Depression Archives - Hey Sigmund https://www.heysigmund.com/category/being-human/depression/ Where the Science of Psychology Meets the Art of Being Human Tue, 25 Aug 2020 01:21:14 +0000 en-US hourly 1 https://www.heysigmund.com/wp-content/uploads/favicon.png Depression Archives - Hey Sigmund https://www.heysigmund.com/category/being-human/depression/ 32 32 My Experience of Postpartum Depression and How I Managed It (by Aradhana Pandey) https://www.heysigmund.com/experience-postpartum-depression-managed-aradhana-pandey/ https://www.heysigmund.com/experience-postpartum-depression-managed-aradhana-pandey/#comments Fri, 05 Jan 2018 11:46:14 +0000 https://sigmundstaging.wpengine.com/?p=10701 A couple of years ago, I went through the painful period of suffering from postpartum depression (PPD). The world didn’t really seem much to me. I went through bouts of complete despair and pain where nothing seemed right at all. I felt like a huge failure as I deeply believed I was not providing everything... Read more »

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A couple of years ago, I went through the painful period of suffering from postpartum depression (PPD). The world didn’t really seem much to me. I went through bouts of complete despair and pain where nothing seemed right at all. I felt like a huge failure as I deeply believed I was not providing everything my baby girl needed. This stretched for a really long period and started to manifest itself into eating disorders. That’s when I realised that enough was enough. I decided to seek help and visited a doctor.

I have been on antidepressants and therapy for about a year. Although the treatment was extremely helpful, what made all the difference was the support from my husband and family. And of course, with a strong will to get better each day. As they say, no one can help you unless you want to be helped. There were many instances where I wanted to give up. But, that’s when everyone around me helped me hold on tighter and get through the pain.

Here are some measures that helped me deal with postpartum depression:

  1.  Therapy

When you realize these apparent “baby blues” are something much more sinister, it’s important to consult your doctor immediately. The doctor will suggest the kind of therapy, duration, and the intensity of the therapy. This isn’t going to be easy. In some cases, the medication’s side effects may get to you. You may feel very irritable and lethargic even on medication, which may make you want to give up. But stay strong and continue the treatment.

  1. Speak up

This really helps. Talk to your spouse, sibling, or friend about how you are feeling. It’s important not to bottle up your feelings. If something is disrupting your peace, making you anxious, or sad, talk about it and try to resolve the issue. Also during the therapy, as already mentioned, there may be phases where you find that you aren’t responding positively to the treatment. If this continues, you should let your doctor know and try to get alternative therapies.

  1. Meditation

Meditation is one way to calm your mind amidst all the thoughts that might be driving anxiety or depression. If you can, try to meditate for 15 minutes every day and you will slowly see the change.

4.  Ask for help

Friends and family are often happy to help new parents with their new baby. Use the opportunity whenver you can to take some time for yourself and go for long walks or go out for dinner with your husband. You’ll be surprised to see how much a little “me” time can work its magic.  

Mental health is just as important as physical health. Being depressed after giving birth doesn’t make you a bad mother. Addressing your issues and caring for your well-being isn’t being selfish or unloving. Different strategies or combinations of strategies will work for different people. Experiment with what feels right for you. Stay strong. You’re worth it.


About the Author: Aradhana Pandey

Aradhana is a writer from India. She covers topics concerning parenting, child nutrition, wellness, health and lifestyle. She has more than 150+ publications from reputable sites like Natural news, Elephant Journal, Lifehacker and MomJunction to her credit. Aradhana writes to inspire and motivate people to adopt healthy habits and live a stress-free lifestyle.

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What I Learned After My Last Suicide Attempt (by Dee Chan) https://www.heysigmund.com/learned-last-suicide-attempt-dee-chan/ https://www.heysigmund.com/learned-last-suicide-attempt-dee-chan/#comments Fri, 06 Oct 2017 02:46:59 +0000 https://sigmundstaging.wpengine.com/?p=8592 If you are feeling depressed and suicidal this story is for you. I learned some very important lessons after my last suicide attempt – things I never knew before.The moral of this story is: Be careful what you wish for because you might just get it. Or, in my case, almost get it. The last... Read more »

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If you are feeling depressed and suicidal this story is for you. I learned some very important lessons after my last suicide attempt – things I never knew before.The moral of this story is: Be careful what you wish for because you might just get it. Or, in my case, almost get it.

The last time I tried to commit suicide, I took every single pill in my house and used up every single Fentanyl patch I had in my possession. Then I laid down and waited to die. Except I didn’t die. A friend had been trying to call me for about 48 hours and when she could not reach me, she finally came over and let herself in with the key I had given her years ago. She found me. Or maybe I should say what was left of me. I went to the hospital in an ambulance where I languished for another two weeks in a coma. When I finally regained consciousness, I was in a sorry state.

You see, I had given myself what is called an Acquired Brain Injury. In my case, all the drugs damaged the left side of my brain and gave me what was¨ in essence¨ a stroke. The doctors later explained to my son that it was a demyelination of my brain nerves. It left me unable to speak, unable to read, unable to swallow. Recovery was slow and painful. I had to relearn how to do many of the things we all take for granted. I spent weeks and weeks in a wheelchair while I had extensive physiotherapy. Learning how to dress

Learning how to dress myself was an especially frustrating endeavour. I could not remember that the tag went at the back of the neck when putting on my t-shirt. Learning how to tell the difference between the right sock and the left sock was incredibly hard.And then, of course, there was the problem of waiting until my swallow reflex returned. I never learned to like a liquid diet fed through a nasal tube. My swallow reflex didn’t return for about three months.

The most terrifying thing for me was that I could not read anymore. You know how when you get to the end of a sentence, your eye has to jump down to the next sentence and go back to the beginning of the line? My brain could no longer do that. I had always been a voracious reader so the idea of never being able to read again was horrible.

The worst part, though, was not being able to speak. I had always been a very verbal person and so having that cut off from me was frightening. Because I could not use my hands, I also could not write. Even if I had been able to use my hands¨ I could no longer put any words together. I was trapped in my own dysfunctional brain.

I was lucky though. I had very good rehab. The Occupational Therapists taught me the skills I needed to know in order to regain some semblance of independent living. The physiotherapists taught me how to walk again. True I was using a walker but I could walk.Eventually after about six months I was deemed ready for discharge and sent home. I returned

Eventually after about six months I was deemed ready for discharge and sent home. I returned back to my home with my Executive Functions in shambles. My short-term memory was shot. I could not remember where I put my shoes¨ my purse¨ my dinner. I could not shop or prepare a meal for myself. I retreated into the back room of my house where I spent untold hours on my computer staring at the screen trying to make sense of my new horrible normal.I decided that I was going to try to recover as best I could and so I thought I would try to write

I decided that I was going to try to recover as best I could and so I thought I would try to write some articles for the internet. I signed up for a website called freelancer.com and started to write for them. At first I would merely copy other content and then re-write it in my own choppy words. Even though I was writing at about a third-grade level, my work sold. After about six months of doing this, I slowly started to notice that other things were getting easier. It was easier for me to put together a simple meal. I was having to make fewer lists to keep myself on track during the day. Eventually¨ I was able to branch out and started writing content for a man who had a wedding website in my home town.

It took six years of tedious¨ slow work but I began to recover. What did I learn? That the brain is an incredibly plastic organ. I had done such damage to my brain but it seemed to have been able to regenerate itself with only a little effort on my part.Eventually I decided that I wanted to start walking more than just from my living room to the

Eventually I decided that I wanted to start walking more than just from my living room to the bathroom¨,so I adopted a little dog and we went out for a walk every day. At first, we walked just around the block. After a while though, he stopped doing his business and so I added another block. Then another. Then another. Before I knew it I was walking between six and eight miles each day with him. And over a period of two years¨ I lost about fifty pounds.

