Are you one of the millions of Americans dealing with loneliness? In our technology-reliant, socially distanced, work-from-home world, it’s common for in-person interactions to be limited. And though people have become increasingly disconnected for decades now, the COVID-19 pandemic accelerated this trend. Isolation has become a way of life for far too many Americans, and it’s taking a toll on their well-being.
In fact, in the wake of COVID, the U.S. Surgeon General issued an advisory declaring loneliness a new epidemic. That’s because loneliness leads to physical and mental health consequences, including:
If you’re looking for ways to stop feeling lonely, there’s good news. There are many methods for you to get more face time with other people. Try one or more of these tactics.
1. Give back.
Many studies have shown significant health benefits associated with giving back to others. First, helping out allows you to get out of your own head, putting the focus outside of yourself. Second, it feels good to benefit the lives of others by lending a hand. Third, it helps you meet other well-meaning people.
Find a local charity or organization that fits with your interests. Libraries, hospitals, schools, and churches often have volunteer opportunities. If you want something less formal, simply find a way to help your neighbors.
You can also join ongoing community service efforts or create your own, such as organizing a local cleanup. Helping out makes you feel good in the moment and in the long term.
2. Become a joiner.
Look around your area to find ways you can interact with your fellow citizens. Join a church or temple, for example, or a local organization or outreach program. Enroll in a class, learn a new hobby, or visit the farmer’s market and chat with the food producers. Or you might want to get involved politically, attending town halls or government meetings.
Some mental health organizations even offer in-person support groups for attendees to share their feelings without judgment. And, if the group you want to join doesn’t exist, start one! You can create a positive chain reaction and foster connections in your community by taking the initiative.
3. Start moving.
Exercise is always a great idea to improve mental health, but in certain cases, it can give you a burst of social activity, too. Join a local gym and try out a variety of group classes.
You’ll not only get to challenge yourself physically through new exercise routines, but you’ll sweat alongside fellow enthusiasts. If they’re regulars, they might even be able to pass along helpful fitness tips.
Or check into signing up for adult sports teams, the local swimming pool, free yoga classes in the park—whatever your area offers.
4. Tap into online resources.
True, moving so much of our lives online has partly created the loneliness problem. But we can also use online resources in a savvy way—as an avenue for making and maintaining connections. This is especially helpful for those who can’t easily leave their homes, for example.
Take advantage of free online classes where you can meet people with similar interests. Connect to groups or family members through social media. But make sure you’re actually engaging, not just scrolling. Join online support groups or discussion boards. Or play games that have built active online communities you can join. There are many ways to get involved virtually.
5. Spend time in nature.
While loneliness can have negative effects, solitude can be restorative. One way you can feel more connected, even when you’re alone, is by engaging with the natural world around you. Yale University has reported that studies show time in nature helps combat stress and has other physical benefits.
These include lowering blood pressure and stress hormone levels, calming the nervous system, boosting the immune system, improving self-esteem and mood, and reducing anxiety. Just a couple of hours per week can create tangible health benefits.
6. Reconnect with friends and family.
Many of us fall out of touch with old friends and family members over the years. We are all busy and juggling full schedules, but taking the time for personal connection is a task that should claim priority in everyone’s lives.
Consider it a must-have for your health, just like brushing your teeth or exercising. Schedule a check-in call each week, write a card or letter, or chat via social media. Ask questions, share photos, and reminisce over old memories. You’ll feel more connected to other people, and even to your own past.
7. Be present.
When you do spend time with people—whether on the phone, online, or in person—be sure that you are fully engaged. Multitasking is a harmful habit in our society. It’s the one thing that the more we do it, the worse we get.
Put away the addictive mobile devices and postpone your daily to-dos while you are spending time with someone you care about. Stay open to and aware of the simple micro-moments of happiness in your daily interactions. You’ll get more out of the experience, and its positive effects will reverberate more deeply in your life.
WHEN TO SEEK HELP FOR LONELINESS
Loneliness has negative effects on physical and mental health, and some of them are serious. If loneliness is interfering with your daily functioning, or leading to larger issues such as depression, seek help from a mental health professional. If loneliness is causing suicidal thoughts, dial the National Suicide and Crisis Lifeline at 988.
We may all be facing a loneliness epidemic, but we don’t have to do it alone. With these tips, you can stop feeling so isolated and start feeling more connected to others. When you feel bonded to friends and family, you will also feel happier and healthier.
Depression, anxiety, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples.Find out more by speaking to a specialist today at 888-288-9834or visit our contact page here.Content updated from previous publish date.
Estrogen is primarily known as one of the main hormones involved in a woman’s menstrual cycle. But this neurohormone also has a strong influence on moods, emotions, and cognitive function. When estrogen is in balance with other hormones, such as progesterone, women tend to feel happy, energetic, and motivated. When there is too much estrogen in relation to progesterone, it’s a different story. This is called estrogen dominance, a condition that can make you feel anxious, depressed, irritable, and forgetful.
When a woman has too much estrogen in relation to progesterone, it’s called estrogen dominance, which can make you feel anxious, irritable, and forgetful.
During a woman’s typical 28-day menstrual cycle, estrogen and progesterone rise and fall. When hormones are balanced, estrogen gently rises and falls twice during a cycle, while progesterone rises and falls once. In simple terms, estrogen levels are higher during the first 2 weeks of a woman’s cycle. Progesterone levels are typically higher during the second half of her cycle.
The female body produces three kinds of estrogen: estrone (E1), estradiol (E2), and estriol (E3).
Estrone (E1) is the main estrogen women’s bodies make after menopause.
Estradiol (E2) is the primary form of estrogen that is produced during a woman’s reproductive years. It is the strongest estrogen and supports healthy moods and cognitive function.
Estriol (E3) is the main form of the hormone that is produced during pregnancy.
HOW ESTROGEN AFFECTS THE BRAIN AND MENTAL HEALTH
Estrogen affects the brain and your mental well-being in many ways. For example, research shows that estrogen influences the production of neurotransmitters, such as:
Serotonin: This brain chemical is involved with mood, sleep, and flexibility. It also helps you to be open and adaptable to change.
Dopamine: This unique transmitter helps with motivation, focus, and staying on task while supporting the brain’s ability to remember things.
GABA: This is the brain’s chief inhibitory neurotransmitter in the brain. GABA’s primary role is to reduce brain cell excitability and slow down the firing of neurons. Too much stimulation can cause anxiety, insomnia, and seizures, while too little nerve cell firing can cause lethargy, confusion, and sedation.
Glutamate: This brain chemical is involved in memory and learning.
Other studies have found that estrogen is involved in modulating activity in the hippocampus. This brain region is critical for healthy moods and memory.
WHAT IS ESTROGEN DOMINANCE?
When there are higher levels of estrogen in relation to progesterone, it is called estrogen dominance. This changes the normal monthly hormonal ups and downs into dramatic highs and lows. This interferes with several brain processes and can make you feel sad, anxious, or irritable.
