Showing posts with label depression. Show all posts
Showing posts with label depression. Show all posts

Thursday, 28 August 2014

Fighting Anxiety And Depression At Work

GEOFF MCDONALD



We live in a world that is very volatile, uncertain, complex and full of ambiguity. We live in an environment, particularly in the corporate world, where competition is increasing, where there is a 24/7 always-on mentality, and where people are expected to do more with less. This sort of environment is conducive to driving people to high levels of stress, which can evolve into depression and anxiety. And given that there's no indication that things are going to get any easier in the future, how can the corporate world better address depression and anxiety and break the stigma associated with those illnesses?
Here are four starting points:
1. Managers and leaders need to become better educated on the importance of a healthy mind. When we were in school, we were taught the importance of a healthy body through physical education and health classes, but we were never taught the importance of also keeping our minds healthy. There is a significant amount of work that needs to be done to educate managers and leaders on healthy minds. They should learn why a healthy mind is important; how to identify if someone might be moving from stress to distress to depression and anxiety; how stress and anxiety are illnesses, not weaknesses; and how to support someone who might be ill and reintegrate them back into the workplace.
2. We need corporate leaders to "come out of the closet" about their experiences with mental illness. When leaders rack up the courage to talk about personal experiences -- or those of a family member or close friend -- they help normalize mental illness and make it easier to talk
about these issues.

3. Put in place opportunities for employees to address their emotional and mental health. It's commonplace for companies to have gyms where people can improve their physical health. Mindfulness and meditation courses, quiet rooms and other opportunities for employees to
recover, recharge and reflect can help nurture employees' mental and emotional health. Oftentimes, the source of anxiety and depression can be factors in the workplace.

The simple act of not giving feedback to employees regarding their performance on a regular basis can be a real source of stress and distress, and can lead to depression and anxiety. When you combine already-existing stress and demands with technology and the need to cut costs, the pressures are even higher. In their New York Times article, "Why You Hate Work," Tony Schwartz and Christine Porath note that 87% of people today find their work disappointing, which leads to less productive work.
Therefore, the competitive edge in the future might be to ensure that employees are well in a holistic sense. In order to achieve this complete sense of well-being, corporations must focus more on enhancing the well-being of their people, and thus attend to not only their physical health, but also their mental well-being (i.e. ability to focus), emotional well-being (i.e. level of happiness), and spiritual well-being (i.e. sense of purpose).
4. Corporations need to become more purposeful in what they do so employees feel a sense of purpose. Giving people a sense of purpose at work is strongly linked to overall well-being. We need a more conscious form of capitalism, where organizations are driven by purpose, by addressing the social and environmental challenges the world faces and in doing so, grow and be profitable. This gives individuals in organizations a greater sense of purpose in what they
do and thus contributes to their overall well-being.

Overall, in wealthy countries, mental illness accounts for 40% of all ill health for people under 65. And as Richard Layard and David Clark write, " [I]t is terrible for those who experience it. But it is also bad for business, since it gives rise to nearly half of all days off sick. And it is bad for taxpayers, since mental illness accounts for nearly half of all the people who live on disability
benefits."

The last 50 years have seen enormous progress in advanced societies: less absolute poverty, better physical health, more education, among many other developments. Yet there is almost as much misery as there was 50 years ago. And the ever-increasing volatility, uncertainty, complexity and ambiguity is contributing to this. Businesses must now do their part to reduce this burden, and the four starting points above provide some guidance as to how to begin tackling these issues, to the benefit of their performance, their employees and society as a whole.