But the most important thing I learned was that suicide is not the answer to my problems. Even though I attempted suicide many, many times, luckily for me I was never successful. Better to find different ways to cope with my emotional pain. I no longer consider suicide when I am feeling low. I’ve actually done a tremendous amount of work on myself and put my Borderline Personality Disorder into complete remission but that’s another story for another time. Do I still have days when I feel low? Yes, of course. Life is full of ups and downs. But the most profound lesson I ever learned was that feelings come and go. They are transitional. I have learned to wait them out while they pass. They always do. Suicide is a permanent answer to a temporary problem.


About the Author: Dee Chan

Dee Chan was diagnosed with BPD more than 35 years ago back when the diagnosis was still fairly new and not very well understood. She has been living with it and coping with it ever since and finding ways to thrive despite it. She has been able to put it into complete remission and turned her life around completely through the practices of gratitude, forgiveness and accountability. Find out more about Dee’s work on her website bpdnomore.com.

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7 Non-Medication Ways to Improve Depression and Anxiety https://www.heysigmund.com/7-ways-improve-depression-anxiety/ https://www.heysigmund.com/7-ways-improve-depression-anxiety/#comments Mon, 25 Sep 2017 03:56:55 +0000 https://sigmundstaging.wpengine.com/?p=8217 Depression and anxiety exist on a spectrum, but what do we do when it starts happening too often and it doesn’t it go away? Medication can be a useful option for many people, but there are also many ways to improve depression and anxiety without using medication. If you are on medication, it’s critical that... Read more »

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Depression and anxiety exist on a spectrum, but what do we do when it starts happening too often and it doesn’t it go away? Medication can be a useful option for many people, but there are also many ways to improve depression and anxiety without using medication.

If you are on medication, it’s critical that you don’t withdraw from this without the guidance or supervision of your doctor. 

The strategies that work best, or the combination that works best, will be different for everyone. Here are some that have been proven by research to have the capacity to ease depression and anxiety, but it will be important to be patient, consistent, and kind to yourself along the way.

  1. Journaling – write your way out.

    You don’t have to be good at writing to start journaling. No one has to read it. It’s a space to express however you feel at the moment. It can be your way to understand your thoughts and feelings. After you put every single thought that causes chaos inside your head on paper, your thinking will become clearer, giving you a chance to make plans to do something about it. There is increasing evidence to support the notion that journaling has a positive impact on physical well-being.  Writing engages and occupies the left side of your brain, leaving the right side free to create and feel. Journaling is a great tool to remove your mental blocks, so you’ll be able to use all of your brainpower to better understand yourself and the world around you.

  1. Self-talk – “Mirror, mirror on the wall”.

    Talking to a friend is something that we all should do when we are feeling depressed and anxious, but the person who can understand you best is you. Try getting in front of a mirror and having a deep conversation with yourself, through your thoughts. Give yourself some encouragement, stop blaming yourself for being depressed and even speak out loud, telling yourself how amazing and valuable you really are. The results of the study, in which participants were practicing motivational self-talk, showed that self-talk can enhance self-confidence and reduce cognitive anxiety. 

  1. Irrational thoughts – don’t believe everything you think.

    Feeling self-compassion and self-love can be tricky when you’re feeling anxious or depressed. There are certain thoughts that can come between you and your feeling of self-worth, self-belief, or the future that’s in front of you. Seeing only the worst possible outcome in everything is an example of a problematic thought. It’s important to identify those irrational thoughts and minimize their meaning, since they are only products of your current emotional distress. Irrational beliefs have been shown to be related to a variety of disorders such as depression and anxiety.

  1. Self-help – get inspired to find a solution.

    Self-help books for psychological disorders, particularly, have become increasingly popular. What does science have to say about self-help books, their overall usefulness, and the extent to which it offers specific guidance for implementing the self-help techniques? The most highly rated books tended to be those having a cognitive-behavioral perspective, those written by mental health professionals, those written by authors holding a doctoral degree, and those focusing on specific problems. 

  1. Exercise and eat healthy.

    Healthy life habits are an unavoidable weapon of any “fight” against depression or anxiety. Even though exercise requires motivation, that can be hard to find when feeling anxious or depressed, once you get motivated, exercise can make a big difference. Regular exercise probably helps ease depression in a number of ways, which may include: releasing feel-good brain chemicals that may ease depression, reducing immune system chemicals that can worsen depression and increasing body temperature, which may have calming effects. When it comes to eating habits, it’s important to consume only moderate amounts of sugar and foods containing added sugar, limit caffeine intake and eat regular meals and snacks throughout the day. A balanced diet should give you all of the nutrients your body needs but some supplements containing particular vitamins can be useful when battling depression.

  1. Explore psychotherapy.

    If depression or anxiety is getting in the way of your everyday life, it may be time to consider psychotherapy. Anxiety and depression are treatable, and the majority of people can be helped with professional care. Every person is different and treatment must be tailored specifically for each individual. Cognitive-behavioral therapy is mostly used for treating depression. In CBT therapy the patient is actively involved in his or her own recovery, has a sense of control, and learns skills that are useful throughout life. Explore different possibilities that psychotherapy has to offer in order to find the one that gives you the most benefits.

  1. Music-therapy.

    After recognizing the power of music, professionals started using it while working with people on their mental health. Could they really succeed in treating depression or anxiety with music? There are scientific evidences that the music-therapy group had less depressive symptoms than the psychotherapy group. The study pointed out that depression is caused by lower dopamine levels and a lower number of dopamine receptors in the brain. Since music helps stimulate the areas of the brain connected to feeling rewarded it can provide intense pleasure in that area. This increases the positive affect which helps reduce depression.

When going through depression or anxiety, it’s important to be aware that there are many helpful options for you, such as positive self-talk, reevaluating your thoughts, exercising and eating healthy. You can also explore available self-help material or start with psychotherapy or music therapy.


About the Author: Marcus Clarke

Marcus has a degree in psychology, a masters degree in health psychology and has worked within the NHS as well as private organisations. Marcus started psysci a psychology and science blog in order to disseminate research into bitesize, meaningful and helpful resources.

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The Everyday Food That Could Help to Reverse Depression https://www.heysigmund.com/everyday-food-help-reverse-depression/ https://www.heysigmund.com/everyday-food-help-reverse-depression/#comments Fri, 28 Apr 2017 08:00:07 +0000 https://sigmundstaging.wpengine.com/?p=4717 There’s absolutely no doubt that a healthy gut is important for mental health. We’re still discovering the detail of the connection, but what we do know is that the relationship between the two is a strong one, and that together they form an integral part of the clockwork that keeps us happy, healthy and functioning well.  Happy... Read more »

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There’s absolutely no doubt that a healthy gut is important for mental health. We’re still discovering the detail of the connection, but what we do know is that the relationship between the two is a strong one, and that together they form an integral part of the clockwork that keeps us happy, healthy and functioning well. 

Happy Gut, Happy Head – What’s the Connection?

In the intricately folded tissue that lines the gastrointestinal tract are 200-600 million neurons. This is affectionately known as ‘the brain in our gut’ or ‘our second brain’. Messages are sent back and forth between our main brain and the brain in our gut, directly influencing mood and feelings of stress, anxiety and sadness, as well as memory, decision-making and learning. Our gut also stores 90-95% of the body’s serotonin, the neurochemical that is responsible for mood. 

For some time now, the importance of the gut microbiome (the collection of good and bad bacteria and in our gut) has drawn immense interest from researchers who are keen to unravel their importance to mental health.

