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Depression in Men vs. Women

July 14th, 2010

Depression occurs in the young and the old and in men and women. We do know that the rate of depression in men is less than for women.

The symptoms that men experience can be different from those that women experience. Symptoms including anger, irritability, and feeling discouraged are more common in men than symptoms of hopelessness or helplessness.

Typical symptoms we associate with depression such as depressed mood may not be present in depression in men. This can make it more difficult to recognize depression in men. Many famous men, including President Abraham Lincoln and Winston Churchill, had depression and still lived successful lives.

Unfortunately, men are not as likely as women to admit to having depression. Even if they do admit to having depression, they may be less likely to seek treatment. Men may stuff their feelings instead of verbalizing them. They may work more, gamble, or use alcohol or drugs to avoid their feelings. Their sleep and or appetite may change. They may suddenly begin talking about divorce or separation.

Women attempt suicide more often than men, but the rate of completed suicide in men is 4 times that of women. Suicide rates peak in mid life and again later in life. Men age 85 and older have the highest suicide rate.

Men want and need to be strong for their families; they don’t want to appear weak or vulnerable. If they are the primary bread winner, they can feel pressure to provide for their dependents. Of course, these general statements can be applied to women as well.

If you suspect a friend or loved one may be depressed, urge them to seek a professional evaluation. There are many options, including medication, therapy or a combination of the two.

Heart Attack Risk with Depression

July 12th, 2010

We frequently talk about the importance of treating depression. Here’s another reason to get help now.

As many as 1 out of every 3 people who have a heart attack report feelings of depression. Women, people who have had depression before, and people who feel alone and without social or emotional support are at a higher risk of depression after a heart attack.

If you have major depression and have had a heart attack, you’re at a much higher risk to die of a heart attack. Although this is very sobering, you need to know the facts. We know that chemicals in our brain are not in proper balance when depressed. When people suffer from depression, they are not as likely to take care of themselves properly. People don’t eat right and commonly don’t exercise. Sleep is usually disturbed in some way, too.

Anxiety increases heart patients’ likelihood of suffering a heart attack, stroke or heart failure.  The link between anxiety and such events can’t be explained by health behaviors like smoking, severity of disease or biological factors such as hormone levels or heart rate.

So if you have depression and heart disease, pay extra attention to your physical and mental health. Don’t put off asking for help. You and your body deserve it!

Light Therapy for Bipolar Disorders

July 8th, 2010

Bright light therapy can ease bipolar depression in some patients, according to a study published in the journal Bipolar Disorders. Researchers from the University of Pittsburgh School of Medicine’s Western Psychiatric Institute and Clinic studied nine women with bipolar disorder to examine the effects of light therapy in the morning or at midday on mood symptoms.

“There are limited effective treatments for the depressive phase of bipolar disorder,” said Dorothy Sit, M.D., assistant professor of psychiatry and the study’s first author. “While there are treatments that are effective for mania, the major problem is the depression, which can linger so long that it never really goes away.”

In this study, women with bipolar depression were given light boxes and instructed on how to use them at home. The women used the light boxes daily for two-week stretches of 15, 30 and 45 minutes. Some patients responded extremely well to the light therapy, and their symptoms of depression disappeared. The responders to light therapy stayed on the light therapy for an additional three or four months. Four patients received morning light, and five used their light boxes at midday. Participants also continued to take their prescribed medications throughout the study period.

“Three of the women who received morning light initially developed what we call a mixed state, with symptoms of depression and mania that occur all at once — racing thoughts, irritability, sleeplessness, anxiety and low mood,” said Dr. Sit. “But when another group began with midday light therapy, we found a much more stable response.”

Of the nine women treated, six achieved some degree of response, with several reaching full recovery from depressive symptoms. While most attained their best recovery with midday light, a few responded more fully to a final adjustment to morning light. “People with bipolar disorder are exquisitely sensitive to morning light, so this profound effect of morning treatment leading to mixed states is very informative and forces us to ask more questions,” said Dr. Sit. “Did we introduce light too early and disrupt circadian rhythms and sleep patterns?”

People with bipolar disorder are known to be sensitive to changes in outdoor ambient light and to seasonal changes. Researchers are asking whether the risk of suicide in patients with bipolar disorder could be linked to changes in light exposure.

“In our study, 44 percent of patients were full responders, and 22 percent were partial responders,” Dr. Sit and her colleagues write. “Light therapy, therefore, is an attractive and possibly effective augmentation strategy to improve the likelihood of full-treatment response.”

Optimal response was observed with midday light therapy for 45 or 60 minutes daily, noted Dr. Sit.

