Another online resource that folks may appreciate is Bipolar Advantage, a program dedicated to helping people function at their highest potential during all mood states and levels. Their trademark is changing the discussion from “Bipolar Disorder” to “Bipolar IN Order”, where the student learns to thrive during manic and depressive episodes, and to consider the advantages of their states of …
What is Biofeedback? – Nancy
Biofeedback is a stress management technique that uses devices that give you information about your body’s physiologic response to stress. The idea is to provide you with information that would ordinarily be outside of your conscious awareness, such as your body temperature, blood pressure, or heart rate. Generally, there are three stages of biofeedback: Developing increased awareness of the body …
The Psychology of Chronic Depression
Many people who have been depressed for a long time, develop a pattern of interacting with others that is designed to protect them from disappointment, this pattern, the psychology of chronic depression, needs to be understood in order to help people successfully emerge from this devastating condition. Avoiding disappointment and rejection is obviously a good thing, but it can lead …
Depression Is Often Untreated
Depression is often untreated, according to the results from the federal government’s National Health and Nutrition Examination study. The vast majority of Americans with depression didn’t seek help from a mental health professional Only 35% of people with severe depression and 20% of those with moderate depression said they had sought help from a mental health professional, according to the report …
Acceptance and Commitment Therapy Part 3: Present Moment Awareness
I hope you have a few minutes to engage in a few exercises with me…. First, I’d like you to take 1 or 2 minutes to imagine that you are sitting on a white sand beach looking at the ocean, watching the waves roll onto the shore. Set your phone timer if that would be helpful. And….go. What did you …
Mindfulness for Depression -Research Update
Mindfulness has received a lot of attention recently as an approach to improving mental health in a number of conditions. But is it really effective as part of a strategy for treating serious depression? And, if so, how can we best incorporate it into treatment, given the great difficulty that many people with depression have doing even a small amount …
Acceptance and Commitment Therapy Part 1: Acceptance and Willingness
I recently attended the Anxiety and Depression Association of America conference in Philadelphia, where I offered a two-hour workshop on Acceptance and Commitment Therapy (ACT) and deepening experiential practices in ACT sessions (largely based on the book The Big Book of ACT Metaphors: A Practitioner’s Guide to Experiential Exercises and Metaphors in Acceptance and Commitment Therapy*). This post is Part …
Distress Tolerance
A wonderful young woman we have been seeing for a few months asked for some recommendations for skills to help her deal with her experience of moments of overwhelming negative emotions that often seem to come out of nowhere. This post is a relatively quickly pulled together document derived from Marsha Linehan’s Dialectical Behavior Therapy. Think of it as a “draft” …
DBT for Bipolar Group
We are very happy to pass this information on about a great group for people with bipolar being offered in the bay area by an expert in the psychosocial treatments for bipolar: Dr. Jenifer Culver. Dialectical Behavior Therapy (DBT) Skills Group for Individuals with Bipolar Disorder in Los Altos, CA. The Next group begins September 2015. This group focuses on teaching …
UCSF Bipolar Group
The UCSF bipolar psychoeducational group starts on September 14, 2015. This group is lead by bay area bipolar expert Descartes Li, MD. It runs for 8 sessions, Mondays 12pm to 115pm. Most commercial insurance is accepted. Dr. Li describes this group as “an advanced class about bipolar disorder for people who have bipolar disorder.” For regular readers of this blog it …
Mentalize
Sometimes a word just seems to show up everywhere. This past week the word “mentalize” has come up in conversation a number of times. A colleague who is looking for a referral for therapy says that she needs someone who can “mentalize well.” One of my patients who just completed a DBT-based treatment program says that she is doing better because …
Attentional Bias Modification Prevents Depression
A middle-aged nurse wrestling with depression said she want to do “everything” that she possibly could to improve her mood. She doesn’t have access to therapy through her insurance, and she’s already vigorously pursuing mindfulness practice, but her request reminded me of an article I recently read on Attentional Bias Modification as both a possible treatment of depression and as …
Bipolar in Order Study
Several readers of this blog have been intrigued by Tom Wootton’s “Bipolar in Order” site and the training program that he has developed to help people live well with bipolar. A few years ago I added a chapter to one of Tom’s books, and Tom and I have had a professional relationship for more than a decade. I don’t agree …
Psychiatrists Don’t Care About “Why”
Psychiatrists tend to be surprisingly uninterested in discussions about why people are experiencing mood symptoms or anxiety symptoms or terrible stress. Let me try and explain this stance, which often seems bizarre to my patients. A young man who was recently married and had been living at home, and hadn’t been working for the last six months because of anxiety …
Art Therapy – Lyndsey
When I was in the hospital, one of the activities they provided for patients was art therapy. I sat in a room, silent and bewildered as I was, and methodically glued tiny pieces of glass mosaic tiles on a black wrought iron trivet frame. I called it my Crazy Trivet ever after, and it was remarkable only because it was …
I Can’t Stand It! (ACT)
This week began with me spending three or four hours writing up a summary of Acceptance and Commitment Therapy (ACT) for one of the people I saw two days ago. For those of you who haven’t heard the term, ACT is the “hot” new approach to therapy (although much of it dates back thousands of years to Buddhist practice). I enjoyed the …
Mood Charting Part 1
“My medications work for a while and then they just stop working…” “I have tried everything and nothing works…” “I have been in treatment forever but I just never seem to get better…” In our experience these very common concerns are often symptoms of an everyday problem in psychiatric treatment of mood disorders: it is very hard in a traditional …
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 …
Skill Building for Psychosis
One of the very hard things about many psychiatric disorders, including bipolar disorder and schizophrenia, is that they often begin at a time that is critical to the development of many skills and abilities needed for successful adult life. Many years ago we visited a wonderful program in Atlanta developed for young people with schizophrenia called STARS. The program was …
Summer Vacation: Taking a Break from Therapy
Maybe because it’s summer, and everybody’s thinking about vacations, or maybe it’s just a coincidence, but we’ve been spending a lot of time talking with people these past two weeks about taking a break from treatment or drastically cutting back on treatment, etc. All of it has us wondering about how to think sensibly about these types of decisions. After …