TAMPA BAY DEPRESSIVE AND
MANIC DEPRESSIVE ASSOCIATION
February-March Providing Education, Support and Hope 2001
Challenges for Self-Responsibility Advanced
William Bonney, Ph.D. spoke to the
Tampa Bay DMDA on October 10, 2000.
health and to live our lives fully, problem-
solving is essential to self-responsibility.
Dr. Bonney asked: “Who will make things Self-responsibility is self-sustaining. How can hypnosis reduce stress, man-
work for you”, and “do you know anyone The more we are accountable for ourselves, age pain, cause weight loss, improve con-
who knows you better than you do?” the greater our sense of self-worth. Mak- centration, lead to confident living, and help
Everyone has problems. It is part of ing a contribution makes us feel better. people stop smoking? Is it magic? Is it clap-
the human condition. We can give up and Confidence and trust in the world are en- trap?
stop trying, or we can stand up with skinned hanced. It is not what happens to us, but Dr. John Gullo, Ed.D., P.A., DABP,
knees and keep going. We can decide to how we handle and respond to what hap- DFPPA, board Certified/Diplomate Li-
actively approach problems or we can be- pens to us, that gives us a sense of self- censed Mental Health/Clinical Psychology,
respect and self-worth. With practice, prob- and president of Advanced Medical Hyp-
lem-solving becomes easier and less stress- nosis, explained how hypnosis works and
“Finding help is an ful, inherent in our approach to life. dispelled some mythology.
active role and an approach How do people problem-solve effec- He emphasized that hypnosis is safe
toward wellness.” tively? By creating as many resources as and widely used. It’s safe because nobody
they can in order to become active partici- will accept the hypnotist’s suggestions un-
come passive and “just let things happen,” pants in their self-responsibility. People less the suggestions are acceptable to the
as if we have no control over our lives. need to know when to seek help. No one is client and do not violate the client’s val-
There are times when we are not able to be an island and everyone needs other people ues.
as active as other times. However, Dr. to do some things for them. Asking for help When asked how to determine whether
Bonney pointed out, a diagnosis does not a practitioner is effective, he advised the
mean that a person cannot function. audience to ask the hypnotist for their defi-
“You are very powerful in
Each person is ultimately the expert on nition of hypnosis. It should be similar to
solving his own problems, achieving the
what you do by the things that
this: Hypnosis is a state of awareness domi-
“ability to respond” effectively. Each per- you think about.” nated by the subconscious mind (that part
son draws from his own unique experience. of the thought process that controls all
Being answerable for oneself can be hard is not a sign of weakness or a flawed char- bodily processes).
work and painful and it may seem easier acter. It is an acknowledgement that we do Dr. Gullo stressed that the subcon-
to give responsibility away. “It’s the not have all the answers. It is okay for a scious mind dominates in many normal
doctor’s fault,” or “My sister made me do person to say “I don’t know how to do this.” daily situations. For example, it is the sub-
that.” However, to optimize our mental Finding help is an active role and a step conscious rather than the conscious mind
toward wellness. People in the passive lane that allows you to drive the car while con-
do not feel good about themselves and are
In This Issue less likely to receive help.
ducting a conversation and planning your
work day or listing items to pick up from
Annual Meeting p. 2 Another important factor in self-re- the supermarket. The subconscious mind
Stigma p. 2 sponsibility is a positive attitude and a will- retrieves such information as what you ate
Personal Transformation p. 3 ingness to learn. People can choose to learn for dinner two nights ago. The subcon-
Legacy of Abuse p. 4 from experience, reading, and support scious mind, more than the conscious mind,
Depressed Brain Cells p. 5 groups, to see new possibilities, and even propels most behavior. In addition, the sub-
Intuition vs. Reason p. 6 to find humor in their circumstances. Ad- conscious mind takes over in situations of
Sleep & Stress p. 6 versity may even be seen as a challenge. great stress or danger. The subconscious
Web Addiction p. 6 mind can produce healing when it believes
Challenges continued on page 3 so strongly in the doctor that there is a pla-
cebo effect, but it can also override the con-
This issue of the Tampa Bay DMDA newsletter is is paid for by
Members of the Tampa Bay Depressive and Manic Depressive Association Hypnosis continued on page 3
From the LECTURE SERIES 2001
President's Desk Our lectures are held on the 2nd Tuesday of the month at 7:00 PM at
St. Joseph’s Hospital, Medical Arts Bldg., Auditorium 3.
