26. October 2011 by John Schinnerer.

For years, I’ve been teaching clients simple frameworks to manage the emotional mind. These frameworks have to be accessible within 1/3rd of a second, before the emotional mind hijacks the rational mind.

A powerful example of this is the framework developed by Phillip Zimbardo at Stanford regarding time perspectives and valence, which is a fancy way of saying that our attention can take you certain places - internal (e.g., monitoring your heart rate, your thoughts) or external (e.g., the room you are in, the people you are with); past, present or future; and/or positive or negative emphasis.

From Ken Pope’s excellent newsletter…

*CNS Neuroscience & Therapeutics* has scheduled an article for publication in a future issue: “Treating Major Depression by Creating Positive Expectations for the Future: A Pilot Study for the Effectiveness of Future-Directed Therapy (FDT) on Symptom Severity and Quality of Life.”

The authors are Jennice S. Vilhauer, Sabrina Young, Chanel Kealoha, Josefine Borrmann, Waguih W. IsHak, Mark H. Rapaport, Narineh Hartoonian, & Jim Mirocha.

Here’s the abstract:

[begin excerpt]

Introduction: This nonrandomized pilot study assesses the efficacy of a new future-oriented form of therapy, known as future-directed therapy (FDT), as a treatment for patients with Major Depressive Disorder (MDD) in a naturalistic hospital-based outpatient psychiatry clinic. The study measured symptom severity of depression and anxiety, in addition to quality of life pre- and posttreatment.

Aims: The study examined a new manualized treatment designed to help people anticipate a more positive future. The intervention consists of twenty 90-min group sessions administered twice a week over 10 weeks. The intervention was compared to depressed patients in the same clinic who enrolled in traditional cognitive-based group psychotherapy. Sixteen patients with MDD completed the FDT intervention as part of their outpatient treatment for depression. Seventeen patients with MDD participated in treatment as usual (TAU) cognitive-based group therapy. The Quick Inventory of Depressive Symptoms, the Beck Anxiety Inventory, and the Quality-of-Life Enjoyment and Satisfaction Questionnaire short form, self-report instruments were administered prior to and immediately after the completion of therapy.

Results: Patients treated with FDT demonstrated significant improvements in depression (P= 0.001), anxiety (P= 0.021) and quality of life (P= 0.035), and also reported high satisfaction with the therapy. Compared to the TAU group, patients treated with FDT showed greater improvements in depressive symptoms (P= 0.049).

Conclusions: FDT may have the potential of becoming an additional treatment option for patients with MDD.

[end excerpt]

On the Cedars-Sinai (where the research was conducted) web site there was the following additional information:

[begin Cedars-Sinai info]

Patients with major depression do better by learning to create a more positive outlook about the future, rather than by focusing on negative thoughts about their past experiences, researchers at Cedars-Sinai say after developing a new treatment that helps patients do this.

While Major Depressive Disorder patients traditionally undergo cognitive-behavior therapy care that seeks to alter their irrational, negative thoughts about past experiences, patients who were treated with the newly-developed Future-Directed Therapy(TM) demonstrated significant improvement in depression and anxiety, as well as improvement in overall reported quality of life, the researchers found.

Results were published recently in the peer-reviewed journal CNS Neuroscience & Therapeutics.

“Recent imaging studies show that depressed patients have reduced functioning in the regions of the brain responsible for optimism,” said Jennice Vilhauer, PhD, study author and clinical director of Adult Outpatient Programs for the Cedars-Sinai Department of Psychiatry and Behavioral Neurosciences. “Also, people with depression tend to have fewer skills to help them develop a better future. They have less ability to set goals, problem solve or plan for future events.”

According to the U.S. Centers for Disease Control and Prevention, an estimated one in 10 American adults meet the diagnostic criteria for depression.

Anand Pandya, MD, interim chair of Cedars-Sinai’s Department of Psychiatry and Behavioral Neurosciences, said, “Future-Directed Therapy is designed to reduce depression by teaching people the skills they need to think more positively about the future and take the action required to create positive future experiences.  This is the first study that demonstrates this intervention intended to increase positive expectations about the future can reduce symptoms of Major Depressive Disorder.”

