I’ve just read a very helpful article at Psych Central that is in the same vein. Helping Someone with a Mental Health Concern is written by psychiatrist John M. Grohol. Of particular interest to me are his insights on effective listening and empathizing with a mentally ill person. It is invaluable advice for someone in a caring role.

To read the article click here.

Know the enemy. Sounds awful, doesn’t it? But I’m talking about the illness, not the person who is sick. When that dawned on me, that the illness is the enemy, I started to have more control over my anger and resentment. Why? Because I had something I could fight, and yet still love my husband James. I’m not saying that he isn’t responsible for his behavior; but I could now explain it, or most of it, by his illness.

Our third child was born in 2003 just as things were at their worst. James had left another job, he had a go at crashing his car, and our other kids were showing signs of distress. I had to think about leaving him for a while to protect myself and the kids emotionally. I felt alone, scared for our future and worried sick.

It was at about that time that he was diagnosed with bipolar, which prompted me to thoroughly research depression and bipolar. There is an awful lot of junk out there, so I sifted through until I found some great sources. Then I learned as much as I could. The best thing about this learning process was a much better understanding of the illness, so I was less frightened and more assertive in handling his behavior.

The resources that I relied on most are:

Loving Someone with Bipolar Disorder by Julie Fast
This book helped me more than any other. It is written for caregivers and has great, practical solutions, especially in the area of talking to each other. James was on board with the idea of trying the suggestions in the book so that helped. Most of the content is readily applicable to depression.

It’s a love it or hate it book. I love it. I’ll write a review as the last post in this series.

Dealing with Depression by Gordon Parker
I continue to rely on this book for my medical understanding of mood disorders. James reviewed the book in an earlier post.

Black Dog Institute
I use this website for finding all kinds of reliable information on mood disorders. The Black Dog Institute is headed by Gordon Parker (above).

The next break through was keeping a diary of James’ moods and things that happened each day. I did this every night for almost 2 years. It sounds a bit keen I know, but it was also therapeutic. After only 3 months or so, I was able to see patterns of behavior emerging. His illness was looking somewhat predictable! The progress over those 2 years was very slow, but just having some noticeable improvements gave me hope. I could stop living from day to day, wondering what would hit next. Also, and even better, I was able to see what was triggering his mood swings. Things like certain foods, certain people, and certain social situations.

Armed with this knowledge we started changing our lives to avoid triggers. This is an ongoing process, but James continues to get better. We completely removed some problem triggers so they no longer have an impact, and he also copes better with the triggers that remain. I hope that we don’t sound perfect. The process is ongoing, and there are still many times when bipolar ruins things. But now that I know my enemy I can “attack” it, and get on with being James’ wife.

Click here for the third post in this series, Trigger Unhappy.

The basic idea is to identify things that work well for you in your fight with depression. Things like taking your prescribed medicines, therapy sessions, exercise, meditation, massage or relaxation. There are many possibilities.

In my Points Plan I’ve also included things that are reliable triggers for my depressive episodes. These are having a bad argument with someone (major trigger), not getting adequate sleep for days on end, or any kind of very stressful situation.

As you can see from the table I’ve allocated points to items according to their impact on my health. The only exception is medicine, which I’ve downgraded even though it’s crucial for me. It’s too easy to pick up those points each day.

The maximum amount of points in my table is 140 each day or 980 for the week. This is before deducting points for the triggers. I’ve set my aim for the week at 50% of total available points. If I can reach this then I’ll increase it next week. It might be worth adding in a reward for some motivatation.

I honestly think if I can consistently reach such a target, then I am well on the way to more stable health. And by relying on a range of positive strategies, I won’t be pinning my hopes on any single one.

So I’m off to do some exercise – something I haven’t done for months now – but it’s at the very top of my list.

If you want this simple template I’ve saved it for download as a Microsoft Excel file.