Estrogen dominance is also associated with a drop in It can progesterone and GABA, which can lead to trouble sleeping. Lack of quality sleep comes with a host of unwelcome consequences.
ESTROGEN DOMINANCE SYMPTOMS
Estrogen dominance can lead to a laundry list of symptoms. This hormonal imbalance is associated with:
These symptoms of hormonal imbalance can be mild, moderate, or severe.
WHAT CAUSES ESTROGEN DOMINANCE?
There are several reasons why estrogen levels may become elevated, including:
Your body produces too much estrogen
Your body doesn’t break down estrogen effectively
Your body doesn’t adequately flush out excess estrogen
Many things can contribute to the buildup of excess estrogen, such as:
Stress: Chronic stress increases cortisol levels, which reduces progesterone levels. This leads to an imbalance with too much estrogen compared to progesterone.
Alcohol intake: When you drink alcohol, your liver has to work hard to process them. This decreases your liver’s ability to metabolize estrogen.
Exposure to xenoestrogens: Environmental toxins that mimic estrogen can increase the likelihood of estrogen dominance. These toxins include BPAs and phthalates, which are present in plastics and many personal care products.
Obesity: Fat cells secrete estrogen. The more fat cells you have, the more estrogen is released. Research shows that being obese is associated with an increased risk for estrogen dominance.
Gut dysbiosis: Good bacteria in the gut help flush out excess estrogen. When there is an imbalance in gut bacteria, however, it can lead to an accumulation of excess estrogen.
Poor liver function: Your liver is responsible for breaking down (metabolizing) estrogen and flushing it from your body. If your liver isn’t functioning optimally, estrogen levels can increase. A lack of dietary fiber or low magnesium levels may be a factor in low liver function.
DIAGNOSING ESTROGEN DOMINANCE
If you’re struggling with symptoms of estrogen dominance, you may want to have your healthcare provider test your estrogen levels. Doctors can test all 3 types of estrogen to see if your levels are off.
Based on these results and your symptoms, your doctor can recommend a treatment plan. When treating estrogen dominance, a good place to start is with lifestyle modifications.
TREATING ESTROGEN DOMINANCE
Many lifestyle changes can help reduce estrogen levels and improve your quality of life. Here are 6 natural strategies to treat estrogen dominance.
Lower stress:
Getting a handle on stress can be very helpful in reducing cortisol and estrogen levels. Start a stress-reduction practice that includes strategies like meditation and havening.
Limit or eliminate alcohol:
Cutting back on wine, beer, and cocktails can improve your liver’s ability to break down estrogen.
Reduce exposure to xenoestrogens:
When possible, buy organic foods. Skip plastic containers and use glass instead. Go through your cupboards and throw away household cleaners and personal care products that contain harmful chemicals.
Reduce body fat (if needed):
Lowering your body fat can reduce the amount of estrogen secreted by fat cells. Check with your healthcare provider to find a healthy plan to lose fat while still getting enough of the important nutrients your body needs.
Support gut health:
Improve your gut health by taking probiotics.
Eat a high-fiber diet:
Dietary fiber can improve the function of your liver, so it can metabolize estrogen more effectively.
By making these lifestyle changes, you may be able to reduce excess estrogen levels. When you achieve hormonal balance, it can improve your moods, memory, and energy.
If estrogen dominance symptoms—such as depression, anxiety, forgetfulness, or brain fog continue—it’s a good idea to seek help from an integrative medicine (functional medicine) professional. Look for someone who understands how neurohormones affect brain function and who takes a comprehensive brain-body approach to treatment. With a professional who will get to the root causes of your symptoms, you are more likely to find the most effective treatments.
Depression, anxiety, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples.Find out more by speaking to a specialist today at 888-288-9834or visit our contact page here.Content updated from previous publish date.
Are you too negative? Do you see the glass as half empty rather than half full? You may be surprised to learn that negativity is the brain’s default mode, based on our need for survival. Why would the human brain skew toward negativity? Decades of research show that the brain is hardwired for negativity. That’s part of the reason why it’s so hard to stop being so negative. In this blog, we’ll explore how brain development breeds negativity and give you 5 tips to overcome this natural tendency.
You may be surprised to learn that negativity is the brain’s default mode, based on our need for survival.
Negativity is rooted in brain development. Simply put, the brain has two hemispheres:
The right hemisphere is more involved with feelings, imagination, and intuition.
The left hemisphere is more responsible for language, math, and logic.
In terms of negativity, the two sides differ. The left hemisphere tends to be more positive and is more involved in social connections and exploration. By contrast, research shows that the right hemisphere has a more negative orientation and is associated with isolation and self-preservation. It is also more tightly connected to the limbic system, which is considered the brain’s emotional center.
The brain-imaging work at Amen Clinics shows that overactivity in the limbic system is associated with depression, which may be another reason why negativity is so common.
NEGATIVE EMOTIONS IN THE BRAIN
One of the key reasons why people tend to be negative is because the right hemisphere—the side that is more negatively oriented—typically develops before the left hemisphere. Considering that the right hemisphere comes into play first, youngsters view the world through that negative lens. Without the left hemisphere’s strengths, they don’t have the logic to override those early perceptions. Because of this, children grow with negativity as a foundation.
After the left hemisphere has come into the picture, children pick up new tools—language, and logic—to cope with negative emotions. However, that base of negativity has already been rooted in their worldview. Early life experiences that are negative can color a person’s overall outlook on life.
HOW THE BRAIN’S MEMORY SYSTEMS IMPACT NEGATIVITY
The way the brain forms memories also encodes us with a negative slant. In simple terms, humans have two memory systems—implicit and explicit.
Implicit memory system: Also called non-declarative memory, this is when you don’t have to think consciously to remember how to do things, such as how to button a shirt, ride a bike, or drive a car. This memory system also involves a region of the brain called the amygdala, which is thought of as the fear center. The amygdala plays a role in the formation of emotional memories, such as those stemming from dangerous or threatening situations. These emotionally charged memories remain fixed.
Explicit memory system: When you consciously try to memorize something, like a complex math equation, it’s called explicit memory, or declarative memory. This type of memory is dependent on the hippocampus, which is located in the temporal lobes. Unlike the amygdala, which tends to be rigid and fixed, the hippocampus is more changeable, meaning people can acquire new knowledge and forget whatever is unimportant.
Similar to the development of the two hemispheres, these two memory systems develop at different times. The implicit system develops first, meaning the amygdala, or fear center, infuses babies and toddlers with a negative view.
This means a child’s perceived threats and early traumas can become seared into the amygdala where they can be fixed for a lifetime. With only the implicit memory system and the right hemisphere, which tends to perceive the world more negatively, young children develop a negative outlook that can last. Once the left hemisphere and explicit memory system develop, some children can override that early fear-based foundation, but others can’t.
5 WAYS TO MANAGE NEGATIVITY
To overcome a negative mindset, which is often seen in people with too much activity in the limbic system, you need to balance the brain. The following techniques to manage negativity help calm the limbic system, which is the brain’s emotional center to change the brain’s default mode from negative to more positive.