‘When you’re stressed you increase your chance of being depressed, and that’s been known for a long, long time. So the question that we wanted to ask is, does the microbiome participate in depression?’ – Alban Gaultier PhD, the UVA Department of Neuroscience and its Center for Brain Immunology and Glia.

Easing depression through the gut. The research. 

New research from the University of Virginia School of Medicine has found that a diet that includes Lactobacillus, a probiotic bacteria found in yoghurt with live-cultures, could help to reverse the symptoms of depression.

The study was conducted in mice, but don’t let that take away from the importance of the findings. Mice are often used in these sort of experiments because of their various similiarities to humans, including biological and behavioural.

The researchers looked at the gut microbiome of the mice before they were stressed, and again after. There was a fascinating difference in the make-up of the gut microbiome before and after the mice were exposed to stress, with the mice showing a noticeable loss of Lactobacillus following their exposure to stress. Depression, or ‘despair behaviour’ emerged following the loss of Lactobacillus, but when the mice were given Lactobacillus with their food, they returned to almost normal.

‘A single strain of Lactobacillus is able to influence mood.’ – Alban Gaultier PhD.

How does Lactobaccilus make such a difference to mood?

The researchers explored further to try to understand how Lactobaccillus influences depression. They discovered that the levels of Lactobacillus in the gut affects a metabolite in the blood called kynurenine. This metabolite has been shown to drive depression. When Lactobacillus in the gut dropped, kynurenine increased. When kynurenine increased, and depression set in.

‘[Kynurenine is] something produced with inflammation that we know is connected to depression.’ – Ioana Marin, researcher.

Where to now?

The researchers are now intending to explore the relationship between Lactobacillus and depression in humans. Given the strength of their recent findings, they will see similar results in people as they did in the mice.

‘The big hope for this kind of research is that we won’t need to bother with complex drugs and side effects when we can just play with the microbiome. It would be magical just to change your diet, to change the bacteria you take and fix your health – and your mood.’ – Alban Gaultier PhD.

A caution.

Further study is needed to understand the connection between Lactobacillus and depression in people. In the meantime, taking yoghurt with Lactobacillus won’t hurt, but it’s critical that if you are taking medication for depression, you don’t stop taking it without close consultation with a doctor.

The introduction of probiotics to has to happen slowly. Introducing large quantities of probiotics into your diet can lead to a worsening of symptoms because when probiotics kill off pathogens, they release toxins. It is these toxins that are likely to be already contributing to symptoms (depression, anxiety, physical illnesses), but when the release of toxins is suddenly increased (by the increase of probiotics), the symptoms may also increase. Go gently, and if you are unsure, talk to a pharmacist, doctor or naturopath for guidance.

And finally …

Depression is far too common. According to researchers, about 7 percent of people will experience a major depressive episode. This doesn’t take into account the people who have symptoms that aren’t at clinical levels, but which still cause some level of disruption to day to day life. 

Depression is so much more than sadness. It steals feelings and leaves a heavy-hearted hopelessness in its place. It can be relentless like that. The medication available at the moment can be helpful, but not for everyone. Research has shown that many lifestyle factors that are healthy for all of us, such as meditation, social connection, exercise, and gut health can have a significant impact on the symptoms of depression. Although more research is needed to confirm the effect of Lactobacillus on depression, anything that won’t cause harm, but which has the potential to improve symptoms is certainly worth trying, and could actually make an important difference. 

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Teens and Depression – Why Teens Are More Vulnerable, and the Risk Factors Parents Need to Know About https://www.heysigmund.com/teens-and-depression-risk/ https://www.heysigmund.com/teens-and-depression-risk/#comments Fri, 21 Apr 2017 12:02:24 +0000 https://sigmundstaging.wpengine.com/?p=3848 During adolescence, our teens will go through more changes than at any other time of their lives. Nothing will stay the same – their friendships, their bodies, their brains, their place in the world and the way they make sense of it. For many of them (and us!) there will be times it will feel... Read more »

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During adolescence, our teens will go through more changes than at any other time of their lives. Nothing will stay the same – their friendships, their bodies, their brains, their place in the world and the way they make sense of it. For many of them (and us!) there will be times it will feel confusing, exhausting and stormy.

During adolescence, the rates of depression show an alarming increase. According to the National Institute of Mental Health, in 2015, 12.5% of adolescents aged 12-17 had at least one major depressive episode. 

There is so much that happens during adolescence that has the potential to widen the door just enough for depression to slip through and find its way to our teens. They will have friendship changes, their drive to experiment with their independence will see them feel a pull away from the warmth and protection of their family, and they will experience massive brain and body changes. As with all generations of adolescents, they will also be the first to have to negotiate many technological, global and social changes with much of the vulnerability of children, but with the world expecting them to behave like adults.  

Whey are adolescents more vulnerable to depression?

One of the cruel things about depression is that it doesn’t need a reason to show up – sometimes it grabs on without any reason at all. Even with all the knowledge and readiness in the world, depression isn’t something we can always protect our teens against – it’s merciless like that – but the more we can understand and anticipate the risks for our teens, the more we can work to stop depression from making their path towards adulthood darker than paths were ever meant to be.

  1. They’re becoming more sensitive to what others might be thinking.

    As little people, our children are able to take the world as it comes, knowing that we’re by their side when things get tough. They don’t tend look outside of themselves for information about who they are meant to be. They just ‘are’. This is exactly how it’s meant to be for a while. They need to understand the world from their own perspective first, with themselves at the centre, and as they grow, their reference points and capacity to think of things from other perspectives will also start to grow. 

    As they move into adolescence, they will start to expand their capacity to see themselves through the eyes of another. With the social centres of the brain at full volume, and an increase in oxytocin, ‘the bonding hormone’, teens will tend to become more self-conscious – conscious of themselves – as they start to think about the kind of people they want to be, and how they can create the world they want to live in. This is a great thing but the downside is that it can make them sensitive to what other people might be thinking of them, particularly their peers. 

    Acceptance is important for any of us, but it becomes so much bigger during adolescence. Understandably, when the messages that are coming back to them – or the messages they think are coming back to them – aren’t nourishing and positive, it can bruise them from the inside out.

  2. The pressures increase more than their brain power to deal with those pressures.

    The demands of friends, family, school, future (who am I going to be?), sex, alcohol, drugs can be a confusing time. During adolescence, teens will experiment with their independence from us, as they look more to their peers for guidance and acceptance. This is normal and healthy and how it’s meant to be – but it’s hard. They’re travelling down a new and unfamiliar path, at a time when the drive towards independence will be pushing them to let go of the guard rails. This means they will be capable of wonderfully brave things, and they will see the world in new and interesting ways, but it will also set them up to take risks and feel persuaded to experiment with things that won’t always be good for them. Taking risks and experimenting can be a wonderfully brave, life-giving thing to do, or it can create fallout that can cause breakage.

  3. Friendships – the good, the bad, the everything.

    Friendships are vital for teens, but they can be fraught with heartache. As teens move into adolescence, they can become more vulnerable to exclusion, bullying and rejection – all at a time when feeling connected to peers becomes more important than ever. One of the main developmental goals of adolescence is independence from parents. As teens experiment with this, their need for connection with friends will increase. When teens are disconnected from their peers, intense and ongoing sadness, anger or self-doubt can carve open a vulnerability to depression.

  4. Enough pillow time … or not.

    The sleep cycle sees a big shift during adolescence. Melatonin, the hormone that makes us feel sleepy, is released about two hours later in teens than in adults. This means teens won’t even start to feel tired until about 10pm-ish. The melatonin stays in their system for about 8-10 hours, so if they wake up before that, they’ll feel the hangover of that. Early wakings are often unavoidable because of early school starts. Sadly, the body can’t store sleep so if your teen isn’t getting his or her 8-10 hours of sleep a night (and many of them aren’t), they might end up exhausted. When the lack of sleep becomes chronic, it can contribute to the vulnerability to depression. Sleep is when the brain sorts out its ‘emotional baggage’. Without it, emotional experiences can stay raw and unresolved. As well as this, a chronic lack of sleep can increase the levels of cortisol, the stress hormone in the body, which can also add to the vulnerability to depression.

