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Myth: People with bipolar disorder can’t get better or lead a normal life. Fact: Many people with bipolar disorder have successful careers, happy family lives, and satisfying relationships.
Myth: People with bipolar disorder swing back and forth between mania and depression. Fact: Some people alternate between extreme episodes of mania and depression, but most are depressed more often than they are manic. Many people involved with creativity and arts, such as Vincent van Gogh, are believed to have suffered from bipolar disorder. Bipolar disorder or manic-depressive disorder, also referred to as bipolar affective disorder or manic depression, is a psychiatric diagnosis that describes a category of mood disorders defined by the presence of one or more episodes of abnormally elevated energy levels, cognition, and mood with or without one or more depressive episodes. Bipolar disorder involves periods of elevated or irritable mood (mania), alternating with periods of depression.
People with bipolar disorder type I have had at least one fully manic episode with periods of major depression. I have been known to lament that there’s nothing new under the sun when it comes to depression treatment, and thus, there is little hope for people with true treatment-resistant depression. We did think that we would be able to find a “bipolar or depression gene,” just as we’ve found a Huntington’s gene, that would allow for genetic testing of bipolar disorder and depression.
We once called depression a “chemical imbalance” and even though professionals have known this wasn’t the case for decades we haven’t really had any model that stood in for the chemical imbalance one.
We once thought that depression was all wrapped up in neurotransmitters like serotonin, but we’re now realizing this is only part of the picture. As I mentioned, we used to think that serotonin was where it was at in terms of the causes of depression. Personally, I’m not sure this is super-good news because it’s an expensive form of treatment, but we are now looking at intravenous (IV) infusions of medications as well as pills for the treatment of depression.
This isn’t overly new either, but the idea is because medication affects all parts of the body, neuromodulation – which affects only the brain – is superior in terms of side effects.
The theory is that one day deep brain stimulation – where electrodes are implanted directly into your brain – will be as commonly used for treatment-resistant depression as it is in Parkinson’s disease. Additional WritingsI write a three-time Web Health Award winning column for HealthyPlace called Breaking Bipolar. I Got a Nclex question that read like this, Which approach by an UAP indicates the most effective approach to a depressed patient. Natasha Tracy; I just wanted to say what great articles you have written, as well as being interesting and fact-filled they give me some degree of hope. That sounds reasonable to me, but I’m not the one who makes the law on that sort of thing. If you suspect that you may be depressed, and lifestyle changes haven’t worked, make an appointment to see your primary care doctor for a thorough checkup. Your doctor will check for medical conditions that mimic depression, and also make sure you are not taking medications that can cause depression as a side effect. Depression medication may be the most advertised treatment for depression, but that doesn’t mean it is the most effective.
Antidepressant medication, used under the guidance of a mental health professional, may relieve some of your depression symptoms. Most mental health experts agree that when depression is severe, medication can be helpful, even life saving.
Studies have shown that fewer than 50 percent of people become symptom-free on antidepressants, even after trying two different medications. Other studies show that the benefits of depression medication have been exaggerated, with some researchers concluding that, when it comes to mild to moderate depression, antidepressants are only slightly more effective than placebos. There are many different types of drugs used in the treatment of depression, including selective serotonin reuptake inhibitors (SSRIs), atypical antidepressants, tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs). Side effects are common in all antidepressants, and for many people, these effects are serious enough to make them stop taking the medication.
The most widely prescribed antidepressants come from a class of medications known as selective serotonin reuptake inhibitors (SSRIs).
While some side effects go away after the first few weeks of drug treatment, others persist and may even get worse.
Studies show that in adults over the age of 65, SSRIs may increase the risk for falls, fractures, and bone loss. For some people, antidepressant treatment causes an increase, rather than a decrease, in depression, and with it, an increased risk of suicide.
