Apps and Links Updated

I have just been a couple of hours updating the apps and links page on this site. There are a lot more choices for mood charting including many more that are available on both android and iPhone. I’ve also been using three different apps concurrently for the last two months to get a sense of what it’s like with different mood …

Self Affirmations by Songify

A good friend and colleague suggested a new technique for “self affirmations.” A technique which makes something that can seem ponderous, but is also a powerful technique for positive change, seem like a lot more fun… Self affirmations are things that you tell yourself about yourself and the world. In psychological terms, they are about reshaping our constant internal dialog through …

Bipolar Support

I want to encourage readers of this blog to consider signing up for Bipolar Disorder Connect. It is an easy to navigate social media site devoted to helping people with chronic health conditions. It seems to have a good cadre of moderators, which is important to prevent the tendency of support groups to veer off into an unproductive direction (“Ain’t …

Getting Up Early

Getting up early is one of the best ways of counteracting depression. And having a strong circadian rhythm is especially important for people with bipolar depression because their internal “clock” may be less powerful. But it can be a challenge making a change in your sleep cycle, especially if you have always been a late riser. This article will talk about …

Fall Warning

Northern Hemisphere Fall Warning If you live in the northern hemisphere, and particularly if you live in the United States, this seems like an appropriate time to point out that fall is coming.  The yellow school buses are once again trundling through the streets taking kids to school, the commute has once again jumped up by a factor of two …

Distress Tolerance

A wonderful young woman we have been seeing for a few months asked for some recommendations for skills to help her deal with her experience of moments of overwhelming negative emotions that often seem to come out of nowhere. This post is a relatively quickly pulled together document derived from Marsha Linehan’s Dialectical Behavior Therapy. Think of it as a “draft” …

Blog Recommendation

A longtime reader of this blog sent us an email – “I wanted to share one of my favorite blogs. I first found out about the author and blog through his amazing article right after Robin Williams’ suicide. I feel he writes what I feel but can’t put into words on my mental health. Best, Geraldine.” http://letsqueerthingsup.com/2015/06/22/mental-health-recovery-isnt-always-daisies-puppies-and-rainbows-and-thats-ok/ Geraldine has bipolar …

Attentional Bias Modification Prevents Depression

A middle-aged nurse wrestling with depression said she want to do “everything” that she possibly could to improve her mood. She doesn’t have access to therapy through her insurance, and she’s already vigorously pursuing mindfulness practice, but her request reminded me of an article I recently read on Attentional Bias Modification as both a possible treatment of depression and as …

Faith and Depression

Depression wears down our sense of trust and faith. Biologically, depression involves activating parts of the brain that search for problems. What is faith? It is an experience more than a specific belief. You can try an experiment by completing this sentence a few times (in your mind or out loud): “I have faith in  _________.” Then complete another sentence …

Exercise Keeps Us Young

A recent New York Times article entitled “How Exercise Keeps Us Young” prompted me to write this post. Those of us who are thinking about getting older may find the whole topic discouraging. There seem to be very few cultural models of successful aging (other than not doing it). The New York Times article summarizes a study that appeared in …

Chronotherapy for Depression

Chronotherapy for depression was recently shown to be effective in a fairly large and well designed study from New Zealand. What is chronotherapy? As discussed in the article, which appeared in Acta Scandanavica Psychiatrica, chronotherapy involves some combination of three separate sleep and wakefulness related interventions: Wake therapy. Wake therapy (previously known as “sleep deprivation” therapy, a harder sell to patients) …

Effective Communication

Effective Communication

A friend recently asked for my advice about how to talk with his manager about some concerns he was having at work. He explained that these concerns were growing in intensity over the last few weeks, and he had yet to mention them because he did not want to “cause waves,” didn’t want to offend anyone, and didn’t actually know what to say …

Boredom

Boredom is one of the most common negative emotions, and yet relatively little explored in the psychology literature. A woman, Kate, wrote to me recently – “I am bored all time.  I have very few friends.  I can’t get motivated to do anything to move my life forward. I don’t know what to do except mess around on my computer, watch movies and generally …

Meditation Tricks

Most of us in the Gateway Clinic have been encouraging our patients to take up meditation for years.  We will explain how it works, and what the benefits are, we’ll suggest books on the topic, recommend guided meditation sources, follow up on those recommendations, and follow up, and follow up… And yet, this has been an exercise in frustration.  Very rarely …

Circadian Rhythm Self Assessment

I ran across a wonderful tool for circadian rhythm self assessment on the website of the Center for Environmental Therapeutics. The Center is devoted to providing the public and clinicians with high-quality information about natural interventions for people with stress, anxiety, and depression. I took the online test and it said I was definitely a morning person. Which is true now, …

Art Therapy – Lyndsey

When I was in the hospital, one of the activities they provided for patients was art therapy.  I sat in a room, silent and bewildered as I was, and methodically glued tiny pieces of glass mosaic tiles on a black wrought iron trivet frame.  I called it my Crazy Trivet ever after, and it was remarkable only because it was …

I Can’t Stand It! (ACT)

This week began with me spending three or four hours writing up a summary of Acceptance and Commitment Therapy (ACT) for one of the people I saw two days ago.  For those of you who haven’t heard the term, ACT is the “hot” new approach to therapy (although much of it dates back thousands of years to Buddhist practice). I enjoyed the …