  5. Unhappy tummies.

    The gut and the brain are deeply connected, so when teens start to diet or eat poorly, or binge on alcohol, the effect of this on the gut can cause problems for mental health. Inside the gut are billions of neurons that send information to the brain and directly influence feelings of stress, anxiety and sadness, as well as memory, decision-making and learning. Another reason a healthy gut is so important for mental health is because it’s the storehouse for 95% of the body’s serotonin – a neurotransmitter that is responsible for mood. Depression is widely attributed to a drop in serotonin, and many popular antidepressants work on restoring serotonin to healthy levels. We know that probiotics seem to alleviate the symptoms of anxiety and depression and this might be why.

  6. The joy and the heartache that is social media.

    Mobile phones and social media can open up their world in healthy, positive ways, but they can also open up the risk for cyberbullying and negative interactions – all of which can create a vulnerability to depression. Our teens are the first generation to move through adolescence with social media firmly by their side. They will find themselves having to learn tough lessons that we never had to. They are lessons about sexting, cyberbullying, and the capacity of the internet to make photos – and mistakes – accessible for everyone on the planet. Everyone. Forever. Our teens have the wisdom to navigate themselves through this, but not necessarily the desire to play it safe, or the ability to weigh up the positives and negatives consequences of their decisions. Technology can be a wonderful thing, or it can be a way for teens to really hurt themselves or each other.

  7. A fierce pop culture that is relentless in telling who they should be, how they should be, and how they should look.

    Research shows that when adolescent girls are shown idealised images of women, they become more unhappy with their bodies and more likely to feel depression, anxiety and anger. Increasingly, this is also becoming a problem for adolescent boys. Our teens are assaulted with images of ‘perfection’ everywhere they look. At a time when their bodies are changing, their skin is misbehaving, and they’re trying to figure out who they are and where they fit in to the world, it’s understandable that they might compare themselves to the glowing, confident, happy, carefree images they see in the media, and come out feeling ‘less than’. Even as adults we can fall into the trap. The risk is that eventually, they disconnect from their real selves and feel an emptiness and a loneliness, as they chase the ridiculously idealistic prescriptions for who they should be, how they should be, and how they should look. 

Why are girls more at risk?

 Girls are twice as likely to be diagnosed with a mood disorder as boys, but girls might be protected from greater harm because of their willingness to seek help and to talk things over with people close to them. Researchers aren’t certain about why the depression rates are escalating, particularly in adolescent girls, but they have a few very compelling theories:

  • Social media.

    Girls tend to spend more time on social media sites, while boys more on gaming sites. Research in young adults has found that the more time they spend on social media, the greater the vulnerability to depression. There are a number of possible reasons for this:

    >  Social media tends to be saturated with images that can brew feelings of envy or inadequacy in the strongest of us.

    >  Social media has a way of evaporating time like it was never there. ‘I know I should shut it down, but just one more minute … okay, maybe five’. Playing around doing nothing in particular on social media can be fun – and we all need a bit of that – but too much can lead to too many feelings of having wasted time. 

  • Differences in brain function between men and women.

    Research has found that women are more sensitive to anything that has the potential to trigger negative emotions (such as negative images). 

    ‘Not everyone’s equal when it comes to mental illness. Greater emotional reactivity in women may explain many things, such as their being twice as likely to suffer from depression and anxiety disorders compared to men,’ Adreanna Mendrek, associate professor at the University of Montreal’s Department of Psychiatry.

  • Body changes.

    Girls generally go through the physical changes that come with puberty about two years before boys. Their changing bodies can trigger all sorts of feelings as they adjust to their new normal. Sometimes these will be positive, such as pride, excitement, anticipation, curiosity – and sometimes they won’t be. 

And finally …

The only criteria for depression is being human. Depression is blind and unbiased and it doesn’t care who it targets – it really can happen to anybody. For some reason, probably plenty of reasons, depression seems to flourish during adolescence. At a time when the world starts opening up to our teens, for too many of them, the world shuts down. Our teens deserve to thrive, and feel the ‘aliveness’ that comes with the learning and discovery that comes with the adventure towards adulthood. By being aware of the risk factors for depression, we can work to limit those risks for our teens as much as we can, and support their courageous, strong reach into the world.

[irp posts=”3915″ name=”Depression in Teens: The Warning Signs and How to Help Them Through”]

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Depression in Teens: The Warning Signs and How to Help Them Through https://www.heysigmund.com/depression-teens-warning-signs-help/ https://www.heysigmund.com/depression-teens-warning-signs-help/#comments Fri, 17 Mar 2017 10:32:35 +0000 https://sigmundstaging.wpengine.com/?p=3915 One of the things that can make depression so difficult to recognise is that the symptoms can be things we all struggle with from time to time – sadness, hopelessness, lethargy, lack of engagement. When these very normal human experiences happen in a combination, duration or intensity that start to interfere with day-to-day life (school,... Read more »

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One of the things that can make depression so difficult to recognise is that the symptoms can be things we all struggle with from time to time – sadness, hopelessness, lethargy, lack of engagement. When these very normal human experiences happen in a combination, duration or intensity that start to interfere with day-to-day life (school, relationships), it’s possible that depression might be waving a heavy hand over your teen.

During adolescence, the rates of depression skyrocket. According to the World Health Organisation, depression is the number one cause of illness and disability in adolescents. But there’s something else. Research shows that in half of all adults who have problems with their mental health, their symptoms showed up before age 14. Three-quarters had symptoms by age 24. This puts flashing lights around the importance of noticing when our teens are struggling and making sure they get the support they need. The earlier symptoms are caught, the easier it will be to stop those symptoms expanding into something bigger and more difficult to shift.

What are the symptoms of depression in teens to watch out for?

For a diagnosis of depression, a particular cluster of symptoms needs to have been there for at least for two weeks. These symptoms must include at least one of either a depressed mood, or a loss of interest or pleasure in things that were once enjoyable. Many times these will just be a normal part of adolescence and nothing at all to worry about, but if depression is happening, there will be other telltale signs. Here are some to watch out for:

  1. Happiness, anger, indifference – the many faces of depression.

    Depression doesn’t always look like sadness or withdrawal. Some of depression’s classic disguises are:

    •  Anger or irritability.

    Depression often comes with lethargy, pain and/or hopelessness. Understandably, this can make people angrier, more irritable or more impatient than usual.

    •  Happy, but reluctant to spend time with friends or family.

    It’s takes a huge amount of strength to move through the day with depression hanging on. If your teen has depression they might use this strength to put on a happy face, but where there is depression, there is also likely to be increasing withdrawal. It’s very normal for teens to withdraw from family activities – it’s part of them experimenting with their growing independence. The thing to watch out for is if they withdraw more from friends and spend more time on their own than usual.

•  Indifference.
Depression doesn’t just steal happy feelings. Sometimes it can steal all feelings, which can make people seem flat or indifferent. In teens, it can be difficult to tell whether their indifference is just a normal part of adolescence or whether it’s something more. It’s not at all unusual for teens to seem more indifferent and there’s a good reason for this. Dopamine is the chemical that creates the feel-good when we get something we want, and in teens the baseline levels in the brain are lower than they are in adults or children, creating a sense of flatness. There is a way though, to tell the difference between normal adolescence and depression. Watch out for what happens when your teen does something that feels good or when they get something they want. When adolescents do something that feels good, the dopamine levels are higher than they are in adults, so the feel-good feels better. In depression, this doesn’t happen. There is a constant sense that nothing makes a difference, and the flatness or indifference doesn’t shift even when they are doing something that they would normally have enjoyed.

  1. Pulling back from people and activities that were once enjoyable.

    Depression takes away the sense of enjoyment from things that were once enjoyable. Watch out for your teen cancelling plans or making excuses to avoid the things they once wouldn’t have missed. 

  2. Tiredness, lethargy, exhaustion.

    Depression is exhausting and can make people more tired than usual, even if they seem to spend more time sleeping.

  3. Depression hurts, literally.

    Depression is a physical illness, so sometimes the symptoms will show up physically. Watch out for unexplained headaches and migraine, stomach aches, back pain, joint aches and pains. Mood and pain share the same pathways in the brain and they are regulated by the same brain chemicals (serotonin and norepinephrine). When the balance of these neurochemicals is out, pain and mood might both be affected. 

  1. Giving up on things that are important.

    The hopelessness, helplessness and lowered self-esteem that come with depression might see depressed teens giving up on school, friendships, or other things that are important to them.

  2. Change in physical movements and speech.

    Depression can speed up movement (restlessness, agitation, fidgeting, pacing, leg shaking or hand-wringing), or it can slow down movement and speech.

  1. Fuzzy thinking, difficulty concentrating and remembering.

    As well as draining physical and emotional energy, depression can also take a swipe at mental energy. Teens with depression might have difficulty concentrating, remembering, or making decisions. Slowed thinking might mean they take longer to collect their thoughts, which can show itself as slowed speech.

  1. Isolating from others.

    There’s nothing wrong with wanting some alone time, but when there’s a noticeable withdrawal, it might be a problem. This might be because being with people no longer brings joy (because nothing brings joy), or because fatigue, or having to put on a happy face when there is no ‘happy’ to hold it up feels too hard. Depression also has a way of convincing even the strongest of minds that they are a burden to those around them and that they are best keeping themselves to themselves.

  2. Change in sleeping habits.

    About 40% of young adults with depression have hypersomnia, which is excessive sleeping. Depression can make people oversleep, or wake earlier than usual and have trouble going back to sleep.

  1. Change in eating habits.

    Depression can create an emptiness that feels unbearable, and people might turn to food to try to fill the void. Eating habits can also change in the other direction, with people eating less.

  2. Change in grades.

    Depression brings fuzzy thinking, low energy and difficulty concentrating. All of this can make studying, listening and learning more difficult. The clue that this is happening will be a change in grades.

  3. Taking more, using more, doing more.

    Depression is more than sadness. It’s an inability to feel joy. This is confusing and frightening for anyone to feel, and as a way to find relief from that, or to distract themselves from their pain, teens might turn to all sorts of risky or addictive behaviour. They might be driven to do more of what has felt good before, or anything that helps them to feel – something. This might look like drinking, drugs, skipping school, gaming excessively, eating excessively or self-harm. 

  4. Self-injury.

    All of us can only push down big feelings for a certain amount of time before they start to push for attention. Physical pain and emotional pain share the same pathways in the brain. When emotional pain feels too big or when it stops making sense, self-harming can be a way to find short but needed relief from the heaviness that comes with depression. Teens don’t do this to manipulate or to control the people around them – they wish they could stop too. They do it to make the pain go away.

If you suspect your teen is depressed …

Depression is such a persuasive beast, and it can convince anyone it’s holding onto that nothing will make a difference. This hopelessness is a classic symptom of depression, and the very thing that gets in the way of healing from it. If you suspect your teen might have depression, the first step is getting a diagnosis so everyone knows what they’re dealing with. A doctor or mental health professional can help with this. Depression doesn’t always need medication, but it might. Having the support of a loving adult will be important for any teen who is trying to find their way through depression. If that supportive and loving adult is you, here are some things you can do to help your teen strengthen and heal:

  • Help them find ways to connect with other teens.

    Healthy friendships can be comfort and protection against the messy times that can come with adolescence. The problem can be finding these friends. School isn’t the only source of friendship. In fact, sometimes school friendships can be a huge source of sadness, fear and hurt. If your teen is struggling with friendships at school, it’s easy for them to be drawn into believing that it will be like this everywhere, but it won’t. Explain that school comes with different pressures and different problems that won’t be found in other environments. There will be people out there who would love to know your teen. Their tribe is out there, but sometimes they might have to look beyond the school ground to find them. Encourage your teen to try activities or join groups to expose themselves to people who share a more similar view of the world than the people at school. Some ways to do this are through sport, drama, music, part-time jobs, art classes, cooking classes. This might not be easy – depression drains energy for everything. Point out to your teen that it’s not necessarily about the activity, but about expanding their opportunity to find the people who will love being with them – and for certain those people are out there.

  • Meditation and exercise.

    Recent research has found that depression can be reduced by up to 40% in two weeks through a combination of thirty minutes of mindful meditation and thirty minutes of exercise (treadmill or static bike), twice a week. Encourage your teen to try anything that will get his or her heart pumping. If they’re depressed, they might not be jumping at the opportunity to exercise. It’s part of what depression does, so you might need to be a bit creative – let one of their chores be to take the dog for a walk, take a sibling to the park to kick a ball, or to walk with you at night-time to keep you company. For the meditation part, the Smiling Mind app is a free app that has guided meditations for teens. It’s an easy and no-hassle way to get started with mindfulness, which has been proven by a mountain of research to be helpful with depression.

  • And while we’re on apps …

    A collection of 13 apps developed by researchers from Northwestern University has been found to reduce depression and anxiety by up to 50%. 

  • Keep it real.

    Push against the ridiculous ideas of how they ‘should’ look by helping them to develop a healthy idea of what ‘beautiful’ means. The concept of beauty isn’t the problem, the definition is. Our teens are barraged with unrealistic and very narrow versions of what ‘body beautiful’ means. Help them to expand this, and to nurture a healthy body image by pointing out the many different versions of body beautiful that you see. This important for teen boys too.

  • When they feel heard they feel cared for.

    Teens, particularly girls, will connect listening with caring. They might not always listen to you, and that’s okay, but if they feel as though you aren’t listening to them, they might feel as though you don’t care. It’s easy to dismiss their worries or mood swings as part of the normal ups and downs of adolescence – and it absolutely might be – but it’s still important to let them know that you hear them, that you notice them, and that you’re there for them.

  • Reduce gaming time – let them game with friends.

    True, it might feel easier to catch a falling star in a glass jar, but anything you do can make a difference. Research has found that teens who spend more than four hours a day gaming can be vulnerable to depression, but there is a way to turn that risk around – let them game with friends. Boys who spend time gaming with friends, or those who are connected to friends either online or in real life appear to be protected from the depressive effects of heavy gaming. Girls who spend a lot of time gaming and who are socially active online are less lonely and less socially anxious, but they also show lower self-esteem. The reason behind your teen’s gaming is important. Researchers suggest that if it seems to be an attempt to ward of loneliness or to cope with the world, it might be time to step in to reduce the time spent at the console. Otherwise, if it’s a way to socialise or to connect with others, either in person or online in interactive games, there’s less likely to be a need for concern.

  • Every day say something positive, and find something positive in everything.

    Even when teens mess up there’s gold in there somewhere, but they (you) might have to work hard to find it. Whether it’s about the way they come to you for advice or to download, whether it’s the way they learn from their experience, or that they didn’t pick a worse choice – there will be something. Try to say something positive every day, even if they don’t seem to take it in. Depression gives teens plenty of reasons to feel ‘less than’, so it’s important to protect them by pushing back against it whenever you can. 

  • Be available, but not intrusive.

