Chris Aiken, M.D.  Psychiatry & Psychotherapy

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This site is for information only and is not intended as a substitution for psychiatric treatment.

Health and Lifestyle

 

We all know that exercise is good for your physical health, but what about lifestyle changes that improve mental health? What follows are simple exercises that can do just that. Each suggestion is listed beside the condition that it helps. 

 

I recommend using this page in consultation with your doctor or therapist to ensure these techniques are right for you.

 

This is an active area of research, and I expect this page to be updated as more strategies are found to enhance mental health.

General Mental Health
and Stress Reduction

1) Mindfulness

2) Exercise

3) Relaxation Exercises

4) Self-guided cognitive-behavioral therapy is described in the The Feeling Good Handbook by David D. Burns.

5) Positive Psychology  (this site by Dr. Seligman guides you through these techniques but requires you to register).

Insomnia

1) Restoring Sleep

2) Exercise

3) Relaxation Exercises

Depression

1) Mindfulness

2) Exercise

3) Guided Action (also called behavioral activation)

4) Acceptance and Commitment Therapy (ACT). This is an updated version of cognitive-behavioral therapy (CBT) which focuses on ways to accept emotions and live intentionally.  It is described in the self-guided book Get Out Of Your Mind And Into Your Life, by Steven C. Hayes.

5) Cognitive-behavioral therapy (CBT).  These techniques allow you to become aware of, and change, the patterns of thinking that lead to depression.  An excellent book resource is Feeling Good: The New Mood Therapy, by David D. Burns (volume two, The Feeling Good Handbook, expands the techniques to other areas like anxiety, but also covers depression).

6) Light Therapy for Seasonal Depression

Bipolar Disorder

1) Regular sleep is the most important thing you can do to prevent mood swings.  Read more in Restoring Sleep. 

2) Monitoring your mood with a daily mood chart can help diagnose the type of mood swings that you have, determine whether your treatment is working, and sometimes prevent episodes before they occur.  Several versions exist online: Harvard Mood Chart, BEAM, and Lilly Mood Chart and Dr. Aiken’s Version.

3) Social Rhythm Therapy is a lifestyle approach that can reduce mood swings for the long-term.

4) Click here for more education and lifestyle approaches.

Attention Deficit Hyperactivity Disorder

1) ADHD support group in Greensboro

2) Useful books:  Driven to Distraction and Answers to Distraction by Ned Halloway

Borderline Personality Disorder

1) Mindfulness

2) Self-Activation (also called behavioral activation)

3) Book: Don't Let Your Emotions Run Your Life: How Dialectical Behavior Therapy Can Put You in Control, by Scott E. Spradlin

Anxiety

1) Mindfulness

2) Relaxation Exercises

3) Duke Psychiatrist Jonathan Davidson has written an updated guide to overcoming anxiety: The Anxiety Book

4) A good guide to overcoming social anxiety is Ronald Rapee’s 1998 book Overcoming Shyness and Social Phobia.

Post-traumatic Stress Disorder

1) Mindfulness

2) Some people find it helpful to read about this condition and process in a diary between therapy sessions. Below are some good choices to guide this:

The PTSD Workbook by Mary Beth Williams, PhD

Trauma and Recovery by Judith Herman, M.D.

The Courage to Heal and The Courage To Heal Workbook by Laura Davis and Ellen Bass (for survivors of childhood sexual abuse)

Panic Attacks

1) Self-guided cognitive-behavioral therapy.  Effective relaxation techniques and methods to overcome the fears that lead to panic attacks are described in Don’t Panic, by Chapel Hill author R. Reid Wilson. 

Obsessive-Compulsive Disorder (OCD)

1) Self-guided behavioral therapy.  This very effective therapy for OCD is described in the book Stop Obsessing, by Chapel Hill author Reid Wilson. 

Anger

1) Redford Williams is a Duke physician whose research has helped us understand the connections between anger and heart disease. His book Anger Kills has helped people reduce this emotion (volume two by is Lifeskills).

2) Popular media teaches us that letting loose our anger, such as by punching a bag, can “cathartically” reduce this emotion.  Actually, research has found that acting aggressive like this only revs up more anger and aggression (read more).  Through cognitive-behavioral therapy, people can learn more effective skills to cope with anger.

Alcohol and Substance Abuse

Smoking Cessation

Winston-Salem Alcoholics Anonymous

Piedmont Area Narcotics Anonymous

Eating Disorders

1) Online support for binge-eating, bulimia and anorexia is available at:
www.something-fishy.org.

Schizophrenia

National Alliance for the Mentally Ill

National Mental Health Association

Forsyth County Mental Health Association: includes information on local support groups

Greensboro Mental Health Association: includes information on local support groups

Alzheimer’s, Dementia

Preventive Exercise

 Artwork: Study of Proportions, Leonardo da Vinci