Tag Archive for: depression

Posts

10_ways_to_get_good_nights_sleep

Are You Dying For A Good Night’s Sleep?

/in , /by

It is estimated that over 70 million people suffer from a chronic sleep disorder in the United States, impacting not only the individual struggling to get a good night’s sleep but potentially all of us. It is conservatively estimated that more than 91,000 car accidents resulting in 800 deaths and 51,000 injuries each year are the result of driver fatigue.

And here’s another thought that might keep you up at night

One of the most common medical responses to helping you sleep may actually be putting your health at risk. About 4% of U.S. adults use a prescription sleeping aid in any given month. Yet taking as few as 18 sleeping pills a year increases your risk of dying 3.6 fold compared to people not using them. Those who take a prescription sleeping medication more than 132 nights a year have a 6.6-fold increase of death and a 35% increased risk of developing cancer.

A better response?

Individualized treatment to discern the underlying cause of sleep loss.

Sleep deprivation is the most common sleep disorder.

Newborns need as much as 18 hours a day, while teenagers — the most notoriously sleep-deprived group — require nine to 10 hours. Adults should have between seven and eight hours a night of restful sleep, yet a 2013 Gallup poll found that as many as 40% of Americans get only six hours or less of sleep a night.

Sleep deprivation can exhibit as insomnia, taking longer than 20 minutes to fall asleep, multiple awakenings during the night with difficulty returning to sleep, early wakening, and shortened sleep due to demands of work or school. Whatever the cause, its long-term consequences on your health and well-being are the same.

In the short term, your mental performance and reaction time when chronically sleep-deprived are the equivalent of being drunk. And like the inebriated, the chronically sleep-deprived do not recognize the extent of their impairment. Lack of sleep compromises the normal functioning of your immune system, and long-term sleep deprivation causes your body and brain to be in a chronic state of inflammation, potentially leading to an increase in heart disease, stroke, obesity, chronic pain, ADD, depression, and anxiety. The problem is also bidirectional; conditions such as chronic pain, depression, and heart disease can cause sleep disturbance, which then worsens the underlying condition.

Questions? Give Us a Call!

703-532-4892 x2

So how sleepy are you?

If you think you may be suffering from sleep apnea or another type of sleep disorder, don’t put off seeking help. Being this tired is a potential danger to your own health as well as the health of others. One way to quickly assess your level of daytime sleepiness is the Epworth Sleepiness Scale. It takes about a minute to complete the test and should be part of any medical exam when someone is complaining of fatigue. A score of 10 or higher is suggestive of a significant sleep issue.  At the Kaplan Center, we also utilize WatchPAT ONE, a recyclable Home Sleep Apnea Test (HSAT) to help us detect sleep apnea as well as providing markers for quality of sleep.

Here are some steps you can take right now to improve the length and quality of your sleep:

  1. Go to your room! Try to tuck in and rise around the same time each day.
  2. Move it! Regular exercise improves sleep and regular sleep improves exercise performance. The regular practice of yoga, especially in older adults, has been shown to improve the duration and quality of sleep.
  3. Cut caffeine. If you have a sleep problem, minimize or eliminate your caffeine consumption. Caffeine in all forms — tea, chocolate, energy drink or pill — disrupts sleep.
  4. Eat more fish. Eating fatty fish, salmon, and tuna appears to not only lower your risk of heart disease but also betters your sleep.
  5. Eat at regular intervals. When and how much we eat, as well as the types of foods we eat, impact our internal clock, called our circadian rhythm. While we are just beginning to understand the relationship between food and internal clocks, it is clear that the two are related and the consequences of eating at irregular intervals are obesity and increased risk for disease, in addition to disruption of your sleep.
  6. Cooldown to sleep sound. People may have trouble falling asleep because they have trouble cooling down their core temperature, which reaches its maximum typically around 3 pm. A warm room will exacerbate the problem. Temperatures above 75 degrees and below 54 degrees Fahrenheit can disrupt sleep. So what is ideal for sleep? The consensus is that a room temperature between 65 and 68 degrees is probably ideal; this will vary among individuals.
  7. Go dark. Light is a major factor that regulates our sleep-wake cycle. Light exposure at night not only disrupts our sleep but also increases our risk for obesity, high blood pressure, and possibly breast cancer in women.
  8. Keep it quiet. Any amount of noise starting at 30 to 40 decibels, a level between a whisper and a quiet conversation, begins to impact sleep quality. That said, people generally find the sounds of their usual environment relaxing. Sound can also be used to help with sleep. One study looking at patients suffering from a generalized pain syndrome called fibromyalgia found that music embedded with a specific sound frequency called Delta wave that pulsated between .25 to 4 Hertz improved the quality of patients’ sleep and decreased their pain symptoms.
  9. Meditate. Numerous studies demonstrate that the regular practice of meditation can improve the quality of sleep, as well as help in the treatment of anxiety disorders, depression, and chronic pain.
  10. Sample supplements. Some supplements that might help in getting a good night’s sleep include 5-HTP and melatonin. The FDA does not regulate supplements, so be careful that the supplement you purchase actually contains the substance and the amount of the substance stated on the label. Also, supplements are drugs and can have side effects and interactions with other medications. If you are taking medications on a regular basis, please check with your physician before taking any supplements.

For more information on identifying & treating sleep disorders click here.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

Note: This post was originally published in August 2014 and has been reviewed and updated for accuracy. 

Low Sex Drive

Dealing With a Low Sex Drive and How to Solve It

/in , /by

A low sex drive can be a source of frustration for many women (and men). It is normal for our interest in sex to ebb and flow over the course of our lives because of its dependence upon our medical, physical and emotional wellbeing. Furthermore, many couples experience moments in their relationship where sex will naturally decline as other priorities take hold. But if you find your lack of desire for sex distressing or believe it’s affecting your relationship, then you should consider the common sources.

Understanding the causes of a low libido

Loss of sexual desire is one of the most common sexual health problems that women experience. A recent study found that nearly one-third of women aged 18 to 59 suffer from a lost interest in sex. Causes of a reduced sex drive include:

Medical conditions

Medical conditions such as hypothyroidism (an underactive thyroid), coronary artery disease or depression are known to lower libido in both men and women.

Medications

A number of medications including antidepressants (e.g. Prozac, Zoloft) have side effects that include a reduced sex drive.

Major life changes and partner relationships

Relationship strains, conflicts or fights may have the effect of lowering interest in sex. Additionally, major life changes like pregnancy or childbirth can also affect your desire for sex.

Menopause and perimenopause

As women transition to menopause, the amount of estrogen in the body declines. This can result in a reduced libido or vaginal dryness which itself may cause sex to be painful or uncomfortable. Other symptoms of menopause such as hot flashes, sleep changes or mood problems may also contribute to a lower sex drive.

Emotional and psychological factors

In many cases, the emotional and psychological factors around sex and relationships can affect our sex drive. Factors such as stress, low self-esteem or poor body image may all impact how we feel about sex.

To get a better understanding of the issues that are specific to your own case, it might be useful to speak to a healthcare professional.

When to make an appointment

If you’re concerned about your low desire for sex or are having difficulty figuring out the root cause, make an appointment to speak to one of our specialists. Our doctors will take the time to discuss your own experiences, obtain a full history and ask questions surrounding your medical and emotional health. If necessary, we may suggest diagnostic tests to rule out possible medical conditions.

Treatment options

Whether it’s a medical problem, emotional issue or the effects of menopause at play, our staff can discuss a range of treatment options that are tailored to you. Options may include:

At The Kaplan Center we understand that sexual health is a part of overall good health. Our goal is to provide support to our patients and help them achieve the best possible outcomes for all of their health concerns.