1. Distance yourself from your thoughts.
The brain creates our thoughts, and it does so automatically. If you can remember that you’re not your brain, you can gain psychological distance from the negative noise in your head. One strategy is to give your mind a name. That way, if your mind has a different name than yours, it helps differentiate it from you.
2. Divert your attention.
When negative thoughts start looping in your head, distract yourself by engaging in something engrossing that you love, such as doing a crossword puzzle, listening to a podcast, or throwing a frisbee around with a friend or family member.
3. Practice gratitude.
Get in touch with what you’re thankful for. Keep a pad of paper nearby and whenever you’re feeling down, write three things for which you’re grateful.
4. Stop “should-ing” on yourself.
If you get caught up in a torrent of “shoulds”—”I should do this…I should do that…”—stop! Notice when you start should-ing on yourself and break the habit.
5. Anchor happy memories into your daily life.
Write down 10 to 20 of the best memories of your life and then anchor them to specific places in your home, using all of your senses. Whenever you feel upset, imagine walking through your home, reliving your happiest memories. With a little practice, you can train your brain to feel great, almost in an instant.
With practice, you can learn to manage your negativity so you can achieve a brighter, more positive outlook.
Negativity, depression, anxiety, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples.Find out more by speaking to a specialist today at 888-288-9834or visit our contact page here. Have you ever wondered why some people see the world through rose-colored glasses while others tend to view things in a negative light? It could have something to do with your thalamus.
“The thalamus is the brain’s emotional gatekeeper,” says Dr. Steven Storage, a child and adult psychiatrist at Amen Clinics. It influences how you see the world. In fact, new research points to the thalamus as the primary brain region involved in major depressive disorder.
The thalamus is the brain’s emotional gatekeeper, according to Dr. Steven Storage, a child and adult psychiatrist at Amen Clinics. It influences how you see the world.
Dr. Storage shared his insights on the thalamus and how it influences moods with a young patient in a recent episode of Scan My Brain. In this candid conversation, Dr. Storage shared how this brain region can contribute to depression and lack of motivation. He also offered tips on how to balance activity in this important brain region for brighter moods.
WHAT IS THE THALAMUS?
The thalamus is a large structure deep in the center of your brain that acts like a relay station. It relays information from the outside world to your cerebral cortex. The cerebral cortex is the wrinkly, walnut-shaped structure that makes up the outermost portion of the brain. After receiving the data from the thalamus, it processes and interprets it.
The thalamus also relays information from many other structures within the brain, including:
Brainstem
Basal ganglia
Cerebellum
Frontal lobes
Hypothalamus
Inputs from these brain regions are forwarded to the cerebral cortex.
WHAT ARE THE FUNCTIONS OF THE THALAMUS?
Because your thalamus is connected to so many parts of the brain, it influences a wide range of important functions. Primarily, it acts as a relay station for sensory and motor information.
Sensory information: Incoming sensory information—sight, sounds, taste, and touch (but not smell) —is filtered through your thalamus before being routed to your cerebral cortex.
Motor information: Incoming information related to movement also passes through your thalamus on its way to the cerebral cortex.
In addition to its functions as a relay station, the thalamus plays an important role in several other areas, including:
Processing emotions: An important function of this area of the brain involves processing and regulating emotions.
Memory and learning: Your thalamus is involved in forming and storing memories as well as learning.
Motivation: Through its connections with the hypothalamus and frontal lobes, the thalamus plays a role in motivated behaviors. These include our basic needs for survival, such as eating when hungry, drinking when thirsty, and engaging in sexual activity to procreate.
Alertness: The thalamus communicates with the brainstem to modify levels of consciousness.
HOW DOES THE THALAMUS INFLUENCE MOOD?
The thalamus is part of the limbic system, which is considered the emotional center of the brain. A growing body of research shows that thalamus function is related to your moods and may be implicated in mood disorders, such as major depressive disorder (MDD).
In the 2023 study in NeuroImage: Clinical mentioned above, researchers suggested that “the thalamus is the most crucial causal hub for MDD.”
Functional brain imaging with SPECT at Amen Clinics also shows that activity levels in this part of the limbic system are connected to moods. SPECT is an imaging technology that measures blood flow and activity in the brain.
On SPECT scans, “some people have an active thalamus because they tend to be really sensitive, empathetic people,” says Dr. Storage.
Based on over 225,000 SPECT scans at Amen Clinics, it has become clear that when activity levels in the thalamus are too high it is associated with increased risk for low moods and clinical depression. Other brain-imaging studies suggest that the thalamus also plays a role in posttraumatic stress disorder (PTSD).
Overactivity in the thalamus is also commonly seen in people who experience chronic pain. This isn’t surprising considering that scientific research has found a strong association between chronic pain and depression. In fact, up to 75% of people with depression also had chronic pain in a study in the Journal of Neurology, Neurosurgery, & Psychiatry.
HOW TO BALANCE ACTIVITY IN THE THALAMUS FOR BETTER MOODS
Overactivity in the thalamus is treatable. Calming activity in this brain region can enhance moods and motivation. According to Dr. Storage, “Boosting serotonin in your brain is the key for calming the thalamus.”
There are several natural ways to boost serotonin in the brain to balance activity in the thalamus. Here are 4 simple strategies you can incorporate into your daily life.
1. Eat pumpkin seeds.
Pumpkin seeds are full of tryptophan and tyrosine, both of which are precursors to serotonin. The more tryptophan you get in your brain, the more serotonin you produce.
2. Eat more salmon.
This delicious fish boosts serotonin in 2 important ways. First, eating just 6 ounces of salmon provides 570mg of tryptophan (over 200% of the RDI). Second, salmon is abundant in omega-3 fatty acids. These fatty acids increase serotonin production in the brain, according to research.
3. Exercise on a regular basis.
Physical activity helps get more tryptophan into the brain, which can increase serotonin levels.
4. Take 5HTP.
A naturally occurring amino acid, 5HTP helps the body produce serotonin. Taking a 5HTP nutritional supplement may help boost serotonin in the brain.
If you struggle with mood issues, try these natural serotonin boosters. If you don’t notice any improvements, it may be time to seek help from a mental health professional for additional treatment options.
Brain SPECT imaging can be very helpful in determining if overactivity in the thalamus is contributing to mood problems, or if depressive symptoms are due to other underlying issues. How can you know unless you look?
Depression, PTSD, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples.Find out more by speaking to a specialist today at 888-288-9834or visit our contact page here.Content updated from previous publish date.
Are you one of those people who can’t resist ordering dessert when the restaurant staff brings the dessert tray to your table? Do you get intense urges to snack on something sweet or salty when the clock hits 3 p.m.? Do you reflexively grab a candy bar while in the checkout line at the grocery store? Why is it so hard for some of us to resist cravings? It depends on how your brain functions.
Low blood sugar levels can make you feel hungry, irritable, or anxious—all of which make you more likely to make poor food choices.
