Somewhere…

If “The Martian” is a clear illustration of what my illness feels like, then this song is a pure vocalization of what it feels like to be totally well and at peace! Somewhere over the rainbow, absolutely my preferred place of residence 🙂

Panel Calls for Depression Screenings During and After Pregnancy

Dyane at http://www.proudlybipolar.wordpress.com/ this is for you! A major positive development, don’t you think?!

http://www.nytimes.com/2016/01/27/health/post-partum-depression-test-epds-screening-guidelines.html?hp&action=click&pgtype=Homepage&clickSource=story-heading&module=first-column-region&region=top-news&WT.nav=top-news&_r=0

Women should be screened for depression during pregnancy and after giving birth, an influential government-appointed health panel said Tuesday, the first time it has recommended screening for maternal mental illness.

The recommendation, expected to galvanize many more health providers to provide screening, comes in the wake of new evidence that maternal mental illness is more common than previously thought; that many cases of what has been called postpartum depression actually start during pregnancy; and that left untreated, these mood disorders can be detrimental to the well-being of children.

It also follows growing efforts by states, medical organizations and health advocates to help women experiencing these symptoms — an estimated one in seven postpartum mothers, some experts say.

“There’s better evidence for identifying and treating women with depression” during and after pregnancy, said Dr. Michael Pignone, a professor of medicine at the University of North Carolina at Chapel Hill and an author of the recommendation, which was issued by the United States Preventive Services Task Force. As a result, he said, “We specifically called out the need for screening during this period.”

The recommendation was part of updated depression-screening guidelinesissued by the panel, an independent group of experts appointed by the Department of Health and Human Services. In 2009, the group said adults should be screened if clinicians have the staff to provide support and treatment; the new guidelines recommend adult screening even without such staff members, saying mental health support is now more widely available. The 2009 guidelines did not mention depression during or after pregnancy.

“It’s very significant that the task force is now putting forth a recommendation that’s specific to pregnant and postpartum women,” said Katy Kozhimannil, an associate professor of public health at the University of Minnesota. “Policy makers will pay attention to it. Increased screening and detection of depression is an enormous public health need.”

The panel gave its recommendation, which was published in the journal JAMA, a “B” rating, which means depression screening must be covered under the Affordable Care Act.

For years, obstetricians and other health care providers who saw women during and after pregnancy often felt ill equipped or reluctant to ask about problems like depression, anxiety and obsessive-compulsive disorder.

“Ob-gyns thought that if they identify something and don’t have resources to support it, it puts them at significant legal risk,” said Dr. Samantha Meltzer-Brody, the director of the perinatal psychiatry program at the University of North Carolina at Chapel Hill. “Pediatricians have the added caveat that the mom isn’t really their patient — the child is.”

And, she said, many women are reluctant to share symptoms with doctors on their own. If a mother is “feeling so anxious you’re going to come out of your skin or feeling that you’re going to harm your baby, you may think: ‘Oh my God, I’m having these crazy feelings and nobody’s talking about it. I must be a terrible mother.’”

No one screened Melissa Mead, 30, of The Dalles, Ore., during or after her first pregnancy, five years ago. Shortly after her son Brady’s birth, “I experienced postpartum depression, anxiety and O.C.D.,” she said, and “I didn’t know what it was.”

Ms. Mead cried constantly, barely slept, rarely left home and was “scared to death that my baby was going to suffocate,” she said. At her job as an optician, she said that people asked, “‘Isn’t everything so wonderful?’ and I was like ‘I kind of feel like dying on the inside,’ and you don’t want to say that because you’re afraid what people will think of you.”

After a year, she saw a psychiatrist for talk therapy. When her second son, Emmett, was born, and she had more symptoms, including fearing that she would stab herself with a kitchen knife, Ms. Mead tried several medications until one worked. She now volunteers for Postpartum Support International.

The panel’s recommendations do not specify which clinicians should screen or how often, and Dr. Pignone said that “anyone who has a caring relationship with the patient” should “sit down and say, ‘How do we want to do this in our practice?’” For screening methods, the group said that theEdinburgh Postnatal Depression Scale, a 10-question survey, was effective.