Monitoring is especially important if this is the person’s first time on depression medication or if the dose has recently been changed. If you decide to stop taking antidepressants, it’s essential to consult a doctor and taper off slowly. If you stop abruptly, you may experience a number of unpleasant withdrawal symptoms such as crying spells, extreme restlessness, dizziness, fatigue, and aches and pains.
Antidepressant discontinuation syndrome is especially common when you stop taking Paxil or Zoloft. If you’re considering antidepressants as a treatment option, make sure you carefully consider all of your treatment options. If you have severe depression that’s interfering with your ability to function, medication may be right for you.
Therapy and self-help strategies can help you get to the bottom of your underlying issues and develop the tools to beat depression for good.
Many forms of psychotherapy, including some short-term (10-20 week) therapies, can help depressed individuals. Behavioral therapists help patients learn how to obtain more satisfaction and rewards through their own actions and how to unlearn the behavioral patterns that contribute to or result from their depression. Whilst it is is helpful to discuss the past and understand how our pasts have influenced our lives and how problems have arisen, CBT mostly focuses on looking for ways to improve your mental wellbeing now.
CBT says that it's not the event which causes our emotions, but how we interpret that event - what we think or what meaning we give that event or situation.
ThoughtsFirst by Dr Colinda Linde, Clinical Psychologist - This site is all about providing user-friendly coping strategies, and making cognitive behaviourally based tools accessible to anyone. CBT SELF HELP This website offers CBT self-help info & resources, including therapy worksheets on the free downloads pages.

Set realistic goals in light of the depression and assume a reasonable amount of responsibility.
Try to be with other people and to confide in someone; it is usually better than being alone and secretive. Mild exercise, going to a movie, volunteer at a pet shelter or participating in social or other activities may help. Remember, positive thinking will replace the negative thinking that is part of the depression and will disappear as your depression responds to treatment. Your brain is made up of 100 Billion neurons (brain cells) that each connect electrochemically with as many as 10 thousand other neurons.
Eastern healing methods like acupuncture have worked with the body's energy system for thousands of years in order to create physical and emotional health. This article is not intended to instruct you in the use of EFT Tapping on yourself, and is only meant to give basic information about the technique so that you may have a better idea about what it is. First, the side of the hand, referred to as "karate chop point"Then, tapping 5-7 times on a series of points including:1. EFT can be effectively done by phone once you have reviewed the basic procedure and tapping points presented above. My office is centrally located near downtown Santa Rosa, California Providing integrative therapy, coaching, and energy-based approaches to health and wellness. I see the highest potential in my clients and support them in realizing their true gifts and authentic, powerful individuality.
I offer a variety of powerful techniques drawing from holistic approaches to healing, yogic science, mindfulness meditation, and energy psychology, for deep and lasting change. My goal is to provide you with the best tools to get what you need and desire in your life, and to help you achieve real transformation and healing now.
Santa Rosa, Sebastopol, Graton, Healdsburg, Windsor, Cotati, Rohnert Park, Cloverdale, Guerneville, Monte Rio, Rio Nido, Occidental, Bodega Bay, Jenner, Tomales, Ukiah, Napa, Calistoga, St. Santa Rosa Psychotherapist Ben Schwarcz: Approach to Psychotherapy Transpersonal Psychotherapy - integrating Energy Psychology with Cognitive-Behavioral and Existential-Humanistic therapy.
