I take medication for chronic depression, but endorse consideration of other treatment modalities that can offer symptom reduction. In fact, many of the following tips, I do regularly.
Blog-colleague, Dr. Steve Ilardi at Psych Pundit , says that lifestyle change can help bring us to a greater emotional and physical balance. Ilardi’s treatment calls back the habits of our hunting and gathering ancestory and argues that our brains and bodies aren’t designed for our 21st century lifestyles. "We were never designed for the modern sedentary, socially isolated, sleep-deprived, fast food-laden, indoor, frenetic pace of modern life."
The approach is called Therapeutic Lifestyle Change (TLC) , and the preliminary results noted that 76% of TLC patients experienced a favorable treatment response compared to 24% of subjects who received traditional medication and psychotherapy.
There are six essential aspects to TLC:
■ Aerobic exercise
Exercise is a potent antidepressant. Elevate your pulse between 120 to 160 beats per minute for 35 minutes three times a week.
■ Adequate sleep
Chronic sleep deprivation is a risk factor for depression. Sleep 7 to 8 hours nightly.
Chronic sleep deprivation is a risk factor for depression. Sleep 7 to 8 hours nightly.
■ Natural sunlight
The brain needs 2,500 lux for 30 to 60 minutes per day. Spend 30 minutes outdoors on a sunny day or in front of a 10,000 lux light box on overcast days.
The brain needs 2,500 lux for 30 to 60 minutes per day. Spend 30 minutes outdoors on a sunny day or in front of a 10,000 lux light box on overcast days.
■ Omega-3 fatty acids
Omega-3 intake (particularly the molecular form known as EPA) has been shown to relieve depression. Research recommends a daily dose of 1,000 milligrams of EPA, typically in the form of highly concentrated fish oil.
■ Social interaction
A social support network helps prevent depression when we suffer major losses in life. Separation from friends and family is a common trigger for depression.
A social support network helps prevent depression when we suffer major losses in life. Separation from friends and family is a common trigger for depression.
■ Reduce negative thoughts
Loneliness can lead to a tendency to dwell on repetitive, negative thoughts. Interact socially and learn to redirect attention to more engaging activities when alone.
For more on TLC and Dr. Ilardi, read here









32 comments:
good post... I love the idea of TLC.
I am as anti meds as one can be... and still take meds of various types.
If you look at my blog..( last week i think ) you will see that they are no longer making more than a small effort to give meds to the kids.. scary and bad for them i think?
if only TLC was practiced by and for everyone...
if only a lot of things
hey... the first three letters of my word verification are deb.....
the next threee are tmz.. pretty cool i think?
( seriously, it takes so little to amuse me )
I love how it's called TLC (tender loving care). I'm going to send the article to my sister, who's having a bit of a hard time lately. Thanks, Dr. Deb!
these tips are priceless advice that I try to use along with my medication. Thanks for such a valuable post!
Those are all great suggestions!
The only question is, how can we make it more practical for people to get 7-8 hours of sleep and half an hour of exercise a day, much less spend time outside in the sun? With so many people with long work days and long commutes, time is at such a premium in our society, those seem like really good suggestions, but very difficult to implement.
Personally, I know that exercise helps to fight the sleep and mood problems I have as a result of the prednisone I need. However, it's a tooth-and-nail battle to find the time in the day to exercise, and it always comes at the expense of sleep.
This year I went to my therapist instead of psychiatrist, when I started feeling depressed. We decided I needed to find an indoor pool, which I've done & it has helped tremendously.
Thinking positive, that is something I can work on. The sunlight thing too, but that will be difficult. I'll work on the positive thinking for now. Thanks for the info!
Dear KAth,
I love the name of the treatment program too. And I also get easily amused when the word verification is "meaningful".
Dear Guilty,
I hope your sister can benefit from the post and the attached articles.
Dear EVI,
Yup, I think they are wise suggestions.
Dear MWAK,
It is not impossible, but it may take some elbow grease to get into the TLC zone. For instance, I use a blue light when I know I can't get into the sun. I park my car furthest away from where I want to go instead of right by the door or I take the stairs instead of the elevator, things like that when I can't get on the treadmill. I look for foods rich in Omega 3 and try to surround myself with non-toxic people. I know that working in a hospital with shift work etc can be tough, but see if some of these suggestions help. And buying a blue light device may be worth the investment.
Dear Jane,
Some of these are easier for me to do than others as well. Attaining these goals is a step by step process.
~Deb
I like these tips, Deb. I think anyone could benefit from them. It's a definite goal of mine to try and do a little more of all of these. though #1 is a struggle!
I know when I was able to afford a member ship to a fitness center and went to tanning beds I was alot better off then i am now as far as a physical aspect goes. it's just to expensive now.. bummer huh
All things I've done at one point or another...like juggling, keeping all the balls in the air is the hard part!
Thank you for reminding me; I've been slipping a bit of late!
alan
I have been slipping to, so thank you for reminding me.
Excellent suggestions... If only I could sleep more, and stop being so lonely...
Deb..Thankyou for this..I didn't realize Omega's were helpful for depression. I take it now and then because I don't like to eat fish but only 300mg..I"m going to up it...I just need to find one that doesn't give me the " fish burp" if u know what I mean.
I've been on different meds but had to stop because I couldn't deal with all the side effects. It made me feel worse.
Thanx for the info..Hugs~
ok..I just read about the fish oils and the " burp"..
It says to put them in the freezer and take it just before your meal.
Going to try that!
