Ride the Tiger

Ride the Tiger is a wonderful PBS documentary that covers a lot of important information about bipolar in an entertaining and informative one hour program. One of my patients strongly recommended it. Treatment Stories about treatment, the good, the bad and the ugly. Self Care The importance of self care. A brief introduction to some useful ideas. The Genetics of …

Exercise Solutions

Exercise Solutions to Roadblocks

I was inspired to write this post on exercise solutions by a wonderful article in BP Hope that not only talks about reasons for making sure that you are exercising but also tries to overcome some of the barriers to making this change. You already know why Exercise is critical for brain health Exercise and physical activity is the most …

Tools for Change

Tools for Change

In my previous post I outlined the idea of “stages of change,” here I want to focus on some of the tools for change. In the picture below you will they the stages of change lined up with appropriate tools for change. Some of the tools are appropriate in more than one stage and, in general, the activities that support …

Ready for Change

Ready for Change?

Getting Ready for Change The process of getting ready for change has been the focus of the research of James Prochaska for the last 40 years. James O. Prochaska and Carlo Di Clemente, developed the Transtheoretical Model for change (TTM), which is the most widely accepted framework for understanding change in the mental health and substance use treatment communities. They found …

Nature and Wellbeing – Gina

Nature and Wellbeing Many patients I work with speak of the value that nature plays in their lives and I can say that I also strongly relate to the value it plays in my own. Through personal experience and repeated accounts from others, I have seen how nature can improve moods, increase feelings of connectedness, and impact thought patterns. More …

Radical Acceptance and Coping with Bipolar Disorder – Gina

What is radical acceptance? Radical acceptance is an approach named by Marsha Linehan, PhD who created Dialectical Behavior Therapy that is about completely and totally accepting something, stopping the fight against reality, and ultimately, suffering less. Things will regularly happen in our lives that are outside of our control, such as having a diagnosis of bipolar disorder or experiencing a …

12 Steps

There are a few people in my experience who are as impressive in maturity and integrity as those people we have worked with who have been the most involved in 12 Step Programs. I didn’t come to this observation from any pre-conceived bias in favor of 12 Step Program. If anything, my involvement with 12 Step early on was pretty negative. It …

Mood Trends

Mood trends are useful to track in order to prevent a full blown episode of depression, hypomania or mania. I think of them as equivalent to the idea of a falling or rising barometer. Before satellites and modern weather forecasting, whether the barometer was rising or falling was the best predictor of the weather. If the barometer was rising it …

Early Intervention Can Prevent Episodes

Early intervention can prevent episodes of depression or hypomania or mania. This is not always the case but most of the people that we work with find that it is helpful to go through a process of systematically identifying possible early warning signs of an episode and working with a friend or partner to come up with a plan for …

Hope and Self Efficacy – Gina

Believing you can create change in your life is the foundation for successfully making the change. Self efficacy is the sense that you can make change and thus hope and self-efficacy are intimately connected. Often people with bipolar or depression are overwhelmed with feelings of hopelessness. They feel stuck and unable to manage their moods. And yet a great deal of research shows …

Positive Emotions

We had a wonderful conversation (see the conversations tab on this site) with two smart young UC Berkeley graduate students in psychology (Janelle Capnegro and Erica Lee) who have developed an intervention designed to help people with bipolar regulate and develop positive emotions. It started us thinking about emotions in terms not only of how positive or negative the emotions …

Bipolar 101 – The Basics and Beyond

Bipolar 101, an online course hosted by Gateway Psychiatric begins March 17, 2017: Bipolar 101 – The Basics and Beyond. The class is based on the acclaimed Barcelona Bipolar Disorders Program. Bipolar 101 – An online course will cover topics such as: “What is Bipolar?” – What do we know about the causes and what are the implications of this information. …

Harm Reduction

Reducing the Harm of Substances in Your Life: A Harm Reduction Approach Have you noticed that your substance use is impacting your mood, relationships, or work? Are you looking to reduce the negative impact substances are playing in your life? Harm Reduction methods can be useful in exploring ways to prevent harm and reduce risks in your life caused by …