The panel said evidence showed that cognitive behavioral therapy was helpful to mothers. It said that the use of some antidepressants during pregnancy could cause “potential serious fetal harms,” but that “the likelihood of these serious harms is low.”

Dr. Pignone also emphasized that “untreated depression has a lot of adverse consequences itself.”

Among them, experts say, are that pregnant women with depression often take poorer care of their prenatal health. And maternal mental illness can affect children, leading to behavioral problems, emotional instability and difficulty in school.

Besides citing evidence that screening accompanied by even minimal counseling helped women with depression, the panel found that screening caused no harm.

“A decade ago there was more concern that screening pregnant and postpartum women for mental health would do more harm than good,” said Wendy N. Davis, the executive director of Postpartum Support International. “Medical providers would say to me, ‘If I screen and she screens positively for depression and anxiety, I’m afraid that it will just make her feel more scared, or there’s more stigma to that label.’”

But, she said, “screening tools actually can give a language for both the providers and the patients to feel comfortable talking about it and prevent the stigma.”

The panel recommended that clinicians have the ability to diagnose and treat women, or to refer them elsewhere.

That is crucial, said Dr. Lee S. Cohen, the director of the Center for Women’s Mental Health at Massachusetts General Hospital. “I applaud identifying women who are ill,” he said. But “will she be appropriately referred, will she get treated whether it’s medication or therapy, and over time does she actually ever get well?”

The only state that requires screening, New Jersey, has had mixed results because too few treatment options have been available. While pediatricians and obstetricians were trained to screen, they were not compensated for screening, a study by Dr. Kozhimannil found.

A dozen other states, including New York, now have laws encouraging screening, education and treatment. And Bill de Blasio, New York City’s mayor, recently announced a goal of universal screening of pregnant and postpartum women, saying it “should be a part of routine care.”

Routine screening could have benefited Jenna Zalk Berendzen, 40, of Cedar Falls, Iowa, even though during her first pregnancy, five years ago, she was studying to be a nurse practitioner and had medical knowledge. She also had a family history of postpartum depression, but had assumed “it’s not going to happen to me,” she said.

A week after delivering a son, Maxwell, depression “hit me very, very severely,” she said. She felt suicidal, and at one point, while her husband and baby were sleeping, “I had in front of me 15 bottles of different kinds of meds,” she said. “I would open the bottles up and I would close them, open them and close them. I didn’t want to die, I just thought, ‘It’s never going to get better.’”

Ms. Zalk Berendzen ultimately found effective treatment, and has since weaned herself to a low dose of medication. She had no symptoms with the 2014 birth of another son, Samuel. She now works in gynecology at UnityPoint Health in Waterloo, Iowa, where, she said, “Within the last year, we’ve started to recognize we need to be screening every woman.”

Zumba!

Finally went to Zumba after more than a month! How fun and joyous, not to mention a kickass workout! The video has one 4 minute song, we do 55 minutes worth of songs in one class! Love my teacher, she’s from Colombia and has all the moves! ❤ Ivonne! Can’t wait, seriously I can’t, wait for my next Zumba class! Puts a smile on my face every time, not to mention muscles on my body! YaaY!

How ECT works by Natasha Tracy

https://plus.google.com/+NatashaTracy/posts/fZmbu8XrgrN​

How Does Electroconvulsive Therapy (ECT) Work?

In the book I’m writing on electroconvulsive therapy (ECT) I’ve had to address the question as to how ECT works. However, in spite of the fact that ECT has been in use since the 1930s we really don’t know how ECT works.

But recently we may have gotten a bit closer to figuring it out.
Electroconvulsive Therapy (ECT) and Brain Derived Neurotrophic Factor
One of the things we have noted is that people who undergo ECT have measurably increased levels of brain derived neurotrophic factor (BDNF) which is critical in supporting healthy cells and cell growth in the brain. This increase in BDNF is something we’ve noticed when people take antidepressants as well. When you think about it, it makes sense that this would be part of why ECT and other therapies work as it combats the shrinking of the brain seen in depression and other mental illnesses.

