Seasonal mood changes

The fall has arrived!

As the days are getting shorter, the rainy, grey and foggy days – especially in this part of the world – are more frequently visiting, and the long winter nights are waiting to “knock on the door,” Seasonal Affective Disorder (SAD) can follow as an unwelcome guest. SAD can build up slowly in the late fall and winter months, and the symptoms are most often the same as what we see in depression:

  • Your appetite may increase and lead to weight gain.
  • In the afternoon, your energy level may decrease, and you find it more difficult to concentrate.
  • You can find yourself sleepy during the days, and sleeping longer than usual at night.
  • Work and leisure activities can suddenly feel less interesting and inspiring.
  • Socializing with others may feel undesirable, and you may notice that you are withdrawing into yourself.
  • Happiness and contentment may turn more into unhappiness and irritability.

PREVENTION

There are a few actions you can take to prevent or ease the effects of SAD:

  • Taking long walks during the daylight hours and getting exercise can make the symptoms better.
  • Keeping active socially, even if it involves some effort.
  • Keeping up a healthy diet with all necessary nutrients, and eating regular meals throughout the day.
  • Your primary care physician can make a diagnosis by asking about your history of symptoms, and also do a physical exam, check if your D-vitamin levels are normal, and take blood tests to rule out other disorders that are similar to SAD.

TREATMENT

Antidepressant medication, and psychotherapy can be effective.

Light therapy using a special lamp with a very bright fluorescent light (10,000 lux) that mimics light from the sun may also be helpful. Follow your doctor’s instructions about how to use light therapy. A common practice is to sit a couple of feet away from the light box for about 30 minutes every day. This is usually done in the early morning to mimic sunrise. Keep your eyes open, but do not look straight into the light source. Symptoms of depression should improve within 3 – 4 weeks if light therapy is going to help.

If you are taking medications that make you sensitive to light, such as certain psoriasis drugs, antibiotics, or antipsychotics, you should always consult with your primary care physician before starting light therapy, and a check-up with your eye doctor is also recommended before starting treatment.

With no treatment, symptoms usually get better on their own with the change of seasons. However, your symptoms can improve more quickly with treatment.

MarieLouise Dodson, MA, LMHC

Posted in Counseling, Depression, Health, Psychotherapy | 2 Comments

Traumatic Memories and EMDR

A significant part of my psychotherapy practice focus on helping clients to process psychological trauma.  To that aid, I use different trauma therapy methods, one of which is EMDR (Eye Movement Desensitization and Reprocessing).

When we experience any kind of traumatic event, depending on its severity, our brain activates our necessary internal defenses ~ fight, flight, or freeze responses ~ to protect the wounds inflicted upon us as a means for survival. Our attempts to numb the physical, emotional, and intellectual responses to whatever terrifying experience we have had are natural to our very being.

The degree of self-protection is equal to the severity of the wound itself. However, the protective shields we utilized when the trauma happened can, over time, transform into destructive coping skills, which are keeping us trapped in painful and harmful emotional, cognitive, somatic, and behavioral patterns, instead of helping us to heal the trauma and free us from the unwanted internal imprisonment.

Not uncommonly, one moment can become “frozen in time,” and remembering what happened can feel as bad as it did when the event occurred, because the images, thoughts, sounds, smells, and feelings haven’t changed. Memories like that have a lasting negative effect that may interfere with the way we see ourselves, the world and the way we relate to other people.

Although it is not exactly known how any form of psychotherapy works neuro-biologically, in the brain, we know that when we experience a trauma, our brain cannot process information as it usually does. Remembering what happened can feel as bad as it did going through it the first time, because the images, sounds, smells, and feelings haven’t changed. The “trauma-memory-networks” seem to “cut off” all communication with “adaptive-information-networks.” Further, the trauma-memory can get triggered by any kind of related or associated experience, and has the potential to make you feel as powerless or upset as you did when the original trauma happened. It’s like “the bridge” between the only island and the mainland is torn down, and you feel stuck at a place from which there is “no escape.”

EMDR (or other forms of bi-lateral stimulation), appears to “build the necessary bridge” between the right hemisphere of the brain where the trauma memory is stored, over to the left hemisphere, which stores important thoughts and awareness needed to relieve the distress. It is like pieces of a puzzle coming together into a complete picture. You still remember what happened, but it is less upsetting, it is “just a memory.”

David Servan-Schreiber, M.D., Ph.D., after having learned about EMDR during a lecture by Francine Shapiro, PhD, the originator of EMDR, he became curious about this method of therapy. He  took the EMDR Institutes’  basic training, and started to use it right away in his practice. “…He said the following: It worked from the first day and I was hooked. That’s the story. I think it happens to everybody. It is surprising to see something work so well. “ Luber, M. (2011). In celebration of: David Servan-Schreiber. EMDRIANewsletter, September 2011, 12-15.

