Anger is a necessary emotion. It can motivate to change things for the better, to protect ourselves from evil, to re-shape our lives in better and more satisfying ways. But chronic anger, especially chronic anger about things that can’t be changed because they are in the distant past, is a life-destroying emotion. Occasionally we meet with people who are out …
Imperfect Bodies
In his book, “The Heart of Man,” Erich Fromm wrote about two modes of being – one he called biophilia (the love of life and living things) and the other he called necrophilia (a love of order, control, and, ultimately of death). Fromm was very much affected by the experience of Nazi Germany. And much of his understanding of the …
Therapy and Curling
Therapists are like the sweepers in the winter olympic sport of curling. Curling, for those who are not intrigued by the sport, involves hurling a heavy sphere down an icy lane (like a frozen bowling lane) with the goal of landing in a particular spot. What really makes the sport odd is the addition of two people who use brooms …
Self Confirming Beliefs
There are dangerous ideas that can shape an entire life. Ideas that suggest that “no one will ever really love me” or “if I tell someone what I want they will leave me” or even “I can’t trust anyone.” These ideas may not have much basis in fact, they may have been handed to us as children from our parents, …
Bad Memories
Unstable moods and bad memories seem to go together. In the clinic where many of us work we have noticed how often it is that folks who we see with bipolar have had traumatic experiences in childhood. Why that happens is speculation. But we do know that dealing with those experiences can be very, very hard, and, potentially, life transforming. …
Francine Shapiro: EMDR – A Crazy Idea that Works
As a young psychiatrist I was interested in posttraumatic stress disorder (PTSD – psychological reactions to severe traumatic events) and did a research fellowship on the subject with Charles Marmar at the San Francisco VA Hospital. One Thursday morning, during our regular clinical case conference, we had a woman come in to tell us about her recently discovered technique for …
Starbucks Therapy
We aren’t sure how we feel about the spread of Starbucks into every corner of America. But it does allow us to suggest a kind of intervention that may help you if you are depressed. It is based on Interpersonal Social Rhythm Therapy – which is one of the best validated psychotherapies for people with bipolar moods. Every morning, at …
Learned Helplessness
This is an animal model of the human experience of depression. In the learned helplessness model an animal is repeatedly placed in a situation where it has no ability to avoid a painful outcome After a while the animal begins to look depressed (listless, passive). At that point if you place the animal in a situation where it could escape …
Doctors Part 2
Once you have found a good doctor (see Doctors Part 1 for thoughts on finding doctors), how can you make sure that you get the best help from that doctor (or doctors). Here are a few thoughts collected from our experiences working with many people over the years – 1. Plan ahead. It is almost always a good idea to …
Breaking Up: How to Cope
Breaking up is hard. (At least for most people – we do know a couple of people – mostly guys – who seem to have made an art of it – but that is another post). There are things to do and to avoid doing that might make it less painful. 1. Think it through. At some point you are …
Heroism
Heroism can be bad for your health. We know, we’ve been there. It starts with a positive feeling about someone or some group of people, then there is the recognition that they have suffered injustice (or are suffering for some other reason) and ends up in a wish to solve their problem (s). What a wonderful world it would be …
Narcissism
“You’re such a narcissist!” It’s easy to see why people with moods are often accused of being narcissistic. When we are depressed we become focused on ourselves and our mood and our pain. This is also what happens to people with chronic pain of other types. And when we are manic, we become preoccupied with our importance and specialness. But …
Relationships and Chronic Depression
Many people with depression, particularly if they have been depressed for a long time, develop a pattern of interacting with others that is designed to protect them from disappointment. Avoiding disappointment is obviously a good thing, but it can lead to relationships that are not satisfying. Addressing relationship issues is important. Almost everybody who is unsatisfied with their relationships can …
Anxiety or Excitement?
Many folks not only have to figure out how to live creatively with moods, but also have to wrestle with anxiety. I have found that it is sometimes useful to compare two states of mind which are very, very similar in terms of how the body is reacting, but are very different from an emotional standpoint. Imagine that you are …
Self-Consciousness: You Can’t Fool Yourself
Many years ago we read a book by renowned social psychologist George Herbert Meade entitled Mind, Self and Society. In it Meade wrote about the origins of self-consciousness in childhood experiences. If you follow the development of children you notice that at first they act as though they and the world are one, with no apparent sense of others (especially …
The Antidepressant without Side Effects
Medications for depression can be life saving, but for many people they have disturbing side effects. But there is one antidepressant that doesn’t have side effects – behavioral activation (BA). Behavioral activation is a treatment that has been shown to work for people with moderate and even severe depression and, in some studies, it works about as well as antidepressants. …
Why You Should Journal
We are strong believers in the value of paying attention. We define what is important in our lives by what we pay attention to. And if we don’t pay attention to things it is practically impossible to improve them. The kind of journal that we have in mind is one that pays attention to the shifts in mood during the …
Endless Worry: Books to Help Manage It
Sometimes life circumstances, or our own mood, conspire to lead us into a state of endless worry. We never seem to be able to figure anything out, and the anxiety makes it increasingly difficult to get anything done. One strategy that we often recommend is to schedule worry time. It sounds crazy, but putting aside time each day to worry …
Changing Bad Habits: Helpful Resources
If you talk to anyone who has worked to help people with serious bad habits (smoking, sex addiction, gambling, drug use) they will probably end up mentioning the “Stages of Change” model of Prochaska. The notion that people don’t just “flip a switch” and change was pretty revolutionary at the time, and the useful notion of stages of change: from …
The Importance of Good Relationships
Good relationships are one of the foundations of creative living. In another post, we talked about one of the most effective therapies for people with bipolar: Interpersonal Social Rhythm Therapy (IPSRT). In that post we focused on regular routines (the SRT part) but equally important in that therapy was paying attention to the quality of interpersonal relationships and particularly addressing …