One of the fortunate—and sometimes unfortunate—aspects of human biology is that we contain within us the physiology for extraordinary pleasures.  When we are psychologically in balance, our capacity to derive enjoyment from our senses and our bodies, whether through eating or exercise or sex, enriches our lives immeasurably.  But when we face underlying turmoil or pain or unhappiness, we can use our inborn capacities for pleasure as shields against thinking and feeling our emotions—literally harnessing our brain chemical messengers and neurotransmitters like infusions of drugs.
 
Sexual addiction is one of the dark roads men and women travel in order to avoid their feelings and the complexities of their life stories.  They turn to sex to “drug” themselves and relieve deeper feelings of anxiety or depression or boredom or loneliness.  In doing so they not only deprive themselves of journeying toward a true understanding of the roots of their negative feelings, they cause a lot of collateral damage.  That damage can include shattered families, a loss of respect in the community, legal problems, financial problems and health problems.
 
Sexual addiction is also unique in that it can now be “fed” 24/7 through the Internet, which provides countless graphic images and videos that are the equivalent of a constant infusion of alcohol or heroin.  Gambling addicts at least have the rate-limiting step of their own finances as a potential brake on their dependency.  Drug addicts have to procure their substances.  But sex addicts can mainline their drug through magazines, the Web, escort services and relationships built only around physical satisfaction.
 
For these reasons, it can take a long time for sex addicts to come to terms with the fact that their addiction is harming them or others.  Most sex addicts aren’t arrested with prostitutes in hotel rooms; they’re wasting good years in one emotionally anonymous relationship after another, or wasting hours and hours on the Internet, or wasting the potential for true closeness with their children because they are driven to divorce by their needs or distracted by recruiting their next lover.  What are the signs and symptoms of sexual addiction?  Here are some to consider:

– Underlying anxiety or depression when the activity related to sex is resisted.

– A need for exposure to sexually stimulating material or relationships that overshadows the need for real emotional, interpersonal connections. A need for exposure to sexually stimulating material or relationships that overshadows the need for real emotional, interpersonal connections.

– A preoccupation with sexual fulfillment or fantasies that interferes with daily life, one’s employment or one’s marriage.

If you or someone you love has any of these symptoms, a psychiatrist or psychologist is a good place to turn for help. Remember, the fact that we have the anatomy and physiology for pleasure of many kinds means that we are, as human beings, also at risk for redirecting those healthy pleasures into pathology.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement including www.livingthetruth.com. Dr. Ablow can be emailed at info@keithablow.com.

With the change in seasons now fully upon us, days are getting shorter, and the risk of seasonal affective disorder is turning into very real suffering for literally millions of Americans.  Most of this suffering can be prevented, if people recognize the cause of their symptoms and get help.

Seasonal affective disorder (SAD) most often visits patients during the fall or early winter.  It has also been called “winter depression” or “winter blues,” but its symptoms mimic major depression of any other kind—the distinguishing characteristic in this case being its connection to less sunlight.   Those symptoms can include sadness, tearfulness, decreased concentration, decreased self-esteem, low energy, alterations in sleep patterns and appetite, loss of interest in hobbies and work and, in severe cases, thoughts of suicide.

If you have struggled with repeated bouts of depression in the past, it’s very important to figure out if you can identify this kind of seasonal pattern.  But SAD doesn’t necessarily manifest itself with serious symptoms every year, so all of us need to be alert this year to whether we’re burdened by it.

SAD costs the economy dearly in lost productivity from employees, employers and entrepreneurs fighting its symptoms.  But it will also inflict an additional and very substantial financial burden on the millions of families directly affected, at a time when so many families are struggling already.  That’s one reason why SAD may be a bigger threat this year than the H1N1 flu, even though SAD gets a lot less attention.

SAD responds to the same treatments used to fight non-seasonal depression.  Psychotherapy is tremendously helpful, as is exercise and, when indicated, medication.  Another promising and safe treatment is transcranial magnetic stimulation (rTMS), which involves repeatedly stimulating a particular area of the brain using magnetic waves. 

