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  • Does My Teenager Have Bipolar Disorder? | bpHope - bp Magazine Community
    the bipolar disorder management specialist on the Oprah and Dr Oz website www ShareCare com She was the original consultant for Claire Danes on Homeland Julie is not only a leading expert on helping those affected by bipolar disorder and depression she was diagnosed with bipolar disorder in 1995 and successfully as best she can manages the illness with medications and the strategies in her books Julie knows firsthand about living with and loving someone with bipolar disorder within her own life and helps family members partners and health care professionals understand and support those with the illness Julie is a highly in demand family and partner coach speaker and educator who is passionate about changing the way the world views and manages mood disorders 5 COMMENTS Wendy January 22 2015 Reply Great information I am still suprised by how blinded sided we were as parents Our son was our first child so we had no real reference points I was worried but thought he just doesn t like high school I spoke with other mothers of older teenage boys to see if we were handling behaviors wrong I got a lot of great advice for handling teenage boys without bipolar It never accured to me I was looking under the wrong stone Unfortunately it got a lot worse before we were even on the right track to get help One solution I have come across is mental health education in schools If we all had be taught the signs then we could all help keep an eye on each other Even with suicides on both sides of our family it never once occurred to me that this could happen to my son I had zero mental health education Julie A Fast January 23 2015 Reply Hello Wendy Its hard to see what is happening right under your nose It s much easier for someone like me to come in and see the patterns after they have happened Most parents are hardwired to protect their children this means they spend a lot of time trying to figure out what is going on while in the middle of the hard to explain behavior So much energy is used to keep the child on track in school that it s rare for parents to sit back and make a chart to see what is really happening I suggest that any parent who thinks there is a problem make a list of behaviors and compare them to what is considered typical behavior Your list will look different than this one in terms of actions but it will be similar in terms of outcome When I help clients do this we come up with dozens of very obvious bipolar disorder symptoms very quickly Trying to do this without writing it down is rather impossible I m glad you were able to get help for your son And yes the answer is education in schools and ESPECIALLY FOR GPs in the health care system Julie

    Original URL path: http://www.bphope.com/blog/does-my-teenager-have-bipolar-disorder/ (2016-02-14)
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  • Bipolar research: Frontiers of knowledge | bpHope - bp Magazine Community
    types of brain structures that are beyond our capability to measure now A lot of the action in the brain is electrochemical and moves very very quickly and very small electrochemical changes can be hard to detect Jeffrey Borenstein MD president and CEO of the Brain Behavior Research Foundation and editor in chief of Psychiatric News cites the shining example of optogenetics That technology opened whole new areas of research after it was introduced in 2005 because it allows scientists to connect an animal s behavior to the activity of selected neurons Optogenetics involves treating brain cells with a light sensitive protein so that they respond to laser pulses At present it is only used in animal models mice tadpoles and the like Its applications to bipolar research are in the early stages but so far optogenetics has enabled neuroscientists to explore relationships between manic behavior and the body s internal clock MAKING A CONNECTION While an earlier body of neuroscience research zooms in on individual synapses such as the action of serotonin receptors the one brain approach encompasses a larger view of brain circuitry The buzzword here is connectivity as in the journal Brain Connectivity which debuted in April 2011 to cover the burgeoning field Structural connectivity examines how the brain is wired Hence the Human Connectome Project to map our every neuron just as the Human Genome Project mapped our DNA Functional connectivity on the other hand asks how networks in the brain work together to generate our thoughts emotions and actions whether or not they are directly attached It s a totally different way of looking at the brain says Amit Anand MD a pioneering researcher in connectivity and mood disorders who is now based at the Cleveland Clinic Lerner College of Medicine It s known that in people who are depressed blood flow decreases in the sophisticated prefrontal cortex which handles planning and control and increases in the relatively primitive limbic system seat of emotion motivation and memory As understanding of brain processing advanced Anand explains people started