When people talk only about the negative aspects of their lives, it causes them to focus more attention on what makes them unhappy, Vilhauer said.

“Talking about what makes you unhappy in life doesn’t generate the necessary thinking patterns or action needed to promote a state of thriving and create a more positive future,” Vilhauer said.  “Future-Directed Therapy helps people shift their attention constructing visions of what they want more of in the future and it helps them develop the skills that they will need to eventually get there.”

In the study conducted at Cedars-Sinai, 16 adult patients diagnosed with Major Depressive Disorder attended future-directed group therapy sessions led by a licensed psychologist twice a week for 10 weeks.  Each week, patients read a chapter from a Future-Directed Therapy manual and completed worksheets aimed at improving certain skills, such as goal-setting.  Another group of 17 patients diagnosed with depression underwent standard cognitive group therapy. The study team measured the severity of depression and anxiety symptoms, and quality of life before and after treatment, using the Quick Inventory of Depressive Symptoms, the Beck Anxiety Inventory, and the Quality-of-Life Enjoyment and Satisfaction Questionnaire short form.

Results include:

Patients in the Future-Directed Therapy group experienced on average a 5.4 point reduction in their depressive symptoms on the Quick Inventory of Depressive Symptoms scale, compared to a two point reduction in the cognitive therapy group.

Patients in the Future-Directed Therapy group on average reported a 5.4 point reduction in anxiety symptoms on the Beck Anxiety Inventory, compared to a reduction of 1.7 points in the cognitive therapy group.

Patients in the Future-Directed Therapy group reported on average an 8.4 point improvement in their self-reported quality of life on the Quality of Life Enjoyment and Satisfaction scale, compared to a 1.2 point improvement in the cognitive therapy group.

[end Cedars-Sinai info]

The author note provides the following contact information: Jennice Vilhauer, Ph.D., Cedars-Sinai Medical Center, Department of Psychiatry and Behavioral Neurosciences, 8730 W. Alden Drive, Thalians W-101, Los Angeles, CA, USA. Tel.: +(310) 423-2620; Fax: +(310) 423-0114; E-mail:

<vilhauerj@cshs.org>.

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26. October 2011 by John Schinnerer.

From ScienceDaily.com…

‘Trading Places’ Most Common Pattern for Couples Dealing With Male Depression

ScienceDaily (Oct. 21, 2011) — University of British Columbia researchers have identified three major patterns that emerge among couples dealing with male depression. These can be described as “trading places,” “business as usual” and “edgy tensions.”

Published in the Social Science & Medicine journal and led by UBC researcher John Oliffe, the paper details how heterosexual couples’ gender roles undergo radical shifts and strain when the male partner is depressed and the female partner seeks to help. Depression, a disorder often thought of as a women’s health issue, is underreported in men, and little is known about how heterosexual couples respond when the male partner is depressed.

“Overall, our study underscores how women play a key role in helping their male partners manage their depression,” says Oliffe, an associate professor in the School of Nursing whose work investigates masculinities and men’s health with a focus on men’s depression.

“Our findings suggest that gender relations are pivotal in how health decisions are made in families and for that reason, it’s important to understand couple dynamics if we want to have effective interventions.”

Oliffe and his UBC colleagues found that “trading places” is the most common pattern. In these relationships, the partners took on atypical masculine and feminine roles to cope with challenges caused by the men’s depression. For instance, men assumed the role of homemaker while the women became the family breadwinner.

Oliffe says, “Here, women partners also broke with feminine ideals in how they provided partner support by employing tough love strategies for self-protection and a means of prompting the men’s self-management of their depression.”

The second most common pattern is “business as usual,” when couples sought to downplay or mask any problems caused by the men’s depression. Holding firm to idealized heterosexual gender roles, the women continued to support and nurture their partners. Despite their ongoing struggles with depression, the men continued to work hard to maintain their careers in typically masculine arenas, which in the study included engineering, science, law enforcement, forestry and coaching.

The third pattern, “edgy tensions,” describes men and women caught in dysfunctional relationships. Each holding ideas of gender roles that differed from those of their partner, these couples grappled with resentment. The men resisted medical treatment. Instead, they used alcohol and illicit drugs, at least in part, to self-manage their depression. The women expressed ambivalence about conforming to the feminine ideal of being a “selfless nurturer,” especially for men who were volatile and unpredictable. The men in turn espoused a view of themselves as head of the household.

