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In the pandemic, depression is hitting Americans harder than COVID-19. A new study from JAMA Network Open found that half of U.S. adults are experiencing some symptoms of depression. That’s 3 times higher than the pre-pandemic rate. These statistics are depressing and will contribute to a legacy of mental health problems. But there’s one industry that’s happy about the alarming trend—the pharmaceutical industry.

THE MIND MED REVOLUTION

In 1987, with the FDA approval of the blockbuster antidepressant (fluoxetine) Prozac, the mind-drug revolution began to dominate psychiatry. Since the launch of Prozac, antidepressant use in the U.S. has increased by 400% and more than 1 in 10 Americans now takes one. Antidepressants are the second most commonly prescribed drug in the United States, just after cholesterol-lowering drugs, according to a paper in the American Psychological Association. Since the launch of Prozac, antidepressant use in the U.S. has increased 400% and more than 1 in 10 Americans now takes one.
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After the global success of Prozac, the “chemical imbalance” theory of mental illness burst into the public consciousness, and many people began proactively asking their doctors to fix their low moods with pills. Famously, after actress Carrie Fisher was cremated, her ashes were placed in a green and white Prozac-pill shaped urn. Taking pills may seem like an easier and quicker solution to bad moods than taking the time and effort to develop brain-healthy habits, build skills, or change troublesome behavior. Yet, there is a dark side to the mind-meds that is often overlooked. Thousands of lawsuits claim that Prozac and other psychiatric medications increase violent or suicidal behavior. Virtually all antidepressants and antipsychotic medications have black box warnings, which, in simple terms means the FDA cautions patients in the strongest terms to pay close attention to potentially extremely harmful or dangerous threats to their health. At Amen Clinics, we have published papers on depression (Journal of Alzheimer’s Disease), as well as on ADD/ADHD (Journal of Psychoactive Drugs), revealing the SPECT patterns that are associated with both positive and negative responses to medications.

PILL PUSHERS

Despite the problems, the pharmaceutical industry is incredibly successful at marketing psychiatric medications to doctors and the general public. From 1996 to 2005, the industry tripled its marketing budget with a 500% increase in direct-to-consumer advertising. Prescription drug ads often do not adequately explain side effects, and because of repeated exposure, many people tune out those statements at the end of TV commercials, often delivered in a rapid-fire manner, such as, “This drug may cause permanent liver damage, seizures, an allergic reaction that leads to fatal throat swelling and suicidal tendencies.” Patients in the U.S. are more than twice as likely to ask for drugs seen in ads compared with those in Canada, where most direct-to-consumer advertising is prohibited. There is no doubt that psychiatric medication saves lives, especially for people who have more serious mental health disorders (which are really brain health issues), such as bipolar disorder and schizophrenia. Yet, it’s critical to be cautious with antidepressants, because once they are started, they can be hard to stop, and they do not just reset your brain, they change it. A 2017 Oxford University study in the Journal of Affective Disorders found most SSRIs—such as Prozac, Paxil, Zoloft, and Lexapro—do not just decrease negative emotions, they reduce all emotions, including love, happiness, and joy. Participants felt separated from their surroundings and cared less about important things in their daily lives. They felt like their personalities had changed.

WHO’S PRESCRIBING ANTIDEPRESSANTS?

One of the most disturbing trends is that nearly 85% of psychiatric medications are prescribed by primary care physicians, nurse practitioners, and physician assistants in short office visits; and 72% of these prescriptions are accompanied by no diagnosis in the charts, according to research in Health Affairs. These medical professionals often do not have the time or specialized training to develop comprehensive treatment plans or to tell you about more natural and safer solutions. Some primary care physicians do a wonderful job handling mental health issues, while others cause more harm than needed.

THINK SKILLS, NOT PILLS

As record numbers of people experience depression due to the pandemic, our society does not need more of the same in terms of treatment. When it comes to depression, we need skills, not just pills. When it comes to depression, we need skills, not just pills.
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It’s time for a new way forward that is rooted in neuroscience and hope. Depression and other psychiatric issues really are so much more than just a “mental illness.” Your brain creates your mind. The issues that affect your mind stem from your brain, your body, your thoughts, your social and work interactions with others, and your deepest sense of meaning and purpose. To fully heal from depression, you need to address all of these factors. Only then can you feel the way you’d like to feel and live the life you desire. Depression, anxiety, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

By Jennifer Love, MD

You’ve seen the memes: A fully packed stadium with the words: “Alcoholics Anonymous Meeting, 2021.” “If you have a drink in each hand there’s a 100% chance you won’t touch your face!” We’ve updated our vocabulary to include “Quarantini.” Amazon now sells a Sit and Sip Refillable Winebag Chair, which pictures an enormous beanbag the size of a small car, with a woman lounging atop drinking from a plastic tube.

The message is clear: When crisis strikes, drinking is not only socially acceptable but encouraged. A study early on in the pandemic claims 1 in 3 Americans are more likely to drink alcohol during work hours while in lockdown. The numbers vary by states: 38% of California, New York, and Pennsylvania workers are drinking during work; about 50% in Idaho, Kansas, Iowa, and Virginia; and Hawaii “wins” at a reported 67%. The study didn’t even look at non-work hour consumption!

As mental health care providers, we have to take notice.

THE COVID EFFECT ON ALCOHOL AND DRUG USE

You may share my observation that shortly into the COVID crisis many psychiatric patients decompensated and needed increasing amounts of attention and treatment, and many addiction patients seemed to recede into some secret abyss.