It's February and love is in the air. The Lectures are free and open to the public. Free Parking north of the building.
psychiatrists of our Tampa Bay community
have demonstrated that by their generous February 13 Michael Sheehan, M.D.
support of our 2001 Professional Member- “Biology of Addiction”
ship Fundraiser. Their names are listed on
our internet site and will be printed on our March 13 Annual Meeting
2001 Professional Scroll of Honor in our April 10 Carol Westmorland, R.N., M.S.N.
next newsletter. “Demystifying Complementary Therapies”
Thanks to the inexhaustible efforts of
our newsletter editor, Jane Trilling, we can Topic, speaker and room may change due to circumstances beyond our control. Any
produce this educational resource, issue room reassignments will be posted near the original room assignment or check with
after issue. Thanks to a solid board of di- reception.
rectors, dedicated support group facilita-
tors, and supportive membership, Tampa
Bay Depressive and Manic Depressive As- ANNUAL MEETING 2001
sociation exists. It is inspiring to see, feel, The ANNUAL MEETING of the Any person nominated for a seat on
and read notes from our membership and Tampa Bay Depressive and Manic Depres- the Board of Directors must agree to have
people from as far away as Australia thank- sive Association Annual Meeting will be their name on the ballot before the vote is
ing us for the volunteer work we do. Scores held on Tuesday, March 13, 2001 at 7:00 taken. The new Board will then elect of-
of people, including those who support and P.M. at St. Joseph’s Hospital, Medical Arts ficers.
those who are diagnosed, attend our sup- Building, Auditorium 1 Current dues-paying members are en-
port groups each week, demonstrating that If you are interested in serving on the couraged to vote in these elections.
self-help is beneficial to their mental health. Board of Directors please leave a message
Our web site provides us with the ability to at 813-878-2906.
help people beyond Tampa Bay and hear-
ing from them is very exciting. You may
enjoy reading some of their comments in The Stigma of Depression
our guestbook. Excerpts from a letter to the editor by Piper Hoffman,
Celebrate Tampa Bay Depressive and Brown Alumni Magazine, July/August 2000
Manic Depressive by renewing your mem-
The misconception that many people social, financial, and professional risks, that
berships or becoming members. Volunteer
with depression are self-indulgent or emo- number (of suicides) will not decrease. As
to help us help others help themselves and
tionally lazy is only one of many reasons one step in reducing these risks, we should
you, too, will reap self satisfaction, become
that even the desperate may not seek help. call on bar review boards and any other
more knowledgeable about depressive dis-
Another is apprehension that their disease professional organizations that engage in
orders, foster self-help, advocate research,
will become a matter of public record, jeop- similar practices not to require information
and eliminate stigma.
ardizing not only their health insurance,... about applicants’ psychiatric histories. Psy-
but also their livelihoods. For example, chiatric treatment is medical treatment and
Susan Shaw many states ask applicants to the bar to is no more appropriate for professional or-
Tampa Bay DMDA President describe psychological problems or treat- ganizations to investigate than is an
ments they have had, and even to supply applicant’s history of cancer or any other
Tampa Bay DMDA is an their psychologist’s or psychiatrist’s medical condition.
all volunteer records. Applicants who refuse to answer
non-profit organization. are not admitted to the bar and cannot prac-
tice law... it is certain that as long as de- SPONSORSHIP
pression continues to be stigmatized and We are looking for sponsorship
TAMPA BAY DEPRESSIVE AND its treatment continues to carry significant of our bimonthly
MANIC DEPRESSIVE ASSOC. TBDMDA Newsletter.
NEVER ADJUST OR Any person, business, or
P.O. Box 340572
STOP TAKING YOUR
Tampa, FL 33694 organization that would like to
Tel: (813) 878-2906 CONSULTING YOUR DOCTOR. help, please call 813-878-2906
and leave a message.