• I’ve learned how to say no. If you are good at something, like work, then people ask you to do more. It builds up over time. I’ve learnt to say no. I can’t. I have bipolar. Sorry.
• I don’t worry about what I’m going to wear, and I don’t have to keep track of my clothes cycle. I don’t care what I’m going to eat for dinner, whether I need a bigger television or a new car. If I didn’t have bipolar these things might continue to consume me as they once did.
• My marriage is far stronger today than it would have been if I didn’t have bipolar. Apparently 90% of marriages where one partner has bipolar end in divorce. That is truly tragic and saddening. My wife had lots of reasons to leave me when I was ill for prolonged periods, but she stayed even though she didn’t understand what was wrong with me. Her perseverance has been a blessing to our marriage.
• I have great relationships with my kids and time with them is invaluable. Unfortunately most Dads don’t spend more than a few minutes a day giving their kids undivided attention. Learning that I had bipolar was a good wake-up call. I now spend more time on things that are important to me.
• I’ve slowed down a lot. I stopped wearing a watch some years ago and haven’t missed it. Losing track of time rarely causes problems; if I’m 10 or 15 minutes late for the doctor, it doesn’t matter. He works to the same system anyway.
• I take my physical health more seriously than I used to. I’m frustrated by my lack of action on exercise, but I’m thinking about physical health every day, even when its hard to follow through with action.
• I’ve always been very open about having a mental illness, and I’ve actually never felt the stigma that is so widespread. I’m fortunate in that respect. When I converted to Christianity about 20 years ago I lost most of my good friends who had an issue with it. Since I’ve been telling people that I have bipolar I’ve gained at least the same number. Go figure.
• I’ve learned to be thankful for what I have and not yearn for what I don’t.
• The best thing must be the ability to empathize with others who are facing the same problems.
• I was once very guarded with what I said, often checking myself from saying anything that could offend or impact a person’s view of me. I’ve really lightened up and feel liberated. I’m rarely inappropriate (except when ill), but even if I am, I sense that nobody really cares.
• In the Bible, in Romans 5:3-4 it says:
  “We rejoice in our sufferings, because we know that suffering produces perseverance; perseverance, character; and character, hope.”
• Being engaged with the world is good. I think more deeply about things like inequality, poverty, the environment and mental illness. (The downside of course is feeling let down by those in positions of power who continually fail us.)
• Life is absurd. My life is absurd. I’ve learned to laugh at both.

We have some friends who for many years had a very, very messy house. 3 young girls – cooking, dress-ups, paint, craft, clothes, toys – you know the rest. They would unashamedly invite friends over for meals, joking that they offered an important service to other parents. It helped their friends feel better about their own messy houses.

In a similar vein I found this in another blog:
“When you’re mentally ill you are constantly doing social work just by existing. I realize that often, when you’re crazy you actually need social services for yourself, but just by talking about yourself to people who aren’t feeling that great about themselves, you are able to instantly make them feel glad they aren’t you. That’s a great service to offer.”

A final word is that I definitely don’t have it all together, and I still have episodes now and then – although less severe – in both directions. I didn’t write this post to give a different impression, but just to put some ideas out there for looking at illness from a different angle.

If you don’t already know, an internet meme is a piece of digital content that spreads quickly, widely and organically from person to person.

So, here are the five best ways that I know of to “raise my vibes”.

5. Music

My taste in music is very eclectic, so I have something for just about every occasion or frame of mind. There are a dozen or so songs that, played with volume, really raise my vibes.

4. Exercise

I’m always amazed at how much better I feel after exercise than I did before starting. It must be the endorphins. And the virtuous feelings. There is nothing that I find harder than overcoming the mental barrier that stops me from exercising. It’s a barrier that shouldn’t be there given that exercise is so beneficial, in the near-term and long-term. My lazy instinct must be stronger.

3. Go to a Bookshop

Ah, yes. I could spend a whole day in a bookshop, given a large range of books and a cafe that serves good coffee. I just love looking at books, dreaming, not even buying necessarily. I also spend an awful lot of time on Amazon and Audible during the day. As I part own a family business I have to monitor my own internet activity, which hasn’t caused any problems yet.

