As we wrote about recently, meditating carries a lot of benefits for your mental and physical health. A recent study not mentioned last time found that meditators performed better on a test of executive function and were more likely to notice their errors on the test but were less likely to dwell on those errors.
So, in addition to reducing stress, lowering blood pressure, and preventing relapses of depression, meditation may also help you maintain control of your attention. Perhaps this isn’t surprising since meditation is essentially an exercise for your focus and attention, just as weight lifting is an exercise for your muscles.
The benefits that meditation offers are why many mental health professionals recommend meditation to their patients. But, just like exercise, meditation requires an investment of time and effort. It’s very easy to fall out of the habit of doing it every day.
For this reason, we are going to start a weekend meditation group at Sarkis Family Psychiatry. We hope that the group will help those who join to continue their mediation practice consistently and thoughtfully throughout the week. At these meetings, you will learn a variety of meditation techniques, and you’ll enrich your understanding by hearing about the experiences of the other meditators in the group.
If you think you might be interested, please email us at info@ehsfamily.com
New study out on TMS
Non-Drug Depression Treatment Rapidly and Significantly Improves Disease Symptoms and Quality of Life
Percentage of Patients Reporting a Return to Normal Activities More Than Tripled Following Treatment with NeuroStar TMS Therapy®
PHILADELPHIA, May 8, 2012 /PRNewswire/ – New data released today at the annual meeting of the American Psychiatric Association show that patients with unipolar, non-psychotic Major Depressive Disorder (MDD) receiving transcranial magnetic stimulation (TMS) with NeuroStar TMS Therapy® achieved significant improvements in both depression symptoms and in quality of life measurements. Overall, 58 percent of patients achieved a positive response to NeuroStar TMS therapy, with 37 percent of patients achieving remission from their depression.
Meditation and mental health
Meditation is the practice of deliberately paying attention in order to relax and improve concentration and awareness. Although meditation has its origins in Hinduism and Buddhism, it is no longer an exclusively religious practice. Since the 1970s, researchers have been studying the effects of meditation and have found it to have a number of benefits for your physical and mental health.
Meditation has been working its way into the mainstream as part of the treatment for a number of physical and mental health conditions. Last year, an ABC News report found that 3 million Americans have had their doctors recommend meditation or mediation-like practices.
Stress-reduction is a common reason doctors recommend meditation. High levels of stress can have numerous consequences for your physical and mental health, and mediation has been shown to decrease stress and improve blood pressure. Research has also suggested that meditation-based practices can be useful for the treatment of anxiety disorders, binge eating, depression, fatigue, pain, sleep problems, and substance abuse. Last year, a Harvard study found that that mediation can cause physical changes in the brain, increasing the density of areas associated with learning and memory.
There are several types of meditation; mindfulness, Zazen, Transcendental, and breath mediation are some. Breath mediation is probably the simplest type to start with. You may do this mediation sitting cross-legged on a pillow on the floor, sitting on a chair, or lying down.
A simple breath mediation:
1. Relax
Often you’ll notice some tension in your shoulders, your back, or your jaw. Try to relax that tension.
2. Breathe
Don’t try to breathe in any particular way. Just breathe at a rate the feels comfortable.
3. Focus on your breath
Direct your attention to a part of your body where you can feel the sensation of breathing. Often this is either the sensation of air moving in and out of your nostrils, or it’s the rising and falling of your belly. Pay attention to the different sensations as your breath goes in, as it goes out. Also, pat attention to the spaces between breaths.
4. Notice distraction and return to your breath
When your mind wanders—and it will—try not to scold yourself for getting distracted. Simply return your attention to your breath. This will happen many times, but it’s an important part of the practice, so don’t think of it as failure. Stay relaxed, and keep returning your attention to your breath.
You may do this for as long as you like. It can be helpful to use a timer so that you don’t get distracted by thinking about how much longer you should meditate. Ten minutes is a common starting length, but even one minute of meditation can be relaxing.
You can download free mediation timers here.
Watch the TMS segment of the Dr. Oz show
Did you miss the March 14th episode of The Dr. Oz Show? As we mentioned before, one segment of the show featured Transcranial Magnetic Stimulation (TMS), a cutting-edge treatment for depression that we started offering last year. Those clips are now up on the Dr. Oz website.