thinking it s not so much the decreasing or increasing activation of one area of the brain but the connectivity of the cortical and limbic areas that may be the problem It may help to think of the brain as a series of parallel processors that function in tandem Strakowski says each handling an aspect of the job at hand For example reading taps into the brain s circuits for processing sounds recognizing shapes and categorizing meaning for starters not to mention the complicated workings of our memory Strakowski says scientific understanding of relatively simple functions like vision is fairly advanced For more complex behaviors that are disrupted in bipolar disorder such as emotional control network science is still under development he says It may be that mood symptoms of bipolar arise when structural connections in the brain s emotional networks aren t properly wired so the circuits misfire when the network is activated Another area of interest is something called the default mode network For more complex behaviors that are disrupted in bipolar disorder such as emotional control brain network science is still under development It turns out the brain is actually incredibly busy when we re not doing anything Neural systems chatter away to each other all the time busily organizing and processing and staying alert for demands from the outside world This baseline activity that occurs when we zone out is the default mode network DMN also referred to as resting state connectivity Studies have found disruptions in resting state connectivity in people with bipolar The question now is what to do with this information Anand s team has started a long term study to see if scans mapping brain connectivity can be used to predict which young people with depressive symptoms will go on to develop bipolar Other researchers are adapting the principles of biofeedback to see if people can influence their state of mind based on real time information from rsfMRI that s resting state functional magnetic resonance imaging TIPPING POINT The intersection between technology and discovery can also be seen in genetics research focused on bipolar For one thing the sample size of study participants seems to be reaching critical mass in part because the cost of mapping an individual s DNA has become relatively cheap in the past 10 years dropping from more than 1 billion for the first genomes to down below 1 000 And like neuroscientists genetics researchers around the world are collaborating to leverage the knowledge of individual labs The Psychiatric Genomics Consortium founded in 2007 allows investigators from more than 80 plus institutions in 25 countries to share genetic data from more than 170 000 study participants The U S based Genomic Psychiatry Cohort GPC formed the following year involves a dozen academic institutions the National Institutes of Health and almost 40 000 participants in the pursuit of answers specific to bipolar and schizophrenia That data base also offers relatively unusual ethnic diversity with some 6 000 African Americans and 8 000 people of Latino ancestry in the mix with Caucasians tracing back to various parts of Europe Understanding how risks play out in different populations is very very important notes Carlos Pato MD PhD one of the driving forces behind the GPC We don t want to become focused on one group of people and not understand how to help every one of our patients Before DNA sequencing became so accessible genetics researchers focused on isolated and or homogenous populations That made it easier to identify gene variants that showed up only in families with high rates of bipolar or another psychiatric disorder When Pato and his wife Michele Pato MD both professors at the University of Southern California s Keck School of Medicine first partnered on an ongoing genetic study 25 years ago they turned to self contained communities of Portuguese islanders One thing researchers have learned as the data base grows is where not to look for answers to what causes bipolar If there were one gene causing the disorder we would have found it with the sample size right now says Melvin G McInnis MD director of the Prechter Bipolar Research Programs at the University of Michigan There s no magic bullet no smoking gun So we are looking for many genes each with a very small effect in influencing susceptibility So far more than 20 genes are on the list of potential candidates although exactly what role they play isn t known Furthermore it s looking like some of the genes for bipolar may be factors in other brain based disorders like depression schizophrenia even autism It s possible there are genes associated with particular symptoms so that sleep disturbance in mania might be shared with sleep disturbance in other illnesses Carlos Pato says The genes may not know that their job is to create a diagnosis that we poor doctors can use he adds with wry humor To make matters even more complicated scientists have widened their scope of investigation to an additional layer of controllers or modulators that govern whether a particular gene is turned on or off PERSONAL TOUCH As science painstakingly assembles