I have seen many, many of my patients also benefit tremendously from the use of bright light therapy, which involves sitting for a short time each day in front of specially designed portable lights (which are relatively inexpensive and widely available) that replicate sunlight (without exposing the user to any damaging “tanning” light).   One of these devices is called the goLite, but just Googling “bright light therapy for depression” will bring up lots of choices.  If fall and winter and “down” times for you, then get one of these lights and use it.  It could change your life—for about $150.

It’s time we took SAD very seriously, given the fact that it causes so much damage to so many lives and is so responsive to treatment.  It’s the psychiatric epidemic that comes every year—and one we already know how to defeat.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement including www.livingthetruth.com. Dr. Ablow can be emailed at info@keithablow.com.

With hip New Yorkers focused on Fashion Week, including the designers setting trends and the models bringing them to life, many experts are warning that the skinny women walking runways are not only at risk for eating disorders themselves, but could cause eating disorders in the young women who admire them in magazines and on television.
 
I disagree—at least with the latter concern.  Certainly, women (and men) who make their livings by marketing their physical presence—and being acutely aware of how others are reacting to them—may be more prone than others to psychological disorders connected with self-esteem and unresolved emotional turmoil deep beneath the surface. This not only includes anorexia and bulimia, but conditions like depression, panic disorder and substance abuse. The same could be said, however, of those who gravitate toward the acting profession or any other career in which success is partly determined by the way the person looks in front of a camera.
 
I do not believe, however, that young women who see thin models in magazines or on television become eating disordered based on those images.  In order for anorexia or bulimia to take root, a woman has to have a pre-existing vulnerability of brain chemistry or a life history of emotional turmoil or both.  Seeing thin models in Vera Wang or Calvin Klein won’t distort the body image of those whose self-perception has not been made fragile, whether by complex psychological dynamics or complexities of neurochemistry.
 
For me, part of the evidence that thin models don’t spread eating disorders is that fashion designers use these women to market to all consumers, not just the ones who are razor thin.  The marketplace is still a pretty smart barometer of the American psyche and that means that, like it or not, women who are size 12 are just as likely as size 2 women to be motivated to buy clothes worn by today’s “Twiggy.”  And America is getting fatter despite our collective ideals of beauty, not slimmer. 
 
If size zero fashion models cause anorexia, why have decades of exposure to them resulted in an epidemic of obesity among young people.
 
I maintain the same position about violence in movies.  No amount of watching violent films can make otherwise healthy people turn into thugs or killers—any more than watching films about heists turns moviegoers into thieves.
 
I believe the same can even be said for advertising of alcohol and cigarettes.  The advertising itself doesn’t create addicts.  The desire to be repeatedly intoxicated by alcohol or nicotine resides in the brain chemistry or life circumstances of the users, not within the text or photographs of what is used to promote their drugs of choice. 
 
There are many powerful and toxic influences that fuel the millions and millions of cases of eating disorders, mood disorders, anxiety disorders and substance abuse disorders in the United States.  The most significant of those influences, however, are to be found not in the magazines we read or the television programs we watch, but in the disintegrating and traumatic relationships that unfold right in our homes.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement including www.livingthetruth.com. Dr. Ablow can be emailed at info@keithablow.com.

Postpartum depression is well-known in women who have given birth.  As many as 15 percent of new mothers may experience all the symptoms of major depression in the months following a delivery.  These symptoms can include low mood, low energy, tearfulness, altered sleep patterns, changes in appetite, inability to concentrate, low self-esteem.  They can even include suicidal thinking or bizarre and false beliefs called delusions, which are a form of psychosis. 

Thankfully, awareness of postpartum depression in women has increased dramatically amongst clinicians and the general population. 

What many fewer people realize is that new fathers can fall victim to postpartum depression, too. In my own practice I have seen it happen several times, and research indicates that perhaps 10 percent of men become acutely depressed in the postnatal period.  Their symptoms mimic those of women with the disorder, but they may be even less likely to get help because they believe admitting to their suffering would make them look weak at a time when they want to be seen by others as especially strong.