I’ve also seen a tide of new patients scheduled by concerned family members because hiding an addiction is a lot more challenging when everyone is stuck in the home together. But COVID fear is also a barrier to treatment, as many families refuse to consider treatment modalities that involve anyone leaving the house, limiting treatment to online support.

I’ve been pushed into a more creative role of trying to invent ways to support the recovery of my patients and encouraging ongoing engagement. I’m certainly stretching my Motivational Interviewing muscles, trying to help people find reasons to change behaviors when many literally have nothing to do. Many of our old standbys of “is your drinking causing any problems with work/social interactions/legally…” may not apply. So how can we comfortably discuss increased alcohol or substance use during the COVID era with patients who aren’t in treatment for any addiction?

Well, substance use is like suicide—asking about it is necessary, and it doesn’t increase the risk of someone trying it. So even if you don’t specialize in treating substance use disorders, with a few tips you can proceed comfortably. Refresh yourself with the basics of helping someone increase their own internal motivation for change.

Here are 5 strategies I use.

5 KEYS FOR TALKING ABOUT SUBSTANCE USE

1. Remember, empathy is key.

I tell my patients from day one that we have a “judgment-free space.” I used to be a chemist, and successful experiments don’t rely on judgment. They rely on observation. I go in with a hypothesis, and it’s either correct or incorrect; there’s no need to be attached to whether I’m right. Either way I’m publishing a paper. If we can cultivate a sense of curiosity about ourselves rather than judgment, motivation for self-exploration increases exponentially. Don’t assume your longtime patients know you won’t judge them. Think about how many of them suffer low self-esteem, negative thoughts, and self-doubt. It needs to be stated.

2. I start by asking questions.

“What do you value? Does your current alcohol consumption fit in with those values?” “If COVID is going to go on for a few years, do you want to spend those years being a daily drinker?” “We’re six months in. Did you ever expect to be a daily or near-daily drinker for that long? I think we’re all thinking about that now—even some of my friends and colleagues!” The purpose is for your patient to discover discrepancies between their values or goals and their behavior.

3. Refrain from argument.

Your patient already knows your opinion on smoking, drinking, using drugs, playing video games, or watching porn 12 hours a day. They aren’t discussing this with you because they don’t know what is best; we, as humans, are just wired not to want to make changes. Confrontation slams the door.

4. Encourage curiosity.

Since we as humans resist change, encourage curiosity about internal resistance. I once did a podcast called “Why don’t I want to do the things I want to do?” I want to eat healthy and exercise, but what I really want is to eat pizza and watch Netflix. Judging the pizza and inactivity doesn’t inspire change, it induces shame, which drives people inward (now curled up on the couch). Being curious about the pizza and inactivity allows someone to explore the thoughts and feelings that contribute to their internal resistance and do what they logically want to do.

5. Support an environment of self-efficacy and optimism.

This is when I bring out my famous (ha!) snorkeling analogy. Yes, the words, “Life is like snorkeling” have escaped my lips more than once, but hear me out. We’re out snorkeling, eyes on the colors—the fish, the coral, watching out for reef sharks—and every once in a while, we have to stop, look up, and see where land is. We have to make sure we haven’t drifted. Sometimes we have to swim over to a new area, and then can start looking down again, getting caught up in the colorful show of life. We will hopefully do this a few times in life—make sure where we are is where we want to be in relation to our “grounding spot.” Are you where you want to be? Are your patients?


About the Author: Jennifer Love, MD, Amen Clinics Orange County, CA

Dr. Jennifer Love is board-certified in psychiatry, addiction psychiatry, and addiction medicine, and is a Diplomate of the American Board of Psychiatry and Neurology and the American Board of Addiction Medicine. Dr. Love is an award-winning researcher and international speaker, interested in the interface between cultural and spiritual factors and overall mental health. She is also suboxone certified. Dr. Love’s work focuses on restoring life balance, brain and body health, and helping her patients improve their functionality and satisfaction in life. She considers a wide range of interventions including nutraceuticals, medication, exercise, yoga, psychotherapy, and sleep/relaxation training. Her specialties include mood disorders, substance use disorders, anxiety disorders, anger and irritability, behavioral addictions, co-occurring pain, and opioid dependence.

Dr. Love is the co-author of When Crisis Strikes: 5 Steps to Heal Your Brain, Body, and Life from Chronic Stress. Stay up to date by following @dr_author_jennifer_love on Instagram.

Suicide is devastating for the loved ones who are left behind. Family and friends often say they didn’t notice any signs of suicidal tendencies, which leaves them wondering what they might have missed. But what if brain imaging could predict who will attempt suicide? Exciting brain imaging research from 2017 in Nature Human Behavior found that based on brain scans alone, a computer could identify with 94% accuracy rate which study participants had suicidal tendencies. Earlier research from Amen Clinics, the world’s leader in brain health—including a 2009 brain imaging study in The Journal of Neuropsychiatry and Neurosciences on 12 people who completed suicide and a 2011 brain imaging study in Translational Psychiatry on 21 people who completed suicide—found abnormalities in brain function in these people. Both of these studies found decreased cerebral blood flow in specific areas of the brain, including the prefrontal cortex (see below). The researchers concluded, “This work suggests that SPECT might be useful in predicting risk for suicide completion in subjects with depression or treatment-resistant depression.” “Finding biological biomarkers in the brain that are associated with suicidal thoughts and behaviors could ultimately save lives,” says Dr. Daniel Amen, founder of Amen Clinics, which has built the world’s largest brain imaging database related to behavior. “Finding biological biomarkers in the brain that are associated with suicidal thoughts and behaviors could ultimately save lives.” — Dr. Daniel Amen, founder of Amen Clinics
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This would also benefit family and friends, who must deal with a legacy of unimaginable pain when a loved one dies by suicide. “The pain of suicide is unlike any other loss because people see it as a choice, rather than as a consequence of brain health problems,” says Dr. Amen. Understanding that brain dysfunction is at the root of suicide helps loved ones process their grief and alleviates feelings of guilt. “The pain of suicide is unlike any other loss because people see it as a choice, rather than as a consequence of brain health problems.” — Dr. Daniel Amen, founder of Amen Clinics
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A SUICIDE CRISIS