Tuesday, 12 August 2014

Robin Williams’ Depression Struggles May Go Back Decades


The storied comedian and actor Robin Williams had spent time at a rehab facility this summer to maintain his sobriety, his publicist said.
“This morning, I lost my husband and my best friend, while the world lost one of its most beloved artists and beautiful human beings,” Williams’ wife Susan Schneider said in a written statementon Monday afternoon. According to the local sheriff’s office, coroners believe Williams may have committed suicide by asphyxia, and the actor’s representative said he had been “battling severe depression of late.”
While the representative did not elaborate on the potential source of his recent depression, one-third of people with major depression also struggle with alcoholism, and Williams admitted to abusing both cocaine and alcohol during the height of his popularity in the 1970s as alien Mork on Mork & Mindy, which showcased his manic improvisational style. He quit using drugs and alcohol in 1983 and remained sober for 20 years after the birth of his first son.
But in a revealing interview in the Guardian, Williams admitted that while working in Alaska in 2003, he felt “alone and afraid” and turned to the bottle because he thought it would help. For three years, he believed it did, until his family staged an intervention and he went into rehab, he told the Guardian. “I was shameful, did stuff that caused disgust — that’s hard to recover from,” he said then.
He said he attended weekly AA meetings, and this July, TMZ reported that Williams spent several weeks at Hazelden Addiction Treatment Center in Minnesota, for what his representatives said was an “opportunity to fine-tune and focus on his continued commitment [to sobriety], of which he remains extremely proud.”
Studies suggest that alcoholism and depression may feed each other. People who are depressed are more vulnerable to abusing alcohol than those who don’t experience depressive episodes, and those who drink heavily are also more likely to experience depression. The latest evidence also hints that the same genes may be responsible for both conditions, and depression is a strong risk factor for suicide. About 90% of people who take their own lives are diagnosed with depression or other mental disorders. Suicide is also more likely among baby boomers, according to 2013 data from the Centers for Disease Control and Prevention.
The coroner’s office is continuing its investigation into Williams’ death.

Thursday, 7 August 2014

Ashley James shares her advice on beating depression and anxiety in her latest Metro blog

TV star Ashley James offers advice on overcoming depression
Ashley James offers advice on overcoming depression and anxiety (Picture: Ashley James)
Ashley James is best known for starring in E4’s hit show Made In Chelsea when she joined the cast for a whirlwind two series, leaving in 2013. Aside from Chelsea, she’s also a model, TV presenter and blogger. After opening up on her battle with depression and anxiety in her blog last week, here she offers advice on how she overcame these issues. 
I have been overwhelmed by the support and positive comments I have received in their hundreds since publishing my blog post last Monday. Amazingly I haven’t come across one negative comment, which is quite surprising in our world of trolling. So firstly I want to thank each and every one of you who took the time to get in touch with me.
I talked in the post about the overwhelming feeling of isolation and loneliness I felt. What’s astonishing to see from those who got in touch is that nearly everybody either went through the same, or knew someone who was suffering and was struggling to understand their torment until they read my blog. So try not to feel lonely, as you are very much not alone.
I thought it might be useful in my next post to offer you advice on what helped me out of the darkness. Please take into account that this is my personal opinion based on my individual experience only.
Get into a routine
Implement structure and routine into your life. For me I found going for a run in the morning helped, as well as preparing and eating healthy food.
Act on what’s making you unhappy
Make a brainstorm of everything that’s troubling you or having a negative impact in your life. This could be an unhappy relationship, friendship, job, money…. Whatever it is make plans on how to change them. Don’t do anything too drastic as that might leave you feeling worse or lost. In my case, my relationship wasn’t making me happy, so I ended it. I had a friend who always brought me down so I distanced myself and focused my energy on friends who made me feel good. I was in a career I wasn’t passionate about, so I took holiday and did a presenting course to kick-start my presenting career. Small steps are fine, and remember that life is a journey not a destination so enjoy the steps you make that get you towards your goals.
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Ashley, pictured here with friends, says it’s important to reflect on your life and work out what’s making you unhappy (Picture: Ashley James)
Read
Obviously if you hate reading then look at something else – audiobooks, films etc. For me, reading kept my mind focused on something other than my own thoughts. Sometimes I’d read a book a day. Crime thrillers are my favourite as I get totally enraptured in the world and become desperate to uncover the story.
Take up a hobby
Sometimes anxiety or depression can be amplified when you have too much time to sit and over-think. Learning something new occupies your mind, gives you something to look forward to and learn, and also opens your horizons to new people. Perhaps you’d want to start writing, start a YouTube channel, take up dance classes, go on a photography or make-up course…. The list of things you could do is endless, and a hobby may turn into a career.
We weren’t made to sleep; we were made to rest
If you can’t sleep, don’t stress about it as you’ll work yourself up more. Listen to music or an audiobook, and just relax. Harry Potter audiobooks are the best because you can listen to the sweet sweet sound of Stephen Fry’s voice. When I was 8 years old at boarding school I couldn’t sleep one night and got so upset. My dorm captain, a twelve year old girl, told me: we weren’t made to sleep we were made to rest. That’s stuck with me ever since. Think of times when you’ve stayed up late partying, chatting, or watching back to back episodes of 24 – you got through the next day then, and lying in bed is much more relaxing.
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Ashley says try not to stress out unnecessarily (Picture: Ashley James)
See a psychic
You may be cynical, and I was too, but a friend recommended I go see a lady called Katy Winterbourne. She pinpointed things that were troubling me, and left me feeling focused on an exciting future. I still go see a lady called Elizabeth Caroline who incorporates facials with chakra and aura readings – she offers me a wonderful sense of insight and clarity.
Don’t expect other people to help you
It can be easy to blame your friends or partner for not supporting or helping you out of your torment. Don’t. You have to understand that dealing with someone with anxiety or depression can be draining and exhausting, it doesn’t mean they don’t love you. Source your own happiness.
Write a memory book
Everyday write down the three most positive things about the day. It could be something minor like a stranger saying bless you, or your friend telling you you look beautiful. When you’re feeling low, read through it.