2. Drink water

Water, water and more water. I almost never drink enough, but when I do I feel fantastic. That makes a lot of sense since I’m normally dehydrated, and water makes up 75% of the body and 85% of the brain. Eating watermelon makes me feel great as well!

1. Have a long, important conversation with someone

No matter how good or bad my mood is to start with I feel greatly energized if I can help someone else through conversation. I’ve experienced this more and more, as people who I know have asked me questions about mental health, and have found my answers to be helpful.

That’s my 5. If I could just include them all in my day, everyday, I would be jumping out of my skin with energy.

Here are the 3 that just missed out on the top 5.

Sleep
Believe it or not lack of sleep energizes me (for the first week or so).

Reading books
Not just looking.

Spending time with family
Taking my kids out just about anywhere. Going for coffee with my wife.

I now have 6 blogs (not 5) that I’m going to tag.

I love the recent blog on Beyond Blue titled “My Depression Toolbox“. I’m convinced that the best way to maintain good mental health is to monitor depression triggers and have strategies at the ready to mitigate them when they appear. This post gives a great example of a “stay well plan” that does exactly that.

On the Dr Shock blog there is an interesting article about Activity Scheduling. This is another positive approach that aims to re-energize the depressed person by building pleasurable activities into their daily routine. (Thanks for the referral at the bottom of the post!)

I’m fascinated by the The Pursuit of Happiness, a personal, moving blog by a depressed man trying to work out what exactly is wrong with him and what kind of treatment he should seek. I recommend starting with the first post.

At Space and Time Melissa writes short posts about anything and everything, and sometimes even nothing. (Sorry Melissa). Her writing is personal, humorous and self-deprecating.

Rachel keeps me laughing, entertained and engaged with life at Frizzy Logic. I especially like her post from a week ago on an amazing infinite energy generating machine, that could be housed in a gallery, but never fulfilled its potential.

Finally, Anna at Widows Quest has written a brief post “How to Stop Feeling Tired“. She summarizes a great point from another article on how doing things for other people will energize you in a number of ways. I couldn’t agree more. This may be the reason that I have helping others in conversation as my Number 1 energizer.

This is in response to a major deficiency in the Australian diet.

Innovation Director at McCain Foods, David Boyle, said “I think the food industry as a whole has got to get more serious about putting nutrients in our foods”. And it is getting serious. These “functional” foods, with nutrients added, are hitting supermarket shelves everywhere. Manufacturers like McCain are clearly concerned about our diets.

A quick refresher on Omega-3 fatty acids. Omega-3s are polyunsaturated fatty acids found mainly in fish, some plants, nuts and seeds. Those found in marine life consist mainly of EPA and DHA, the two principal Omega-3 fatty acids. They are highly biologically active fatty acids. Those found in plants (flaxseed, walnuts and canola oil) are usually in the form of alpha-linolenic acid. The body can convert this into EPA and DHA, but only inefficiently at the level of 10%-15%.

Why are DHA and EPA important?

How many reasons do you want?

Dietary DHA can reduce the level of blood triglycerides, which may reduce the risk of heart disease. Low levels of DHA causes a reduction of serotonin, which may in turn be associated with depression and other diseases. An increasing body of evidence suggests that supplementing the diet with DHA can provide therapeutic benefits for people with depression.

EPA is needed by the body to produce prostaglandins, which control blood clotting and other arterial functions. EPA also provides a natural lowering of blood cholesterol and triglycerides.

There is a comprehensive list of the effectiveness of Omega 3s on a range of health conditions at the US National Institute of Health’s MedlinePlus.

Depression and bipolar disorder still rate a “C” – “unclear scientific evidence for this use”. There is strong evidence linking depression with a reduced intake of Omega-3 fatty acids, but less evidence for the benefits of increasing Omega-3 to relieve depression more generally. In fact earlier in the year the British Medical Journal’s Drug and Therapeutics Bulletin (DTB) dropped a bomb-shell, stating that there is no convincing basis for using Omega-3 as a means of alleviating the condition.