In the men I have treated, the joys of having a new son or daughter have mingled with complex worries about whether they would be able to support larger families, whether they would lose the affection of their wives and whether they would be equal to the daunting task of being role models for their children.   For some, becoming fathers seemed to bring them uncomfortably in touch with their own mortality, as they contemplated being survived by their offspring.

I have noticed a particular vulnerability to postpartum depression in new fathers who had strained or frankly painful relationships with their own dads.  The recreation of a father-child bond, albeit in a different time and place, with a very new role, can bring a man into unbearably close contact with unresolved conflicts from his own childhood.   “How am I supposed to be a father when I wasn’t fathered at all myself?” one of my patients asked me.

Fortunately, postpartum depression in men responds to the treatments that relieve clinical depression in other settings.  Psychotherapy can be invaluable, as can antidepressant and anti-anxiety medications.  A new technologies, called rTMS (repetitive transcranial magnetic stimulation), has also been approved by the FDA. 

Using the tools in our therapeutic armamentarium, psychiatrists can defeat depression in over 90 percent of cases.  That means that recognizing the signs and symptoms of the condition is half the battle. 

So if you know a man struggling with his mood and his energy level weeks or months after his partner gives birth, don’t assume it’s all about staying up with the baby. Share what you now know about postpartum depression:  It doesn’t just affect new mothers.

Most adults remember being bullied or witnessing bullying during their school days. Most current students cite the same experience, but how bullying is being handled has changed.

Bullying has become a top priority for schools across the country, and many are working hard to prevent it. Bullying is the repeated imposition of power from one child to another and can include verbal threats or insults, physical threats or abuse, or non-verbal threats or abuse, such as spreading rumors about another child. It’s important to know that this can take place in person or via the internet, such as through social networking sites. 

Boys and girls typically bully differently. Boys typically resort to more physical methods, while girls typically utilize verbal strategies, although it is not uncommon for each group to use other approaches. Signs your child is being bullied include becoming quiet or withdrawn, frequent trips to the nurse’s office, refusal to go to school, and withdrawal from previously enjoyed activities, such as teams or social groups. Acting out is not typically associated with children who are being bullied. As a parent, knowing your child is being targeted is one of the most painful and difficult things you can encounter.

Here are some tips to help guide your child through this complicated time:

Be supportive.
Listen to your child as he shares his experience and feelings about being bullied. Praise him for speaking about the situation, especially if he was brave enough to approach you without prompting. Children who are bullied are often afraid to report their situations for fear of retribution for “tattling.” By opening up, he has begun the process of ending the bullying and should be reinforced for doing so.

Build confidence.
Find activities that build your child’s confidence and occupy her time. Individual sports, such as karate or swimming, may be best to start with as your child may worry about becoming a part of a team and opening herself to more uncomfortable social situations.

Contact your child’s school.
Even if the bullying has not taken place on school grounds, it is important that staff is aware of the relationship between your child and the person or people who are intimidating him. Many schools have videos or books on bullying that they can share with you and your child. You can also establish a safe place for your child to go if he feels he is being threatened, such as the principal’s office or the guidance counselor’s office.

Use the buddy system.
Encourage your child to seek one or two safe friends at school and stick with them, especially during times bullying is most likely to occur, such as recess and traveling to and from school. Establish relationships with the parents of your child’s friends and make them aware of the situation.  If bullying typically occurs during the trips to and from school, drive your child or ask a neighbor or friend to do so. Although this step alone may not end the bullying, it provides your child with a bit more security and safety.

Stay involved.
Have access to your children’s email and social networking accounts so you can monitor their activity. Your child could be bullied while sitting right in your living room. Knowing your child’s circle of friends will also help you monitor appropriate or inappropriate relationships, and will help you keep track of friendships that are deteriorating. You can broach the subject by saying “I notice you are not hanging out with (name) much anymore. Why is that?”  If your child does not give you a direct reason, there may be more to the story.