I’m sure there are a million other ways that can get you through your depression, and I’d love you to share them in the comments below. As I’ve learnt, you are very much not alone, so let’s all help each other.

Friday, 1 August 2014

'Luckily depression never lasts long with me': Robert Pattinson opens his heart about his ongoing anxiety issues

Brooding heart-throb Robert Pattinson has spoken out about his ongoing battle with anxiety and depression – and surprisingly he's not unhappy about either issue. 
'I kind of like my anxiety in a funny sort of way and I like my peaks and troughs,' he reveals. 'Luckily depression never lasts long with me.
'I would love to go into therapy but it makes me too anxious,' the Twilight star jokingly adds in an interview with The Daily Telegraph.

Home again: Robert pictured arriving at LAX airport in June
Home again: Robert pictured arriving at LAX airport in June

Coping with the mania surrounding Twilight was especially challenging for the notoriously private star, who's now based in Los Angeles.

    'I had a bit of a struggle at first because my life really contracted and I couldn't do a lot of the stuff I used to be able to do. 
    'But once I got through that a year or two ago I just accepted my life is something else and now I can't really remember what it was like before. So it's much easier to deal with.' 

    Happy now: Robert looking chirpy after filming Good Morning America in New York yesterday

    His high-profile split from co-star Kristen Stewart was especially painful for Robert, though he hasn't had much time to dwell on things of late as he's been so busy working.
    Forthcoming releases include Hold on to Me, a thriller co-starring Carey Mulligan, and crime drama Idol's Eye with Robert De Niro and Rachel Weisz.

    Old flame: Robert pictured as Edward Cullen alongside his Twilight co-star and former girlfriend, Kristen Stewart, who played Bella
    Old flame: Robert pictured as Edward Cullen alongside his Twilight co-star and former girlfriend, Kristen Stewart, who played Bella

    Happy days: Robert and Kristen at the premiere of the Twilight Saga: Breaking Dawn ¿ Part 2
    Happy days: Robert and Kristen at the premiere of the Twilight Saga: Breaking Dawn – Part 2

    First comes The Rover however, a gritty drama filmed in the Australian outback.
    Robert plays a simple lad named Rey, who forms an unlikely alliance with angry loner, Eric, played by Guy Pearce. 
    The film has received warm reviews from critics, and fans will be able to decide for themselves in August when it arrives in cinemas. 

    Robert's taking all of this in his stride however, saying his biggest issue at present is his lack of suitable attire, after most of his clothing went missing when he recently moved house. 
    'It's ridiculous,' he says. 'I don't understand how I don't have any clothes. I've basically stolen every item of clothing that anyone's ever given me for a premiere but in my closet there are literally about three things. I'm sure there's some kind of random storage box full of them somewhere.'

    Sharp (stolen?) suit: Robert on Late Night with Seth Meyers in June
    Sharp (stolen?) suit: Robert on Late Night with Seth Meyers in June

    http://www.dailymail.co.uk/tvshowbiz/article-2710679/Robert-Pattinson-opens-anxiety-depression.html

    Tuesday, 29 July 2014

    TV star Ashley James throws open the doors to her battle with depression and anxiety in her Metro blog

    TV beauty Ashley James opens up on her battle with depression
    Made In Chelsea star Ashley James blogs about overcoming her anxiety and depression (Picture: AshleyJames)
    Ashley James is best known for starring in E4’s hit show Made In Chelsea when she joined the cast for a whirlwind two series, leaving in 2013. Aside from Chelsea, she’s also a model, TV presenter and blogger. Here, Ashley throws the doors open to her personal life as she reveals all on her battle with depression and anxiety for the very first time.

