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 …

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 …

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 …

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 …

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 …

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 …

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 …

Cling Less and Love More

Right in the midst of working with a young woman who has been struggling with how to accept the possibility that a new relationship might have to end (her boyfriend is still caught up in thoughts and feeling evoked by his ex, who sounds like the kind of intense woman who can easily trap a young man in a prolonged …