Mental Health Archive

Ask the doctor

Q. I find myself getting more and more anxious, but I don't like to take medications. Is there an alternative natural treatment I can try instead?

A. Anxiety is an incredibly common problem. Although there are many FDA-approved medications that have been widely studied and proved effective, studies show that up to 43% of patients with anxiety use alternative medicine to treat it. Among alternative therapies, herbal treatments are widely used both for therapeutic purposes and for comfort.

Research we're watching

A study published Oct. 15, 2015, in the International Journal of Cancer adds to evidence that the risk of breast cancer increases—but not very much—with every drink a woman takes. Researchers from five Spanish universities followed 334,850 women, ages 35 to 70, from 10 European countries. During an 11-year period, 11,576 were diagnosed with breast cancer.

When the researchers compared alcohol intake among women who developed breast cancer and those who didn't, they found women who averaged two drinks a day had a 4% higher risk than those who limited their consumption to one daily drink. Those who averaged three drinks a day had a 6% higher breast cancer risk.

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Ask the doctor

Q. My doctor says the Mediterranean diet is not only good for my health in general, but that it is particularly good for my brain. That got my attention. Anything to it?

A. I think there is. The Mediterranean diet is rich in whole-grain bread, root vegetables, green vegetables, fish, poultry, fruit, and olive oil. It includes relatively little red meat, butter, and other foods rich in saturated fats and trans fats. As is often the case with research into a medical question, not all studies come to the same conclusion. But many studies have found that people who regularly adhere to the Mediterranean diet are less likely to develop Alzheimer's disease. And many studies also find that people with diets rich in saturated fats (including from red meat and processed meat) and trans fats are more likely to develop dementia of some type, along with other brain disease, particularly strokes.

Whether this time of year brings gift-giving rituals in your household or not, it’s a good reminder to practice the “skill” of gratitude. Even young children can learn to focus on what they have instead of what they lack. Practicing gratitude is more than a social grace. Research suggests it can help your child build resilience and it is associated with greater happiness in life. Dr. Claire McCarthy shares her tips for helping your child cultivate the skill of gratitude.

Eating without awareness can lead to overeating and take away much of the pleasure that can be found in your meals. During the holidays, it can easily cause you to overindulge. Taking a mindful approach to meals by slowing down and savoring the experience can not only help with weight control, but also enhance health and well-being — as well as your enjoyment of the meal.

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Plan now to help prevent overeating, trips to the hospital, and depression.

The winter holidays are supposed to be a joyous time, filled with celebration. But they come with health risks, such as loneliness and depression, overeating, weight gain, falls in icy weather, foodborne illness, and heart problems. Here are ways to protect yourself while enjoying the season.

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Do you worry yourself awake frequently? Cognitive behavioral therapy can help.

If you have trouble getting to sleep and staying asleep, that's insomnia. It happens to everyone from time to time. But it can also become a chronic problem. For some men, fretting about whether they will be able to sleep—and the emotional upset of not being able to when they try—can itself become the root cause of insomnia.

Ask the doctor

Q. I've had some severe bouts of depression before my periods. I have done my own research and I am willing to try an antidepressant. What dosage of Sarafem or Prozac is usually given to treat this?

A. Selective serotonin reuptake inhibitors (SSRIs) are an excellent option for treating premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). In fact, most physicians now consider them first-line therapy. Many different SSRIs have been studied, including the one you asked about—fluoxetine (Prozac or Sarafem)—and they all appear to be equally effective.

Medical science is making good progress in unraveling the biological underpinnings of depression. Someday, these discoveries may lead to lab tests that can help identify or confirm depression and other mood disorders.

Right now, doctors and therapists rely on the symptoms reported by their patients, along with clinical expertise and experience, to diagnose depression and determine a course of treatment.

Sometimes, though, additional information can help distinguish depression from other problems. That's why your doctor might recommend any of the following tests: