Dr Howard Schneider
Dr Howard Schneider

Practical, Useful Links for Patients

Boost mood and resiliency during the winter months

Depression rates in 2021 rose to 32.8% of all USA adults according to this link, which of course depends on how a depression is defined. However, more people are struggling with depression now. Below are some useful tips from this easy to read article:

1. Experiment with small goals -- what is appropriate for you
(calling a friend, doing work on a certain aspect of one of your projects, going for a walk...)
2. Try to get a full night of sleep

3. Don't stay isolated -- interact with others

4. Exercise day after day -- do whatever is appropriate for you

5. Do things that you like, that make you happy, every so often

https://www.futurity.org/winter-covid-19-mood-depression-2687952-2/

 

Useful book I use with patients for CBT-I (Cognitive Therapy for Insomnia).

"The Insomnia Answer" -- This book is a bit dated and a bit lengthy to read but it was written for the non-medical reader. The authors are PhD's, i.e., non-drug treatment of insomnia, and experts in the area of sleep science. The paperback version is reasonably priced, plus you can find it at many community libraries.

Link at amazon.ca (note: available at other sources, including for free in libraries):

https://www.amazon.ca/Insomnia-Answer-Personalized-Identifying-Overcoming/dp/0399532978/ref=sr_1_1?crid=1HEVU64V4VC2C&keywords=insomnia+answer&qid=1643391677&sprefix=insomnia+answer%2Caps%2C71&sr=8-1

 

 

Schizophrenia -- More evidence to keep your mind active -- Cognitive Remediation 

"Cognitive Remediation Therapy" is different than "CBT / Cognitive Therapy/ Cognitive Behavioral Therapy".

If you have been doing cognitive remediation exercises -- keeping your mind active -- whether to help with the long term effects of schizophrenia or bipolar disorder or another disorder -- there is more evidence that these therapies can help. The link to the article below is a bit technical, but it gives more evidence that these techniques work, and it gives a bit more information about them. (Again, "Cognitive Remediation Therapy" is not the same thing as the popular "Cognitive Therapy/CBT.") I will try to post a good link to Cognitive Remediation Therapy for the non-medical reader in the future.

https://www.bcss.org/education/treatments-for-sz/cognitiveremediation/

https://pubmed.ncbi.nlm.nih.gov/31699627/

https://web.archive.org/web/20211016183549id_/https://www.ejpsychiatry.com/doi/pdf/10.5005/EJP-14-1--2-32

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8058696/

 

 

2022 -- Schizophrenia -- Cognitive Remediation Therapy works over the long term

Dr Buonocore and colleagues in Milano, Italy,  looked at a group of patients diagnosed with schizophrenia ten years after they had received Cognitive Remediation Therapy. They found that 10 years later the cognitive and functional improvements that the therapy initially gave the patients was still preserved. 

https://www.sciencedirect.com/science/article/pii/S2215001322000166