UK firm Dairy Crest pulled a new ad campaign for its Omega-3 ‘clever milk’ shortly thereafter.

So I happened upon a packet of McCain’s SuperCrunchy Omega 3 Classic Chips in my local supermarket today. The vital statistics on my nutritional panel were:

Per 100g
Omega 3 – 348 mg
DHA – 26 mg
EPA – 7 mg

So the combined amount of DHA and EPA is less than 10% of total Omega 3. And guess what? Cooked in canola oil.

I would love to know how much Omega 3 there was before the new marketing campaign. Not much less than there is now, is my guess.

McCain Foods innovation director, David Boyle, said the launch was a big step forward in McCain’s quest to provide consumers with a healthier French fry without sacrificing taste or quality. Mmmm. That’s right. No fish oil here.

Here are the Omega 3 levels in some other everyday foods (per 100g), taken from the Australian government’s Food Standards database. Sorry to those who haven’t caught up to metric yet!

Cake, Carrot, Iced, Commercial 56 mg
Cream, Thickened, 35% Fat 90 mg
Lamb, Leg Roast, Roasted, Lean 114 mg
Pancake, Home Prepared 120 mg
Sauce, Hollandaise 122 mg
Tip Top Omega 3 Bread 163mg
Beef, Mince, Hamburger, Dry Fried 277 mg
Beef, Chuck Steak, Casseroled, Lean 357 mg

…then the fish…

Bream, Baked In Foil, Oil Or Fat Not Added In Cooking 1089 mg
Fresh Gemfish, Flesh, Steamed 1753 mg
Salmon, Atlantic, Grilled Without Fat Or Oil 1822 mg
Salmon, Red, Canned In Water, No Added Salt, Drained 2225 mg
Sardine, Canned In Oil 2502 mg

Sardines on toast is looking good.

In the U.S. macronutrients, as fats, are not assigned recommended daily allowances. Instead they have Acceptable Intake, which is 1.6 grams/day for men and 1.1 grams/day for women.

There aren’t many academics or clinicians around who will advise a “therapeutic” dosage of Omega 3 for depression. If such a thing exists it will be vastly different between people, probably a lot higher than the normal Acceptable Intake, and only beneficial for some. A Finnish review of Omega 3 studies shows how variable the results have been so far, and this list is far from complete.

Further reading:
Omega 3 Overview
Omega-3 for Depression and Bipolar Disorder (a bit out of date but still good)

Just to note, I’m not a certified trainer. I’m just sharing stuff that’s worked for me. Also, some of this stuff is contradictory. That’s because you’re not supposed to implement all of them – just pick the ones you think will work for you, and give them a try. Good luck!

