Have you ever felt like you are just going through the motions? You may be keeping up with work, family, and your day-to-day life, but you still feel disconnected and emotionally drained. In a recent episode of the ZOE Science and Nutrition podcast explores what is often known as "high-functioning depression." In this episode, Dr. Judith Joseph, a Harvard psychiatrist and researcher explains that when people appear to be doing well from the outside, friends, family, and even physicians may miss that they are quietly struggling on the inside. High-functioning depression can be especially common among high achievers who are used to pushing through and staying productive no matter how they feel.

ZOE Science & Nutrition, Signs you may have high-functioning depression - and 5 ways to fix it Dr. Judith Joseph and Dr. Sarah Berry. 

It’s one thing to know mental health matters. It's another thing entirely to give yourself permission to act on that.

This year's theme is “Turning Awareness into Action,”  In my practice, I often hear clients say they know what they “should” do: eat well, get in movement and sunshine each day, prioritize quality (and quantity!) sleep, connect with friends and community.
The hard part is doing those things when life feels overwhelming, or exhausting, or like you’re holding things together with duct tape and coffee.

So this month, I’m not offering a pep talk about radical self-care or overhauling your life.
Instead, I want to offer a gentle nudge towards improving your mental health.

Start by checking in with yourself.
Before you can take meaningful action, you need to know how you’re really doing. Even a few minutes of reflection or journaling can help you notice what’s happening beneath the surface.

Try asking yourself:

• What's been giving me energy lately?
• What's been quietly draining me?
• What do I need more of right now? What could I use less of?
• Where in my life do I feel most like me?
• What feels in sync with what matters to me the most? And what doesn't?

Then, take one small step.
Not a ten-step plan. Not a life overhaul. Just one gentle shift.

• Reach out to a friend you've been missing.
• Say "no" to one thing this week so you can say "yes" to rest.
• Schedule that therapy session you've been putting off.
• Trade 10-minutes of doomscrolling for something calming or nourishing.
• Step outside and breathe for 5-minutes without doing anything else.

Those everyday actions add up.

And maybe, have that conversation.
You know, the one you've been rehearsing in your head, or avoiding entirely. Maybe it's about a boundary you need to set. Maybe it's being vulnerable enough to ask for help.

Whether it's a conversation with a loved one or with a therapist, saying the hard thing out loud can be a powerful way to take action for your mental health.

This month, let yourself remember:
​You are allowed to care for yourself. You don't need permission to tend to your mental and emotional well-being. It's part of being human. When you do, you're better able to show up in your life, in your relationships, and in your work as the version of yourself that feels whole and steady and real. 

Research reveals that our brains often interpret imagining an action as equivalent to performing that action physically. In her insightful article for Psyche, Anna Urbanek explores how to harness this connection between mental imagery and real-world performance. By mentally simulating future scenarios (an intervention often used in EMDR!), individuals can enhance their focus, confidence, and preparedness. Urbanek emphasizes the value of visualizing not just success but also potential obstacles, allowing for strategic planning and emotional regulation. Whether you're gearing up for a presentation, an exam, or a social encounter, engaging your imagination can be a powerful tool for achieving your goals. Read the full article here for practical strategies on mastering this mental technique.

As winter settles in, there is an accompanying rise in the prevalence of Seasonal Affective Disorder (SAD), a form of depression that occurs typically during the late fall and winter months. When daylight hours shorten in the winter, disruptions to our internal clocks occur, impacting the production of mood-regulating neurotransmitters like serotonin. Substantial research and clinical experience point to bright light therapy as an effective non-invasive treatment for seasonal depression.

Light therapy, also known as phototherapy, involves exposure to a bright light that mimics natural sunlight. The science behind this therapy is rooted in its ability to regulate circadian rhythms and influence neurotransmitter levels. Research has shown that just 20 to 30 minutes of daily exposure to bright light (10,000 lux) can lead to notable improvements in mood, energy levels, and sleep patterns. This makes light therapy a valuable option for those seeking relief from the winter blues.
​
A large number of light boxes are available on the market, but it can be difficult to know which of those meet the specifications researched for effective treatment of seasonal depression. Light boxes aren't regulated by the Food and Drug Administration (FDA) for SAD treatment, so it's important to understand your options. The Yale School of Medicine provides helpful information and links to specific light boxes that have been demonstrated to be effective.

Dallas is currently in the midst of another triple digit heatwave that, despite the no-doubt immanent arrival of pumpkin-spice season, shows no signs of letting up soon. While there are regular reminders in the news to guard against heat stroke and the physical effects of heat, it is also important to know that extreme heat can negatively impact our mental health as well.
 
A recent meta-analysis published in The Lancet found positive associations between temperature and suicide rates, hospital admissions for mental illness, and community mental health outcomes. Aggression, domestic violence, and substance use can also increase during periods of extreme heat.
 
Certain groups are more vulnerable to the mental health impacts of extreme heat. People with pre-existing mental health conditions, dementia, or those taking certain medications (more on that below) might be at higher risk. Socioeconomic factors, such as poverty and substance use disorders, also substantially contribute to vulnerability.

​Certain classes of medication used to manage physical health conditions can make it harder for your body to handle extreme heat. These include medications to treat heart conditions, blood pressure, diuretics, anticholinergics (such as those prescribed for Parkinson’s and overactive bladder), antihistamines, and decongestants.
 
