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Mental Health Blog Day Update

16 May

Yesterday was APA’s Mental Health Blog Day.  They did a great job of rounding up some great bloggers to dedicate posts to mental health.  Some of the bloggers are health writers, some not – but either way there was some great information shared! Check it out:

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Some of my faves:

How clever are these blog titles? I just love discovering new, creative and entertaining bloggers.  For a full list of Mental Health Blog Day participants click here.

Oh! And you can see my contribution to the party here: Mental Health Isn’t All Sadness and Worry; Doom and Gloom

Mental Health Isn’t All Sadness and Worry; Doom and Gloom

15 May

I'm Blogging for Mental Health.

Today is Mental Health Blog Day over at the American Psychological Association (APA).  APA is rounding up lots of terrific blog posts and articles all about mental health.  This is a great place to learn more about diagnosis, treatment, resources, and what it is like to live with a mental illness.  All of this information is useful and necessary, but I think sometimes we forget that mental health can be fun – and funny – too.

For example, the blog Hyperbole and a Half has recently dealt with the issue of debilitating depression.  Yes, this is a serious topic.  And yes, it is tough to read the author’s description of her extremely low mood and long periods of helplessness and hopelessness.  But, the post is also pretty light-hearted and even funny in some sections.

Mental health and humor are two things that can be tough to combine, but there are places where the combination can be found: the TV show Monk, any of David Sedaris’ books, Chato Stewart’s mental health humor cartoons.

Creating mental health can be a good time – and it doesn’t always entail lying on a couch blaming your mother for your unhappy marriage, or taking a handful of pills everyday.  While therapy and psychiatric medication may be a piece of mental health care for some of us; many of us can find it on our own.  Gardening, baking, collecting gnomes, reading mysteries, brewing beer, playing chess in the park – these can all be ways to create and maintain good mental health.

How do you have fun while working on your mental health?

 

 

 

 

 

 

5 Questions with Andrew Solomon

17 Apr

Several weeks ago I posted a review of the book Far From the Tree by Andrew Solomon.  I cannot say enough good things about his work – it is simply superb.  To read my review of his book about children and parents, click here.

Today I feel privileged to have Mr. Solomon here to answer some questions!  Welcome, Mr. Solomon!

Andrew Solomon is a writer and lecturer on psychology, politics, and the arts; winner of the National Book Award; and an activist in LGBT rights, mental health, and the arts.

Andrew Solomon is a writer and lecturer on psychology, politics, and the arts; winner of the National Book Award; and an activist in LGBT rights, mental health, and the arts.

Dr. S.: I read your book through the lens of a psychologist who works with families in situations similar to the families in your book. I have also recommended your book to families with children who have fallen “far from the tree.”  I can see that there are many people to whom this book would be of interest. Did you have a particular audience in mind when you were writing? Who did you envision reading this book?

A.S.: I knew, of course, that the first audience for the book would be families dealing with the differences about which I wrote, and I’ve had many letters now from families of people with autism, schizophrenia, Down syndrome, dwarfism, criminality, and transgenderism.  But my theory is that the book is for a wider audience than that.  Much as we test flame-retardant pajamas in an inferno to make sure our child’s sleeve won’t catch fire when he reaches across the stove, so we can understand the profound ways that all parenting is about accommodating difference by looking at these more extreme cases.  So my audience really is anyone who has been a parent or a child.

Dr. S.: I found all of the chapters to be riveting and gut-wrenching for one reason or another. Was there one topic that was most emotional for you to write about?

A. S.: Each is gut-wrenching in its own way.  But some of the chapters ultimately describe great redemptions: how people find meaning in Deaf culture, how the lives of dwarfs may be particularly rich, how people who are transgender have an apotheosis when they transition.  There’s less to be said in favor of having a child conceived in rape, and the chapter on those children was a very tough one, although many of the mothers I interviewed had ended up very much attached to the children they had.  The chapter on crime was painful because crime also confers few advantages.  And I found schizophrenia terrifying, because it sets in so late, leaving everyone with an unending sense of loss.

