Running a Marathon

Many of us are strongly motivated by the desire to achieve results, complete tasks and succeed. Often we want to get where we are going quickly. Life is too short. Seize the day. Dealing with moods can be very frustrating. Change may take place slowly. Sometimes you have to put in a fair amount of energy just to hold on …

Power out of Depression

It sometimes can be very hard to think of ways of getting out of a lurking depression. A recent email from Moodscope (a site with a mood tracking program that many people find very useful) highlights one very useful strategy: instead of staying stuck in your brain, switch your focus to physical activity. This strategy can be surprisingly effective. If …

Matt Tierney on Take What You Need

Running out the door at the end of a long day, I paused to talk with Matt Tierney, our resident substance use expert, about the conversations I had yesterday about 12 step programs, their value and the role they play in people’s lives. When I was new to psychiatry, I had a natural antipathy to 12 step. It seemed to embody the notion of rigid …

Meditate!

Rick Hanson has a wonderful blog of practices that will help you achieve excellent mental health. We encourage you to subscribe to his newsletter (Just One Thing). We were inspired to share with you a summary of last week’s email. It is devoted to one of the five most useful practices – meditation. Meditation increases grey matter in a number of …

Of Two Minds

This morning I was thinking about the relationship between your pre-frontal cortex and your limbic system. I know, it’s a little strange to be having these thoughts while out riding a bicycle in the morning… a hazard of the profession I guess. The reason I was thinking about this subject is that people’s moods appear to be affected by both …

No More New Year’s Resolutions

We’re going to make a strong pitch for you to not have to make any more New Year’s Resolutions. Honestly, why this idea of deciding to make big changes in your life on January 1st has persisted, is one of the mysteries of human mythology. Perhaps it’s because we are such incurable optimists at heart. Or maybe it’s because we …

Exercise and Brain Health

According to the Exercise and Brain Health: Good Points to Remember article in the December 27, 2012 issue of Bipolar Network News, “(…) exercise is extremely important in (…) helping to improve depressed mood, increasing cardiovascular fitness, and maintaining healthy cognition.” It is also suggested that aerobic fitness may increase the size of the hippocampus which in turn decreases risk factors for …

Mind Body Issues

Health problems fundamentally challenge our sense of self and safety in the world. Those people who are able to maintain equanimity in the face of medical disease and aging are truly admirable. There must be about a million articles about how to accomplish this – so I am not sure that what I have to say adds much to the literature – …

Something Fishy

Journal Watch (which is published by the very well respected New England Journal of Medicine) recently reviewed the evidence about omega – 3 fatty acids and depression. The editors concluded that fish oil can be helpful but the key to effectiveness is the amount of one of the two fatty acids that are the primary ingredients in fish oil. The …

Two Minute Meditation

Sometimes when we most need to get to the meditative or mindful state… it can be hardest to get there. For many people, being a bit energized.. with our thoughts going quickly, many ideas, drawn to many things… sounds are more profound, colors are brighter, smells and tastes are richer… is such a time. There is good news. We have …

Healing the Inner Child

Right off, we have to say that much of what has been written on this subject sounds pretty flaky. The problem is that the ideas have been popularized and applied to people and situations where they really didn’t apply. “My ‘inner child’ was wounded by your refusing to pay for the ballet lessons that I wanted,” for example. And yet the …

How Could Light Help?

There has been considerable skepticism about the value of light therapy for people with seasonal depression, despite a very compelling research literature. Perhaps this might, in part, be because the way that light might affect mood has not been clear. In a recently published animal study, change in light exposure increases stress hormones, depresses mood, and impairs learning through changes light …

Christian Mindfulness

I will be writing posts from time to time that are a response to questions posed on this site. The first question that we received had to do with whether mindfulness can be reconciled with Christianity. And, if not, if there is an alternative practice that can achieve the same goals. Since I am not a theologian, I am not …

Traveling

Traveling can be exciting, but it can also be very stressful. It is particularly important for people living with moods to do prepare for travel before they leave. A surprisingly high percentage of serious mood catastrophes, in our experience, happen during trips. And they are almost always preventable. First, if your traveling to some place without good medical care, it’s a …

ACT

The “hot” thing in the therapy world these days is something called ACT (Acceptance and Commitment Therapy). The radical notion behind ACT is that therapy should not be primarily about reducing symptoms (like depression) but rather increasing our ability to have a valued life (a life that is based on our deepest values) even though we have symptoms. And, by …

Giving Thanks

A friend asked “What is Thanksgiving all about?” There is the traditional answer about the Pilgrims and the Indians, but Thanksgiving as a national holiday has a shorter history. The holiday was first celebrated on the same date by all states in 1863. The idea was largely the product of author Sarah Josepha Hale, who wrote letters to politicians for …

Talking to Yourself

Sometimes talking to yourself is a sign of health. Those of you who have been following this blog for a while, know that I am very impressed with how mood shapes our reality. One day I wake up and the world is bright and filled with hope, and the next day, nothing works, nothing feels right, and there is no …

Anger and Change: “It’s Wrong” Mentality

Anger and Change: “It is just wrong, I can’t accept it, I have to stand up to things that are wrong.” We were talking with a young man who was frustrated because he had to complete a year’s worth of general education requirements before he could graduate with his degree in film. He was very upset, and noted at a later point …