Electroconvulsive Therapy (ECT) “Reboots” the Brain
And one of the things I have said is that electroconvulsive therapy does not “reboot” the brain. There is just nothing similar to this analogy that we can point to with regards to ECT. Until now, that is.

Recent research shows that functional connectivity in areas of the brain may be up-regulated in people with depression. In other words, there are areas of the brain with too much connectivity. This theory is known as the “hyperconnectivity hypothesis.”
How Does ECT Work in the Brain

This seems counter intuitive when you think of depression but I suppose it’s like anything else, too much of anything can be a bad thing, especially in the brain.
Recently a study was done where functional magnetic resonance imaging (fMRI) measured the connectivity in areas of the brain. And specifically around the left dorsolateral prefrontal cortical region it was found ECT decreased the functional connectivity, and this decrease in functional connectivity seemed to correlate with positive results from the ECT on depressive symptoms.
Thus ECT was found to change the functional architecture of the brain in a way that helped with depression.
Note that the study size was extremely small but that this is typical for studies using technology like fMRIs. Thus, we cannot say this study proves anything but we can say it leads us in a new, and perhaps promising, direction in terms of discovering how ECT works.
Please see Electroconvulsive therapy reduces frontal cortical connectivity in severe depressive disorder for all the details.
Why Does it Matter How ECT Works?
Well, on the one hand, it doesn’t. For the people for whom ECT has worked, how it worked doesn’t matter a lick. However, the end goal for researchers is to figure out how ECT works so that they can retain the therapeutic component of the treatment while reducing the side effects (like memory loss). Maybe this study got us one step closer.

Thank you for nominating me for the Sunshine Blogger Award

Thank you gentlekindness of http://gentlementalannie.com/2016/01/24/awards/ for nominating me for the Sunshine Blogger Award!

sunshine-blogger-award-200

The rules for The Sunshine Blogging Award are:

  • Thank the person who nominated you
  • Answer the 11 questions from your nominator
  • Nominate 11 bloggers and give them 11 questions to answer

My Nominees Are…

http://justplainolvic.com/

https://itsgoodtobecrazysometimes.wordpress.com/

http://bipolarcompass.com/

https://theblahpolar.wordpress.com/

http://thefallingthoughts.com/

https://synapsparkle.wordpress.com/

http://bipolarforlife.me/

http://fightorflights.com/

https://piecesofbipolar.wordpress.com/

https://thefeatheredsleep.wordpress.com/

http://despairtodeliverance.com/

 

 

Answers to My Questions-  Followed by My Questions for my Nominees

1. What do you like to do first thing  in the morning, if you have a choice?

Have coffee, I can’t start the day without coffee, simply doesn’t work.

2. Do you think we should strive to be “normal” or just be ourselves?

I suppose we should try to be as normal as we can be, all the while being as much ourselves as we can be. What is normal anyway?

3. Does anyone know you well enough that you trust them to “give you advice” about your path and your life? If so, who?

Yes, some friends and my sometime therapist. I definitely trust her, she can be objective, and she is highly intelligent and empathetic, so I definitely trust her. I just wish she took insurance so I could speak to her more regularly.

4. Do you feel more connected to the people you interact with on WordPress, or the “real life” people in your life? Or is it even and balanced?

I do feel very connected to the bloggers with whom I have conversations on WordPress! We, most of us, suffer from bipolar d/o or another mental illness, so we understand a lot of things about each other without having to explain a thing, which is really amazingly nice!

5. Do you prefer to be with people the majority of the time, or prefer time alone?

Sometimes I want to be with people, sometimes not. Sometimes being with people makes me very anxious and I have to come home and be solitary.

6. What do you miss about your younger self?

The being young of course. Also the hope for things to turn out well, the time to work on things, time, really it’s having the luxury of time, that’s what I miss.

7. Favorite tv show? or favorite movie?

Favorite TV show is “Downton Abbey” and “Sherlock”. Favorite movie lately might be “Madame Bovary” and all time is “Amadeus!”