    ‘I first wrote this in January, and decided against posting it in fear of what people might think. I revisited it following the tragic death of Peaches Geldof. I never knew Peaches personally but I was overcome with sadness over her passing. Why? Well, largely due to the fact that I am way too empathetic. But secondly, because I was heartbroken that another young individual lost their life so young. Had I known her I might have been able to support her. “You can’t help everyone Ashley”, my boyfriend said. But why not?
    Recently I saw a young mother aggressively shouting at her child, then leaning into the pram taking happy selfies. How very revealing, I thought. They say a picture tells a thousand words, but are those words accurate? Social media is about enhancing your life and making the mundane look extraordinary – with the help of filters of course.
    I am a perfect example of that. On the outside, and according to my social media pages, 2013 looked wonderful; being on TV, working as a presenter and model, and attending parties with interesting people. “I wish I had your life”, people would say. What people didn’t know is during much of 2013 I was suffering from extreme anxiety and isolating depression. When I wasn’t pouting and posing into a camera, I was crying, panicking, and utterly convinced that no one liked me. My self-esteem had hit rock bottom.
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    Ashley poses with some of her Made In Chelsea co-stars (Picture: AshleyJames)
    If you are lucky enough to have never experienced depression or anxiety let me try to explain it. You know that nervous feeling before you go on stage? Before you talk in front of everyone at school or work? Imagine having THAT feeling of impending dread with you 24 hours a day. Have you ever had a friend, a lover, a teacher, or a boss who constantly puts you down and makes you feel terrible? The beauty of having negative people in your life is that you can walk away from them, but when that voice is coming from your own head you can’t escape. That once very happy and positive person very quickly loses their mojo, their charisma, and their spark.
    I’m a very proud and positive person, so how did I share my inner torment? I didn’t. The problem with faking happiness is it’s exhausting. The more you fake it the more you feel you are putting up walls, which inevitably shut people out. Putting a mask on to strangers is quite common; hiding behind a mask to loved ones is incredibly isolating. I felt the need to hide my real self – who would love an anxious, depressed, ‘negative’ person? I was ashamed of my thoughts, and felt utterly alone. On my worst days I would skive work and spend the day lying between the wall and my bed and cry. I was tired of pretending and was convinced I was a burden to those around me.
    I am on the mend. I still suffer from anxiety from time to time and worry about things I shouldn’t, but who doesn’t?
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    Ashley found talking helped her (Picture: AshleyJames)
    What made me feel better? Talking.
    I’m not telling my story for sympathy – there are millions of people much more deserving of your thoughts and I’m fully aware that on paper my life is ideal. That’s the thing about depression – there doesn’t have to be anything ‘wrong’.
    I am sharing my story so if you are suffering, you know you are not alone. If you’ve never suffered then spare a thought to what people might be feeling behind closed doors. Being depressed in our society is taboo. I want people to feel able to speak out. And for us all to not judge a book by its cover – or a person by their social media pages.

    If my story makes a difference to one person, then I’m happy I told it.

    Tuesday, 15 July 2014

    Smoking cannabis DOES increase the risk of anxiety and depression

    • Brains of users were less able to react to feel-good chemical dopamine
    • Adds to past research linking marijuana to lethargy and apathy

    Smoking cannabis does increase the risk of depression and anxiety, a new study has concluded.
    U.S. researchers found the brains of users were less able to react to dopamine - the feel-good chemical that inspires a spirit of get-up-and-go.
    The study adds to previous research suggesting marijuana can lead to people becoming withdrawn, lethargic and apathetic.
    Danger: The brains of cannabis users were less able to react to the feel-good chemical dopamine
    Danger: The brains of cannabis users were less able to react to the feel-good chemical dopamine 
    Psychiatrist Dr Nora Volkow, of the National Institute on Drug Abuse in the U.S., used the stimulant Ritalin to see the effect cannabis had on the brain.
    Like cocaine, Ritalin raises levels of dopamine in the brain.This made it ideal for the study, published in the journal Proceedings of the National Academy of Sciences.

