A case for mixed depression with Bourdain

Mixed depression according to some researchers is rather common but for some reason 0AMZgedO_400x400people don’t think of it when someone like Bourdain commits suicide. Perhaps the depression goes unrecognized since the person’s behavior isn’t consistent with depression and the hypomanic symptoms are not meeting some arbitrary threshold. According to Targum:

“Mixed” depression is a clinical presentation in which a patient meets the full criteria for MDD and, at the same time, has a mixture of other features that are consistent with hypomania or mania. However, when only two or three of these manic symptoms are present, the duration fails to meet current criteria for hypomania (4 days) or mania (7 days), and therefore the diagnosis does reach the full criteria for a hypomanic or manic episode.2  

to read the rest

 

 

 

 

 

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Interesting At one point in past I took…

Interesting. At one point in past I took an antihistamine and felt significantly better. I was convinced that it must have been due to an added stimulant(such as with Zyrtec- D) but it wasn’t. This also agrees with my experience with Ayurveda. I found the Pitta diet to be the most helpful overall with regard to anxiety and irritability. The Pitta diet overlaps considerably with this theory. What is puzzling though is how yogurt (high histamine) was helpful in regard to motivation but not so much anxiety. #depression #antihistamine #inflammation
https://healinghistamine.com/researcher-finds-depression-is-caused-by-histamine-inflammation/

Interesting that so many commenters want to be…

Interesting that so many commenters want to be spared the details of Kate Spade’s suicide. I think to a degree necessary because it shocks people out of complacency. Depression and suicide are still thought to be moral failings and always due to some external factor. This individual apparently was well off and respected. This story supports depression as more of a disease with unknown and perhaps uncontrollable factors. This scares people, as it probably should. https://www.npr.org/sections/thetwo-way/2018/06/05/617145848/fashion-designer-kate-spade-found-dead-in-apparent-suicide

Managing stress while using social media

I find social media to be somewhat of a double-edged sword in regards to mental health. It helps one to feel more connected to others but it also brings one into contact with numerous trolls who obviously make stress worse. What is the solution? Well, I think for one thing anything that gives one more control online is helpful. Here are a few ideas that will create boundaries:

1.Limiting the time spent online in any form of social media. Instead of staying on Facebook/Twitter all day perhaps limit to a couple of hours. read the rest

 

Is it possible to be chronically depressed and optimistic at the same time?

Is it possible to be chronically depressed and optimistic at the same time?

A couple of months ago I came across an article in Elite Daily about people who tend to run late and one common feature was that they were optimists. I am one of those people and I tend to run around 5 minutes late for most of my appointments. I can remember being late for school in fifth grade and having to sprint to school most days. A positive byproduct of this was I won a number of awards in track and field. Despite the lack of awards for most of my life this pattern continues and for some reason it is hard to break.

What struck me as odd when I read the article was that it seemed inconsistent/at odds with being Dsythymic. Aren’t depressed people negative about everything or at least most things? From my perspective I am negative about most things however when it comes to multitasking and estimating time I am curiously rather optimistic.

According to the article one common feature of the chronically late is that they tend to be optimistic. Somewhat unexpected. I have usually thought of people who run late as possibly unmotivated/ self absorbed /undisciplined /unorganized /disagreeable but never as optimistic. More specifically, people who are late are apparently bad at estimating how much time it takes to do something and tend to be more big picture types of people.

A second article in the NYT said that the chronically late tend to either be addicted to the adrenaline rush of a deadline or feel good about accomplishing so many tasks in a short period of time. Many late people tend to optimistic and unrealistic, she said, and that affects their perception of time.

They really believe that they can go for a run, pick up the clothes at the dry cleaners, buy groceries and drop off the kids at school in an hour. They remember that single shinning day 10 years ago when they really did all those things in 10 minutes flat, and forget all those other times when everything took much, much longer. (NYT 2007)

In a third article on the topic, by the same researcher as the one in the NYT, mentioned some more characteristics.

DeLonzor identified links between chronic lateness and certain personality characteristics, including anxiety, low self-control and a tendency toward thrill-seeking( Huffington Post 2013)

The researcher mentioned two additional reasons for chronic lateness. A third group consists of absent minded professors who might have ADD. The fourth group consists of the rebel who likes to annoy people with their lateness and this could be due to feelings of inferiority. Making others wait makes them feel more important. The fourth group is the least common.

When thinking about myself the adrenaline rush makes some sense in regard to depression since my depression is the low energy variety where anything that causes an adrenaline rush would conceivably correct for the defect. I remember writing most of my papers for English literature the night before. I simply could not be creative without the threat of a deadline. I can also identify with the type who tries to accomplish many things with in a short period of time. I t makes me feel very efficient and productive. Either explanation could give a depressive a nice dopamine rush. The rebel explanation is also somewhat relatable too however in my case it has more to do with rebelling against societies values. In my opinion being five minutes late isn’t that terrible and there are more important things to focus on in life such as solving problems and being creative. What is also interesting here is the fact that being on time is of more importance with people who have lower rank in society. Medical doctors are notoriously late but are not chastised like others with lower status.

The idea that late people hold onto or focus on a time in their life when they were the most productive is rather interesting and I can definitely relate. Even though I have chronic depression, I still do focus to a great extent on my euthymic periods when I was very productive. I don’t hear this from most Dsythymics who seem to embrace their depression to a greater degree. This makes me wonder in turn if my real personality is quite different than my Dsythymic one.

It also occurred to me also that arriving too early for an appointment causes me anxiety and one article supported the idea of mental illness playing a role. Sitting somewhere and waiting without anything to do tends to heighten my anxiety. If one is running late one is occupied with doing something on the way to an appointment. Additionally, it annoys me to a degree that my life revolves around other people that I often don’t like. I guess the remedy for this would be to take along a book so that I am doing something I enjoy while waiting for an appointment.

 

 

 

 

 

 

Dysthymia, personality disorders and the MBTI

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 I had been diagnosed with Dysthymia (Persistent Depressive Disorder) in the past and was reluctant to accept the diagnosis. Even though I have spent most of my life dealing with depressive like symptoms, for some reason I refused to identify with the label completely. In the past, when a teenager and young adult, I experienced mostly depression and occasionally brief(~4 hr) euthymic/hypomanic periods. As I have stated in my about section, I experienced severe depression in the morning and euthymia/hypomania in the evening with quite a regularity. Many clinicians would describe this as diurnal variation in the context of a mood episode but I am not so sure.

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Possible connection between migraines and depression with fatigue?

For most of my life I’ve experienced fatigue and headaches. It wasn’t until relatively recently though that it occurred to me that my fatigue might be related to having migraines. In 2009 after reading about the connection between mood disorders and migraines I convinced my GP to let me try Valproate to prevent migraines. During that time though I experienced a psychotic reaction and the focus on treating the migraines was some how lost. I also tried Propanolol but it had such a sedating effect I couldn’t tolerate it for long. I felt like I was about to pass out the entire time I was on it. Continue reading