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Do you feel like being angry has become your everyday mood? Whether it remains repressed or gets expressed, anger can create serious repercussions. When directed outward, it can lead to intermittent explosive disorder, which affects 2.7% of people and may cause outbursts of sudden rage and violent behavior. On the other hand, those who constantly suppress their anger can experience bouts of depression. But many people simply face moderate instances of anger in response to everyday stresses that occur both in their personal lives and in the world at large. After all, with phenomena like “Facebook depression” and “eco-anxiety” now facts of life, it’s clear that our modern-day use of social media and the 24-hour news cycle can fuel feelings of helplessness and hopelessness, the belief that “things aren’t as good as they used to be,” or frustrations over lack of control or societal change. On a personal level, obstacles like health concerns, chronic pain, financial issues, or feeling underappreciated in relationships can all trigger intermittent feelings of anger. The good news is, you can take simple steps to moderate these episodes and their effects—or, when necessary, seek help so that anger doesn’t spiral into a more serious condition. Obstacles like health concerns, chronic pain, financial issues, or feeling underappreciated in relationships can all trigger intermittent feelings of anger.
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ANGER IN THE BRAIN

According to a study by the Amen Clinics team utilizing brain SPECT imaging, people with intense anger leading to outward aggression have significant differences in brain activity compared with non-aggressive individuals. These changes include decreased activity in the prefrontal cortex (causing lack of impulse control), increased activity in the basal ganglia and limbic system (seen in those with anxiety and depression), and temporal lobe abnormalities in the left region of the brain (interfering with mood stability and associated with aggression). On the flip side, though anger gets a bad rap, it can actually be a good thing—if it is channeled appropriately and used to positive effect. If you find yourself simmering, take a pause to ask yourself: Is this problem stemming from the present moment, or from a long-ago time or situation? If the latter, try to pinpoint the origins and determine how you can address it—for example, by making amends with a person or situation from the past. (You may also need to seek psychotherapy to delve further into the issue.) But if the problem is rooted in the now, you can brainstorm ways to constructively express your emotions—ideally after a calming pause to indulge in some of the soothing strategies outlined below.

11 STRATEGIES TO QUICKLY ALLEVIATE ANGER

When anger strikes, it’s a good idea to use tactics to distract yourself, even for just a few moments, to gather up some calm and view the situation with a clearer mind—thus allowing for a more measured and appropriate response. Here are 11 methods that may help; after some trial and error, keep a list of your favorites handy so that you can easily refer to them in the heat of the moment.

1. Pause and evaluate your goals.

Taking a more rational view of the situation and envisioning your ideal outcome can put some needed distance between the circumstances at hand and your emotions. Before lashing out, ask yourself, “Does it fit?” Does your behavior fit the goals you have for your life?

2. Identify and watch out for your unique anger warning signs.

When you know what happens to alert you to anger (such as shallow breathing or increased heart rate), you can take steps at the earliest opportunity to head it off or address it.

3. Practice deep breathing.

If you feel symptoms of anger coming on, try this simple breathing strategy: Take 10 deep breaths (breathe in for 3 seconds, hold for 1 second, breathe out for 6 seconds, hold for 1 second). In less than 2 minutes, you’ll feel calmer and thus able to express your feelings more effectively.

4. Don’t be afraid to ask for a time-out.

If you can’t trust or control your own reaction in the face of anger, slow down or, if necessary, exit the situation. For example, head outside, end the phone call or reschedule that meeting.

5. Turn on some soothing sounds.

Research shows that music can help improve mood and lessen the effects of stress, while another study found that natural sounds (like flowing water or trees blowing in the wind) help relax the body and mind.

6. Move your body.

Taking a walk or exercising helps expel buildups of negative energy.

7. Wash away your cares by taking a shower or bath.

Baths in particular have been shown to offer both physical and emotional boosts.

8. Grab a pen and paper, and start writing.

Journaling helps exorcise destructive thought loops. One study showed that writing about negative emotions and trying to make cognitive sense of the situation on the page create an effective one-two punch to help overcome stressors and even improve health.

9. Try aromatherapy.

Breathe in calming scents, like lavender. Studies have shown the positive psychological effects of certain fragrances, which can be tapped in the form of candles, oils, sachets, diffusers, and more.

10. Eat a healthy snack.

Getting hangry? If hunger is the culprit that’s making you feel quick to anger, grab a healthy snack to get your blood sugar levels back on track.

11. Take a brief nap.

If lack of sleep is the issue, a catnap may help. A snooze of fewer than 30 minutes has been shown to improve performance and learning ability, making you less apt to snap. And one crucial don’t: Avoid drinking as a shortcut to calming down. Studies have shown that reducing alcohol intake significantly decreases negative emotions, and the World Health Organization associates alcohol consumption with aggressive behavior more than any other psychotropic substance.

WHEN TO SEEK HELP FOR ANGER ISSUES

If anger is interfering with your life, relationships, and/or performance, it might be time to seek help. Among certain people, anger is a red flag that points toward more serious conditions in the brain, such as an undiagnosed traumatic brain injury, problems in the temporal lobes, underactive frontal lobes, exposure to toxins, or unknown infections. In these cases, brain SPECT imaging can help to determine the root cause. Those diagnosed with intermittent explosive disorder can further address their issues in therapy. Without the proper diagnosis, anger can exacerbate or lead to other conditions, including ADD/ADHD, anxiety disorders, depression, OCD, bipolar disorder, and more, so it’s important to control your anger before it controls you. Persistent feelings of anger, Intermittent explosive 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, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Feel like you’re losing your grip? In today’s information-overload world, it’s easy for problems to seemingly pile up even before we attempt to address the personal issues that are also clamoring for our limited attention. A worldwide pandemic, political divides, and social unrest can all contribute to feelings of being out of control in life, while individual stresses may also combine to set us off. Coping with a personal illness or the illness of a loved one, drowning under too much work or getting laid off, dealing with adult children or aging parents, or struggling with marital conflict can all make us feel overwhelmed. Fortunately, there are plenty of healthy coping strategies to help regain a sense of control and provide a dose of equanimity in the face of our most common stressors. Implement these 4 techniques to create a more positive, less-stressed state of mind, even when life feels like it’s going off the rails. When you holistically care for your body—physically, mentally, and emotionally—you’ll be better equipped to handle whatever stressors come your way.
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4 WAYS TO REGAIN A SENSE OF CONTROL