Cravings involve several brain circuits and neurotransmitters, including:
Prefrontal cortex (PFC): The PFC acts as the brain’s brake and is involved in impulse control and judgment. When it is healthy, it helps you say no to the cookies, chips, or candy that is calling out to you.
Pleasure and reward centers: This brain region, called the nucleus accumbens, provides the passion and motivation to drive behavior. When activity in this region is balanced, it helps you choose the apple instead of the apple pie. When the pleasure centers are worn out from overuse, it makes you want more sugary, fatty concoctions.
Emotional centers: The deep limbic system ties emotional memories to foods and can increase the value of certain foods that are linked to good memories.
Dopamine: Eating triggers the release of dopamine, which is involved in motivation and salience. Consuming sweet, salty, scrumptious snacks increases the amount of dopamine released.
When activity in the PFC is healthy, these brain systems and neurotransmitters work together to help you fight off cravings. However, if there is low activity in the PFC, it can allow the pleasure and emotional centers to hijack your brain and drive you to cave to cravings. If you routinely give in to your urges to snack on unhealthy fare, you can learn to fight back and regain control of your brain with the following 5 tips.
5 BRAIN-BASED TIPS TO CONQUER CRAVINGS
1. Keep your blood sugar balanced.
Low blood sugar levels are associated with lower overall brain activity, including lower activity in the prefrontal cortex (PFC), the brain’s brake. Low brain activity here means more cravings and more bad decisions. Low blood sugar levels can make you feel hungry, irritable, or anxious—all of which make you more likely to make poor food choices. A study in the Journal of Personality and Social Psychology outlines the critical nature of blood sugar levels and self-control. They write that self-control failures are more likely to occur when glucose is low. Restoring glucose to a sufficient level typically improves impulse control.
Conquer Cravings: To balance blood sugar levels, eat smaller meals with protein throughout the day. In addition, avoid alcohol because it reduces glucose throughout the brain and body and impairs many forms of self-control.
2. Decrease consumption of artificial sweeteners.
If you really want to decrease your cravings, you must get rid of the artificial sweeteners in your diet. You may think of these sweeteners as “free” because they have no calories, but they can be up to 600 times sweeter than sugar, which means they may activate the appetite centers of the brain making you crave even more food and more sugar.
Conquer Cravings: Ditch the diet sodas that are full of artificial sweeteners and stick with water infused with lemons, limes, or cucumbers. In addition, eliminate packaged sugar-free snacks, yogurt, and other fare that are usually made with artificial sweeteners and other no-good-for-you stuff.
3. Manage your stress.
Chronic stress has been associated with increased appetite and cravings for sugary, fatty fare. It is also linked to abdominal obesity, low energy, poor concentration, elevated cholesterol levels, heart disease, and hypertension, as well as an increased risk for anxiety and depression.
Conquer Cravings: To decrease your cravings, get on a daily stress-management program that includes meditation or prayer, deep-breathing exercises, and calming supplements (such as GABA and magnesium).
4. Get moving.
Scientific research has found that physical activity can cut cravings whether you crave sugary or salty snacks. A study in the journal Appetite showed that cravings for chocolate decreased following a 15-minute brisk walk. And findings from a 2022 animal study show that acute high-intensity interval training curbs cravings for high-fat foods. In this study, rats on a month-long diet that did intense exercise were better able to resist cues for yummy high-fat food pellets. Think of it as the equivalent of being able to drive past a doughnut shop or pizza parlor without being tempted to pull the car over and indulge.
Conquer Cravings: Instead of immediately giving in to your cravings or focusing on how much you want something, get moving if possible. Go for a brisk walk outside. And consider starting an exercise routine that includes high-intensity interval training. However, be sure to check with your physician before starting any exercise program.
5. Get adequate sleep.
Have you ever noticed that after a night with almost no sleep, you wake up ravenously hungry and want to eat anything and everything in sight? That is because lack of sleep increases food cravings. Research shows that lack of sleep causes changes in the brain associated with an increased desire for high-calorie foods. An expanding body of scientific evidence has shown that the less sleep you get, the more cravings you have, the more calories you eat, the more belly fat you have, and the higher your BMI.
Conquer Cravings: Make sleep a priority and aim for 7-8 hours each night. If you have trouble sleeping, develop a nightly routine that promotes rest. For example, turn off all tech devices at least an hour before bedtime, sip a cup of warm chamomile tea, and consider supplements such as melatonin, magnesium, GABA, l-theanine, 5-HTP, and vitamin B6.
CALMING CRAVINGS
With these tips, you can learn to calm cravings. The more times you say no to them, the easier it will become to resist the temptation to give in.
Anxiety, depression, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples.Find out more by speaking to a specialist today at 888-288-9834or visit our contact page here. Being a teenager is hard. But teen girls are struggling with mental health more than ever before, according to the Centers for Disease Control and Prevention’s (CDC) Youth Risk Behavior Survey 2011-2021 (YRBS) published earlier this year. The survey findings are based on responses gathered in the fall of 2021 from 17,000 high school students across the U.S. Since the CDC began the survey in 2011, collecting new data every two years, it has revealed a steady increase in mental health issues among teens with each new report. The latest numbers are shocking.
An astounding 30% of high school girls reported seriously considering suicide in the year prior, 24% made a suicide plan, and 13% of females said they actually attempted suicide.
The data from this most recent survey regarding the mental health of high school girls is particularly concerning. An alarming 57% of teen girls reported feeling so sad and hopeless for two weeks or more in the last year that they were not able to do some of their usual activities. In comparison, 29% of teen boys reported the same. The figure reflects a 60% increase in teen girls suffering from persistent sad and hopeless feelings since 2011.
Adding insult to injury, an astounding 30% of high school girls reported seriously considering suicide in the year prior, 24% made a suicide plan, and 13% of females said they actually attempted suicide—roughly double what teen boys reported on all accounts.
Since the YRBS was released, mental health professionals and parents are urgently seeking to better understand what’s driving the crisis. Several factors are presented here.
MENTAL IMPACT OF THE PANDEMIC ON TEENS
The 2021 YRBS survey no doubt reflects, in part, the mental health impact of the COVID-19 pandemic on all teens. Indeed, the sudden loss of social connection to peers and other supportive adult influences (tutors, teachers, coaches, neighboring parents, etc.) and activities outside the home was difficult for teens in general.
Research shows this to be true. One study found social isolation is strongly associated with increased depression and anxiety among all teens. But some research showed a greater impact on teen girls, which was attributed to girls having greater worry about others contracting COVID-19, changes in daily and school routines, not seeing friends in person, and passive social media use.
This is not totally surprising as girls are known to rely more on their friends for emotional support, especially during stressful times. However, there’s much more to the story as mental health issues amongst female teens had already been steadily increasing prior to the pandemic.
UNDERSTANDING THE FEMALE BRAIN
Male and female brains are not the same—and it’s possible that these differences factor into more mental health challenges for teen girls. A Harvard Medical School study took scans of male and female brains and found that female brains have larger volumes in the frontal and limbic cortices. The prefrontal cortex is the area of the brain used for learning, judgment, controlling impulses, and conscientiousness. The limbic system is the brain’s emotional center.