You can e-mail us at: TAKE YOUR MEDICATIONS
TBDMDA@Yahoo.com AS PRESCRIBED. Thank You
TAMPA BAY DMDA NEWSLETTER 2 FEBRUARY-MARCH 2001
Challenges for Self-Responsibility Advanced
Continued from page 1 The basis of QPS is CYA, that is, Check Medical Hypnosis
Your Assumptions. Many times we have
On the other hand, people can choose to Continued from page 1
assumptions that are false - they are not
complain, take offense, blame others, and scious mind with self-destructive habits.
based on accurate data. For example, if a
stagnate. A negative approach to problems Because the conscious mind cannot repro-
person believes that the world is cruel be-
becomes self-defeating as well as a method gram itself to change behavior, the subcon-
cause of past experience, he may decide to
to sabotage self-responsibility. Dr. Bonney scious mind has to be the force for change.
stay home. Missing information results in
states: “You are very powerful in what you The few lucky ones who appear to simply
do by the things that you think about.” decide to stop smoking, overeating, etc. are
Self-nurturing is another important “Missing information
more likely practicing self-hypnosis. They
factor in self-responsibility. Knowing how results in assumptions...” have the necessary commitment and belief
to care for ourselves enhances further de- to accompany the self-suggestions.
velopment and increases a sense of ac- assumptions, which lead to inaccurate con- The therapist deliberately interferes
complishment. Ideas for self-nurturing in- clusions, and impaired decisions. Virtually with the conscious mind to allow the sub-
clude crafts, music, exercise, reading, every decision will have its own problems conscious mind to become dominant in a
nature, reflecting on our positive traits, and we can never solve them all. However, positive way. The conscious mind has failed
journaling, and even savoring a cup of cof- we can find the solutions that work best for to solve the problem for so long that even
us. In looking for the problem in a solu- the subconscious mind believes it’s
“People need to know tion, we take the emotionality out of the insolvable and beyond remediation. Hyp-
when to seek help.” process. We are moving from passive to notherapy changes this belief system with
active. We are taking control. suggestions from the therapist made to the
fee. The main idea is to find something that Self-responsibility is difficult. It client when the client is relaxed. The goal
you enjoy doing and that nurtures you. causes us pain and suffering and we have is to teach the client to hypnotize himself
Everyone is creative in some way and ev- to work at it. But as we take an active ap- or herself with a new set of self-fulfilling
eryone has unique traits and inner resources proach to our lives, the process becomes prophecies to replace the ones that haven’t
to draw upon. easier and self-fulfilling. Only you know been working. He has found that a maxi-
Dr. Bonney described a useful tool what works best for you. mum of ten sessions usually is sufficient.
called Quantum Problem Solving (QPS). ~Jane Trilling
Personal Transformation: Cause and Effect
An excerpt from “A Letter from the President”(Chuck Weinstein)
“Sooner or later we all
Polar’s Express, MDDA Boston, Summer 2000 as seen in The Initiative quote our mothers.”
When I first started attending MDDA- of responsibility was just what the doctor
Boston support groups in 1990, it was a bit- ordered. It helped transform my deep sense
tersweet experience. Being told that I had of uselessness and filled the hole of empti-
a mental illness opened a major rift in my ness inside. It was like a strong multi-vita- The Art of
life. But MDDA wove many unbreakable min given to someone malnourished. I
threads of hope, friendship, and love into looked forward to the magical Wednesday Therapy
the fabric of my being. In that wonderful nights when I wasn’t a patient but a peer
Health, Nov./Dec. 1998
community, I made friends, shared stories, group leader, “a facilitator.” I felt a sense
cried and laughed. Talking openly with of dignity. I felt that my time and efforts, Children often have difficulty discuss-
other people allowed me to be honest with comments and caring were appreciated, and ing their feelings after a fight with a sib-
myself. I knew I’d found a refuge. I still do to this day. ling or a scolding from Mom. To see if
Chief facilitator Alta List invited me Helping to develop our facilitator train- artistic expression helps, researchers at the
to facilitate after I’d attended groups for ing program has brought me much joy and University of Otago in Dunedin, New
only a short time. I seized upon this oppor- satisfaction. When I conduct a training, our Zealand, gave kids paper and markers to
tunity, not knowing where it would lead me trainees’ excitement and energy remind me play with as they recounted a traumatic
or how it would affect my life. A position how often this job generates positive event. The kids who were between three
changes in our lives. Being a facilitator and six, revealed twice as much about their
turns a recipient of care into a care giver, feelings as did those who had talk therapy.