Other study authors are Katherine L. Wisner, M.D., Barbara H. Hanusa, Ph.D., and Stacy D. Stull, M.S., all of the Women’s Behavioral HealthCARE program at Western Psychiatric Institute and Clinic; and Michael Terman, Ph.D., Columbia University. Article: doi/full/10.1111/j.1399-5618.2007.00451.x

Researchers report funding from the Stanley Foundation, the University of Pittsburgh School of Medicine, National Institute of Mental Health, U.S. Department of Health and Human Services, Pfizer Inc., GlaxoSmithKline and the National Institute of Neurological Disorders and Stroke.

Depression & Pregnancy

July 6th, 2010

Pregnancy is a joyous occasion.  Pregnancy, though, does not protect women from experiencing mild to severe depression. Medication and/or therapy may be recommended.

Treating depression is always important and it can be successfully treated during and after pregnancy. Some antidepressant/anti anxiety medications can be used safely throughout pregnancy and breast feeding.

A drug free way of treating depression during pregnancy is by using a light therapy box.  Bright light therapy is as effective as the antidepressants in depression cure in pregnant women.  Bright light therapy has yielded favorable results for curing depression in pregnancy.  It also is quite safe as it does not have any side effects.  It requires a patient to sit in front of a box for about 30 minutes a day, depending on the patient.

Here are some findings from research on pregnancy and depression:

  • Babies born to moms with depression have an increased risk for irritability, less activity and attentiveness and fewer facial expressions.
  • There are possible fetal abnormalities when mothers take antidepressants in the first trimester. But there’s not a particular pattern associated with a specific medication or class of medications.

Some specific treatment recommendations include:

  • Talk to your provider early if you are planning to conceive. You can talk about the best options for you as an individual.
  • Encourage the provider who will deliver your baby and your mental health provider to consult with each other on the best options for you. They will help you understand the risks and benefits of medication versus therapy, etc.
  • If you are taking an antidepressant for depression, don’t discontinue or change your dose of medication on your own. This could be dangerous and your symptoms could worsen.
  • Use bright light therapy as a drug free option to treat your depression during pregnancy.
  • If you have severe depression and are pregnant, you should remain on medication.

Untreated depression during pregnancy has been proven to lead to higher rates of:

  • Lower birth weights
  • Pre-term labor (depression doubles the risk)
  • Increased use of alcohol and drugs to self-medicate

Please have a candid discussion with both your psychiatrist and OB-GYN regarding the benefits, risks and side effects of all medications. If you have been diagnosed with depression and are considering pregnancy, meet with your health providers before you get pregnant. This will provide peace of mind and help to make sure that you and your baby are both as healthy as possible.

Light Therapy for Alzheimer’s Disease

July 1st, 2010

Alzheimer’s disease is the most common cause of dementia. Thousands of people die every year from this degenerating disease. Scientists are still no closer to finding a cure, even though research is being carried out daily.

The light therapy is mainly used in the advanced stages of Alzheimer’s disease. It is well known for anybody who has been involved with a Alzheimer’s patient that they are at their best early in the mornings. This is because as the disease progresses it affects the part of the brain that controls the circadian rhythms.What the circadian rhythm does is it controls our body clock and the sleep-wake cycle in our brain.

It is common that an Alzheimer’s patient will start to become very agitated in the late afternoon and evening. This is because there eyes become affected, and as the daylight starts to disappear they find it harder to focus on things. They even find it hard to settle during the night and often wandering around the house. This is called sundowning.

The Alzheimer’s light is a helmet which has infrared lights attached to it and it fits onto the head. Scientist first carried out research with this helmet on mice, results proved that it showed great improvement in their learning ability. The mice also showed signs or less agitation at night time.

The trial was for twelve weeks and was tested on men and women between 60 and 70. Half of the participants where given one hour of exposure to bright natural light each morning. The rest where exposed to low light each day. Tests proved that the participants who where given the bright natural light, showed signs of not being as agitated during the day and settling in bed on a night a lot longer than normal.

Tests also proved that the Alzheimer’s light treatment has slowed down the deterioration of the nerve cells in the brain. Which means that an Alzheimer’s patient has been able to live a lot longer in their own home.

Although this is not a cure for alzheimer’s disease, if this treatment can give an Alzheimer’s patient a better way of light then that has got to be a positive thing. Research is still being carried out on the light therapy at the moment.