The study conducted qualitative analysis through in-depth interviews with 26 men, diagnosed or self identified as depressed, and their 26 partners, from Prince George, Kelowna and Vancouver. The study participants ranged in age from 20 to 53 years old. The duration of the couples’ relationships ranged from two months to 18 years; seven couples had children living at home.

The men self-identified as Anglo-Canadian, First Nations, European, Asian and Middle Eastern. Seven couples were in mixed ethnicity relationships. The men had varying levels of education ranging from some high school to graduate degrees; 14 of the 26 men were unemployed at the time of interview, and self-identified as being of low socio-economic status as a consequence.

This research received support through the Canadian Institutes of Health Research, Institute of Gender and Health.

Story Source:

The above story is reprinted from materials provided by University of British Columbia.

Journal Reference:

John L. Oliffe, Mary T. Kelly, Joan L. Bottorff, Joy L. Johnson, Sabrina T. Wong. “He’s more typically female because he’s not afraid to cry”: Connecting heterosexual gender relations and men’s depression. Social Science & Medicine, 2011; 73 (5): 775 DOI: 10.1016/j.socscimed.2011.06.034

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23. September 2011 by John Schinnerer.

As an individual who is currently going through divorce, I know firsthand the emotional distress that divorcees experience. Divorce brings up feelings of loss, sadness, anger, jealousy, grief, guilt, shame, embarrassment, and anxiety (to name but a few!).

All of these are normal feelings for one muddling through a divorce. While I have struggled at times with my divorce, overall it has gone better than I ever could have imagined. Yes, there have been days filled with depression. There have been moments of hopelessness. There are the occasional bouts of anger. Yet, on the whole, I greatly misjudged just how difficult the experience would be.

Self-Compassion is the Key to an Easier Divorce

Partly, this success is due to my having taught and practiced self-compassion for the past five years.

Self-compassion is basically being kind to yourself when things go badly. However, this is a greatly watered down version of self-compassion.

The goal is to treat yourself with the same type of kindness and compassion that most people extend to loved ones when they fail. When someone else makes a mistake, most people will react with some degree of kindness and understanding. Self-compassion turns down the volume on anger typically associated with huge mistakes while still maintaining your sense of personal responsibility. A 2007 study at Duke University found that ‘inducing self-compassion may disengage the relationship between taking responsibility and experiencing negative affect.’ This allows you to still take full responsibility for your mistakes while minimizing the amount of time that you spend beating yourself up as well as reduced the intensity of those ubiquitous destructive emotions I mentioned earlier.

The way in which you do this is to speak to yourself as if you were a three-year-old child. This allows for mistakes (which is a major path for learning), screw ups, and errors. Self-compassion is related to greater resiliency (the ability to bounce back from difficulty) which every divorcee can use.

New Study on Self-Compassion and Divorce 

A study is coming out this month in Psychological Science on the importance of self-compassion for those in the midst of a divorce. The authors, David Sbarra, Hillary Smith and Matthias Mehl, state ‘Self-compassion can promote resilience and positive outcomes in the face of divorce.’

The study compared self-compassion to other major traits, such as self-esteem, resistance to depression, realistic optimism, or social intelligence. The findings?

Self-Compassion Accurately Predicted Quickest Positive Outcome Following Divorce 

The only trait that consistently predicted positive outcomes following a divorce was self-compassion. That is amazing!

The study involved 105 participants (38 men and 67 women) with an average age of 40. They’d been married, on average, for 13 years and had been divorced for 3-4 months. The researchers had the participants call to mind their ex-spouse and then talk for four minutes about their thoughts and emotions related to the break up. This was done at three time points - initial visit, three months later and six to nine months later.  The researchers looked at the frequency of intrusive unpleasant thoughts, negative emotions related to the divorce and their ex and how well they were getting on with life since the break up.

Those participants with higher levels of self-compassion recovered from divorce faster and were doing better after the nine month period.