The need to address suicide is becoming more critical as the rates of suicidal ideation are skyrocketing due to the pandemic. Approximately twice as many U.S. adults have seriously considered suicide in the past 30 days compared with 2018, according to the CDC’s Morbidity and Mortality Weekly Report. In the report, more than 1 in 10 of the 5,412 respondents reported seriously considering suicide in the previous 30 days. Even more startling is that over 1 in 4 people ages 18-24 had seriously contemplated ending their own life. And over 30% of unpaid caregivers for adults and 22% of people considered essential workers had suicidal thoughts. This comes on the heels of already-rising suicide rates, especially among young Americans. Suicide is the 10th leading cause of death overall, but it is the second leading cause of death among 10-24 year-olds, according to the CDC. From 2007-2017, teens ages 15-19 experienced a 76% increase in suicides, and the suicide rate for 10-14 year-olds nearly tripled. We need to reverse this trend. It’s time to take advantage of advanced brain imaging technology to help detect people who are at risk.

BRAIN ABNORMALITIES SEEN IN SUICIDAL PEOPLE

Brain SPECT imaging, which measures blood flow and activity in the brain, reveals underlying brain abnormalities in people with suicidal tendencies. In addition to the studies mentioned above, Amen Clinics has also done brain scans on over 300 people who attempted suicide and on thousands more who have seriously contemplated dying by suicide. What do these brain scans show? People with suicidal thoughts and behaviors tend to have abnormalities in brain activity. What follow-up scans on these patients show is that with the right treatment, there are ways to heal underlying brain health issues and reduce the risk of suicide.

Here are 4 of the most common SPECT findings in Amen Clinics patients with suicidal tendencies along with proven strategies to heal the brain.

Head Trauma

Concussions and other traumatic brain injuries are associated with an increase in suicidal tendencies, according to research in the American Journal of Public Health. Head injuries can negatively impact brain function and have been linked to increases in depression, anxiety, substance abuse, which can contribute to suicidal ideation. Head injuries are far more common than you might imagine, and even minor blows to the head can cause trouble weeks, months, or even years later. At Amen Clinics, brain imaging studies show that 40% of patients have signs of a previous head injury. Surprisingly, many of them don’t remember experiencing a head injury, or they think their past head trauma—whether it was from falling off a bike, falling down a flight of stairs, or from playing tackle football—was insignificant. Brain scans show they are highly significant. Healing head trauma: Hyperbaric oxygen therapy (HBOT), neurofeedback, hormonal therapy (head injuries often disrupt hormone production), and nutritional supplements (ginkgo, acetyl-l-carnitine, huperzine A, N-acetyl-cysteine, alpha lipoic acid, and phosphatidylserine) facilitate the healing process.

Temporal Lobes

Abnormal brain activity in the temporal lobes—especially in the left temporal lobe—is commonly seen on the brain scans of people with suicidal tendencies. According to an Amen Clinics study, 62% of patients who had seriously contemplated suicide or who had made an attempt had abnormalities in the left temporal lobe. The temporal lobes are involved in mood stability, memory, and learning. Problems in the left temporal lobe also include anger and aggression, dark or violent thoughts, sensitivity to slights, word-finding problems, auditory processing problems, reading difficulties, and emotional instability. Healing temporal lobes: Neurofeedback, nutritional support (higher-protein, lower-carbohydrate diet), the supplements GABA and theanine, music therapy, singing, and anger management can be helpful.

Prefrontal Cortex (PFC)

Low activity in the PFC is a common finding on SPECT in suicidal people. The PFC is involved in impulse control, judgment, and decision-making, but when it is underactive, it is associated with impulsivity, poor judgment, and bad decisions. Having a “sleepy” PFC is one of the hallmarks of ADD/ADHD, and a 2017 review of 26 studies in the World Journal of Psychiatry shows that people with this common condition are at increased risk of suicide. The researchers conclude that early diagnosis and treatment of ADD/ADHD—and the co-occurring psychiatric disorders—can play an important role in the prevention of suicide. Healing the PFC: Physical exercise, neurofeedback, goal setting, nutritional interventions, support (higher-protein, lower-carbohydrate diet), meditation, green tea, the supplements rhodiola and ginseng, and asking “Then what?” (thinking about the consequences of your actions) are beneficial strategies to strengthen the PFC.

Anterior Cingulate Gyrus (ACG)

The ACG is the brain’s gear shifter, and it helps you shift your attention from one thought to another. Too much activity here, which is commonly seen on SPECT in suicidal people, makes people more likely to get stuck on negative thoughts. A 2020 study in Translational Psychiatry builds on prior research showing that dysfunction in the anterior cingulate cortex (where the ACG is located) is associated with suicidal ideation and suicidal behavior. Healing the ACG: Nutritional support (higher smart carbohydrates, lower protein), supplements (saffron and 5-HTP), exercise, learning how to stop looping thoughts, learning to distract yourself when you get stuck on negative thoughts, and writing out options when you feel stuck can help balance an overactive ACG.

