Clinical depression is debilitating. But it’s also highly treatable.

And while you’re getting treatment — whether through medication, psychotherapy or both — there are many ways you can manage your symptoms in the meantime.

In his valuable book Depression: A Guide for the Newly Diagnosed, clinical psychologist Lee H. Coleman, Ph.D, ABPP, provides tips on minimizing symptoms and getting better while you’re receiving professional help.

Here are five of his suggestions.

I fall into the category of the “uninsurable.”

It doesn’t matter that I wake up most mornings to swim 160 laps, am borderline obsessed with eating salads and whole grains, and that I haven’t drank a drop of alcohol in 24 years; that I do yoga twice a week, keep a mood journal, engage in cognitive behavioral therapy, and have a rich spiritual life; that I take omega-3 fish oil capsules, vitamin D, calcium, and other supplements with my extra-pulp juice in the morning; or that I work really hard at communicating anger, frustration, and disappointment so that the repression of feelings doesn’t end up as a tumor somewhere inside my body.

I can’t get an individual or family plan short of signing up for a $10,000 deductible.

Because I have a history of depression.

Acupuncture is often touted as a “cure-all” for anything and everything. People seem to either think that acupuncture is an amazing alternative medicine or it is a placebo sham.

I first decided to try it in 2010 to see if it would be able to help ease my lifelong sleeping issues.

Usually I put a lot of thought into the medical providers I work with. In this case, I did not do any research into which practitioner I wanted to use; I simply chose the acupuncturist located one block from my house. It was certainly convenient, and seemed like a good idea at the time.

I recall those sessions as being strange. In addition to needles being placed all over my body, my sessions also involved smoke and fire. Sometimes, an herb would be placed on top of the acupuncture needles, then set on fire. Smoke was used in a procedure called “cupping” where glass jars were suctioned all over my back.

Psychologists are increasingly integrating alternative and complementary treatments into their work with clients, according to a recent article in Monitor on Psychology.

So what is alternative treatment? You may already have some experience with the most popular, according to the Monitor on Psychology. Meditation, biofeedback, hypnosis and progressive muscle relaxation are all popular complementary or alternative psychological treatments. 

Although you may be familiar with the most popular, there are dozens of alternative and complementary treatments, which typically fall into four categories:  mind-body medicine, biologically-based practices, manipulative and body-based practices and energy medicine.

What Happens Now is a shiny new blog hosted by the American Association of Suicidology, written by and for suicide attempt survivors. Journalist Cara Anna is the editor, inviting other attempt survivors to contribute guest posts, or take part in interviews with her, as well as writing extremely insightful posts herself.

Even the word “survivor” uncovers stigma in the world of suicide prevention. Traditionally it’s been used by those bereaved by the suicide death of someone else, and does not refer to those who have survived suicide attempts.

A few savvy agencies, including the AAS and the American Foundation for Suicide Prevention, are careful to distinguish between “loss survivors” and “attempt survivors,” but more often organizations will simply refer to “survivors,” and they always mean the bereaved when they do.

This might seem like a quibble with language, but in fact illustrates structural stigma among suicide prevention agencies. Attempt survivors simply don’t exist in their language, or in their activities.

Sir Winston Churchill, who battled plenty of demons, once said, “When I look back on all these worries, I remember the story of the old man who said on his deathbed that he had a lot of trouble in his life, most of which had never happened.”

Unfortunately that advice wouldn’t have been able to stop me from praying rosary after rosary when I was in fourth grade to avert going to hell, nor does it quiet the annoying noise and chatter inside my brain today in any given hour. But the fact that a great leader battled the worry war does provide me some consolation.

It doesn’t matter whether you are a chronic worrier without an official diagnosis or battling severe obsessive-compulsive disorder (OCD), a neurobehavioral disorder that involves repetitive unwanted thoughts and rituals. The steps to overcome faulty beliefs and develop healthy patterns of thinking are the same.

California has some patient-friendly regulations on its books, meant to help patients get the care they need in a reasonable amount of time. One of those regulations is that patients shouldn’t have to wait more than 10 business days for a regular appointment with their health or mental health care provider.

