Mood Disorders

General Background Information on Mood Disorders

Mood Disorder Overview

Everyday life is a roller coaster of emotions. You may feel on top of the world one day because of a high-profile promotion or an awesome grade on a test. Another day, you may feel down in the dumps due to relationship problems, financial troubles, or because you got a flat tire on the way to work. These are normal fluctuations in mood that come and go. When your mood starts to have an impact on your daily activities and in your social, educational, and vocational relationships, you may be suffering from a mood disorder.

What is a Mood Disorder?

Mood disorders are characterized by a serious change in mood that cause disruption to life activities. Though many different subtypes are recognized, three major states of mood disorders exist: depressive, manic, and bipolar. Major depressive disorder is characterized by overall depressed mood. Elevated moods are characterized by mania or hypomania. The cycling between both depressed and manic moods is characteristic of bipolar mood disorders. In addition to type and subtype of mood, these disorders also vary in intensity and severity. For example, dysthymic disorder is a lesser form of major depression and cyclothymic disorder is recognized as a similar, but less severe form of bipolar disorder.

Depression Overview

If you are suffering from depression, feelings of negativity can affect your whole being. While different types of depression exist, most have mood, cognitive, sleep, behavioral, whole body, and weight effects. You are likely experiencing feelings of apathy, general discontent, loss of interest in things that used to be pleasurable, mood swings, or overall sadness. In addition, you may have thoughts of suicide, problems sleeping, feel excessively irritable, socially isolated, and restless. Depression often affects your weight as well – you may lose interest in eating and lose a significant amount of weight or feel overly hungry and put on excess weight.

Mania Overview

Manic moods are characterized by unusually high energy and mood. Feelings of euphoria are often present. These elevated moods typically last three days or more for most of the day. Classic mania symptoms include talking rapidly and/or excessively, needing significantly less sleep than normal, distractibility, poor judgment, impulsivity, and making reckless decisions.

Cause and Effect of Mood Disorders

What causes mood disorders? Researchers and medical professionals do not have a pinpointed answer for this question, but believe both biological and environmental factors are at play. If your family history includes individuals who have been diagnosed with mood disorders, your likelihood of experiencing them, while still low overall, is increased. Traumatic life events are also considered culprits of the onset of mood disorders as well. Mood disorders can negatively impact your work life and school life and intrude on your personal relationships. In some cases, medications and substance abuse can be the cause behind your disorder.

Prevalence of Mood Disorders

Mood disorders have been found to affect approximately 20% of the general population at any given point. More specifically, 17% of the U.S. population is thought to suffer from depression over the course of their lifetime, with bipolar disorder affecting only 1% of the general population. However, researchers agree that many instances of manic moods often go unnoticed or are deemed unproblematic, causing a significant decrease in their reported prevalence.

Diagnosis Methods

Mood disorders are diagnosed through both physical examinations and mental health evaluations. Your physician will perform a physical exam to rule out any underlying medical conditions that are causing an effect on your mood. If ruled out, a mental health provider may perform a series of assessments to determine your mood stability and mental health. Many individuals are reluctant to seek help for mood disorders due to the social stigma associated with them. Because of this, many go undiagnosed and approximately only 20% of those diagnosed receive treatment.

Treatment Options

Mood disorders are treated primarily through medications and psychotherapy. Even with treatment though, it is not uncommon for mood disorders to persist throughout a lifetime or to come and go on occasion. Education about mood disorders help individuals suffering from these conditions recognize patterns of behavior and thought that are indicative of a mood disorder resurfacing – and prompt them to seek additional treatment.

Typically, antidepressants and anti-anxiety medications are prescribed to individuals coping with mood disorders to alleviate emotional distress. Even with medications though, most mental health providers recommend them in combination with psychotherapy.

Psychotherapy, or talk therapy, is focused on changing thought patterns and behaviors. Cognitive behavioral therapy is often considered the benchmark therapy treatment for individuals living with mood disorders. It has been found to have significant positive treatment effects, and in some cases, psychotherapy alone is enough to treat a mood disorder.

Some mood disorders, such as bipolar depression, are usually treated with lifelong medication of mood stabilizers combined with psychotherapy. In addition, the severity of some mood disorders may cause hospitalization, especially if the affected individuals has tried to inflict harm on themselves or others or have thoughts or attempted suicide.

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How to do Mindfulness Meditation

“Mindfulness practice is simple and completely feasible, says Sakyong Mipham Rinpoche. “Just by sitting and doing nothing, we are doing a tremendous amount.”

In mindfulness meditation, or shamatha, we are trying to achieve a mind that is stable and calm. What we begin to discover is that this calmness or harmony is a natural aspect of the mind. Through mindfulness meditation practice we are just developing and strengthening it, and eventually we are able to remain peacefully in our mind without struggling. Our mind naturally feels content.

An important point is that when we are in a mindful state, there is still intelligence. It’s not as if we blank out. Sometimes people think that a person who is in deep meditation doesn’t know what’s going on—that it’s like being asleep. In fact, there are meditative states where you deny sense perceptions their function, but this is not the accomplishment of shamatha practice.

