Antidepressants in Pregnancy: Is Excess Risk for Autism Spectrum Disorder Believable? Journal Watch Psychiatry editor, Allison Bryant, MD, MPH, reviewed a recent article on this topic Boukhris T et al. JAMA Pediatr 2015 Dec 14. In this study the risk for autism spectrum disorder appeared to be higher in those women who used antidepressants (especially SRIs) during late pregnancy; but the question is whether maternal …
Children at Risk for Bipolar
Greater Mental Health Risks For Children Of Bipolar Parents From the American Journal of Psychiatry: David Axelson and colleagues find that, within seven years, 74.2% of children of parents with bipolar disorder will receive a major (Axis 1) psychiatric diagnosis. And are themselves at risk for bipolar disorder, anxiety, depression, and other disorders. This same group of offspring carries a …
Controlling Crazy Behavior
A young man came in and wanted to talk about his friend with bipolar, who, when he gets manic, can become uncontrollable. I said that the idea of controlling dangerous behavior can be problematic. The need to control someone else’s recklessness can lead towards confrontation and anger, which often does not work out well. I thought of the often repeated story …
Treating Mother’s Depression Helps Kids
Sometimes the very best way that mothers can help their children is by helping themselves. Fascinating study just published in the American Journal of Psychiatry by renowned psychologist Myrna Weissman adds to an extensive literature showing that maternal depression affects children in negative ways and that treating maternal depression can have profound benefits for the kids. In this article a …
Kathy Leichter and Here One Day
We had the absolute pleasure of talking with director Kathy Leichter about her experience of making her movie, Here One Day. Here One Day is an intimate look into Kathy’s mother’s experience with Bipolar Disorder as well as her own experience, as her daughter. Question: How did you come up with the idea of Here One Day? Kathy Leichter: I’ve been …
Diagnosed Bipolar in a Crazy World – Lyndsey
I saw a production of Hamlet last month, performed by the Shakespeare-by-the-Sea ensemble. Having not seen it since my diagnosis, I felt as if I was watching the play for the first time. Do you remember the story? “To be or not to be?” – And all that. Hamlet, the young intense Danish Prince, is distraught over the sudden death …
Friends and Family Don’t Understand – Bipolar Communication Problems
Sometimes those without the challenges of bipolar neurochemistry simply “don’t get it” – how moods can shift abruptly and dramatically, and often without warning, or with subtle hints of the mood shift about to confront you – and at what might be the slightest trigger a sudden onslaught of overwhelming sensations due to hypersensitivity to stimuli, someone chewing can sound thunderous; a repetitive noise, such …
The Problem of Denial: How to Help Loved Ones with Substance Use and Other Destructive Habits
“What can we do to help our daughter, who is a young adult, living at home, and who is not compliant with treatment recommendations from mental health professionals and appears to be using substances and behaving in other self destructive ways?” We are often asked what can parents and family of young adults or seriously affected adults with mental illness …
Children of Bipolar Parents – Risk of Having a Mood Disorder
One of the most common questions I am asked is, what are the odds, if I am bipolar, of my children having bipolar. Recently we ran across a research study that tries to answer this question. The Pittsburgh Bipolar Offspring study, directed by Boris Birmaher of the University of Pittsburgh, looked at the odds of developing psychiatric disorders in children of parents …
Friends: Who to Tell and Who to Keep – Lyndsey
If you are like me, the life you created for yourself pre-diagnosis is probably not going to be the healthiest influence during this time of transition. Remember that old adage about birds flocking together? Now is the time to be aware of which birds you are flying with. Family. So you can’t do anything about who you’re stuck with in …
Family Therapy Effective for Bipolar Teenagers
Family Therapy– Family-focused treatments have been shown to be effective adjunctive therapy to mood stabilizing medicine in adults with bipolar disorder (especially young, female adults), but whether this approach holds true in adolescents, has been unclear. Researchers from the University of California at Los Angeles (UCLA) assessed 145 adolescents with bipolar disorder to see if adding 9 months of family …
Helping Your Spouse
You have gotten help for your depression. You have seen a therapist or psychiatrist and spent long hours working to understand and improve your situation. Your spouse, who has been there for you during this process, has not. And now you are confronting the almost inevitable realization that he, or she, is really uncomfortable in the psychological world. Maybe she …
Saliva Test Identifies Teens at Risk for Major Depression
The Associated Press (2/18, Cheng) reported that according to a study published online Feb. 17 in the Proceedings of the National Academies of Science, “a saliva test for teens, specifically boys with mild symptoms of depression could help identify those who will later develop major depression.” The study involved more than 1,800 teenagers aged 12 to 19. Researchers used a …
Passing on PTSD to Children
At a recent scientific meeting, Rachael Yehada showed that traits that are related to posttraumatic stress disorder PTSD can be passed on to children during pregnancy. Mothers in New York City who were pregnant on September 11, 2001 and developed post-traumatic stress disorder (PTSD) had children with low cortisol in their blood (a sign of PTSD). But if the fathers …
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 …
Do Maternal Antidepressants (SRI’s) Cause Autism in Their Children?
Maternal Antidepressants. Two studies have suggested a link between prenatal exposure to antidepressant medication and autism spectrum disorders. We are pleased to learn: that does not appear to be the case! Not surprisingly, the studies mentioned above received a lot of attention and created a lot of concern for women taking antidepressant medications, and their partners, who planned to have …
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 …
Outcomes of Childhood Bipolar
What happens to children with bipolar disorder? Boris Birmaher, M.D., a professor of psychiatry at the University of Pittsburgh, and colleagues at UCLA and Brown University, followed 367 of children with the disorder for an average of eight years to find out. 45% of the subjects had had a stable mood for most of the follow-up period. Birmaher reported the findings at a …
Protected: Making Sense of Mental Illness in a Family Member
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Having Kids
Having kids is always challenging, a source of joy but also a source of anxiety. And having depression can add to the challenge. And yet many, many women that we have worked with have had successful pregnancies and raised wonderful, healthy, happy children. One key to success is paying attention to how mood can influence not only ourselves but also …