Bipolar in focus video

http://www.webmd.com/bipolar-disorder/bipolar-tv/default.htm

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Bipolar tips for life

http://www.webmd.com/bipolar-disorder/bipolar-tv/default.htm

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Coping with bipolar disorder video

http://www.webmd.com/bipolar-disorder/bipolar-tv/default.htm

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Develop Your Spiritual Resources

Nurturing and developing your spirituality may be just as important as eating a healthy diet, exercising, and buildingstrong relationships. Taking the time to reconnect with what you find meaningful in life and returning to life’s big questions can enhance your own sense of connection with something larger than yourself.

Cultivate empathy and compassion

Empathy is the ability and willingness to fully understand another person’s experience and connect it to your own—for example, rather than seeing an irritable coworker as a nuisance, you may recognize that they are reacting to stress in the workplace. Compassion is the practice of responding to this realization with kindness—because you understand why the coworker is in a bad mood, you respond with extra patience and listen deeply when they complain, rather than snapping back.

Andrew Weil, author of Spontaneous Happiness, describes empathy and compassion as “learnable skills that can bring greater happiness into your life and improve all of your relationships.” They are important to spiritual development, he explains, because they help you get out of self-centered ways of thinking and help you make connections with others. There are many ways to develop your sense of empathy and compassion, including:

  • Listening deeply. Let go of assumptions that others feel the way you do, and allow yourself to fully listen to the way they describe their experience. Prioritize what the other person has to say above what you yourself would like to say or gain from a given conversation and just listen.
  • Taking others’ perspectives into account. In addition to simply listening to others, open yourself up to imagining what it would be like to be in their shoes. How would you feel if you were in their situation?
  • Look for the good. Positivity researcher Barbara Fredrickson recommends boosting compassion by actively considering others’ positive qualities. Encouraging yourself to acknowledge the whole picture of another person will help you see them as a complex, dynamic human who is worthy of kindness and compassion.

Identify (and live by) your beliefs and values

Making a list of your beliefs and values will help you live with intention. This list will be fluid, so recognize that it’s natural to shift and revise your values throughout life. Some of the questions you may ask yourself are:

  • What matters most to me?
  • What drives my actions?
  • What do I believe is right?

If you need help coming up with your values, you might try a value sort activity.

Find a spiritual community and friends

Join a spiritual group, whether that is a church or mosque, meditation center, yoga class, or a local group that meets to discuss spiritual issues. The benefits of social support are well documented, and having a spiritual community to turn to for fellowship can provide a sense of belonging and support.

Practice forgiveness

Letting go of blame is not easy, but the rewards of relinquishing negative feelings are aplenty. To practice forgiveness, Stanford Forgiveness Project director Fred Luskin suggests finding the right perspective—parsing out whether your feelings are coming from the actual experience of someone wronging you, or whether your anger is intensifying as you re-hash the situation. See how those feelings are affecting you, and let go of what is not helpful. Be gentle to yourself as well—you don’t have to re-establish contact with the person who wronged you in order to forgive. As Luskin says, “Forgiveness is for you and no one else.”

Seek transcendence through nature, art, or music

  • man sitting beside tree in beautiful park.

    Spend time outside. Feeling aconnectedness to nature has been linked to decreased stress, better connections with other people, and a heightened sense ofpurpose and oneness with the world. Take a leisurely walk outside alone or with friends, or work in the garden, soaking in the details: the expansiveness of the sky, the wind moving through the trees.

  • Allow yourself to get lost in music you enjoy. Whether it’s listening to an album on your headphones or playing the piano yourself,music can incite feelings of connectedness, purpose, meaning, faith, and hope.  Close your eyes and allow yourself to fully immerse in the listening experience.
  • Sit with a piece of art. This could be a painting in a museum, a sculpture in a local park, or even a piece of colorful graffiti—anything that calls out to you. Ask yourself why you are drawn to this particular piece. Do you recognize something about yourself or some universal truth in its colors, shapes, or textures?

Be good to yourself

The nonphysical aspects of spirituality can make it feel as if it is a remote practice, separate from the rest of your life. But this isn’t true—spirituality, just like the other aspects of wellbeing, is profoundly influenced by other factors in your lifestyle.

Exercising regularly and eating a nutrient-rich diet with lots of vegetables and fruits is one way of reminding yourself that you care deeply about this life and this body. Paying attention to what you eat is important, too: according to Jon Kabat Zinn, practicing mindful eating “allows you to drop right into the knowing in ways that are effortless, totally natural, and entirely beyond words and thinking. Such an exercise delivers wakefulness immediately.”