Self-compassion, according to my former Cal classmate, Kristin Neff, is a combination of mindfulness (being aware of feelings of jealousy and anger, for example, without getting stuck in them), an awareness of the interconnectedness of humanity (we all suffer at times), and self-kindness.

Self-compassion, in my opinion, is an integral part of positive psychology in the sense that it is rapidly showing itself to be an instrumental tool in any happy, thriving, meaningful life.

To find out more, check out my award-winning self-help book, Guide to Self: The Beginner’s Guide to Managing Emotion and Thought which is currently available for free at www.GuideToSelf.com.

If you are angry about your divorce, please visit my new video blog (vlog) at AngerGeek.com for free tips on how to turn down the volume on anger!

To life, love and laughter,

John Schinnerer, Ph.D.

Founder Guide to Self, Inc.

Award-winning author, award-winning blogger, national speaker, emotion expert

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10. September 2011 by John Schinnerer.

I have spent nearly a lifetime trying to understand, manage and fix the human mind. The mind fascinates, torments, inspires, belittles, loves, and elevates. So it was with great interest that I read that the CDC came out with a new report on mental illness, including anxiety and depression.

The Center for Disease Control just released their report, Mental Illness Surveillance Among Adults in the United States (September 2, 2011), outlining  the tremendous reach that mental illness has into my life, your life and every other life in the United States of America.

Some highlights from the report…

In the United States, the economic impact of mental illness  is enormous, roughly $300 billion in 2002. No more recent numbers are available, but the cost is rising.

Approximately 25% of adults in the U.S. have a mental illness. That means one out of every four individuals are dealing with some form of mental illness (e.g., anxiety, depression, other mood disorders, psychosis, OCD, ADHD, personality disorders, etc.). The report defines mental illness as all diagnosable mental disorders. Effects of mental illness may involve chronic abnormal thoughts, moods, or behaviors associated with distress and impaired  functioning. The effects of mental illnesses include disruptions of daily function; incapacitating personal, social, and occupational impairment; and premature death. The most common ones are anxiety and mood disorders (e.g., depression and bipolar disorder).

Almost 50% of American adults will experience at least one mental illness in their lifetime.

Mental illness leads to more disability than any other group of illnesses. More than even heart disease and cancer!

The Mental Impacts the Physical and Vice-versa

Most mental illnesses are fundamentally intertwined with chronic medical disorders like heart disease, addiction and obesity. So the manner in which our mind works dramatically impacts how well your body works.

Mental illness is a massive public health problem. Check out these facts from the World Health Organization…

• ‘mental illness is associated with increased occurrence of chronic diseases such as cardiovascular disease, diabetes, obesity, asthma, epilepsy, and cancer;
• mental illness is associated with lower use of medical care, reduced adherence to treatment therapies for chronic diseases, and higher risks of poor health outcomes;
• mental illness is associated with use of cigarettes, chewing tobacco and abuse of alcohol;
• rates for both intentional (e.g., homicide, suicide) and unintentional (e.g., motor vehicle) injuries are 2 to 6 times higher among people with a mental illness than in the population overall;
• many mental illnesses can be managed successfully, and increasing access to and use of mental health treatment services could substantially reduce the associated death rate and
• many chronic illnesses are associated with mental illnesses, and it’s been shown that treatment of mental illnesses associated with chronic diseases can reduce the effects of both and support better outcomes.’

Interestingly, there are currently no efforts at the national or state level to track anxiety disorders. Yet, anxiety disorders occur just as frequently as depression.
What’s more, anxiety disorders are similar to depression in that they

1. negatively impact daily functioning as much as depression,
2. are closely tied to the stress response system in the body,
3. have similar negative effects on physical health, and
4. are frequently found to exist together with the same physical illnesses as those that exist in folks who suffer from depression.

In conclusion, it appears that we are lagging in monitoring the prevalence of anxiety and providing assistance for those who struggle with anxiety. Mental illness is just beginning to get adequate exposure so that we can continue to develop cutting-edge tools and technologies to help those who suffer from it. We can no longer afford to bury our heads in the sand and ignore the compounding costs of mental illness. It is time to bring mental illness into the light where it can be appropriately identified and treated without shame.

What are your thoughts on this CDC report?

How have you been affected by mental illness in your life?

Please leave a comment below to get the conversation started!