1. Focus on what you can control.

Erratic world leaders, mutating viruses, rising gas prices—there are plenty of outside forces you simply cannot control in life. So, instead, focus on what you can control. For example, shore up your immune system to ward off illness or commit to walking or taking public transportation to work (if possible) a few days a week to offset gas expenditures. The other primary thing that is 100% in your control is your reaction to everything going on out there. To help regulate your stress response, first eliminate any bad habits you may have (such as chronic drinking, smoking, drug use, or poor diet or sleep), as they may be sneakily sabotaging your overall well-being. Pick up positive brain health habits and tune out the noise when necessary—which may mean switching off the 24-7 news channel, halting the endless doomscrolling, or spending (technology-free) time in nature. Being more mindful about what information you allow in your life will help you focus on what’s most important in your immediate orbit.

2. Seek professional help.

When stresses threaten to overwhelm you, ignoring the problem can lead to an array of negative, even debilitating, consequences such as anxiety, depression, trouble sleeping, or turning to mood-altering addictive substances for relief. Instead of trying to tackle the problem single-handedly, it might be a good idea to seek a psychiatric evaluation, which can point you toward therapy modalities that can help. For example, approaches such as cognitive behavioral therapy (CBT) or hypnotherapy can help mitigate the effects of chronic stress. The American Psychological Association reports that therapy, though often underutilized among the general population, is effective to help treat a variety of mental and behavioral health issues, and it works across a spectrum of population groups.

3. Practice self-care.

This step will manifest differently for different people—to some, soaking in a bubble bath or hitting a health spa helps ease their worries, while others find that giving back to others is the key to making themselves feel like a million bucks over the long haul. Over time, you’ll learn which strategies are most effective at helping you quell the signs of stress, from the calm-inducing benefits of breathing and meditation to invigorating and distracting physical activity, which has been shown to reduce depression and stress. (Bonus: Building a toolbox of possible strategies that can help will allow you to mix and match in the moments you need them most.) Additionally, other less-expected methods of self-care, such as setting boundaries with others or knowing when to say no, can be just as important as setting time aside for personal health efforts or solitude. When you holistically care for your body—physically, mentally, and emotionally—you’ll be better equipped to handle whatever stressors come your way.

4. Reframe your thinking.

Keeping up with current events can often be stressful, but when you look at them with a bit of perspective, even a worldwide pandemic can offer up a slew of silver linings. Or, if it’s a personal problem that’s nagging you, take a step back from the situation and analyze it from different angles. Sometimes all you need is a bit of distance between you and your thoughts, understanding that you don’t need to remain a victim to the running internal commentary interrupting your everyday life. Other times, it’s helpful to face your emotions head-on, in order to kill those automatic negative thoughts (ANTs) that crop up to destroy your serenity. Whatever situation is causing you stress, try to evaluate what it may be teaching you or what unresolved issue it may be calling your attention to, or explore the ways in which it may turn out to be a blessing in disguise. Often, our issues are rooted in our limited view of the world, so getting outside of yourself for a moment can help put things in the proper perspective. In a few days’ time, you might even find that a mountainous problem has naturally shrunken to a molehill. Chronic stress 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, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.   Americans are struggling with depression in greater numbers than ever before—roughly one in three of U.S. adults are experiencing depressive symptoms, up nearly three-fold since before the pandemic. If you have been seeking treatment for depression unsuccessfully, it may be time to look at a surprising underlying cause: inflammation.     If you have been seeking treatment for depression unsuccessfully, it may be time to look at a surprising underlying cause: inflammation.
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Most people are aware that chronic inflammation has been linked to a host of serious physical ailments such as heart disease, cancer, arthritis, pain syndromes, and gastrointestinal disorders. However, research is revealing that inflammation might be a contributing factor in a number of mental health disorders, including anxiety and depression. The word inflammation comes from the Latin word inflammare, which means “to set on fire.” When inflammation is no longer a healthy immune response to an injury or foreign invaders, such as a splinter, virus, or bacterial infection, but instead becomes chronic, it’s like having a steady low-level fire throughout your body causing damage to organs and tissue—and that includes your brain. In addition to depression, chronic inflammation has been shown to be associated with a wide range of neurological and psychiatric illnesses, such as bipolar disorder, obsessive-compulsive disorder (OCD), schizophrenia, personality disorders, Alzheimer’s disease, and Parkinson’s disease.

WHAT IS CHRONIC INFLAMMATION?

Inflammation plays a critical role in your immune system. When your body detects an injury or invading microbe, your immune system sends out its “first responders” or inflammatory cells and cytokines (substances that stimulate more inflammatory cells). This inflammatory response traps microbial invaders and other offending agents or starts healing injured tissue. Usually, after a few hours or a few days, the immune response downshifts back to neutral, and the inflammation subsides. In some people, however, the inflammatory response doesn’t turn off—or it mistakes healthy tissue for a foreign invader and begins attacking it (an autoimmune response). This can lead to chronic inflammation. There are a host of diet and lifestyle factors that can stoke the flames of inflammation. For example, a pro-inflammatory diet with too much sugar, refined carbohydrates, processed foods, too much omega-6 fats and not enough omega-3s, alcohol consumption, artificial sweeteners, fried foods, and chemicals can lead to chronic inflammation. Also, low vitamin D, exposure to environmental toxins, sleeplessness, chronic stress, childhood trauma, obesity, gum disease, prediabetes and diabetes, too much strenuous exercise, and smoking are some additional contributing factors.