the probable genetic actors in bipolar researchers already have their eye on a larger prize personalized medicine Given that bipolar disorder runs in families what s the likelihood that you will develop the illness if you have close relatives with a diagnosis And if you do have bipolar which treatments will work best in your specific case Genetics is not about destiny it s about risk says Michele Pato The better we understand your risk the more we can do to help you and maybe even pre empt some of the serious and long term consequences of the illness because we diagnosed it early Pato notes that although identical twins share more than 99 percent of their DNA it s not a given that both or neither will develop an illness like bipolar Because their experiences in life and everything they re exposed to will never be identical the expression of the genes ends up being different in the two twins she explains Psychiatric disorders typically emerge during late adolescence and young adulthood Although risk varies from family to family only 20 percent of children overall who have a parent with bipolar will develop a diagnosable mental illness later in life Figuring out which teenagers will be affected and why and what would be most helpful to keep them well has become a vital area in research and clinical practice Anne Duffy MD MSc FRCPC says those kinds of issues were very much not on people s radar a decade ago People are realizing You know what we re studying end stage illness If we want to be able to develop new treatment targets and prevent the fallout from illness we really need to be looking at the early stages of illness development she says Duffy first started following children of parents with bipolar disorder in the mid 1990s in Ottawa home base for what she says is now the largest and longest running high risk cohort study in the world She later expanded her work to the Maritime Bipolar Registry in Nova Scotia and more recently to Alberta where she is on the faculty of the University of Calgary s Cumming School of Medicine Genetics is not about destiny it s about risk The better we understand your risk the more we can do to help you What we re trying to do is better risk prediction better early intervention and to better understand the genetically sensitive pathways that lead young people into illness she explains We need to understand what protects those at familial risk and what factors determine illness Thus the drive to create a risk index a checklist of biological neurological and psychological indicators that throw up red flags High emotionality a tendency to ruminate childhood anxiety and depressive episodes would all raise someone s risk level Duffy says On a personal level having an individual risk indicator would allow people with a family history of bipolar to make more informed choices Knowing that drug use is a proven trigger for psychiatric disorders might influence an adolescent to stay away from marijuana What I tell the kids is if I come from a family where multiple people have died of lung cancer my friends might be smoking but I m not going to Duffy explains From a clinical perspective identifying leading risk factors would help distinguish teens who are experiencing what might be called everyday psychological challenges from those who should be directed into more intensive interventions If I have a family history of breast cancer and I tell that history to my doctor I m going to get referred to a high risk breast cancer clinic In psychiatry we don t do that Duffy notes She sees hope in efforts like the Transformational Research in Adolescent Mental Health partnership in Quebec and the Orygen Youth Health Clinical Program in Australia which are taking on the challenge to translate the research into evidence based clinical care pathways CELL BLOC Personalized medicine also aims to eliminate the trial and error process that so many people with bipolar go through to find effective medication Instead of having to try one prescription after another and experiment with combinations Michele Pato says wouldn t it be good if we could do a genetic test and say You re going to do better on this The Holy Grail for researchers is finding biomarkers that would predict how your body will respond to this or that compound The hunt represents a layer of genetic research that drills down to what genes are doing at the cellular level and opens a window to the biology of the brain as the Prechter s MicInnis puts it One prominent example is calcium an ion that plays an important role in many cell functions Groups around the world are poking and prodding at its role in bipolar and other mood disorders McInnis and an interdisciplinary team from the University of Michigan have been exploring the activity of a calcium gene by taking skin cells from people with bipolar and coaxing those cells through a process that ultimately yields nerve cells That enables the scientists to study how calcium ions influence the way nerve cells specifically in neurons communicate with each other The inflammatory mechanism has been implicated in cardiovascular disease obesity autoimmune diseases people with