    Of the 48 people in the study, half received the drug - while the other half acted as a control group.
    Personality and brain scans showed the cannabis users had significantly blunted dopamine responses compared with the controls who had never taken the drug.
    Previous research has suggested a lack of dopamine makes people lazy
    Previous research has suggested a lack of dopamine makes people lazy
    This could contribute to drug-craving and negative emotions, a tendency towards depression and anxiety which are hallmarks of cannabis addiction.
    Dr Volkow said the phenomenon cannot be unequivocally attributed to reductions in dopamine release.
    They believe there is a downstream effect later in the process in an area of the brain called the striatum - the reward and motivation region.
    Indeed, last year a study from Imperial College London found that long-term use of cannabis destroys dopamine.
    Levels in the striatum - found towards the side of the brain - were lower in regular cannabis users.
    Dr Michael Bloomfield, of Imperial College London, said: 'Dopamine is involved in telling the brain when something exciting is about to happen - be it sex, drugs or rock ‘n roll.
    'Our findings explain why cannabis has a tendency to make people sit around doing nothing'
    Commenting on the new study, the U.S. researchers said: 'Moves to legalise marijuana highlight the urgency to investigate effects of chronic marijuana in the human brain.'

    Sunday, 13 July 2014

    Anxiety and depression is rising among teenagers - and girls are suffering most, new study reveals


    • The review looked at 19 studies conducted across 12 countries
    • It found an increase in anxiety and depression in teenagers across Northern Europe, the UK and China
    • The number of older adolescent girls suffering from mental health problems was double that off boys

    Older adolescent girls across the world are increasingly experiencing severe anxiety and depression, a new Australian study has found.

    The review, which has been published in the in the Australian and New Zealand Journal of Psychiatry, looked at 19 extensive studies conducted across 12 countries and found that teenage girls in Northern Europe, the UK and China are specifically experiencing an increase in mental health problems.
    The studies leader, Dr William Bor from the University of Queensland, told the Daily Mail Australia that a combination of cultural, schooling and economic factors are most likely to be leading to the growing problem.

    The review looked at 19 studies conducted across 12 countries and found that teenage girls in Australia, Northern Europe, the UK and China are experiencing an increase in anxiety and depression
    The review looked at 19 studies conducted across 12 countries and found that teenage girls in Australia, Northern Europe, the UK and China are experiencing an increase in anxiety and depression
    'There appears to be increasing school distress amongst girls as they negotiate their way through the last parts of their school careers,' Dr Bor said. 
    'They face difficult choices and pressures and the modern education system appears to be more problematic for girls – so the issue there is the stress of making future decisions and how they cope with them.'

    However culture is also believed to have a significant impact on mental health issues within young women, who are well known to struggle with identity and appearance issues.
    'Culture has high expectation on girls in terms of appearance and weight,' Dr Bor said.
    'There's a lot of speculation about the pressure on girls in terms of early sexualization and concerns they have about body image.
    'However, there is also  a third factor around increasing economic inequality, and that may be increasing pressures at school as well.'

    The studies leader, Dr William Bor from the University of Queensland said that a combination of cultural, schooling and economic factors are most likely to be the cause for the growing trend
    The studies leader, Dr William Bor from the University of Queensland said that a combination of cultural, schooling and economic factors are most likely to be the cause for the growing trend.

    Due to the data coming from an array of countries, Dr Bor said the exact reasons for the difference in results across genders was not entirely clear, but are most likely tied in with education and cultural pressures.
    'Boys are also affected but they're not as affected,' he said.
    'You can see in the results that the trend in boys and girls is going up, but what is very clear is that girls have almost double the anxiety and worries as boys.
    'We don't yet know all the answers here – each country has different pressures on their young people – and one of the odd things is that America isn't showing this increasing trend.
    'We also have to account for why we are seeing a rise in China –so it's clearly not just a western phenomenon.'

    Dr Bor recommended that parents, peers and medical professionals receive more education about depression and anxiety, including prevention programs being placed in high schools
    Dr Bor recommended that parents, peers and medical professionals receive more education about depression and anxiety, including prevention programs being placed in high schools.


    'The school factor is the common denominator and the most likely factor across the multiple countries.'
    Dr Bor recommended that parents, peers and medical professionals receive more education about depression and anxiety, including prevention programs being placed in high schools, to increase the chances of successful prevention and early intervention.
    'One of the greatest issues is that it could lead to higher rates of attempted and successful suicide - that's the greatest risk with anxiety and depression,' Dr Bor said.
    'But having severe depression and anxiety in adolescence is also a predictor of having it in future life – about a quarter of kids go on to get the illnesses as adults so it is a risk factor for the future, and it also increases the likelihood of drug and alcohol abuse in adulthood.'
    Although the study has no conclusive figures on the number of youth suffering from anxiety and depression in Australia, a population survey will be releases in 2015 with extensive figures.