Treating yourself with compassion is just as important as treating others well, says Kristin Neff. “When we experience warm and tender feelings toward ourselves, we are altering our bodies as well as our minds. Rather than feeling worried and anxious, we feel calm, content, trusting, and secure.” The broadening effect of these positive emotions can enhance our sense of curiosity, wonder, and awe—all feelings that contribute to spirituality.

Make contemplative practice a part of your everyday life

The benefits of adopting a contemplative practice—such as meditation, prayer, yoga, or journaling—have widespread effects not just on spirituality, but on physical and emotional health as well.

  • Take yoga class or practice chair yoga at work
  • Dedicate 15 minutes each day to writing in a journal
  • Listen to a guided audio meditation
  • Join a spiritual community, such as a church, prayer group, or meditation center to share a contemplative experience with others
  • Eat mindfully, savoring and appreciating the food that you have and minimizing distractions during meals
  • Set aside time for prayer or reflection each day
  • Try a guided body scan
  • Watch a nature-guided relaxation video

References

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7 spiritual needs

Seven Spiritual Needs

Based on more than 30 years of psychological counseling and pastoral care, Howard Clinebell believed that humans have seven spiritual hungers in common. As you read through them, consider whether you recognize any of these spiritual needs in yourself. Are there particular areas of “spiritual hunger” in your life that need more attention than others?

Specifically, Clinebell felt that human beings long to:

  1. Experience the healing and empowerment of love—from others, self, and an ultimate source.
  2. Experience renewing times of transcendence—expansive moments beyond the immediate sensory spheres.
  3. Have vital beliefs that lend meaning and hope in the midst of losses, tragedies, and failures.
  4. Have values, priorities, and life commitments centered in issues of justice, integrity, and love to provide guidance in personally and socially responsible living.
  5. Discover and develop inner wisdom, creativity, and love of self.
  6. Develop a deepening awareness of oneness with other people, the natural world, and all living things.
  7. Have spiritual resources to help heal grief, guilt, resentment, unforgiveness, self-rejection, and shame and deepen experiences of trust, self-esteem, hope, joy and love of life.
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Why Is Spirituality Important?

There is a growing body of evidence indicating that spiritual practices are associated with better health and wellbeing for many reasons, including:

Contemplative practice is good for you.

Contemplative practices are activities that guide you to direct your attention to a specific focus—often an inward-looking reflection or concentration on a specific sensation or concept. Many spiritual traditions have a long history of using contemplative practices to increase compassion, empathy, and attention, as well as quiet the mind.

  • Meditation can induce feelings of calm and clear-headedness as well as improve concentration and attention. Brain researcher Richard Davidson’s research shows thatmeditation increases the brain’s gray matter density, which can reduce sensitivity to pain, enhance your immune system, help you regulate difficult emotions, and relieve stress. Mindfulness meditation in particular has been proven helpful for people with depression and anxiety, cancer, fibromyalgia, chronic pain, rheumatoid arthritis, type 2 diabetes, chronic fatigue syndrome, and cardiovascular disease.
  • Prayer may elicit the relaxation response, along with feelings of hope, gratitude, and compassion—all of which have a positive effect on overall wellbeing. There are several types of prayer, many of which are rooted in the belief that there is a higher power that has some level of influence over your life. This belief can provide a sense of comfort and support in difficult times—a recent study found that clinically depressed adults who believed their prayers were heard by a concerned presence responded much better to treatment than those who did not believe.
  • Yoga is a centuries-old spiritual practice that aims to create a sense of union within the practitioner through physical postures, ethical behaviors, and breath expansion. The systematic practice of yoga has been found to reduce inflammation and stress, decrease depression and anxiety, lower blood pressure, and increase feelings of wellbeing.
  • Journaling is another, often overlooked, contemplative practice that can help you become more aware of your inner life and feel more connected to your experience and the world around you. Studies show that writing during difficult times may help you find meaning in life’s challenges and become more resilient in the face of obstacles.

A spiritual community can improve your life.

Many spiritual traditions encourage participation in a community. Spiritual fellowship, such as attending church or a meditation group, can be sources of social support which may provide a sense of belonging, security, and community. Strong relationships have been proven to increase wellbeing and bolster life expectancy, which is perhaps why one study found a strong association between church attendance and improved health, mood, and wellbeing.

Spiritual strength can help you overcome hardships.

contemplative man thinking

Dr. Steven Southwick’s book, Resilience: The Science of Mastering Life’s Greatest Challenges, describes how some people overcome  trauma—such as abduction, war, and imprisonment—by seeking comfort in spirituality or religion. He gives examples where spiritual people find ways to “meet the challenge and continue with purposeful lives…they bounce back and carry on.”