Dr. S.:  At the end of your book, you wrote about the birth of your son and how your book research affected how you reacted to a medical scare immediately following delivery. Now that he is 3, in what other ways has your research affected your parenting and your reactions to his development?

A.S.: I have perfectionist tendencies, but the book made it clear to me that no one is perfect and that aspiring to a narrow vision of how your child should be is a recipe for disaster.  I think I’m a more open, more generous parent as a result of all I saw.  I have many hopes for my children, but I think I’ll be able to love them whether they share those hopes or not.  The book very much helped me to see my children as separate beings, with their own wishes and ambitions and character.

Dr. S.:  What are you working on now? Any new books in the works?

A.S.: While I was working on Far From the Tree, I was also doing a PhD in psychology at Cambridge.  My research involved doing longitudinal interviews with a group of 24 women, talking to each of them before the birth of a first child, immediately after that birth, and every six months going forward.  The process has been rich, and I hope now to do a book for a broader audience on the way women emerge into motherhood, how that identity is shaped over a period of years.

Dr. S.:  I often write about stress management. We all know that yoga and meditation are great – but I am more interested in unique, creative methods of managing stress. For example, some people like to make chocolate, others like to work on cars. What are your go-to methods of managing the stress in your busy life?

A.S.: Sleep, good nutrition, and exercise: those are the three.  Sleep is just about my favorite thing to do; eating well can be a pleasure, though I miss gratifying my taste for sugar; exercise is anathema.  But I know that’s the triumvirate that gets me through.  I take meds, too–they have helped me to be more balanced and less frantic.  And I’ve learned to tolerate the feeling of being stressed out, always knowing that it’s temporary, and that whatever I am stressed about today, I’ll be stressed out about something else tomorrow!

Thanks for your time, Mr. Solomon.  I can’t wait to see your next book on motherhood!

To learn more about Andrew Solomon, check out his site.  To order his book, Far From the Tree, click here.

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Mental Health and TV – Good for All of Us

29 Mar

Today I posted an article over at the American Psychological Association’s blog, Your Mind. Your Body.  In it I write about the importance of portraying mental health issues, struggles and solutions in TV and movies.  Check it out here.

Some of my favorite TV shows regularly integrate important topics in mental health including bullying, suicide, mental illness and family struggles.  The folks over at Glee do a pretty good job (most of the time) accurately portraying mental illness and treatment. Gossip Girl, Hoarders, Parenthood, Monk and Friday Night Lights are other shows that include characters with psychiatric disorders.

Of course there are tons of movies whose main subject is mental illness.  Check out this cool list on Wikipedia listing movies featuring mental illness organized by diagnosis.  Silver Linings Playbook is just 1 of 14 movies listed in the Bipolar Disorder category.

If you want to learn more about some of the great work being done in TV and films, check out SAMHSA’s Voice Awards.  Here’s a description:

Join the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Voice Awards program in recognizing consumer/peer leaders and TV and film professionals who educate the public about the real experiences of people with behavioral health problems. Through their work and personal stories of resilience, both groups of leaders demonstrate that people can and do recover from mental health and substance use disorders and lead full and meaningful lives in their communities.

Today is the deadline to nominate producers and programs! Check out SAMHSA’s site to submit your favorite show by the end of the day!

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Postpartum Anxiety – More Common Than We Thought

12 Mar

Have you seen this: A new study in the Journal of Reproductive Medicine found that postpartum anxiety and symptoms of obsessive-compulsive disorder are more common than once thought.  The researchers found 11% of new moms have OCD symptoms (including fear of germs, preoccupation with the safety of the baby, etc) after childbirth.  They found half of the new moms will get better by six months, and there is an additional 5.4% that will develop new onset symptoms at 6 months.DSC02075

A different study, this one in the American Journal of Pediatrics, found postpartum anxiety to be more common than postpartum depression, at least through the first 6 weeks after the baby is born.  The researchers found that 17% of the moms in the study experienced anxiety after giving birth.