Visit Our Web Site as you learn to maintain safety and put your The investigators speculate that sketching
at this Address: needs second to those in the group. It of- may facilitate memory, help children orga-
fers a profound sense of self-worth and ac- nize their thoughts, or simply put them
www.tbdmda.org complishment.” more at ease.
TAMPA BAY DMDA NEWSLETTER 3 FEBRUARY-MARCH 2001
Transforming Madness: Test for Detecting
New Lives for People Living Heavy Drinkers
with Mental Illness The FDA has approved a new test used
to detect people who are heavy drinkers and
by Jay Neugeboren at risk for alcohol-related disease.
Sustained heavy daily intake of alco-
Quotes excerpted from an interview in hol results in elevated levels of carbohy-
National DMDA Outreach, Summer 2000
drate-deficient transferrin (CDT), which
In his book Transforming Madness, People should use them, because isolation can be used to determine whether a person
Jay Neugeboren, of the University of Mas- is the enemy. If you have a mental illness, is drinking more alcohol than their body
sachusetts at Amherst states: “We now have breaking the cycle of being alone is criti- can tolerate. The CDT test will initially be
ways of controlling and treating many cal.” used in alcohol-treatment facilities to mea-
(mental) illnesses, allowing consumers to “I try to never underestimate just how sure health and compliance.
‘transform’ their lives - not just survive an terribly hard it often is for some people with
illness.” The best way to start the process severe mental illnesses to recover, but it is Summary of "Test for Detecting Heavy
of transforming, states Neugeboren, is possible. I’ve seen it. So if someone tells Drinkers Wins FDA Approval," 1 Dec,
“with one good relationship. Just one. One you you’re treatment resistant, it’s not true. 2000. Medscape Online. Reuters, Ltd.
person - often a mental health professional If a doctor tells you that, switch doctors.
- who has compassion for the person with There is hope.”
the illness and is able to say, ‘You’re doing “Having others believe in you, while
well. I believe in you and think you can do you’re trying to make sense of your illness, About Science
even better.’ Having one person to trust and is what I mean by hope. Again, the peer
lean on helps the ‘transformation’ or emo- groups are so important. Sometimes it is by 5th and 6th Graders:
tional/physical improvement begin. That’s the first place where people with mental 1. To most people solutions mean finding
why support groups are so important. If illness feel understood and for the first time the answers. But to chemists solutions
people are unable to find support from fam- in their lives.” are things that are still all mixed up.
ily or friends, the groups are there for them. 2. Most books say our sun is a star. But it
still knows how to change back into a
sun in the daytime.
Disorders Common Among 3. Water freezes at 32 degrees and boils at
Victims of Childhood Abuse 212 degrees. There are 180 degrees
between freezing and boiling because
Early childhood abuse, whether physi- atric illnesses and memory disorders. He there are 180 degrees between north
cal, sexual, or emotional, negatively affects states that, “Early abuse molds the brain to and south.
brain development, according to Dr. Mar- be more irritable, impulsive, suspicious, and 4. Vacuums are nothings. We only
tin Teicher of McLean Hospital in Massa- prone to fight-or-flight reactions that the mention them to let them know we
chusetts. Such changes have been docu- rational mind may be unable to control....To know they’re there.
mented in electroencephalography and a brain so tuned, Eden itself would seem to 5. The wind is like the air, only pushier.
MRI studies. Doctors found “clinically sig- hold its share of dangers.” 6. Some oxygen molecules help fires burn
nificant brain-wave abnormalities” in 72% while others help make water, so
of patients with serious early childhood Adapted from Cerebrum 2000; 2:50-67.
sometimes it’s brother against brother.
trauma. EEG studies of the brains of trau- * The hippocampus is important in long-
matized victims showed left-sided abnor- 7. In looking at a drop of water under the
term memory. microscope, we find there are twice as
malities and diminished development, most
prominently in the temporal regions. In ad- ** Dissociative symptoms involve many H’s as O’s.
dition, studies showed the left hippocam- thoughts, memories, emotions that are cut
pus* to be smaller among abused victims off from consciousness due to the anxiety
than among control subjects. Dr. Teicher they cause. An extreme example is DON’T FORGET
theorizes that these changes in the left hip- multiple-personality disorder. TO RENEW
pocampus caused by child abuse elicit Please remember to renew your mem-
“deficits in verbal memory and dissocia- bership in order to continue receiving the
tive symptoms**.” Also, neglect and sexual “You might have to fight TBDMDA newsletter and to vote in the
abuse have been noted to reduce both the the battle more than once March elections. Some of our reminder
size and activity of some structures in the to win it.” cards are a little late. Try not to let your
middle portion. Dr. Teicher believes that Margaret Thatcher membership lapse.
these changes increase the risks of psychi- THANK YOU.