Finding the time for exercise and enough sleep is a huge issue for me...as it appears to be for many other people as well! Enough sunlight will be an issue very soon also (pacific northwest). What I am doing right now is taking the bus to school...I then have no option but to walk anywhere I want to go around campus (dragging a 67 lbs back-pack along, yes its a rolling one!) My Anatomy classmates/study partners and I sprawl around on the grass before lecture and before lab to study together (in the sun if there is any), one guy actually goes for jogs around the building every 10 minutes or so...maybe I should join him. Once the sun has disappeared for our rainy season, I guess I will go back to the tanning booth. My pdoc suggested this last winter and it did help...although it feels a bit strange to go to a tanning booth and put on sunscreen! As for sleep...that one is hard to get a handle on...get up way too early and have way too much schoolwork. 8 more weeks...thats what I keep telling myself. :P
All good bits of advice and I like the homeopathic approach to anything, mainly because they are common sense. At the same time, there are those with issues that must be dealt with at a therapeutic level, and sometimes meds that must be taken to get people to that level of stasis. All of which you know well, but I thought I would offer my ramble.
I need sleep which I am being deprived of and because of this am too tired to exercise. I have to do better.
I've tried to work hard on most of the things you listed for TLC, I didn't know about the Omega 3 fatty acids, but find it hard to keep up with. Especially the social interactions part; when I feel like I'm getting depressed, one of the first things I seem to do is withdraw from interacting with my friends.
paul
social interaction is really important for me anyway. I find when I start to get depressed that I sit alone or get on the PC and don't have anything to do with real people. So now I make myself go out with people and spend time in the real world. I also make sure the people I am with are not focussed on all the bad things in life.
Very interesting post. Simple as well. The exercise, the omega 3's, social interaction, positive thinking...all "common sense" stuff that many of us take for granted in our daily lives. I definitely notice a difference in my life/outlook when I am observant of all the mentioned areas.
Let's start a TLC revolution Deb! ;-)
Oh my, I have some work to do in this area! I think I do all the things that I'm not supposed to do, except for the negative thoughts. I'm too busy thinking about school stuff to have time for any negative thoughts!
Thank-you for sharing this.
I have been feeling really depressed recently. I am trying to get more sleep and engage in activity. It lessens the depression to some degree, but it doesnt make it go away.
My dear friend said to me last week "it is not people that get depressed, it is feelings" and I know she speaks sense.
I know I am depressed because I am not standing up and facing my family. I am not honouring the pain the child in me feels. When I do this and make a stand, I suspect I will start walking down a path of healing myself.
D.
I so agree with this. Thanks, Deb.
Great tips Doc.
Dear HP,
I think they are very relate-able and useable too.
Dear Wolfbaby,
Many patients have told me that they, also, feel better with tanning. So I have added it as a resource!
Dear Alan,
As you and I both know, balance is the art of life. So few can do it. The rest of us keep trying - myself included!
Dear Casdok,
Dr. Ilardi's research is very compelling. I like the caveman/woman idea of it all. We really are NOT built for the indoor, immobile lifestyle!
Dear Lone,
{{{{{{{hugs}}}}}
Dear Heidi,
I didn't know that about freezing the supplement. I make a habit of eating fish when I go out to dinner or lunch, so that helps alot.
Dear FA,
You are under a great deal of stress and time limits as a student...so it ishard to get restorative sleep. How about catnaps?
Dear Ian,
Your comments are hardly rambles. They are gems.
Dear Rose,
That is my issue too. I'm too tired to exercise although I know it will make me feel better.
Dear Puhpaul,
I also tend to "hibernate" when I feel my depression dogging me. IT *is* hard to reach out when all you want to do is stay in a cocoon.
Dear S'Onnie,
Awesome that you push yourself. Way to go.
Dear Jade,
Isn't the TLC a great play on the anacronym?!
Dear D.
Taking things in small steps can help you find the courage and fight the pressing depression as you move forward. If you are not working with a professional, I suggest you contact one to help you move through it all. Wishing you well.
Dear Ellesu,
ME too. Although I need medication in addition with these regimes. I cannot defeat the depressive symptoms without it.
Dear Todd,
I thought they were simple and easy to understand.
~Deb
Hmmm . . . I don't do most of those things. Maybe if I did I could kick the Prozac.
Wonderful tips for holistic well being. So nice of you to share them with us. Thanks for the wonderful post. Smile always. God bless and have a wonderful and pleasant day.
The idea of self care just keeps popping in front of my face.
sigh.
The universe is conspiring.
Gotta get my SAD lamp out of storage, wherever it is . . .
Hi Deb,
all good advice, even for those not suffering from depression. I was depressed for years over a bad relationship. Anti-depressants couldn't solve that problem, they could only make me numb to it. The key was found in Paul Simon's irrefutable classic "50 Ways to Leave Your Lover". "Drop off the key Lee, and set yourself free."
When other underlying causes are identified and dealt with, then pharmaceuticals should be considered. But some doctors and patients put the cart before the horse.
I find just the grind of life can wear me down from time to time. That list seems great to refuel the tank in general.
As usually, great tips to life by!
Seems to be some very sound advice here. Thanks for sharing.
What is a "great life"? Are you Successful? Take Total Success Test on this link!!!!!!! Its Free ! ! ! ! ! ! !
Take Total Success Test Here
http://www.marketerschoice.com/app/?af=667866
Statistically it has been suggested that less than 1% of any given population really, truly live a “great life”. Yet it is possible for every one of us.
But what is a “great life”?
A “great life” is what we call being totally successful.
Take Total Success Test here to check if you are totally successful
Its Free!!!!!
Take Total Success Test Here
http://www.marketerschoice.com/app/?af=667866
Post a Comment