Questions for my Nominees…

1. What is your nickname?

2. What do love the most about blogging?

3. What do you like the least about blogging?

4. When did you start your blog and why?

5. How did you come up with the name of your blog?

6. What are your hobbies?

7. Do you like to read? And if so, what genre of books?

8. Do you believe in keeping fit? If so how do you manage it?

9. Do you have pets?

10. Do you like winter or summer?

11. Do you have any fears? If so, how do you soothe them?

A clarification: I am not my illness and my illness is not me.

img_9435In my post called “The Martian” I had said I knew what it felt like to be alone, abandoned, injured, basically what Matt Damon’s character felt when he was left behind on Mars. Yes I know what that feels like but only from the times I’m not feeling well. That is what this illness called bipolar disorder feels like. That is not the real me, that is the ill me. The real me does not feel abandoned or alone or injured. The real me is strong, happy, capable, helpful to others and in control of my life. That is the real me. Unfortunately, the real me sometimes gets drowned by my illness. But the true me is always there, whether camouflaged by my illness or not.  And it is with this real me, the true me, not my illness, it is with the real me that I live my life. The ill parts are simply short voyages into hell from which I do emerge often stronger and wiser than before. As so aptly said in the comments section by my friend Laura Schulman, I am not my illness and my illness is not me, categorically! Just a clarification.

 

L Methyl Folate

This is the one I am getting. Lets see if it has any perceptible, positive effect on my mood.

(See this post about the explanation: https://bipolar1blog.wordpress.com/2016/01/21/l-methylfolate-aka-deplin/)

 

 

http://www.methylpro.com/product/5-MTHF-15mg-90caps

5-MTHF Extrafolate-S® 15mg

5-MTHF Extrafolate-S® 15mg
90 CAPS

Product No. 00811

Supports normal healthy mood, cardio and nerve function.*
L-Methylfolate is important for normal production of serotonin, norepinephrine and dopamine, and is essential for converting homocysteine to methionine.*

Metabolic Maintenance has always used 5-MTHF made by Gnosis S.p.A. in Italy. We have recently decided to include their registered trademark “Extrafolate-S®” in the name of our stand-alone 5-MTHF products. We have made this adjustment on our website, although our product labels will take a few weeks to reflect this change. Extrafolate-S® is pure S isomer L-5-Methyltetrahydrofolate, calcium salt.

Our products have not changed. This name change was made only to acknowledge our supplier and clarify the source of our 5-MTHF.

26 Pieces of Advice That Have Actually Helped People With Mental Illness

My favorites are # 10 and 14!

http://themighty.com/2016/01/26-pieces-of-advice-that-have-actually-helped-people-with-mental-illness/?utm_medium=email&utm_source=themighty&utm_campaign=Email_Share&utm_content=story-header

26 Pieces of Advice That Have Actually Helped People With Mental Illness

With that expert’s list of ways to manage anxiety, the latest trendy mental health app and that “magical cure for depression” your aunt heard about on TV, it seems like everyone’s full of mental health advice these days.

So, we asked our mental health community to share pieces of advice they’ve actually found helpful. These little nuggets of wisdom aren’t FDA-approved, but when used correctly side effects may include: self-care, acceptance and a little more patience with yourself.

Here’s some advice that’s actually helped people with mental illness:

1. “On a particularly difficult day, I was trying to fight through an anxiety attack and finish all the child-related tasks I needed to complete. My husband kept offering help, and I kept refusing. He pulled me aside in the laundry room as I was frantically folding another load and said, “Just let me help you.” It doesn’t immediately make the anxiety go away, but it’s helped me learn to let go.” — Maria Heldreth

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2.Don’t wait. See a doctor. Don’t be afraid to ask for help. Don’t be embarrassed.Chances are, someone knows exactly what you’re going through.” — Kristin Salber

3. “I have depression and anxiety (as well as other chronic medical conditions), and after the worst week I’ve had in a while, my doctor  said, “Find something you enjoy, and if you can’t find that, find the joy in something.” This really had an impact on me and still reminds me to look for a silver lining.” — Faith Merryn

4. “I have generalized anxiety disorder, and I made friends with someone who’s extremely similar to me. She told me to always be myself and the people who truly care will stick around. It truly did help.” — Julia Ann Lange

5.Words can hurt to say, but they need to come out. Write all those words down on paper.” — Melissa Cote