HEALING THE BRAIN HELPS PREVENT SUICIDE

After over 30 years of treating people who have considered suicide, Dr. Amen says it’s clear that “suicide is a permanent solution to a temporary problem.” When the underlying brain dysfunction is treated, however, people’s symptoms of depression, impulsiveness, hopelessness, helplessness, aggression, and negative thinking patterns improve. Putting the brain in a healthy environment with the healing strategies described above provides hope for people who are suffering from suicidal ideation. “Suicide is a permanent solution to a temporary problem.” — Dr. Daniel Amen, founder of Amen Clinics
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If you are having suicidal thoughts, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). Suicidal tendencies can’t wait. During these uncertain times, getting the help you need is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

If you’re feeling depressed, you may go to a psychologist, psychiatrist, or your primary care physician (who prescribe 85% of psychiatric medications), who will ask you to describe your symptoms. In most cases, your doctor will listen, do a brief examination, then look for symptom clusters. Based on this, they’ll give you a diagnosis and treatment plan, usually involving one or more psychiatric medications.

For example, you may say, “I’m depressed.” Your doctor will then label you with a diagnosis that has the same name as your symptoms—depression, in this example—without taking any biological information into consideration. And you’re likely to walk out with a prescription for antidepressant medication.

Unfortunately, antidepressants are often ineffective. Approximately one-third of people with depression don’t respond fully to treatment with antidepressants, according to a 2015 study in Dialogues in Clinical Neuroscience.

What’s the problem?

Symptoms don’t reveal anything about the underlying biology of the problems people have. All other medical professionals look directly at the organs they treat, but psychiatrists are taught to assume what the underlying biological mechanisms are for illnesses, such as depression, without ever looking at the brain. Because of this, the root causes of depression are often missed.

Here are 8 facts about depression that traditional medical professionals may miss.

1. Depression isn’t just 1 thing.

Brain SPECT imaging studies show that depression isn’t a simple or single disorder. In fact, there are 7 types of depression and anxiety. Giving everyone the same treatment will never work. You need to know your depression type.

What you need to know: Getting a brain scan can help determine which type of depression you have so you can get the most effective treatment.

2. Head trauma can cause mood disorders.

Mild traumatic brain injury is a major cause of psychiatric problems, but very few people know it. Head injuries, even minor ones, increase the risk of depression, according to research in Frontiers in Psychiatry. At Amen Clinics, 40% of patients had a significant brain injury prior to seeking help. Most of them didn’t connect the injury to their psychiatric issues, and many didn’t even remember hurting their head.

What you need to know: A brain scan can reveal damage from a past head injury that may be contributing to feelings of depression.

3. Chronic inflammation is linked to depression.

Just as inflammation can ravage your body, it can also damage your brain and mind. It has been associated with a wide range of neurological and psychiatric illnesses, including depression. If you’ve been treated for major depressive disorder without success, it may be time to look at inflammation as a possible root cause.

What you need to know: Have your doctor check your inflammation levels with tests for C-reactive protein, homocysteine, and the omega-3 index. Avoid eating pro-inflammatory foods (such as corn and soy). A 2015 study in Brain and Behavior has found that some anti-inflammatory medications (such as aspirin and ibuprofen) and nutraceuticals (such as omega-3 fatty acids and curcumin) have been found to decrease depression in people who have evidence of persistent inflammation.

4. Depression may be a symptom of underlying infections.

Infectious illnesses including Lyme disease, streptococcus (strep throat), toxoplasmosis, syphilis, helicobacter pylori (H. pylori), HIV/AIDS, herpes, and others are a major cause of psychiatric problems like depression that few medical professionals recognize.

What you need to know: If you or a loved one’s depression is not getting better with standard treatment, consider testing for (and treating) infectious diseases that commonly affect the mind.

5. Neurohormonal imbalances can produce symptoms of depression.

In particular, fatigue, difficulty concentrating, brain fog, moodiness, and lack of motivation are common symptoms when neurohormones—such as thyroid, estrogen, progesterone, or testosterone—levels are abnormal.

What you need to know: Have your doctor check your hormone levels and balance them if necessary.

6. Diabesity is tied to depression.

Diabesity is having high blood sugar and/or being overweight or obese. Obesity is associated with a greater risk of depression. According to 2016 research in Current Diabetes Reviews, depression and anxiety are 2-3 times higher in patients with Type 2 diabetes than the general population.

What you need to know: Eat brain healthy foods to help balance blood sugar and to achieve and maintain a healthy weight.

7. Depression may be related to sleep problems.

In general, a single night of staring at the ceiling can make you wake up feeling sad, irritable, or moody. Over time, sleep problems can lead to a higher risk of depression. Research in Dialogues in Clinical Neuroscience shows that about 75% of people with depression also have insomnia. In addition, having untreated sleep apnea nearly triples your risk of depression, according to a 2016 study in American Journal of Geriatric Psychiatry.

What you need to know: Create a healthy sleep routine and if you snore, get checked for sleep apnea and treat it if necessary.

8. Exposure to toxins can cause depressive symptoms.

Your brain is the most metabolically active organ in your body. As such, it is vulnerable to damage from toxins, such as toxic mold, smoke, conventional cleaning products, carbon monoxide, pesticides, and more. Toxins are one of the major causes of psychiatric issues, such as depression, that traditional psychiatrists almost completely ignore.

What you need to know: Avoid exposure to environmental toxins and get tested for levels of mold toxins, especially if your home has ever been flooded or had water damage.