THE LINK BETWEEN INFLAMMATION AND DEPRESSION

The link between systemic inflammation and depression is not exactly new.For example, it has been known for quite some time that depression is a side effect of drugs that purposefully increase inflammation, such as vaccinations or interferon that is used to treat hepatitis or certain types of cancer. Conversely, some anti-inflammatory medications, such as ibuprofen or aspirin, and nutraceuticals, such as omega-3 fatty acids and curcumin, have been found to decrease depression in people who have evidence of persistent inflammation. That said, in recent years, compelling research is providing more insight into how inflammation interacts with the brain, affecting mood. Lack of motivation and the inability to feel pleasure often go hand and hand with depression. Those with major depressive disorder may find it hard to feel motivated to do anything at all. Because biomarkers of inflammation are reliably elevated in depressed patients, one study administered inflammatory stimuli in healthy subjects to see how it affected neural activity and dopamine release in the reward-related regions of the brain. The results showed reduced neural activity (low motivation) is associated with inflammatory biomarkers. Similarly, another study showed an association between inflammation and the activation of parts of the brain that feel social rejection, fear, and threats. One review study titled “Inflamed Moods: A Review of the Interactions Between Inflammation and Mood Disorders” found that pro-inflammatory cytokines had direct effects on levels of important mood neurotransmitters such as dopamine and serotonin, dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis (typical in major depressive disorder), central nervous system function, impaired neuroplasticity, as well as structural and functional brain changes. Yet, more hopefully, the same review study noted that anti-inflammatory supplements (curcumin and omega-3 fatty acids) showed improved outcomes in mood disorder patients when used as an adjunct to conventional therapy, and it recommended further research.

HOW TO CALM INFLAMMATION AND BOOST MOOD

For many people who are experiencing depression, this link between inflammation and depression offers hope. Taking steps to ensure your body’s inflammation levels are in a healthy range could potentially help your mood.  Here are 6 steps you can begin taking today.

1. Take a quality omega-3 supplement.

You can ask to get your omega-3 fatty acid levels checked at your next doctor’s visit with a simple blood test. Most people are deficient. A quality fish oil supplement will usually contain high levels of EPA and DHA. Studies show that having low levels of the omega-3 fatty acids EPA and DHA in your bloodstream is associated with inflammation. Research additionally shows that low levels of EPA and DHA are also linked to depression.

2. Improve your gut health.

Did you know that your gastrointestinal tract is lined with about 100 million neurons? It is, and they are in constant communication with your brain. It’s important to limit foods that disrupt your microbiome and cause inflammation as a result. Abstain from the inflammatory foods mentioned above and eat more fermented foods, which help to improve gut health and quell inflammation, as well as prebiotic foods (the foods that feed healthy gut microflora) such as garlic, leeks, onions, asparagus, bananas, and barley. Enjoy a diet filled with colorful organic fresh fruits (especially berries) and vegetables, lean antibiotic-free, grass-fed meats, healthy fats (from fish, avocado, nuts, and seeds), and low-glycemic carbs, such as sweet potatoes, legumes, and quinoa.

3. Reduce stress with relaxation.

Chronic stress causes inflammation in the body. Exercise, yoga, diaphragmatic breathing, hypnosis, and meditation have all been shown to reduce stress levels. Find something you enjoy and will do regularly to help you relax.

4. Practice good dental hygiene.

Surprisingly, gum or periodontal disease, an inflammatory condition, is linked to depression, according to research. Be sure you are brushing twice a day, flossing, and seeing the dentist for cleanings twice a year.

5. Get quality sleep.

Insomnia is linked to higher inflammation levels. Do everything you can to ensure you get 7-9 hours of quality sleep each night. Turn digital devices off an hour before bedtime, limit caffeine and alcohol intake (which can disrupt sleep), and have a calming routine before bed.

6. Reduce exposure to environmental toxins.

Environmental toxins are linked to inflammation. Avoid artificial sweeteners, dyes, and produce grown with pesticides. Use household cleaners that have fewer chemicals. Switch to personal care products without harsh chemicals, and that includes makeup! Taking even a few of these steps can go a long way in calming the low-burning flame of inflammation, helping you to feel better mentally and emotionally. 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 888-288-9834 or visit our contact page here. [Excerpted from You, Happier: The 7 Neuroscience Secrets of Feeling Good Based on Your Brain Type by Daniel G. Amen, MD] You, Happier: The 7 Neuroscience Secrets of Feeling Good Based on Your Brain Type is written by psychiatrist, neuroscientist, and brain health expert Daniel G. Amen, MD. In this book, he reveals how to discover your brain type and tailor happiness strategies best suited to your brain type. This book also shows how to improve your overall brain health to consistently enhance your mood, protect your happiness by distancing yourself from the “noise” in your head, and make 7 simple decisions and ask 7 daily questions to boost your happiness. In addition to the brain systems that play crucial roles in happiness, there are important neurochemicals that influence your level of joy because they are involved in mood, motivation, and learning, and that’s the short list. Neurotransmitters are the molecules used by the nervous system to transmit messages between neurons or from neurons to target cells in muscles, glands, or other nerves. Since these chemical messengers communicate information between the brain and our bodies, they are incredibly important to good health. Neurotransmitters are the chemical messengers that stimulate or inhibit nearby cells. In addition to the brain systems that play crucial roles in happiness, there are important neurochemicals that influence your level of joy because they are involved in mood, motivation, and learning.
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In terms of happiness, I want to focus on 7 neurotransmitters. Some of these neurochemicals play a more critical role in certain brain types.

THE 7 NEUROCHEMICALS OF HAPPINESS

Dopamine:

The Molecule of More—This unique transmitter helps with focus and staying on task while supporting the brain’s ability to remember things. This brain chemical helps you remember significant moments, whether good or bad, and is involved with anticipation, pleasure, and love. I liken dopamine to a “chemical of more” because you always want more of it since this is the principal neurotransmitter that makes you feel good.

Serotonin:

The Molecule of Respect—This brain chemical is involved with mood, sleep, and flexibility, and it helps you to be open and adaptable to change. Serotonin increases when you feel respect from your peers and decreases when your feelings get hurt.

Oxytocin:

The Molecule of Trust—Whereas dopamine is the “chemical of more,” oxytocin can be called the “chemical of love” for the way it enhances bonding and trusting relationships. This powerful neurotransmitter has a reputation for playing Cupid because it’s released when you snuggle up, have sex, or socially bond with friends. But some researchers believe oxytocin also leads to feelings of jealousy and suspicion, especially toward those outside our social circles.

