Emotional Health Digest
The latest news supporting your emotional well being
September 2006
 
Gerry Fisher, LICSW
Arlington, MA
(781) 929-6341
gfisher-LICSW@comcast.net
http://www.gerryfisher.com/
As a life consultant, I specialize in helping people to make the inner shifts necessary to get unstuck and achieve their goals. As part of this work, I keep up to date on the latest research on happiness and emotional well being. Please pass this along to friends, relatives, and coworkers. And, if one of these summaries inspires you, I'd love to hear from you!
    
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A man of genius makes no mistakes. His errors are volitional and are portals to discovery. 

--James Joyce

British serious about taking kids off antidepressants 
The November/December 2005 issue of the Psychotherapy Networker states that the National Institute for Clinical Excellence (NICE), which issues guidelines for Britain's National Health Service, issued a statement saying, "Antidepressant medication should not be used for the initial treatment of children and young people with mild depression."
 
In the United States, in response to concerns about the link between a few antidepressants and suicidal thoughts in children, there has been a 20% drop in prescription rates for young people. The drop in Britain is even steeper. The article states that the British may be giving more weight to the research showing that certain therapies and exercise are as effective as medications. NICE recommends a minimum of 3 months of psychotherapy. 
 
I currently work with two young adults: one who replaces medical-based counseling with our work, and one who uses our work as an adjunct to counseling in the medical community.Contact me for more information about how life consulting can contribute to a healthier lifestyle and increased self esteem.
Gilbert's latest book: Stumbling on Happiness 
The May 20, 2006 edition of the Boston Globe included an article about the book,  Stumbling on Happiness, written by Harvard psychologist Daniel Gilbert. Gilbert's research finds that, generally, people are poor predictors of what will make them happy in the future.
 
In general, Gilbert finds that people overestimate the effect of hedonic (pleasure giving) aspects of future events. He examined notions regarding voting, falling in love, sporting events, medical results, and so on. Another major finding was almost universal denial of the first point. Gilbert says, "You can't think of a job or car or marriage as putting you in a state of happiness for the rest of your life."
 
Although the book is not a self-help book, the Globe author pressed Gilbert: from a research point of view, what can people do to be happier.  Gilbert responds, "Stop working so hard to earn money, and spend more time with family and friends...It's also clear that one of the best predictors of happiness is the extent and goodness of social networks." The article states that it appears that people don't want to hear that answer. Gilbert explains, "We want a quick fix and we want something exotic. We want unhappiness to be cured like an infection. It's not going to happen."
 
I feel very proud that, as a life consultant, I am able to accompany people on the journey of creating a happy life. Whether helping people improve their financial standing, find a compatible partner, make a career change, or some other personal project, I help people to develop the inner approach needed to avoid postponing happiness and to enjoy life's journey every step of the way. If you're ready to work on your own personal project of living happily, contact me.
Review: Treating anxiety and sleep disorders 
The December 2005 edition of the Harvard Mental Health Letter provides an overview for the latest thinking in the treatment of anxiety and sleep disorders:
  • Benzodiazepines (Klonopin, Xanax, Valium, Ativan, and others), which are effective and safe when used with many other medications, but they can be addictive.
  • BRAs (Ambien, Sonata, Lunesta, and Indiplon), which are now the favored drugs for insomnia, but rarely compare with benzodiazepines in trials and require more study.
  • Antidepressants (SSRIs like Zoloft), which can be used with benzodiazepines and can combat depression as well.
  • Other drugs, which range from effective (BuSpar and Ramelteon), safe but ineffective (Antihistamines), and shown to be no more effective than placebo in clinical trials (Kava and Valerian).
  • Other treatments (exercise, muscle-relaxation training, yoga, breath training, and hypnosis), including cognitive-behavioral treatment, which is shown in most studies to be as effective as benzodiazepines and lasts longer.
For references used by this newsletter, follow this link.
 
I apply a sophisticated form of cognitive-behavioral work when I consult with clients about shifting their inner approaches to their lives. Contact me if you are interested in applying cognitive-behavioral techniques to sleep or anxiety problems.
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The greatest remedy for anger is delay. 

--Lucius Annaeus Seneca

Who is in charge of your thinking? 
The May & June 2006 issue of AARP: The Magazine includes an article on self-help guru Byron Katie's approach to zapping self destructive thoughts and stress with a method she calls "The work." Her underlying premise is: All suffering is optional.
 
Now 63, Katie divorced her husband at 33, and she slipped into a downward plunge of rage, paranoia, suicidal depression, morbid obesity, and agoraphobia. One night, while in residential treatment for mental illness, she realized that her own thinking was causing her misery, and she engaged herself in courageous self-examination by asking and answering four direct questions. She left the treatment center at 43 and never looked back.  Here are four questions you can ask about any painful thought:
  • Is it true?
  • Can you absolutely know that it's true?
  • How do you react when you think that thought?
  • Who would you be without that thought?
When I help people to develop inner approaches that feel better, increase motivation, and help people to be more flexible as they work toward goals, an early step involves teaching clients that they control their thoughts, not the other way around. (Alcoholics Anonymous has a wonderful saying, "Why let that notion live rent free in your head?") For more information, check out Katie's latest book, I Need Your Love—Is that True, or contact me for information about how life consultation can put you back in charge of your life.
Research suggests: "follow your gut!" 
The February 17th, 2006 edition of the Boston Globe reviewed preliminary research findings published in a recent edition of the Science journal, which suggests that it may be more effective to "follow your gut" with big decisions than to go strictly by the Pros and Cons.
 
Ap Kijksterhuis, a professor of psychology at the University of Amsterdam summarizes his research by suggesting that you gather all information about an important decision, review the information, and then set it aside for a while. Ultimately, when it comes time to make a decision, go with what feels right. (For simpler decisions, the rational Pros and Cons approach works just fine.) The research is validating other studies that seem to indicate that the subconscious mind is "smart," and that it continues to think things through, even when you are not consciously aware of any thinking going on. This type of subconscious thinking appears to be particularly helpful for major decisions that are so complex that they cannot be efficiently processed in the conscious mind.
 
The researchers said that more study is necessary. "Like any great paper," said Timothy Wilson, psychology professor at the University of Virginia, "it raises more questions than it answers."
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The greatest reward from your working is not what you get from it but what you become by it.

--Sydney Harris