Depression—as well as anxiety, ADD/ADHD, and other mental health—issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

Are you frustrated that your adult offspring doesn’t have a job, isn’t in college, and isn’t in a job training program? Resentful that they aren’t making an effort to get their life together? Fearful they will lose their friends and become a recluse? Tired of footing the bill? Desperate to help them gain their independence and move out? Join the club.

The “failure to launch” (FTL) syndrome is reaching epidemic proportions. Nearly 10 million U.S. Millennials ages 24-34 still live at home with mom, according to a 2016 analysis of American Community Data by Zillow. The rate of working-age young adults living with mom has been on the rise for over a decade, jumping from 13.1% in 2005 to 21.4% in 2014. Increasing housing costs and longer education times are only partially to blame for the trend.

The Failure to Launch Syndrome

Failure to launch has been described as “a dysfunctional adult offspring” who doesn’t take the necessary steps to achieve independence combined with at least one parent who feeds the problem by “providing age-inappropriate services.”

Young adults are stigmatized and viewed as lazy and overly pampered. The shame they feel when comparing themselves to their peers who are starting new jobs and moving into apartments can be so paralyzing it keeps them mired in their situation. On the flip side, parents face scrutiny from their own friends and family for pandering to their adult children.

It’s a difficult situation for both sides.

Symptoms of Failure to Launch

Recognizing the signs of this syndrome in an adult child is a critical step in overcoming the problem. Look for these signs:

Understand that FTL isn’t solely your child’s problem. It’s a two-way street. As a parent, it is especially important to acknowledge that you may be enabling the situation with your behavior. Ask yourself if any of these signs apply to you:

This codependent relationship can have lifelong consequences for everyone involved.

The Missing Link That’s Holding Young Adults Back

Focusing solely on fixing the symptoms associated with FTL is a mistake. You need to go deeper to find the root cause. What many people don’t realize is that hidden brain dysfunction and mental health issues among adult kids and/or the parents are often contributing to these symptoms. Issues that can keep young people from achieving their potential and make parents enablers include:

Tackling these root causes can help you and your adult offspring overcome FTL syndrome.

How to Break the FTL Cycle

Many well-meaning parents try a variety of things—such as threats and lecturing—to prompt their adult children to move out, but in many cases, these efforts end up aggravating the problem. What can parents do?

In a 2016 study, Dr. Eli Lebowitz, who has been researching the phenomenon for years, suggested it would be better for parents to stop calling it a “failure to launch” and start thinking of it as an opportunity for growth, change, and development.

To spark that growth and break the cycle, follow this process.

1. Start with tiny habits.

Recognize that changing habits can be a difficult process and don’t expect major improvements immediately. Making small changes can lead to big results.

2. Adopt rational thinking.

As a family, learn to kill the ANTs (automatic negative thoughts) that keep you and your adult child locked in this unhealthy pattern. Whenever you or your child feels mad, sad, or frustrated, write down your thought and ask yourself if it is true. Then talk back to the ANT to kill it.

Example:

ANT: My kid will never get a job.

Is this true? No, I can’t know that it will never happen.

Kill the ANT: My young adult child can learn the skills necessary to land a job and keep it.

When you adopt this kind of thinking, it helps you and your child feel empowered to do something about your situation rather than feeling stuck.

3. Stop blaming and start taking responsibility for your part in the problem.

Don’t view this as your child’s fault. Admit if you are enabling the situation and look for ways to change your behavior. This helps you feel empowered to be part of the solution rather than a helpless victim.

4. Help your child find their purpose.

Knowing their “why” can boost their motivation to set and achieve goals. One of the most effective ways to improve goal setting and motivation is an exercise called the One Page Miracle. On a sheet of paper have your young adult write down what they want out of life in terms of education, career, finances, social life, and family. Then before making any decisions, they should ask themselves, “Will this help me get what I want out of life?”

5. Encourage accountability.

Write a contract that spells out what you will pay for, what services you will provide, and what is expected from your adult offspring, and have all parties sign it. Think of this as an agreement between adults, similar to a contract with a tenant. Making a signed commitment increases the chances of success.

6. Enhance brain health to ensure better follow-through.

In order to successfully follow through on these steps, everyone in the family needs to optimize their brain health. This includes treating any mental health issues or past head injuries and making simple lifestyle changes can also boost brain health, including eating a healthy diet, daily exercise to boost blood flow to the brain, practicing stress-management techniques, and taking nutraceuticals to support brain health.

At Amen Clinics, we take a unique brain-body approach to diagnosis and treatment that includes brain SPECT imaging, as well as laboratory testing to check physical health, and other important factors that could be contributing to symptoms. By getting to the root cause of symptoms, we can create a more effective, personalized treatment plan.

If you want to join the tens of thousands of people who have already enhanced their brain health, overcome their symptoms, and improved their quality of life at Amen Clinics, speak to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

Why do so many couples end up in marital therapy? It often starts with the reasons why people get married in the first place. On the psychiatrist’s couch, people tend to open up and reveal what really drove them to get hitched. And in many cases, their deep-down motivation to pair up wasn’t something that lays the foundation for a lasting union. It’s no wonder they end up having problems.

After more than 30 years of treating couples for marital conflict, the psychiatrists and psychotherapists at Amen Clinics have heard it all. Based on working with thousands of couples in crisis, here are 25 of the common—and worst—reasons why people get married that almost guarantee you’re going to run into trouble later on. Do any of them sound familiar to you?