Similarly, some medications used to manage mental health conditions can impact the body's ability to stay hydrated, regulate temperature, and respond to heat. These include central nervous system stimulants prescribed for ADD/ADHD, medications to treat depression and anxiety (SSRIs, SNRIs, and tricyclic antidepressants), as well as some medications prescribed for schizophrenia and bipolar disorders. These medications can be life-saving and have profound benefits for quality of life, so it is important for healthcare providers and patients to work together to manage medications effectively, especially during heatwaves or other extreme weather events.
 
As we collectively navigate the extreme heat of the next several weeks, you can prioritize your physical and mental health by staying well-hydrated, taking precautions against becoming overheated, and checking on vulnerable family members, friends, and neighbors.
 
If you'd like to learn more about the Lancet study, Dr. Robert Bright, a psychiatrist with the Mayo Clinic, talks more about that research and the effects of heat on mental health here.

Research has shown physical movement to be a powerful tool in alleviating symptoms of depression and anxiety, as well as enhancing our overall sense of well-being. As we enter the sunshine and blue skies of Hot Texan Summer (TM), it is helpful to remember the beneficial effects of movement on our mental health and the importance of incorporating physical activity into our daily lives.

Over the years, a growing body of research has shed light on the positive impact of physical activity on individuals experiencing depression and anxiety. These studies highlight several key findings:
 
Release of Mood-Boosting Chemicals. Engaging in regular physical activity triggers the release of endorphins, neurotransmitters that act as natural painkillers and mood elevators. Endorphins induce feelings of happiness and well-being, counteracting negative emotions. This chemical boost can significantly improve mood and reduce symptoms of anxiety.
 
Neurogenesis and Neuroplasticity. Movement has been shown to promote neurogenesis (the formation of new neurons) and enhance neuroplasticity (the brain's ability to reorganize and adapt). These processes play a vital role in improving cognitive function, memory, and learning abilities. By stimulating the growth and connectivity of brain cells, physical activity helps create a healthier neural network that supports mental well-being. Studies indicate that regular exercise may even significantly reduce the risk of developing dementia.
 
Stress Reduction and Anxiety Management. Movement acts as a natural stress reliever by reducing the levels of stress hormones such as cortisol and promoting relaxation. Regular activity can also help manage anxiety symptoms, which often coexist with depression. Engaging in activities like walking, jogging, yoga, or swimming can provide a much-needed respite from daily stressors, promote a sense of calm and mental clarity, and improve sleep.
 
Social Interaction and Support. Participating in group activities or team sports provides an opportunity for social interaction and support. Engaging in activity with others can foster a sense of belonging and community, creating a supportive environment that combats loneliness and enhances our sense of well-being.
 
Physical activity can be a powerful a complementary tool alongside professional treatment for depression and anxiety. A recent meta-analysis published in JAMA Psychiatry, found that relatively small doses of even moderate physical activity (2 hours per week) were associated with substantially lower risks of depression. (Dr. Roger Seheult examines this and another recent study exploring depressive symptoms and sedentary behavior in adolescence in the video linked below.)

This spring a presidential panel of the American Psychological Association (APA) has produced recommendations for the use of social media by adolescents. The advisory panel was formed to provide recommendations grounded in research to ensure that adolescents develop healthy social media practices. The result is the American Psychological Association Health Advisory on Social Media Use in Adolescence. 

The report notes that while these platforms can promote healthy socialization, their use should be preceded by training in social media literacy to ensure that children and teens have skills that will maximize the chances for balanced, safe and meaningful experiences.

This report notes that social media use is not inherently beneficial or harmful to young people. The effects of social media depend on adolescents' personal and psychological characteristics, social circumstances, and the specific content, features, or functions they encounter on social media platforms. 

The report emphasizes that not all findings apply equally to all children and teens. Scientific findings should be used in conjunction with knowledge of specific kids’ strengths, weaknesses, developmental maturity, and contexts to make decisions tailored to each individual. 

​In addition to the new report, the APA's chief science officer, Dr. Mitch Prinstein, provides Q&A and recommendations for parents on how to help teens develop social media literacy skills. Dr. Prinstein specifically advises parents to:

• Monitor and discuss social media use. Take a multipronged approach to social media management by setting time limits, monitoring your child's online activities, and engaging in ongoing discussions about social media. Limit chat functions and exposure to adult content, and consider allowing social media use only when children are at home.
• Model healthy social media use. Be a positive role model by demonstrating healthy social media behavior. Avoid using social media during family time and set limits on your own social media use. Discuss your own social media use with your children and take social media holidays together as a family.
• Watch for problematic social media use. Be vigilant for signs that your child may be using social media in unhealthy ways. Look for interference with daily routines, excessive use over in-person interactions, lack of sleep or physical activity, inability to stop using social media, and deceptive behavior. If necessary, enforce new limits or seek help from a mental health professional.
• Teach social media literacy. Recognize that social media literacy is essential for adolescents. Work with social media platforms, schools, and your teen to promote social media literacy skills. Discuss topics like recognizing false information, understanding the meaning behind likes, preventing conflicts, promoting positive body image, addressing discrimination, and seeking reliable mental health information.

 
You can read the APA's recommendations in full here, and Dr. Prinstein's Q&A here.

Dr. Dara Greenwood, social psychologist and associate professor of Psychology at Vassar College, provides a thoughtful and engaging article interweaving psychological research with powerful messages from Disney's Encanto that are resonating with children and adults. Greenwood's key take-aways:

Check out the full article here.