Because the Neurostar device is the only TMS device approved for the treatment of depression, what you see on the Dr. Oz Show is exactly what you’ll get here—the same machine, the same kind of treatment. The only difference is that, instead of Dr. Oz, you’ll be accompanied by Erin Kleim, our TMS coordinator. And instead of watching a studio audience, you’ll be watching Netflix, listening to Pandora, or just chatting with Erin.
Watch the clips and give us a call to find out more (352-333-0094).
Part 1
Part 2
You can also email Erin, visit our FAQ page, or you can request more information through our website.
Update: NeuroStar TMS Therapy on Dr. Oz
This Wednesday, March 14th at 4pm the Dr. Oz show will feature a segment on TMS Therapy® and potentially demonstrate a treatment using the NeuroStar® system!
Dr. Tarique Perera, a NeuroStar TMS Therapy Provider from Greenwich, Connecticut, was asked to be on the show, along with one of his NeuroStar TMS Therapy patients.
Adderall in The Alligator: our letter to the editor
This is a letter we wrote to The Independent Florida Alligator in response to the front-page story, “Adderall no substitute for good study habits, experts say.
Dear editor,
In the February 24th issue of The Alligator, Maureen Mariano brought some attention to the problem of Adderall abuse on college campuses. Pointing out safe alternatives to “study drugs” is important, but there is still more that should be said about the consequences of misusing medications like Adderall.
For one, the legal consequences can be severe. Adderall and the other stimulants used to treat ADHD are schedule II substances. That means they are among the most controlled substances that one can prescribe. Selling or distributing these medications is illegal and can lead to felony charges. You can be arrested and put in jail.
The consequences for the other student’s health may be significant. These medications can be effective treatments for ADHD, and for a great majority of people, they are very safe. However, for some susceptible people, they can cause some severe problems, including paranoia, accelerated heart rate, and sudden death.
A physician needs to evaluate, prescribe and monitor your response to the medication. Used correctly, these medications help many people lead more productive lives.
However, misusing these medications may leave you with a lot more to worry about than tomorrow’s exam.
Elias H Sarkis M.D.
Eric Dutton M.A.
Sarkis Family Psychiatry
We have lots of information about ADHD on our website, and the U.S. National Library of Medicine has a page full of information about Adderall.
New Clinical Trials location: Lake City
Sarkis Clinical Trials is pleased to announce its new clinical research office in Lake City Florida! This expansion will allow residents of Columbia and surrounding counties to access clinical trials without having to travel to Gainesville.
This new endeavor would not be possible without the help and collaboration from Umesh Mhatre M.D. Dr. Mhatre has been providing psychiatric services to Lake City and North Central Florida for over 30 years. The new Sarkis Clinical Trials office will be housed in the Psychiatric Associates of Lake City office, where both Dr. Elias Sarkis and Dr. Mhatre will be serving as study investigators. If you are interested, please contact us to learn more about the studies that are being conducted there.
Sarkis Clinical Trials
611 NorthWest 60th St., Ste C
Gainesville, FL 32607
(352) 333-0094
Psychiatric Associates of Lake City
165 SW Vision Gln
Lake City, FL 32025
(386) 755-1800
Recent Depression Studies
Now that we are offering transcranial magnetic stimulation (TMS) therapy, a cutting-edge treatment for depression, we thought it would be a good time to review some recent studies related to depression.
Unearned praise and undeserved criticism lead to dejection
The results of a study recent study published by the American Psychological Association suggest that people who are given inaccurate feedback about their performance at a task (such as taking a test) are at higher risk for depression, even those who how score low but are told they did well. The same pattern emerges for those whose self-assessments are not accurate. Accurate feedback and self-assessment appear to be the better than unearned praise or for emotional heath.
Lack of sleep may contribute to depression
Recent research reaffirms the importance of sleep. While sleeplessness is known to be a symptom of depression, it may also be a factor that contributes to depression.
Good diet is good for emotional health
Two recent studies have reaffirmed the effect of diet on depression and anxiety. Both studies found that a good diet predicted better overall mental health. Even after adjusting for a number of other factors, one study found that adolescents with healthier diets (specifically one that emphasizes eating lots fruits and vegetables and avoiding processed foods) had better mental health and that those who improved their diets showed a similar improvement in mental health. The other study, which focused on depression and anxiety, found that those with a healthy diet were less likely to suffer from depression and that those who ate a lot of processed foods were more likely to suffer from anxiety.