Endorphins:

The Molecule of Pain Relief—Almost everyone has heard about these neurotransmitters. These “feel good” brain chemicals released by your body during a workout or physical exertion cause your immune cells to flood the cardiovascular system, which protects your body against illness and lifts your mood.

GABA:

The Molecule of Calmness—GABA, which stands for gamma-aminobutyric acid, 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. It helps balance more stimulating neurotransmitters, such as dopamine and adrenaline. Too much stimulation can cause anxiety, insomnia, and seizures, while too little nerve cell firing can cause lethargy, confusion, and sedation. It is all about balance.

Endocannabinoids:

The Molecule of Peace—These molecules play a role in regulating mood, sleep, and appetite. Excessive endocannabinoid activity contributes to overeating and obesity, while low activity is a risk factor for developing depression, anxiety, posttraumatic stress disorder, inflammation, and immune system problems. Marijuana and hemp contain more than 100 naturally occurring cannabinoids that, when absorbed, interact with the endocannabinoid system’s receptors to produce a response. The best known are tetrahydrocannabinol (THC) and cannabidiol (CBD). While they have a similar chemical makeup, THC and CBD interact with cannabinoid receptors completely differently. THC is the cannabinoid people associate with marijuana. It directly stimulates endocannabinoid receptors to cause intoxicating effects. CBD does not cause a high because it works indirectly.

Cortisol:

The Molecule of Danger—This hormone gets a bad rap. It’s critical for your survival and has important benefits, but it’s also a hormone that you want less of—not more of— because, when cortisol production gets out of control, it drains your happiness. Why is that? Cortisol is the body’s “stress hormone,” and chronically high levels are linked to depression, anxiety, grief, memory loss, and weight gain as well as conditions like type 2 diabetes and hypertension. The body also releases cortisol whenever you feel like you’re in danger or involved in a fight-or-flight response. When stress seems never-ending and remains high for too long—like during the pandemic—then cortisol will make you feel awful. This explains why researchers have found that the happiest people tend to have lower cortisol levels. In my book, You, Happier, I dive deeper into each of these neurochemicals to show how they play a role in your brain type and how they impact your overall happiness. I also share specific strategies to help you balance your neurochemicals for greater joy and contentment in your life. If you want to join the tens of thousands of people who have already learned how to have a happier brain and a happier life at Amen Clinics, speak to a specialist today at 888-288-9834 or visit our contact page here.   Depression has been called the silent killer, but certain foods and beverages can be working just as stealthily to worsen the symptoms of this potentially deadly disorder. Research has demonstrated how diet can create negative or positive impacts on mental health. Unfortunately, the typical American diet has been known to exacerbate everything from anxiety to autism. With over 7% of the adult population suffering from depression, it’s important to know which foods can help fight this common disorder—and which to avoid. Here’s a quick look at some of the worst offenders. With over 7% of the adult population suffering from depression, it’s important to know which foods can help fight this common disorder—and which to avoid.
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9 Foods That Make Depression Worse

1. Vegetable Oils

Common vegetable oils, including canola, corn, safflower, and soy, contain higher levels of omega-6 fatty acids, which have been associated with inflammation, depressive disorder, memory issues, and a decline in cognitive function, including Alzheimer’s. As a 2007 study published in Psychosomatic Medicine found, diets high in omega-6 to omega-3 polyunsaturated fatty acid ratios may lead to enhanced risk for both depression and inflammatory diseases. The reasons for this may be evolutionary. Research suggests that as early humans evolved, they ate a diet with an almost equal ratio of omega-6 to omega-3, but in our industrialized society, omega-6 intake (from foods like vegetable oils) far surpasses omega-3 intake. This significant imbalance means that the brain does not obtain the fuel it needs to function optimally, leading to issues like depression.

2. Trans Fats

Trans fats came under fire in the U.S. after the turn of the millennium, and for good reason. Though the FDA banned trans fats in 2015, giving manufacturers a few years to comply, food labeling can be misleading, as trans fats contain less than 0.5 grams can be expressed as “0 grams.” These fats are found in partially hydrogenated oils—still found in many processed convenience foods, like store-bought baked goods, microwave popcorn, frozen pizza, fried foods, margarine, and more. In addition to their well-publicized negative health effects, such as rising levels of “bad cholesterol,” trans fats have also been linked to depressive symptoms. Multiple studies have shown that trans fats cause inflammation and therefore have a negative effect on mental well-being.

3. Alcohol

Though many Americans reach for booze to self-medicate in the face of everything from clinical depression to short-term stresses, alcohol ultimately makes people feel worse, not better. In addition to its dehydrating nature, unpleasant behavioral side effects, and alarming consequences for the brain, alcohol can actually increase depressive symptoms and suicidal thoughts. A 2019 report in Alcohol Research noted that psychiatric disorders, including anxiety and mood disorders, commonly co-occur with alcohol use disorder (AUD), with depressive disorders being the most common. What’s more, when both depression and AUD are present, both the symptoms and prognosis are worse—including a greater risk of suicidal behavior.

4. Meat Alternatives

Adopting a vegetarian diet sounds like a good idea for one’s personal health and the health of the planet, but there are potential downsides. A 2021 study published in the Journal of Affective Disorders explained that, among almost 50,000 participants, vegetarians tallied higher depression scores. One of the researchers detailed in Psychology Today several possible reasons for the link, suggesting that depressive symptoms may precede this dietary choice and not the other way around. Regardless, when vegetarians and flexitarians alike decide to replace their former go-to proteins with highly processed meat alternatives, it’s important to scan labels to understand what’s actually inside that protein replacement. Or try filling your plate with whole foods like vegetables, grains, and healthy fats, and, if you must, make meat alternatives an occasional indulgence.

5. High-Glycemic Foods

Eating a diet chock full of foods with a high glycemic index, such as sweetened drinks, processed meats, and processed baked goods, has been linked to a greater risk of depression through various research, including a 2015 study in the American Journal of Clinical Nutrition. Collecting and analyzing data from almost 70,000 women with no history of mental health disorders (including depression) or substance abuse, they found that those eating a high-glycemic diet, with high levels of refined carbs, had an increased risk of depression. Interestingly, after the study’s 3-year period, researchers concluded that added sugars, not total sugars or total carbohydrates, were strongly associated with the onset of depression.