Top 42 Exercise Hacks

1. Start slow.The biggest mistake that people make when starting an exercise plan is starting too fast or too hard. Trust me, I’ve done it many times. I’ve learned to take it easy, start as small as possible, and worry about endurance or intensity later. The key in the beginning is to make it enjoyable and accomplishable. That’s probably not a word, but it should be. And it is now. Zen Habits are ones that are accomplishable.
2. Increase but gradually.After getting used to a certain level of exercise, you’ll want to increase it. Don’t just run two miles or walk 20 minutes three times a week for a year. Your body adjusts to the stress you’re giving it, so you need to increase the level once you’ve adjusted. But do it gradually, and only every two weeks or so.
3. Crank it up.Once you’ve gotten used to exercise, you’ll want to do some higher intensity ones for better fitness and fat-burning. For example, instead of running slowly and steadily, for a long time, try doing shorter bursts of fast running, with periods of rest in between. You can do this for any exercise. Higher intensity increases the calorie burn, and improves performance. But you can’t do it as long, and you shouldn’t do it every workout. Mix it in with endurance workouts.
4. Schedule workouts. Make appointments with yourself to workout, at a specific time and place, just as you would with any other appointment. And make it the most important appointment on your calendar – more important than a doctor’s visit or even the manicurist.
5. Make it a habit. If you can do exercise at the same time, every single day for a month, you are more likely to make it a habit. Consistency makes habits more ingrained. Once it’s a habit (and start easy in the beginning!), then you can step up the intensity a bit.
6. Forget about weight loss. Yeah, many of us would like to lose some weight. But if you’re motivated solely by weight loss, exercise will be a tough proposition. The reason is that you might not lose weight right away. Oh, it’ll come, if you can keep it up over time, but in the beginning you might be disappointed (especially if you haven’t changed your eating habits). Just get into the habit of exercise, and worry about the weight later. First things first.
7. Forget the gym. The gym can be horribly convenient, but it can also be intimidating for beginners, and confusing if you don’t know how to use the equipment. Sure, you can get a trainer to teach you, but if the cost or the confusion stops you from exercising – well, skip the gym and do it at home or at the park or somewhere less intimidating. You can do pushups and crunches and dumb bell exercises at home very easily, workout to a DVD, or go walking or jogging in your neighborhood. Cheap and simple is my motto.
8. Reward yourself. Self-explanatory, but rewards are best if they are frequent in the beginning. Be self-indulgent! Even sweets are good rewards – remember, get into the habit of exercise, and you can worry about weight loss later.
9. Do a 30-day Challenge. Challenge yourself, and see if you can rise to the occasion. Do it with a group or your significant other. Put in rewards. Tell everyone you’re doing it. Motivate the hell out of yourself.
10. Join an online group. One of the best motivators is having to report successes and failures to a group of people. Check out some online groups (there are groups for every type of exercise), introduce yourself, see which ones you’re comfortable with. Once you’ve gotten established (after a couple of days) see if you can post your results every day – you won’t go wrong once you start doing that.
11. Post your results on your blog. There’s nothing more motivating than positive public pressure (short of a gun to your head). Step it up by making a promise to your blog readers that you will commit to this goal for a month, and post your results every day. Even if your mom is your only blog reader, it’ll really help.
12. Do a journal. If you don’t post your results on your blog, write it in a journal, either online or on paper. However you set it up, make it a habit to post to your journal or log right away, as soon as you’re done with your log. It will motivate you to see your progress over time, and it’s a good way to see what you’re doing right and what you’re doing wrong.
13. Make it fun! Exercise doesn’t have to be a chore. I love doing a morning run, with the sun coming up, the world so quiet, my mind left to its own devices. Enjoy yourself and you will actually look forward to your workouts.
14. Fuel up. If your workout is more than 30 minutes, you really should have some energy in you. You shouldn’t work out on an empty stomach – but you also shouldn’t eat right before you work out. Eat a banana or some peanut butter toast or a ClifBar an hour or two before your workout, and you’re good to go.
15. Hydrate. Also an hour or two before you workout. Water is best. Use a sports drink during your workout (and after) only if you’re going to go an hour or more. If you’re going to do a tough workout, stay hydrated throughout the day. In fact, go ahead and do this whether you work out or not.
16. Get a workout buddy. Find someone at your level, and commit to working out a certain number of times a week together, at a certain time. This will make you more likely to keep that workout appointment, and workouts can be a lot of fun if you spend them chatting with your buddy. Just be sure to actually work out, and not just chat, Chatty McChatterson!
17. Get good clothes. Actually, you don’t need anything fancy to get started. But once you do start working out, it’s nice to get yourself some nice workout clothes, with breathable and comfortable fabrics, ones that look good on you. It’s motivating, and pleasurable. Make it so.
18. Put a cover model on your fridge. Not literally, of course, as that may be illegal, but find a good magazine photo of a model with the body you want, and post it up somewhere visible. You may never look like that model (heck, that model probably never really looks like that), but it’s motivating. Don’t pick a model that’s too good looking, or you may question your sexuality.
19. Change it up. Sure, walking or running every day can be a lot of fun. But getting some swimming or biking or strength workouts or aerobics or kickboxing into the mix can be a lot of fun, and can also help you get into better shape. They work out different muscles, and step up the metabolism. Variety is the spice of life and all that.