Coffee may help prevent depression
Caffeine is a highly studied drug. Now, it seems that coffee (with caffeine) may help prevent depression in women.
Internet-based depression treatment is effective
Recent research has confirmed the effectiveness of internet-based cognitive behavioral therapy, both for treating depression and for preventing relapses. The treatment, often used in addition to traditional therapy, can be done at home on any computer with an internet connection.
A lot of depression goes unreported
A new survey reveals that a huge amount of depression may go untreated because, for various reasons, many people don’t tell their doctors when they feel depressed. The reason most frequently given was that patients were worried that their doctor might recommend antidepressants.
Recognize your symptoms and ask about your options.
Antidepressants can be an effective means of treating depression, but there are also treatments that don’t require drugs.
Our website has lots of information about depression. Here is a list of some of the symptoms. If you think you might be depressed please talk to your doctor or give us a call (352-331-5100).
SYMPTOMS OF DEPRESSION
Emotional symptoms:
- Frequently sad, blue or down
- Getting less pleasure from usual activities; feeling apathetic and unmotivated
- Increased irritability
- Increased anxiety
- Reduced or increased appetite
- Feeling easily hurt or rejected; overly sensitive to criticism
Physical symptoms:
- Unusually tired or fatigued
- Weight loss or weight gain
- Difficulty falling and/or staying asleep or wanting to sleep too much
- Increased body pain or headaches
Mental symptoms:
- More difficulty concentrating and remembering
- Difficulty making decisions
- Your thoughts feeling slowed down or having difficulty shutting your mind off
- Thoughts becoming overly negative, pessimistic or self critical
- Worrying excessively about minor problems
- Thinking that you would be better off dead or wanting to harm yourself
Clearing up some misconceptions about TMS
As we’ve mentioned before, Sarkis Family Psychiatry is offering Transcranial Magnetic Stimulation therapy, or TMS. TMS is a relatively new but very safe and effective treatment for depression. Recently, the procedure was featured on Inside E Street, a TV program produce by AARP. The final segment of the show told the story of one woman’s success using TMS to treat her depression.
After the death of her husband, Effi Vasiliade fell into a deep depression. Her medications, which had helped after her mother died, were providing her no relief, and she found herself wishing for death. Then she heard about TMS on TV and found a facility that offered the treatment in Boston. After a few months of regular treatment, she found herself enjoying life again, even taking a vacation trip into the mountains of Greece.
Effi’s story is a triumphant one, and it’s the kind of story that encourages us as providers of TMS therapy. But perhaps due to its newness, there are still a lot of misconceptions about TMS. Unfortunately, some of those misconceptions were repeated in this segment of the show.
In her introduction, the host of Inside E Street calls TMS a “treatment of last resort” for people who haven’t had success with conventional therapy or who “don’t tolerate electroshock therapy.” TMS need not be a treatment of last resort, though. TMS is indicated for patients with major depressive disorder who have not had success with one antidepressant. Given the treatment’s very minimal and tolerable side effects (mostly some mild scalp discomfort), it can be helpful even to those who are getting some benefit from their medications but who are unhappy with the side effects.
The suggestion that TMS is an alternative to electroconvulsive therapy, or ECT, (what used to be called electroshock therapy) is also misleading. ECT is intended for patients who have extremely severe depression. It stimulates the brain by inducing seizures using electric current. It must be administered while the patient is sedated, and it requires recovery time after each treatment. Because of the side effects, caused by both the electricity and the anesthesia, it is more appropriate to call ECT a treatment of last resort.
TMS stimulates the brain using electromagnetic pulses, not electric current. It is administered while the patient is awake and alert, and requires no recovery time. Both ECT and TMS are effective treatments for depression, but they are very different treatments meant for different kind of patients.
We are glad that Inside E Street brought some attention to this exciting new treatment for this all too-common disease. Hopefully, as TMS becomes more widely-available, it will become better-understood and some of the misconceptions about the treatment will disappear.
TMS Therapy on Dr.Oz
Announcement: NeuroStar TMS Therapy on Dr. Oz!
Air Date: February 8th, 2012
On the afternoon of February 8th, the Dr. Oz show will feature a segment on TMS Therapy® and potentially demonstrate a treatment using the NeuroStar® system!
Dr. Tarique Perera, a NeuroStar TMS Therapy Provider from Greenwich, Connecticut, was asked to be on the show, along with one of his NeuroStar TMS Therapy patients.