TAMPA BAY DMDA NEWSLETTER 4 FEBRUARY-MARCH 2001
Brain Cells and Depression
Recent studies suggest that depression sion, the hippocampus has been shown to to “proliferate and migrate to a damaged
may arise as a result of the body’s failure be smaller in elderly women with recurrent or diseased brain region.” Progress is be-
to grow neurons in particular areas of the major depression than in women without ing made in these areas, but much more
brain. Scientists now know that adult brains depression (Yvette Sheline at Washington work needs to be done before these strate-
do indeed generate new neurons U). This particular study also showed that gies become routine.
(neurogenesis). Theorizing that “control- “the decrease in hippocampal volume cor-
ling neurogenesis in the adult brain--might related with the total lifetime duration of * hippocampus - a brain area important in
have a significant impact on the treatment depression and not with age.” Studies of long-term memory
of mental illness,” doctors hope to influ- temporal-lobe epilepsy also show the cor- **amygdala - a brain area important in
ence the production of neurons both envi- relation between hippocampal damage and emotion, behavior, and memory
ronmentally and biochemically. depression.
Stem cells, our primitive, original cells, Increasing serotonin in the brain, the Jacobs, Barry L, Henriette von Praag and
can divide indefinitely, creating differenti- most common and effective treatment for Fred H. Gage. “Depression and the Birth
ated (specialized) as well as “projenitur” depression, works by increasing and Death of Brain Cells.” American
cells. While our existing neurons in the neurogenesis in the hippocampus, stimu- Scientist 88.4 (2000): 340-45.
brain cannot divide, projenitur cells in the lating cell growth in various peripheral tis- Summary by Paulette Lane.
central nervous system can produce new sues of the central nervous system, and fa-
neurons, glial cells (supporting cells), and cilitating “neuronal and synaptic plasticity.”
new projenitur cells. Researchers theorize In the laboratory, rats given fluoxetine "Suicide today is seen
that disinhibiting these projenitur cells (Prozac) for 3 weeks were found to have a as the end point of a
could allow them to create new neurons in “70% increase in the number of cells pro- medical illness."
a diseased or traumatized brain. duced in the dentate gyrus” (Jacobs). Peter Kramer, M.D.
By investigating the DNA of projenitur Ronald Duman also found that fluoxetine,
cells in laboratory animals, researchers are antidepressants acting on norepinephrine,
studying the processes of cell division as and ECT all increased cell growth in the Educational Resources
well as the processes by which these cells brains of rats. These studies show that “se-
become integrated into the circuitry of the rotonin can dramatically augment cell pro- American Psychiatric Association
brain. While primate studies have not yet liferation and that it does so, at least in part, 202-682-6220 • www.psych.org
been done, studies in rats and mice dem- by action on the 5-HT1A receptor,” of American Psychological Association
onstrate neuron production of 1000-3000 which the hippocampus has an abundance. 800-374-2721 • www.apa.org
neurons per day in a brain area next to the Researchers theorize that the usual delay
hippocampus* called the dentate gyrus. in effectiveness in antidepressant therapies 800-342-0823
Some scientists believe that “stress is of 3-6 weeks might occur as a result the www.advocacycenter.com
the most significant causal agent-with the time it takes for these new neurons to “fully
Child & Adolescent Bipolar Foundation
possible exception of genetic predisposi- mature, extend their neurites and integrate 847-256-8525 • www.bpkids.org
tion - in the etiology of depression.” Our with the existing brain circuitry.”