    Friday, 11 July 2014

    Stress, depression and 'hostility' put older people at greater risk of suffering a stroke, research has revealed

    • Depression and stress associated with 'significantly increased risk' of stroke
    • Factors could increase the risk for older people and middle-aged adults
    • 'Hostility' can more than double the likelihood of having a stroke, say experts
    • The research was carried out at the University of Minnesota in the U.S.
    Stress, hostility and depression put older people at much greater risk of suffering a stroke, a new study has warned. 
    The three factors are associated with a 'significantly increased risk' of stroke in middle-age and older adults, researchers have found. 
    Hostility alone more than doubled the likelihood of having a full-blown or 'mini' stroke, also known as a transient ischaemic attack (TIA), a study claims.
    Chronic stress increased stroke and TIA risk by 59 per cent, and depressive symptoms by 86 per cent.
    Scientists used questionnaires to assess chronic stress, depressive symptoms, anger and hostility in 6,700 men and women aged 45 to 84.
    Over a period of eight-and-a-half to 11 years, a total of 147 strokes and 48 TIAs occurred within the group.
    The only trait not linked to a higher risk of stroke was anger, despite the strong association with hostility.
    The researchers defined hostility as a 'negative way of viewing the world' and measured it by assessing participants’ cynicism.
    Study leader Dr Susan Everson-Rose, from the University of Minnesota in the U.S., said: 'There’s such a focus on traditional risk factors - cholesterol levels, blood pressure, smoking and so forth - and those are all very important, but studies like this one show that psychological characteristics are equally important.
    'Given our ageing population, it’s important to consider these other factors that might play a role in disease risk.

    Older people are more likely to have a stroke if they are suffering from depression or stress, research has found (file image)

    Older people are more likely to have a stroke if they are suffering from depression or stress, research has found.

    'Stroke is a disease of the elderly predominantly, and so learning more about things that can influence risk for stroke as people age is important.'
    The findings are published in the American Heart Association journal Stroke.
    Chronic stress was measured in five different areas relating to personal health, the health problems of close others, work or the ability to do a job, relationships and finances.

    Scientists used questionnaires to assess chronic stress, depressive symptoms, anger and hostility in 6,700 men and women aged 45 to 84
    Scientists used questionnaires to assess chronic stress, depressive symptoms, anger and hostility in 6,700 men and women aged 45 to 84

    Based on participants’ answers, scores were allocated for depressive symptoms and anger levels.
    The associations remained significant after accounting for age, race, sex, lifestyle and other factors known to influence stroke risk.
    Dr Everson-Rose added: 'One thing we didn’t assess is coping strategies.
    'If someone is experiencing depressive symptoms or feeling a lot of stress or hostility, we don’t know how they manage those, so it’s possible that positive coping strategies could ameliorate some of these associations or effects.
    'We did not inquire about coping. I would say that’s one of the tasks for future studies.'

    Wednesday, 9 July 2014

    Can staying awake all night help combat depression?

    Early research has shown six out of ten patients can get symptom relief
    Staying awake for more than 24 hours may be the fastest treatment for moderate to major depression. 
    Early research has shown six out of ten patients can get symptom relief within a day of this treatment, compared with the six to eight weeks it can take antidepressants to work. 
    Sleep deprivation is thought to work by boosting brain messengers such as serotonin - the same one that antidepressants act on.
    Several studies have found 40 to 60 per cent of patients are helped by staying awake for a long time. One researcher described it as 'a remarkable transformation of often deeply depressed, psychotic, suicidal patients in a few hours into their pre-illness selves'.
    However, the improvement is short-lived, disappearing after the patient slept.
    Now researchers at the Medical University of South Carolina and Rhode Island Hospital are looking at providing longer relief by combining sleep deprivation with two other therapies. Pilot studies have shown that the effects of this treatment, known as triple chronotherapy, are rapid and are long-lasting - nine weeks in one trial.

    The U.S. researchers will test the treatment in a larger study involving 80 patients with moderate to severe depression, postnatal depression or bipolar disorder.
    Current treatments range from exercise and self-help groups to antidepressants. But medication doesn't work for everyone and some reports suggest it is no better than a placebo. It can also take two months for its effects to kick in.
    The triple chronotherapy treatment, which is conducted over three days, combines sleep deprivation with 'bright light therapy' - where patients  are exposed to a special lamp for up to an hour - and 'sleep-phase advancement' - when waking and sleeping times are changed.

