Mental Health Archive

Articles

Brain science suggests “mind wandering” can help manage anxiety

The wandering mind can get stuck on negative thoughts and start to “react” to a perceived threat that feels very real–and makes you feel anxious. Naming the negative feeling associated with that thought and then helping your mind wander in a more positive direction can help.

Getting through grief

At a time of loss, it's important to focus on maintaining your health and getting the support you need.


Image: natalie_broad/iStock

Losing a family member, a close friend, or even a beloved pet can be devastating. All the small details of daily life—getting out of bed, making meals, going to appointments, taking care of children, handling responsibilities at work—may seem monumentally hard or inconsequential. Yet, even as you grieve, you've probably been reminded that life must go on. But working through the emotional pain can be difficult, particularly during the holidays, when you may feel you are supposed to be celebrating.

The normal process of grieving

Help with coping

If you're grieving, it may help to do the following:

Take care of yourself. This means eating well, exercising, and getting enough sleep. It also means asking yourself, "What would help me most today?" and taking care of the need, be it having a good cry, talking to a friend, or going to the movies.

Let people know what helps. Often, people aren't sure how to act around you when you are grieving. They will be relieved if you tell them how they can help you, whether you want someone to pitch in with the laundry, sit quietly by, or share stories about your loved one. It's also fine to let people know if you'd like to be left alone.

Accept mixed feelings. It is entirely normal to have mixed emotions about the loss and about your loved one. It helps to express these so that other people understand what you are going through. Chances are, they've been there themselves.

Find others who understand. People who have also lost a loved one are likely to be more understanding. Many hospitals, religious organizations, and community groups have support groups for mourners, in which participants offer comfort and share coping strategies. When friends and family can't help in these ways, support groups often can.

Seek professional help. Grief and depression are hard to tell apart. The symptoms are similar, and so are the therapies. If you are finding yourself overwhelmed by grief, you may want to seek help from a professional. Psychiatrists, psychologists, and spiritual leaders are trained to help people through the grieving process. "We all want to help you to feel better and move through the world more easily," Dr. Miller says.

 

 

 

Trade bad habits for good ones

Understanding the three Rs —reminder, routine, and reward—can help you create healthful habits.


Image: gguy44/ThinkStock

Everyone has bad habits they want to break, but instead of scorning yourself for being helpless to break them, use the fundamentals of forming habits to your advantage.

Habits, good or bad, follow a typical three-step pattern. One way to describe this is as three Rs: reminder, routine, and reward. By breaking down the cycle of a bad habit, you can identify what triggers the routine and begin to address what really needs to change. This way you can establish a pattern for new and healthier habits.

Study links busy schedules to better cognitive function

Older adults who stay busy scored higher on cognitive function scores compared with more idle people. The greatest effect is with episodic memory, which is the memory of past events like times and places.

Is your antidepressant making life a little too blah?

Some drugs go too far, dulling emotions across the spectrum. A dose adjustment or a switch to a different medication can help.


 Image: Wavebreakmedia/Thinkstock

When your doctor prescribes a medication for depression, the goal is to reduce painful feelings of sadness or hopelessness. The majority of people taking the most commonly prescribed antidepressants—selective serotonin reuptake inhibitors (SSRIs)—improve substantially. But sometimes, SSRIs go beyond improving mood and make a person feel too little emotion. "Some people feel like they've lost the richness of daily life," says Dr. Michael Craig Miller, assistant professor of psychiatry at Harvard Medical School.

Serotonin and SSRIs

Too effective?

Scaling back the intensity of moods is often the goal. "It's a huge relief if you're very irritable, easily upset, or feeling overly burdened by stress," says Dr. Miller.

But for some people, the reduction in intensity can be experienced as a "blunting" or "dulling" of their emotions. "You might not cry at a movie's happy ending or laugh with the same gusto. Or you might feel apathetic and not get the same kick out of doing things you enjoy, like playing golf or painting," Dr. Miller explains.

Sometimes the blunting affects sexual response. "Some people will say they're not having the same sexual pleasure," says Dr. Miller.

What you should do

 

 

 

 

 

 

 

Depression and heart disease: A two-way street

Watch for the warning signs of depression, which is often missed in people with heart disease.


Image: gpointstudio/Thinkstock

All people have days when they feel sad, gloomy, or down in the dumps. But if those feelings last for weeks and you gradually stop feeling hopeful or happy about anything in your life, you may have depression. Like heart disease, depression is common, so it's not unusual to have both conditions together. In fact, depression is about twice as likely to occur in people with heart disease compared with the general population. And people with depression face a heightened risk of heart disease.

"It's really important for people to be aware of this link and to get treatment for depression, because it can be very debilitating," says Dr. Christopher Celano, a psychiatrist at the Cardiac Psychiatry Research Program at Harvard-affiliated Massachusetts General Hospital.

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