Sleep and Memory

An interesting story published in the New York Times suggests that the reason we are less able to remember things as we get older is that we sleep less well. The article is based on a report posted online on Sunday in the journal Nature Neuroscience. The report suggests that as the brain ages, changes take place that interfere with sleep quality, which …

Happy Winter Solstice

For those of us in the northern hemisphere this is a day well worth celebrating. Today marks the shortest day of the year. Or, to put it another way, from here until summer every day will be a little bit longer, there will be a little bit more light, and eventually the days will get warmer and we will have …

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 …

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 …

Time Change: Fall Back

The time change in the United States is the classic “time of challenge and time of opportunity.” First, the challenge – If you wanted to do something to make America more depressed you would be hard pressed to come up with a better intervention. Shift everyone’s schedule so that they wake up an hour later (according to the solar clock) …

Bay Area Blues

If you live in the bay area you probably noticed that this past week you felt a little less energetic. It was the first cold and rainy week of the season, and the days have been getting noticeably shorter (maybe you used to wake up after dawn and now it is dark). We are naturally seasonal animals trying to live in …

Insomnia: Counting Sheep

Maybe Grandma was right. After all of the years of research and development trying to find medications to help with insomnia, we ran across a recently published paper which suggested that a single session devoted to teaching people with chronic insomnia to focus their attention on some idea, image, song, memory, that was not associated with strong emotions (especially negative …

Night Shift

A young ER doctor came in to see us because he works the night shift, and found that he was having trouble getting enough good quality sleep, and also being alert enough during his shifts. He worked four or five night shifts in a row and then he had several days off. And his goal was to work 9 pm …

Starbucks Therapy

We aren’t sure how we feel about the spread of Starbucks into every corner of America. But it does allow us to suggest a kind of intervention that may help you if you are depressed. It is based on Interpersonal Social Rhythm Therapy – which is one of the best validated psychotherapies for people with bipolar moods. Every morning, at …

The End of Summer

Every year we notice two weeks that seem to affect a number of folks who have had seasonal depressions. The first period is the “End of Summer” – a foreshadowing of the coming fall that happens in late August or early September (depending on the weather, we guess). The second period is the “Beginning of Winter” – which usually takes …

How to Change Your Sleep Pattern

One of the  best studied and fastest treatments for depression is not a medication, it is waking up earlier and get bright light exposure… We will write at a another time about the evidence for this, and maybe even why it works. But for now let’s talk  about the practical question. How do I change when I get up? First I …

The Best Relaxation Technique

OK, that may be an exaggeration. But it may not. In any event, Progressive Muscle Relaxation is the technique that we have had the most success with, and we have tried many of them. Many people we know use these techniques every night before lying down for sleep and find that it helps them to have a much more restful …

Mood and Cognitive Functioning

Mood can have a profound impact on cognitive functioning. In fact, over the years, we have found that the most likely diagnosis when someone comes in complaining of “suddenly becoming demented” is a mood disorder (people with dementias tends to have a more gradual onset of symptoms and often don’t notice the impairments). There seem to be three types of …

Sleep: Helpful books for Insomnia

It’s one of great ironies of working with people with trouble sleeping that often the path to better sleep heads first in an unexpected direction. Most of the people we see with complaints of fatigue are having problems because they are sleeping too long, and with poor quality. In fact, most people can get by with just seven to seven and a …