Many professionals frown upon advising children to ignore the bullying, as it sends the message that adults will ignore it too. If you are still unsure of what to say to your child and feel you need more extensive support, seek the help of a health care professional, such as a psychologist or social worker.

Bullying is not just “kids being kids.” It is hurtful, unhealthy, and has the potential to cause long-term emotional and physical damage. Being informed and involved may save your child from this painful situation.

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

Today we heard of a shooting at the Holocaust Museum in Washington, D.C. that appears to be the work of a single gunman, whom authorities believe to be a man in his late 80s by the name of James Von Brunn. If this is the suspect in custody, he is actually a World War II veteran and vocal member of the Holy Western Empire, which at this point, seems to be a white supremacy group.

It is sad to see people resorting to violence to settle their differences. And we have to be aware that we still need to be vigilant in our efforts to protect ourselves — despite the feeling of some Americans that security measures in this country have become too intrusive. It’s important to support our men and women in uniform, who at both the local and national levels, do a terrific job of keeping our country safe.

What this man did was an act of terrorism — domestic terrorism.

But the big question is: What’s the psychological profile of this shooter? If you look at some of the psychological profiles of past shooters, they are all different in their own way. However, there always seem to be some common themes.

Most of these people are angry at someone or a group of people, and share a psychotic belief that their misfortunes are predicated on the actions of those they hate.

Usually they are loners — they feel rejected by others or by society as a whole.

For some, substance abuse and depression are common themes, but even knowing these common themes, it is almost impossible to differentiate between who will just withdraw from society and who has the potential to snap and hurt innocent people.

I pray for those hurt in this tragedy and hope that we are able to create systems that could perhaps better identify high-risk people and prevent future tragedies from occurring.

According to William and Janis Mohat, their son Eric, a 17-year-old, was bullied to death at Mentor High School in Mentor, Ohio.  On March 29, 2007 Mohat shot himself after relentless harassment and intimidation that included being pushed, shoved and hit ― not to mention being humiliated by being called a fag, a queer and a homo.  Eric had never shown any interest in homosexuality at all.

Click here to read the full story on FOXNews.com
 
The Mohats are suing their school district, alleging that one of Eric’s teachers — Thomas M. Horvath — saw the bullying and did nothing to stop it.  Two other students committed suicide the same year Eric did.  His parents say bullying was a factor in their deaths, too.  And another parent, named Dan Hughes, reportedly withdrew his son Brandon from the school after he was picked on, non-stop.
 
The Mohats aren’t after cash.  They want to force the school system to put a comprehensive and effective anti-bullying program in place.  I think they should be after both.  I also think they should urge local authorities to press criminal harassment (and possibly wrongful death) charges against Eric’s bullies.
 
Bullying is an old problem that repeated and dogged litigation may be the only way to solve.  The litigation may have to be as relentless as the bullying itself. 
 
Schools have, for decades, either utterly ignored or done far too little to fix the bullying that takes place in their schoolyards and classrooms, cafeterias, restrooms and hallways.  Too little is done to prevent bullying, and bullies aren’t sufficiently disciplined.  Eric Mohat’s assailants, for instance, should have been identified, punished and, if they persisted, suspended from school.  Period.  The same goes for bullies in any other school district, in any other community.
 
As a psychiatrist who has treated bullies and their victims, I believe that early detection of aggressive kids and vulnerable kids, with preventive strategies targeted toward each can be effective.  But reaching deep into the souls of bullies to find out what shattered their empathy and turned them into child predators (yes, predators) can take a fair amount of time.  So when bullies are identified, the first order of business has to be to stop their emotional and physical abusiveness—through discipline, containment, suspension or expulsion.  The healing work of identifying and addressing the roots of their violence can then begin.
 
Eric Mohat allegedly lost his life to bullying.  Indeed, researchers have identified a connection between bullying and suicide.   What’s more, the U.S. Centers for Disease Control estimates that every day in this country160,000 children stay home from school because they fear bullies.
 