bipolar have these at much higher rates than the general population Calcium is one of an enormous number of molecules that are being looked at explains McInnis He says studying proteins in the brain as both structural and functional elements has a rich history and an exciting future Serotonin dopamine and a number of other neurotransmitters implicated in mood disorders fall into the class of proteins known as amines Mood researchers have also become intrigued by molecules in the amino acid category including glutamate and GABA gamma aminobutyric acid Then there are cytokines proteins that regulate various inflammatory responses Cytokines get busy as part of the body s reaction to stress and chronic stress over time produces wear and tear on tissues cells and nerves including neurons in the brain In the past five years or so scientists have begun paying closer attention to the inflammatory process as a factor in bipolar In fact researchers in Australia and elsewhere are starting to look at whether aspirin and other over the counter antioxidants would be useful as an add on treatment for bipolar As with so many areas in research however it will be some time before any findings translate into clinical care Would I say right now that every bipolar patient should be on an anti inflammatory asks Mark Frye MD chairman of the psychology and psychiatry department at the Mayo Clinic in Rochester Minnesota In a word no at least not until it s proven that benefits outweigh the potential for harm since non steroidal anti inflammatory drugs like ibuprofen can have long term side effects Frye is a co author on a 2012 paper titled Can bipolar disorder be viewed as a multi system inflammatory disease The conclusion there Pretty much In other words bipolar mood symptoms may be merely one manifestation of an underlying inflammation process that also contributes to what are called co morbid medical conditions Call it a unified theory of illness The inflammatory mechanism has been implicated in cardiovascular disease obesity autoimmune diseases such as diabetes says Frye We know people with bipolar have these at much higher rates than the general population Figuring out the biological pathways common to both bipolar and heart disease say may turn up useful biomarkers that will speed up accurate diagnosis and improve individualized treatment WHAT LIES AHEAD From a researcher s perspective our current understanding of bipolar disorder parallels the state of infectious disease research 40 years ago or cancer science 20 years ago Discovering that bacteria cause fever and other symptoms of infection ultimately led to antibiotics There are now blood tests that can identify which bacterium is causing a case of pneumonia And Carlos Pato notes that science can now distinguish among cancers based on their genetic profile and that can tell us exactly what chemotherapy to give That s the kind of potential Pato and others in the field of bipolar research use words like optimistic and enthusiastic when talking about advances On the other hand experts also emphasize that scientific discovery proceeds at a deliberate and incremental pace so translating a discovery in the genetics lab to tests at the doctor s office doesn t happen overnight Can we point to some amazing findings that we can take home and apply to treating patients today No says Carlos Pato But are we feeling like we re vastly closer to getting there Yes For more information Our Busy Brains What We Mean When We Talk About Genes A Primer On Biomarkers Power To The People Tagged with Bipolar Disorder brain genetics heritability neuroscience Research risk social rhythm therapy Winter 2015 About the author Elizabeth Forbes Has 14 Articles Elizabeth Forbes a veteran reporter and editor has been overseeing content for esperanza and bp Magazine since 2009 7 COMMENTS Matt January 20 2015 Reply How can I read the rest of this article Please post bp Staff January 20 2015 Reply Good morning Matt This is one of the Current Issue cover stories and not currently available on the website if you would like immediate access you can buy the current issue in digital format for 5 http www bphope com product category individual issues Thanks Gail C February 5 2015 Reply Amazing informative article My Son is Bipolar 11 and it has taken him on a life journey that he does not deserve Currently doing better one day at a time on medication and family support The thought process with this disease lacks connectivity as stated in the article and his solution has been alcohol and drug use Articles like this gives hope to the person struggling with this disease and hopefully it gets easier to diagnose and treat sooner Sterling February 5 2015 Reply Could you link me to the research where Knowing that drug use is a proven trigger for psychiatric disorders might influence an adolescent to stay away from marijuana I have never come upon any research what so ever that proves this and I d love to read a peer reviewed journal that claims this I bow to the divine in you Scott H February 10 2015 Reply That s a lot of good information I have Bipolar 1 disorder and would like to have seen more information about addictions In my experience there is a definite relationship between the two Debbie October 25 2015 Reply I am 63 years old I have been bipolar for over