Why Couples in Marital Therapy at Amen Clinics Say They Got Hitched

  1. “I got to an age when I thought I really ‘should’ be getting married and starting a family. So I pushed my boyfriend at the time to propose even though we had a lot of problems.”
  2. “I’d always struggled with depression, and I was convinced getting married would make me happy.”
  3. “I grew up in a family where I never got any attention, and I just wanted to feel special for once and have something be about me.”
  4. “I’d always dreamed of having the perfect wedding, and honestly, I think I was more excited about the wedding than the getting married part.”
  5. “We were having issues, and I thought getting married would fix them.”
  6. “I can’t stand being alone and liked the idea of having someone who would always be there. I still like that idea; I just don’t think I picked the right person.”
  7. “I’m embarrassed to say this, but I really wanted all those amazing wedding gifts.”
  8. “All my friends had already gotten married and were either double dating or getting pregnant, and I felt left out.”
  9. “My girlfriend gave me an ultimatum to get engaged or she would leave me. I wasn’t ready to get married, but I didn’t want to lose her either, so I proposed.”
  10. “We both come from very religious families that don’t believe in sex before marriage, and we really, really wanted to have sex.”
  11. “We accidentally got pregnant.”
  12. “I thought that getting married would make my boyfriend settle down and stop going out drinking so much, but it didn’t.”
  13. “I came from a really poor family, and I thought getting married meant I would be financially secure.”
  14. “My parents put major pressure on me to get married. I felt like I had to please them.”
  15. “I was getting up in age after my first wife died, and I really wanted to have someone who would take care of me if I got sick or needed help as I got older.”
  16. “I couldn’t stand the idea of my younger sister getting married before I did.”
  17. “I found out that my ex got engaged, and I didn’t want her to feel superior to me.”
  18. “I was just so tired of the dating scene. It was exhausting and so depressing.”
  19. “I had some health issues, and I really needed the health insurance benefits from my girlfriend’s work.”
  20. “The sex was the most amazing I’ve ever had.”
  21. “I started seeing some red flags, but I didn’t want to back out after we had already gotten engaged and sent out the wedding invitations. So I went through with it.”
  22. “I was afraid that it would be my only chance, and if I didn’t get married then, I’d never have another chance.”
  23. “I grew up in total chaos and getting married seemed like a way to find stability.”
  24. “It was on total impulse. We ran off and eloped after a month of knowing each other.”
  25. “I wanted to rescue her from the terrible upbringing she had and thought I could fix her anxiety.”

Can Brain Imaging Help Save Your Marriage?

Even if you walked down the aisle for the wrong reasons, there is still hope to save the marriage. Gaining a better understanding of each other, learning to stop blaming and start taking responsibility, changing dysfunctional behavior, improving communication skills, and developing shared goals are some of the benefits of couples therapy. In some cases, however, talking through problems isn’t enough.

Brain SPECT imaging studies of couples in therapy show that underlying brain health issues are often the root of dysfunctional relationships. And in many cases, it isn’t just one person who has brain health problems, it’s both people. When one or both partners have abnormal brain activity, damage from head trauma, or problems due to exposure to toxins, it can get in the way of making any progress in therapy.

Brain imaging can be so helpful in marital therapy for so many reasons, including:

Marital conflict, anxiety, depression, ADD/ADHD, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

Too many of us whine, moan, and complain about the hardships in our lives. And with everything 2020 has delivered so far, there are a lot of hardships to go around. You may be feeling that life is unfair or that you’ve been dealt a raw deal. Like many people these days, you may be wallowing in frustration, anxiety, anger, or depression.

The buildup of emotions due to the pandemic could be squashing your motivation and leading to creative destruction. It’s not uncommon for people to feel so overwhelmed by their emotions that they have trouble getting their work done let alone doing it creatively.

For others, the swirling emotions could be fueling a creative explosion. In fact, it is through our toughest trials that our greatest creative gifts tend to emerge.  Take it from rapper Kid Cudi, who revealed in an interview with People magazine that “anxiety and depression ruled my life for as long as I could remember.” He says it took him a while to learn that “we can take our pain and turn it into something. I turn my pain into music.”

How can you be like Kid Cudi and turn your pain into passion that fuels your creativity rather than kills it?

UNDERSTAND THE NEUROSCIENCE OF CREATIVITY

Science shows that creativity is linked to emotions, and it appears that negative emotions may be behind some of the world’s greatest art. A 2008 study in Personality & Social Psychology Bulletin found that compared with social approval, social rejection was associated with greater artistic creativity.

A 2016 study used brain imaging in Scientific Reports to measure activity in the brains of jazz musicians as they created music. The researchers found that when the musicians were asked to play in a way that conveyed a positive emotion, it deactivated an area of the brain called the dorsolateral prefrontal cortex, an area involved in planning and monitoring behavior. This has been interpreted as a neural signature of being in a “flow state” or “in the zone.”

When the same musicians were asked to convey a negative emotion, the deactivation in the DLPFC wasn’t as pronounced. However, the negative emotions activated the reward centers of the brain, which are tied to drive and motivation. Negative emotions may make you more driven to create.

The act of engaging in a creative endeavor can enhance moods and emotions, according to research in the American Journal of Public Health. Because of this, it’s a good idea to find ways to channel your negative emotions in a creative way.

CHANNEL YOUR NEGATIVE EMOTIONS CREATIVELY

Don’t think you have to be “artsy” or “crafty” to get creative. Creativity crosses all domains—even mathematicians, business leaders, and neuroscientists need to innovate in creative ways. Here are some ways to turn your painful emotions into power through creativity.