In my psychiatry practice, I have met adolescents, young adults and adults who bear the scars.  Bullying can cause lasting low self-esteem, persistent anxiety and major depression.  It can warp personality structure, either spawning a tendency toward irritability and violence in victims, or a tendency toward isolation and passivity. 
 
The word needs to go out loud and clear, not only from William and Janis Mohat, but from school administrators and the law enforcement community, that bullying will be seen as any other form of assault.  That means that child bullies get sent home from school and started in therapy, adolescent bullies get suspended from school or expelled (and started in therapy) and teenage bullies get their therapy, along with being suspended, expelled and/or referred to the juvenile justice system.  
 
It’s really that simple.  I hope that that any school system, school administrator or teacher who ignores bullying is sued and has to dig very deep into their pockets to pay a very significant judgment.  No amount will ever compensate victims and their families — certainly not those who lose sons or daughters to suicide.  But using litigation (or the threat of it) to shape social policy may be the fastest route to keeping our kids safe at school.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s website at livingthetruth.com or e-mail him at info@keithablow.com.

Today I want to comment on a news piece from the New York Post about Dr. Malcolm Lloyd, a physician who seems to be recommending daily alcohol consumption as a preventative for a variety of ailments from the common cold to Alzheimer’s and certain cancers. He also seems to be indicating that people who drink regularly in moderation seem to live longer than those who don’t. Give me a break!

I know that there have been numerous publications exploring the correlation between alcohol consumption and heart health. For example, we all know that a chemical compound found in wine called resvesterol, is a potent antioxidant that has been shown to complement the stability of a healthy heart.

However, there have been many other studies that have clearly demonstrated increased cancer rates ― especially breast cancer ― in women who consume moderate amounts of alcohol.

Now trust me, I am not, by a long shot, a person who doesn’t enjoy a good drink once in a while. And I do acknowledge that there are cultures in various parts of the world where alcohol is an integral part of the local cuisine. However, these are also the cultures where healthy servings of vital nutrients, vegetables and proteins play a key role in their daily eating habits. They tend to be more physically active, and place a lot of importance on maintaining healthy sleep patterns.

But here in the U.S., we are a “fast-food nation.” For the last 3-5 years, we’ve been hearing about how the obesity rate has reached epidemic proportions – affecting both adults and our children.

Obesity significantly raises the risk for many diseases and conditions like:
          o          Coronary heart disease

          o          Type 2 diabetes

          o          Cancers (endometrial, breast, and colon)

          o          Hypertension (high blood pressure)

          o          Dyslipidemia (high total cholesterol or high levels of triglycerides)

          o          Stroke

          o          Liver and Gallbladder disease

          o          Sleep apnea and respiratory problems

          o          Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint)

          o          Gynecological problems

 
Americans also deal with high rates of depression — another disease that when coupled with the effects of alcohol can have disastrous results.

We also have to remember that alcohol has addictive properties that for some folks can completely ruin the chances of future health and longevity.

I know that everyone is looking for an excuse to justify their daily cocktail, but I find it irresponsible for one physician to give us a free pass to drink myself to “an everlasting life.”

In some cultures, as soon as a baby is born, the father whispers a message into the child’s ears. I’ve seen it done with some of the babies I’ve delivered, and while I never ask what was said, I’m sure it’s a massage of hope and love.

I don’t know if my father did anything like that when I was born, but he did make sure to tell me early on in my life, that America was the land of hope and opportunity. And I believe that it was then, and it always will be.

I know that for many people right now this seems like a difficult concept to believe in, but for some of us, today’s troubles are the challenges that will continue to make our future great.

The stresses that most Americans are experiencing right now are overwhelming. I see it in my own practice — unfortunately these days it seems even the joy of a new baby is sometimes overshadowed by the financial strain of a growing family.  I tell some of my patients that are dealing with these feelings of anxiety to reflect on their past and see how America has always been there for them.