6. Toxic Fish

Research shows that mercury can contribute to a surprising array of health complications, including neurological, immune, cardiac, reproductive, and even genetic disorders. While fish are often considered healthy choices for their rich omega-3 content, some varieties of fish contain dangerously high levels of mercury, and exposure to heavy metals has been linked to depression, anxiety, Alzheimer’s, Parkinson’s, autism, and lupus, among other health concerns. Here’s a general rule of thumb: The larger the fish, the higher the mercury content, so choose smaller types. Organizations like Seafood Watch and the FDA can help with providing safe recommendations.

7. Artificial Sweeteners

Sugar substitutes may offer up low- and no-calorie alternatives, but they’re often accompanied by their own health-damaging baggage. For example, a 2018 study noted that aspartame (found in brands like NutraSweet and Equal) has been associated with depression, anxiety, irritable moods, insomnia, and a range of other neurophysiological issues. Furthermore, aspartame, as well as saccharine (found in Sweet’N Low) and sucralose (sold as Splenda), can help create high insulin levels, which are associated with a higher risk for depression.

8. Gluten

While sensitivities to gluten, including celiac disease, have been tied to mood disorders, studies show that nixing gluten can offer mental health benefits for individuals with these concerns. Research in Psychiatric Quarterly has linked these sensitivities to depression, mood disorders, anxiety disorders, ADHD, and other issues. However, a 2018 review of 13 studies on gluten and mood symptoms found that adopting a gluten-free diet significantly improved depressive symptoms—and therefore may be one helpful strategy for treating mood disorders in those with such sensitivities.

9. Pesticide-Laden Produce

Pesticides, applied in agriculture to keep pests like insects and mold from destroying crops, have been associated with everything from cancer and hormone disruption to cognitive and behavioral problems, according to the Environmental Working Group. Therefore, a review published in the International Journal of Hygiene and Environmental Health aimed to examine the findings that stated high pesticide exposure correlates with a greater risk for psychiatric disorders and suicidal behavior. The authors found that multiple studies noted increased suicide rates in areas with intensive pesticide use while working in agriculture seems to create a higher suicide risk, versus other occupations. To help minimize pesticide exposure, wash produce thoroughly before eating and choose organic when possible. 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, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. When you’re confronted with a colleague, child/teen, friend, or romantic partner who needs to share a problem that they have strong feelings about, do you struggle with how to respond or fear you may say the wrong thing? You’re not alone. Unfortunately, many of us have learned poor communication styles and respond in ways that may provoke resistance, resentment, or retaliation, and damage relationships. However, we can learn better communication skills.     There’s nothing worse than judgment and criticism. It lacks empathy and destroys productive communication and relationships.
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Researchers have examined what helps to facilitate productive communication, and what hinders it. Nearly 60 years ago, renowned communications training pioneer, clinical psychologist, and researcher Dr. Gordon Thomas determined a number of behaviors that impede productive communication in parents and leaders. He called them Communication Roadblocks, and they still hold true today. They have inspired the following suggestions to help you overcome common communication roadblocks when someone comes to you to share a problem that they have strong feelings about.

COMMUNICATION ROADBLOCKS TO AVOID

1. Don’t Be An “Authoritarian”

If you’re in a position of power, such as in a supervisory or parental role, take off your authoritarian “hat” when an employee or child/teen shares a problem with you. No one wants to be coerced. Avoid these behaviors:

2. Avoid “Big Me, Little You”

People want to be heard. When they offer up a problem, you may be compelled to try and solve it. Be careful of slipping into a destructive “Big Me, Little You” dynamic. Keep the focus on the person’s ability to find a solution, by avoiding the following approaches:

3. Don’t Dismiss

Don’t discount, dismiss, or deny the problem or the pain that the person shares with you. If you find yourself doing it, you might want to examine if what they are sharing is making you anxious or uncomfortable. Avoid these 3 dismissive behaviors:

4. Avoid Judging, Good or Bad

There’s nothing worse than judgment and criticism. It lacks empathy and destroys productive communication and relationships. Avoid it by being aware of these 3 behaviors:

Practice Active Listening

When a person comes to you to share a problem, avoid communication roadblocks by becoming an active listener, a skill used in interpersonal psychotherapy. When another person is sharing a problem, give them your full attention, show you are listening with your body language, and increase empathy by getting outside of yourself to get a sense of what they are thinking and feeling. Research on developing effective communication skills suggests following these tips: Research shows that this kind of active listening helps to strengthen personal relationships, helps to reduce marital conflict, boosts self-esteem, and reduces stress, among other benefits. It’s a communication skill that will pay dividends in all of your relationships! Serious communication issues or conflict in important relationships 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. Giving and receiving emotional support is an integral part of the human experience. After all, we are social creatures that need each other for survival. People who thrive generally have a good support system and know how to give help to others in healthy ways without sacrificing themselves. These same people have better personal relationships, better physical and psychological health, longevity, and greater emotional intelligence according to research.     People who thrive generally have a good support system and know how to give help to others in healthy ways without sacrificing themselves.
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Of course, helping others makes us feel good, too. In fact, one recent study examining neural pathways and giving and receiving emotional support showed psychological benefits for both, but stress-reducing activity only in those who gave support. While our innate altruism may drive us to be emotional support for people in our lives, we receive some unique physiological benefits from doing so! Below you’ll find a list of ways to help others while maintaining personal boundaries, compiled out of the collective wisdom of researchers and mental health professionals.

7 Ways to Provide Emotional Support Without Draining Your Reserves

1. Listen and validate.

One of the greatest ways to support someone emotionally is to be present and listen. Oftentimes, when someone is distressed about something, they need to talk about it without being interrupted, judged, dismissed, or given advice. Give them your undivided attention. Avoid distractions like your phone or letting your mind slip away to tasks you may need to do. Show interest in their words by facing them and having open body language, and signaling you are listening by nodding or saying, “yeah.” If you don’t understand something, ask them to clarify. “Tell me more,” is a great way to encourage someone to open up. After listening, it’s equally important to validate what someone has shared with you. A recent study examined how people responded to a variety of different messages offering emotional support. They found that messages that validated a person’s feelings were more effective and helpful than ones that were critical or diminished emotions. You can validate what someone has shared by reflecting back on the essence of what they shared without judgment. Research shows that being heard is not only helpful in providing emotional support, but it also has beneficial effects in resolving conflict too!