Having a strong spiritual outlook may help you find meaning in life’s difficult circumstances. Southwick describes the story of a woman who overcame the post-traumatic stress following an abduction and rape by believing that her trauma “served as a platform for her personal development, forcing her to evaluate her life and gradually change it for the better. She credits her ability to move forward with her life…to her dedication to spirituality.”

The spiritual practice of recognizing the interconnectedness of all life can also help buffer the pain that comes with difficult experiences. Researcher Kristin Neff says that “if we can compassionately remind ourselves in moments of falling down that failure is part of the shared human experience, then that moment becomes one of togetherness rather than isolation. When our troubled, painful experiences are framed by the recognition that countless others have undergone similar hardships, the blow is softened.”

Spiritual people make healthier choices.

Adhering to a particular spiritual tradition may bring an indirect health benefit because many traditions have rules about treating the body with kindness and avoiding unhealthy behaviors. Research shows that perhaps because of these tenets, people who practice a religion or faith tradition are less likely to smoke or drink, commit a crime, or become involved in violent activity, and they are more likely to engage in preventative habits like wearing seatbelts and taking vitamins.

Spirituality may help you live longer.

An exhaustive review that compared spirituality and religiousness to other health interventions found that people with a strong spiritual life had an 18% reduction in mortality. Giancarlo Lucchetti, lead author of the study, calculates that the life-lengthening benefits of spirituality can be compared to eating a high amount of fruits and vegetables or taking blood pressure medication. Although some researchers have suggested that the extent of spirituality’s benefit on health is exaggerated, most researchers agree there is a positive relationship between religious and spiritual practices and better health outcomes.

Forgiveness is good medicine.

Letting go of blame and negative feelings after a hurtful incident is a practice that is reflected by a number of spiritual traditions, including Christianity, Islam, Buddhism, and Judaism. Modern science shows the health benefits of forgiveness are numerous: better immune function, longer lifespan, lowered blood pressure, improved cardiovascular health, and fewer feelings of anger or hurt.
References

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What Is Spirituality?

Spirituality is a broad concept with room for many perspectives. In general, it includes a sense of connection to something bigger than ourselves, and it typically involves a search for meaning in life. As such, it is a universal human experience—something that touches us all. People may describe a spiritual experience as sacred or transcendent or simply a deep sense of aliveness and interconnectedness.

Some may find that their spiritual life is intricately linked to their association with a church, temple, mosque, or synagogue. Others may pray or find comfort in a personal relationship with God or a higher power. Still others seek meaning through their connections to nature or art. Like your sense of purpose, your personal definition of spirituality may change throughout your life, adapting to your own experiences and relationships.

Spiritual questions

For many, spirituality is connected to large questions about life and identity, such as:

  • Am I a good person?
  • What is the meaning of my suffering?
  • What is my connection to the world around me?
  • Do things happen for a reason?
  • How can I live my life in the best way possible?

Please share your thoughts on this website so we can improve!

Experts’ definitions of spirituality

  • Christina Puchalski, MD, Director of the George Washington Institute for Spirituality and Health, contends that “spirituality is the aspect of humanity that refers to the way individuals seek and express meaning and purpose and the way they experience their connectedness to the moment, to self, to others, to nature, and to the significant or sacred.”
  • According to Mario Beauregard and Denyse O’Leary, researchers and authors of The Spiritual Brain, “spirituality means any experience that is thought to bring the experiencer into contact with the divine (in other words, not just any experience that feels meaningful).”
  • Nurses Ruth Beckmann Murray and Judith Proctor Zenter write that “the spiritual dimension tries to be in harmony with the universe, and strives for answers about the infinite, and comes into focus when the person faces emotional stress, physical illness, or death.”

Relationship between religion and spirituality

While spirituality may incorporate elements of religion, it is generally a broader concept. Religion and spirituality are not the same thing, nor are they entirely distinct from one another. The best way to understand this is to think of two overlapping circles like this:

Venn diagram of religion and spirituality

  • In spirituality, the questions are: where do I personally find meaning, connection, and value?
  • In religion, the questions are: what is true and right?

Where the circles overlap is the individual experience, which affects the way you think, feel, and behave.

Spirituality versus emotional health

You will notice as you read on that many practices recommended for cultivating spirituality are similar to those recommended for improving emotional wellbeing. This is because there is a connection between the two—emotional and spiritual wellbeing influence one another and overlap, as do all aspects of wellbeing.