Light Therapy for Daytime Sleepiness in Parkinson’s Disease

June 29th, 2010

Parkinson’s disease (PD) is very frequently associated with poor overnight sleep and daytime sleepiness. We have a regular internal sleep/wake cycle that keeps us awake and keeps our sleep time on track. Being exposed to bright light therapy has been shown to improve the sleep/wake cycle in people with sleep problems as well as in people with Alzheimer’s disease.

This study is being done to look at the effects that exposure to a bright light has on daytime sleepiness and night-time sleep in PD. About 30 people with Parkinson’s disease and sleep problems will be in this study. Bright light therapy involves sitting in front of a light box for 1 to 1. 5 hours several times a day for a few weeks.

Three clinic visits (approximately 1 hour each) and two 24-hour stays (including sleep studies) are involved in this study. There are also three 14-day periods in between the clinic visits where activity levels will be measured using an actiwatch, a small, watch-like device that measures movement throughout the day and night, and participants will complete daily sleep logs at home. During one of the 14-day periods, participants will use the light box as instructed at home.

Below is a link to the Northwestern University – Parkinson’s Disease and Movement Disorders Center for Clinical Trial Participation:

http://www.parkinsons.northwestern.edu/clinical_trials.html

Light Therapy in Trials to Treat Epilepsy

June 25th, 2010

There is a new clinical trial starting at University College London (UCL) that will study whether light therapy could benefit people with epilepsy.

UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery will be running the study which will involve 100 people who suffer a type of seizure called a complex partial seizure.

In this trial, the UCL researchers aim to find out whether light therapy reduces the number of seizures people experience. A study suggested that people suffered from less seizures on sunny days compared to cloudy days.

Full article can be read at:

http://www.ihe-online.com/index.php?id=2565&tx_ttnews[tt_news]=907&cHash=65536

Books About Seasonal Affective Disorder

June 23rd, 2010

Several books have been written for patients of seasonal affective disorder. These self-help books should be used in conjunction with medical or psychological treatment for seasonal affective disorder and bi polar disorder.

Winter Blues, Revised Edition: Everything You Need to Know to Beat Seasonal Affective Disorder by Norman E. Rosenthal

Snooze… or Lose!: 10 “No-War” Ways to Improve Your Teen’s Sleep Habits by M.D. Dr. Helene A. Emsellem

Seasonal Affective Disorder and Beyond: Light Treatment for Sad and Non-Sad Conditions by Raymond W. Lam

A Clinician’s Guide to Using Light Therapy (Cambridge Clinical Guides) by Raymond W. Lam and Edwin M. Tam

The Bipolar Child: The Definitive and Reassuring Guide to Childhood’s Most Misunderstood Disorder by Demitri Papolos M.D. and Janice Papolos

Winter Blues: Seasonal Affective Disorder: What It Is and How to Overcome It by Norman E. Rosenthal

Seasonal Affective Disorder For Dummies by Laura L. Smith and Charles H. Elliott

National Daylight Appreciation Day

June 21st, 2010

Today marks the official first day of summer, also known as the Summer Solstice in the northern hemisphere.  Here are some activities to think about doing to get yourself outside and enjoying the sunlight:

Do some gardening, take the bike out for a spin, go for a walk with your family or pets, go for a swim, have lunch at a restaurant with an outdoor patio, get a hammock or swing, play some games outside, or have friends over and grill. Celebrate that it is summertime and enjoy the sunlight.

Daylight brought indoors has been shown to improve productivity, enhance health and wellness, and reduce overall energy costs. Pure natural daylight makes colors more vivid, reduces eye strain, and, according to studies, the variation in solar light levels throughout the course of a day helps cure Seasonal Affective Disorder (SAD).

Vitamin B and SAD

June 17th, 2010

Vitamins B12

Vitamins B6 and B12 affect and help regulate your mood, and might help alleviate SAD. A Finnish study reports vitamin B12 helps reduce depression.

Vitamins B6 and B12

Vitamins B6 and B12 promote healthy blood cells, and help regulate the nervous system.  They affect mood and brain functioning.

The B Vitamins and SAD

Vitamins B6 and B12 promote dopamine production, one of the body’s neurotransmitters responsible for pleasure.  If a person does not have adequate amounts of these vitamins, he might experience lethargy, a lack of concentration, anxiety and other symptoms similar to SAD.

Food Sources of Vitamins B6 and B12

Food sources include fish, meat, chicken, cheese, milk, eggs and fortified cereals. Vegetarians should consider a supplement.

Daily Requirements

Eat 1.3 to 1.7 mg of vitamin B6 per day. Eat 2.4 mcg of vitamin B12 per day.

Read more: http://www.livestrong.com/article/32354-b-vitamin-seasonal-affective/#ixzz0r8XdhwsA