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 …

Yoga Practice Five Reasons

5 Reasons to Start a Yoga Practice – Gina

Yoga can be an incredible tool in well-being and recovery, why not check out the five reasons to start a yoga practice below! 1. Stress Management Stress management is a huge factor in managing mood and well-being. Increases in stress can lead to disrupted sleep, weakened immune systems, and mood episodes. Yoga has shown to help people manage stress on …

Motivating Healthy Behavior Changes

What is the most effective way of motivating healthy behavior changes? And how does medical practice best  take advantage of information about what motivates people to make positive changes? It should be obvious that just telling someone that a certain behavior is healthy is often not enough to motivate change. An article in the Journal of the American Medical Association Internal …

Exercise Solutions

Exercise Solutions to Roadblocks

I was inspired to write this post on exercise solutions by a wonderful article in BP Hope that not only talks about reasons for making sure that you are exercising but also tries to overcome some of the barriers to making this change. You already know why Exercise is critical for brain health Exercise and physical activity is the most …

Exercise for Health

Exercise is essential to healthy life. It offers multiple rewards. It improves mood, lowers blood pressure, and improves blood cholesterol levels. It reduces the risk of cardiovascular disease, diabetes, and some cancers. Regular physical activity helps develop and maintain healthy bones, muscles, and joints. It relieves arthritis pain and keeps you younger than your years. If that weren’t enough, it …

Phosphatidylserine

Phosphatidylserine may help protect the body against stress and may improve memory and prevent Alzheimer’s dementia. For the last month I have been examining some of the literature on this topic and working with some people in my practice to see if phosphatidylserine seems to be a useful natural supplement. The research literature on phosphatidylserine is intriguing. But first a …

Depression and Inflammation Interactions

There has been a lot of interest in the last year in the idea that information or activation of the body’s immune system, might be a cause and/or consequence of depression.  One theory argues that depression might be an inflammatory disorder, more than a disorder of altered neurotransmitter levels. Certainly there’s a fair amount of information that some people with …

Exercise Dose – Update

A couple of months ago a writer who we have collaborated with in this blog (Eric) wrote an article summarizing some of the research literature on the effective dose of exercise. He cited some studies suggesting that very high amounts of exercise may be hazardous and then came to the conclusion that about 30 minutes of moderate exercise four or …

Aerobic Exercise Stimulates Neuron Growth

Moderate aerobic exercise appears to be the best form of exercise to stimulate neuron growth. One of the great challenges facing anyone who has wrestled with depression is how best to counteract the negative effects on brain development and cognitive function that have clearly been linked to recurrent depression. Depression leads directly to reductions in the brain’s growth hormone (brain …

Nature Advertisement

The family member of one of our patients sent me this link. It reminded me of the post about “awe” from a couple of months ago. Ever since that post I have been searching to add more awe to my life. It really has made a difference. Of course nature includes more than just one ingredient, that’s why it’s so …

Antidepressants in Pregnancy and Autism

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 …

Pregnancy and Mental Health

Pregnancy and mental health problems – how to reconcile the two – are often topics of discussion on this website and in my clinical practice. In the past we have often referred people to  Vivien K. Burt, MD, PhD, Professor Emeritus of Clinical Psychiatry and the Director of the Women’s Life Center at UCLA and the Massachusetts General Hospital Center for …

Body Mindfulness and Peak Performance

If mindfulness training works to achieve peak performance in Navy SEALs and top athletes perhaps it’s not such a New Age idea. In fact what distinguishes people who are resilient in the face of physical challenges may be a natural capacity for the kind of self-awareness that mindfulness teaches. A New York Times article called my attention to fascinating research …

Psychiatric Disorders Are A World Public Health Problem

How can we start to better intervene with individuals facing psychiatric disorders in an effort to improve global health? Visibility is the key. When we consider the deleterious health effects of mental disorder on the actual—re physical—health of our bodies, our mind’s eye might be so often obstructed by the extremes—blocked by images of more severe and the most disruptive …