Spirituality is about seeking a meaningful connection with something bigger than yourself, which can result in positive emotions, such as peace, awe, contentment, gratitude, and acceptance.

Emotional health is about cultivating a positive state of mind, which can broaden your outlook to recognize and incorporate a connection to something larger than yourself.

Another way of putting it:

It is hard to find meaning and connection in life if you are ruminating over negative emotions. Likewise, it can be difficult to cultivate positive emotions, such as gratitude and compassion, if you don’t recognize a larger perspective or sense of interconnectedness in the world.

Thus, emotions and spirituality are distinct but linked, deeply integrated with one another.
References

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Spirituality assesment

http://www.takingcharge.csh.umn.edu/enhance-your-wellbeing/purpose/spirituality/spirituality-assessment?id=578742da0fb13&step=0

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What about Prescription Medication and Treatments for Anxiety and Depression?

According to Henry Emmons, author of The Chemistry of Joy, you should consider taking medications if you have any of the following symptoms:

  • Severe depression that makes it hard to function in daily life or is accompanied by suicidal or self-destructive thoughts
  • Moderate depression that has not improved within three to four weeks of trying natural therapies
  • Mild depression that has not improved within six to eight weeks of trying natural therapies
  • A severe sleep disturbance that does not improve with natural therapies
  • Repeated episodes of depressions, especially if they occur without any particular trigger

(from The Chemistry of Joy)

Cautions: Medications and nutritional supplements for depression and anxiety are best initiated slowly and increased to the ideal dose. Discontinuation of a medication should also be decreased slowly under the supervision of the prescriber.

Working with Medications

As with psychotherapy and integrative therapies, medication should be individualized to your particular condition and physiology. Work with your provider to identify the type of medication that may work for your symptoms, and track the effect of the medication(s) closely. Medications can take weeks or even months to have an impact, and it sometimes takes a long time to find the correct type and dosage. In addition, your medication needs can change with time and circumstance, so it is important to keep paying attention to how you feel and how the medication impacts that.

Medications for Depression

  • Selective serotonin reuptake inhibitors (SSRIs) are medications that increase the amount of the neurochemical serotonin in the brain. People with depression often have low serotonin levels in the brain, and as their name implies, the SSRIs work by blocking the reabsorption of serotonin so it stays around. They are called selective because they mostly impact serotonin and not other neurochemicals. SSRIs have fewer side effects than many of the older generation antidepressants, such as the tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs). Therefore, SSRIs are often the first-line treatment for depression. Examples of SSRIs include Fluoxetine (Prozac), Paroxetine (Paxil), Sertraline (Zoloft), Citalopram (Celexa), Fluvoxamine (Luvox), and Escitalopram (Lexapro).
  • Dual-action antidepressants (SNRI’s). Some of the newer antidepressant drugs appear to have particularly robust effects on both the norepinephrine and serotonin systems and are called “dual-action.” These drugs seem to be very helpful, especially for the more severe and chronic cases of depression. Venlafaxine (Effexor), Duloxetine (Cymbalta), and Desvenlafaxine (Pristiq) are three of these dual-action compounds.
  • Mirtazapine (Remeron, NaSSA). Although Mirtzazpine is primarily an antidepressant for major depression, it also has been found beneficial for anxiety and insomnia. It may stimulate the appetite and thus cause weight gain for some at higher doses.
  • Atypical antidepressants are so named because they work in a variety of ways. Examples of atypical antidepressants include Bupropion (Wellbutrin), Nefazodone (Serzone), and Trazodone (Desyrel). (often used as a sleep aid)
  • Mood stabilizers and anticonvulsants include lithium (Eskalith, Lithobid), Valproate (Depakene, Depakote), Carbamazepine (Epitol, Tegretol), Gabapentine (Neurontin), and Lamotrigine (Lamictal). They have been used to treat bipolar depression and they are sometimes used “off-label” for some forms of anxiety and depression.
  • Tricyclic antidepressants (TCAs) were developed in the 1950s and 1960s to treat depression. They work mainly by increasing the level of norepinephrine in the brain. TCAs are safe and generally well-tolerated when properly prescribed. However takeN in excess, TCAs can cause life-threatening heart-rhythm disturbances. Examples of tricyclic antidepressants are amitriptyline and desipramine.
  • Monoamine oxidase inhibitors (MAOIs) are the earliest developed antidepressants. MAOIs can interact with over-the-counter cold and cough medications to cause dangerously high blood pressure. Because of these potentially serious drug and food interactions, MAOIs are usually only prescribed after other treatment options have failed.
  • Some of the newer psychopharmacology options that may work with the brain for the neurotransmitters nutrient replenishment include: Vilazodone HCL (Viibryd), an approved SSRI and 5-HT1A receptor partial agonist and L-Methylfolate (Deplin), a folate (B vitamin) supplement.