Yet, Kaiser Permanente’s health maintenance organization in the state — rather than abide by the regulation — regularly made patients wanting mental health care wait longer than the 10 business days. In fact, in one case from 2010, the California Department of Managed Health Care (DMHC) fined Kaiser $75,000 for unreasonably delaying a child’s autism diagnosis for almost 11 months! The new report found that anywhere from 17 to 40 percent of patients waited longer than 14 days for an appointment.

Last week, the DMHC was again at Kaiser’s doorstep, finding that Kaiser kept two sets of appointment records to try and circumvent this regulation — a paper appointment calendar and an electronic health record calendar. The DMHC cited Kaiser for “serious” deficiencies in how it manages and provides mental health care services to its patients.

Kaiser Permanente is one of those enormous health care providers that seems to have lost the plot — providing reasonable and timely health care for its customers.

Therapy is highly effective for treating adult attention deficit hyperactivity disorder (ADHD).

For instance, psychotherapy can help you better understand how ADHD affects your life. And it can help you develop the necessary skills for managing symptoms, being successful and having healthy relationships.

But in order for therapy to be most effective, you’ll have to work at it.

In his excellent and comprehensive book More Attention, Less Deficit: Success Strategies for Adults with ADHD, clinical psychologist Ari Tuckman, Psy.D, features valuable tips for getting the most out of therapy. Here are five tips from his book.

Treating people with mental illness takes time, effort, money and resources. People with chronic serious mental illness — such as schizophrenia — sometimes find themselves homeless and reliant upon the state’s public health system for care.

And sometimes that public health care is a little… how shall we say? Lacking.

So last week it shouldn’t have been much of a surprise when Nevada was accused of patient dumping. A psychiatric hospital in Las Vegas, Rawson-Neal, apparently discharged a patient to a bus station to catch a bus to Sacramento, California with a one-way ticket. The patient was under the care of the Southern Nevada Adult Mental Health Services.

The only problem? The patient had no contacts or family in Sacramento, California. He knew absolutely no one there.

“Manic-depression distorts moods and thoughts, incites dreadful behaviors, destroys the basis of rational thought, and too often erodes the desire and will to live. It is an illness that is biological in its origins, yet one that feels psychological in the experience of it, an illness that is unique in conferring advantage and pleasure, yet one that brings in its wake almost unendurable suffering and, not infrequently, suicide.”
~ Kay Redfield Jamison, An Unquiet Mind: A Memoir of Moods and Madness

When a person hears the word “bipolar,” his or her mind usually immediately jumps to the depiction of roller-coaster mood swings and lashing out.

Yet, this is not always the case with bipolar disorder. Bipolar can also affect your thoughts. Some people — like myself — experience a different version of the mental illness where many of your symptoms are internalized.

My illness varies from depressive apathy to euphoric mania which can be accompanied by a delusion or hallucination. I have not had the more severe experiences in about five years, thanks to therapy and medication. Though my journey to recovery was a difficult one, it is not an impossible feat.

Americans take considerable pride in our Constitutionally guaranteed civil liberties, yet our government and institutions often abridge or ignore those rights when it comes to certain classes of people.

According to a National Council on Disability report, people with psychiatric illnesses are routinely deprived of their civil rights in a way that no other people with disabilities are (2). This is particularly so in the case of people who are involuntarily committed to psychiatric wards.

Under present standards of most states, a person who is judged by a psychiatrist to be in imminent danger to self or others may be involuntarily committed to a locked psychiatric ward and detained there for a period of time (3). Some would argue that involuntary civil commitment is a necessary approach justified by safety and treatment concerns. Others would counter that it is an inhumane and unjustifiable curtailment of civil liberties.

Let’s look at the example of recent suicide survivors in order to examine this debate in more depth.

Sometimes you just need to know the basics. For instance, if you think something is wrong with your mind, your emotional life, and you want to get help for it, where do you even begin?

With today’s knowledge, the steps toward getting a valid mental disorder diagnosis and treatment are fairly simple. Unless otherwise required by your health insurance plan, you should generally start with a mental health professional — either a psychologist or psychiatrist. These are the specialists of mental health, and usually have the greatest knowledge and depth of experience to be able to diagnose you and setup a treatment plan with you that will be most effective.

If you haven’t seen your primary care physician or family doctor in some time, it never hurts to also see them at the same time — to rule out any possible physical causes of your symptoms. This is especially true if you have a health condition or family history of certain health problems (because sometimes physical maladies can mimic mental disorder symptoms).