Energy Psychology (particularly EFT) is the main technique that I use to for present issues as well as for more chronic or "deeply ingrained" issues. ACEP is an international nonprofit organization of licensed mental health professionals and allied energy health practitioners who are dedicated to developing and applying energy psychology methods for the treatment and relief of those suffering from emotional challenges such as addictions & compulsions, anxiety, depression, limiting beliefs, personality disorders, phobias, stress, and trauma. ACEP seeks to establish the credibility and effectiveness of energy psychology through its programs of certification, education, ethics, humanitarian aid and research. Now, no matter where you live, if you have a computer or telephone, you can experience the life-changing personal growth that is possible with this technique. You may be eligible for free psychotherapy if you are the victim of a traumatic crime in the state of California! The Victim Compensation Program (VCP) can help victims of violent crime and their families deal with the emotional, physical, and financial aftermath of crime. Please take your time and explore my Santa Rosa Psychotherapist Office website to learn how you may benefit from therapy and alternative treatments. Ben Schwarcz, MA, is a California Licensed Marriage and Family Therapist, (license # MFC 35606). It isn’t fair to say there aren’t new approaches to treatment-resistant depression because there are new approaches being researched and approved every year. Now we know, though, that hundreds of genes make up the cause of bipolar disorder and depression and the environment plays a key role in whether bipolar or depression manifest. One of the things we have now realized is that depressed brains shrink and this is likely due to a decrease in brain derived neurotropic factor (BDNF) and other factors involved in neuroplasticity and neurogenesis (the brain being healthy and able to properly create new cells). We then widened our net to include the neurotransmitters norepinephrine and dopamine and while all three of these have a role to play in depression, we now realize that glutamate does too. We now are using more evidence-based research in deciding what drug to add to another in cases of treatment-resistant depression.
Am busy forwarding it to all the social media sites, since I don’t think it can get too much play. I’m not sure how common that sort of action is by the government but I would think, not very. If your depression is the result of medical causes, therapy and antidepressants will do little to help. Many medical conditions and medications can cause symptoms of depression, including sadness, fatigue, and the loss of pleasure. Lifestyle changes and therapy not only help speed recovery from depression, but also provide skills to help prevent a recurrence. Furthermore, many who do respond to medication soon slip back into depression, despite sticking with drug treatment. While this is particularly true of children and young adults on antidepressant medication, anyone taking antidepressants should be closely watched for suicidal thoughts and behaviors. Signs that medication is making things worse include anxiety, insomnia, hostility, and extreme agitation, particularly if the symptoms appear suddenly or rapidly deteriorate. Prozac, which has a longer half-life in the body, is the least likely to lead to withdrawal. When depression is a withdrawal symptom, it’s often worse than the original depression that led to drug treatment in the first place. The antidepressant tapering process may take up to several months, and should only be attempted under a doctor's supervision.
However, it's important you first try therapy, exercise, or self-help strategies that work just as well or better, minus the side effects, as antidepressants.
Two of the short-term psychotherapies that research has shown helpful for some forms of depression are interpersonal and cognitive behavioral therapies. Making changes in what we think will affect what you do and feel, and changing what we do, affects the way we think and feel. Before deciding to make a significant transition change jobs, get married or divorced discuss it with others who know you well and have a more objective view of your situation.
Some issues are more complex than others and may require more time, and the guidance of a trained therapist, in order to get positive results.
We now know that the brain can re-route its pathways, and the seemingly infinite number of possible connections can allow us to transform the way we feel, think and act, as well as heal even long-standing, chronic, and "physical" problems. Now, combined with the insights of modern psychology, these ancient healing arts can be applied to a wide range of emotional or psychological issues, by tapping on various points on the body while focusing on the symptom, pain, or troublesome thought that you wish to eliminate. While instruction and videos can be found online about EFT Tapping and other forms of Meridian Tapping, many of these resources provide a superficial, one-size-fits-all approach that can be ineffective or lead a person into issues they were not prepared to deal with.

It is recommended that you receive the guidance of a professional for complex or intense traumas or psychological issues that you are uncertain about. The guidance of a trained EFT Practitioner is important to achieve the best results and to avoid getting into emotional material that you don't know how to get yourself back out of.
Meridian Tapping has numerous variations and styles that vary among different practitioners.
Helena, Vallejo, American Canyon, Petaluma, Novato, San Rafael, Fairfax, San Anselmo, Corte Madera, Greenbrae, Larkspur, Tiburon, Mill Valley, San Francisco, Richmond, Oakland, Berkeley, Alameda. Transpersonal Psychotherapy holds the perspective that the awareness of the Self can be known and experienced but not analyzed or quantified.
