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. …
Elon Musk is Bipolar – Twitter
Elon Musk is bipolar, according to a series of articles based on an exchange on Twitter. Responding to another tweet he said, “The reality is great highs, terrible lows, and unrelenting stress…” “I’m sure there are better answers than what I do, which is just take the pain and make sure you really care about what you’re doing.” He was …
Impatience Warning
Sometimes I wish that my depressed patients had more impatience. Eagerness for change when you have been depressed for a long time can be a good thing. But if you have bipolar depression, impatience is not always a useful emotion. This past week, several people began expressing impatience with their progress. A couple of them expressed the view that I …
Ride the Tiger
Ride the Tiger is a wonderful PBS documentary that covers a lot of important information about bipolar in an entertaining and informative one hour program. One of my patients strongly recommended it. Treatment Stories about treatment, the good, the bad and the ugly. Self Care The importance of self care. A brief introduction to some useful ideas. The Genetics of …
Examine Your Fears
Why would you want to examine your fears? Remember that part in the scary movie when the hero suggests going down into the basement to take a look around and you cringe in your seat and mentally say “don’t do it”? Tim Ferriss, who has bipolar himself, says that engaging with and examining your fears is how to stay mentally …
Radical Acceptance and Coping with Bipolar Disorder – Gina
What is radical acceptance? Radical acceptance is an approach named by Marsha Linehan, PhD who created Dialectical Behavior Therapy that is about completely and totally accepting something, stopping the fight against reality, and ultimately, suffering less. Things will regularly happen in our lives that are outside of our control, such as having a diagnosis of bipolar disorder or experiencing a …
Shame and Guilt After Mania – Gina
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 …
Bipolar 101 Online
We are putting our Bipolar 101 course online. The first portion of that 9 part course is going to be available free on our sister site, Gateway Psychiatric Services, but here is a preview of one section entitled “What is Bipolar?” Future sections will address self care, medications, other therapies, and a host of other issues and concerns.
Cognitive Recovery from Mania
Cognitive recovery from mania or depression seems to lack behind the improvement in mood symptoms. In our experience full cognitive recovery may take up to three months after the mood symptoms have remitted. One way of thinking about this is that an episode of mania, or depression, upsets the normal function of the brain and it takes a while for …
Smartphone Apps for Bipolar
How good are smartphone apps for bipolar? A 2015 journal article provides details of a careful review of 82 apps providing either information or tracking tools. There were a range of resources available… 32 apps provided information 35 apps offered symptom monitoring 10 apps included screening and assessment tools 4 apps offered community support 1 app provided treatment of some …
Pace Yourself for More Manageable Moods
I have been doing a lot of thinking about how to pace yourself so that you can capture some of the energy and creativity associated with being mildly energized while not getting so involved that you burn out or edge into full-fledged mania. There’s nothing quite so exciting as entering a time of increased energy and ideas after a long …
Support Groups for Bipolar
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 …
Celebrating World Bipolar Day 2017
On March 30, 2017 we will be celebrating World Bipolar Day as a platform to provide global education, open dialogue and improved sensitivity about bipolar disorder. Stigma can play a huge role in access to care, and the way an illness can impact our relationships, work and engagement in the world. World Bipolar Day is about battling stigma and engaging …
Support for Depression – How to Get More
Many of the people I see feel that it’s very hard to get support for their depression. They may find it hard to talk about the subject altogether or they may have had some experiences that suggests that “people just don’t want to know.” This morning I saw several people with depression and bipolar and what struck me was that …
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 …
Sustained Attention and Denial
What to do when a loved one is refusing necessary medical care? Is an “intervention” the answer, or can sustained, loving, attention accomplish the same goals?
Recovery from Bipolar
Planning for Recovery from Bipolar I recently came across a great account from a man living with Bipolar Disorder, Steven Propst. In an insightful and direct way, he describes what recovery has looked like for him and helpful steps in finding it for yourself. By examining the importance of accepting his diagnosis, gathering information to cope with his ups and …
Factors Linked to Bipolar Cycle Acceleration – Arnrow
Factors Linked to Bipolar Cycle Acceleration– Researchers at the Norwegian University of Science and Technology, Trondheim conducted a study consisting of 210 participants (53.3% women) with bipolar I (68.1%) and bipolar II (31.9%) to identify factors linked to bipolar cycle acceleration (rapid cycling). They found the following factors (listed in order of importance): Severity of episodes – there was a higher chance …
Bipolar Downshifting – Suzy B
She wakes up from a fitful sleep and within an instant knows the day will be hard. Lying on the bed for a moment she stares at the bathroom door. It’s the first port of call, but for what? Because that’s what you do. You go to the bathroom and prepare for the day before moving on. It’s what you …
Bipolar 101 – The Basics and Beyond
Bipolar 101, an online course hosted by Gateway Psychiatric begins March 17, 2017: Bipolar 101 – The Basics and Beyond. The class is based on the acclaimed Barcelona Bipolar Disorders Program. Bipolar 101 – An online course will cover topics such as: “What is Bipolar?” – What do we know about the causes and what are the implications of this information. …