National Alliance for the Mentally Ill
nerve cells in the hippocampus are very Other alterations in the brain might 800-950-6264 • www.nami.org
“sensitive to the deleterious effects of also affect depression. Chemical problems
National Association for the Dually Diagnosed
stress.” Consequently, scientists believe that in the cerebral cortex, the amygdala**, and 800-331-5362
“a stress-induced decrease in neurogenesis the brain stem, may play a part. The inter-
in the hippocampus might be an important connections between the hippocampus and 800-826-3632 • www.ndmda.org
factor in precipitating episodes of depres- other areas of the brain help to explain the
National Family Caregivers Association
sion.” Researchers have discovered that cognitive and emotional problems seen in 301-942-6430
exposing rats to stressful situations reduces depression. In addition to serotonin, the National Foundation for Depressive Illnesses
their cell proliferation in the dentate gyrus, authors reveal other means of increasing 800-248-4344
probably through increases in brain gluco- neurogenesis in the brain, such as National Institute of Mental Health
corticoids. Robert Sapolsky of Stanford U norepinephrin, glucocorticoid regulation, 800-421-4211 • www.nimh.nih.gov
and Bruce McEwen of Rockefeller U have and running. Panic Disorder Line:
shown that “stress and glucocorticoids “Advances in controlling neurogenesis 800-64PANIC(7-2642)
(stress hormones from adrenal cortex such might also be used to treat many other dis- Anxiety Disorder Line:
as cortisol) cause widespread morphologi- eases where brain cells have died,” say the
cal changes and even cell death in parts of authors. Harvesting, expanding, and trans- National Mental Health Association
800-969-6442 • www.nmha.org
the hippocampus.” planting stem cells might “replace or aug- Confidential
While other areas of the brain may also ment endogenous cells” in the brain. Stimu- depression screening:
underlie changes associated with depres- lating endogenous cells might induce them www.depression-screening.org
TAMPA BAY DMDA NEWSLETTER 5 FEBRUARY-MARCH 2001
Scroll of When Not to Use Your Head
HON OR Intuition vs. Reason
Summary of an article in Health, June 2000
This year we have initiated a
2001 Scroll of Honor for professional Jonathan Schooler, Professor of Psy- knowing how you know - or even that you
members. We honor professional sup- chology at the University of Pittsburgh, has know.”
port of TBDMDA and we extend a been studying how intuition works and why When asked why people do better
very sincere thank you to the current we sometimes fail to heed it. By using in- when they go with their hunch, Schooler
2001 Professional Honor Roll mem- dex cards with two groups of three words, states: “Because humans appear to use two
bers. and having a participant choose which disparate modes of thinking, and one often
We are proud to list your names group has a connecting word, he demon- hampers the other. Reason tramples intu-
in the next issue and we encourage strates that people are often aware of things ition. If you try to think in words when
additional professionals to join. that they do not realize on a conscious level. what’s really needed is a nonverbal, intui-
Thank You! Another experiment uses words flashed tive approach, you are doing yourself a dis-
quickly on a screen and asks the partici- service. It’s called ‘verbal overshadow-
pant to say the word. The majority of the ing.’”
words are named very quickly. Using rea- Professor Schooler does make a dis-
Sleep and the Vicious son to name the word is not nearly as suc- tinction between cultivating your intuition
Stress Cycle cessful. In a third experiment, participants versus unfortunate snap decisions, or deci-
are shown a face that they will pick out of sions influenced by fear and anxiety. Gut
Elaine Glusac, a line-up. The group who wrote a descrip- feelings need to be monitored by our rea-
Shape Magazine, July 1999 tion of the face were less likely to recog- son when the consequences could be dire,
Not getting enough sleep itself is a nize the face than those who did not write such as buying an expensive sports car on
stressor. Cortisol, the body’s stress hor- about the face. Schooler states that these a whim. And, decisions made out of fear
mone, rises on demand to empower the experiments are: “an elegant demonstration are not necessarily intuitive decisions, as
body to defend itself. Responsible for the of the idea that you can know without intuition and anxiety are not the same.
“fight or flight syndrome,” cortisol surges
in response to stressful events, giving you
the ability to quickly jump out of the way Caught in the Web
of a speeding bus, for example. Cortisol
levels are normally low at night, enabling
Study on Internet Addicts
the body to rest, and then rise in the morn- Adapted from an article in Vital Signs, 11/21/00
ing to awaken you. But after a night of cur-
tailed shut-eye, it could be the stress result- Internet use constitutes an addiction in tablished diagnostic criteria for the family
ing from fatigue that interferes with your a growing number of web users. The of psychiatric illnesses known as impulse
sleep the next night. “It’s a vicious cycle,” American Psychological Association esti- control disorders, which include kleptoma-
says sleep expert Martin Moore-Ede, M.D., mates that there are 200,000 cyberspace nia, a recurrent failure to resist impulses to
Ph.D. “It’s the effect of the stress actually addicts in the U.S. shoplift, and trichotillomania, a recurrent
keeping you awake, and as a result you get In a study by the University of Florida pulling of one’s hair.”