References

https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/symptoms-causes/syc-20374554

https://www.webmd.com/sex-relationships/features/loss-of-sexual-desire-in-women#1

Small Choices, Big Impacts – Technology for Immune System Boosts

/in , , /by

“Between stimulus and response, there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.”

  – Viktor Frankl

At this moment we’ve been asked to pause our lives and isolate from most of our family, friends, and colleagues. We are powerless to stop the contagion of disease or the conflict of politics but we are free to choose how we respond in this moment. And we can definitely control what sort of changes we want to see in our future selves when this time of turmoil comes to an end, as indeed it will. Though the world may seem too full of threats and too overwhelming to make any change right now, keep in mind that the biggest transformations are often the result of tiny, almost imperceptible steps we take along the way. And as every gardener knows, fallow ground is actually the most fertile because it has had time to rest and regenerate. This Spring may be just the right time to plant and nurture small seeds that will germinate and grow into the healthy changes we want to see in our lives. And the best news is that the same steps that will result in a healthier future self, will also stabilize our mood and calm our nerves leading to more equanimity in the home, as well as giving a vital boost to the immune system. Small choices that help nurture inner calm can also help bring peace to a not so peaceful world.

Be gentle with yourself

During this time of fear and uncertainty we all yearn to feel loved, nurtured, and safe. Yet the voice we often choose when speaking to ourselves — which is, after all, the person we talk to more than anyone else in the world — is neither kind nor helpful, or even truthful!  Pay attention to the voice in your head and choose kind and respectful communication. In a world full of threat and danger it is important to have a sanctuary where you feel safe and calm, especially in your own mind. A small increase in self-awareness and self-compassion will lead to better self-regulation and management of emotions, which in turn will lead to more harmony and peace within. In this time of global stress, inner peace is our greatest gift and most valuable asset. Choose to nurture inner peace. Be gentle with yourself.

Technology:  Immune System Boost or Bust 

That little phone in our pocket (which is a million times more powerful than the computer that landed man on the moon 50 years ago) has the power to fill us with global and local news that can so overwhelm our nervous system we no longer sleep at night or even think straight. When we are so absorbed in feelings of distress that it robs us of energy and the ability to think clearly, it destroys the immune system’s ability to function at full capacity. Use technology to get absorbed in a more comfortable way of being and reconnect to the great potential that lies within.

Technology for immune system boosts:

Establish a schedule that includes lots of self-care:  This profound disruption to everyday life makes it vital that we re-establish a sense of continuity. Set a firm schedule that includes appointments with yourself to get exercise, go outside, meditate, and connect with people you love even if it’s only on-line. Right now taking care of yourself is taking care of others.

Connect with people:   We grow in connection with others. Reach out and let others know you’re thinking of them, they are important and you are grateful for their presence in your life. This is no time to regret things left unspoken.

Laughter:  A good laugh will increase oxygen to the heart, lungs, and muscles, release endorphins in the brain to improve mood and decrease stress and elevate the immune system. That is good medicine!  Contact a fun friend or watch a movie that makes you laugh.

Stories of triumph over adversity:  Whether through movies, books, or chats, seek out stories where we overcome hard times. Can we get enough of these right now?

Music:  Music is medicine – use it. There’s something especially touching about some of the videos musicians are putting online right now. Stripped of flashy makeup and distracting backups they feel vulnerable and powerful at the same time.

Engage the healing power of creativity:   The creative process can tap into incredible inner strength and art doesn’t have to be perfect, beautiful, or significant to be powerful. One family has a nightly photography contest where the person with the most creative picture on a chosen subject gets bragging rights for a full 24 hours. That’s a great way to ease feelings of isolation!

Heart Rate Variability BioFeedback:  A simple and effective way to interrupt the stress response and shift your heart, mind, and emotions into healthy coherence, you can use Inner Balance technology to replenish your energy, balance your emotions, and increase resilience. Buy the Inner Balance device here at The Kaplan Center or go to HeartMath.com for this fun and efficient bio-hack to your meditation practice.