Victims can apply for compensation by filing an application with the California Victim Compensation and Government Claims Board (Board), which administers the VCP.
Calls are either answered in person, or returned promptly - most often within an hour during days and evenings. But with treatment, healthy coping skills, and a solid support system, you can live fully while managing your symptoms.
People with bipolar disorder can also go for long stretches without symptoms. Individuals who experience manic episodes also commonly experience depressive episodes, or symptoms, or mixed episodes in which features of both mania and depression are present at the same time. The exact cause is unknown, but it occurs more often in relatives of people with bipolar disorder. I’ve been saying for a while that I think glutamate is the next big thing in antidepressant medication. A ketamine infusion (NOT the street drug) produces an acute antidepressant response in people within 1-2 hours of taking it, and this includes people with treatment-resistant depression. We learn more about depression every year and new treatments become viable every year so look for one of the above treatments to be available near you sometime soon. So, if your depression is keeping you from living the life you want to, don’t hesitate to seek help. The best way to treat depression is to become as informed as possible about the treatment options, and then tailor them to meet your needs. The depression won’t lift until the underlying health problem is identified and treated.
Hypothyroidism, or underactive thyroid, is a particularly common mood buster, especially in women.
Research suggests there is little difference in the effectiveness of these newer antidepressants, but there may be differences in side effects, cost, and how long the medication takes to work. The suicide risk is greatest during the first one to two months of antidepressant treatment.
If you spot the warning signs in yourself or a loved one, contact a doctor or therapist immediately. Unfortunately, many people mistake this withdrawal symptom for a return of their depressive illness and resume medication, creating a vicious circle. There are other effective treatment approaches that can be taken in addition to, or instead of, medication. The best way to treat your condition is to become as informed as possible about the treatment options, and then tailor them to meet your needs.
Interpersonal therapists focus on the patient's disturbed personal relationships that both cause and exacerbate (or increase) the depression. It is important to realize that these negative views are part of the depression and typically do not accurately reflect the actual circumstances. The reader should always consult his or her healthcare practitioner or therapist to determine the appropriateness of the information for their own individual diagnosis or situation.
Always exercise caution and work with a professionally trained EFT Tapping practitioner for complex or very sensitive issues.
When we clear the blocks to the awareness of the essential Self -- guilt, shame, trauma, unwanted anger, tension, fear - true healing takes place and we experience a natural happiness and self-acceptance that is independent of outer circumstances.
The antidepressant effect may be due to a surge in BDNF and neuroplasticity changes probably due to the direct concentrations of the drug that are possible through an IV infusion. Learning about your depression treatment options will help you decide what approach is right for you.
Older adults, or anyone who takes many different medications each day, are at risk for drug interactions that cause symptoms of depression. Antidepressant medications also come with side effects and safety concerns, and withdrawal can be very difficult. If, at any time, you experience difficulties, consider spending more time at your current dose before attempting any further reductions. This can be a meticulous and detailed process in some cases, which is why it is easiest, and sometimes essential to work with a trained practitioner, if you want to achieve the best results in the safest way. The course of treatment is a collaborative process that is designed to suit your particular goals and needs. Therapy helps us learn to identify with the true self, beyond the constructs of the mind, and the constant ups and downs of emotion, thus ending the conflict and drama that keeps us in a state of suffering and despair.
However, this happens after the acute effects and the mechanism of action for those is not yet known.
From therapy to medication to healthy lifestyle changes, there are many effective treatments that can help you overcome depression and reclaim your life. If you're considering whether antidepressant medication is right for you, learning all the facts can help you make an informed decision.
Learning the facts about antidepressants and weighing the benefits against the risks can help you make an informed and personal decision about what’s right for you. Tapping often works on issues that have lingered for long periods of time, and not been alleviated by other more conventional methods. As such, the list of issues that can be alleviated, and the potential for positive change and transformation is vast.

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