What to do when catastrophe seems to loom just around the corner? Many people are having trouble getting to sleep these days. They’re worried about a possible catastrophe emerging after the US Presidential Election. This seems like a good time to review what we know about situations where there is the potential for something really bad to happen but the magnitude and …
Surround Yourself with Happiness
We are truly blessed to have Deborahmichelle Sanders’ permission to run some abstracts from her book The Complete How to Repair Your World Toolkit. One of the ideas that she talks about in great detail is the importance of how your home is set up and decorated. Some of her ideas follow… Display as many photos of people as you …
The Complete How to Repair Your World Toolkit
A wise woman who has had more than her share of challenges and yet has overcome them with grace, intelligence and determination, Deborahmichelle Sanders, recently published a toolkit for people who are recovering from a serious mental illness. She has kindly offered to allow us to excerpt some portions of the toolkit for readers of this blog. I am so …
Sleep Apps Reviewed by the New York Times
Apps to monitor and improve sleep were recently reviewed in the New York Times. Using an app to try to improve your sleep is a strategy that many people try. Some have found that it can be helpful in the long run, and it helps to use a well designed program. The New York Times reviewed SleepBot (available free on Android …
Online Therapy for Insomnia Reduces Depression
“If only I could get a good night’s sleep my mood would be much better.” Many people who suffer from chronic depression are aware of the relationship between the quality of their sleep and their levels of mood and anxiety. A study published in the April 2016 addition of the British journal, Lancet Psychiatry, supports this view. 1100 internet users (aged …
Mindfulness Warnings
A recent visitor to this site sent us this link and some thoughts about mindfulness… This article about the dangers of mindfulness was posted by a friend of mine from smartrecovery. I just thought I would pass it along, definitely going to store this in the back of my mind for later. The cases discussed were relatable to my experience …
Best Treatment for Chronic Insomnia
What is the best treatment for chronic insomnia? The American College of Physicians has just published the results of a careful review of all of the research in this area. The preferred treatment for insomnia is cognitive behavioral therapy (CBTi) which we offer through this website – read about it at the bottom of this page. In their review, ACP …
Children at Risk for Depression
James Hudziak, and other researchers, presented information suggesting a strategy for improving brain health, and reducing anxiety and depression in children at risk for these conditions at the 2015 meeting of the American Academy of Child and Adolescent Psychiatry. We have previously mentioned in this blog another excellent resource for information on bipolar, Bipolar Network News, and this information is summarized …
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 …
Accepting the Loss
One of my patients wrote to me this morning asking if she could get a medication to help with her anxiety. She has been trying to find a good therapist for quite a while and I think she might have found someone who could really help her. But this is making her feel anxious and irritable. Now she has to wrestle …
TV Watching Leads to Impaired Cognition
How can we build up foundational, long-lasting healthy habits while young? We know it’s important—a perennial question, if not one we face day-to-day. By building those habits early on, we can set ourselves up for healthier living long-term, and place our children on a better track for a healthier, more positive adolescence and early adulthood. In fact, the habits we …
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 …
The Power of a Minute
I got this email from Rick Hanson because I have subscribed to his Foundations of Wellbeing Program. I found it inspirational and thought I would share it. Sometimes we feel too busy to do anything good for ourselves. But maybe just a minute of your time could make a difference. And who doesn’t have a minute… RICK’S REFLECTION: THE POWER …
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 …
Mood Charting for Complicated Problems
Lucy is a single woman who is a professor of anthropology at a local university. She is in her late 30s and she was referred to me for a consultation because of a complicated set of potentially interrelated problems with cognitive impairment, sleep disruption, anxiety, depression, a seizure disorder, and migraine headaches. She’s an interesting person and I really wanted to help her figure …
Preventing Cognitive Decline
Preventing cognitive decline is possible, and the solution may not involve fancy new medications with unknown side effects. An article in the Journal of the American Medical Association cites numerous studies that argue that the brain changes that have been the focus of so much attention (neurofibrillary tangles and plaques) are not the whole story. Pathology is not destiny. So …
Thankfulness – A Meditation
On this Thanksgiving 2015 we received a link to the section of Rick Hanson’s Foundations of Wellbeing course that talks about thankfulness and gratitude. Rick talks about how thankfulness and gratitude promote long term well-being, reduces anxiety, and improves mood. He introduces the notion that it is possible to grow this sense and change our own experience, and perhaps change …
Taking Care of Yourself
Part of the key to self care is finding ways of being nice to yourself that don’t require a huge investment of time. Yes, it would be great to spend the day at one of those fancy spas. I can almost feel the sense of relaxation soothing all of the tension that I carry around in my body… But who …
S-Adenosyl-Methionine Update
SAM-e S-adenosylmethionine, or SAM-e for short, is one of the few nutritional supplements that has good clinical research to support its safety and effectiveness. Although SAM-e is used for many purposes, we are particularly interested in it as a compound that may have antidepressant properties. Clinical Significance S-adenosylmethionine (SAMe) is involved in many reactions that involve methylating chemicals (transferring a methyl …