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

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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 – it’s an essential manual for anyone facing similar, heartbreaking circumstances.  

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

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

Hi,

I’m 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).

 
CBT Beats Light Therapy for Winter Depression | Print |  E-mail
Monday, 20 January 2014

Researchers from the Department of Psychology at the University of Vermont in Burlington looked at the recurrence of SAD (seasonal affective disorder or depression) in the fall/winter, one year after receiving cognitive behavioral treatment.

The investigators had previously developed a group cognitive-behavioral therapy approach (CBT) specifically targeted for SAD and tested its efficacy in 2 pilot studies that compared outcomes with light therapy.

This study examines impact during the subsequent winter season (approximately 1 year after acute treatment), following participants randomized to CBT, light therapy, and a combination of both treatments.  (N=69).

 
What to Listen to Safely While Driving? | Print |  E-mail
Tuesday, 12 November 2013

We got this question from a mother who is wondering what her daughter with bipolar illness might safely listen to on the way to and from work, to help her handle anxiety and stress, coming and going.

Question:

Hi, Bellaruth, [Ed note: It’s spelled Belleruth and pronounced Bell-rooth’, with the accent on the second syllable].

I recently attended the AADE conference in Philadelphia and had the pleasure of attending your talk. I found it to be most enlightening.

I am in the process of selecting a piece for each of my children. I have one that is diagnosed with bi polar and struggles with lots of anxiety and stress related issues. She has a long commute to and from work. Do you have a recommendation for something that would be safe as well as helpful for her to listen to while driving?

Kind regards.
Mary Beth

 
Music Therapy Reduces Depression & Anxiety through Changes in Alpha, Theta Waves | Print |  E-mail
Tuesday, 12 November 2013

Investigators from the Department of Music at the University of Jyväskylä, in Jyväskylä, Finland conducted a two-armed, randomized, controlled trial (RCT) with 79 depressed clients who were also experiencing anxiety, in order to compare the impact of standard care versus Music Therapy (MT) in addition to Standard Care (SC), on symptoms.
 
The purpose of the study was to examine the mechanisms involved in any improvements that might result from Music Therapy, with particular focus on anterior frontotemporal resting state alpha and theta brain waves*.
 
Measures were taken at intake and after 3 months, using the Montgomery-Åsberg Depression Rating Scale and the Hospital Anxiety and Depression Scale, along with EEG results.
 
The research team found that music therapy significantly reduced both depression and anxiety symptoms.

 
Computer CBT for Depression Yields Lackluster Results in the Long Term | Print |  E-mail
Monday, 28 October 2013

Researchers from the Institute of Psychiatry at Kings College, London, UK,  conducted a meta-analysis of Computerized Cognitive Behavioral Therapy (CCBT) to evaluate its short- and long-term effectiveness for treating depression.
 
Five databases were used (MEDLINE, PsycINFO, EMBASE, CENTRAL and CiNii). Investigators included all randomized, controlled trials with proper concealment and blinding of outcome assessment,  for the clinical effectiveness of CCBT in adults (aged 18 and over) with depression.
 
Using Cohen's method, the standard mean difference (SMD) for the overall pooled effects across the included studies was estimated with a random effect model. The main outcome measure and the relative risk of dropout were included in the meta-analysis.

 
Can Tools to Imagine Positive Future Events Make Us More Optimistic? | Print |  E-mail
Monday, 14 October 2013

Researchers from the MRC Cognition and Brain Sciences Unit in Cambridge, UK, took a first step in identifying a cognitive marker for optimism that could provide a modifiable target for innovative interventions to promote optimism, which research has already shown can benefit general well-being and mental and physical health.
 
They hypothesized that the ability to generate vivid positive mental imagery of the future would be associated with an optimistic disposition.

A community sample of 237 participants completed a survey comprising measures of mental imagery and optimism, along with socio-demographic information.

 
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