2. Cultivate healthy empathy.

Empathy is the key ingredient when listening and validating another person’s experience.  Empathy is essentially the capacity to share and understand another’s state of mind or emotion. In order to maintain your own sense of well-being while providing emotional support to another, research shows that it is important to think about how an individual is feeling (empathic concern) rather than attempting to feel someone’s pain (empathic distress). It’s a nuanced distinction, but an important one, especially for those who tend to have a lot of empathy. The research shows that identifying too much with how someone feels can trigger your own distress. If you find an individual’s heartache, emotional trauma or depression is feeling like your own that’s a sign that you need to take a step back. Ask yourself, “What are some of the feelings this person could be experiencing right now?” Take it off yourself. Research suggests it can help you diffuse negative emotions, which can make a real difference physically. A few breaths can help as well. And you can always ask the individual, “What do you need right now?” This takes you back to them. And it’s less likely you’ll get stressed and drained.

3. Don’t judge, dismiss, fix, or give unsolicited advice.

This one is a tall order indeed! Even if you see that a challenging situation may be a result of a person’s actions, it does not help them to point it out. (This can be tempting especially for parents providing support to a teen or young adult.) They are likely struggling with their own negative thoughts. They need a compassionate listener, not a critical one. Be positive and constructive. Let them know you believe in their ability to overcome their challenge. Be careful not to dismiss someone’s pain. Well-meaning statements like, “It could be a lot worse,” or “At least you still have a job,” should be avoided. They deny their experience and often imply they shouldn’t feel bad in the first place. No matter how inconsequential you think someone’s concern is, don’t brush it off. It’s important to your own well-being not to get involved in fixing or giving unsolicited advice. It’s not your job to fix someone’s pain. Avoiding this will save you energy and the potential for someone to become too dependent on you. Once they have expressed their feelings, research shows that some offering solicited advice can be beneficial. Though, experts suggest directing solutions back to the individual, asking questions like, “What might help you feel better?” or “Is there someone who has dealt with this situation before you can talk to?”

4. Do small things to help.

A friend or loved one trying to manage emotional challenges often has less capacity to handle some of the basics of day-to-day living and may neglect their own hygiene or health. Bypass grand acts of benevolence, and instead focus on small acts that are useful in order to be supportive. Doing this is an excellent way to avoid getting drained. Do only what have the time and energy to do. These small kindnesses can be much more meaningful. In a 2017 study, 495 men and women answered a series of questions about what makes them feel loved. Results showed that the participants saw the human connection as more meaningful expression of care than receiving lavish gifts. Some ideas might include:

5. Do activities.

Help your friend or loved one get their mind off things. Suggest a fun, low-key activity that can easily be rescheduled if need be. Examples might be taking a walk at the beach, cooking a healthy meal, organizing something easy in their home, playing a game like backgammon, or watching an entertaining show.

6. Encourage professional help.

There may be limits to the support you can provide. In order to help your friend or loved one and not to become overburdened yourself, encourage them to seek medical help. They may have an underlying brain health issue from which an accurate diagnosis from a medical professional and a personalized treatment plan can make a world of difference.

7. Have boundaries.

It’s critical to your own well-being to take excellent care of yourself and give only what you can without harming yourself. That means ensuring you get plenty of restful sleep, exercise regularly, eat a brain healthy diet, and take time out for rest and enjoyment. Be especially careful to have firm boundaries with emotionally draining individuals. You know who they are: They are usually always in a crisis, are not interested in solutions, have an endless list of needs and expectations, and guilt or manipulate you when you set a boundary!

Emotional Support and Empathy

Providing emotional support helps to strengthen our empathy, and that has very positive consequences collectively. In a published study called “The Science of Empathy,” one researcher asserts that “if we are to move in the direction of a more empathic society and a more compassionate world” that this built-in quality needs to be exercised in us all. Mental health issues and the need for greater emotional support 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. Turns out that the old adage “’Tis better to give than receive” is more than a slogan—it’s a concept increasingly supported by science. There is now a significant (and still growing) amount of research to support the notion that the many benefits of helping others reach beyond the recipient, right back to the giver. In fact, giving consistently can positively impact one’s overall quality of life, both in the moment and over the long haul. From improved physical and emotional well-being to lowered risks of dementia and depression, giving back offers a bevy of boons across all age groups. Even better, reaping these rewards doesn’t necessarily require a gargantuan effort, tons of time, or large sums of money; minor efforts can offer major payback, too. Giving back—whether donating, helping a friend or volunteering—helps boost the brain by releasing neurochemicals associated with feelings of happiness, thus improving mental health and making everyone feel a bit more joyful. Giving back—whether donating, helping a friend or volunteering—helps boost the brain by releasing neurochemicals associated with feelings of happiness, thus improving mental health and making everyone feel a bit more joyful.
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Giving Back Is the Gift That Keeps On Giving

Has anyone ever encouraged you to “get outside yourself” when you’re feeling down? They may be on to something: According to a 2021 survey of 2,000 U.S. adults conducted by OnePoll on behalf of Walgreens, 9 of 10 respondents reported feeling better about themselves when giving to a charity. Such good deeds contributed to an array of positive feelings, including “happy” (according to 92% of respondents), “relaxed” (77%), and “healthy” (71%). However, unlike other positive feelings, which may prove fleeting, these can persist over time, lingering after the giving event itself. In 2010, The Journal of Social Psychology noted a study in which 86 participants ranked their life satisfaction and then split into 3 groups. One group was instructed to perform an act of kindness every day for 10 days. Afterward, researchers found that this group reported significantly increased levels of happiness. There’s a scientific basis for this sensation. The Cleveland Clinic notes that scientists, examining the functional MRIs of subjects who gave to charities, discovered that giving back stimulates the mesolimbic pathway, which is the reward center in the brain. That, in turn, releases endorphins, producing a feeling that is sometimes called the “helper’s high.” Finally, giving back is an act that seems to perpetuate itself. In a 2011 study, researchers found that subjects were happier when they were asked to recall a time when they had purchased something for someone else—regardless of the gift’s cost—versus buying a gift for themselves. And the happier they felt about giving in the past, the more likely they would be to spend money on someone else in the future. That may be because the joy of giving doesn’t wane over time; as one experiment found, unlike many other pleasures, giving doesn’t lose its luster even through repetition.

