Deaths of Despair

Deaths of despair increasing, but only in the USA Mortality rates are rising in the United States, especially among poor, rural populations, and specifically among whites.  Life expectancy in other groups continues its historic rise, and this rising pattern is also found in 16 other countries with comparable economic levels.  This phenomenon has been dubbed “deaths of despair” because the …

Quit Smoking

Grade A for effort In a conversation with a patient who was trying to quit smoking we discovered that people often grade themselves only for final success and not for “effort”.  The patient said that he did feel like he is doing better, but he still has cravings for a cigarette, and he would like to be at a place …

Subjective Well Being and Coronavirus

How good is your life?  Psychologists look at factors like “subjective well-being”, “overall life satisfaction” and “positive affect” (good feelings) to measure the effects of particular events and situations on how well or badly people feel like they are functioning in the world. The coronavirus pandemic has had a notable and obvious effect on people’s sense of well-being, bringing about …

Depression is Depressing

Are you supposed to be happy? Depression can be a really depressing thing to talk about and often we are told not to bring up “depressing” topics in conversation, even with close friends and family members.  People struggling with depression are expected to put on a cheerful mask and not spread their sadness around to others. How can we learn …

How to Make a New Year’s Resolution Work

Are you contemplating a significant lifestyle change this year?  Quitting smoking for good, or really getting fit, not just losing a few pounds and gaining them back later? Research shows that making real changes in life is not just a matter of motivation, commitment, or not being “lazy”.  Change requires skills and knowledge that can be learned and applied for …

Psychological Effects of Global Warming

Global Warming.  Climate change. Hurricanes and wildfires. More and more people are showing evidence of deteriorated or threatened mental health because of the terrifying threats posed by our changing environment. In a recent TED Talk, science writer Britt Wray noted that she is encountering more and more people who are losing psychological health because of fears of climate change.  Those …

Vulnerability – Nancy

Vulnerability!  If your first response is “Ummm, no, thanks”, you’re not alone.  Vulnerability sounds like something we want to get away from, not something to cultivate.  Yet researcher Dr. Brené Brown of the University of Houston has done considerable study of this topic and her findings are that being or becoming vulnerable to risk, to emotional upset, to shame and …

Learned helplessness – Nancy

“What’s the use”.  “It won’t work anyway”.  Do you find yourself thinking hopelessly and helplessly about your own situation, unable to find any constructive steps to take to move forward? Learned helplessness is what psychologists call it when a patient believes strongly that no action they can possibly take will make their situation better.  It’s the “dark side” – or …

functional symptoms

Physical Symptoms without Physical Disease – Nancy

A new website designed for people experiencing physical symptoms that are not traceable to physical disease offers clear, scientific information, and also hope for those patients who sometimes spend years in the medical system trying to get relief for pain and other symptoms only to be told that nothing is wrong. The site refers to these symptoms as “functional symptoms.” …

Avoidance Behavior – Nancy

Avoidance behavior, or avoidance coping, is a way of trying to stay calm by trying not to pay attention to disturbing thoughts or feelings.  Avoidance may work in the short run, but it also tends to take a short term problem and make it a long term one. James Edgar Skye, a bipolar blogger we follow, has a blog post …

Micro-Progress Overcomes Inertia

A reader of this blog forwarded to me an article on “micro-progress” that promises a solution the the common problem of procrastination. Editor of Smarter Living, Tim Herrera, writes… “Of the countless articles, books and so-called lifehacks about productivity I’ve read (or written!), the only “trick” that has ever truly and consistently worked is both the simplest and the most difficult …

Anger – Uses and Abuses

What do we mean by anger uses and abuses? Righteous anger is a powerful force for change in the world. But some folks seem to live in anger all the time, and for them, and those around them, anger can become a trap. As others pull away from them they feel more helpless, and more angry. How to break this …

meaningful resolutions

Meaningful Resolutions for 2018

How can you make meaningful resolutions for 2018?  Maybe not something like “adopt more healthy habits”, which can be hard to do.  How about resolving to work on something that research shows is foundational to healthy habits and healthy motivations? Cultivating a sense of purpose in life has been shown to affect health and longevity through numerous avenues of study.  Those …

Cynical Hostility

Cynical Hostility

Cynical hostility is a personality style of cynicism and anger mismanagement in social relationships. Sometimes called chronic anger, it is associated with mistrust and weakened social support networks. In a recent study, researchers from France and University College London looked at data from a long-term study of 3,399 British civil servants. Those in the top 25% of cynical hostility levels were over four-and- a-half …

Language Predicts Stress Levels

The way that people use language predicts stress levels quite reliably, according to a 2017 study in the Proceedings of the National Academy of Sciences. Many different stressors (traumatic stress, poverty, loneliness, being told that you have a life threatening illness) all activate a single pattern of profound changes in the function of the immune system. The changes are known …

Hope

Find Hope Despite Adversity

Finding hope can feel miraculous when wrestling with the endless challenges of any chronic illness, including depression. At the end of a long week struggling to help others I ran across an article by a psychiatrist who has thought long and hard about the sources of hope, and felt the wonderful sense of renewal that hope brings to the beleaguered. …

Motivating Healthy Behavior Changes

What is the most effective way of motivating healthy behavior changes? And how does medical practice best  take advantage of information about what motivates people to make positive changes? It should be obvious that just telling someone that a certain behavior is healthy is often not enough to motivate change. An article in the Journal of the American Medical Association Internal …