This may explain why teen girls are less impulsive than teen boys and more concerned with emotion. Teen girls’ minds are often busier and tend to worry too much. This can lead to increased automatic negative thoughts (ANTs) and constant worry about what other people think about them and how they compare with peers—especially when it comes to appearance.
The dramatic fluctuations of the hormones estrogen and progesterone menstruating teen girls experience each month fuels negative, worried thoughts even more. It may, in part, be why teen girls are more prone to anxiety, depression, and other mood disorders.
TEEN GIRLS’ MENTAL HEALTH AND SOCIAL MEDIA
When you combine the small but significant differences in female brains with the negative influence of increased social media use, they likely contribute to the current mental health crisis among teen girls.
Indeed, experts have noted that the rise of smartphone and social media use, which escalated dramatically in the early 2010s, coincides with worsening mental health among teens, especially girls. One research study linked the escalation of mental health crises (increased rates of depression and suicide), especially among teen girls, with the rise of electronic use over other activities—noting that more screen time was associated with worse mental health outcomes.
Digital media isn’t always a detriment though. For example, research analyzing digital media use among teens during the pandemic up until the fall of 2021 showed that when it involved “one-to-one communication, self-disclosure in the context of mutual online friendship, as well as positive and funny online experiences,” it helped lessen loneliness and stress.
Yet, the very same analysis found many more instances of poor mental health associated with digital media use when it involved a young person’s tendency to compare, experience fear of missing out (FOMO), and exposure to negative content. Of course, social media has addictive qualities too, and young people are at greater risk of developing addictive symptoms, research has found. How social media is used is key.
Surveys have indicated that teen girls use social media more than boys, which would potentially cause a greater impact on their well-being. A 2022 Pew Research report found that teen girls were more likely to report they use social media too much and would have a harder time giving it up. They were also more frequently using TikTok, Instagram, and Snapchat than boys—apps that are notorious for comparison and access to potentially harmful content. One recent report from the Center for Countering Digital Hate warns that TikTok pushes harmful content into users’ feeds promoting eating disorders and self-harm. Yet, social media is only one contributor to teen girls’ mental health.
TEENS GIRLS, TRAUMA, AND SUBSTANCE ABUSE
Additional factors impacting mental health, which disproportionately affect teen girls are sexual violence and bullying, according to the YRBS. Reports of sexual violence by anyone were more than three times as high for teen girls than boys with 18% of girls reporting having been violated sexually, compared to 5% for teen boys. Additionally, 14% of high school girls reported being forced to have sex versus 4% of high school boys.
According to the YRBS, 20% of teen girls were cyber-bullied compared to 11% of boys. These traumas are, of course, associated with increased rates of depression, anxiety, and substance abuse. Cyber-bullying is particularly destructive to teen girls, research has found. And research also shows that it is highly associated with poor mental health, self-harm, and suicidality.
While overall substance abuse is down among teens according to the YRBS, girls tended to use substances more than boys. In particular, 29% of female high school students reported drinking alcohol in the 30 days prior while only 19% of males said they drank alcohol. It is not uncommon for teens to self-medicate when they are struggling with mental health disorders, an abundance of research has found.
SOCIAL CONNECTEDNESS
While more insights are sure to come, the CDC has urged high schools to take measures to increase “social connectedness” for high school students by implementing programs that give students a sense that they are cared for, supported, and belong.
For parents, implementing some parameters around digital media use and staying alert to sudden changes in their teen’s moods and/or behavior is critical. Heed the warning signs of trauma, depression, and substance abuse, and seek the help of a qualified mental health professional without delay.
Depression, suicidality, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples.Find out more by speaking to a specialist today at 888-288-9834or visit our contact page here. Although autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD), sometimes referred to as ADD, share a number of similar symptoms that overlap, they are two very distinct neurodevelopmental disorders requiring accurate diagnosis and treatment. Unfortunately, a lack of understanding of the distinctions between ASD and ADD/ADHD and their shared symptoms too often lead to misdiagnosis, and/or a delayed diagnosis of one or the other. This can have a number of far-reaching negative impacts including greater severity of symptoms, additional mental and physical health issues, and a lower overall quality of life.
Unfortunately, a lack of understanding of the distinctions between autism and ADHD and their shared symptoms too often lead to misdiagnosis, and/or a delayed diagnosis of one or the other.
What’s more, these two conditions can and often do occur together. While estimates vary, recently published research in Frontiers in Psychiatry states that 50-70% of individuals with ASD also have ADD/ADHD. And on the flip side, data from the Centers for Disease Control and Prevention (CDC) note that about 14% of children with ADD/ADHD also have autism diagnoses (though some estimates are much higher).
Research has found that untreated ASD and ADD/ADHD both have enough influence to cause significant behavioral, emotional, academic, and social problems in school, at home, and in life in general. Here’s what you need to know about their similarities and differences.
SIMILARITIES OF AUTISM AND ADD/ADHD
Autism and ADD/ADHD are both neurodevelopmental disorders that are more prevalent in boys.
Research has revealed that both disorders have a genetic component, meaning that they run in families Parents and siblings of individuals with ASD and ADD/ADHD are more likely to have the disorders themselves.
Since they stem from brain development issues, a number of areas controlled by the nervous system are affected in both conditions, such as movement, language, memory, social skills, and the ability to focus. Executive function is affected in both disorders as well, which accounts for issues with impulse control, decision-making, organization, concentration, and time management.
HOW ASD AND ADD/ADHD DIFFER
How autism and ADD/ADHD are characterized helps to define their differences. Let’s take a look at what makes each a distinct disorder.
Features of Autism Spectrum Disorder
ASD is primarily characterized by difficulty with social interactions, delayed communication, and restricted or repetitive behavior. Individuals with ASD may also have different ways of learning, moving, or paying attention. Early signs of autism may appear by age 2 or 3, or as early as one year with more severe developmental delays. The average age of diagnosis is around 4 years.
Children with ASD lack the ability to comprehend the social world intuitively. Common symptoms may include any of the following and more:
Deficits in social communication/interaction, especially non-verbal communication (e.g., missing social cues, failing to show or read facial expressions, failing to use hand gestures), and reciprocal communication; poor eye contact
Repetitive and restrictive behaviors such as rocking, pacing, or hand flapping; an intense focus on certain things; rigid adherence to routines; aversion to changes; sensory challenges (either under- or over-reactive to light, sound, taste, smell, touch)
Delay in speech, odd speech patterns; delayed motor skills; delayed cognitive or learning skills; hyperactive, impulsive, and/or inattentive behavior
In 2013, Autistic Disorder, Asperger’s Disorder, and Pervasive Developmental Disorder were combined into the ASD umbrella category, which is broken into three levels:
Level 1 – Requires some support (high-functioning autism)
Level 2 – Requires more support
Level 3 – Requires very substantial support throughout life
Features of ADD/ADHD
ADD/ADHD is a developmental disorder that is characterized by the following core symptoms:
Difficulty focusing and concentrating
Impulsivity (e.g., blurting out thoughts or exhibiting inappropriate behavior without thinking)
Short attention span for daily tasks (e.g., chores, homework, etc.)
