For many people with depression, it can be hard to find an assertive, but not hostile, way of dealing with conflict. Marsha Linehan’s Dialectical Behavior Therapy (DBT) addresses many practical problems such as this with straightforward answers. This comes from the “Interpersonal Effectiveness” module of DBT. The acronym to remember is DEAR MAN: Describe Describe the situation in as objective …
Avoiding Heartbreak in a Relationship
An attractive, intelligent young woman asked me, “Why can’t he show me any love, what is wrong with me?” The two of them have been having a difficult time recently and she was feeling sad about how their relationship had changed in the last several months. She told me that she was in the shower crying about this when her partner …
4 Ways You Can Help a Loved One Cope with Addiction and Mental Illness
Mental illness and addiction co-occur more than some people may think. People with a mental illness are more likely to abuse substances while those with addictions are likely to either develop the symptoms of a mental illness or a full-blown mental illness. If there is someone in your life struggling with these two problems here are a few ways you …
Dealing with Denial
Someone you love is no longer the same. They may be moody, angry at times, irrational, paranoid or they may act in ways that are harmful to themselves or to you. Trying to help loved ones deal with this situation is one of the most perplexing and difficult things that I do as a professional. The boyfriend of a young …
Living Alone and Depression
“I just really want to live in my own home with my own garden and without having to deal with all of those jerks.” A young woman living with several roommates told me that she was thinking of moving to a house in the country. The idea seemed very appealing to both of us, since we know how many hassles there …
It Takes Two to Fight
“I just can’t believe what my mother told me on the phone, she said I was a bad mother, can you believe it? I wasn’t going to put up with that, believe me…” A delightful and pretty feisty mother came in the other day brimming with frustration. We spent the entire session talking about how she got derailed from a …
Breaking Up without Depression
Some people seem to find it much easier to weather the breaking up of a romantic relationship than others. Sure they may feel sad, they may worry about what it means that their relationship ended, but relatively soon they’re able to move on. Others get mired in doubt and find it hard to reenter the dating world. A study from Stanford …
Romance and Depression
Jack is a delightful older gentleman who loves sailing and beautiful women, but who has also been wrestling with depression for a year or more. We recently had a fascinating conversation about how romance and depression relate to each other in his life. He has a loving girlfriend who’s been very supportive to him during the past year, during which …
Lucky Marriage
What is a lucky marriage? Last week we were talking to a man who has had a year of challenges in his marriage. Ivan is a thoughtful and articulate man we have been seeing for about a year, and during that time the subject of his marriage has come up many times. He suggested that a lucky marriage is one …
A Bipolar Couple
This morning one of the clients we have worked with for several years came in with his wife. It was a surprise that she joined the weekly session. They had just returned from a vacation in Mexico. And neither of them had had any fun on the trip. When he left for Mexico, he was very mildly hypomanic and, I suspect, stayed that …
Blowing Things Up: Self-Destructive Responses to Frustration
Why do we sometimes come up with self-destructive responses to the unpleasant feeling of being trapped or the anxiety of an unhappy life situation? I talked about this a little bit in an earlier post that was based on an article in the New York Times. In that article, it was noted that many people may find it so hard to deal with the stress …
Friends and Family Don’t Understand – Bipolar Communication Problems
Sometimes those without the challenges of bipolar neurochemistry simply “don’t get it” – how moods can shift abruptly and dramatically, and often without warning, or with subtle hints of the mood shift about to confront you – and at what might be the slightest trigger a sudden onslaught of overwhelming sensations due to hypersensitivity to stimuli, someone chewing can sound thunderous; a repetitive noise, such …
How Mood Can Influence Events
What I do for a living often involves asking dumb questions. For example, we all know our moods are usually affected by events. In fact, if we happen to notice we’re in a bad mood, the first thing we start to do, often unconsciously, is try to figure out what caused that bad mood. It’s not that it’s a bad …
Seeing the Other – Kelsey
“I see you.” That is one of the many profound concepts in one of my favorite movies, Avatar. “I see you.” For those of you who haven’t seen the movie, “I see you,” is the greeting of the Na’Vi, which expresses a sense of being aware of being seen by another.* Whoa. To be seen by another person. To feel …
Irritability and Coming Home from Work
I feel bad about it but at the end of the day I end up in a fight with my husband. It starts with me telling him that I am anxious about the work I am doing… there are lots of things going on and I feel anxious about whether I am doing a good job… but he doesn’t reassure …
Friends: Who to Tell and Who to Keep – Lyndsey
If you are like me, the life you created for yourself pre-diagnosis is probably not going to be the healthiest influence during this time of transition. Remember that old adage about birds flocking together? Now is the time to be aware of which birds you are flying with. Family. So you can’t do anything about who you’re stuck with in …
Social Media Makes Moods Go Viral
Previously we reviewed evidence that the people we live with (family, neighbors, even the larger community of people in a metropolitan area) have an effect on our mood, so it is not surprising to learn of a recent study conducted by researchers from the University of California, Yale, and Facebook that found that moods can go viral, just like ideas and …
Pay Attention
We need to be noticed and attended to. It is one of the most important psychological needs we have. For several years, I have been lecturing residents in psychiatry at UCSF on the management of people in crisis. One of the topics, is how to work with people who are potentially violent. On an inpatient psychiatric unit there are, from …
Just Be Quiet
I just met with a smart, funny, attractive graduate student who had a severely traumatic childhood. She came in looking obviously frazzled and announced that she had been crying continuously since she got a terrible haircut the previous day. I wouldn’t be human if I didn’t feel the urge to reassure her. Especially because, in addition to all her …
The Loving Brain
Get ready, because the month of July has an exciting event coming up! Rick Hanson, Ph.D. is hosting a free interview series called the Loving Brain starting July 15. For the 8 following Mondays, experts will be giving talks on how to develop positive relationships with others and establish a healthy self image. If you happen to miss a speaker …