Alcoholics Anonymous is many things, and its role changes over time for those who remain involved in it long term. Most importantly, AA can be a life line for those who are suffering from the potentially fatal illness of substance abuse. It is a way of achieving freedom from alcohol and drug addiction with the help of supportive peers who …
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 …
Wise Selfishness
Wise Selflessness– The Dalai lama says, “It is important that when pursuing our own self-interest we should be “wise selfish” and not “foolish selfish”. Being foolish selfish means pursuing our own interests in a narrow, shortsighted way. Wise selfishness means taking a broader view and recognizing that our own long-term individual interest lies in the welfare of everyone. Being wise selfish means …
Exercise affects Genes – Increased BDNF
Today we look at how exercise affects genes (previous article on neurotransmitters and exercise can be read here), in particular we focus on the effects of exercise on the gene that codes for BDNF. Brain-derived neurotrophic factor (BDNF)— or “the fertilizer of the brain” as Dr. Mohammad Alsuwaidan nicknames it— is a protein fundamental for the growth and protection of neurons …
Self-Esteem: A Key Aspect of Mental Health
Much has been written about the topic of “self-esteem.” Sometimes the idea almost seems like one of those “buzz” words that doesn’t really mean anything. A significant amount of research points to the development of self-esteem as a key aspect of mental health. Self-esteem builds slowly and its foundation is the sense that we are loved and valued by others. …
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 …
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 …
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 …
Be Mindful of Keeping Your Mind Full of Good – Arnrow
Experience-dependent neuroplasticity refers to the brain’s ability to learn, adapt, and evolve to not only our experiences, but also, and perhaps more significantly, our reactions to those experiences. It is almost as if our brains can form habits, and the types of behaviors and patterns that it develops are dependent on how we choose to be. This suggests that the …
A Healthy Diet
We are glad to have recently added a page to our “Topics” section that discusses a healthy diet and also reviews some information about nutritional supplements. This is a huge topic, and none of us are dietitians, but it is an important issue and so, with the caveat that we approach the topic from the standpoint of what helps people …
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 …
MoodSurfing – It Isn’t About Reaching a Goal
I have had a couple of conversations this past week that reminded me of my belief that one of the big problems in this country is our preoccupation with “results.” Elsewhere, I’ve noted how this leads to short term strategies that have bad long term consequences. In education, this means cramming for exams instead of learning the material. In business it means not investing in …
Exercise for Sexual Dysfunction
Among the greatest problems that come from antidepressant treatment (and a leading cause of medication discontinuation) are sexual side effects. Early in the course of treatment with serotonin antidepressants, many people experience less interest in sex and difficulty reaching orgasm. Numerous prescribed and over-the-counter medications have been proposed as antidotes. The fact that there are so many proposed antidotes suggests …
Supplement Update
We got this update from Consumer Labs which reminded us why we think it is a great resource for anyone serious about taking supplements. New Review: Fish & Marine Oils High Quality Fish Oil Supplements Found, But Pitfalls Exist: We recently completed tests of fish, krill, algal, calamari and green-lipped muscle oil supplements. Although we identified many high-quality supplements (some costing just pennies per day), several others …
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 …
Quitting Smoking Improves Mood
A study published in the British Medical Journal reports that quitting smoking had a simillar positive effect on mood as an antidepressant. The researchers did an analysis of 26 studies using a technique called a “meta-analysis” and looked at changes in mental health (anxiety, depression, mixed anxiety and depression, quality of life, positive affect, and stress) at ≥6 weeks’ post–smoking cessation …
Yoga for Mood and Health
Many of our patients with chronic mood disorders report that beginning yoga and doing it consistently has been associated with periods of remarkable stability. There are studies supporting yoga as an evidence based approach to the treatment of depression. But it is hard to figure out where to begin. At the end of this page are some additional resources. One …
Smoking Cessation Is an Antidepressant
Smoking Cessation Linked With Multiple Mental Health Benefits, Study Finds This article is reposted from the American Psychiatric Association News by permission Stopping smoking is associated with significant improvements in anxiety, depression, stress, positive affect, and psychological quality of life. And the strength of the association appears to be similar for both the general population and clinical populations, including those …
Mood Effects of Diet
One of our readers wrote to ask – Have you observed an impact of diet on mood? I feel that less carbs for example make me feel better. I’ve been experimenting with Paleo months ago. Any tips how I could explore this best? We have a fair amount of clinical experience related to this question, but we have been surprised that …
Exercise or Inactivity Changes Your Brain’s Structure and Its Resilience to Stress
This past year has been a remarkable year in terms of new studies examining the effects of exercise on your brain. Everyone knows, of course, that exercise is good for you. But these studies together provide compelling evidence that exercise (and inactivity) profoundly change the structure and function of your brain. One set of studies has shown that exercise profoundly …