Easily distracted
Procrastination
Disorganization
Lack of follow-through
Poor impulse control
Symptoms can range from mild to severe. The brain SPECT imaging work at Amen Clinics shows there are 7 types of ADD/ADHD, which share the core symptoms in addition to the following:
Classic – Restlessness, hyperactive, impulsive, fidgeting, and talking excessively
Inattentive – Difficulty maintaining focus, makes careless mistakes, appearing unmotivated, being sluggish, appearing preoccupied, not hyperactive
Overfocused – Excessive worrying, tendency to hold grudges, obsessive, may or may not be hyperactive
Temporal lobe – Irritability, periods of spaciness or confusion, feelings of fear or panic, dark thoughts, may or may not be hyperactive
Limbic – moodiness, feelings of hopelessness, loss of interest in things, chronic negativity, may or may not be hyperactive
Ring of Fire – overly sensitive, cyclic moodiness, oppositional, may or may not be hyperactive
Anxious – frequently nervous, stressed out, predicts the worst, conflict avoidant, may or may not be hyperactive
Kids may be diagnosed as young as age 4, according to American Academy of Pediatrics (AAP) guidelines, but more typically, between 8 and 10 years. ADD/ADHD has been described by experts as a disorder of self-regulation and executive function or trouble with the skills that help to manage everyday life.
SHARED ASD AND ADD/ADHD SYMPTOMS: WHY MISDIAGNOSIS HAPPENS
Here’s where things get a little tricky with ASD and ADD/ADHD. Like so many brain disorders, autism, and ADD/ADHD are not just one thing. As explained, at Amen Clinics, brain SPECT imaging has helped identify 7 types of ADD/ADHD and has revealed there are 8-10 factors that can impact abnormal brain function in ASD. Also, in young children, symptoms can change as they grow and develop.
With so many variations of each disorder that can change over time, it’s not surprising that there are a number of shared or “overlap” symptoms between ASD and ADD/ADHD, which makes misdiagnosis or delayed diagnosis more likely. One research study identified the following traits as the most common overlap symptoms between the two disorders:
Impulsivity
Lack of focus (with ADHD, getting distracted by external activities; with autism, getting distracted by one’s own ideas and thoughts)
Speech delays
Difficulty organizing time, tasks, and projects (resulting from impaired executive function)
Difficulty with social interaction and making friends
Different ways of learning and learning disabilities
Sensory issues
Difficulty managing emotions such as anger and frustration
These shared symptoms make accurate diagnoses of both conditions more challenging. For example, distractibility and impulsivity—hallmarks of an ADD/ADHD diagnosis, often appear in people with ASD.
Also, individuals with ADD/ADHD often have speech delays, even though this is one of the identifying features of an ASD diagnosis. Children with ADD/ADHD often get distracted easily and can lose focus when they are speaking. Autistic children have major communication deficits.
Some research indicates that when there is first an ADD/ADHD diagnosis in a young child, it can mask symptoms of high-functioning autism or Asperger’s. This can lead to a misdiagnosis altogether or, on average, nearly a two-year (1.8 years) delayed diagnosis of ASD—that’s a combined figure of a 1.5-year delay in boys and a 2.6-year delay in girls.
WHEN ASD AND ADD/ADHD CO-OCCUR
As the figures above show, ADD/ADHD symptoms are very likely to be found in autistic individuals, and while ADD/ADHD individuals may also have autism, it is much less likely.
The reasons why ADD/ADHD and autism may co-occur aren’t clear. One theory suggests that these independent disorders occurring together may share a common underlying etiology. More research is needed.
What is clear though is that research shows that children with both ASD and ADD/ADHD are more likely to have more pronounced learning difficulties and impaired social skills than children who only have one of the disorders.
DIAGNOSING AND TREATING CO-OCCURRING ASD AND ADD/ADHD
Co-occurrence is not to be taken lightly; both disorders require proper diagnosis, which should come from a qualified specialist, not a simple diagnostic test. Brain SPECT imaging can be helpful in understanding which type of these conditions is involved and assess any other underlying factors that may be factors.
Treatment for co-occurrence often starts with addressing ADD/ADHD symptoms and may include different types of therapy, such as behavioral, speech, social skills, and occupational therapies; neurofeedback; lifestyle changes; diet recommendations; nutritional supplements; and medication (when needed).
The sooner you start with personalized solutions targeted to your loved one’s brain, the sooner you can minimize symptoms. When both conditions are addressed properly, it can be life-changing, not only for the person with the disorders but also for their family and loved ones.
ADD/ADHD, autism spectrum disorder, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples.Find out more by speaking to a specialist today at 888-288-9834or visit our contact page here. Do you feel like you could sleep all day? Does getting out of bed feel like a daunting task because your energy is so low? Does the thought of taking a shower, brushing your teeth, and seemingly minor tasks feel overwhelming or impossible? Have you noticed that you have headaches and stomachaches, and get sick more often? Are there days when you want to eat a whole pizza and others when you can’t imagine taking a bite of food? These could be some of the physical warning signs of depression.
Depression affects more than just your mood. Gastrointestinal issues, lower libido, sleep problems, restlessness, chest pains, headaches, and memory loss can all be attributed to depression.
Depression can significantly affect your physical health. The neurotransmitters serotonin and norepinephrine influence both pain and mood, which helps explain the connection, but it’s more than the physical pain that is linked to depressive symptoms. Gastrointestinal issues, lower libido, sleep problems, restlessness, and plenty of other physical symptoms can all be attributed to depression.
Affecting an estimated 4.7% of the adult population and 11.5% of the youth in the United States, depression is the number-one disability in the nation and has a huge social and economic impact from the loss of work to relationship dysfunction. Suffering from depression is not just a minor interference that only impacts the person with the condition—family, friends, and co-workers are all impacted by a person who lives with depression.
13 PHYSICAL SIGNS AND SYMPTOMS OF DEPRESSION
1. Change in sleep.
Data from a 2022 study show that nearly 75% of depressed patients suffer from insomnia. Keep in mind that disrupted sleep and depression have a bidirectional relationship and sleep should be part of the equation when diagnosing depression.
2. Chest pain.
While chest pain occurs for a variety of reasons other than depression that should be considered and diagnosed, those who are depressed are likely to report that they have chest pain. Research published in The American Journal of Cardiology suggests that these pains can occur in people without other cardiovascular issues and narrowed that list to those who suffer from depression.
3. Fatigue and exhaustion.
Coupled with a lack of sleep, those who suffer from depression might be wiped out all the time and feel like they need to sleep at various hours of the day. Being depressed can cause exhaustion first thing in the morning or throughout the day, and overall weariness and depleted energy are common. Fatigue is more of a temporary event after engaging in a tiring activity, and exhaustion is more chronic and lingers. Both can be experienced with depression.
