Mind & Mood Archive

In the journals

Some antidepressants may not offer much relief for people who battle both depression and a chronic disease, according to research in the Nov. 21, 2017, Journal of the American Medical Association.

Nearly half of Americans live with a chronic condition, according to the CDC, and many also suffer from depression, including more than half of Parkinson's disease patients, 41% of cancer patients, and more than 25% of those with diabetes.

Here are some signs of an alcohol use disorder — and ways to find the help you need if you suspect you're drinking too much.

 Image: © Thomas Northcut/Thinkstock

The thought of hangovers and binge drinking may conjure an image of a college-age student or a 20-something out on the town. But increasingly, those terms apply to people who probably look a lot like you.

Alcohol use problems often start innocently enough in older women. A problem may begin with a drink at night to combat insomnia, says Dr. Olivera Bogunovic, assistant professor of psychiatry at Harvard Medical School. But then one drink turns into two, and a 9 p.m. cocktail turns into all-day drinking, she says.

Most people drink less as they grow older. However, some maintain heavy drinking patterns throughout life, and some develop problems with alcohol for the first time during their later years. The many challenges that can arise at this stage of life — reduced income, failing health, loneliness, and the loss of friends and loved ones — may cause some people to drink to escape their feelings.

Several factors combine to make drinking — even at normal levels — an increasingly risky behavior as you age. Your ability to metabolize alcohol declines. After drinking the same amount of alcohol, older people have higher blood alcohol concentrations than younger people because of such changes as a lower volume of total body water and slower rates of elimination of alcohol from the body. That means the beer or two you could drink without consequence in your 30s or 40s has more impact in your 60s or 70s.

Regardless of age, you're unlikely to have a flawless memory. People who can remember very long lists of numbers or recall the minutiae of their daily lives — right down to what they ate for lunch every day last year—are exceedingly rare. And frankly, such a memory can be a burden rather than a blessing. Memory, it seems, is inherently flawed—and in more ways than you might think.

Daniel Schacter, a professor of psychology at Harvard University, described the most common ways that normal memory fails us in his book The Seven Sins of Memory. Some of these memory flaws become more pronounced with age, but unless they are extreme and persistent, they are not considered indicators of Alzheimer's or other memory-impairing illnesses. They are simply the way that our brains work. The following is a brief summary of two of Schacter's seven memory "sins."

Your daily habits and lifestyle — what you eat and drink, whether you exercise, how stressed you are, and more — affect your mental health every bit as much as your physical health. A growing body of research indicates that regular exercise and a healthful diet can help protect your memory from aging-related decline.

Exercise

Physical fitness and mental fitness go together. People who exercise regularly tend to stay mentally sharp into their 70s, 80s, and beyond. Although the precise "dose" of exercise isn't known, research suggests that the exercise should be moderate to vigorous and regular. Examples of moderate exercise include brisk walking, stationary bicycling, water aerobics, and competitive table tennis. Vigorous activities include jogging, high-impact aerobic dancing, square dancing, and tennis.

A father struggles to understand the terrible course of his son’s heroin addiction and the loss of a child who eventually died from an accidental overdose.