    As little people, children turn to their parents for comfort and protection when they scrape against the hard edges of the world. As teens though, they are driven by the very important developmental goal of separating from parents and family. There can often be pressure (from inside of themselves or outside), to deal with things on their own, or at the very least without their parents. This can be tough for everyone. Finding the balance between holding them close and respecting their need for autonomy and independence isn’t easy, but it’s so important. Let your teen know they can talk to you about anything at all. When they do, listen and absorb whatever they tell you, even if it’s shocking. The more they can feel you as a strong, steady presence through their turmoil, the more they’ll trust that you can be there for them, even when things are messy.

  • All of their feelings are okay.

    Feelings that don’t get felt or expressed cause breakage. All feelings are valid and they are all okay to be there. It’s never feelings that cause trouble, it’s the way they are dealt with – or not dealt with. When feelings are pushed down or ignored, they’ll sprout little roots and they’ll grow. If teens don’t feel safe enough to feel anything they’re feeling – angry, confused, scared, guilty, jealous – the risk is they’ll cut themselves off from one feeling, then another and another. When they cut themselves off from bad feelings, it becomes easier to also cut themselves off from the good ones. 

  • Be available on their terms.

    Depression can be relentless, convincing people that they aren’t worthy of love or worthy of the fight. Your teen might crave company and someone to talk to, but at the same time push everyone away. Anything you can to do let them know that you’re there for them on their terms will be important. Some ways to gently do this are by sitting with them and watching whatever they’re watching on tv, or popping into their room just before they fall asleep – it’s often a time when they’re feeling safe and bundled away from the world, and when they might give you a little window into theirs. 

  • Know their ‘normal’.

    There are so many different versions of normal. Your teen’s version of ‘normal’ will change during adolescence, but the more you can get a handle on whatever their ‘normal’ is – feelings, behaviour, habits – the quicker you’ll get a feel for when something is off. This can be particularly difficult during adolescence because they’re changing so much, but trust your instincts. If you’re in doubt, ask. ‘I notice you’re sleeping a lot lately. Do you feel as though you are?’ If they say it’s fine, trust it for a while. If it feels like things aren’t fine, be open to the possibility that you’re absolutely right. Trust your intuition and continue to be gently curious.

  • You don’t have to fix them.

    See them and notice them but remember that you don’t have to fix them. None of us like feeling as though we’re a problem that needs fixing, which is how it can feel when people jump into problem-solving mode, even when it’s done with the most loving intent. Instead, listen with an open heart and an open mind and without judgement. Create opportunities for your teen, but express them incidentally and without expectation. Rather than, ‘You know if you exercised you’d probably feel better,’try, ‘I’m taking the dogs for a walk a little bit later if you want to come.’

And finally …

Adolescence is a time of massive change, which can be confusing for teens and the people who love them. Adding to the confusion, ‘normal’ teenage behaviour and signs of a mental health struggle can look the same. Changes in sleep and eating patterns, moodiness, pulling away from family, irritability – these can all be a very normal part of adolescence, or they can be symptoms of depression. It’s important to let your teen pull away when they need to. The push for independence from family and parents is a really important part of adolescence, but it’s also important to stay gently curious, vigilant and available. The more we notice when those we love are struggling, or the more we listen to the heart whispers when something isn’t right, the more empowered we are to respond in a way that can heal and strengthen.

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New Collection of Apps Can Reduce Depression and Anxiety by 50% https://www.heysigmund.com/apps-for-depression-and-anxiety/ https://www.heysigmund.com/apps-for-depression-and-anxiety/#comments Fri, 20 Jan 2017 13:21:07 +0000 https://sigmundstaging.wpengine.com/?p=2654 Technology is often criticised for its bulging intrusion into our lives, but researchers from Northwestern University have developed a collection of 13 clinical apps for depression and anxiety. Collectively, the apps are known as IntelliCare, and research has found that they can reduce anxiety and depression by up to 50%. Anxiety and depression can hit... Read more »

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Technology is often criticised for its bulging intrusion into our lives, but researchers from Northwestern University have developed a collection of 13 clinical apps for depression and anxiety. Collectively, the apps are known as IntelliCare, and research has found that they can reduce anxiety and depression by up to 50%.

Anxiety and depression can hit hard, and too often. More than 20% of people have significant symptoms of anxiety or depression, but only 20% get the treatment they need to manage their symptoms. The good news is that research is finding powerful ways for people to self-support and improve their symptoms without medication or outside intervention.

For some people, medication makes an important difference, but any management of anxiety or depression has to include lifestyle factors that have been proven to strengthen the brain and support mental strong health. Two of the most profoundly important lifestyle factors are mindfulness and exercise. They have enormous potential to reduce the symptoms of depression and anxiety by changing the structure and function of the brain. When done together, they can reduce the symptoms of depression by up to 40% in two months. And then, there are apps …

‘Using digital tools for mental health is emerging as an important part of our future.’ David Mohr, Professor of Preventive Medicine and Director of the Center for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine.

So about these apps – what makes them special?

Clinicians at Northwestern University have developed a ‘suite’ of 13 apps, each based on techniques used by therapists. Each app strengthens a particular skill, and the idea is that users choose one or two apps to focus on each week to really strengthen the skills.

The apps are called IntelliCare, and research has found that they can significantly reduce anxiety and depression to levels that would be comparable to intervention with psychotherapy or antidepressants. 

The apps are based on different theories of psychology, and have been designed to be used frequently and briefly, in line with the way most people use a mobile phone (checking emails, texting, looking for a restaurant, making a call). 

One of the main challenges facing the developers of the app was to design something that people would stay with and use consistently. Many apps that are created to boost mental health work on one single strategy to improve symptoms, or they have too many features that make the app difficult to use. We humans tend to be fans of novelty and simplicity, so apps that become boring or that are complicated to navigate around can tend to lose people after a few weeks. The designers of IntelliCare took this on board. With thirteen apps in the IntelliCare suite, people have the opportunity to rotate the particular apps they are using to keep a sense of novelty and to reduce the potential for boredom and dropout. 

“We designed these apps so they fit easily into people’s lives and could be used as simply as apps to find a restaurant or directions.” David Mohr, Professor of Preventive Medicine and Director of the Center for Behavioral Intervention Technologie, Northwestern University Feinberg School of Medicine.

Let’s talk about the research.

The study is published in the Journal of Medical Internet Research. 96 people participated in the study (age 27-50). All had elevated symptoms of depression and anxiety. 82 had depression, 82 had anxiety, and 63 had both anxiety and depression.

95% of the participants downloaded five or more of the IntelliCare apps. By the end of the study, participants reported about a 50% decrease in their depression and anxiety symptoms. 

By the end of the treatment, of the people who had depression:

  • 37% met the criteria for full remission or no symptoms for depression,
  • 40% had only mild symptoms, and
  • 22% continued to need treatment.

And the ones who had anxiety, by the end of treatment:

  • 42% met the criteria for full remission or no symptoms,
  • 45% had only mild symptoms, and
  • 14% continued to need treatment.