Gratitude journal:  Relishing good experiences can improve health, outlook, and relationships. A definite boost to the immune system!

Expressive writing:  A form of therapy that can be good for your sleep, your state of mind, and your emotional well-being, all of which bolster your immune system and improve your health. Click here for instructions on this powerful technique.

Benefit finding:  Finding the silver lining in a dark cloud can be a potent boost to the immune system. Then taking the time to write these thoughts is like doubling down on a good bet.

Random acts of kindness:  Nothing makes us happier than to know we’ve touched someone’s life in a positive way. There are many lonely people out there. Reach out and do something kind. It will boost your health and make them feel better.

Pit stop reminders:  Fear, uncertainty, and helplessness can rev the nervous system like a race car so schedule regular pit stops to refuel and make mechanical adjustments so you can stay in it for the long haul. Set a timer that goes off every two hours and stop, stretch, do a minute of deep breathing, and drink water to hydrate. Small steps are giant leaps when it comes to countering fear and balancing the nervous system.

Guided Imagery and Self-Hypnosis:  Tap into the tremendous power of your own mind to relieve stress, relax your body, improve sleep, and elevate immune system functions. The health benefits are numerous and there are no risks or side effects. You can explore different imageries on-line or call for an in-person or video conference appointment at The Kaplan Center.

Or… turn off all technology

Use this opportunity to find the beauty in small things and contemplate what is really important in life. Better days are ahead.  In the meantime, be gentle with yourself, use technology wisely and find ways to control what you can in order to ease the feelings of helplessness and reconnect with the potential that exists within you.

We are here for you at The Kaplan Center. Call to schedule an appointment in person or on-line with the doctors and therapists that can help you get through this change with as much health and resilience as possible. We very much look forward to seeing you.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

Anxiety Symptoms

Anxiety: Symptoms, Diagnosis and Treatment Options

/in /by

Anxiety is loosely defined as an emotion that is characterized by feelings of tension and worried thoughts. Family, finances, health or relationships are all things that we experience anxiety over. This is normal. However, anxiety that starts to overwhelm an individual or affects how they live their day to day life can be harmful.

At the Kaplan Center, we think about anxiety a little bit differently. A growing body of research suggests that it might not be a mental disorder in and of itself, but rather a symptom of physical inflammation stemming from the brain. Celiac disease, an unhealthy diet or thyroid disease are just a few conditions that may be related to anxiety. By recognizing these connections, we are able to take a broader approach to diagnosing and treating anxiety.

Symptoms of anxiety

It is important to separate the normal anxiety that we all experience from a more serious anxiety disorder. Some of the following are things to look for:

  • Worry and fear that are constant and overwhelming.
  • Responding to certain events or situations with extreme fear or dread. This may be accompanied by physical signs of anxiety such as a pounding heart, trembling and sweating.
  • Anxiety that interferes with your day-to-day activities or stops you from carrying out routine tasks.
  • Edginess and restlessness.
  • Difficulty falling or staying asleep.

Diagnosis of anxiety

The diagnosis of anxiety is one that should be made by a healthcare professional. At the Kaplan Center, we recognize that the causes of anxiety revolve around an individual’s thoughts, emotions, and feelings. In almost all instances, diagnosing anxiety does not require any invasive medical tests.

Our doctors take the time to speak to patients about these issues and allow them to discuss their anxiety as they experience it. To help diagnose anxiety we’ll ask you a few questions about:

  • Past medical history
  • Family history
  • Medication history
  • Social history

Treating anxiety

The under-recognition and under-treatment of anxiety is a widespread problem. Because anxiety can have physical symptoms, it makes the treatment somewhat challenging for traditional medicine to deal with.

At the Kaplan Center, after diagnosing anxiety our goal is to offer treatments that help address the root causes of the condition. Therefore, we offer a wide range of treatment options tailored to each individual. This may include:

We work with patients to create a personalized treatment plan that’s suited to their needs.