    Original URL path: http://www.bphope.com/frontiers-of-knowledge/ (2016-02-14)
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  • Research: Power to the people: Discoveries for the day-to-day | bpHope - bp Magazine Community
    social rhythms notes Holly A Swartz MD a University of Pittsburgh psychiatry professor who has been involved in IPSRT research for more than a decade I would say at this point almost every psychosocial treatment for bipolar includes some component of monitoring daily rhythms The intervention grew out of research into the biology of our circadian system or how environmental cues such as sunlight affect recurring physiological processes like the sleep wake cycle Light travels via specialized nerves from the eyes to the part of the brain that serves as the central pacemaker Researchers have found that sensors in other parts of the body such as the skin and gastrointestinal tract also feed information back to the central pacemaker to help regulate the circadian system There has been a huge advance in identifying the cascade of genes and gene products that control your circadian biology says Swartz Although that research is done primarily in animal models she notes there s growing evidence that circadian rhythm is implicated in bipolar disorder Social rhythm therapy extends the definition of environmental cues to include daily activities like when you typically eat breakfast and regular routines like walking the dog Interpersonal psychotherapy was originally developed as a time limited method to treat depression An offshoot of cognitive behavioral therapy it focuses on the links between mood and social stressors such as conflict in a relationship grief and major life transitions Swartz says disturbances in social rhythms also have been linked to medical conditions like diabetes migraines and cancer So interventions that aim to regularize daily and social rhythms even something as simple as getting up at the same time every day can have all around benefits I think it s very empowering Swartz says These are principles that we can help people understand strategies that we can help people learn I think that they re good overall health promoting approaches to living too For more information Our Busy Brains Frontiers of Knowledge What We Mean When We Talk About Genes A Primer On Biomarkers Tagged with Bipolar Disorder brain genetics heritability neuroscience Research risk social rhythm therapy Winter 2015 LEAVE YOUR COMMENT Cancel reply Your email address will not be published Required fields are marked Message First Name or Nickname Do not use full name Email RELATED ARTICLES Bipolar Disorder Demanding Better Care February 5 2016 12 01 am It s been nine years since my late husband David s body was found He d disappeared six weeks earlier in one of the most beautiful and rugged Clinical Pearls Self Care and Managing Bipolar Disorder February 3 2016 12 01 am One of the things I have been focused on in the last few months has been really trying to take care of myself This has Bipolar Letting Love In February 2 2016 12 01 am Several years ago I made the decision to choose God in my life I accepted Jesus had a water baptism and felt ready to put Living With Bipolar

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  • Research: A Primer On Biomarkers | bpHope - bp Magazine Community
    in the blood for bipolar depression in comparison to major depressive disorder Frye notes Can that be used to make a diagnosis or guide treatment right now No but this is where future clinical research is going For more information Our Busy Brains Frontiers of Knowledge What We Mean When We Talk About Genes Power To The People Tagged with Bipolar Disorder brain genetics heritability neuroscience Research risk social rhythm therapy Winter 2015 LEAVE YOUR COMMENT Cancel reply Your email address will not be published Required fields are marked Message First Name or Nickname Do not use full name Email RELATED ARTICLES Bipolar Disorder Demanding Better Care February 5 2016 12 01 am It s been nine years since my late husband David s body was found He d disappeared six weeks earlier in one of the most beautiful and rugged Clinical Pearls Self Care and Managing Bipolar Disorder February 3 2016 12 01 am One of the things I have been focused on in the last few months has been really trying to take care of myself This has Bipolar Letting Love In February 2 2016 12 01 am Several years ago I made the decision to choose God in my life I accepted Jesus had a water baptism and felt ready to put Living With Bipolar Disorder How I Got to Not Meet Oprah January 29 2016 2 59 pm For the last 12 years I have sporadically gone through periods of outstanding clarity and positivity In those moments days weeks I was invincible and CURRENT ISSUE Recent Issues October 1 2015 11 50 am Fall 2015 BIPOLAR DEPRESSION Letting the light in By Robin L Flanigan Strategies to dispel the darkness of bipolar depression starting with the good enough