less sleep, which causes more stress, and and the University of Cincinnati (UF/Cin- The study participants also displayed
so on.” cinnati) published in the Journal of Affec- a “significant amount of treatable psychi-
tive Disorders, researchers describe the atric illness...” Mood stabilizers were most
destructiveness of this addiction, which is effective as treatment, and antidepressants
no less debilitating than other forms of sub- helped some.
"Without trust, influence is almost im- stance abuse. Some of the interviewed ad- It is not known whether subjects had a
possible. We are most influenced by dicts reported failing out of school, losing pre-existing psychiatric illness or whether
those we trust. We feel positive about jobs, divorcing, and being isolated from Internet use precipitated an illness.
them and tend to be more open to friends and family, as a consequences. On
learning from them. We enjoy being average, the subjects spent 30 hours/week
with them and do whatever we can to online, and one spent 3 days in a row online.
assist them. When you have confi- The favorite sites were chat rooms, e-mail,
dence in and respect for another, you and multi-user domains. It is theorized tele- “For peace of mind,
tend to give strong consideration to vision is not addictive like Internet use, resign as general manager
their views and advice." because of the latter’s interactive nature. of the universe.”
Denise Thornby, RN, MS, One of the unexpected findings: “Ev-
Nursing Spectrum, July 10, 2000. Larry Eisenberg
ery study participant’s Internet use met es-
TAMPA BAY DMDA NEWSLETTER 6 FEBRUARY-MARCH 2001
Depression in Medical Illness: Breakthrough:
The Role of the Immune System Albert Ellis
Summary of an article by Kenneth V. Iserson, Psychology Today, December 1999
Western Journal of Medicine 173(5),2000, Medscape.com
Immunity and resistance to disease are vous system, and endocrine system. Ulti- Ellis developed rational-emotive
affected by stress and emotions. Pathways mately, chemical changes result in behav- therapy (RET) – which helps clients iden-
between the brain and nervous system and ioral changes, collectively known as “sick- tify irrational beliefs* and replace them
the immune system, in turn, result in be- ness behavior,” such as depressed mood, with rational ones.
havioral and mood changes when the im- anorexia, altered sleep, and reduced inter- “RET therapists will listen as you
mune system is activated. est in interacting with others. whine about your mother, but in the final
When pathogens (germs) invade the Disease-related depression causes dis- analysis, they will put you at the center of
body, the immune system alerts the brain tress to the patient and can decrease the the universe, responsible for your own ac-
of the infection-induced immune activation. body’s ability to fight the illness, as well as tions and feelings.” July 1973
Cytokines such as interleukins and compromise the treatment plan. * Refer to the list in the Dec./Jan. issue.
interferons, are peptides (chains of amino
acids) that are produced in the brain and
elsewhere to orchestrate the body’s immune For Those of You Taking Lithium
response. Cytokines mediate not only the
disease-fighting function of the immune Replacing fluids and obtaining enough Taking over-the-counter medications
system, but also changes in the brain, ner- dietary salt are essential for anyone taking concurrently with lithium can be danger-
lithium, particularly in hot weather. Heavy ous. In particular, medications such as
Thank You! sweating may raise lithium levels, as may ibuprofen (Advil. Motrin, Nuprin, etc.) and
low-sodium diets. If you are on a low-so- other nonsteriodal anti-inflammatory drugs
To all of you who have paid your dium diet, check with your doctor regard- (NSAIDs) may increase blood lithium lev-
dues, subscribed to our newsletter, or ing toxicity. Symptoms of toxicity start with els. Always check with your doctor or phar-
made donations, we truly thank you. increased shaking, nausea, and diarrhea. macist before taking any medications while
Without this monetary support, we The kidneys handle lithium and sodium the on lithium. Having regular blood lithium
would not be able to provide educational same way, and losing fluids and sodium levels checked is important to avoid toxic-
materials, literature and newsletters to results in the kidneys retaining sodium and ity.
the people that need our help. increased lithium levels.
