Getting the right medicine, medication side effects, fear of being dependent on a medication, medications that stop working mysteriously… psychiatric medications evoke in us as many reactions as do psychiatric disorders… and psychiatrists. What we propose to do on this page is to try to collect and organize information that we have found helpful in thinking about psychiatric medications. As …
Self Compassion
I once worked with a lovely woman who had a personal assistant who yelled at her all day. She hurled insult after insult, screaming loudly in her ear things like—You’ll never get that done! There you go again, you idiot! Give it up, you’re never going to amount to anything! This is pointless, you may as well throw in the towel! …
Procrastination
Getting things done can be a real struggle when you are experiencing low mood. When we are depressed, we lack the energy and sense of pleasure or mastery that makes it possible to get essential tasks done. In addition, and perhaps most importantly, we often postpone getting things done until we feel like doing them. If you are feeling tired …
Doctors Part 2
Once you have found a good doctor (see Doctors Part 1 for thoughts on finding doctors), how can you make sure that you get the best help from that doctor (or doctors). Here are a few thoughts collected from our experiences working with many people over the years – 1. Plan ahead. It is almost always a good idea to …
Vitamin D
Vitamin D is one of the fat soluble vitamins, and along with other fat soluble vitamins, it is possible to take too little, but it is also possible to take too much. And taking too much can have negative health effects, just as taking too little can. For many of us we get enough vitamin D naturally from exposure to …
Supplements – Overview
Supplements are drugs that are found in nature (note: supplements don’t have to be any more “natural” in terms of how they are made than prescription drugs). Because they are found in nature they are not, in the United States, subject to review and approval by the Food and Drug Administration. Also, because they are found in nature, they tend …
Doctors Part 1
Managing your relationships with doctors can be a challenge. Here are a few tips that might help. It all begins with finding good doctors. In many parts of the country this can be hard. There may not be many choices. Start with a list of “candidates” – For a primary care doctor – look under “internal medicine”, “family practice” or …
Staying Connected: How to Maintain Communication Even When You’re Not in the Mood
Let’s say you’re having one of those shabby old days when your mood’s in the gutter and you’re in the doldrums.If you’re feeling grim and can’t face the thought of a conversation of any kind? How can you possibly do the connecting thing at times like this? Here are five ideas: Opt for a more indirect channel of communication such as …
Watch the Mood Waves
One of the best ways of helping people MoodSurfing successfully is to look closely at the shape of their mood waves. Often when we talk to someone about this idea they are perplexed. Waves are waves right? If you have a depression wave then you should do one thing and if you have a manic wave you do something else. …
Yoga
Many people we know report that beginning yoga and doing it consistently has been associated with periods of remarkable stability, energy and effectiveness. There are studies supporting yoga as an evidence based approach to the treatment of depression. But it is hard to figure out where to begin. At the end of this page are some additional resources. One thing …
Music and Mood
People naturally turn to music to change or improve their moods. There are surprisingly few studies on this. But those studies that do exist confirm what we already know, music can definitely affect our mood. Enough of the science, if we know music affects mood, how can we use that knowledge to “moodsurf” better? One thing that we have discovered …
Breaking Up: How to Cope
Breaking up is hard. (At least for most people – we do know a couple of people – mostly guys – who seem to have made an art of it – but that is another post). There are things to do and to avoid doing that might make it less painful. 1. Think it through. At some point you are …
Impossible Jobs
In this world, there are two kinds of jobs: Jobs that one could perhaps do adequately, and jobs that are impossible. For whatever reason, a lot of folks’ we know tend to prefer impossible jobs. Maybe because they’re more exciting and interesting. The key to an impossible job is recognizing that no person could do all the work that falls …
Narcissism
“You’re such a narcissist!” It’s easy to see why people with moods are often accused of being narcissistic. When we are depressed we become focused on ourselves and our mood and our pain. This is also what happens to people with chronic pain of other types. And when we are manic, we become preoccupied with our importance and specialness. But …
Crisis Prevention
If you are feeling OK but planning on making some changes that might affect your mood, now is the time to do a little prevention work. A young man we know decided to go to visit his guru in Sri Lanka. It was a wonderful trip and changed his life for the good. It might have turned into a catastrophe …
Kay Jamison
If you do much thinking about moods and how they affect us, you eventually run into Kay Jamison. She has dedicated her life to understanding mood and its impact on us. She teaches at Johns Hopkins, but she is not just an academic, she is also a brilliant writer and compelling lecturer. She is the co-author of the best one …
Natural Supplements for Depression
There are many, many supplements that people have suggested are effective treatments for depression. How do you decide what is worth trying? Here we will list the much smaller list of supplements that have been shown to be effective in clinical trials. S-Adenosyl Methionine. SAMe was recently shown in a well designed (but small) clinical trial to help people who …
Relationships and Chronic Depression
Many people with depression, particularly if they have been depressed for a long time, develop a pattern of interacting with others that is designed to protect them from disappointment. Avoiding disappointment is obviously a good thing, but it can lead to relationships that are not satisfying. Addressing relationship issues is important. Almost everybody who is unsatisfied with their relationships can …
Mood and Food
Many people have an intuitive sense that a good diet is a foundation stone of good mental health. We don’t disagree, although the evidence for dietary manipulation’s effectiveness is not overwhelming. There are a couple of things that we have noticed over the years about food and its effect on mood that might be useful tips. For one thing, simple …
Self-Consciousness: You Can’t Fool Yourself
Many years ago we read a book by renowned social psychologist George Herbert Meade entitled Mind, Self and Society. In it Meade wrote about the origins of self-consciousness in childhood experiences. If you follow the development of children you notice that at first they act as though they and the world are one, with no apparent sense of others (especially …