Is She Asking the Wrong Question and Exactly How Scary Is This Husband? | Print |  E-mail
Tuesday, 08 July 2014

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Dear Belleruth,

I read about getting rid of recurring nightmares on your website. Here is my question:

My husband has been having a repeating nightmare about me being hurt by a robed attacker with a knife. I've been researching what we can do to help him.

This has been going on for four months.  He's becoming aggressive and can't focus on much.  He broke his nose in a drunken stupor last week.  
I've sat on the phone with him for hours, reassuring him that everything is okay, that my angels are looking after the both of us and that Im fine, but it is taking longer and longer to calm him down.  
I'm clinically depressed most of the time now, and I try to hide it but that upsets him too.  I tell him Im getting better. 

I feel responsible, and I am. I love him, and I need to find a way to help him.

Please, email if you have anything, proven or not, that I may be able to do in order to help get rid of this recurring nightmare.   


JAMA Study: Meditation Yields Moderate Reductions in Psychological Stress | Print |  E-mail
Monday, 30 June 2014

Researchers from Johns Hopkins University performed a meta-analysis to determine the effects of meditation practice in improving stress related outcomes (anxiety, depression, stress/distress, positive mood, mental health-related quality of life, attention, substance use, eating habits, sleep, pain, and weight) in various adult clinical populations.

They identified randomized clinical trials with active controls for placebo effects from MEDLINE, PsycINFO, EMBASE, PsycArticles, Scopus, CINAHL, AMED, the Cochrane Library, and hand searches.
Strength of evidence was graded using 4 domains (risk of bias, precision, directness, and consistency) and magnitude and direction of effect were determined by calculating the relative difference between groups in the change from baseline.

Internet-Delivered CBT Reduces Depression in At-Risk Heart Patients | Print |  E-mail
Monday, 02 June 2014

Researchers from the Brain and Mind Research Institute at the University of Sydney in New South Wales, Australia, evaluated the effectiveness of internet-delivered Cognitive Behavioral Therapy (iCBT) on depressive symptom severity and adherence to medical advice (including lifestyle interventions) in adults with mild to moderate depression and high cardiovascular disease (CVD) risk.

This was a randomized, double-blind, 12 week attention-controlled trial comparing an iCBT program (E-couch) with an internet-delivered attention control health information package (HealthWatch, n = 282).

The primary outcome measured was depression symptom level on the nine-item Patient Health Questionnaire (PHQ-9) (trial registration: ACTRN12610000085077).

Out of 562 subjects, there were 487 completers (88%) who lasted to the final assessment.

Reduced Depression a Possible Key to 12-Step Success | Print |  E-mail
Monday, 19 May 2014

Investigators from San Diego State University/University of California looked at whether, for dual diagnosis veterans with substance dependence and major depressive disorder, 12-Step success with alcohol and drug use might be mediated by reductions in depression. 

Veterans (209) with this dual diagnosis (chemical dependency and depression) were enrolled in this controlled trial, randomized to either Twelve-Step Facilitation (TSF) or Integrated Cognitive-Behavioral Therapy (ICBT), delivered in out-patient groups for 6 months, with support from medication.

Twelve-Step attendance and affiliation, depression severity, percentage of days drinking and percentage of days using drugs were assessed at baseline and at months 3, 6 and 9.

Greater 12-Step meeting attendance predicted lower depression and mediated the superior depression outcomes of the TSF group, explaining 24.3% of the group difference in depression.

Procrastinating on the De-Cluttering | Print |  E-mail
Monday, 12 May 2014

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You have NO IDEA how timely this post (The Joy of Tossing Clutter) is for me!!  I just looked at the HJ site today hoping to find something to help w/ Procrastination because I look around my house...thinking I NEED to clean this junk and paper clutter out!!
Anything already in the HJ library that might help?
Thanks so much for your work!


Amazing Mom Caregiving a Brain-Injured Son | Print |  E-mail
Tuesday, 15 April 2014

We got this exquisite, heroic message a few years ago, in response to my email request for input when I was writing the Caregiver Stress imagery a few years ago.  

I recently came across it and again marveled at the beauty, wisdom, self-awareness and courage of this rock star of a mother its an essential manual for anyone facing similar, heartbreaking circumstances.  

She helped me enormously with writing the narrative I eventually recorded, but more importantly, shes just such a dazzling role model, who offers such excellent advice, even though shes not trying to give it.

What to Do for the Worst Case of Anxiety Ever. | Print |  E-mail
Monday, 24 February 2014


Im an LPC and LMFT and attended one of your workshops (Houston, 2004 maybe). I refer a lot of clients to your website to purchase CDs and love your work.

I have a new client who is on Lexapro, Resperdil, and Xanax for the most severe anxiety Ive seen in my 42 years counseling.
Jan. 2013 he suffered a spinal cord injury in a ski accident/long rehab/finally back to work as an attorney and walking w/crutches. Doing well.

Then several months later, he falls apart w/anxiety, physical pain in legs and legs shaking constantly/spastic - finally quits going to work and is now in a wheelchair.
Had another brain and spinal cord MRI and doctors find nothing wrong. Just sits & does NOTHING. No hope. Becoming irritated by everything.

I had them buy your Ease Pain CD and Healthful Sleep (as hes getting only a few hours of sleep). He listened to Ease Pain only a few times and says it irritates him and he refuses to listen.

Any suggestions?

Thank you.

Acceptance & Commitment Therapy Scores High with Depressed Vets | Print |  E-mail
Friday, 14 February 2014

Researchers from the Veterans Affairs Palo Alto Health Care System assessed therapist and patient outcomes from a national training initiative with eleven cohorts (391 therapists and 745 depressed patients) across the country in using Acceptance and Commitment Therapy for depression or ACT-D.
Three-hundred thirty four therapists successfully completed the requirements of the ACT-D training program.
Ninety-six percent of therapists achieved competency by the end of training, as compared to 21% at the outset of training.
Mixed effects model analysis indicated therapists' overall ACT-D competency scores increased from 76 to 112 (conditional SD = 6.6), p < 0.001.

Mixed Results from Mindfulness Based Stress Reduction with Vets with PTSD | Print |  E-mail
Monday, 10 February 2014

Researchers from the VA Puget Sound Health Care System in Seattle, WA assessed outcomes resulting from Mindfulness-Based Stress Reduction (MBSR) for 47 veterans with PTSD, depression and quality of life.

The subjects were randomized to treatment as usual (TAU; n = 22), or MBSR plus TAU (n = 25), and assessed at baseline, post-treatment, and 4-month follow-up.

Intention-to-treat analyses found no reliable effects of MBSR on PTSD or depression. Quality of life improved at posttreatment but there was no reliable effect at 4 months.

Mindfulness (MBSR) and Aerobic Exercise both a Help for Social Anxiety | Print |  E-mail
Monday, 03 February 2014

Researchers from Stanford University investigated the effectiveness of MBSR (Mindfulness Based Stress Reduction) on Social Anxiety Disorder, as compared with aerobic exercise.

Fifty-six adults (52% female; 41% Caucasian; age mean [M] standard deviation [SD]: 32.8 8.4) with SAD were randomized to either an MBSR condition or the active comparison condition of aerobic exercise (AE).
At baseline and post-intervention, participants completed measures of social anxiety , depression, stress and sense of well-being (Liebowitz Social Anxiety Scale, Social Interaction Anxiety Scale, Beck Depression Inventory-II, and Perceived Stress Scale, Rosenberg Self-Esteem Scale, Satisfaction with Life Scale, Self-Compassion Scale, and UCLA-8 Loneliness Scale).

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