    The theory is that sleep deprivation has an anti-depressive effect; the bright light and sleep time changes then help reset the body clock, in turn helping the anti-depressive effect of sleep deprivation last longer.  On day one, patients stay awake from 10.30pm, through the night and the whole of the next day. They then sleep from 6pm to 1am the following morning when the process is repeated, but sleeping and waking at different times. 
    Bright light therapy is given in the early morning of each of the three days - light is thought to stimulate the brain's hypothalamus, which controls mood, sleep and appetite, and to boost brain chemicals such as melatonin and serotonin. 
    On the second day, the patient sleeps from 8pm to 3am; on the last day, sleep starts at 10pm and finishes at 5am. From then on, patients continue with this 10pm to 5am sleep pattern.

    Bright light and sleep time changes help reset the body clock, in turn helping anti-depressive effect last
    Bright light and sleep time changes help reset the body clock, in turn helping anti-depressive effect last
    A previous study at the University of California found significant improvements remained in 63 per cent of depressed patients seven weeks later.
    New research at Tufts University has shed some light on what might be happening. It identified a protein called adenosine which is released when you're awake. Sleep deprivation increases levels of adenosine, which alters electrical signals in the brain, causing immediate improvement in mood.
    'Triple chronotherapy typically reduces depressive symptoms within one to two days,' says psychiatrist Dr John Gottlieb, of Northwestern University Feinberg School of Medicine in Chicago and a leading expert in chronotherapy. 'It's as biologically active as antidepressants, inexpensive and has minimal side-effects.'
    Carmine Pariante, professor of biological psychiatry at the Institute of Psychiatry, King's College London, adds: 'By putting sleep deprivation with other sleep-related therapies that have shown some effectiveness in depression, there is a reasonable expectation the antidepressant action will be stronger and more sustained. 
    'If this proves true, it will be an important step forward, both to understand mechanisms that cause depression and to find a new treatment for the one in four patients who don't improve with available treatments.'

    Monday, 7 July 2014

    Mothers with postnatal depression 'failed by the NHS'

    A parenting charity found only three per cent of clinical commissioning groups provided new mothers with mental health support

    Teenage mother with post-natal depression
    The National Childbirth Trust found a disturbing number of situations where there is no care or very little care for mothers with post-natal depression
    Mothers with postnatal depression are being failed by the NHS because only 3 per cent of health organisations offer help with the condition.
    The figures from the National Childbirth Trust (NCT) found 97 per cent of clinical commissioning groups (CCGs) had no mental health strategy for new mothers and 60 per cent said they did not have plans to put one in place.
    The parenting charity sent freedom of information (FOI) requests to 194 CCGs, of which 15 per cent directed the parenting charity to local NHS trusts or NHS England. The NCT said this suggested a lack of clarity regarding who is responsible for commissioning and providing services across England.
    The charity called for more staff and resources “urgently” to tackle the “huge gaps” in support and care provided to mothers experiencing postnatal depression.
    NCT chief executive Belinda Phipps said: "One in ten mothers experience some form of postnatal depression, but there are clearly huge gaps in the support and care being provided to them across England.

    "While we found some areas with excellent care, too often we have found situations where there is no care, or very little care. If there are whole areas where GPs, midwives and health visitors have no training or time to dedicate to this vital service then women will not get the help and support they need.
    "For many parents this will result in months of misery, damaging both family relations and children's wellbeing. And, in the most extreme circumstances, it will result in tragedy and loss of life.
    "We need to see properly staffed and resourced services with clear lines of responsibility and clear targets for delivery. And we need to see that happening urgently. "
    The charity also contacted NHS trusts to ask if they were able to provide a perinatal mental health service with trained specialists.
    Of the 193 contacted, only 26 per cent of the trusts provided a dedicated service while just 13 per cent had a full team in place.
    54 per cent said they did not provide mothers with the service, but 33 trusts did not respond to the FOI request.
    The charity found only 14 per cent of trusts are employing one specialist perinatal mental health midwife or doctor, usually on a part-time basis.
    NCT is a member of the Maternal Mental Health Alliance (MMHA), a coalition of organisations committed to improving the mental health and wellbeing of women and their children in pregnancy and the first postnatal year.
    The MMHA will launch the campaign #everyonesbusiness to highlight the gaps in provision of maternal mental health services on Tuesday.