Anxious Times, Anxious Thoughts Anxiety is a common companion for mood disorders, in fact, anxiety is, for many people, the first mood-related symptom they remember from childhood, before other symptoms began to develop. Studies show that as many as 90% of people with bipolar also have an anxiety disorder. Anxiety often takes the form of constantly repeated worry about worst-case …
Sense of Life Purpose
What is my purpose in life? Having a sense of the purpose of one’s life, or a feeling that there’s a job to do or potential to be fulfilled is known to be an important determinant of both length of life and freedom from illness. A sense of purpose is the belief that one has a direction in life, or …
Facing Fear Through Prescribed Worry
In this time of heightened fear and anxiety, all of us need to work on strategies for managing fear. The usual way most people try to manage fear is by repression or distraction, but we all know that those “strategies” just let the fears fester and come sneaking back later. How can we manage our fears in a constructive way …
Stress and the Coronavirus
Stop. Breathe. Think. How to deal with stress when you’re stuck at home and the TV keeps sending in more and more scary images? Stop. Breathe. Think. Our brains are hardwired to deal with threats by the primitive fight or flight response. Adrenaline flows, higher thinking goes offline, emotional and bodily responses take over, blood pressure goes up and you …
Wellness in a Time of Pandemic
Moodsurfing is a blog about creative and healthy ways of managing moods and mood shifts. We’ve been talking about lifestyle change for a long time, so we are ready with lots of healthy actions you can take right now, in spite of social isolation, quarantine, or any other challenge the world can throw at us! Distance doesn’t have to mean …
Getting Back to Nature
Connections between mental health and the natural world Urbanization is a reality of modern life, and many people feel that their connection to nature – green growing things, animals, trees, the stars, the wind, the ocean and the mountains – has been disrupted, or has simply vanished. Mental illness is another reality of modern life that shows some correlation to …
How to Make a New Year’s Resolution Work
Are you contemplating a significant lifestyle change this year? Quitting smoking for good, or really getting fit, not just losing a few pounds and gaining them back later? Research shows that making real changes in life is not just a matter of motivation, commitment, or not being “lazy”. Change requires skills and knowledge that can be learned and applied for …
Change Talk versus “Should” Talk or Loss Talk
For many years I thought that if I berated myself enough for not making some positive change in my life it would motivate me to make the change. A colleague with an interest in motivating people to make big changes got me thinking about this strategy… He would often ask people “how did that work for you?” and after years …
Herbal Medicine
A recent study on the use of cannabis extracts to treat mental illness got us started thinking again about the whole field of herbal and “natural” medicine. Cannabis is currently experiencing an explosion of interest and some robust research is being done. However the interest is running far ahead of the available data about real uses and effects of various …
Can a Change in Diet Cure Psychological Illnesses?
Can a change in diet cure psychological illnesses? What dietary changes or interventions may be effective in treatment or management of mental or mood disorders? Diet is more than weight loss, and has been invoked, modified and studied for a wide variety of physical and mental ills and conditions. Yet there is surprisingly little hard data available to tell us …
Is Daylight Savings Time Making You Crazy?
Daylight Savings Time (DST) is an item again, as we all try to remember “Spring forward, Fall back”. Many people complain of difficulty sleeping, or getting enough sleep, and also of depressive episodes associated with “falling back” in November. In our clinical practice, the main thing we have observed year after year, is sleep disruption, which is especially problematic for …
Can Smiling Make You Happier?
Can smiling make you happier? A long held folk belief holds that if you smile even when you don’t feel happy, the act of smiling itself will lift your spirits, and conversely, frowning makes you feel worse. A 1998 study asked volunteers to hold a pencil between their teeth in such a way that their mouths were forced into a …
Mindfulness and Irritable Mania or Hypomania
Ginger showed up in my office today feeling “incredibly irritated” by “people who don’t do their jobs.” She is a small business owner who relies on the work of many contractors for her business and she has been running into the usual excuses for work done late, or not at all, and finding the excuses to be almost intolerable. She …
Six Ways to Build Stability in an Anxiety-Inducing World
Anxiety is a reality of our times. Sometimes it comes as a vicious attack with no clear cause, and sometimes it’s raised by the news on TV or the news from neighbors, friends and our own kids, parents, and partners. Whatever brings it on, battling anxiety can be a lonely struggle, often with no end in sight. In an anxiety-ridden …
Six Important Things to Manage Bipolar
Here’s an interview published by the website BP Hope, a colleague site of Moodsurfing. This expert researcher who also experiences mood disorder gives her top six coping strategies for dealing with bipolar. Her insights are both sharp and encouraging: there is a lot anyone can really do to make a life with bipolar be a better life. Kay Redfield Jamison, …
Gardening Therapy – Nancy
Can gardening play a role in mental health recovery and maintenance? A growing body of evidence and experience is showing strong positive results in getting people to make a closer connection with plants and growing things as part of treatment for a wide variety of conditions. From just taking Alzheimer’s patients on a walk through a garden to a six-month …
Spring Forward?
Those of us in the United States tried to remember what happens to the clock with daylight savings time using the phrase “spring forward and fall back.” In California daylight savings time has been accompanied by a week of the sunniest weather in a couple of months. For whatever reason, in our practice at Gateway Psychiatric there has been a sudden uptick …
Neuroplasticity – Nancy
Can you change your brain? Recent research in the field of “neuroplasticity” suggests that the human brain continues to change and adapt throughout life. Furthermore, there is clear evidence that an individual can affect the changes to their own brain structure by how they pay attention to stimuli around them. The implication of this research is that, for example, a …
Religious Faith and Mental Health – Nancy
More and more studies are finding a link between religious and spiritual practices and improvements in mental health, including significant reductions in anxiety and reduced risk of depressive illness. While it is somewhat difficult to study this field, due to the wide variety of definitions and practices in the field of religion and spirituality, researchers are beginning to find ways …
80 Pleasurable Things – Nancy
Here’s a list of 80 fun or pleasurable things to do. Some of them are simple to arrange and quick to accomplish, and some require some planning and preparation, or even money. But all of them can be enjoyable experiences. Remember that motivation is less important than just doing it. Even if you don’t feel like it, or don’t think …




















