A writer we have been seeing for about a year for depression and bipolar sent me an email yesterday – “I need something for my anxiety…” Often anxiety is the symptom that is of greatest concern to people who have bipolar or depression. Working through my thought process as I tried to come up with an answer for the woman …
Smart Phones May Disrupt Sleep
There is no “off” switch for our brains. Going to sleep, for most people, involves a process of “coming down” from our hectic and sometimes stressful lives. In the past, when there was no electricity, the sun went down and we went through a natural process of getting tired and then falling asleep. But now we can keep the lights …
Befriending Stress
A colleague recommended this fantastic TED talk by Kelly McGonigal on the cardiovascular and social benefits of befriending stress (and potentially other negative emotions) as opposed to fearing these types of feelings. Kelly offers a fascinating perspective on oxytocin as a stress hormone that serves as a mechanism for resilience, helping people connect with others in times of challenge. Kelly …
Media Makes PTSD Much Worse
It was a sunny October day in 1989. Game 3 of the Battle of the Bay baseball World Series between Oakland and San Francisco. Then the largest earthquake in almost a hundred years hit the bay area. I was, as it happens, in my therapist’s office, my wife was at work. I rushed home to make sure that all …
Reduce Your Social Stress
Regular readers of this blog know that I really like the writings of Rick Hanson (he has a wonderful email list called “Just One Thing” and a new book that is an excellent resource for personal transformation called Hardwiring Happiness). For the last couple of months, however, his posts have seemed a bit repetitive. Just in time for the New …
Exercise or Inactivity Changes Your Brain’s Structure and Its Resilience to Stress
This past year has been a remarkable year in terms of new studies examining the effects of exercise on your brain. Everyone knows, of course, that exercise is good for you. But these studies together provide compelling evidence that exercise (and inactivity) profoundly change the structure and function of your brain. One set of studies has shown that exercise profoundly …
The Trap of Stress Disability
The other day I was asked to evaluate a fellow physician by his disability insurance company. When I do disability assessments I take particular care, because what I say has big implications for the person I am evaluating, and I try very hard to do an extremely careful and thorough job of assessing the person’s situation. Three quarters of the …
Was James Bond a Lush?
Always in search of the latest cutting edge medical knowledge, we happened across a fascinating research article in the December 2013 British Medical Journal that asks the question – “Were James Bond’s drinks shaken because of alcohol induced tremor?” Before going any further and looking at the research methods and conclusions, we have to warn readers that this may be …
Food, Mood and Cognition
We recently got a useful update on this topic from one of the clinicians who works with us at Gateway Psychiatric. She had attended a seminary of the same title from the Institute for Natural Resources. Inflammation can be associated with poor diet for example, high consumption of sugars, especially high fructose corn syrup and high saturated fat intake. Chronic …
Experience a Sense of Plenty
Nothing can seem more urgent, important, and real than the sense that there is not enough for us. Not enough love. Not enough food. The sense of scarcity may not even connect to any clear sense of what is missing. But that doesn’t take away its power. Regular readers of this blog know that we appreciate the insights of Rick …
Depression and Inflammation
Recently there has been increasing interest in the relationship between depression and chronic overactivity of the body’s biological defense system – inflammation. When we have an infection, or an injury, or almost any other kind of illness, the body activates a series of processes designed to respond to the threat. Unfortunately, the inflammation system, especially if it is turned on …
Child Abuse Update
Twenty years ago the National Research Council (NRC) issued a comprehensive report on child abuse. That report noted that child abuse was much more common than previously thought and called for urgent action. This past week the NRC and the Institute of Medicine (IOM) released an update: New Directions in Child Abuse Research. The good news – physical and sexual …
Hormones and Food
In an earlier post we talked about some of the research on appetite. We reviewed some of the peptide hormones that regulate appetite and how the entire system that controls appetite is really designed to cope better with a time of scarcity than a time of plenty. Here I want to talk more specifically about the interplay between other hormone …
Childhood Trauma – Brain Effects
Experiencing trauma in childhood is associated with changes in the brain during teenage years, according to a study of 117 adolescents using magnetic resonance imaging (MRI). The researchers compared MRI’s from age 12 with MRI’s from age 16. They asked the teenagers about childhood trauma and also did psychiatric diagnostic interviews. There were significant differences in how the brains of teenagers …
Hunger Regulation
Recently several folks have asked us questions about diet, hunger, weight gain, and nutrition. Certainly for many people with depression, gaining weight is an important issue, both as a cause and consequence of depression. Let’s begin by trying to make some sense of hunger. In other posts we will be talking about how stress and the hormone system relates to …
Cluelessness: Getting Stupid
Late on a Friday afternoon, I found myself with two patients (back to back) who were yawning and seemingly drifting off during the course of our conversation. Now, that could have meant that I was being particularly boring. But, in this case, it was the manifestation in the office of something that had been going on at home and causing …
Ginseng
If you are a ginseng believer, then ginseng is the one supplement that all of us should be taking. Russian scientist Israel Brekhman coined the term “adoptegens” to refer to agents that helped individuals deal with stress. The prime example of this, in his view, was ginseng. [If you are interested in an example of the controversy that surrounds many …
Memory, Stress and Aging
Many older people are concerned about impaired memory, and the relationship between memory, stress, and aging can be difficult to untangle. Obviously worry about memory problems can be a source of anxiety and stress. But can stress and anxiety be a cause of memory problems? And if so what can be done about it? Elsewhere we will be talking about …
Proactivity
Proactive behavior refers to actions taken that are forward thinking, that anticipate future problems, and are aimed at avoiding those problems. They are focused on changing the environment for the better. Proactivity contrasts with reactivity as an approach to challenges. Reactive behavior is about dealing with the crisis that is present right now. Reactivity also often is associated with a wish …
Life Energy
Freud came up with the term libido to describe the sum of all the human instincts related to love. In his view, there was a limited amount of this libidinal energy and it was important to use it wisely. Invest it in the wrong activities and you could end up with nothing to show for it. This notion of limits …