One of the challenging things about bipolar moods is the constant process of shifting priorities and directions that is involved in “moodsurfing”. A young man we’ve been working with for a couple of years has a very seasonal pattern to his moods. Most of the time, the focus of our work is trying to help him emerge from a constant …
Drug Companies
This blog has mostly not dealt with questions related to medications for treating mood disorders. When we looked around to see what was out there on the Internet, it seemed to us that there was no dearth of information about medications. The problem was finding reliable information about non-medication approaches to living with moods. This morning I met with an …
Tripolar Disorder
For a long time I have been trying to figure out how to convey to the people I work with the view of mental health professionals that a certain type of depression is really a kind of mania, called “mixed mania.” From an “objective” standpoint, this makes a lot of sense. A mixed state generates lots of energy and agitation. …
Crisis – When to Consider Hospitalization
A delightful, funny, smart young man we know called us on Friday to say that he had stopped his medications a few weeks ago, and now he felt he was entering a mania. We did our best over the weekend to patch things up, got him more medications, talked to him every day, worked with him to make sure that …
Running a Marathon
Many of us are strongly motivated by the desire to achieve results, complete tasks and succeed. Often we want to get where we are going quickly. Life is too short. Seize the day. Dealing with moods can be very frustrating. Change may take place slowly. Sometimes you have to put in a fair amount of energy just to hold on …
Parody No More: Mental Health Parity Law
In yesterday’s clinical team meeting we were talking about the mental health parity law, which has been largely ineffective at ensuring access to care. One of the psychologists said, “I call it the mental health parody act,” because it is a parody of meaningful change. That may be changing. President Obama announced that the Sandy Hook school killings had galvanized …
Coming Out Bipolar
When and whether to tell people about a mood disorder is a topic of great interest to readers of this blog. Disorderly Chickadee is a very personal, and very well written, blog about living with bipolar. Yesterday’s post was all about coming out about bipolar – in this case it was about telling your boss. We think many of you …
Chronic Health Condition
A woman who works in the health care field came in for a visit with us today. We’ve been seeing her for about five months. She had a problem with depression and then developed a hypomanic episode. She has continued to have mood cycles for the last several months. It’s now clear that she has developed a bipolar type of …
Mismatched Energy
The wife of one of the people I work with sent me a short note saying that her husband was energized (not quite hypomanic), and she was finding it hard to cope with his constant animation and enthusiasm. It got me thinking about scale and how we constantly change the way we talk based on our audience. I am in …
Exercise and Brain Health
According to the Exercise and Brain Health: Good Points to Remember article in the December 27, 2012 issue of Bipolar Network News, “(…) exercise is extremely important in (…) helping to improve depressed mood, increasing cardiovascular fitness, and maintaining healthy cognition.” It is also suggested that aerobic fitness may increase the size of the hippocampus which in turn decreases risk factors for …
Coming Out
Coming out– One of the topics that has generated the most interest on this site has to do with whether to tell others about the challenges you have to deal with as the result of moods, especially whether to tell people that you have a diagnosis of a mood disorder. I have written a bit about this topic in a …
Two Minute Meditation
Sometimes when we most need to get to the meditative or mindful state… it can be hardest to get there. For many people, being a bit energized.. with our thoughts going quickly, many ideas, drawn to many things… sounds are more profound, colors are brighter, smells and tastes are richer… is such a time. There is good news. We have …
To Tell or Not – Part 2
In another post, we talked about the question of whether or not to tell friends and family about the challenges of living with mood disorders and, in particular, whether or not to share a diagnosis (such as bipolar). The discussions there about the many misunderstandings and misconceptions about moods and mood disorders that are commonplace in our society is relevant …
To Tell or Not – Part 1
One of the hottest topics on our forum, and one that led to a request for a blog post ,is the topic of whether or not to tell someone about your moods, particularly if you have a mood diagnosis. For mostly historical reasons, this issue is especially a concern for people with bipolar mood variations as opposed to unipolar moods …
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 …
Talking to Yourself
Sometimes talking to yourself is a sign of health. Those of you who have been following this blog for a while, know that I am very impressed with how mood shapes our reality. One day I wake up and the world is bright and filled with hope, and the next day, nothing works, nothing feels right, and there is no …
What’s the Hurry
It’s been a very busy week for mental health professionals in the Bay Area. The holidays are ramping up. And it has been dark and rainy. Many people are feeling a great deal of stress. Last night, we got a call from a wonderful woman who we’ve been working with for several months. She said that she had had a …
Rousseau and Nature’s Way: Realistically Thinking about Treatment and Medication
We’ve been thinking about people who come to our clinic, say that they are not sure that they have a mood disorder, and they want to try get off of their medications and use dietary supplements to cope with their ups and downs. We have a lot of interest in the idea of using various non-medication options for managing moods. …
In Memoriam
In memoriam. He was brilliant, a creative artist and writer with a strong and clear voice. He was impulsive and he had a generally paranoid view of the police, which they reciprocated. He had been arrested several times. When we met him he was on probation and that was why he came to see us at all. He could be …
Mood Phobias
We were talking with a couple of wonderful psychologists about what it is that helps people come to terms with moods and learn to live with them creatively. One of the barriers to successful mood surfing is a fear of moods. I suppose the analogy is of someone who is afraid of the waves trying to learn how to surf. …