In many cases, anxiety is not a single-treatment condition. A holistic approach, such as the one we favor at the Kaplan Center allows us to look at the whole patient. We may suggest one or more of the treatments listed above or include other elements that fit your lifestyle.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

References:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610617/
https://www.apa.org/topics/anxiety/

 

 

New Study Confirms Efficacy of Cunningham Panel(TM) on diagnosing and treating Autoimmune Encephalopathy

Dr. Kaplan Co-Authors New Study on PANS/PANDAS

/in , /by

Dr. Gary Kaplan is a co-author of a new study recently published in the Journal of Neuroimmunology.

The study, “Evaluation of the Cunningham Panel™ in Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal infection (PANDAS) and Pediatric Acute-onset Neuropsychiatric Syndrome (PANS): Changes in antineuronal antibody titers parallel changes in patient symptoms,” looks at The Cunningham Panel ™ (a panel of laboratory tests created to assist clinicians in diagnosing autoimmune neuropsychiatric disorders) as a valuable tool in diagnosing and managing patients with the neuropsychiatric disorders PANDAS and PANS.

PANDAS and PANS are infection-induced autoimmune conditions that appear suddenly in young children and cause a disruption to their normal neurologic functioning.

Parents report symptoms appearing “almost overnight” causing confusion and distress for both parents and child. Symptoms include the sudden onset of OCD (Obsessive Compulsive Disorder), motor tics, hyperactivity, depression, memory problems, sleep disturbances, anorexia, and urinary problems.

While both conditions share highly similar symptoms, their causes differ.

PANS is triggered by a variety of infections (bacterial and viral), while PANDAS is more specifically associated with the body’s immune response to Group A Streptococcal infection. Because the symptoms mimic psychiatric disorders, children with PANS and PANDAS are often misdiagnosed and treated as having a psychiatric condition rather than an auto-immune condition which requires vastly different treatment courses.

This study is an important step towards the development of more effective therapies for treating patients with these neuropsychiatric disorders.

Read the study –>> STUDY: Evaluation of the Cunningham Panel™ in ..

man sitting outside meditating

Functional Medicine: Evidence-Based Medicine With A Whole Body Approach

/in , /by

When your doctor becomes a detective.

If you’ve never heard of functional medicine (FM) before or don’t know how it differs from conventional medicine, you’re not alone. Behind functional medicine is a wonderfully simple philosophy that treats the body as a whole, interconnected system which looks at mind, body, and spirit as contributing elements to a person’s overall state of health. Functional medicine is evidence-based medicine and seeks to identify the root cause of disease by probing into the unique history of a patient’s life and genetics, as well as environmental and lifestyle factors.

In contrast, conventional medicine can be one dimensional and often results in treatment by medication. In acute cases, this may be very appropriate, but because we are not one-dimensional beings in most cases there is much more to the story. When it comes to complex, chronic disease, many physicians are, unfortunately, not adequately trained – and often don’t have time – to assess what may be the underlying cause(s) and apply diet, nutritional supplementation, exercise, and awareness of lifestyle stressors that are contributing to their patient’s illness.

As FM practitioners, we look upstream to assess the interactions of the patient’s history, physiology, lifestyle, unique genetic makeup, and mind-body-spirit that affect the function of the body as a whole.

What does this look like in an initial evaluation?

As a functional medicine practitioner, I start by asking what their story is and often that story starts with “I was fine until…” This is when we need to put on our detective hats and go back in time to reveal clues that may typically be overlooked; sometimes even going as far back as the time of mom’s pregnancy! For example: What was your mom’s pregnancy like? Was there a Caesarean section or vaginal birth? Were you breast or bottle-fed? Were there a lot of antibiotics used in childhood?  The answers to these questions may indicate alterations of the microbiome in the gut (the bacteria that support our immune system). This is immensely important as research is uncovering a multitude of new data that shows how deeply interconnected our immune system is with the gut.

