New Year’s resolutions should be simple and easy to keep; that’s one of the better pieces of advice on the subject that I’ve seen. So here’s a simple one, Every time you step outside of a door, look up. That’s it. Just see the sky. Not to check the weather, but to open yourself up – body and mind. Tilting …
Anxiety and Avoidance
A recent conversation with a patient (call him Bill) brought up a pattern we’ve seen before: his anxiety scores on tests for levels of anxiety have not improved, but Bill reports that he is feeling more in control of his life, the anxiety has less power over him now. Like many people with severe anxiety problems, Bill uses procrastination and …
Mindfulness and Anxiety
More evidence for Mindfulness Mindfulness practices continue to gain in acceptability and evidence of effectiveness in a variety of settings. MoodSurfing has reported on several of these studies in the past, and we continue to monitor the state of the current research. A recent study1 looked at anxiety and considered pharmaceutical intervention compared with Mindfulness-Based Stress Reduction (MBSR), finding similar …
Writing and Depression
Some reflections by Denise Collins on The Mighty We were struck by this great post on The Mighty, (which is a fascinating site with lots of discussion groups to explore). One of their discussion groups is about depression, and Denise Collins is a regular contributor there. Recently, she posted this reflection on how writing helps her when she is depressed. …
Horticulture Therapy
Gardening improves mood Spring has sprung and people are looking to the outdoors, plants and gardening for a mood lift, a lifestyle change and a tried and true path to happiness and fulfillment. For those who think such attitudes are maybe a tad over-optimistic, we can show a surprising amount of research on the mental and physical health benefits of …
Meditation Apps Review
Meditation Apps: a new review Meditation is one of the best ways to cope with the stresses and anxieties of daily life, and MoodSurfing has long been a fan of awareness and relaxation techniques from many sources. Recently, the phenomenon of websites and apps to facilitate the meditation experience has become widespread and the field is competitive and constantly changing. …
Loneliness – A Little Attention Makes a Big Difference
Empathetic listening reduces loneliness Loneliness can be a serious problem, and is a risk factor for several illnesses. Loneliness is implicated in higher rates of depression and anxiety, and with the onset of the Covid-19 pandemic, reduced human contact has raised red flags as a potential source of health concerns. Especially among poorer and more vulnerable populations, loneliness is emerging …
What is Acceptance and Commitment Therapy?
Acceptance and Commitment Therapy (ACT) is a way of learning to live with chronic illness that teaches the patient to be present in the moment and get in touch with reality, instead of the scripts that may be running in their brain. Learning to live in the present moment can take a lifetime, but it also allows one to step …
Social Rhythms Therapy
Circadian rhythms are an important component of mental health. Humans have naturally evolved to live in the 24-hour light-dark cycle that our planet creates for us, and we run into difficulties when this pattern is disrupted. Depression and bipolar are conditions that may create circadian disruptions, or they may stem from an ongoing breakage in the circadian pattern. In either …
Effective Strategies for Insomnia: Stimulus Control Therapy
Disrupted sleep rhythms often increase mood instability. And, sleep and insomnia are some of the most frequently cited problems of people seeking help for mood disorders. But what works to help you sleep better and more restfully? Sleep Medicines Aren’t the Answer Generally, research has shown that most frequently prescribed medications are not very helpful – they may lengthen sleep …
CBT is Better for Insomnia than Drugs
Cognitive behavior therapy (CBT) shows better results than medication for overcoming insomnia in a meta-analysis of 13 studies conducted over the past 30 years. Generally, after 4 to 6 sessions of CBT training patients reported medium-to-large positive effects on their sleep, and the improvements were maintained for three to twelve months post treatment. In the U.K., where this study was …
“Are You Living a Life You Value?”
Sometimes our lives can become so full of the myriad items to manage and tend to that we lose track of what is most meaningful. Rarely do we afford ourselves the time to stop and ask, “How do I really want to be spending my time? What is it that I value?” The end-result of this way of functioning tends …
CBT Effective for Internet Addiction
Internet gaming addiction is a growing concern internationally, and the number of patients complaining of serious problems that result from their uncontrolled internet use is on the rise. A recently published study from Germany looked at Cognitive Behavior Therapy (CBT) as a strategy to help these patients regain control of their internet use. The study took 143 men who had …
Learned helplessness – Nancy
“What’s the use”. “It won’t work anyway”. Do you find yourself thinking hopelessly and helplessly about your own situation, unable to find any constructive steps to take to move forward? Learned helplessness is what psychologists call it when a patient believes strongly that no action they can possibly take will make their situation better. It’s the “dark side” – or …
Bipolar Advantage
Another online resource that folks may appreciate is Bipolar Advantage, a program dedicated to helping people function at their highest potential during all mood states and levels. Their trademark is changing the discussion from “Bipolar Disorder” to “Bipolar IN Order”, where the student learns to thrive during manic and depressive episodes, and to consider the advantages of their states of …
Cognitive Behavior Therapy – Is It for You? – Nancy
One of the popular and well-researched non-medication alternatives for bipolar and unipolar depression is Cognitive Behavior Therapy (CBT), a method of helping people identify and change unhealthy patterns of thought and/or behavior. CBT looks at the interaction between feelings, thoughts and behavior, and helps participants learn to analyze the connections between them and how they influence each other. For example, …
Acceptance Self Talk for Depression – Nancy
Acceptance and Commitment Therapy (ACT) teaches users a technique called “Acceptance Self-Talk”. This is a series of exercises that trains people to substitute new thoughts for old ones and encourages them to evaluate their thoughts and accept only what seems true and helpful. Depression is often characterized by recurrent negative thoughts that drag one down and become barriers to taking …
Commit to Values-Based Action – Nancy
We’ve discussed the mental health strategy called “Acceptance and Commitment Therapy” several times in Moodsurfing (see below for links), and it’s an important feature of our Bipolar Disorder Workbook. It’s a multifaceted approach, and there’s a lot to unpack. This post explores the “commitment” part of it all. Once you’ve trained yourself to look squarely at your reality, without focusing …
What is Biofeedback? – Nancy
Biofeedback is a stress management technique that uses devices that give you information about your body’s physiologic response to stress. The idea is to provide you with information that would ordinarily be outside of your conscious awareness, such as your body temperature, blood pressure, or heart rate. Generally, there are three stages of biofeedback: Developing increased awareness of the body …
Present Moment Awareness with ACT – Nancy
Present Moment Awareness in Acceptance and Commitment Therapy (ACT) is a way of learning to live outside of your head. So often we spend time and energy thinking about how we wish our situation was, or (even more often) trying to avoid thinking about how it isn’t what we wish it was. ACT encourages us to start by Accepting what …