Can Treating My Mood Disorder Be a Little More Fun?

I have to admit that most treatment workbooks are dry… sometimes even boring.  I can recognize several problems with this.

  1.  Even people that are engaged, motivated, energetic, and generally not struggling with their mood are unlikely to get excited workbooks.
  2. Mood disorders (depression and anxiety among others) can make it difficult to concentrate and process information effectively, limiting the usefulness of workbooks.
  3. Most workbooks are designed by therapists.  That usually means the content is pretty solid; unfortunately, therapists are necessarily the greatest and creating engaging materials.

Despite those points, I do like clients to have a tangible resource, something with clear guidelines that they can reach for when they’re ready to work on their mental well-being.  I don’t want to rely entirely on what they remember from our sessions (see number two above).  I’d like to have some options that are a little less dusty.

Many other health initiatives have worked to make themselves more appealing to a general audience.  There are mainstream marketing campaigns for smoking cessation.  There are commercials airing nationwide and streaming online for healthier food options, working to convince people that food can be healthy and delicious. REI wants me to #optoutside. Even the CDC provides colorful infographics online.  They make TV shows immortalizing and glorifying people’s journeys of weight loss and improved fitness (the problems with these programs will have to wait for another blog)

Mental health seems to be a harder sell.   There is no mental health treatment equivalent to Zumba.  The’s no cutting vegetables into fun shapes to make sure we’re having fun while eating healthy.  I’m starting to sound pretty pessimistic, but there’s hope.

Some people have taken it upon themselves to focus on the delivery just as much as the content.  I’ve shared Jane McGonigal’s work with Superbetter previously and haven’t found a better example of gamifying recovery anywhere.  One example of applying the concept of producing an engaging intervention in the written form is a collaboration between clinician Russ Harris and illustrator Bev Aisbett.  The result was The Illustrated Happiness Trap and it’s great for those interested specifically in Acceptance and Commitment Therapy.

A more recent discovery, and probably the more effective example of making a mental health recovery book fun is Rock Steady: Brilliant Advice from My Bipolar Life by graphic artist Ellen Forney.  With humor, pragmatism, and clever visuals she translates the dry academic wisdom of clinicians into something very relatable, accessible, and manageable.  Her book is built upon her experiences with managing her own bipolar disorder.  She acknowledges the struggles inherent associated with emotion regulation and self-care and delivers clinically sound advice.  According to Forney, the foundation of health can be boiled down into SMEDMERTS! (Sleep, Medication, Eating (well), Doctor, Mindfulness, Exercise, Routine, Tools, and Support).  The acronym is solid and the mascot is even better.

If workbooks or traditional self-help books aren’t for you, don’t give up hope.  There is more and more diversity in the options for a structured resource that can help you when you’re not with your therapist.  If you’ve got other suggestions, comment below.

Say Good Night to Insomnia – Book Review

Dr. Gregg D. Jacobs outlines a detailed six week program for improving sleep and eliminating insomnia in Say Good Night to Insomnia.  The most accurate description of this book is simply, “effective.”  If you’re willing to engage in the programming as prescribed in the book, it is highly likely that your quality and/or quantity of sleep will change in the desired direction.  I’d like to say the book was engaging and compelling…an interesting read, but I can’t.  Dr. Jacobs lead-up to the program includes rather dry sections on “The New State of Sleep Science”, “Some Basic Facts About Sleep and Insomnia”, and “How I Developed the Program.”  I absolutely love a solid explanation of the science and research involved in any intervention I’m trying myself or I’m recommending for clients.  That information, however, needs to be delivered with a little zest and color when aimed at a general audience.  Here…it was not.

Say Goodnight to Insomnia

All criticism aside, I am impressed with the structure and guidance provided by the author.  The six-week program involves an evidence based protocol including written assignments, ongoing assessment, and daily “homework” necessary to succeed.  Through various exercises, thoughts and behaviors pertaining to sleep are systematically altered to support healthy sleep habits.  The author does a great job recognizing and addressing mental and emotional aspects of sleep difficulties.  The program goes well beyond simple suggestions such as ensuring your sleep environment is dark and quiet (thought is does review those strategies as well).  It helps the reader unpack the negative thinking patterns and uncomfortable emotions that maintain poor sleep habits.  Regardless of how tired you are or how badly you want to fall asleep, thoughts like “I’ll never fall asleep” and “I’m going to be wrecked all day tomorrow if I don’t fall asleep right now” only serve to exacerbate stress and insomnia.  Dr. Jacobs uses fundamental strategies from cognitive-behavioral therapy to support participants in identifying and replacing unhelpful thoughts and behaviors with helpful thoughts and behaviors.  Cultivating the ability to relax throughout the day as well as when trying to sleep also becomes a priority in the attempt to find that elusive rest when you really need it.

If you’re interested in the ins-and-out of sleep science research and protocol development, start on page one and enjoy the ride.  If you really just need a concrete plan for sleeping better, start on page 70 and be prepared to commit some time and effort to changing your sleep habits.  This is a hands-on, experiential intervention, so don’t expect to simply gain some knowledge then start sleeping better.  Do the work, and you’ll be sleeping soundly before you know it (or at least at the end of six weeks).

Anatomy of Peace – Book Review

anatomy of peace

Author: Arbinger Institute

Why I love it:  The mantra, “heart at peace,” is something that still runs through my head more than a decade after I first read Anatomy of Peace.  It sets a strong foundation for the development of compassion, gratitude, and mindfulness – values that have remained at the forefront of my personal and professional pursuits.

Why it’s helpful:  Anatomy of Peace stands out because of the purity and simplicity of its message.  The compelling narrative provides a clear structure for very big ideas.  The book challenges readers to maintain personal responsibility for their actions AND perceptions/assumptions.

Who can use it:  This book is for everyone.  It’s literally describing a way of being.  The messages will most directly impact those looking to change how they engage in relationships.  If you find yourself being in conflict with everyone and everything around you, this book can provide strategies for internal resolution.