Meet the IntelliCare apps for depression and anxiety …

The apps are available for free from the Google Play Store (find them here)Here’s a rundown on each individual app:

  • Intellicare Hub: The control tower that helps you to manage and personalise the IntelliCare apps. 
  • Aspire: Helps to identify the values that are important to you and the actions that can help you live according to those values. Helps to track those actions during the day to add purpose and increase satisfaction.
  • Boost Me: Encourages you to schedule activities that lift you when your mood drops. Keeps track of activities that make you feel good.
  • Day to Day: Tips, tricks and info to improve mood. Learn how to nurture gratitude, activate pleasure, increase connectedness – and plenty of other things that make life lovely.
  • Daily Feats: designed for motivation and to increase life satisfaction by adding rewarding activities into your day. (Also available for iPhone.)
  • Social Force: Helps to firm up your tribe.
  • My Mantra: Helps you to find the words that will lift you and motivate you. Create mantras that motivate you and highlight strengths and values.
  • Thought Challenger: Helps with the thoughts that dig in and cause trouble – the head hogs that exaggerate the negative, bring you down, and persuade you to be too tough on yourself. (Also available for iPhone.)
  • iCope: Lets you send yourself messages in your own words to help get you through the tough stuff.
  • Purple Chill: Audio recordings to help you unwind, de-stress and worry less. Teaches relaxation and mindfulness exercises.
  • MoveMe: Helps with exercises to boost your mood. Access to exercise videos and lessons to help you stay motivated exercise. Just like a coach in your pocket.
  • Slumber Time: For peaceful zzz’s – sleep diaries, bedtime checklist to make sure your mind is primed for sleep, audio recordings to get you relaxed. Oh, and an alarm clock.
  • Worry Knot: Helps you to ease up on worrying with lessons, daily tips, distractions and a worry management tool to deal with specific problems that won’t budge. Helps awith ‘tangled thinking’ and keeps you on track with progress stats. (Also available for iPhone.)

The IntelliCare algorithm suggests new apps each week to keep things fresh and avoid the experience becoming stale.

We now have evidence these approaches will likely work. They are designed to teach many of the same skills therapists teach patients. Different apps are expected to work for different people. The goal is to find what’s right for you. David Mohr

And finally.

Depression and anxiety have a way of stealing people’s personal power and putting helplessness and disempowerment in their place. The truth is that people with depression and anxiety are strong and resourceful – they have to be to live their lives and function day to day with symptoms that swipe the way depression and anxiety do. Now technology is finding ways to help people use that strength and resourcefulness and find a way through. 

UPDATE:  The developers of Intellicare have advised that three apps are now available on iOS for iPhone users. These are Thought Challenger, Worry Knot, and Daily Feats. They are hoping to continue to releasing their apps on iOS, and I will post updates as I receive them.

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Anxiety, Depression and Physical Health in Adolescents – What’s the connection? https://www.heysigmund.com/anxiety-depression-physical-health-adolescents/ https://www.heysigmund.com/anxiety-depression-physical-health-adolescents/#comments Fri, 09 Dec 2016 06:14:05 +0000 https://sigmundstaging.wpengine.com/?p=2617 With research finding ever-increasing evidence in support of the mind-body connection, there is no doubt that our mental functioning affects our physical health, and vice versa. The connection is a powerful one, and science is on well on its way to uncovering more of the detail.  New research from Switzerland and Germany has found that in... Read more »

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With research finding ever-increasing evidence in support of the mind-body connection, there is no doubt that our mental functioning affects our physical health, and vice versa. The connection is a powerful one, and science is on well on its way to uncovering more of the detail. 

New research from Switzerland and Germany has found that in children and adolescents, certain physical diseases will be more likely to follow anxiety or depression. Similarly, particular mental health conditions happen more frequently following particular physical illnesses. 

Researchers have identified that depression tends to affect the stomach, while anxiety is more likely to affect the skin. Specifically, arthritis and diseases of the digestive system happen more frequently following depression or bipolar disorder, and skin diseases (such as atopic dermatitis) are more likely after anxiety. 

Researchers also found a strong association between epilepsy and subsequent eating disorders (including anorexia nervosa, bulimia nervosa, and binge eating disorder).

‘For the first time, we have established that epilepsy is followed by an increased risk of eating disorders – a phenomenon that had previously been described only in single case reports. This suggests that approaches to epilepsy treatment could also have potential in the context of eating disorders.’ Marion Tegethoff, lead author. 

This research is the first to explore the connection between these symptoms in adolescents, however previous research has found a similar relationship between in adults. Research involving adults has found that in people who have depression and arthritis, relieving the symptoms of depression also decreases the pain of arthritis. Similarly, people who have anxiety and atopic dermatitis report an improvement in their skin when they receive therapy for their anxiety.

In relation to the connection between eating disorders and epilepsy, the study refers to two earlier research studies, both with very small samples sizes, which have found some evidence to suggest that the connection might be because of the parts of the brain involved. When epilepsy arises from the right hemisphere, lesions in a part of the brain that has a close relationship with the limbic system may influence the development of eating disorders. At this stage, more research is needed, but it is a promising pathway for future research and possible treatment options.

The promise of this research is in widening the treatment options available to strengthen physical and mental health during adolescence. If we know there is a specific connection between certain symptoms, there is mounting evidence to suggest that treating one set of symptoms, has great potential to improve the other connected symptoms.

And finally …

Even with the strongest support, the greatest love, and the most committed and engaged parents in the world, many teens, probably all of them, will still struggle from to time. Adolescence will present itself with certain challenges to all teens. That’s the whole point of adolescence – it’s the time for them to stretch and push right up against their edges, to discover who they are, where they fit in, and how they will leave their very important mark on the world. All of our teens have it in them to be happy, thriving adults, but it’s not always easy to know exactly what they need to get there. Protecting their mental health is critical. We’ve always known that, but with our increasing wisdom on the mind-body connection, there is no doubt that when we guide and support them to stronger mental health, we are helping to strengthen them in mind, body and spirit.

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Yoga and Depression – Breathing Based Yoga Helps to Significantly Relieve Major Depression https://www.heysigmund.com/yoga-and-depression/ https://www.heysigmund.com/yoga-and-depression/#comments Wed, 30 Nov 2016 11:30:12 +0000 https://sigmundstaging.wpengine.com/?p=2585 Depression is a major problem, and when it chooses a life to shadow, its hold can be fierce. The most popular treatment for depression is antidepressant medication. Though antidepressants seem to bring relief to many people, there are at least as many who do not respond to treatment. Thankfully, researchers are working hard on finding a more... Read more »

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Depression is a major problem, and when it chooses a life to shadow, its hold can be fierce. The most popular treatment for depression is antidepressant medication. Though antidepressants seem to bring relief to many people, there are at least as many who do not respond to treatment. Thankfully, researchers are working hard on finding a more effective way to manage depression, and the world is edging ever so closer to finding a cure. 

With the research steering in new and promising directions, there has been an overwhelming amount of evidence to find that certain lifestyle factors have great potential to alleviate the symptoms of depression. A combination of exercise and mindfulness has been found to reduce the symptoms of depression by up to 40%. As well as this, gut health has been found to play a critical role in mental health, particularly in relation to the symptoms of depression. 

Whether medication is part of the healing or not, exercise, meditation, and gut health clearly have enormous capacity to strengthen the mind and body in a way that can protect them against depression. Now, new research from the University of Pennsylvania has found that a breathing-based meditation practice known as Sudarshan Kriya yoga (‘SKY’) can provide significant relief from the symptoms of severe depression and anxiety. 

What are the symptoms of major depression?

People are diagnosed with major depression if they experience at least five of the following symptoms for nearly every day for at least two weeks. The symptoms need to cause significant intrusion into day-to-day living, and need to not be the physiological effects of a substance problem or other medical condition. The symptoms include:

  • Feelings of sadness, emptiness, hopelessness, or tearfulness or irritability;
  • Loss of interest or pleasure;
  • Weight changes or changes in appetite;
  • Sleep changes – difficulty sleeping or sleeping too much;
  • Psychomotor agitation or retardation. This needs to be noticeable to others, not just feeling restless or slow;
  • Fatigue or loss of energy;
  • Feelings of worthlessness or excessive guilt;
  • Diminished ability to think, concentrate or make decisions;
  • Recurrent thoughts of death or suicide, an established suicide plan or suicide attempt. 