Creating a Favorable Environment for Mindfulness Meditation

There are certain conditions that are helpful for the practice of mindfulness. When we create the right environment it’s easier to practice.

It is good if the place where you meditate, even if it’s only a small space in your apartment, has a feeling of upliftedness and sacredness. It is also said that you should meditate in a place that is not too noisy or disturbing, and you should not be in a situation where your mind is going to be easily provoked into anger or jealousy or other emotions. If you are disturbed or irritated, then your practice is going to be affected.

Beginning the Practice

I encourage people to meditate frequently but for short periods of time—ten, fifteen, or twenty minutes. If you force it too much the practice can take on too much of a personality, and training the mind should be very, very simple. So you could meditate for ten minutes in the morning and ten minutes in the evening, and during that time you are really working with the mind. Then you just stop, get up, and go.

Often we just plop ourselves down to meditate and just let the mind take us wherever it may. We have to create a personal sense of discipline. When we sit down, we can remind ourselves: “I’m here to work on my mind. I’m here to train my mind.” It’s okay to say that to yourself when you sit down, literally. We need that kind of inspiration as we begin to practice.

Posture

The Buddhist approach is that the mind and body are connected. The energy flows better when the body is erect, and when it’s bent, the flow is changed and that directly affects your thought process. So there is a yoga of how to work with this. We’re not sitting up straight because we’re trying to be good schoolchildren; our posture actually affects the mind.

Often we just plop ourselves down to meditate and just let the mind take us wherever it may. We have to create a personal sense of discipline.

People who need to use a chair for meditation should sit upright with their feet touching the ground. Those using a meditation cushion such as a zafu or gomden should find a comfortable position with legs crossed and hands resting palm-down on your thighs. The hips are neither rotated forward too much, which creates tension, nor tilted back so you start slouching. You should have a feeling of stability and strength.

When we sit down the first thing we need to do is to really inhabit our body—really have a sense of our body. Often we sort of prop ourselves up and pretend we’re practicing, but we can’t even feel our body; we can’t even feel where it is. Instead, we need to be right here. So when you begin a meditation session, you can spend some initial time settling into your posture. You can feel that your spine is being pulled up from the top of your head so your posture is elongated, and then settle.

The practice we’re doing is very precise: you should be very much awake even though you are calm.

The basic principle is to keep an upright, erect posture. You are in a solid situation: your shoulders are level, your hips are level, your spine is stacked up. You can visualize putting your bones in the right order and letting your flesh hang off that structure. We use this posture in order to remain relaxed and awake. The practice we’re doing is very precise: you should be very much awake even though you are calm. If you find yourself getting dull or hazy or falling asleep, you should check your posture.

Gaze

For strict mindfulness practice, the gaze should be downward focusing a couple of inches in front of your nose. The eyes are open but not staring; your gaze is soft. We are trying to reduce sensory input as much as we can. People say, “Shouldn’t we have a sense of the environment?” but that’s not our concern in this practice. We’re just trying to work with the mind and the more we raise our gaze, the more distracted we’re going to be. It’s as if you had an overhead light shining over the whole room, and all of a sudden you focus it down right in front of you. You are purposefully ignoring what is going on around you. You are putting the horse of mind in a smaller corral.

Breath

When we do shamatha practice, we become more and more familiar with our mind, and in particular we learn to recognize the movement of the mind, which we experience as thoughts. We do this by using an object of meditation to provide a contrast or counterpoint to what’s happening in our mind. As soon as we go off and start thinking about something, awareness of the object of meditation will bring us back. We could put a rock in front of us and use it to focus our mind, but using the breath as the object of meditation is particularly helpful because it relaxes us.

As you start the practice, you have a sense of your body and a sense of where you are, and then you begin to notice the breathing. The whole feeling of the breath is very important. The breath should not be forced, obviously; you are breathing naturally. The breath is going in and out, in and out. With each breath you become relaxed.

Thoughts

No matter what kind of thought comes up, you should say to yourself, “That may be a really important issue in my life, but right now is not the time to think about it. Now I’m practicing meditation.” It gets down to how honest we are, how true we can be to ourselves, during each session.

Everyone gets lost in thought sometimes. You might think, “I can’t believe I got so absorbed in something like that,” but try not to make it too personal. Just try to be as unbiased as possible. Mind will be wild and we have to recognize that. We can’t push ourselves. If we’re trying to be completely concept-free, with no discursiveness at all, it’s just not going to happen.

So through the labeling process, we simply see our discursiveness. We notice that we have been lost in thought, we mentally label it “thinking”—gently and without judgment—and we come back to the breath. When we have a thought—no matter how wild or bizarre it may be—we just let it go and come back to the breath, come back to the situation here.

No matter what kind of thought comes up, you should say to yourself, “That may be a really important issue in my life, but right now is not the time to think about it. Now I’m practicing meditation.”