theory taking Read more August 3 2015 9 12 am Summer 2015 MARY LAMBERT SPREADING THE LOVE By Stephanie Stephens Singer songwriter Mary Lambert puts it all out there in her hit Secrets and she lives the Read more April 1 2015 11 37 am Spring 2015 TAME YOUR TRIGGERS By Robin L Flanigan From major life events to emotional patterns we all have stressors that are likely to spark Read more January 1 2015 5 36 am Winter 2015 OUR LEADING LADY CARRIE FISHER By Stephanie Stephens Carrie Fisher is returning as Princess Leia in a new Star Wars movie but she s always been Read more SoundOFF YOU YOUR PSYCHIATRIST The relationship between you and your psychiatrist can influence your recovery What qualities do you think are important in a psychiatrist In what ways has your doctor helped you the most Click here to reply CURRENT RESEARCH The Prechter Fund s Fight to Cure Bipolar Disorder 1 28 2016 Brain connectivity outweighs genetics 1 27 2016 Heinz C Prechter Bipolar Research Fund 1 25 2016 Looking for Motivation Enjoying the Task at Hand Will Matter Once You Start 1 20 2016 Immune cells linked to bipolar symptoms 1 11 2016 CONNECT Letter to the Editor Write

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  • Research: What we mean when we talk about genes | bpHope - bp Magazine Community
    actually consists of paired alleles one from each parent That s why although we all have genes for eye color we don t all have the same color eyes There are alleles for blue eyes others for brown and so on The color of your eyes depends on your combination of alleles including some that moderate the particular shade of that color Similarly variations in alleles determine whether you are or aren t carrying a susceptibility to bipolar disorder But simply carrying a number of high risk genes doesn t mean your fate is sealed because there are many influences from stresses in your environment to what you ate for breakfast governing whether and how a gene is expressed For more information Our Busy Brains Frontiers of Knowledge A Primer On Biomarkers Power To The People Tagged with Bipolar Disorder brain genetics heritability neuroscience Research risk social rhythm therapy Winter 2015 LEAVE YOUR COMMENT Cancel reply Your email address will not be published Required fields are marked Message First Name or Nickname Do not use full name Email RELATED ARTICLES Bipolar Disorder Demanding Better Care February 5 2016 12 01 am It s been nine years since my late husband David s body was found He d disappeared six weeks earlier in one of the most beautiful and rugged Clinical Pearls Self Care and Managing Bipolar Disorder February 3 2016 12 01 am One of the things I have been focused on in the last few months has been really trying to take care of myself This has Bipolar Letting Love In February 2 2016 12 01 am Several years ago I made the decision to choose God in my life I accepted Jesus had a water baptism and felt ready to put Living With Bipolar Disorder How I Got to Not Meet Oprah January 29 2016 2 59 pm For the last 12 years I have sporadically gone through periods of outstanding clarity and positivity In those moments days weeks I was invincible and CURRENT ISSUE Recent Issues October 1 2015 11 50 am Fall 2015 BIPOLAR DEPRESSION Letting the light in By Robin L Flanigan Strategies to dispel the darkness of bipolar depression starting with the good enough theory taking Read more August 3 2015 9 12 am Summer 2015 MARY LAMBERT SPREADING THE LOVE By Stephanie Stephens Singer songwriter Mary Lambert puts it all out there in her hit Secrets and she lives the Read more April 1 2015 11 37 am Spring 2015 TAME YOUR TRIGGERS By Robin L Flanigan From major life events to emotional patterns we all have stressors that are likely to spark Read more January 1 2015 5 36 am Winter 2015 OUR LEADING LADY CARRIE FISHER By Stephanie Stephens Carrie Fisher is returning as Princess Leia in a new Star Wars movie but she s always been Read more SoundOFF YOU YOUR PSYCHIATRIST The relationship between you and your psychiatrist can influence your recovery What qualities do you think are important

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  • Research: Our busy brains | bpHope - bp Magazine Community
    to just the string section We now know there aren t really specific areas in the brain controlling specific functions but rather networks that cooperate in incredibly complex ways For more information Frontiers of Knowledge What We Mean When We Talk About Genes A Primer On Biomarkers Power To The People Tagged with Bipolar Disorder brain genetics heritability neuroscience Research risk social rhythm therapy Winter 2015 1 COMMENT Jen March 4 2015 Reply Good article LEAVE YOUR COMMENT Cancel reply Your email address will not be published Required fields are marked Message First Name or Nickname Do not use full name Email RELATED ARTICLES Bipolar Disorder Demanding Better Care February 5 2016 12 01 am It s been nine years since my late husband David s body was found He d disappeared six weeks earlier in one of the most beautiful and rugged Clinical Pearls Self Care and Managing Bipolar Disorder February 3 2016 12 01 am One of the things