large study showed that accupuncture was helpful for depression when it was added on to usual care (which mostly involved antidepressants). 755 patients being treated in 27 primary-care clinics were randomly referred for accupuncture, humanistic counseling, or neither add-on treatment. The participants typically had moderately severe depression that was chronic (many of them had had depression since childhood). Both …
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Depression is Something We Don’t Talk About
Here is a very thought provoking piece in the TED series about depression and stigma. Share it with others and tell me what you think. “If there is one thing that we need to do it is to accept that it is OK.” “We live in a world where if you break your arm everyone runs over to sign your …
Depression in Pregnancy Affects the Child
A new study reported in the latest issue of JAMA Psychiatry, suggests that a child “born to a woman who suffers depression during pregnancy stands a higher likelihood of becoming a depressed adolescent ….” The report used information from the Avon Longitudinal Study of Parents and Children, which has collected data from nearly 9,000 women and more than 4,500 adolescent children in …
Oxytocin and Maternal Depression
There is lots of interest these days in how maternal depression affects kids, and also in how to prevent those effects. Recent research has suggested that the hormone oxytocin may play an important role in what happens. A nice review of this literature appeared in the most recent issue of the American Journal of Psychiatry. The authors note that the …
Depression and Inflammation
Recently there has been increasing interest in the relationship between depression and chronic overactivity of the body’s biological defense system – inflammation. When we have an infection, or an injury, or almost any other kind of illness, the body activates a series of processes designed to respond to the threat. Unfortunately, the inflammation system, especially if it is turned on …
My Brain Isn’t Working
Difficulties with cognition and focus are almost universal in folks with moods. In the scientific literature there have been attempts to distinguish between mood related problems and problems that tend to persist regardless of mood state. There is probably nothing that can more profoundly affect our brain’s ability to focus than an episode of depression or mania. These functional brain …