Other questions may include: Were there traumatic events in childhood or later? Was there ever exposure to environmental toxins like mold in the living or working environment?  Were there ever infectious exposures or injuries? What are the patient’s diet, exercise regimen, sleep and emotional support system like? Is there ongoing stress at work or in personal life? Every answer peels away another layer of the mystery.

Besides a comprehensive history, there are a number of functional medicine diagnostic tests that may be necessary. This could include a sleep study, digestive testing (stool, urine, breath), saliva testing to assess cortisol (which can indicate stress or inflammation), thyroid and other hormone testing, nutritional testing, mold, heavy metals, and infections like Lyme or Epstein Barr. A consultation with our dietitian, psychotherapist, meditation instructor, or treatments such as acupuncture, herbal therapy, massage therapy, physical therapy or injection therapy may also be appropriate.

Fortunately, medicine as a whole is moving in the direction of functional medicine, but this approach takes time and a commitment in partnership between a patient and their physician.

Coping With the Emotional Impact of Cancer

/in , /by

Receiving a cancer diagnosis can be a profoundly stressful event in a person’s life. According to NIH’s National Cancer Institute, there are over 18 million Americans living with – or have survived – some form of cancer. The emotional blow of the diagnosis, combined with the pain and discomfort of the disease and treatment, can impact one’s ability to work, provide financially for dependents, or engage in social and recreational activities. Surgery, chemotherapy, and radiation treatment can cause unwanted changes in a patient’s physical appearance and self-esteem, undermine his or her ability to relate to loved ones emotionally or sexually, and lead to an increased sense of isolation and depression. Often, the diagnosis and the reality of living with cancer challenge an individual’s spiritual beliefs, their sense of purpose, and their life priorities.

Given the scope of cancer’s effect upon a person’s life, ideally, the treatment should not be focused only on the physical aspects of healing. It is estimated that as many as 65 percent of cancer patients seek complementary therapies to augment the conventional medical care they are receiving. Medical research has demonstrated that interventions such as psychotherapy, relaxation, prayer, meditation, and massage can reduce stress, improve sleep, encourage a sense of optimism, and boost the body’s immune response.

Here are 4 alternative therapies that, when used in conjunction with conventional medical care, can enhance the quality of patients’ lives by helping them to cope more effectively with the effects of cancer and its treatment:

Questions? Give Us a Call!

703-532-4892 x2

Psychotherapy can help patients find the inner strength they need to cope more positively with their diagnosis. Talking about their feelings with a qualified and caring professional, and receiving ongoing emotional support can help reduce the sense of isolation, anxiety, and hopelessness that cancer patients commonly experience. There are many different kinds of psychotherapy; some patients meet individually with a counselor, others meet in a group setting to discuss common problems and coping strategies.

EMDR (Eye Movement Desensitization and Reprocessing is a relatively new protocol used by some psychotherapists that can facilitate a remarkably swift and permanent healing of negative and distressing thoughts and feelings. It can also alleviate certain types of physical pain that have become “locked into” the memory of a person’s central nervous system.

Guided Imagery is a process where patients use their minds to visualize and sense soothing experiences, like the sight of a favorite place, or the feeling of warm sun on the skin or cool water on the toes. Guided imagery and hypnosis can help channel the power of a person’s own mind to produce real physiological benefits for the body, including boosting the immune response, reducing blood pressure, increasing the sense of well-being, and even decreasing the pain of cancer and cancer treatment.

Mind-Body Stress Reduction Programs help patients learn stress management and meditation techniques. Medical studies show that mind-body meditation can improve a patient’s mood, coping skills, and quality of life. It also can boost a patient’s immune response and help to alleviate disease-and-treatment-related symptoms, such as nausea, vomiting, and pain. Meditation programs have proven to be so successful in improving patient outcomes that they have become a reimbursable medical service under many health insurance plans.

