Acceptance and Commitment Therapy (ACT) teaches users a technique called “Acceptance Self-Talk”. This is a series of exercises that trains people to substitute new thoughts for old ones and encourages them to evaluate their thoughts and accept only what seems true and helpful. Depression is often characterized by recurrent negative thoughts that drag one down and become barriers to taking …
Commit to Values-Based Action – Nancy
We’ve discussed the mental health strategy called “Acceptance and Commitment Therapy” several times in Moodsurfing (see below for links), and it’s an important feature of our Bipolar Disorder Workbook. It’s a multifaceted approach, and there’s a lot to unpack. This post explores the “commitment” part of it all. Once you’ve trained yourself to look squarely at your reality, without focusing …
Checking Up Versus Building Intimacy
Moodsurfing has often focused on improving the quality of intimate relationships, in a therapy session today I explored with a young woman the difference between checking up on her partner and building a more intimate and connected relationship. Early in a relationship it is pretty common to have anxiety about the other person. Are they really committed to the relationship, …
Internet Addiction Increases Suicidality – Nancy
Internet addiction increases suicidality, according to a recent meta-analysis that looks at 25 published studies on the topic. Definitions of internet addiction, and other related disorders such as internet gaming disorder are still in flux, and the subject of much debate, but the broad outlines of a serious disorder are gradually being filled in. Several studies have documented links between …
Too Busy to Enjoy Life? – Nancy
Are you busy? Why? Are you rushing? Why? Being busy and accomplishing a lot of things is supposed to get us somewhere we want to be, or something we want to have. But is it working? We usually believe that we have to rush to get everything done and we have to get everything done in order to get what …
Physical Symptoms without Physical Disease – Nancy
A new website designed for people experiencing physical symptoms that are not traceable to physical disease offers clear, scientific information, and also hope for those patients who sometimes spend years in the medical system trying to get relief for pain and other symptoms only to be told that nothing is wrong. The site refers to these symptoms as “functional symptoms.” …
Alone or Lonely
Why is there such a difference between being alone or lonely? Sometimes there’s nothing more desirable than to take a break from a good hectic and demanding life in order to enjoy some peaceful solitude. And other times the idea of being alone taps into a terrible fear that perhaps we are unlovable. Several years ago I was sitting with a …
The Psychology of Chronic Depression
Many people who have been depressed for a long time, develop a pattern of interacting with others that is designed to protect them from disappointment, this pattern, the psychology of chronic depression, needs to be understood in order to help people successfully emerge from this devastating condition. Avoiding disappointment and rejection is obviously a good thing, but it can lead …
Avoidance Behavior – Nancy
Avoidance behavior, or avoidance coping, is a way of trying to stay calm by trying not to pay attention to disturbing thoughts or feelings. Avoidance may work in the short run, but it also tends to take a short term problem and make it a long term one. James Edgar Skye, a bipolar blogger we follow, has a blog post …
Dealing with Crazy Talk
When an elderly father starts to accuse his caring daughter of being devious, this sudden change in their relationship is what I call “crazy talk.” It can happen in almost any relationship, and it is hardest to deal with when it takes place in a very close relationship. A common reaction is to feel that it is important to convince …
Impossible Job – Nancy
Do you have an impossible job? An impossible job is a job where the scope of the work is so great that it is not possible to do all of the reasonable things related to that job. As an extreme example, if you are a busy emergency room doctor, there is no way you can do everything that you possibly …
Data Mining for Mental Health – Digital Phenotyping
Digital phenotyping is Tom Insel’s fancy term for using some of the vast amount of data that our cell phones collect about our behavior to try to inform assessments of mental health diagnosis, symptoms and risk. Two years ago an article in JAMA Internal Medicine highlighted significant deficiencies in the way that smartphone-based conversational agents like Siri or Cortona responded to …
Contemplation – By Deborah
Everyday Contemplation: Maintaining a Hush for Mental Health “Contemplation:” The word’s Latin root means “a space to view auguries.” (Those are implements used for divining the future.) I say that you don’t forecast the future by quiet sitting: you change it, and for the better! You reach into your heart, bring up from it your essence, and refine that into …
Acceptance and the Unacceptable
How can we reconcile acceptance and the unacceptable in our lives? A new blog post from Rick Hanson sparked me to thinking about the relationship between acceptance and acquiescence or even complicity. So many things are wrong with the world. Is there no role for righteous anger? And yet… Acceptance in the sense that Rick means is really about not …
Micro-Progress Overcomes Inertia
A reader of this blog forwarded to me an article on “micro-progress” that promises a solution the the common problem of procrastination. Editor of Smarter Living, Tim Herrera, writes… “Of the countless articles, books and so-called lifehacks about productivity I’ve read (or written!), the only “trick” that has ever truly and consistently worked is both the simplest and the most difficult …
Attention Bias Modification
Attention Bias Modification (ABM) – also sometimes called Cognitive Bias Modification – may be an inexpensive and effective way of enhancing standard treatment for social anxiety. The standard approach to social anxiety is cognitive behavioral therapy (CBT). CBT focuses on teaching people to modify their thoughts about social situations. First the client is asked to track thoughts before a group …
Self Care and Mood
Self care is an essential aspect of a stable mood. Perhaps that statement seems obvious. You might be surprised, though, by how often people try to ignore that fact. It is common in my practice to be asked, directly or indirectly, to make a person feel good about themselves even though they are not taking care of their most basic …
Anger – Uses and Abuses
What do we mean by anger uses and abuses? Righteous anger is a powerful force for change in the world. But some folks seem to live in anger all the time, and for them, and those around them, anger can become a trap. As others pull away from them they feel more helpless, and more angry. How to break this …
Holiday Stress – Nancy
Holidays! So much to juggle, so many moods to surf, so much holiday stress! Moodsurfing has looked at holiday stress from a number of angles over the years, and we have come up with a collection of reminders to help you keep on top of everything at this time of year when everything seems more volatile and emotional. While depression …
Meaningful Resolutions for 2018
How can you make meaningful resolutions for 2018? Maybe not something like “adopt more healthy habits”, which can be hard to do. How about resolving to work on something that research shows is foundational to healthy habits and healthy motivations? Cultivating a sense of purpose in life has been shown to affect health and longevity through numerous avenues of study. Those …