4. Aching muscles and joints.
Research links chronic pain and depression beyond minor physical pain such as a tense neck or shoulders. Since depression and pain share biological pathways and neurotransmitters, people who suffer from chronic pain can experience depression, and depression can cause chronic pain. An overall feeling of physical discomfort is common in those who are depressed.
5. Digestive problems.
A number of pathways connect the gut and the brain, especially the immunoregulatory, neuroendocrine, and vagus nerve pathways. Keep in mind that sleep, mood, pain, stress, and hunger are all regulated by the vagus nerve. A 2021 study found that those with depression have an increase in gut inflammatory bacteria, reduced short-chain fatty acid production, and the functioning of important neurotransmitters that affect mood. Gut health is imperative in helping with mood disorders such as depression.
6. Headaches.
Headaches can occur for many reasons and are not solely because of depression, so finding the source is important to treat the issue properly. However, research conducted in 2016 shows a connection between tension headaches and people who have depression.
7. Changes in appetite or weight.
Some people with depression have an increased appetite and others can’t imagine eating anything at all. Research conducted in 2020, published in Brain, Behavior, and Immunity found that inflammation in certain areas of the brain can cause appetite changes in people who are depressed.
8. Back pain.
While back pain can be caused by myriad issues from herniated discs to arthritis and pinched nerves, there is evidence that people with chronic low back pain are 3-4 times more likely to be depressed. Coping with pain is difficult on its own but coupled with depression can be debilitating and severely interfere with daily functioning. Understanding the effect of chronic pain on brain functioning is important to help treat symptoms.
9. Agitation and restlessness.
There are various forms of depression listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-TR-5), one of which is Agitated Depression. However, even without that specific diagnosis, it is common for depressed people to experience agitation and restlessness that can occur simultaneously with an inability to perform basic tasks. A feeling of jitteriness, uneasiness, and difficulty relaxing can contribute to sleep problems as well, which impacts depressive symptoms.
10. Sexual problems.
Low libido is frequently experienced along with depression. A study published in the journal Clinical Depression noted that 40% of men who report depression have reduced sexual interest and have difficulties reaching orgasm. Women who are depressed have certain brain regions—including the middle occipital and temporal gyri, hypothalamus, anterior cingulate gyrus, thalamus, and amygdala—that are less activated when visualizing sexually stimulating imagery. Sexually intimate relationships can suffer as a result of depression, which is often a factor, but changes in the brain have a major impact on libido.
11. Inflammation.
According to a 2019 study, inflammation affects both the peripheral and central nervous systems, resulting in increased activity in the immune system. Inflammation can set off a domino effect of problems throughout the body. Knowing that depression is connected to inflammation in the brain is an important factor in determining how to best treat the condition.
12. Compromised immune system.
Are you getting the common cold or flu frequently? Do you often feel “under the weather” or like you’re on the verge of getting sick? Inflammation has a negative effect on the immune system as it works overtime in a person who is depressed. Someone who is depressed is also more at risk of illness due to changes in sleep patterns, appetite, and physical activity.
13. High blood pressure.
There is an increase in sympathetic nervous system responses (heart rate increase, vasoconstriction) as well as the secretion of adrenaline and cortisol in people with depression and hypertension. This close connection is important to consider when seeking medical support for depression. Research supports the link between the 2, and showed a 9 times greater occurrence of hypertension in depressed people than in those who are not depressed.
WHEN TO SEEK HELP FOR PHYSICAL SYMPTOMS OF DEPRESSION
If you’re experiencing any of these lingering physical symptoms, it’s a good idea to make an appointment with a healthcare provider. Ruling out certain causes may be helpful in determining if your symptoms are due to physical issues or depression.
Depression and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples.Find out more by speaking to a specialist today at 888-288-9834or visit our contact page here. When struggling with mental health concerns like depression and anxiety, it’s easy to reach for “coping strategies” that aren’t actually helping us cope at all. In many cases, they are ways to distract, numb, or soothe ourselves that do not offer long-term relief. And, in the worst cases, they are “solutions” that create their own problems—secondary dangers that can include addiction, negative impacts on physical health, and even additional (more serious) mental health effects.
In other words, many of us start out trying to tackle one issue and potentially end up with many more, which only exacerbates feelings of unease. Here are 10 common tactics that remain typical fixes among those struggling with mental health concerns—and why they don’t work.
When struggling with mental health concerns like depression and anxiety, it’s easy to reach for “coping strategies” that aren’t actually helping us cope at all.
While many people with mental health issues seek medication as part of treatment, the reality is that many of them will not receive sufficient relief through this intervention. Studies have found that depression, for example, can be treatment-resistant, including one study that reported only one-third of these patients will fully respond to treatment with antidepressant medication. On the other hand, natural treatments—including the proper diet, physical exercise, supplements, neurofeedback, hypnotherapy, psychotherapy, meditation, and breathing exercises—can be very effective for mental health issues such as depression and anxiety.
2. Drinking your problems away.
Alcohol is one of the most culturally accepted drugs in our society, but it’s also the most dangerous, according to one study in which alcohol was deemed worse than heroin or crack cocaine in terms of its negative impacts (to both the individual using it and to others). But in addition to its harmful societal consequences, addictive nature, and detrimental health effects on the brain and entire body, it has a devastating impact on mental health. Causing issues from psychosis to sleep disturbances to hangover-related anxiety, it’s no wonder that studies have shown a strong association between alcohol dependence and depression.
3. Soothing your emotions with sugar.
We know that sugar addiction—a problem that many Americans struggle with—can stress you out, causing side effects like insomnia, panic attacks, aggressive tendencies, and anxiety. (Unfortunately, sugar substitutes, such as aspartame, have also been shown to increase anxiety symptoms.) Many people reach for sugar-laden “comfort foods” when they’re stressed out, while others consume sky-high sugar intakes by following the high-glycemic standard American diet. But these strategies will end up backfiring: Not only does this cycle encourage cravings and addiction, but high-sugar diets have been shown to be associated with adverse effects on mental health.
4. Smoking.
For those Americans who still smoke or vape—including “casual” users—many believe that the act of lighting up eases stress and anxiety. According to the Mental Health Foundation, nicotine hits the brain within about 10 seconds, so it seems to quickly boost mood and reduce anger and stress. However, because nicotine triggers the feel-good brain chemical dopamine, the brain turns off its natural dopamine-making mechanism, thereby depleting those levels among smokers (and making them more likely to reach for another to obtain another “hit”). Like with drugs and sugar, it’s an addictive cycle that soon creates its own problems—actually increasing anxiety and tension due to nicotine withdrawal symptoms and increased cravings.
5. Burying your head in the sand.
Explaining away or downplaying the difficult realities of mental health issues does not offer a long-term solution. Tactics like denial and avoidance occur for a variety of reasons, such as fear of the stigma still attached to mental health issues, or a lack of healthy coping skills. But finding better ways to face these concerns head-on will be more helpful in the long run—like seeing a mental health professional for anxiety or trying out natural solutions for depression. Avoidance, on the other hand, can cause those issues to be repressed, only to emerge in more severe ways, such as through self-harm, suicidal thoughts, or substance use disorders.