Additional Resources:

Psychotherapy, EMDR, and Guided Meditation

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

helping_someone_with_destructive_behavior

How to Help Someone Who Exhibits Destructive Behavior

/in /by

Q: Someone near and dear to me suffers from such powerful, long-standing shame that he cannot, or won’t, admit engaging in behaviors that are destructive to his personal relationships (e.g., verbal abuse). Is there any way to confront him gently, in a way that helps him feel safe so that he and his loved ones can start healing their respective relationships?

Jodi Brayton, L.C.S.W., M.S.W.:

This is such a great question on many levels. It involves a universal emotion – to be human is to feel shame – and the very wording of the question shows that the writer already understands the antidote to shame: love, connection, and compassion. I like that the writer gets the fact that destructive behavior should be confronted (in a safe way) in order to begin healing any relationship. There are some very thoughtful experts exploring current research on the issues of shame and compassion and I want to share some information that may be useful to you.

One of my favorite writers from a psycho-therapeutic point of view is Janina Fisher, Ph.D., a therapist who looks at the shame and self-loathing associated with childhood trauma from a neurobiological perspective. Fisher does a beautiful job of explaining that many of our negative behaviors are, or were at one time, beneficial adaptations to traumatic circumstances. Anger, for instance, may be a self-protective maneuver designed to push people away before they can hurt us. She explains how shame and perfectionism are adaptive strategies that drive responses such as hypervigilance, automatic obedience, and total submission; strategies that help young victims survive abuse[i].

The dilemma with confronting people who struggle with shame is that even the kindest, most gentle approach can confirm their worst beliefs about themselves. The thought, “it’s my fault,” can activate areas of the brain that lead to emotional and autonomic reactivity, according to Fisher, which may explain reactions that are destructive to personal relationships, such as verbal abuse.

Curiosity and mindfulness, on the other hand, tend to activate the medial prefrontal cortex, the part of the brain that regulates such emotional and autonomic reactivity[ii]. The job of a therapist is to help clients remain in the medial prefrontal cortex part of their brain because when we are curious and mindful we find meaning and gain perspective. Your friend is more likely to accept a recommendation of therapy if you come from the approach that he is not where he wants to be. The website janinafisher.com has several informative articles that can be downloaded for free.

Questions? Give Us a Call!

703-532-4892 x2

Understanding the hard science behind behavior can help many people recognize and accept the need for change and there is fascinating research on the physiology behind the healing power of self-compassion. It seems that our body responds to an emotional attack of self-criticism just as it would to the physical threat of having a gun pointed in our direction. The fight or flight response is triggered and the stress hormone cortisol is released in order to mobilize our body to avoid or confront the threatening situation. We all know that too much cortisol over a long period of time can be destructive to our bodies; however, recent research shows that generating feelings of self-compassion can actually decrease those cortisol levels and increase the release of the hormone oxytocin in our system. When we increase the level of the oxytocin we increase feelings of calm, trust, safety, generosity, and closeness to others – all of which are needed to counter the painful emotion of shame[iii].

Kristen Neff, Ph.D., one of the leading researchers on the physiology of self-compassion, has a website – self-compassion.org – that many of my clients find useful. It offers several guided meditations and various exercises designed to help people increase their self-compassion skills. There’s also a self-administered test that measures the elements of self-compassion, as well as the things that hinder our self-compassion, such as self-judgment, isolation, and over-identification. You can recommend this site not only to counter the effects of shame but to anyone who wants to live a more contented and fulfilling life.

The last writer I want to mention is a researcher who has an exceptional ability to inspire people to go to those deep, dark places of shame and fear. Brené Brown, Ph.D., believes that we begin healing by sharing our difficult stories with appropriate others in order to feel worthy, connected, and lovable. She gave a 2010 TEDx Houston talk on the power of vulnerability that was one of the most popular talks on TED.com. She followed up with a second talk in 2012 called Listening to Shame, and together these talks have received over 25 million views. They are chock-full of humor, humanity, and interesting information and you can recommend these talks based on the entertainment value alone.