In his first book, “The Instinct to Heal,” David Servan-Schreiber, wrote:” … The thrust of EMDR is to evoke the traumatic memory in all of its components-visual, emotional, cognitive, and, most of all, physical (the echo of the memory in the body), and to then ask the patient to simply follow the hand of the therapist moving rapidly back and forth in front of his or her face in order to induce the appropriate eye movements. This process then stimulates the inborn “adaptive information-processing system” that has not been successful in metabolizing the dysfunctional memory by itself.” (p. 81, Electronic book version)

Posted in Abuse, Adult Children of Alcoholics, Anxiety disorders, Attachment, Binge Eating Disorders, Bulimia, Childhood trauma, Codependency, Complex trauma, Depression, Dissociation, Eating Disorders, EMDR, Generalized Anxiety, Healing, Health, Invisible illness, Panic Attacks, Psychotherapy, Relationships, Severe Trauma, Sexual abuse, sexual assault, Stress, Tension, Therapy, Trauma, Trauma Survivors, Trauma Therapy, Worry | Leave a comment

Walking can work miracles

Sunday, March 20, 2011

Walking work miracles for our health

One effective antidote to anxiety, depression, and negative stress, and a power boost for good health, is regular exercise. Back in the days when I lived in Sweden, I walked to and from work every day. Rain or snow, cloudy or clear sky, hot or cold weather, the walks always gave me energy and food for my soul. Over time I noticed, especially the days when I felt sad, or worried, or down for some reason, breathing fresh air, and moving my body provided me with a mist of serenity and my mood lifted.
Not only can walking work miracles for a depressed and worried mind, it can also increase memory and brain functioning!
In an article in the N.Y.Times on February 7th, 2011, Paula Span is writing about a study, “… published on Jan. 31 in The Proceedings of the National Academy of Sciences, researchers randomly assigned 120 healthy but sedentary men and women (average age mid-60s) to one of two exercise groups. One group walked around a track three times a week, building up to 40 minutes at a stretch; the other did a variety of less aerobic exercises, including yoga and resistance training with bands.
In healthy adults, the hippocampus — a part of the brain important to the formation of memories — begins to atrophy around 55 or 60. Now psychologists are suggesting that the hippocampus can be modestly expanded, and memory improved, by nothing more than regular walking.”
At the follow-up, one year after the study, brain scans showed that among the walkers, the hippocampus had increased in volume by about 2 percent on average among the walkers, which is fairly significant according to the researchers.
This is good news for all of us! And, on a selfish note since I belong to the 50++ age group, I am very pleased .
Presently, I live so far from work that walking daily to and from work is not possible for me any more during the workdays. I still want my daily power boost, so nowadays,  I get up early enough in the morning to have time to go to the gym for a good workout a few times per week. When the weekend comes, I can enjoy walking down the steep hill from my home, which is framed by trees that calls forth the image of walking in the rain forrest. I can listen to the birds, and enjoy the smiles and “hello’s” from strangers I’m passing. I am mindful of the present moment, and can experience gratitude with every step I take.
We all can work miracles for our health!
Posted in Aging, Anxiety disorders, Depression, Healing, Health, Insomnia, Mindful living, Stress, Tension, The Present Moment, Transforming Mind | Leave a comment

Within a few hours….

Within a few hours, in this part of the world, we are welcoming a new year, 2011.

A couple days before Christmas, I took a picture of the sunset from the window of my son’s house in Sweden, and with this peaceful view of how the end of one day is preparing to meet the beginning of a new, I want to wish everyone a HAPPY NEW YEAR.

Posted in Counseling, Healing, Mindful living, Mindfulness, Psychotherapy, The Present Moment, Therapy, Uncategorized | Leave a comment

An act of profound faith

Every time I meet with a new patient, I feel the deepest respect, compassion, and empathy for how their hope, although often hidden behind overwhelming feelings and longing for emotional and relational healing, is stronger than the fear of seeking help.

Coming to therapy for the first time is quite often equal to being at a place of utter despair. Maybe you have had an internal dialogue going on for a long time before you made the call:  ”Maybe I’m just weak going to see a therapist… I should be able to handle this by myself…  But, I’ve tried for years but my problems don’t go away… Will I get the help I need… Can I trust him/her… How can I tell her about… I won’t be able to speak, or to make sense… I never told anyone about… Will I be judged… What if I don’t feel comfortable and safe… Will she understand… ” This inner monologue may have felt endless, and the internal war went on for a long time before you finally made the call.