20. Do it early in the morning. My favorite time to work out is between 5:30 and 6:00 a.m. Plus, I know that if I work out at this time, nothing will get in the way of the workout later in the day. It’s a beautiful time of day, not too hot, and there’s nothing like showering and going to work knowing that I’ve put in a great exercise (and it allows me to feel superior and look down my nose at those lazy bums I work with).
21. Squeeze it in during lunch. OK, you’re not a morning person. You’re busy. You don’t have time to work out. Well, suck it up, buster, and sacrifice your lunch hour to the gods of fitness. Bring your workout clothes, do a quickie nooner, and be back at work ready to tackle the afternoon.
22. First thing after work. None of those options work for you? Not a problem, my friend. Make it a daily appointment to work out as soon as you get off work. This will also motivate you to finish your work on time so you can get out on time for your workout. It’s great to stop somewhere to do your workout before you even get home, because once you get home you’ll probably want to relax on the couch, fall asleep at the kitchen table, or rush to the computer to read the latest Zen Habits post.
23. A little and often. You don’t need to work out long, and you certainly don’t need to be a weekend warrior. Just 20-30 minutes every day. Who doesn’t have 20 minutes on their schedule. You? Well, scratch Walker Texas Ranger rerun off the schedule and make room for this instead.
24. Just lace up. Yeah, you’re dreading the upcoming workout. But don’t even think about it. Just lace up and head out the door. That’s all. After that, let nature take its course. Just relax and do what comes naturally. Which is exercise.
25. Join a race. Signing up for a 5K or a triathlon are my favorite motivators. It really gets me to do my workouts because if I don’t, I will look like a dork by collapsing 5 minutes after the starting gun goes off. But don’t worry about how you look – just go and have fun at these races – everyone else is worrying about themselves too much to notice you.
26. Get good gear. As a reward, get yourself some nice little gadgets – a sports mp3 player, a Polar heart rate monitor, a pedometer, a scale, a bike computer, whatever. Something cool that will make you look forward to your workouts.
27. Forget about the gear. Having said that, you don’t need any of that to actually work out. Just put on some cheap clothes and get out the door. Don’t let your lack of gear stop you, and for criminy’s sake, don’t go and buy all the gear before you actually start working out.
28. The 10 percent rule. Don’t increase your workout time or distance by more than 10 percent a week. This is a very conservative rule, and it can be broken by the best of the best, who know what they’re doing, but for the rest of us, stick with this to prevent burnout or injury.
29. Rest. It’s important. This is a commonly overlooked factor. If you don’t give your body some rest, you will burn out and get injured. Rest is just as important as the workouts in improving performance and fitness. As long as you’re doing the workouts too and not just the rest!
30. Hard, then easy. If you do a hard workout today, rest or go easy tomorrow. Don’t do two hard workouts in a row. The hard-easy approach can also work within a workout itself – run hard, then run slow, then run hard – you get the idea. This allows you to burn more fat than if you just run medium the whole time.
31. Listen to your body. This is extremely important – if you feel like you’re overdoing it, you probably are. Rest and allow your body to recover. And though you can run through some slight soreness or aches, you should stop as soon as you feel sharp pain or pain in the joints. You’ll just make it worse.
32. Strength is good. If you’re a walker or runner or cyclist or swimmer or something like that, you should also fit some strength training into your schedule. Nothing too intense, but just some core-strengthening exercises that will help your main sport as well as make you healthier and yes, more attractive.
33. Set goals. What are you trying to get out of your exercise? It’s good to know if you’re trying to build muscle or burn fat – because these are two competing goals. There are other goals, of course, but you should be clear what they are. Also, set goals for each week – what do you want to accomplish this week? Write it down, post it up, and see if you can meet them!
34. Take photos of yourself. Before and after photos. The best way to see your progress over time. But do it once a month, not every hour, you narcissist!
35. Workout first, diet later. If you’re just starting a workout plan, it’s best not to start a diet at the same time. Well, I don’t like diets in the first place, but still – one thing at a time. I’d prefer the workout first, and then worry about the diet after about a month of working out. You didn’t get fat overnight and you’re not getting skinny overnight either!
36. Star chart. Yeah, you know what these are. But they’re very motivating. Do a workout, put up a star. Fun!
37. Get a coach. You certainly don’t need one, but there’s nothing more motivating than a coach. Almost like a workout buddy, in that you are very likely to make the appointment, but less chatty and more knowledgeable. And if you’re going to learn swimming, a coach is a must. Yes, you can get a coach – there are master’s swimming classes at your local pool. Just sign up – they’re usually not that expensive.
38. Join the club. In my area, there is a great running club and a great cycling federation and triathlon federation. All of them sponsor races and Sunday rides and things like that where you can workout with a group and talk to more knowledgeable people. Well worth the small membership fee!
39. No pain – that’s good. Forget the old rule of “no pain, no gain”. You don’t need pain to get in shape. Just take it easy, progress gradually, and enjoy yourself.
40. Warm up. If you’re going to do any kind of exercise, don’t do it with your muscles cold. Gradually get your heart pumping and blood flowing. You’re less likely to injure yourself, and your workout will be more enjoyable.
41. On stretching. Sure, flexibility is important. But stretching out cold is a good way to get injured. If you’re going to stretch out before a workout, be sure to do so only after your warmup. Also, do not bounce. That’s another good way to tear your muscles. Do slow stretches and hold them without bouncing. Best of all: stretch after a workout, when your muscles are nice and loose.
42. Go for the long haul. Most of all, don’t think that you will become fit and healthy and sexy in one month. Think of exercise as a life-long habit, and your goals will come to you eventually. You’ll get there, my friend!

