We are indebted to Tom Wootton for his observation that the key to living creatively with bipolar is accepting and making use of depression. Tom wrote a book about depression (The Depression Advantage) that was one of the first things he wrote about bipolar (for more, see his website, Bipolar Advantage). He noted that it was a difficult book to …
Healthy Pleasures
Sometimes we can be so overwhelmed, or so depressed, that we forget what it is that gives, or used to give, us pleasure. This list is adapted from Peter Lewinsohn’s Pleasant Events Schedule. You won’t enjoy many of these things, but you should find a number that are somewhat pleasurable (or would have been if you were not depressed) and …
Chronic Anger Kills
Anger is a necessary emotion. It can motivate to change things for the better, to protect ourselves from evil, to re-shape our lives in better and more satisfying ways. But chronic anger, especially chronic anger about things that can’t be changed because they are in the distant past, is a life-destroying emotion. Occasionally we meet with people who are out …
Magic
It’s hard not to believe in magic when you have the experience of mood shifts. What can be more extraordinary and more magical than waking up one day, after a long stretch of struggles and pain, and seeing the world transformed all of a sudden into something positive and hopeful and vibrant and alive. This is about as close to …
Self Confirming Beliefs
There are dangerous ideas that can shape an entire life. Ideas that suggest that “no one will ever really love me” or “if I tell someone what I want they will leave me” or even “I can’t trust anyone.” These ideas may not have much basis in fact, they may have been handed to us as children from our parents, …
Bad Memories
Unstable moods and bad memories seem to go together. In the clinic where many of us work we have noticed how often it is that folks who we see with bipolar have had traumatic experiences in childhood. Why that happens is speculation. But we do know that dealing with those experiences can be very, very hard, and, potentially, life transforming. …
Fallow Fields
Farmers will sometimes leave a field “fallow” – they won’t plant anything in it but rather let native plants grow in it – as a way of rejuvenating the land. Then when they do plant the field it is often very productive. We were talking with one of our clients this morning about the topic of seasonal variability in mood …
Negative Emotions
We’ve all been there. Maybe we’ve noticed feeling impatient while driving in traffic, or expressing anger towards the barista who didn’t leave you room for milk in your coffee. Whenever we express our dissatisfaction towards the mundane events that don’t go our way, we are more than likely misplacing anxiety, fear, anger, or hurt that stems from one of the …
Money: Having Enough
These are hard times for many people. And the future doesn’t look all that bright. Naturally this leads to anxiety. Will we have enough? Perhaps because we live in a world that constantly sends us confusing messages about what “enough” is, and confusing messages about how to achieve happiness (the entire advertising industry is more or less based on telling …
Starbucks Therapy
We aren’t sure how we feel about the spread of Starbucks into every corner of America. But it does allow us to suggest a kind of intervention that may help you if you are depressed. It is based on Interpersonal Social Rhythm Therapy – which is one of the best validated psychotherapies for people with bipolar moods. Every morning, at …
Shamelessness
We think it’s about time for a little shamelessness. We have spent our entire lives trying to help people with moods find happy, satisfying lives. Honestly, one of the biggest challenges that we face is the shame and stigma that accompanies, for so many of us, any thought about depression or bipolar, or any of the other labels that we …
Creatine for Depression in Women
In a small study of depressed women the dietary supplement creatine significantly boosted the response to an SSRI (serotonin antidepressant). Creatine is an amino acid that is made from other amino acids in the body, so it is not considered an essential amino acid – meaning one that you have to get from diet. Creatine is widely used by body …
Mood and Reality: Mood’s Ability to Shape Perception and Interactions
We have been thinking for a while about how mood powerfully creates our reality. And how hard it is to hold on to a consistent sense of the world as moods change. Mood affects what we notice and remember and how we see it. It also affects where our thoughts naturally tend to go. We ran across an intriguing article …
The End of Summer
Every year we notice two weeks that seem to affect a number of folks who have had seasonal depressions. The first period is the “End of Summer” – a foreshadowing of the coming fall that happens in late August or early September (depending on the weather, we guess). The second period is the “Beginning of Winter” – which usually takes …
Loving Kindness or Metta
Love is something that if you give it away, give it away, you’ll end up having more… Last Sunday at church there was a children’s chorus singing, and this was one of the songs. It seemed very familiar… The cultivation of loving-kindness (mettā bhāvanā) is a popular form of meditation in Buddhism. In some Buddhist traditions, the meditator begins cultivating loving-kindness …
Stress Eating
Weight gain may be not only a psychological (“I hate how I look, it makes me depressed”) but also a biological (overweight people have elevated levels of inflammation that may increase depression) factor worsening depression. Great, but what to do about this? Most of us already knew that we should lose weight, and more guilt doesn’t help. One very interesting …
Bipolar Brains
After years of trying, a group of researchers down at UCLA (led by Lori Altshuler) may have succeeded in identifying important changes in brain function that are associated with bipolar moods. They have found two specific areas of the brain that show pretty consistent changes associated with bipolar. One area (the orbitofrontal cortex) is generally less activated in bipolar, no …
NAC (n-acetyl-cysteine)
We were impressed by a recent study of n-acetyl cysteine as a treatment for marijuana dependence. It was a well designed study from a very reputable research group and the results were significant: the number of clean urines in the group getting NAC was twice as high as in the placebo group. It got us more interested in the agent …
Learned Helplessness
This is an animal model of the human experience of depression. In the learned helplessness model an animal is repeatedly placed in a situation where it has no ability to avoid a painful outcome After a while the animal begins to look depressed (listless, passive). At that point if you place the animal in a situation where it could escape …
Vulnerability
Recent research points to vulnerability as an important component of deep, meaningful connection to others and to life. But, for some, just hearing the word can conjure up strong feelings of fear. But what is vulnerability exactly? What is its relationship to mood? And, if it is such a good thing, what is the fear about? Vulnerability can be simply defined as taking an emotional …