In my mind, seeking therapy is a sign of strength – not of weakness. It’s a sign of having a belief that “things can get better.” It’s an evidence of changes on their way. It is proof of an insight that “I can get help to heal.” It is a sign of self-care, using your ability to choose, and your right to make your own decisions. It’s being aware that you do not have to continue to carry your pain, distress, and other burdens for the rest of your life. Just challenging the self-defeating belief “my problems will never go away,” is the beginning of taking away its power. It is the beginning of trusting that “my problems can go away.”

When you make an appointment with a therapist to deal with the deepest wounds, secrets, and vulnerabilities of your life, your act in one of profound faith.

MarieLouise Dodson, MA, LMHC

Posted in Attachment, Childhood trauma, Codependency, Counseling, Depression, Dissociation, EMDR, Healing, Psychotherapy, Stress, Therapy, Transforming Mind, Trauma, Uncategorized, Worry | Leave a comment

If you feel stuck …

I’m an avid reader and constantly looking for new, interesting books for my own growth, and high quality books to recommend to my patients.

When I began to integrate EMDR in my psychotherapy practice, I first learned about Maureen Kitchur from Robin Shapiro and from Robin’s excellent book, “EMDR Solutions ~ Pathways to Healing” and over the Thanksgiving holiday, I discovered a new book by Maureen Kitchur, “The 6 Quantum Secrets to an Amazing Life.”

Maureen is a world class psychotherapist in Calgary, CA, and in this video presentation, you can listen to her presentation of the book, www.kitchur.com/media/, and anyone who wants to learn how to overcome roadblocks getting in the way of their wellness, enjoy the reading!

MarieLouise Dodson, MA, LMHC

Posted in Adult Children of Alcoholics, Anxiety disorders, Attachment, Childhood trauma, Codependency, Depression, EMDR, Healing, Mindful living, Mindfulness, Psychotherapy, Stress, Tension, Transforming Mind, Trauma, Uncategorized, Worry | Leave a comment

The worried mind


Generalized Anxiety

If you belong to the 7 % of men and women who are experiencing the challenging problem known as generalized anxiety disorder (GAD), you worry about many different things – or you worry about everything – not only a couple specific problems. According to Dr. Robert Leahy, 25 % of people who see a physician for symptoms related to a psychological problem have GAD.

Scanning for danger

The worried mind tries to guard against every possible sign of danger by identifying risks as soon as possible and collecting as much information as it can about the terrible consequences. If you are a worrier, you ask yourself a few questions, all of them focusing on danger, risk, and personal control.

  • What is the risk of something bad happening?
  • What information can I gather to tell me what my risk is?
  • Am I getting this information in time to take action?
  • Am I missing important information?
  • Are there precautions I can take to reduce the risk?
  • Will I be able to avoid the problem before it occurs?

Bottom line is: things are uniformly dangerous, and your mind is sticking to a few rules of operation:

  • detect danger
  • catastrophize danger
  • control all the circumstances, and
  • avoid discomfort

There are plenty of consequences of continuous worry, such as: chronic anxiety and depression, a lack of joy, reduced effectiveness at work, social life, more difficult relationships, poor sleep, and a multitude of  stress-related physical ailments. In his book “Anxiety Free – Unravel your fears before they unravel you,” Dr Leahy wrote:

Instead of the death one hopes to avoid by worrying, one dies thousands of small deaths daily. In return for one’s supposed safety from catastrophe (a dubious safety at best), one misses out on the opportunity  to live ones life to the fullest. Worriers have a hard time just staying in the present moment – they are living in a future world that actually seldom turns out as bad as they think it will. And, in fact, worriers worry that they worry too much. They think they need to worry to avoid surprise, but they think they need to stop worrying because it’s driving them mad.

Blocking your emotions

In addition to worry being a strategy to fend off disaster, it is also a way to blocking your emotions. As Dr. Leahy describes it in his book, the rational part of your brain is blocking the emotional part, and when your emotions are causing you discomfort, the rational activity of worry – that is, the words you use when you strategize to fend off the predicted danger, become a bullet-proof way of shutting off whatever unpleasant feelings you have. So, you are trying to think your way out of discomfort, not feeling. You think that you need to think to figure things out, but the truth is, you need to come to terms with your difficult feelings.  That is, you have to face your feelings – you have to feel them, and go through the discomfort in order for them to release, and in order for your agony to dissipate.

Are you a worrier?

There are a lot of techniques you can use to overcome your worry, and I will write more about them in my next blog. In the meantime, I would gladly hear from any worrier reading this, what has been helpful to you in your struggles with facing the fear of feeling your feelings, and put your worried thoughts to rest. Until next time: Take care!

MarieLouise Dodson, MA, LMHC





Posted in Anxiety disorders, Childhood trauma, Counseling, Depression, EMDR, Generalized Anxiety, Insomnia, Mindful living, Mindfulness, Psychotherapy, Stress, Tension, The Present Moment, Therapy, Trauma, Uncategorized, Worry | Leave a comment