Energy Balance in Depression and Anxiety

photo (54)Two things I ask nearly every patient on every visit: “How are you sleeping” and, “Are you getting some exercise.”

If the answers are fine and yes, then I begin to relax in the belief that things are going pretty well for this person.  It’s a remarkably sensible formula: Rest + Exercise = Improved Health.

Our bodies were made to do things; and then, to rest in order to more things the next day.  People have been getting physical exercise since the time we lived in caves and hunted for dinner.  In modern times, we spend less time foraging through the woods for dinner and more time standing in front of the microwave oven.

Exercise researchers have shown that regular exercise is good for your mind and body.  It can even be a remedy for mild depression (see earlier blog).  The huffing and puffing of exercise blows off the emotional steam that comes with anxiety.  It is one of the few documented factors that help to reduce the risk of dementia and heart attacks.  Need I say more about the need to make some time for exercise?

Sleep researchers recommend 6-10 hour s of sleep.  Most people need about eight.  Some of us do better with nine.  Very few people function well with less than six.

In many ways, sleep seems like one of the easiest things to do with our time.  It is not.  A healthy sleep pattern takes discipline.  Reduce or eliminate caffeine if you sleep poorly.   Good sleep hygiene also requires that you spend the last hour or so of your day unwinding – not finishing a work or school project, not watching an adventure movie or reading a scary book. Let your mind and body relax.

Then make yourself go to bed.  Your mother does not control your bedtime anymore, so tell your own self “It’s time to go to bed so I can get up in the morning and exercise.”

Rick Warren’s Response to Son’s Suicide (Spiritual Perspectives)

052One year after the loss of his son, Pastor Rick Warren said: “Obviously, I want my son back. But if you’re going to go through pain, you may as well use it for good (1).”

When something tragic like suicide happens, there are many different ways to respond. Two ways emerge from reading a recently published interview with Pastor Warren.

First, wait. Following Matthew’s death, Pastor Rick withdrew from the world for several weeks. He used the time to grieve the loss of a beloved son and draw closer to a loving God. Waiting quietly in prayer is often a good first step.

In moments of upheaval, simply wait as a stone waits for the artist to chisel away unneeded parts, gradually revealing the masterpiece that remains. In the words of a 17th Jesuit priest:

“All we need to think of is to keep still in his hands while he works on us…(2)”

Second, allow the experience to change you in a positive way. Rick Warren used his hardship “for good”, as he developed a desire to understand and support people with mental health challenges. Maybe your hardship will enliven growth in some aspect of your personal life.

When bad things happen, wait on God and be transformed. Let Him use the difficulties in your life to shape you into the woman or man He has in mind for you to become.

(1) Warren Smith. Pain and Gain. World Magazine. September 20, 2012

(2) Jean Baptiste Saint-Jure and Claude de la Colombiere. Trustful Surrender to Divine Providence, The secret of peace and happiness. St. Benedict Press, Charlotte, NC. 1980 (originally written in 17th Century).

Sunshine as Suicide Prevention

photo (16)Sunny days may reduce the incidence of suicide. These are findings published this week by researchers who analyzed of 30 years suicide data in Austria, comparing the number of suicides on a given day to the corresponding history of cloudy days .

Two findings emerged. First, a single day of cloudiness may be the final straw for the person muddled in suicidal thinking. Second, a long period of cloudy days increases the risk of suicide.

Two take-away messages may be important for those who struggle with depression. First, you may not feel like going outside on sad days but these may be the most essential days to get into the sunlight. Second, when cloudy days follow cloudy days, it is vitally important to do things that stabilize or elevate your mood. Exercise, call a friend, or do that good thing that helps you feel better. And, reach out to a counselor or physician without delay if destructive thoughts begin to dominate your thinking.

Whether you experience periods of depressed mood or not, get outside in the sunshine this week. It may lighten your eyes as well as your spirit.

(1) Benjamin Vyssoki and others. Direct Effect of Sunshine on Suicide. JAMA Psychiatry. Published online September 10, 2014

Bad Things Happen to Good People

photo (53)Spiritual beliefs may get distorted in times of depression; especially when bad things happen to good people. Viewing God as uncaring or unreal can be a part of the black mood experience. So how are we to think about a god who allows bad things to happen to good people?

In responding to this question, I will begin placing quotation marks around the words ‘good’ and ‘bad’ because sometimes what appears to be ‘bad’ is actually ‘good’. This, I believe, is frequently true in our view of life events.

Often, in the grand scheme of the universe as God knows it, what looks to be ‘bad’ is ultimately ‘good’. Look at Christ on the cross. Wow! Did a very ‘bad’ thing happen to a ‘good’ man? Or, did an ultimately very good thing happen to a very good man?

In smaller ways, God may be using ‘bad’ things to bring ‘good’ things into your life and the lives of those you love. Accepting this suggestion is not easy. Keeping faith when life hurts is hard.

We need a renewed perspective, like the writer of Trustful Surrender who said:

“If we could see all He sees
we would unhesitantly wish all He wishes.
We would beg Him on bended knees for those afflictions
we now ask Him to spare us.”(1)

Bad things do happen to good people. When they do, may God help us to submit to his will so that, in these hardships, we might be transformed into the man or woman he intends us to become.

(1) Jean Baptiste Saint-Jure and Claude de la Colombiere. Trustful Surrender to Divine Providence, The secret of peace and happiness. St. Benedict Press, Charlotte, NC. 1980 (originally written in 17th Century).