I have been focused on in the last few months has been really trying to take care of myself This has Bipolar Letting Love In February 2 2016 12 01 am Several years ago I made the decision to choose God in my life I accepted Jesus had a water baptism and felt ready to put Living With Bipolar Disorder How I Got to Not Meet Oprah January 29 2016 2 59 pm For the last 12 years I have sporadically gone through periods of outstanding clarity and positivity In those moments days weeks I was invincible and CURRENT ISSUE Recent Issues October 1 2015 11 50 am Fall 2015 BIPOLAR DEPRESSION Letting the light in By Robin L Flanigan Strategies to dispel the darkness of bipolar depression starting with the good enough theory taking Read more August 3 2015 9 12 am Summer 2015 MARY LAMBERT SPREADING THE LOVE By Stephanie Stephens Singer songwriter Mary Lambert puts it all out there in her hit Secrets and she lives the Read more April 1 2015 11 37 am Spring 2015 TAME YOUR TRIGGERS By Robin L Flanigan From major life events to emotional patterns we all have stressors that are likely to spark Read more January 1 2015 5 36 am Winter 2015 OUR LEADING LADY CARRIE FISHER By Stephanie Stephens Carrie Fisher is returning as Princess Leia in a new Star Wars movie but she s always been Read more SoundOFF YOU YOUR PSYCHIATRIST The relationship between you and your psychiatrist can influence your recovery What qualities do you think are important in a psychiatrist In what ways has your doctor helped you the most Click here to reply CURRENT RESEARCH The Prechter Fund s Fight to Cure Bipolar Disorder 1 28 2016 Brain connectivity outweighs genetics 1 27 2016 Heinz C Prechter Bipolar Research Fund 1 25 2016 Looking for Motivation Enjoying the Task at Hand Will Matter Once You Start 1 20 2016 Immune cells linked to bipolar symptoms 1 11 2016 CONNECT Letter to the

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  • Snack attack? Fight back! | bpHope - bp Magazine Community
    of balance says Norris When you yo yo diet you get totally out of sync of when you re hungry One solution intuitive eating That means paying close attention to your physical sensations so that you re eating only when you re physically hungry and not eating when you re not By tuning in to your body you also learn to put down the fork or the bag of chips when you re full says Resch Ideally over time you will default to a more healthful diet as you come to recognize how different foods affect you Intuitive eating is the ability to trust your body to tell you when you re hungry and when you re full and which foods feel good and comfortable in your body says Resch Intuitive eating means you honor the signals your body gives you It s inside out instead of outside in It also means that when you re not hungry and you want to eat you ask yourself what you really need Maybe it s soothing yourself with reassuring words instead of what s in your refrigerator Maybe it s talking to another sympathetic soul or journaling about what s going on Maybe it s turning on a good comedy show as a way to lift your spirits Unless you re physically hungry food will not fill that void 3 Distract yourself When you are tempted to eat it helps to find a way to keep your mind off your cravings This is especially useful when food becomes a form of entertainment to stave off boredom Physical activity can be effective a walk around the block instead of into the kitchen for example Norris listens to music In fact she has customized playlists for when she s feeling manic or depressed Kresic uses deep breathing techniques For Davis meditation is the key You get a kind of equilibrium if you can get your mind in balance or equilibrium you can resist those things generally speaking except when you get nailed on the highway and then you just want to feel better he adds with a laugh Anderson volunteers for charities and knits and crochets everything from baby items to skull caps for military service members to winter hats for schoolchildren My hands are so busy I don t have the time to eat she says A distraction won t address your underlying emotional issues but it can divert you from using food as a stopgap 4 Find other joys The urge to use food to make yourself feel better may lessen if you add more pleasure of other kinds to your life Start a list of activities that make you happy and give you satisfaction then look for ways to incorporate them into your routine It can be as simple as a relaxing stroll in the park or spending time with someone whose company you enjoy Doing things that leave a positive afterglow will help you modulate your mood overall and make you less likely to turn to food when you re not truly hungry 5 Eat right Foods we turn to for comfort tend to be high in carbohydrates and the unholy trinity of poor diet saturated fats salt and sugar Apparently our brains are wired to desire foods loaded with fat and calories because those foods were most efficient at keeping our ancestors alive during times when food was scarce which is rarely the case nowadays Yet according to Resch eating well is especially important when taking psychiatric medications For medications to