The health care folks – together with the media – have done a super job educating the public about the warning signs and risks of postpartum depression in the last decade.  Brooke Shields and other celebrities have shared their struggles with postpartum depression, and have helped millions of women understand that the condition is common and quite treatable.

But in my experience, not all women who struggle after childbirth struggle with symptoms of depression – but symptoms of anxiety.  Extreme fear for the safety of the baby, inability to stop worrying about the baby’s well-being (even to the point of not being able to sleep), fear of germs or illness in the baby or other family members – these, and other symptoms of anxiety – can impede a new moms ability to care for herself, the baby, and/or other children.

A psychologically healthy mom’s ability to worry is endless.  A mom who struggles with postpartum anxiety can be debilitated.  And a mom crippled with anxiety and worry can struggle to meet her new baby’s needs.

Luckily, there are many places to turn for support and treatment.  Ob/Gyn’s and pediatricians are great professionals to turn to for medication management and community resources.  Psychologists can provide individual and family therapy to new moms.  Online support groups like Postpartum Support International can also offer resources and guidance.  For more information about the signs and symptoms of postpartum depression – including how to get help – check out the American Psychological Association.

 

 

 

Helping Kids with ADHD…Without Giving Them Meds

26 Feb

This article was recently released by the American Psychological Association.  Reading it brought a smile to my face and relief to my brain.  Finally, a well-written, well-researched, easily-readable article about non-pharmacological treatments for ADHD.Screen shot 2013-02-26 at 8.56.56 AM

Don’t get me wrong,  I am not against psychiatric medication – in fact I often work collaboratively with psychiatrists, and understand and appreciate what they bring to mental health treatment.  However, my area of expertise is behavior change and family dynamics.  This article does a fantastic job outlining how those things can be used to help kids (and families!) struggling with attention issues and ADHD.

Here are a few highlights from the article:

  • Programs and education for parents and teachers can be highly effective in helping kids maintain better attention
  • Physical activity, including therapeutic recreation could be a treatment of choice for ADHD
  • Extra sleep can be helpful – in our fast-paced world it can be easy to overlook that some kids who exhibit hyperactivity may in fact be over-tired

If you or someone you know is affected by ADHD, hyperactivity, or trouble maintaining attention you might want to take a look at APA’s article.  ADHD is a complicated condition and there are surely no easy answers when it comes to treatment.  But addressing the basics (sleep, exercise, home environment) is a good place to start.

Book Review: Far From the Tree

12 Feb

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I think there might be something “funny” in the pages of Far From the Tree by Andrew Solomon, because I couldn’t every time I tried to stop reading it, I kept getting pulled back in.  Let me explain…

I first learned of Mr. Solomon’s book while listening to an interview on NPR.  He explained that he had spent several years interviewing families about their children who had a fallen “far from the tree,” meaning they were very different from their parents.  This may have been because of a mental illness (schizophrenia), a physical disability (deafness), or the circumstances surrounding their conception (in rape).  I thought the topic sounded interesting as I frequently work with parents whose children are markedly different.  “Hmmm,” I thought, “I’m sure I can learn a thing or two.” Boy, was that an understatement.

Fast forward a few weeks, and the book arrives for my review, and it is ONE THOUSAND PAGES!  So, even though I make a point to read all my reviews cover to cover, I thought Far From the Tree would be the exception. I thought I’d read the introductory chapter, a few in the middle (the chapters are organized by topic; for example one chapter is on prodigies, another on transgender), and call it good.  It didn’t work out that way. Every time I tried to put the book down, it called to me from my night stand.  Wouldn’t you know, I read the whole thing. No, not read, devoured.  Because here’s the thing: this book is fantastic.

Not only is Far From the Tree superbly written – it was literally a thrill to read the finely crafted words – but the content was outstanding as well.  Mr. Solomon challenges us to think differently about how we love, but also (and in my opinion, even more importantly) how we define and understand disability.  What makes someone normal or abnormal, and who gets to decide these criteria? Psychologists? Law makers? Physicians? Pop culture and media?  These are important conversations, especially as we as an American culture are trying to expand our view of what is acceptable and/or normal, while (hopefully) simultaneously extending legal, healthcare, and other benefits to people who used to be considered well outside of the norm.

