Below you'll find a list of all posts that have been categorized as “Uncategorized”
A new phrase captures neatly a dilemma that many good friends face: when are they being taken advantage of, being asked to provide unpaid emotional labor? I was talking with a very thoughtful young man who has two good friends who have been going through a lot of emotional turmoil for the past year. He has been trying to be a …
Isolation. Seems like we should have conquered that by now. With all our high tech tools, friending, connecting and tweeting, how can anybody be lonely anymore? Yet isolation and loneliness are real problems, burdening people who struggle with the ordinary stresses of life, and exacerbating mental and physical illnesses. The Internet is not a solution to all our problems, it’s …
Strength, Rock Climbing and Recovery I recently had a conversation with a client who started rock climbing. As a rock climber myself, I get very excited to see people taking up the sport. Over the years I have witnessed how rock climbing can be an important part of someone’s recovery, whether healing from an addiction, depression, anxiety, or a break …
The question of when is a good mood too good and what to do about it lies at the heart of my recurring experience that, as a psychiatrist specializing in working with people with bipolar and depression, I find myself in the uncomfortable position of being a spoilsport from time to time. Actually, sometimes it is much worse than that. …
How to find your purpose in life? According to Victor Frankl, a psychotherapist who was imprisoned in concentration camps during WWII, people can survive terrible conditions in life if they have a sense of purpose, and if they believe that their own life has meaning, no matter what circumstances they are experiencing. More recent studies have confirmed that people who …
Bipolar disorder and attention-deficit hyperactivity disorder (ADHD) have overlapping clinical symptoms. Both disorders are associated with impulsive decision making, physical hyperactivity, mood reactivity, difficulty with sustained focus, among other symptoms. The challenge of distinguishing between two conditions with similar presentations can cause delays in treatment, inaccurate diagnosis, adverse reactions to treatment, and needless suffering. Approaches to treatment are quite different …
Mindfulness is one of those practices that seems to, quite perversely, be most important to practice at times when it is most difficult to do. A successful interior designer with bipolar disorder who has been on a mild run of hypomania for a month or so told me, in a roundabout way, about how people around her were getting a bit exhausted …
Addressing Shame and Guilt After a Manic Episode I have witnessed the immense pain caused by the shame and guilt experienced by people with bipolar disorder following a manic episode. After a manic episode, most have engaged in behaviors that they regret. The resulting shame and guilt can contribute greatly to symptoms of depression that follow an episode. Understanding techniques …
In an era of ever-present video and constant texting and snapchatting, many parents are trying to figure out how to deal with childhood insomnia. Here is a quick guide for busy parents of things to think about and things to do if your child is having trouble getting to sleep or getting enough sleep. Consider possible causes – Stress. Kids, …
In an April 5, 2017 article in the New York Times, Gretchen Reynolds reviews new research on the science of slow breathing and how this ancient technique may work to promote relaxation, reduce anxiety, and prevent panic attacks. The technique of controlled breathing or pranayama (प्राणायाम) is referred to in the Bhagavad Gita, and thus dates back at least to …
Support groups for bipolar seem like such a good idea. There are so many questions and it is hard to find good sources of information. Family and friends can be a resource, but they may not understand the challenges of living with mood instability. Professionals (a therapist or psychiatrist) can help, but they are not available all the time, and there …
Bipolar and creativity have a well known relationship. Kay Redfield Jamison eloquently described aspects of this relationship in her book, “Touched with Fire.” More recently, a movie by the same name, tells one story about two young people learning and experiencing aspects of artistic expression and bipolar. There are several aspects of bipolar that may account for this relationship. Many …
Loving someone bipolar can seem like an overwhelming challenge at times. A quick survey of the internet combined with years of conversations with loved ones struggling to navigate the sometimes stormy waters, yields a great diversity of perspectives. Julie Fast, a well known bipolar writer, describes her experience living with her partner during a manic episode… Years ago, my much-loved …
What is the relationship between bipolar and success? This excerpt from the American Psychiatric Association’s book Understanding Mental Disorders, suggests one kind of relationship… “The symptoms of bipolar disorder can damage relationships, cause problems with work or school, and even lead to suicide. People with the disorder may feel out of control or ruled by their extreme moods and behaviors. Although there may …
Research looking at the relationship between the use of social media and mood continues to offer tantalizing hints about this new aspect of human experience. Are the effects positive or negative? There seems to be no doubt about the impact of television watching on mood. Heavy television watching is associated with depression and impaired cognitive function, even when controlling for other risk factors …
Frequent lying and its biology is the subject of a fascinating article in Nature Neuroscience. Scientists have shown that the brain’s fear and alarm circuitry (the amygdala) is usually triggered when one lies (even lies of omission or “white” lies). They’ve also shown that reducing this response by giving someone medications that affect the amygdala increases the likelihood that a …
We all need to be reminded about ways that we can bring more happiness into our lives. Rick Hansen has devoted his professional life to understanding the neuroscience of happiness and has created a set of tools that can help. His course “The Foundations of Wellbeing” has helped many people I know to experience more pleasure and joy in daily life, to have …
Many of the people that I work with on a regular basis have been experiencing symptoms of depression and anxiety related to the recent election results. Unfortunately, mental health professionals are no better as news analysts than the so-called professionals. I have been struggling a little bit trying to figure out what to say to these people. Coping with Political …
Worldwide Study Finds some People without Mental Illness Report “Psychotic” Experiences Psychiatrists tend to assume that certain experiences are a clear sign of mental illness. These experiences include psychotic experiences such as hallucinations (hearing voices, seeing visions) and delusions (beliefs that are contrary to “consensual reality” for example the belief that one is being plotted against, or that thoughts are being …
For many people with bipolar anxiety is a bigger problem than mood swings. It is not that unusual for someone with bipolar to report that their first “symptom” of a psychiatric nature was the onset of anxiety early in childhood. Let’s take a look at this information again… 90% of people with bipolar have an anxiety disorder diagnosis. 2/3rds have had …
