
The Science of Cannabis
Marijuana (also spelled marihuana) is a word derived from maraguanquo, meaning “intoxicating plant”. Learn more about this fascinating flowering hemp.
Posted on October 22, 2022 2 Comments
Marijuana (also spelled marihuana) is a word derived from maraguanquo, meaning “intoxicating plant”. Learn more about this fascinating flowering hemp.
Learn about folate (vitamin B9), MTHFR, and how they may influence your mood.
Learn how Adderall, Vyvanse, and Ritalin help with attention, mood, and fatigue. Psychostimulants. ADHD. Stimulants. Fatigue. Depression.
Posted on October 13, 2022 Leave a Comment
Tips and hints for assessing whether to trust a new romantic partner.
Learn common signs of abandonment or attachment problems and tips for supporting someone with a fear of abandonment.
CATATONIA: The Forgotten Syndrome Mr. Jones was a 56-year-old husband of three children and a successful CEO. He was brought to the hospital by his
Are you making enough time for yourself? Take a moment to assess your self-care practices.
Posted on October 11, 2022 Leave a Comment
Dialectical Behavioral Therapy (DBT) is a cognitive-behavioral treatment developed by Marsha Linehan, Ph.D., in the 1980s to help people who experience extremely intense emotions, catastrophic thinking, anxiety, stress, and “all or none” thinking (to name a few). These experiences are commonly, but not always, due to a history of trauma.
The “D” means “dialectical.” A dialectic is a synthesis or integration of opposites. A DBT-oriented therapist consistently works with an individual to find ways to hold two seemingly opposite perspectives at once, promoting balance and avoiding black and white (all-or-nothing) styles of thinking. In service of this balance, DBT promotes a “both-and” rather than an “either-or” outlook. The dialectic at the heart of DBT is acceptance and change.
Dialectical strategies help us get unstuck from extreme positions. They help us stay “in-balance” so we can reach our ultimate goals as quickly as possible. The Wise Mind illustrates this point (see below).
Dialectical behavior therapy (DBT) provides new skills to manage painful emotions and decrease conflict in relationships. DBT specifically focuses on providing skills in four key areas.
(1) Mindfulness: Mindfulness focuses on improving one’s ability to accept the present moment without judgment.
(2) Distress Tolerance: Distress tolerance is geared toward increasing one’s tolerance of negative emotions, rather than avoiding them.
(3) Emotion regulation: Emotion regulation covers strategies to manage and change intense emotions that are causing problems in one’s life.
(4) Interpersonal effectiveness: Interpersonal effectiveness consists of techniques that allow one to communicate with others in a way that is assertive, maintains self-respect, and strengthens relationships.
Using a DBT approach, a therapist guides a client or patient through the process of acceptance and change by validating and accepting the individual as he or she is. A DBT therapist appreciates that too much focus on change results in the individual feeling misunderstood and invalidated. Working with people with extreme emotional sensitivity requires careful attention to the balance between acceptance and change. It also requires an assessment of personal boundaries.
DBT was originally developed to relieve the emotional sensitivity experienced by individuals with borderline personality disorder. However, research shows that DBT has also been used successfully to help people suffering from depression, bulimia, binge-eating, bipolar disorder, post-traumatic-stress disorder, abandonment/attachment problems, and substance abuse.
Posted on October 10, 2022 Leave a Comment
Work burnout is considered a type of work-related stress characterized by feelings of reduced accomplishment and loss of personal identity. Work burnout is not a medical diagnosis, but the stress associated with work burnout can be detrimental to your mental and physical health.
Research suggests that individual factors, such as personality traits and family life, influence who experiences work burnout. Let’s consider how to know if you are suffering from work burnout and what you can do to relieve the suffering.
If any of the above symptoms resonate with you then consider whether you’re suffering from work burnout. It is always recommended to talk with your healthcare provider because these symptoms can also be related to health problems such as depression.
Although anyone can develop work burnout, those who have a heavy workload, work long hours, have little control over their work, or work in a helping profession (e.g., health care workers, emergency medical personnel, firefighters, law enforcement officers, lawyers) are at increased risk of developing burnout.
Work burnout can have significant consequences, including:
Admit and accept that you’re struggling with work burnout. Recognizing the signs and symptoms of burnout and whether they are negatively impacting your life is first (and most important) step!
Discuss specific concerns with a supervisor (if possible). Perhaps you can reassess expectations and develop solutions together.
Prioritize daily tasks (more on this later).
Seek support. Whether you reach out to co-workers, friends or loved ones, support and collaboration might help you cope. If you have access to an employee assistance program, take advantage of relevant services.