Medications for Anxiety

Medicines used to treat anxiety disorder may be especially helpful for people whose anxiety is interfering with daily functioning. The medications most often used to treat anxiety are:

  • Benzodiazepines. These medications are sometimes referred to as “tranquilizers,” because they may leave you feeling calm and relaxed. Common benzodiazepines include Alprazolam (Xanax), Chlordiazepoxide (Librium), Diazepam (Valium), and Lorazepam (Ativan).
  • Antidepressants, such as Fluoxetine (Prozac), Paroxetine (Paxil), Sertraline (Zoloft), Citalopram (Celexa), Escitalopram (Lexapro) (SSRI’s) and Effexor, Cymbalta, Pristiq (SNRI’s).
  • Serotonin Enhancer, such as Buspirone (Buspar)

Dependency on anti-anxiety medications is a potential complication of treatment. Other side effects of medications include sleepiness and sexual problems.

Electroconvulsive Therapy (ECT)

In ECT, an electric current is passed through the brain to produce controlled convulsions (seizures). ECT is useful for certain patients, particularly for those who cannot take or have not responded to a number of antidepressants, have severe depression, and/or are at a high risk for suicide. In many people, ECT relieves depression within one to two weeks after beginning treatments. After ECT, some patients will continue to have maintenance ECT, while others will return to antidepressant medications. In recent years, the technique of ECT has been much improved and may be a valuable treatment for people suffering from severe depression who may not be responding to medication in a satisfactory way.

Disclaimer: The information in this website page is not to be used in place of medical treatment by a health or mental health provider.
References

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What Types of Psychotherapy Are Helpful for Anxiety and Depression?

Just as no two people are affected the exact same way by depression and anxiety, there is no “one size fits all” treatment. What works for one person might not work for another.

The best way to treat depression or anxiety is to become as informed as possible about the treatment options, and then tailor them to meet your needs.  In many cases, it is helpful to work with a professional to determine the best fit.

Types of Therapy

Therapy may help you develop an awareness of what you feel, why you feel that way, what your triggers are, and how you might change your reaction to them. Some types of therapy teach practical techniques to reframe negative thinking and change behaviors.

There are many types of therapy available. Three of the more traditional methods used in depression include cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. Often, a blended approach is used.

  • Interpersonal therapists focus on the patient’s disturbed personal relationships that both cause and exacerbate the depression.
  • Cognitive/behavioral therapists help patients change the negative styles of thinking and behaving that are often associated with depression. In addition, people suffering from anxiety disorders often participate in cognitive-behavioral therapy, which focuses on recognizing and changing thought patterns and behaviors that lead to troublesome feelings. This type of therapy helps limit distorted thinking by looking at worries more realistically.
  • Blends of cognitive behavioral therapy with mindfulness. Two examples of this newer form of psychotherapy are Mindfulness-Based Cognitive Therapy, based on the Kabat-Zinn’s MBSR model, and Dialectical Behavioral Therapy (DBT).
  • Psychodynamic therapies are sometimes used to treat depression. They focus on resolving the patient’s internal psychological conflicts that are typically thought to be rooted in childhood. Long-term psychodynamic therapies may be useful if there is a lifelong history and pattern of inadequate ways of coping (maladaptive coping mechanisms) in negative or self-injurious behavior.
  • Therapies that engage a somatic (or body-based) experience are frequently recommended for people who have experienced trauma or suffer from post-traumatic stress disorder (PTSD) or ongoing chronic stress. These include EMDR (Eye Movement Desensitization Resolution) and somatic forms of psychotherapy, such as Hakomi and Somatic Transformation.
  • Interpersonal and Social Rhythm Therapy (IPSRT) is designed to help people improve their moods by understanding and working with their biological and social rhythms. Originally developed as a form of psychotherapy for a single clinician and a single patient, the program has since been adapted to work in several different kinds of settings, including inpatient and outpatient groups. IPSRT is a compelling adjunctive therapy for people with mood disorders, and it emphasizes techniques to improve medication adherence, manage stressful life events, and reduce disruptions in social rhythms. IPSRT teaches patients skills that let them protect themselves against the development of future episodes.

 

Disclaimer: The information in this website page is not to be used in place of medical treatment by a health or mental health provider.

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