Another thing I hope you consider reading, and/or offering to your friend, is Brené Brown’s book, The Gifts of Imperfection: Let Go of Who You Think You’re Supposed to Be and Embrace Who You Are. Brown has devoted most of her professional career to the study of human vulnerability, courage, worthiness, and shame, and she really leads by example in this book. In order to help others find the courage to explore their own feelings of inadequacy, Brown fearlessly, and wholeheartedly shares hers. This leaves the reader with a sense of connection to our common humanity, as opposed to the feeling of isolation and alienation that results from keeping things hidden. Many people find this book a valuable tool for self-exploration.

The concept that permeates all the works cited above – and that can help your friend find the non-judgmental state of mind he’ll need in order to observe his own thoughts and behavior in a safe way – is mindfulness. Suggesting mindful practices, such as meditation, prayer, and journaling (especially a gratitude journal) could prove most valuable in helping your friend gain perspective and find a sense of peace even in the most complicated and difficult situations.

Thank you so much for this opportunity to share this information. Your question is important and the task is a challenging one, but Brené Brown sums up what is at risk with the following quote[iv]:

“Owning our story can be hard but not nearly as difficult as spending our lives running from it. Embracing our vulnerabilities is risky but not nearly as dangerous as giving up on love and belonging and joy – the experiences that make us the most vulnerable. Only when we are brave enough to explore the darkness will we discover the infinite power of our light.”

– Jodi Brayton, L.C.S.W., M.S.W.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

[i] Fisher, J. Working with the Neurobiological Legacy of Early Trauma: Paper presented at the Annual Conference, American Mental Health Counselors July, 2003.
[ii] Fisher, J. Brain to Brain: The Therapist as Neurobiological Regulator. Psychotherapy Networker. 34:1, January 2010.
[iii] Neff, K. D. (2012). The science of self compassion. In C. Germer & R. Siegel (Eds.) Compassion and Wisdom in Psychotherapy. New York: Guilford Press.
[iv] Brown, B. (2010). The Gifts of Imperfection: Let Go of Who You Think You’re Supposed to Be and Embrace Who You Are (p. 6). Center City, Minnesota: Hazelden Publishing.

Depression can be a symptom of Lyme disease

Lyme Disease May Be the Reason Your Anxiety and Depression is Not Getting Better

/in /by

Research increasingly tells us that depression and anxiety are not disorders in and of themselves, but rather symptoms of inflammation in the brain. Thinking about depression and anxiety in this way gives us new insight into their possible causes and how best to address them.

With that in mind, and especially if you are one for whom conventional treatment has proven ineffective, a less frequently cited yet potential reason you may not be getting better could be Lyme disease.

Lyme and other tick-borne diseases are becoming increasingly prevalent. While these diseases typically present with a wide range of symptoms, joint pain being the most common, they have also been associated with a wide range of psychiatric conditions including depression, anxiety disorders, panic attacks, and bipolar disease. The association of Lyme disease with neuropsychiatric disease has been documented since 1994 in the American Journal of Psychiatry and has been confirmed since, but the connection is frequently overlooked in the diagnosis of psychiatric illness. If you are suffering from chronic pain and depression, anxiety or another mental disorder, this diagnosis has to be considered.

Dr. Kaplan says physicians (inappropriately) are oriented to treat these conditions as diseases and not look for an underlying cause. For instance, he recalls one of his patients who had depression and sleep disturbances consistent with sleep drunkenness, but which later turned out to be Lyme disease. “Treatment of the Lyme resulted in complete resolution of symptoms.”

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

Additional resources:

Horowitz Lyme-MSIDS Questionnaire

Video: “Combating Chronic Lyme,” A presentation by Dr. Gary Kaplan