All the best,

John Schinnerer, Ph.D.

Founder, Guide to Self, Inc.

Award-winning author of Guide to Self: The Beginner’s Guide to Managing Emotion and Thought (for a free PDF version, visit http://www.GuidetoSelf.com and enter your name and email address)

Award-winning blogger on The Shrunken Mind - a top 3 blog on positive psychology

Free online anger management classes which incorporate humor and positive psychology at WebAngerManagement.com

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24. August 2011 by John Schinnerer.

In my private practice, I see a number of angry teenage boys. Intuitively, I knew that teaching them to turn down the volume on negative emotions such as anger, anxiety and depression, WHILE teaching them to turn UP the volume on positive emotions would have a powerful impact on their lives. The results in my practice have been astonishing - reduced drug use, less illegal activity, more compassion, improved academic performance and less anger in the home.

Today, I came across a study that just came out from UC Davis which supports this approach. Take a look and let me know your thoughts!

John Schinnerer, Ph.D.

Founder Guide to Self Inc.

A Positive Psychology Approach to Anger Management

Happiness Can Deter Crime, a New Study Finds

From ScienceDaily (Aug. 23, 2011) — Happy adolescents report less involvement in crime and drug use than other youth, a new UC Davis study finds.

The paper, “Get Happy! Positive Emotion, Depression and Juvenile Crime,” is co-authored by Bill McCarthy, a UC Davis sociology professor, and Teresa Casey, a postdoctoral researcher at UC Davis, and will be presented at 10:30 a.m. Aug. 22 at the American Sociological Association Annual Meeting in Las Vegas.

“Our results suggest that the emphasis placed on happiness and well-being by positive psychologists and others is warranted,” McCarthy said. “In addition to their other benefits, programs and policies that increase childhood and adolescent happiness may have a notable effect on deterring nonviolent crime and drug use.”

The authors used 1995 and 1996 data from nearly 15,000 seventh- to ninth-grade students in the federally funded National Longitudinal Study of Adolescent Health, the largest, most comprehensive survey of adolescents ever undertaken.

They found that about 29 percent of the youth surveyed reported having committed at least one criminal offense, and 18 percent said that they had used at least one illegal drug. The researchers then correlated these reports with self-assessments of emotional well-being.

Consequences of happiness are rarely examined by sociologists, and no previous studies have investigated its association with juvenile crime, the authors said.

Many explanations of adolescents’ decisions about crime focus either on reflective thought that discourages offending, or negative emotions — such as anger or rage — that contribute to it.

McCarthy and Casey argue that positive emotions also have a role. “We hypothesize that the benefits of happiness — from strong bonds with others, a positive self-image and the development of socially valued cognitive and behavioral skills — reinforce a decision-making approach that is informed by positive emotions,” they write in their study.

Their research finds that happier adolescents were less likely to report involvement in crime or drug use. Adolescents with minor, or nonclinical, depression had significantly higher odds of engaging in such activities.

The study also found that changes in emotions over time matter.

Adolescents who experienced a decrease in their level of happiness or an increase in the degree of their depression over a one-year period had higher odds of being involved in crime and of using drugs.

Most adolescents experience both happiness and depression, and the study finds that the relative intensity of these emotions is also important. The odds of drug use were notably lower for youth who reported that they were more often happy than depressed, and were substantially higher for those who indicated that they were more depressed than happy.

University of California - Davis (2011, August 23). Happiness can deter crime, a new study finds. ScienceDaily. Retrieved August 23, 2011, from http://www.sciencedaily.com¬ /releases/2011/08/110822091859.htm

For your free PDF copy of John’s award-winning self-help book, Guide to Self: The Beginner’s Guide to Managing Emotion and Thought, on the latest tools to turn down the volume on negative emotions (like anger) and techniques to turn UP the volume on positive emotions, visit http://www.GuidetoSelf.com and click on the yellow book icon. Just enter your name and email for instant access to your copy!

For more info on John’s revolutionary online course on the positive psychology of anger management, visit http://drjohnsblog.wordpress.com. There are

four free anger management videos you can check out right now!

Follow John on Twitter at http://twitter.com/johnschin.

Facebook: https://www.facebook.com/anger.management.expert

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