It’s human nature to survive, and throughout history, we have seen people survive through much worse conditions than we are in today. This isn’t the first time a nation has faced hardship, and history has shown us that even at the lowest points, through two world wars, depressions, the Holocaust, famine and terrorism, just to name a few, the human spirit has prevailed. And today, we as Americans will not surrender.

As a kid, I grew up in a communist dictatorship where our survival was predicated on dealing with a black market economy. My father came to America with just a coat and $150 in his pocket. America made him a new man and allowed him to work hard and build up his family. He stopped thinking about the worst-case scenario, and focused on making an honest living.

America will never fail — just look back in our history. The world has seen many terrible things. But rather than surrendering to your worries about the present, think of the past and remember the words of Winston Churchill, who in his most desperate moments, rallied those around him, by saying “We will fight in the hills, we will never surrender.”

Of the nearly two thirds of U.S. adults surveyed, 64 percent agree that they are filled with greater joy soaking up the summer sun, then bundling up in winter coats. According to studies done at Cornell University, the winter blues and its more severe foil, Seasonal Affective Disorder (SAD), affects about four times as many women as men.

Although the science is still relatively new, research has begun to reveal how mindful eaters can choose their fuel to help achieve or maintain a desired mental state.  Our moods are linked to the production or use of certain brain chemicals. Scientists have identified many of the natural chemicals in foods that change the way we feel. Food influences neurotransmitters by attaching to brain cells and changing the way they behave. This opens pathways to those cells so that other mood-altering chemicals can come through the gates and attach themselves to brain cells.

So the next time you want to change your mood, take a walk to the kitchen — it might just save you a trip to the therapist!

To ease feelings of depression:  Eat more fish!  Omega-3 fatty acids (found in fatty fish such as salmon, herring, sardines and tuna) may help ease depressive symptoms.  A recent study showed that eating fish twice a week was associated with lower risk of depression and suicide. Magnesium, can also ease symptoms of depression. Enjoying a bowl of whole-grain cereal and soy milk topped with walnuts will supply you with magnesium and increase your intake of omega-3 fatty acids, which will ease your frame of mind into the afternoon frenzy when your kids come home.

To get out of a bad mood: A lack of selenium can cause bad moods. Individuals suffering from too little selenium have been shown to be more anxious, irritable, hostile and depressed than people with normal levels of selenium. Pistachios, salmon, and shitake mushrooms can instantaneously get you out of this funk.

When you want to feel pleasant and alert: Eating foods that stimulate the release of dopamine may produce enjoyable feelings. Phenylnine is an essential amino acid found in the brain and blood that can convert in the body to tyrosine, which in turn is used to synthesize dopamine instantly increasing your energy and alertness. Start your morning off with a bowl of hot oatmeal to warm you up try adding skim milk and sliced bananas to add a boost of dopamine and to leave you feeling happy throughout the day. Breakfast is a must because it provides glucose to your brain, making you mentally efficient and vigilant.

When you want to feel happy:  When we don’t get enough exposure to sunlight our moods and physical health may suffer. More specifically, serotonin levels, a hormone associated with elevating your mood rises when you’re exposed to sunlight. So we often feel sad during the darker, winter months.  An amino acid, tryptophan helps raise serotonin levels in your body, causing you to feel upbeat once again. Eating foods that are high in tryptophan such as, simple carbs, low-fat cottage cheese, nuts, and chicken will help cure your winter blues.  A slice of whole-wheat toast with low-fat cottage cheese and jam is a sure way to boost your mood. 

Get Moving: Studies show that anywhere from 30 minutes to an hour of exercise every day can have a positive impact on your mood. When we exercise our body releases endorphins that help us to feel happy, but it also has been shown to reduce stress, which often intensifies feelings of depression brought on by the winter blues.  It can also increase your joy by making your skinny jeans and little black dress fit better, and is there any greater feeling then that?!

Tanya Zuckerbrot, MS, RD is a nutritionist and founder of Skinnyandthecity.com.  She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being.  For more information log onto www.FFactorDiet.com.