6. Buying things to feel better.
With the advent of online shopping, nowadays we don’t even need to leave our homes—or, for that matter, get out of bed—to go on a shopping spree. But the habit often called “retail therapy” is not a helpful coping mechanism. In extreme cases, it can even become a process addiction. Compulsive, impulsive, and/or excessive shopping can land people in severe debt or bankruptcy, negatively impact personal relationships, or simply crowd one’s home with unneeded purchases that ultimately increase feelings of stress and overwhelm. This “quick fix” is anything but.
7. Overeating or undereating.
When life seems out of control, many people seek to combat that sense of unease by overeating or binging on foods, especially unhealthy things like carbs and sweets. Others find their appetite has dwindled, or they avoid or restrict eating as a way of gaining some sense of control. In more advanced cases, these strategies can lead to eating disorders like bulimia OR anorexia (the most deadly mental health disorder). Binging can cause blood sugar spikes and crashes that leave us depleted, fatigued, and feeling unwell, while undereating or starving is associated with malnutrition, lack of energy, and decreased cognitive ability. (Even mild dehydration can cause a host of mental health effects, so it’s important to drink plenty of fluids, too.)
8. Promiscuous behavior.
While we know that those who are emotionally dysregulated may reach for crutches like alcohol, food, or smoking, others find different outlets for stress, anxiety, and depression—including sexual activity. But the combination of mental health issues and promiscuity can lead to dangerous behaviors. One study, published in Behavioral Medicine, noted that the female participants with a mental disorder were more sexually active than the males observed, and the characteristics of antisocial personality disorder and borderline personality disorder predicted risky sexual behavior for women in particular—such as sexual assault, or not using protection and being exposed to HIV or other sexually transmitted diseases.
9. Sleeping too much.
Sometimes, pulling the covers over our heads feels like the best response to a crisis, but oversleeping can function as another avoidant behavior and can have its own negative health effects. The Sleep Foundation reports that, because depression can cause fragmented sleep, it can lead to feeling sleepy or fatigued, and about 15% of those with depression experience hypersomnia (excessive sleepiness). But sticking to the typical sleep recommendation (7 to 9 hours per night) is best for optimal health.
10. Moving to avoid problems.
Some people try to avoid or escape problems by literally fleeing the scene—trying a tactic known as the geographical cure. Moving can seem like a straight path to a fresh start or a new life, but people more often find that they’ve simply carried their problems along with them to a new location. Others stay moving without going anywhere—that is, keeping themselves overly busy with a packed to-do list every day, in an attempt to avoid dealing with mental health issues like anxiety. Again, facing these problems (and their root causes) is the only effective way to start combating their effects.
Depression, anxiety, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.Content updated from previous publish date.
Americans are the unhappiest they have been in over 50 years. Because of this, it’s not surprising that antidepressants are some of the most common medications used in the United States. And the number of people taking them is on this rise. During the pandemic, the number of new prescriptions for antidepressants spiked by close to 19%, based on a 2020 report. In 2021, statistics show that the number of prescriptions for antidepressants topped 337 million.
In 2021, the number of prescriptions for antidepressants topped 337 million.
When prescribed appropriately based on findings from a comprehensive evaluation that includes brain imaging, these medications can be helpful as a part of a treatment program for some people suffering from depression. But they don’t help everyone. In fact, they can make some people worse. Here’s why.
THE PROBLEMS WITH ANTIDEPRESSANTS
Most prescriptions for antidepressants are doled out after brief office visits with healthcare providers who do not look at the brain or consider any biological information. It’s like they are throwing darts in the dark at the problem. This diagnostic and treatment paradigm isn’t working.
In a large study in Health Technology Assessment, researchers found that over 50% of depressed people failed to reach full remission of their symptoms after taking antidepressants. And for one-third of people, remission continued to elude them after 4 courses of medication. One review in Evidence-Based Mental Health found that except for people with severe depressive disorder, antidepressants worked no better than placebos. These are depressing statistics.
For some people, antidepressant medication comes with unwanted side effects, including:
Weight gain
Fatigue
Nausea
Lower sex drive
Difficulty achieving orgasm
Heightened anxiety
Trouble sleeping or insomnia
Headaches
Restlessness or agitation
Constipation
Diarrhea
Dry mouth
Dizziness
Blurry vision
Tremors
Even worse, lawsuits have claimed that the antidepressant medication Prozac caused violence or suicidal thoughts and behaviors. Virtually all antidepressants 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.
In addition to these risks, antidepressants can change how you feel in ways you didn’t expect. Antidepressant medication is intended to decrease negative emotions. However, according to an Oxford University study, the majority of selective serotonin reuptake inhibitors (SSRIs)—the most commonly prescribed type of antidepressants—effectively dampen all emotions, including love, happiness, and joy. In this study, participants reported feeling distant from their surroundings, and they no longer cared as much about important aspects of their everyday lives. They said it seemed like their personalities had changed.
These are serious downsides.
NOT ALL DEPRESSED PEOPLE ARE THE SAME
One of the reasons why antidepressant medication has such a high failure rate is that depression isn’t a single or simple disorder. Brain SPECT imaging studies at Amen Clinics have helped identify 7 types of depression, and each type requires a different treatment plan. Giving everyone with depression the same treatment will never work, and it can make some people worse.
For example, many practitioners prescribe SSRIs (such as Prozac, Zoloft, and Lexapro) as a first line of defense for patients who say they feel depressed. But these antidepressants don’t work for all 7 types of depression, and they exacerbate symptoms for several subtypes of the condition.
A pair of 2019 studies in Nature Human Behavior and The American Journal of Psychiatry suggests that brain imaging may help predict which antidepressants will work best for individuals.
Another reason why treatment failures are so high is that depression is not a disease; it’s a symptom similar to the way chest pain is a symptom. It doesn’t indicate what’s causing it. Chest pain can be caused by many different things. It’s the same with depression. Many factors contribute to depressive symptoms, including some biological issues that aren’t resolved by antidepressants. For instance, depression has been associated with:
In some people, addressing these underlying issues can be critical in overcoming sadness or low moods.
ANTIDEPRESSANTS AREN’T THE ONLY OPTION
If you’re struggling with depression, medications should not be the first or only thing you do to help your brain and your mind. To overcome depressive symptoms, think about using all the tools available, and focus first on the least toxic, most effective solutions. These may include:
Nutritional supplements (Did you know that 20 studies have shown that saffron is more effective than a placebo and equal to the antidepressants Prozac, Zoloft, Effexor, and imipramine for depression?)
Depending on your individual needs, medication may be necessary in addition to these other solutions. Getting a brain scan to more accurately diagnose your subtype of depression can be very helpful in determining which antidepressant is most likely to work for you. And follow-up brain imaging can show how well treatment is working and if any adjustments are needed.
Depression, anxiety, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples.Find out more by speaking to a specialist today at 888-288-9834or visit our contact page here.