Many of the chapters were gut-wrenching, but even through teary-eyes I couldn’t stop reading.  Mr. Solomon’s many interviewees were so candid and thoughtful in the way they described their families and children.  Mr. Solomon obviously went to great lengths to create strong relationships with these families and individuals; he is a gifted man.

I heartily recommend this book.  Pick through it chapter by chapter, or read it in bits and pieces over time.  The messages, the struggles, and the questions posed are important for all of us to consider – whether our children have fallen far from us or not.

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Check out this review on Mr. Solomon's site!

Check out this review on Mr. Solomon’s site!

Why Your Best Friend Can’t Be Your Psychologist

24 Jan

I think I might be inadvertently starting the Dr. Deb fan club.  After reviewing her superb book and interviewing her for a post earlier in the week, I came across this article.  She wrote What to Expect in Psychotherapy for Psychology Today’s blog.  It is seriously THE BEST article I have seen about psychotherapy in a long time – maybe ever.

In her article she writes about the differences between a psychotherapist and a friend (hint: it’s not just the money).  She also highlights the often-forgotten point that participating in therapy can often make you feel worse, not better – at least in the short term.  She also writes about the HARD WORK it takes to be a successful psychotherapy patient, meaning one who is able to achieve the change they seek in their lives.

Sometimes folks seek therapy thinking that their therapist will give them answers, tell them what to do, and be the best friend they may or may not already have.  Dr. Deb reminds us that this isn’t true. Psychologists are well-trained health care providers – “Olympic medal listeners” she calls us.  Therapy can be a long, arduous process.  In fact, we may not always want to go to our psychotherapy appointments (much like we don’t always want to go to the gym, or visit the dentist), but in the end – if we are committed to the process – our health improves as a result.

5 Questions with Dr. Deborah Serani

21 Jan

A couple of weeks ago I reviewed the book Living with Depression by Dr. Deborah Serani. I thought the book was spot-on in terms of offering a comprehensive look at depression, its causes, its treatments, and what it might be like to live with the disorder in the long term.  The author, Dr. Deborah Serani (who is not only the book’s author, but also a clinical psychologist in private practice, a professor, and a popular blogger – whew!) agreed to answer a few questions for me.  Welcome, Dr. Serani!

Dr. Deborah Serani - psychologist extraordinaire

Dr. Deborah Serani – psychologist extraordinaire

Dr. S:  You include a lot of personal information in this book. Can you talk a little about your decision-making process in terms of including so much detail about yourself? What have been the positive and negative effects of such disclosure?

Dr. D: Society gives permission to high profile people to talk about mental illness, but the waters are still rough for ordinary people to talk about depression. It’s important to be wise and thoughtful about disclosure – and I thought long and hard about sharing my experiences with depression for a few years before actually doing it.  Essentially, it was easier for me to be outspoken about living with depression because I’m my own boss. I have my own practice. I don’t have to worry about some social fallout or losing my job. But there are many people that need to keep certain issues private because stigma still makes living with mental illness a difficult subject to talk about. When making the decision to talk about my life, I knew I had to really lay it all out. I didn’t want to gloss over the despair and the scariness of my depression – or that it was a super easy journey for me to get well. For me, the disclosure has brought very positive experiences. I like seeing how my story inspires others not to be ashamed of their illness, to get help and to have hope. I like teaching misinformed person about the real facts about depression. And nothing makes me feel more proud than when I exceed someone’s expectations of what a person with mental illness should be like.
Dr. S: How does your struggle with depression make you a better psychologist?

Dr. D: You don’t have to live through something to be a good therapist, but living with depression has taught me about how hard it is to endure pain, despair and helplessness. I also know how a good treatment plan and hard work with a therapist can lead to recovery and remission of depression. From knowing both sides of the coin, my experiences have led me to be a more compassionate person, and a more compassionate psychologist.