work well you need the precursors for making the neurotransmitter receptors she says Eating balanced meals regularly will help the medications work better We all know the drill Aim for a diet that contains lean protein whole grains healthy fat and a variety of fruits and vegetables Furthermore the connection between a nutrient rich diet and better mental and physical health is strongly established as is the association between junk food and depression The better you eat the more you strengthen your defenses against stress and the low moods that can tip you into emotional eating Tagged with emotional eating Fall 2014 feelings food weight gain About the author Kelly James Enger Has 2 Articles Kelly James Enger a health fitness and nutrition writer lives outside Chicago with her family Her work has appeared in Fitness Woman s Day Runner s World and other magazines 10 COMMENTS Cricket March 25 2015 Reply I found this article so very true I m a bipolar person with a weight problem I ve had since my childhood I struggle everyday I do pretty well managing my bipolar but it is very hard to get my eating under control Sometimes it s like food is my drug of choice I don t know how to handle it because I need it to exist It is a daily battle sometimes it s an hour to hour battle Thanks for being open about your story I think there needs to be more help with these battles People need to know they are NOT alone Wahyu December 12 2015 Reply The book for which I am seeking a peubishlr is called Living Truthfully The Spiritual Journey is an e book I compiled from posts on my blog and make available as a free download for people who subscribe to receive my posts in their Inbox Hope that clears things up Monica April 15 2015 Reply I m glad that it is acknowledged that antipsychotic medication can and usually does contribute to weight gain for what ever reason I gained 16 lbs on Invega but actually am managing my illness better than I ever have with this medication So I ve struggled with this and have decided that while it is important to maintain a healthy weight it is more important to manage my symptoms I am getting older 58 and can t expect to be as skinny as I was when younger and usually manic

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  • Mindful eating | bpHope - bp Magazine Community
    breakfast is a big fat bagel how about half a bagel plus a hard boiled egg If you beeline for a candy bar during the afternoon slump how about an oat based granola bar with chocolate chips Easy to pack fresh or dried fruit may do the trick too or maybe a small container of almonds and raisins mixed with a few chocolate chunks If low fat low sodium frozen dinners are more nutritious than your usual fare stock up Prep in advance Cooking that hard boiled egg and bagging up that almond raisin mixture the night or even the weekend before makes it that much easier to eat better On the same principle think about other shortcuts for example buying precut vegetables or chopping up a week s worth at once so they re ready to hand Planning out your evening meals may help you avoid defaulting to fast food See the big picture When eating becomes a form of comfort it s important to recognize that pattern The next step is developing other outlets to relieve stress exercise lively music or whatever relaxes you and address your emotions journaling calling a friend Veg out Any steps that add more vegetables fruits dried beans whole grains and lean protein to your life are worth taking Heat up a can of lentil soup or chili for the legume factor and stir in some frozen vegetables Grate carrots into tomato sauce Sprinkle dried cranberries and walnuts over a bowl of old fashioned oatmeal for breakfast or top a whole grain frozen waffle with sliced peaches canned in juice not syrup The more your diet moves in a healthy direction the better you ll feel Above all remember that the more your diet moves in a healthy direction the better you ll feel We have evolved to need a broad spectrum of vitamins and nutrients Kaplan says If you want to have an impact on mental health treat your brain the way it was designed Sidebar Strive for 5 Eating recommendations for heart health controlling diabetes and reducing the risk of cancer share a common pattern heavy on plant foods fruits vegetables whole grains and legumes and light on processed foods dairy and beef As a general rule adults are advised to eat at least 1½ to 2 cups of fruits and 2½ to 3 cups of vegetables a day The U S Department of Agriculture s Choose My Plate campaign recommends that half your plate at every meal should be plant based HERE ARE 10 IDEAS TO HELP YOU GET YOUR FIVE SERVINGS STORE CUT UP FRUITS and vegetables in clear containers at eye level in the refrigerator so they will be the first thing you see and eat WHIRL UP A FRUIT SHAKE with a banana frozen berries orange juice and low fat yogurt MARINATE A VARIETY of sliced vegetables with low fat Italian dressing and use with turkey in a pita pocket PUT SINGLE SERVING RAISIN BOXES in your

    Original URL path: http://www.bphope.com/mindful-eating/ (2016-02-14)
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