Medical practitioners have begun to recognize an eating disorder associated with a concern for healthy eating, “orthorexia nervosa”, in which a zealous concern for healthy food leads to clinical concerns for possible malnutrition, micronutrient and macronutrient deficiencies, inadvertent weight loss and social impairments. Avoidance or refusal of foods due to fear of impurities, processed foods, additives and imagined contaminants, while …
Exercise Improves Sleep Quality – Nancy
Insomnia is a significant problem in the United States, and for individuals grappling with mood and/or anxiety disorders, sleep loss can contribute to ill health, including immune function, cognitive functioning, and even cardiovascular problems. However, use of medication for insomnia does not have a good track record. These medications have significant risks and adverse side effects, and often lose effectiveness …
Time is Health – Nancy
I want to try and start a new proverb this year: Time is not money, time is health. Time is health. If you get a couple minutes’ break, use them for stress management, a few simple breathing exercises, then get back to work. If you get 15 minutes, close your eyes for a real rest. Every work day should have an hour …
Mania and Nitrated Meats – Nancy
A recent study has found some evidence of a link between mania and nitrated meats (meat sticks, beef jerky, turkey jerky, and possibly other foods such as hot dogs). Research in bipolar has focused on genetic links, but diet is also thought to have significant impacts on mood disorders. The new study is quite small and used survey data followed …
Circadian Rhythms – Nancy
A new study from the UK has shown that disruption in the daily rhythms (circadian rhythms) of work and rest is clearly linked to mood disorders and major depression, as well as other concerns: lower subjective happiness, feelings of loneliness, and mood instability. Circadian rhythms are the natural paths our lives take, with patterns of work during daylight hours and …
What is a manic episode? – Nancy
What is a manic episode? Recognizing a true manic episode is critical to the diagnosis of bipolar 1 disorder. It is not merely feeling energetic, or high-spirited. During a manic episode, one may not be able to work, may avoid or seem fearful of family members and other close associates, and may require hospitalization. Similar, but at a milder level, …
Stigma in Mental Illness – Nancy
An interesting opinion piece in the New York Times this past week highlights unintended consequences of the ways in which we talk about mental illness and the strategies we use to reduce stigma around it. Dr. Lisa Pryor, a mental health care practitioner in Australia comments that increasing discussion, publicity and stigma reduction around “moderate” mental illnesses like anxiety and …
Breastfeeding and Mood – Nancy
A young mother noticed a relationship between breastfeeding and mood. as she begins to wean her son from breast-feeding she is experiencing a return of occasional irritability which disappeared towards the end of her pregnancy. We know that there is a strong effect of breast-feeding on many hormone levels and thought we would check into the literature. What does the …
Pregnancy and Depression
Bipolar Network News just published a set of articles on pregnancy and depression which are a useful update of the research in this important area. Other recent articles on moodsurfing about pregnancy include one by Nancy on apps for depression in pregnancy, an article summarizing a controversial study suggesting a link between antidepressants in pregnancy and autism, an article on the subject …
Resistance Training for Depression – Nancy
Exercise is good for depression, but what kind of exercise is better and how well does it work, is resistance training better than aerobic exercise? The prestigious journal JAMA Psychiatry has published a lengthy meta-analysis of 33 studies looking into the effectiveness of resistance training (RET) in reducing depressive symptoms. RET includes exercises such as weight training, push ups, etc., …
Probiotics – Nancy
Probiotics may reduce re-hospitalization rates for acute mania episodes. In a small, but well-designed study researchers have found a clear effect of administration of certain strains of probiotics in reducing re-hospitalization for patients who have been hospitalized for acute mania. The probiotics did not have an effect on mood, but there was a significant reduction of re-hospitalization for patients receiving …
Mediterranean Diet – Nancy
Can the Mediterranean Diet work like medicine? Can food be even BETTER than medicine? Studies have consistently shown that the Mediterranean Diet, heavy in fish, vegetables, nuts and seeds has great benefits for health and weight loss, but what you may not realize is that this way of eating also shows great promise for the reduction of depression, cognitive impairment …
Three Habits for Weight Loss
Many people with depression have trouble avoiding weight gain, a recent study suggests that there are three habits for weight loss which may help. The study, which was published in BMJ Open, tracked nearly 60,000 people in Japan who also had type 2 diabetes and looked at eating habits and their relationship to weight gain over time. Aside from the …
Binge Eating and Bipolar – Nancy
In our practice we often see a link between binge eating and bipolar. Recent studies are showing that there is a link between emotional eating and bipolar disorder, with as many as 10% of bipolar sufferers also struggling with eating disorders, a much higher percentage than in the general population. The Mayo Clinic, which has studied the link between binge …
Language Predicts Stress Levels
The way that people use language predicts stress levels quite reliably, according to a 2017 study in the Proceedings of the National Academy of Sciences. Many different stressors (traumatic stress, poverty, loneliness, being told that you have a life threatening illness) all activate a single pattern of profound changes in the function of the immune system. The changes are known …
Mindfulness and Illness
Newcomers to the practice of mindfulness meditation tend to imagine that mindfulness practice should ideally be associated with a state of calm happiness or relaxed bliss, so the idea of mindfulness as an approach to illness may seem odd or incongruous. It is worth going back a few years to Jon Kabat-Zinn‘s early work popularizing mindfulness in the United States. …
Purposeful Living Makes Us Stronger
Purposeful living makes us stronger – that is the conclusion of a study of people over the age of 50. We all know that physical health and mental health are closely connected, and changes in one can have tremendous effects on the other. However, there is often a lack of empirical evidence to back up recommendations for a change in …
Supercharge Your Circadian Rhythms
Why a post about how to supercharge your circadian rhythms? The fact is that for a lot of us our bodies and our brains have a hard time adapting to modern life and the result is poor quality sleep, daytime fatigue, and, for some, depression. What Are Circadian Rhythms? Circadian rhythms are what allow your body to go from vigorous …
Strength, Rock Climbing and Recovery – Gina
Strength, Rock Climbing and Recovery I recently had a conversation with a client who started rock climbing. As a rock climber myself, I get very excited to see people taking up the sport. Over the years I have witnessed how rock climbing can be an important part of someone’s recovery, whether healing from an addiction, depression, anxiety, or a break …
How High is High?
We met a few days ago with one of our favorite people. She’s a writer and an artist and she has been gradually reducing some of her medications to see whether the combination of more diligent self-care and a lower dose of medications can lead to better quality of life and a return of some of her creative capacities. This …