ADD/ADHD, anxiety, depression, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

These days, it’s easy to get weighed down by all the pessimism and despair associated with the coronavirus pandemic, the lockdown, and the faltering economy. The human brain is hardwired for negativity, so we’re naturally on the alert for anything that could threaten our survival. Even in the darkest times, however, you can train your brain to actively seek out the positive as a way to balance that negativity bias and boost your mood.

Amen Clinics polled its employees and patients to find the little glimmers of hope and happiness that are lifting people up during these trying times.

Here are 51 good things they said have come out of the pandemic. How many good things can you find in your life?

  1. “It’s been a blessing getting to spend more time with my kids, who both came back home from college.”
  2. “My husband normally works really long hours at the office, so he never really noticed how bad our son’s ADD was. Since he’s been working from home due to the pandemic and seeing our son all day long, he finally realized that he seriously needed treatment. So we took him in for a full evaluation, including a brain scan. We learned his ADD type and have started treatment, and it’s working! If my husband hadn’t been working from home, it might have taken years for me to convince him to get our son evaluated.”
  3. “I absolutely love getting to hang out with my dog all day.”
  4. “My spouse and I have really reconnected on a deeper level since the lockdown began. We’re talking more about things that are actually important rather than just our daily to-do lists.”
  5. “Being forced to break my old routines has helped me see that I’m not stuck in my old ways. I can change. It’s made me feel more empowered to make positive changes in my life.”
  6. “I’ve been walking a lot more. I know it’s good for my health, but it’s also really good for my mood, which is great for someone like me with depression. I feel a lot more energized and a lot more upbeat after I do it.”
  7. “No more hellish commute to work. I can start my day without all that aggravation. It’s so much better for my mindset.”
  8. “I pick up some groceries each week for my elderly neighbor, and it makes me feel like I’m doing something positive.”
  9. “I always thought I was a terrible cook, but I’ve been spending more time in the kitchen and am actually getting pretty good at it.”
  10. “Everything in my life was always such a rush, but now it feels like I’m allowed to slow down a bit. I feel like I can breathe again, and I like it.”
  11. “I used to just drive to work then drive home and shut the front door. I never really knew any of my neighbors and felt kind of isolated. I’ve started walking more and am getting to know my neighbors, and it’s really nice. I’ve got more of a sense of community like we’re all in this together.”
  12. “I’m an introvert, and I’m loving not having to make small talk with people all day long. I didn’t realize how stressful that was for me.”
  13. “I’ve kind of fun wearing cute face masks that show my personality.”
  14. “I’m realizing how important the little things in life are, like that feeling you get when you score some disinfectant wipes at the store.”
  15. “I have more time for self-care because I’m not spending 2 hours a day commuting to and from work.”
  16. “In my neighborhood, a family of musicians has been holding Friday evening front-porch concerts. Everyone is wearing a mask and physical distancing, but it’s such a treat.”
  17. “There are some really great TV series and movies I’m discovering.”
  18. “I’m learning to embrace my ‘quarantine hair’ and not worry so much about the gray.”
  19. “I’ve been meaning to address my depression and anxiety for a long time, but I always made the excuse that I couldn’t take time off from work to do it. But since I’m only working part-time now, I decided to finally get a brain scan and find the root cause of my issues. It’s really been life-changing.”
  20. “I’ve been reading more books.”
  21. “We don’t have any of those obnoxious door-to-door salespeople banging on the door anymore.”
  22. “It’s so nice seeing kids’ chalk drawings on the sidewalks. It reminds me of my own childhood.”
  23. “I’ve discovered podcasts. I listen while I’m doing my home workouts.”
  24. “I’m so glad I don’t have to fill up the car with gas every week.”
  25. “It’s so great not having to take the subway to work.”
  26. “I never forget to take my lunch to work.”
  27. “What a relief to not have to put on makeup every day.”
  28. “I’ve been redecorating the house and making it feel more like ‘me.’”
  29. “I’ve been taking more naps.”
  30. “Unless I have a Zoom meeting for work, I’ve been living in comfy sweats.”
  31. “The return of game nights with the family—it’s like old-fashioned fun. If I’d suggested this to my kids 6 months ago, there’s no way they would have done this.”
  32. “I planted a little garden, and I’m loving seeing it grow.”
  33. “I’m feeling more grateful for the little things these days. Just waking up and feeling healthy is something to appreciate.”
  34. “I’m actually talking to some of my friends and family more often thanks to FaceTime and Zoom.”
  35. “I’ve gotten to celebrate birthdays with friends who live far away on Zoom.”
  36. “I feel like I finally have time to focus on some of those goals that I’ve been meaning to get to.”
  37. “There are so many online courses and trainings that are being offered for free now that I’m getting to learn some new skills.”
  38. “We’ve finally been getting to some of those home improvements we’d been putting off for so long.”
  39. “It’s kind of cool how much money you can save by learning to cut and color your own hair.”
  40. “How great is grocery store delivery? Why didn’t I know about that earlier?”
  41. “I never used to be able to afford to go to conferences because of the travel costs, but now I can attend virtually without the added airfare and hotel expenses.”
  42. “We’ve got more time to focus on creative hobbies. I’ve been writing more, and my spouse is getting back into painting.”
  43. “I always wanted to be more consistent with meditation, and now I can use the time I would have spent doing my hair and makeup in the morning to meditate. I’ve been doing it every morning, and it really helps me throughout the entire day.”
  44. “It sounds really basic, but since I’m not around the soda vending machines at work, I’ve been drinking more water, and it actually makes a big difference.”
  45. “The best thing for me has been growing a beard so I don’t have to shave every day.”
  46. “There have been several car ‘parades’ to celebrate kids’ birthdays in the neighborhood. What a great idea! I hope that’s a trend that sticks around even after the pandemic is over.”
  47. “It really warms my heart that more people are adopting shelter animals.”
  48. “I’m so glad that as a society we’ve reduced carbon emissions and we’ve had cleaner air.”
  49. “Being able to see my therapist from the comfort of my own home using video therapy has been so helpful for me.”
  50. “I like that so many restaurants are doing outdoor dining now.”
  51. “Two words: road trips! We’ve been taking drives for weekend getaways where we’re isolated from others but out in nature. It’s my favorite thing that’s come out of this whole mess.”

