Winter Leads to Spring

Someone shared with us a wonderful video about John O’Donohue, a Celtic poet, philosopher and writer. In it we found this quote that resonated very much with our experience. It is about winter. And depression. And how life blossoms from the seeming dreariness of a period of fallowness. We think you might appreciate it. If you like this clip we …

Hardwiring Happiness

Sometimes it is simple ideas that resonate the most powerfully with our psyches.  This week I have found myself, again and again, thinking about the fairly simple but quite elegantly described ideas in the book Hard Wiring Happiness. I should probably admit that I’ve only gotten about half way through the book, but even so, it has had quite an …

Cognition Enhancing Apps

An experimental computer program is associated with improved attention and working memory in people over age 60, even 6 months after training. Somewhat fuzzy-brained after a poor night of sleep I ran across this summary of a paper that was just published in the prestigious scientific journal Nature (Anguera JA et al., Nature 2013 Sep 5; 501:97). Where could I test drive this application, …

Online Resources: Links and Apps Update

The very useful listserve of the Northern California Cognitive Behavioral Therapy association has had a great thread about favorite apps for mental health. We took advantage of the opportunity to update the page entitled “Links and Apps” with some more options. Here is an unedited list of the favorites from that group… note that this list is heavy on iPhone …

Brain Power

Problems with memory are common for people with depression (and the rest of us, as we age, as well). Although the most important thing to do to improve brain function is to address mood extremes, there are often residual problems, and sometimes there are negative brain effects from the medications that help stabilize mood. A wonderful older man who came …

Iron for PMS

A recent study suggested that women who consumed higher amounts of iron (from plant not animal sources) had a lower rate of premenstrual symptoms. Those who consumed more than 20 milligrams per day had about a 30% reduction in PMS symptoms compared with those who consumed less than the average amount  (average intake of 9.4 milligrams per day). This study …

New Spouse by Friday

I’ve been working with a very successful attorney who has been struggling to find a way of staying in his marriage for a couple of years. The heart of the problem is that his wife had a serious health problem (which is now resolved), but through the process of dealing with this health problem she  became depressed and discouraged about her health and …

Escape from Depression

I met a young woman yesterday who got me thinking about the reasons why I feel so strongly about the work I do as a psychiatrist, helping people with chronic mood problems. She came in for help with what she described as a “mild but chronic depression.” She had already seen one psychiatrist, and he had not been terribly helpful; …

St. John’s Wort

St. John’s Wort is a plant which has been shown in many well controlled clinical trials to be more effective than placebo in treating mild to moderate depression (not transient sadness). In fact the evidence supporting its effectiveness is better than the evidence supporting the effectiveness of some FDA approved anti-depressants.  It does not, in our experience, work as well …

Small Rewards

A young woman who was scheduled to go on a big trek in the Himalayas was not doing the training she needed to in order to have a good experience. She had been depressed for the last few months and this was probably a manifestation of that mood. She told me that she felt she “should be doing much more.” …

Fish Oil Update

Since so many people with bipolar and depression take fish oil we thought we would pass on some information in a summary form from Consumer Labs. The full information is available if you subscribe. Consumer Labs is the only source of reliable information about supplements (the only place that does any testing) and if you take supplements we strongly encourage …

Be Helpful

We love today’s post from Just One Thing! (And yes, we have had several references to this site in the last few days… but he is starting the year by reviewing the best ideas on his site). And we felt compelled to put this post up today when we checked our email and found that today’s blog post from the …

Silver Linings

We have heard interesting rumors about the new movie “Silver Linings Playbook” that is supposed to address some of the issues involved in living with moods in a way that avoids stigma. Last week we got this from the American Psychiatric Association News – “It has been a long time since a Hollywood movie actually seemed like it could help people suffering …

Something Fishy

Journal Watch (which is published by the very well respected New England Journal of Medicine) recently reviewed the evidence about omega – 3 fatty acids and depression. The editors concluded that fish oil can be helpful but the key to effectiveness is the amount of one of the two fatty acids that are the primary ingredients in fish oil. The …

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 …

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 …