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6. “A friend recently told me that no matter if I get a job one day or not, your life matters as long as you can make people smile. When I think of it that way, it’s easier to see my life as something of worth.” — Emma Wozny

7. “A great therapist I had told me to focus on ‘harm-reduction, not perfection.’ I felt like I was expected to magically ‘get better,’ and she helped me learn that starting with baby steps was totally OK.” — Jen Decker

8. “Someone said, ‘I’ve been here, I know a way out, I’m here to show you too.’ And, ‘It gets better, it may not leave, but it gets better. And it has.” — Tom Everman

9. “I have anxiety and major depressive disorder. This is going to sound ridiculous, but my best friend once told me, “When you’re sad, watch ‘The Simpsons.’” It actually works when I’m panicking, too. It gets my mind off whatever I’m obsessing about, and I usually end up laughing.” — Dawn Czarnecki Seshadri

10. “It wasn’t long after my diagnosis that I was told pretty bluntly: ‘This illness is has no cure. You’re going to carry this illness for the rest of your life. So you can either wallow in the weight of that, or you can fight for your only life and make it a good story.’” — Lyss Trayers

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11. “My depression and anxiety stem from a traumatic childhood. Just hearing ‘it wasn’t your fault‘ from my psychologist was incredibly helpful.” — Kathrine Elise

12.Don’t always believe what your brain is telling you.” — Kerri Lewis Brock

13.It’s OK to feel sad. You don’t need to pretend.” — Allyson White

14.The best advice: Treat yourself as if you were a good friend.” — Julie Jeatran

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15.Celebrate every accomplishment, no matter how small, instead of dwelling on all the things we perceive as failures.” — Jennifer Northrup

16. “I have post-traumatic stress disorder and bipolar disorder. When I was in intensive outpatient therapy, the counselor looked at us and said, ‘It’s over. That moment is over. It isn’t going to happen again.’ For some reason, that resonated with me.” — Nicole Hanes

17. “They told me this: ‘You are not broken; you are a whole person. You are just human. A human who is living, learning and growing. And learning, living and growing comes with bumps in the road. Remember that this is just a bump.‘” — Kallie Kieffer

18.Your worst days will only be 24 hours. — Arielle Smith

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19.You wouldn’t skip a dialysis or chemotherapy appointment. Your therapy appointments are just as important. No excuses.” — Jennifer Davis

20. “‘I think you need to give therapy a try.‘ Thanks to that, I started therapy and I’m now on the path to recovery.”  — Julianne Leow

21.Your struggles are your accomplishments in disguise.” — Katherine J Palmer

22.Remember: Depression lies. Don’t believe it.” — Beth Brogan

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23.Always ask for help. There is never any shame in asking for help.” — Meghan Shultz

24.Take life 5 minutes at a time.” — Stephanie Lynn

25.You can’t give everyone else everything you have. You absolutely have to save a little of yourself for yourself.” — Shawn Henfling

26.I am a human being. Not a human doing. I just have to be.” — Michelle Balck

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The Martian

martianJust saw it. The beginning where Mark Watney gets left on Mars, horrifying! Have I been left behind on Mars? The feeling of watching this man realize he is alone on a planet millions of miles away from Earth, how was that so familiar? Of course, it is the same feeling I have felt when I am in the throes of a manic or severely depressed episode! Abandoned in a desert, no help in sight. Quite sucks your breath out of your lungs. Yes, being left alone on Mars is very much akin to bipolar disorder (BPD). Surviving it requires intelligence, ingenuity, persistence, luck, and eventually help from the outside.

I was watching Matt Damon, playing Mark Watney, and I was so in tune with what he must be feeling. Alone, abandoned, injured, yet he had his wits about him and he survived. That is what we, who have BPD, need. But, awfully enough, bipolar takes our mind/brain/wits from us as well. But we survive, just with the thinking we have left, we survive. The thing to do is to never let it get so far that you cannot think logically or real-ly. With BPD, prevention is worth its weight in gold.

That is what life with bipolar d/o is like, like being abandoned on Mars. it’s that difficult, when you are in an episode, it is just that difficult. It takes superhuman strength to survive. So I congratulate all of us who suffer from this nasty disease and who have survived its ravaging effects over and over again!