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What works best for treating depression and anxiety in dementia?

There is evidence that antidepressants are not effective in older people with dementia. Emerging research suggests that nondrug, psychosocial interventions are the most effective treatments for depression or anxiety in older adults with cognitive impairment.

Meditation may help you catch mental mistakes

In the journals

If you want to make fewer mental mistakes, try meditation, suggests a study in the September 2019 issue of Brain Sciences.

Researchers recruited 200 people who had never meditated and led them through a guided 20-minute meditation called open monitoring. While many styles of meditation have you focus on a single object, like your breathing or a visual image, the goal of open monitoring meditation is to pay more attention to your feelings and body sensations.

The role of our minds in the avoidance of falls

In older people, the majority of falls occur when someone is standing or walking while also performing a separate cognitive or motor task. These tasks require more cognitive effort as we age, but focus and awareness can prevent falls from happening.

Dopamine fasting: Misunderstanding science spawns a maladaptive fad

Dopamine is a neurotransmitter involved in the body’s system for reward and pleasure. A recent trend has people avoiding stimulating activities in the belief that doing so allows the body to reset from being overstimulated, but the original idea has been misunderstood and wrongly applied.

Puffing away sadness

The nicotine in cigarettes stimulates the nervous system, resulting in a mood boost. But does this mean that smokers will reach for a cigarette when they are feeling sad? Researchers found that sad feelings may cause some people to smoke.

Hands or feet asleep? What to do

It’s happened to all of us: a hand or leg temporarily “falls asleep,” usually from being in one position for too long. Why does it happen? Are there times when you should be concerned about it?

Harnessing the upsides of stress

Changing your mindset doesn't mean taking a Pollyanna view of the world. The key isn't to deny stress, but to recognize and acknowledge it—and then to find the upside, because a full-throttle fight-or-flight response is not the only possible reaction to stress (at least when the stress does not involve a potentially life-threatening situation).

In people with a more stress-hardy mindset, the stress response is often tempered by the challenge response, which accounts for the so-called excite-and-delight experience that some people have in stressful situations, such as skydiving. Like the typical stress response, the challenge response also affects the cardiovascular system, but instead of constricting blood vessels and ramping up inflammation in anticipation of wounds, it allows for maximum blood flow, much like exercise.

Focus on concentration

Here's what to do when your mind tends to wander.

Everyone's attention can drift at times, like when you lose your concentration for a moment while doing routine tasks.

Many people shrug off these lapses in focus as "senior moments," but they might be related to a vulnerable brain process called executive function.

Don’t stress about heart health

Chronic stress is associated with an increased risk of heart disease, heart attacks, and strokes. These strategies can help you manage it.

People often complain about stress, but it's actually a natural reaction with an essential purpose.

When the body senses danger, it starts its fight-or-flight response. Your nervous system releases hormones like adrenaline and cortisol, which jolt the body into a protective mode. Your heart pounds faster, muscles tighten, blood pressure rises, breathing quickens, and your senses sharpen.

Is my winter mood change due to seasonal affective disorder?

Ask the doctors

Q. Every winter I experience mood changes. How do I know if it's seasonal affective disorder?

A. Seasonal affective disorder (SAD) is a type of depression that typically affects individuals during the winter months. Some experts believe it's triggered by a reduction in natural light, which starts in the fall and continues until the spring. Tracking your mood changes can help your doctor determine if you have the condition. People formally diagnosed with SAD experience episodes of major depression that occur in the fall and winter for at least two years. During these episodes, people may feel hopeless or worthless, have sleep problems, or experience changes in appetite or weight. They may also be irritable or anxious and lose interest in favorite activities.

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