The Physical and Emotional Benefits of Volunteering

While giving back can entail anything from helping a friend to writing a check, many choose to donate their time via volunteering. This practice has been researched at length, including in a study published in 2020 in the Journal of Happiness Studies that tracked 70,000 participants in the United Kingdom over an 18-year period. Results, reported by The Greater Good Science Center at the University of California, Berkeley, showed that those with volunteering experience in the past year “were more satisfied with their lives and rated their overall health as better” than non-volunteers. Greater frequency of volunteering (at least once monthly) ushered in bigger benefits, versus sporadic engagement. Researchers were even able to pin a price value on these efforts, estimating that, for those with a typical middle-class income, volunteering offered the feel-good equivalent of an extra $1,100 per year. A comprehensive online survey, conducted in 2010 among 4,582 American adults, found that volunteering offered a dizzying array of benefits for volunteers, including: Ultimately, the survey found, volunteers tend to draw a connection between their volunteer work and an improved emotional state, and they’re significantly more likely to rate their emotional well‐being in a positive light. They’re also more likely to have a brighter life outlook, including a greater sense of meaning—while they’re less apt to experience periods of isolation and despair or experience negative emotions. Most applaud the “interpersonal and societal benefits” of volunteering, including the ability to “help strengthen their community on a local and national level.” The advantages of volunteering also reach across age groups, with the survey showing that seniors, in particular, can maintain more positive feelings about getting older; are less likely to develop a chronic condition, especially asthma; and are less likely to experience negative sentiments like anxiety, hopelessness, and helplessness. The Greater Good Science Center notes that younger and older demographics profit from volunteering: Ages 16 to 24 and 55 to 74 were especially likely to reap benefits, possibly because these opportunities teach important life skills and help foster interpersonal connections.

Acts of Service Trigger Happiness Neurochemicals

According to the Detroit Free Press, even thinking about helping others can trigger a flood of feel-good chemicals in the brain, such as dopamine, oxytocin, and endorphins that block pain signals. There are other neurotransmitters at work, too: Experts at Cedars-Sinai find that being kind to others can rev up levels of serotonin, which helps regulate mood and can also “increase levels of an endorphin-like chemical in the body called substance P,” which assists in pain relief. Indeed, studies have shown that pain tolerance positively predicts social network size, since oxytocin, vasopressin, and endocannabinoids are associated with social behavior and offer analgesic effects. Other studies have noted that these positive results aren’t simply imagined, as those who volunteer showed better physical health in both self-reported and expert-assessed categories. They also demonstrated better mental health and performed better on cognitive tasks.

7 Ways to Give Back to Get the “Helper’s High”

With all the scientific evidence supporting the physical, cognitive, and mental health benefits of giving, make it a priority in your life. Some simple ways to get started include:
  1. Participating in a fundraiser
  2. Volunteering at a local senior center
  3. Performing a random act of kindness
  4. Donating food to a local food bank
  5. Organizing a clean-up at a local park or beach
  6. Donating blood
  7. Offering to mentor someone
Try a variety of giving options until you find something that brings you joy. 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, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.  Are you involved with someone who has to be the center of attention at all times? Someone who engages in overly dramatic, highly emotional, volatile, excitable, or erratic behavior? If so, your romantic partner, family member, or friend may have histrionic personality disorder. Although these people can seem like the life of the party, their behavior can be exhausting for anyone who loves them. How can you cope when a loved one has this mental health condition?     Although people with histrionic personality disorder can seem like the life of the party, their behavior can be exhausting for anyone who loves them.
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WHAT IS HISTRIONIC PERSONALITY DISORDER?

Histrionic personality disorder is characterized by extreme attention-seeking behavior and exaggerated emotions. The word histrionic is defined as “dramatic or theatrical.” One of 10 types of personality disorders recognized by mental health experts, histrionic personality disorder falls within the “Cluster B” category of personality disorders. Cluster B disorders also includes narcissistic personality disorder, borderline personality disorder, and antisocial personality disorder. People with histrionic personality disorder have a constant need to seek approval from others. They employ charm, seduction, manipulation, and flirtatiousness to draw attention to themselves. These larger-than-life types tend to get upset or feel depressed when they are overlooked or aren’t in the spotlight. An estimated 2-3% of the population has histrionic personality disorder, and women are 4 times as likely to have the condition than men. However, experts suggest women may be over-diagnosed with the disorder while men may be under-diagnosed.

SYMPTOMS OF HISTRIONIC PERSONALITY DISORDER

There is a wide array of symptoms associated with histrionic personality disorder, including: These symptoms can interfere with daily life and cause trouble in relationships, at work, or in school. These symptoms can range from mild to severe and can lead to other mental health problems, such as depression, anxiety, or substance abuse. In some instances, people may even threaten or attempt suicide to gain attention.

WHAT CAUSES HISTRIONIC PERSONALITY DISORDER?

It isn’t clear what causes histrionic personality disorder, but mental health experts suggest that several factors—both inherited and environmental—contribute to the condition. Among the factors believed to increase risk are having a genetic vulnerability, experiencing childhood trauma, over-indulgent or inconsistent parenting, or having a parent who acts in an overly dramatic fashion.

HISTRIONIC PERSONALITY DISORDER AND THE BRAIN

Early research on Cluster B personality disorders (histrionic, narcissistic, borderline, and antisocial) revealed significant neurocognitive impairment in these individuals in multi-step behavior planning. Newer research, including a 2021 functional brain imaging study in the Journal of Neuroimaging, shows that each personality disorder is associated with unique patterns of activity in certain brain structures and neural networks. Abnormal activity within the limbic and paralimbic systems, sometimes referred to as the emotional centers of the brain, was noted in several personality disorders. Despite these findings, the authors of this study point to a need for more neuroimaging studies to explore the specific brain changes associated with conditions such as histrionic personality disorder.