Engage in one or more stress-reducing activities for at least 20 minutes each day. This may include yoga, meditation, tai chi, martial arts, mindfulness exercises, boxing, weight training, cross-fit, running, swimming, other aerobic exercise, sports, creative writing, painting, drawing, listening to music, playing an instrument, or reading for pleasure.
Get quality sleep. We spend about a third of our lives sleeping. Sleep allows our body to reset. Interestingly, sleep is important for our memory, our immune system, and our ability to regulate our emotions.
Healthy diet. Junk food is comforting, but it doesn’t help your cause. Having the occasional “cheat meal” is important, but limit those sweets and saturated fats as much as possible. A high protein, high fiber, moderate fat, and low carbohydrate diet can improve your energy levels, concentration, memory, and mood!
Set healthy work-life boundaries. Setting healthy work-life boundaries will not only improve your mental health but prevent burnout and promote more effective and efficient work!
Let’s discuss healthy boundaries in a bit more detail…
Boundaries are the rules we set for ourselves in our relationships, our work, and our personal lives.
Healthy boundaries mean preventing others from projecting beliefs, judgements, or expectations onto you. Many people will use “I don’t have time” as the reason for not taking care of their own needs. If you can’t make time for yourself, then what you are really saying is “my needs don’t matter.” If you don’t respect your own needs, then you certainly can’t expect others to. Putting others’ needs before your own will eventually stir up feelings of resentment, anger, and overwhelming fatigue.
A person with healthy boundaries can say “no” when needed without allowing the fear of disappointment to overpower their personal needs.
Remember, if someone feels disappointed or let down because you said “no” and took care of yourself, then you probably needed firmer boundaries anyway.
Take an honest look at your self-care habits. The first step in setting healthier boundaries is to honestly assess your self-care practices. Use this tool to assess your self-care habits.
Prioritize your values. Boundaries should be based on your beliefs and values–the things that are important to you. These may or may not align with others–and that is okay! Take time to make a list of what’s important to you in life. Each day, make time in your schedule for the things you value most. Use this tool to explore your values.
Create a flexible schedule that includes activities that align with your values. This does not mean scheduling every minute or hour of your day. You don’t want to become a prisoner of your schedule, so a basic flexible outline works best. In making this schedule, set times for checking your email and phone. One of the biggest mistakes people make is obsessively checking their email and phone. Obsessive checking is anxiety-provoking and inefficient–it disrupts your focus and is unnecessary. Use the auto-respond function to inform those who email you of when you check your email. You can also instruct people to call you directly if it is urgent.
Let Smartphones Be Smartphones. When you need to focus on completing a task, silence your phone and place it facedown next to you. If answering phone calls is important for your work, place your phone on vibrate and keep it in your pocket. When not working, set a time to put your phone on silent in a drawer or somewhere out of view for at least 30 minutes. By doing this, you’ll learn that you DO NOT need to have your phone on you at all times.
Take a break from your computer. Your computer should only be used for work during work hours. When the workday is over, shut down your computer and put it away. If you need to use the computer for personal use, then use it for personal use ONLY. Some people find it helpful to have two devices – one for work and one for play. But this may not be possible.
Consistency is key. Try your best to remain consistent with your schedule! Try not to get down on yourself if you struggle at first to be consistent. Simply recognize when you’re deviating from the plan and make adjustments to get back on track.
Use technology to help, rather than hurt, your boundaries. Many smartphones have reminder functions. Try setting reminders for when to take breaks, check emails, spend time with family, or exercise. There are many apps out there that can help with prioritizing your daily tasks as well!
Share your boundaries with others. It is important to share your boundaries with family, friends, co-workers, and supervisor(s). Ask your friends and family to keep an eye on your behaviors so they can point out when you might need to make some adjustments. Inform your co-workers and supervisor(s) so they can provide input and suggestions. While it is important to maintain healthy boundaries, it is also important to know how to compromise. That being said, compromising does not mean tossing your boundaries like a hot potato.
Take a moment to check in with yourself prior to doing work-related activities during non-work hours. Whenever you have the urge to work during non-work hours, make a habit of asking yourself whether the activity is in line with your values and priorities. How important, on a scale from 1-10, is it that you complete this RIGHT NOW? Anything 6 or below can wait.
Begin and end each day with anything but work. It is essential to begin and end your day with something positive. Something you enjoy. If the first thing you do each morning is check your email and the last thing you do is check your email, then you are setting yourself up for burnout. Do not let the first and last activity of each day be something work-related.
For additional resources, check out the following articles
Posted on October 8, 2022 Leave a Comment
Posted on October 1, 2022 3 Comments
These algorithms are from the Psychopharmacology Algorithms Project at the Harvard South Shore Psychiatry Residency Training Program
Project Leader: David Osser, MD
Posted on September 30, 2022
Posted on September 28, 2022
Try this mindfulness exercise whenever you’re feeling anxious or stressed