Research from Eli Lilly and Company (NYSE: LLY) has demonstrated that up to 17% of dogs in the U.S. are suffering from separation anxiety.

What?

That’s nearly one in every five dogs in your street, burdened with a debilitating mental disorder. Or two dogs for every person in your street who has depression. Now that’s an impressive market.

Where there’s a problem the forces of supply and demand will find a solution, and this is the void into which Lilly stepped with its anti-depressant drug Reconcile (or Prozac by any other name). As a first foray into pet-pharmaceuticals, Reconcile followed hot on the heels of Pfizer’s diet drug Slentrol launched earlier in the year.

Lilly’s companion-animal division is now poring through the molecules in its library of compounds, looking for other streams of income from this undeveloped market.

Some quotes that I’ve read:

“Dogs affected may bark, chew household items, or urinate in inappropriate locations when left alone”.

“Anxiety may cause the dog to engage in inappropriate behavior, such as destruction, excess vocalization and inappropriate elimination.”

Our kids do the same if we neglect them for long enough.

‘My animal is a member of the family, and I am willing to pay the cost of drugs that were developed for humans.’

So what is your view? Is a dog more likely to need an SSRI or a long walk and some love and attention?

For a more thought-provoking post:
http://www.furiousseasons.com

For a satirical look:

http://ahrp.blogspot.com

http://www.cbc.ca/ (scroll down to “Pet Prozac”)

For lots of airbrushed dogs on the Lilly pet site:
http://www.lillypet.com/

This is almost an addendum to my previous post, the review of “Dealing with Depression”. Another excellent book hot off the press is “Journeys with the Black Dog”, edited by Gordon Parker (last post), Tessa Wigney and Kerrie Eyers.

The book compiles hundreds of stories received in response to a Black Dog Institute Writing Competition. It charts the journey through depression, from onset to diagnosis, relapse and eventual management, and it highlights a diverse and inspiring range of coping strategies.