Dr. S: You have a popular blog, in addition to this award-winning book. Who is your main audience? How do you hope to impact people by your writings?

Dr. D: I started my blog back in early 2004 when blogging first launched, and slowly found it a great way to teach and reach others regarding psychology. I have always written my blog for a general audience, wanting to make sure it wasn’t too clinical or jargon-filled.  Blogging has become less in the forefront for me these days, what with faster social media tools out there like Twitter, Linked In and Facebook.  But as with all my social media, I hope that others take the articles, research and observations I note and use them personally to better their life.

Dr. S: In my blog I write a lot about creative stress management. Whether it’s baking cakes, watching Gossip Girl, or playing backgammon – I believe that there are many avenues to healthy (and effective!) stress management. What do you do to keep stress at bay?

Dr. D: I love how you join creativity with managing stress on your blog. The way that you present these strategies in your posts makes taking care of yourself fun and easy. I am a very creative person too, and I use many fun ways to help soften the hard edges of life. I’m a huge foodie, always trying out new recipes, and cooking and baking to de-stress. I like to play board games with family and friends, the sillier the better. Apples to Apples, Balderdash and Trivial Pursuit always bring the laughs.  I also do a lot of painting, drawing and writing and find those expressive arts a tremendous stress-buster. I love surfing through Pinterest and Indulgy to find motivational sayings, and find the visual aspect of those activities really soothes my soul.

Dr. S: Do you have any new projects in the works? Can we look forward to future books?

Dr. D: I am finishing my second book “How to Parent a Depressed Child,” which will be published in late 2013 by Rowman & Littlefield.  My hope is that it will be a go-to resource for parents who need guidance in raising a child with a mood disorder. Early diagnosis and intervention can make the depressive experience less intense for a child – and well, I’m all over that!

Thanks for your thoughtful answers, Dr. Serani! To order Living with Depression click here.  To read Dr. Serani’s blog, Dr. Deb, go here.

Do I Drink Too Much?

18 Jan

After reading this post on CNN’s health blog, The Chart, I felt like it was time to write a post about alcohol use.  Alcohol is all around us – print ads, part of TV shows (Mad Men, anyone?), movies.  Not only that, but booze is part of most social events, and liquor stores are on every corner.  It can be easy to look past problematic alcohol consumption and dub it “normal” or “fun.”  And as The Chart’s article points out, it can be easy for even medical professionals to overlook folks with problematic drinking behavior. Screen shot 2013-01-17 at 8.12.04 PM

The CDC lists alcohol consumption as the third-leading cause of preventable death in the United States. A couple of other startling notes by the CDC:

  • On average, for each death due to alcohol, an individual’s life is cut short by 30 years.
  • 79,000 deaths per year are tied to the misuse of alcohol
  • Excessive alcohol use costs the United States about $185 billion each year in health care and criminal justice expenses, as well as lost productivity.

So, how do we know if we are drinking too much?  What makes someone an alcoholic?

The official criteria for alcohol abuse (in the DSM-IV) include things like:

  • Trouble fulfilling your obligations (ignoring kids, missing work deadlines, not showing up for/cancelling appointments or dates)
  • Using alcohol in situations that are hazardous (driving, operating machines)
  • Trouble getting along with others (fighting with partner/kids/parents about drinking too much)
  • Legal problems related to drinking too much (DUI’s, etc)

The National Institute on Alcohol Abuse and Alcoholism describes heavy or risky drinking as more than 14 drinks a week for men and more than seven a week for women. When it comes to daily consumption, five or more drinks for men and four or more for women is considered excessive.

Do you think you might have an issue with alcohol? Ready to do something about it? Try SAMHSA’s treatment service locatorAlcoholics Anonymous is another good option.  You may also want to look at your insurance company’s list of behavioral health providers.  Churches, employee assistance programs, and community centers may also have resources to help.  Effective, low-cost and/or free treatment is available in most areas of the country.  For more information about support and treatment for issues involving alcohol, click here.