DEALING WITH SOMEONE WHO HAS HISTRIONIC PERSONALITY DISORDER

Individuals with this condition are ego-syntonic, which means they believe their behavior is normal, so they have a hard time admitting they have a problem. Because of this, it can be challenging to get these people to seek psychiatric treatment, which often centers on psychotherapy. This leaves loved ones struggling to cope with their overly dramatic and emotional behavior. For this reason, it is often the spouse or other family members who go to psychotherapy to learn how to handle everyday life. Some of the strategies that can help you cope with a loved one’s histrionic personality disorder include:

Get educated.

Learning as much as you can about histrionic personality disorder can help you understand why your partner or family member acts the way they do. This can help you avoid taking their dramatic antics personally.

Suggest couples therapy.

Although a person with histrionic personality disorder may not be aware that they have a problem, they may be willing to go to marital therapy if they think it is intended to help you. Once in the safe space of a therapist’s office, you may be able to explore your loved one’s troubling behaviors.

Make time to shine.

When your loved one constantly steals the spotlight, it can leave you feeling underappreciated. Be sure to schedule time with friends or other family members—without the person who has histrionic personality disorder—so you can step out of the background.

Set boundaries for children.

If you have kids, set boundaries to limit their exposure to the drama created by the parent with histrionic personality disorder.

Recognize if it’s time to move on.

When a loved one’s attention-seeking behaviors leave you so physically exhausted and emotionally depleted that it is disrupting your ability to parent your children, feel your best, or perform at work or school, it may be time to end the relationship. Histrionic personality disorder and the anxiety, stress, and depression it can cause others 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. Have you ever been friends with someone who is outwardly agreeable but then acts in ways that aren’t so kind? For example, let’s say you suggest going to a concert together and they enthusiastically agree. But when it comes time to buy the tickets they don’t respond to your messages. You go ahead and purchase them since they had initially said yes, but then your pal backs out at the last minute with a feeble excuse. Now you’re stuck with 2 tickets and have to scramble to find someone else to go to the show with you. Or consider this common office scenario. In a meeting, someone brings up an idea for a new project. Everyone verbally agrees with the plan, but when it comes time to get the project underway, one person procrastinates, doesn’t hit their deadlines, and effectively sabotages the whole thing. These are examples of passive-aggressive behavior. People who are passive-aggressive don’t express their anger, disagreement, or negative emotions directly, but rather through hostile or mean-spirited actions. These mixed messages leave others feeling confused, and this destructive trait can damage relationships at home, at work, or in love. People who are passive-aggressive don’t express their anger, disagreement, or negative emotions directly, but rather through hostile or mean-spirited actions. This can damage relationships at home, at work, or in love.
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WHAT IS PASSIVE-AGGRESSIVE PERSONALITY DISORDER?

Passive-aggressive personality disorder (PAPD) is not considered an official psychiatric diagnosis, but according to research published in the journal Psychiatry, some mental health experts contend that it should be. Within the field of psychiatry, PAPD has been viewed in a variety of ways, including a personality trait or syndrome, a dynamic behavioral pattern, or a negativistic personality disorder. Regardless of its classification, it is a real issue for many people that gets in the way of healthy relationships in all areas of life. Outwardly, passive-aggressive people seem pleasant, but internally, they feel frustrated, angry, or negative. They are often insecure, have low self-esteem, or are afraid people won’t like them if they voice disagreement. Research shows that people who are passive-aggressive have an increased risk of the following:

WHAT CAUSES PASSIVE-AGGRESSIVE BEHAVIOR?

Experts point to both genetic and environmental factors in the development of passive-aggressive personality disorder. A study on twins in the Journal of Personality Disorders suggests that heritability accounts for 50% of a person’s risk for this trait. Several research papers have looked into the environmental factors that contribute to this personality type and concluded that the following increase a person’s risk:

10 SIGNS OF PASSIVE-AGGRESSIVE PERSONALITY DISORDER

How can you tell if you or someone you know has passive-aggressive tendencies? Here are 10 common behavior patterns associated with a passive-aggressive personality disorder.
  1. The silent treatment: Passive-aggressive people may have a hard time discussing their anger or negative emotions, so they stop talking altogether as a form of punishment.
  2. Negative body language: Rolling the eyes or crossing arms while others are speaking can be indirect signs of disagreement, resentment, or frustration.
  3. Ghosting: Rather than ending a relationship—whether it’s with a romantic partner or a colleague—in person, the passive-aggressive type is more likely to ghost the other person. They simply refuse to communicate anymore to avoid conflict.
  4. Making excuses: Individuals who exhibit passive-aggressive behavior are experts at coming up with excuses to get out of doing things.
  5. Procrastinating: When the passive-aggressive person says yes to something they should have said no to, they will often put it off as long as possible.
  6. Forgetful: These people tend to forget tasks, assignments, or promises they made that they didn’t want to do in the first place.
  7. Being sarcastic: Individuals who are passive-aggressive frequently use sarcasm to subtly attack others while claiming they are “just kidding.”
  8. Blames others: Passive-aggressive types are quick to say that their shortcomings are due to the fault of others.
  9. Pouts or acts sullen: Saying things are “fine” while conveying a sour mood is a common trait among passive-aggressive people.
  10. Being a complainer: Whining or complaining about things without taking any positive actions to change things is common in this personality type.

HELP FOR PASSIVE-AGGRESSIVE BEHAVIOR

People with PAPD can get better. Recognizing the signs associated with this personality trait is one of the first steps. However, be aware that many of the signs listed above are similar to symptoms associated with other mental health issues, such as ADHD, anxiety, depression, bipolar disorder, conduct disorder, oppositional defiant disorder, schizophrenia, or substance use disorder. Ruling out these other conditions or identifying co-occurring disorders can be helpful in finding the right treatment. Solutions for a passive-aggressive personality disorder may include beneficial forms of psychotherapy, training to improve the ability to resolve conflicts directly, increasing self-esteem, overcoming negativity, and addressing any co-existing disorders. Personality disorders 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.