Let’s talk about the research.

The study, published in the Journal of Clinical Psychiatry, involved people who had been diagnosed with major depression. On average, participants were in the severe range. All participants had been on antidepressant medication for at least eight weeks and had seen no significant improvement in symptoms.

As part of the study, the participants were randomly placed into either a Sudarshan  Kriya yoga group, or a ‘waitlist’ group. Participants in the waitlist group did not practice Sudarshan Kriya yoga for the duration of the study, but were offered the yoga intervention at the end of the eight weeks. 

After two months, the group who practised the Sudarshan Kriya breathing technique had 50% lower depression scores. There was also a significant reduction in anxiety scores. The waitlist group showed no improvements. The depression scores were measured using the Hamilton Depression Rating Scale – the most widely used clinical-administered depression measurement and it measures scores on various criteria such as mood, interest in activities, energy, suicidal thoughts, feelings of guilt, as well as other symptoms.

The SKY group also showed significant reductions in their scores on the Beck Depression Inventory and Beck Anxiety Inventories, which both involving the self-reporting of relevant symptoms. 

‘With such a large portion of patients who do not fully respond to antidepressants, it’s important we find new avenues that work best for each person to beat their depression … Here we have a promising, lower-cost therapy that could potentially serve as an effective, non-drug approach for patients battling this disease.’ Anup Sharma, MD, PhD, lead author and Neuropsychiatry research fellow in the department of Psychiatry at Penn University.

Yoga and Depression: How does it work?

Sudarshan Kriya involves a series of rhythmic breathing experiences that bring on a deep, restful, meditative stage.

‘Sudarshan Kriya yoga gives people an active method to experience a deep meditative state that’s easy to learn and incorporate in diverse settings.’ – Anup Sharma, MD, PhD.

According to a paper presented at the 2016 International Conference on Emerging Technologies in Engineering, Biomedical, Management and Science SKY has a 68-73% success rate in treating depression regardless of severity, and produces positive effects on brain and hormone function. SKY works in a number of ways including:

  • removing stress from the body by flushing negative toxins from cells;
  • releasing neuropeptides which help to strengthen the immune system;
  • within 90 days of SKY, the brainwave patterns which are abnormal in many people with depression are returned to normal;
  • increasing levels of plasma prolactin, a hormone in the blood that is believed to have a central  role in easing the symptoms of depression (an increase was seen after one session of SKP);
  • significant decrease in levels of cortisol (the stress hormone);
  • increased defence against oxidative stress. Specifically, SKY has been found to produce an increase in antioxidant enzymes, superoxide dismutase, catalase and glutathione which are the major defence against oxidative stress. Research has found a link between oxidative stress and depression 

Previous research suggests that yoga and other techniques that involve controlled breathing can potentially calm the nervous system and reduce cortisol, the stress hormone. Some stress is motivating and healthy – it can help us to be more alert and more responsive in certain situations. When stress is too high, or when it lasts for too long, it can cause a chemical reaction that can slow down or stop neurogenesis – the growth of new brain cells. When this happens, we become vulnerable to all sorts of mental health issues, such as depression. It is thought that one of the reasons exercise, mindfulness, and other lifestyle factors can help with depression is because of the way they stimulate the healthy growth of new brain cells and protect existing brain cells from dying.

Exactly what is Sudarshan Kriya yoga?

For a demonstration of the Sudarshan Kriya yoga, see here.

But first, a warning: This link is intended only as a general guide, and is not intended to replace the guidance and expertise of experts or medical professionals. This meditation is not to be used by any person in any stage of pregnancy, or by people with high blood pressure. This breathing-based meditation is best done under the supervision of an experienced yoga practitioner. This meditation is not intended to be a substitute for medication. If you are on medication, it is critical that you do not decrease or stop your medication without close consultation with your doctor. Your own circumstances need to be considered before engaging in the activity, so as not to do harm or injury. If you have not practiced this type of yoga before, it may take time to work up to the full 48 beats demonstrated in the video. As with any physical activity, go gradually and do not do more than is comfortable for your body. Please consult your medical professional if you are unsure about the suitability of this activity for you.

And finally …

There can be no denying that the connection between the mind and the body is a critical one. Increasingly, research is finding that depression is not a ‘disorder’ of the mind, but a physical illness that has its origins in other parts of the body, such as the gut or at more systemic cellular level. It makes sense then, that a powerful way to manage the symptoms of depression has to involve strengthening both the mind and the body. Meditation, specifically Sudarshan Kriya is one way to strengthen the mind, the body and the spirit and maximise the potential for health and healing to be restored.

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The Vitamin Deficiency That is Linked to Depression in Young Women https://www.heysigmund.com/this-vitamin-deficiency-linked-to-depression/ https://www.heysigmund.com/this-vitamin-deficiency-linked-to-depression/#comments Fri, 07 Oct 2016 12:49:47 +0000 https://sigmundstaging.wpengine.com/?p=2459 Depression is a confusing, debilitating illness. Increasingly, researchers are looking at the way certain lifestyle factors may contribute to its symptoms. According to research, 1 in 5 women and 1 in 8 men will experience depression. Only about a third will access treatment. Increasingly, researchers are looking at the way certain lifestyle factors may contribute to,... Read more »

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Depression is a confusing, debilitating illness. Increasingly, researchers are looking at the way certain lifestyle factors may contribute to its symptoms. According to research, 1 in 5 women and 1 in 8 men will experience depression. Only about a third will access treatment. Increasingly, researchers are looking at the way certain lifestyle factors may contribute to, and ease, its symptoms.

A new study, published in the journal Psychiatry Research, has found that people with low levels of vitamin D are more likely to have depression. The connection between vitamin D deficiency and depression is particularly significant for young women. 

The effect of the vitamin D deficiency on depression still stood, even when other potential contributing factors were taken into account, such as time of year, race/ethnicity, diet, BMI, exercise, and time spent outside.

The body loves Vitamin D for all sorts of reasons, and the mind also needs its share. As well as being important for mental health, adequate levels of vitamin D are also needed to maintain bone health, muscle function and immune function. Low levels of vitamin D have been associated with some types of cancer and cardiovascular disease. 

Let’s talk about the research.

The study involved 185 college students. All were women aged between 18-25 and they took part in the study at different times during the year.

Interestingly, although many of the women had low levels of vitamin D, the rates of vitamin D deficiency were particularly high for women of colour, with tests showing that 61% had insufficient vitamin D for good health. This was compared to 35% of other women. More than a third of the people who participated in the study reported clinically significant depression symptoms each week for the duration of the study.

‘It may surprise people that so many apparently healthy young women are experiencing these health risks’ – David Kerr, lead author, associate professor in the School of Psychological Science, Oregon State University.

So vitamin D … How do I get it? 

People make their own vitamin D when their skin is exposed to sunlight. Vitamin D is also found in some foods, including milk that has been fortified with it, and it is also available through a supplement.

Because exposure to sunlight tends to fluctuate with the different seasons, vitamin D levels can change depending on the time of year. In the study, levels dropped during Autumn and were lowest during winter. Vitamin D levels tended to rise again during spring.

The link between vitamin D and depression is something that needs further study. The researchers encourage those who might be at risk of having a vitamin D deficiency to speak with their doctor about the potential benefits of taking a supplement. They also caution that Vitamin D supplements, though inexpensive, readily available and good for general health, should not be used as a replacement for treatments that are known to be effective against depression.

And finally …

Increasing vitamin D is just one way that can help manage the symptoms, but the researchers warn that taking vitamin D supplements isn’t a cure. Depression is best managed with a multi-faceted approach that includes things like exercise, meditation, diet, sleep, and social connection. If medication is being taken, it is vital that there are no changes made to this consulting closely with a doctor. 

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