Depression, anxiety, ADD/ADHD, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

When you think of OCD (obsessive compulsive disorder), what comes to your mind? Visions of someone cleaning furiously or washing their hands multiple times? That’s the image most people have regarding this condition, which affects about 1 in 40 adults and 1 in 200 children. But OCD isn’t just one thing. There are different types of OCD, and brain SPECT imaging reveals different patterns in the brain associated with those types.

GET TO KNOW THE OCD TYPES

OCD is a condition that is characterized by obsessions and compulsions. Obsessions are recurring thoughts, impulses, or mental images that are intrusive, usually senseless, sometimes frightening, and often repulsive. Compulsions involve repetitive behaviors that are performed in response to obsessions and the anxiety they cause.

These obsessions and compulsions can take on many forms, although most tend to fall into the following 5 types.

OCD BRAIN TYPES

1. Overactive Brains

SPECT scans show that in most OCD types—contamination and cleaning, checking, symmetry and order, and forbidden thoughts—the brain’s frontal lobes are overactive. The scans light up so much, it’s like the brain is on fire.

Take Gail, for instance. Her SPECT study showed marked increased activity in her frontal lobes and an area called the anterior cingulate gyrus. This area is involved in shifting from one idea to another or from one action to another. When there is too much activity here, people like Gail tend to get “stuck” on thoughts and behaviors, even if they get no pleasure from them. Seeing this helped find the right treatment plan for Gail, who within 6 weeks, felt significantly more relaxed. Her ritualistic behavior diminished, and she stopped forcing her husband and children to wash their hands every time they turned around.

Other findings on SPECT scans in people with these types of OCD include heightened brain activity in a region called the basal ganglia. This area helps set the body’s anxiety level and plays a role in habit formation.

2. Sleepy Brains

People who are hoarders sometimes have a different brain pattern. For example, Bill’s SPECT scans didn’t reveal the classic OCD patterns, but rather it showed that his brain was “sleepy,” or underactive in some areas involved in organization. This helped explain why he ended up with a car full of useless stuff that he felt powerless to discard.

Without looking at his brain scans, Bill might have been given medications for classic OCD, which likely would have exacerbated his condition. Seeing his brain patterns helped find the right treatment protocol for him. Over time, he was able to clean out his car without being overwhelmed by distressing thoughts, and he was finally able to keep things more organized at work, so he no longer piled important papers in his car.

OCD (regardless of which type you have), and other conditions like anxiety, ADD/ADHD, and depression can’t wait. During these uncertain times, your mental well-being is more important than ever, and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

So many couples end up in therapy looking for a way to save their relationship. If only they had asked themselves this one question before they got hitched, they might have known if they were compatible for life or doomed for the psychiatrist’s couch. What is this insightful question?

Are you the person I’d be happy to be stuck with during a pandemic?

During the months and months of quarantine due to the pandemic, millions of couples are finding out whether or not they picked the right partner. With stay-at-home orders and business closures, you can’t escape each other by playing golf for 5 hours, going shopping, or hitting the local bar. Some couples are feeling blessed that they have a spouse who is loving, caring, and kind and whose company they enjoy. Others are discovering that spending more time together is shining a harsh light on major problems and fueling marital conflict.

Before getting married or getting engaged, you and your significant other should think about how well you would do being stuck together nearly 24/7 for months on end in a high-stress, high-anxiety situation. If you both think you’d like the other one by your side under these dire circumstances, then you can feel more confident that your union is built to last.

Create a Marriage One Page Miracle

A good way to gauge if you and your partner are marriage material and if you could survive—and thrive—in challenging situations is to write out your relationship goals. This exercise is called the Marriage One Page Miracle, and it has proven to be very insightful in pre-marriage counseling and in marital therapy. Here’s why.

The simple act of sitting down together to talk about your future is an opportunity to connect on a deeper level and make sure you both want to head in the same direction. It also lets you identify possible challenges so you can address them rationally before it’s too late and they become a problem. It also cements the idea that you are a team and that your decisions should always benefit the team, not just one individual. Goal setting together also helps you encourage each other along the way and provides accountability.

Here’s how to create your Marriage One Page Miracle. Before you sit down together, take the time to think about your individual goals for the following areas of your future life together: marriage, kids and parenting, finances, health, and spirituality.

Once you’ve thought about your individual goals, make an appointment with your significant other to see where you mesh and where you have differences. If your goals are wildly different, take it as a red flag that you don’t want the same things out of life and that you may want to rethink a future together. But don’t expect to see eye-to-eye on everything either. Having some differences doesn’t mean your relationship can’t last.

Use this time to come up with a shared plan on how you will address any differences. If you’re able to communicate effectively and come up with solutions together, it’s a good sign that you’ll be able to deal with challenges that arise in the future. And remember, your marital plan isn’t set in stone. Re-visit it every year and update your goals.

Marital conflict, anxiety, depression, ADD/ADHD, addictions, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.