What I most want to have available to me in the long winter months, to help me with my patients with bipolar and depression, is access to someone a lot like Mary Poppins. You may remember that Mary, played by Julie Andrews, was the incredibly cheerful nanny who transformed the unhappy and dysfunctional lives of the family she joined. What …
10% of Americans Suffered Childhood Sexual Abuse
Approximately 10 percent of American adults were sexually abused as children, according to a study reported in Comprehensive Psychiatry. They are more at risk of psychopathology and suicide attempts than are adults who were not sexually abused as children. This study fits with other evidence. The global prevalence of child sexual abuse has been estimated at 19.7% for females and 7.9% for males, based …
Feeling Already Full
A wonderful friend sent us a note that this post had been very helpful to him. It is, once again, from the Just One Thing site. The practice is called “Feel already full” and it is a perfectly timed reminder that so much of what we see in life (TV especially) is specifically designed to make us feel unhappy with …
Getting It Done Anyway
From time to time I am inspired to pass on portions of a post from a favorite blog. Today’s Moodscope blog was all about those days when you feel a bit “blah” and what you can do to not get trapped in indecisiveness and time wasting. As it happened this arrived on a day when I was struggling to get …
Coming Out Can Help Your Health
We saw this article and thought it probably has a lot to say about the reasons to be direct with others about moods, and how they affect you. It is from Psychiatric News, January 29, 2013. The same reductions in stress hormone levels have been shown in a number of studies about disclosing potentially stigmatizing conditions. For more on the …
Take a Chance
If you are feeling depressed or anxious, today’s post from Rick Hanson (part of his Just One Thing blog) may be helpful. If you are already feeling energized, you might not need more encouragement to do something risky/taking a chance… Rick’s post is about how, as children, we learn to avoid certain types of conversations that seem too risky, and …
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 …
Having Plenty
We have been talking about the many forms of craving (food, love, sex, etcetera) and how the desire to have these things can be like an addiction to a drug. A reader of this blog shared the posts of another fellow Bay Area blogger – Rick Hanson, PhD. His most recent post is all about an antidote to craving – …
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 …