Each meditation session is a journey of discovery to understand the basic truth of who we are. In the beginning the most important lesson of meditation is seeing the speed of the mind. But the meditation tradition says that mind doesn’t have to be this way: it just hasn’t been worked with.

What we are talking about is very practical. Mindfulness meditation practice is simple and completely feasible. And because we are working with the mind that experiences life directly, just by sitting and doing nothing, we are doing a tremendous amount.

 

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Depression, spirituality, and faith

For young adults, depression can feel like a “shroud of darkness” threatening to engulf the future. Recognizing that depression ebbs and flows over time offers one beacon of hope. For some people we interviewed, religion or spirituality offered another. In Tia’s words, “faith got me through” and she realized that depression “is a part of life that others have went through it.” Other people felt that religion worsened the impact of depression by impinging on their emerging identity or delaying access to treatment. Still others found that the search for their own beliefs after leaving their parents’ faith was difficult, and heightened the absence of purpose they already felt in connection with depression.

Religion and faith can ease the impact of depression

Some young adults said faith gave them strength to go on even when depression sapped their will. Some looked to their spiritual beliefs to sustain hope, when depression made the future seem bleak. Some – even if they are not themselves religious — found they were unconditionally accepted in communities of faith in unique ways. These experiences did not appear to be influenced by whether people were connected to conventional religious practices or more eclectic spiritual ones.

Many people talked about drawing on faith as a reservoir of strength during their struggles with depression. Leanna recalled that when she is in the depths of depression, she prays to the spirit of the earth to “like please help me and that usually slowly gets me out of there.” Others drew on varied faiths in their darkest moments or as they contemplated what the future might bring.

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Dream Your Reality Positive Affirmations

Present Tense Affirmations
I dream my reality from my heart, and love abides in all
My dreams create the sensuality in my life, all is well with me
I am dreaming my purpose into being right this moment
My consciousness dreams as much as my unconsciousness
In my dreams, I am finding ways to fulfil myself with love
Dreams are the foundations of everyday miracles
My dreams come to fruition, I am the Co-creator of my life with the Universe
It is my dream that I wake up for each day
With a powerful dream, I can feel the sensations of positive growth
I dream and believe in a world where I am valued for myself

 

Future Tense Affirmations
I will dream a castle in my heart that holds the roots to my happiness
Dreaming everyday, as a way to manifest my gifts, I will love the dreamer unconditionally
In my day dreaming, I will take the time to envision the details of my best life
When I dream tomorrow and tomorrow, I will remember that today started with love and only love matters
As my dreams progress, I will remember , it is my birthright to be happy and whole
I will dream the solution to todays challenge, and it will no longer be a problem, but a blessing
When I sit and dream, behind my eyes, a wiseness will mature and my dreams will unfold accordingly
I may dream several times a day, changing the dream to include my heart’s desires
This dreaming state will follow me in my smile, so I can share my secret joy with others
Besides dreaming each day, I will take one step into the dream and two steps into the reality they create

 

Natural Affirmations
The dream state is the primorvial soup which created the ether called life
Dreams show themselves to us in the bloom of a flower, the smile of a child and our own innocent in loving the rain
For dreams to be weathered, like an old sweater, we must put them on and keep loving their promise
We have dreams to show ourselves that miracles happen in thought, first, and then bloom into our lives, just in time
Whether we dream because we need to, or dream because we want to, we all dream and in this, our humanity is tied together
In the brightest dreams, a shadow may appear, it isn’t fear of failure, it is fear of getting our wish
Dreamers have cast visions, in the past we called them magicians, now we call them scientist
I am a dreamer and I will be remembered for the great things I have done
I am a dreamer and I have choice, I create my own existence
I am visualizing, wishing and dreaming my ideal lifestyle into my reality
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Stop Complaining Positive Affirmations

Present Tense Affirmations
I always think positively
I easily deal with negative situations
I always find something nice to say
I am optimistic
I am happy even when under stress
My mind is focused on the positive side of life
I seek out the bright side of every situation
I am calm and relaxed when something doesn’t go my way
I am able to deal with stress appropriately
Others look up to me as someone who is always positive

 

Future Tense Affirmations
I will stop complaining
I will always seek out the positive in every situation
I will improve my attitude
Thinking positively is becoming easier
I am transforming into someone who is always optimistic and helpful
The words I speak are becoming more and more positive
Others are starting to notice a positive change in my attitude
I am finding myself more at ease and relaxed in situations that used to bother me
I will be the kind of person who always has something nice to say
I am noticing myself more naturally focused on the brighter side of life

 

Natural Affirmations
I enjoy being positive and friendly
I can easily find something funny about an annoying situation
Being optimistic comes naturally to me
My words are always positive and encouraging
I am naturally supportive of others
Others look to me for positive feedback and guidance
I am a naturally positive person
I can easily remain calm and relaxed in the most difficult situations
I am much happier when I avoid complaining
Others enjoy being around me because I’m so positive
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