Raising Healthy Children

Raising Healthy Children

Raising healthy children is always challenging, a source of joy but also a source of anxiety. And having depression can add to the challenge. And yet many, many women that we have worked with have had successful pregnancies and raised wonderful, healthy, happy children. One key to success is paying attention to how mood can influence not only ourselves but …

Progressive Muscle Relaxation

Progressive Muscle Relaxation is the relaxation technique that I have had the most success with, (and I have tried many of them!) – by that we mean a technique to help in the moment with stress and anxiety, as opposed to something like mindfulness meditation or another meditation technique, which works best as a regular practice that over time reduces anxiety. …

Recovering from Disaster

Recovering from Disaster – Reclaim Your World

It seems appropriate to write about an aspect of recovering from disaster. We have been through an extraordinary period of natural and human caused disasters these past few months. And while every experience is different, one thing that successful recovery requires, is the capacity to reengage with the world as it is, and with a sense of the possibility of …

Meditation

This is a quote from one of my patients which illustrates how profoundly a regular meditation practice can affect mood and anxiety. The woman who shared this experience with me is a genuine skeptic about all things “new age” and that made her words even more meaningful in my mind… “The most important thing to know is that for the …

Fear of Catastrophe

Fear of Catastrophe

How to respond to the fear of catastrophe? Many people are having trouble getting to sleep these days. Fear of catastrophe has reemerged as we contemplate the craziness of nuclear war. This seems like a good time to review what we know about situations where there is the potential for something really bad to happen but the magnitude and nature of that …

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 …

The Science of Slow Breathing

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 …

Mixed Depression and Anxiety or Bipolar ?

A young man who recently graduated from chiropractic school came in for a second opinion. He has had a many year history of depressive episodes with prominent anxiety symptoms. Is this mixed depression and anxiety? This past summer, he went to see a new psychiatrist to get help with another episode of depression. The psychiatrist started him on Lexapro (a serotonin …

Coping with Political Uncertainty

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 …

Anxiety and Bipolar

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 …

Potential Catastrophe

What to do when catastrophe seems to loom just around the corner? Many people are having trouble getting to sleep these days.  They’re worried about a possible catastrophe emerging after the US Presidential Election. This seems like a good time to review what we know about situations where there is the potential for something really bad to happen but the magnitude and …

Acceptance and Commitment Therapy Part 1: Acceptance and Willingness

I recently attended the Anxiety and Depression Association of America conference in Philadelphia, where I offered a two-hour workshop on Acceptance and Commitment Therapy (ACT) and deepening experiential practices in ACT sessions (largely based on the book The Big Book of ACT Metaphors: A Practitioner’s Guide to Experiential Exercises and Metaphors in Acceptance and Commitment Therapy*). This post is Part …

Mood Charting for Complicated Problems

Lucy is a single woman who is a professor of anthropology at a local university. She is in her late 30s and she was referred to me for a consultation because of a complicated set of potentially interrelated problems with cognitive impairment, sleep disruption, anxiety, depression, a seizure disorder, and migraine headaches. She’s an interesting person and I really wanted to help her figure …

Centering

Feeling scattered and distracted is such a common experience in our lives these days. Rick Hanson talks about getting centered in today’s post in his Just One Thing series. If you are feeling scattered, take one moment to be aware of your body as you take a long, slow breath, or think about something you feel good about. In that moment …

St. John’s Wort for Depression

A recently published study raises questions about whether the natural supplement St. John’s wort is actually associated with fewer adverse effects than commonly prescribed SSRIs. Living in the Bay Area it is common for me to run into a strong conviction that any natural supplement is bound to be safer than any manufactured medication. Perhaps the most problematic of these …

Herd Instinct in Humans

Herd Instinct in Humans: The Source of Anxiety and Depression? Jeffrey Kahn has written a fascinating book (Angst: Origins of Anxiety and Depression in Oxford Press) suggesting an evolutionary source for much of human psychopathology. He gave a Grand Rounds presentation at UCLA in February of 2015 that outlined some of his theories and that presentation has been the subject …

Through the looking glass 2 – Meeting the Therapist

The last blog posted some three hours ago jumped over this one, much as thoughts are given to do in my head. This, in fact is a description of me meeting the therapist for the first time. My earnest apologies. Maestro, the music if you please. …My wife, caught up in a Maelstrom of hypomania, seeks and finds a Therapist. I am …