Here are some of the many reviews received:

A wonderful book for anyone who has been depressed or who wants to understand depression better. It is insightful, compassionate, and invaluable.
Kay Redfield Jamison, Professor of Psychiatry
The Johns Hopkins School of Medicine

It cuts deep and speaks to the soul as well as the intellect.
Professor Geoff Gallop, Former Premier of Western Australia

The use of the black dog as a metaphor for depression, popularised by Winston Churchill, provides a fertile starting point for the contributors to Journeys with the Black Dog. But there are other recurring analogies: greyness, fog, and suffocation. The contributors, invariably all good writers, all use these metaphors to describe their own experience of depression. Their words, submitted for the Black Dog Institute’s annual writing competition, are excerpted in themed chapters, moving from onset through diagnosis, acceptance and wellbeing strategies to “the view from the top”.
The AGE (Melbourne newspaper)
Reviewer Lorien Kaye

I would like to congratulate you for producing a resource that I am certain will help not only those living with depression, their families and caregivers, but also professionals treating individuals suffering this debilitating disease. I FOUND THIS BOOK TO BE AN INSPIRING EXAMPLE OF THE HUMAN SPIRIT RISING OVER ADVERSITY.
Entrant # 201

Journeys with the Black Dog goes to places most other books in the mental health area can’t get to because it is an organised collection of written pieces by depression sufferers – the real experts on depression. In writing about living, coping with and managing their illness, there is a honesty in each presentation – whether it be a few sentences or a few pages – that provides the reader with more than information. Here you have the feelings of suffering with depression. Therefore, the ideas presented are very real and sometimes painfully honest.
Entrant # 143

I have just received my copy of the latest book in the Black Dog series and I am delighted with the quality of your work. Your method of incorporating our various entries into the blended text is nothing short of brilliant. You have produced a work that will be of immense value to readers and that is far greater than any of the individual contributors could have hoped to produce. Well done – and thank you.
Entrant # 187

I loved the fact that the last chapter was entitled “The view from the top” because when I went into hospital with depression my sister-in-law gave me a card, and on it she wrote “you have a mountain to climb, but when you get there, the view from the top will be simply amazing”. And it is!! Thanks again.
Entrant #305

Enough quotes. Okay, okay.

The book hasn’t yet circulated beyond Australian and New Zealand shores, but it can be bought electronically at: http://www.ebooks.com/. I expect it will be available on Amazon and other online retailers in the near future.

This excellent book is written from the premise that there are many different forms of depression, rather than the popularly held belief that there is one main type that differs in severity. In a nutshell Gordon Parker explains the different types of depression, and how they should be dealt with differently. He offers suggestions for the most appropriate treatments in each case.

It can’t be overstated how important this approach is. If a correct diagnosis is not made in the first place then treatment may fail. I’ve been there and experienced plenty of what was wrongly called “treatment resistance”. With a correct diagnosis depression will normally be treated successfully.

Something that I find especially helpful is the inclusion of some fictional case histories, so that the reader can understand how each depression type might present itself in terms of its symptoms. When I first read the case histories I tried to guess the specific type of depression that each person was suffering from. I was wrong on all accounts!

While he is first and foremost a psychiatrist, Gordon Parker includes psychotherapies and alternative therapies together with traditional medicine in his discussion of treatment options. This is helpful if you want to actively explore the treatment options.

We have a copy of the first edition and have lent it out countless times to friends and relatives. In fact as I write this review I have no idea where it has gone, it has been handed around so much. The caregiver of a mentally ill person can gain a lot of help from the book as well. It is easy to read and provides hope that things can get better with appropriate treatment. When the patient, their family and/or friends are educated and moving forward with the treatment being undertaken, there is a much greater chance of success.

“Gordon Parker has style. The second edition of “Dealing with Depression” provides an outstandingly accessible account of how he sees the theory and practice of treating depression. While it is clearly written originally for the non-professional, the story is told from the cutting edge of research and treatment. It exemplifies the modern unifying approach to psychiatry – a synthesis of reliable knowledge and clinical judgment. It is a book both to read and to recommend to one’s patients and their families.”
Guy Goodwin, Professor of Psychiatry, Oxford University.

“This unique book, written by one of the world’s leading authorities on depression, focuses on a way of thinking about the complexity and diversity of the mood disorders that is both easy to understand and ‘rings’ true. Well-written and thought provoking, it is essential reading for all whose lives are affected by depression.”
Michael Thase, Professor of Psychiatry, University of Pittsburgh

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