What is Tampa Bay Depressive and Manic Depressive Association?
Tampa bay DMDA is a self-help sup- The Association's mission is: to pro- All our activities are conducted so as
port group for persons diagnosed with Af- vide education, self-help, fellowship and to facilitate the sharing of experiences, pos-
fective Disorders. We are affiliated with the other direct services to people with Affec- sible solutions, and emotional support
National DMDA. TBDMDA is a non- tive Disorders and to their relatives and through the atmosphere of good fellowship
profit, 501(c)(3) organization operated by friends (support people). and outreach while encouraging proper
it members. medical and therapeutic treatment.
2001 MEMBERSHIP APPLICATION
Please check the appropriate boxes Name _________________________________________________________________________
❑ New ❑ Renewal ❑ Change of address Family Members _________________________________________________________________
❑ 20.00 Individual or Support Person
❑ $10.00 Newsletter only (per year)
❑ $30.00 Family/Household City/State/Zip ___________________________________________________________________
❑ 150.00 Professional Honor Roll for 2001
Phone __________________________ Email ____________________________________
❑ $100.00 Lifetime
How did you hear about our organization? _____________________________________________
❑ $_______ Donation
Confidentiality is very important to us. Our membership list stays within TBDMDA only
Enclosed is $__________ for membership and/
or donation. The Tampa Bay DMDA is a non- and will not be sent to any other organizations.
profit 501(c)(3) corporation. Contributions are
tax deductible as provided by law. Please print clearly and mail to TBDMDA, PO Box 340572, Tampa, FL 33694
TAMPA BAY DMDA NEWSLETTER 7 FEBRUARY-MARCH 2001
Tampa Bay Depressive and Manic Depressive Association
PLEASE BE ON TIME
If unable to, please find a place to sit and join in. Everyone appreciates your cooperation. Thank you.
Times and locations may change due to circumstances beyond our control.
Carrollwood/Northdale: Port Richey: Monday 7:30 PM
Monday 7:00 PM 1st Presbyterian Church, Support Group Guidelines:
Northwest Regional Library, 15610 7540 Ridge Road
Premier Dr. N.; 813-264-3831 Contact: Linda 727-845-7780 • We are here to support mental health
and your prescribed treatment.
St. Joseph Hospital: Wednesday Largo: Tuesday 7:30 PM • We maintain confidentiality: What is
7:30 PM: 3001 W. Dr. Martin L. King 1st Christian Church of Largo said in a group stays here.
Blvd, Tampa in Conference Room C. 1645 Seminole Blvd. Room 406
Check at reception for changes. (2 blocks N. of Ulmerton) • As volunteer facilitators, we help guide
Contact: Gary 727-584-8693 your discussions. We share experi-
St. Petersburg: Monday 7:00 PM ences, wisdom, successes, and com-
Lutheran Church of the Cross, FMHI: Wednesday 7:30 PM mon problems. We limit discussions to
4545 Chancelor St., NE. MHC Room 1329. Maps available at depressive disorders and medically
Contact: Connie 727-525-8364 main USF entrance on Fowler Ave. accepted treatments.
• We are not mental health profession-
James A. Haley V.A. Hospital: Zephyrhills: Monday 7:00 PM
als. We do not diagnose, advise, or
Saturday 7:00 PM E. Pasco Med. Center,
13000 Bruce B. Downs., 1C West 7050 Gall Blvd. (Us Hwy 301), recommend specific treatments or
Wellness Center Rm. B. doctors.
Town & Country Hospital: • Our participants respond with compas-
Sunday 7:00 PM, Brandon: Wednesday 7:00 PM at sion, not judgement. We may remain
6001 Webb Road - in cafeteria Brandon Library, 2nd Floor, silent.
Contact: Linda 813-887-3127 619 Vonderberg Road. • Intimate personal relationships are
Contact: Paul 813-651-1520;
discouraged. We are here to give and
You Can Call Us At TBDMDA Newsletter Multiple Copies?
Circulation: Worldwide Anyone who would like to receive
813-878-2906 multiple copies of our newsletter, please
Please leave a message and one of Feel free to reprint our articles or send $4/issue or $24/year to our PO Box
our volunteers will call you back. We our entire newsletter. However, please and indicate what the funds are for. We
cannot return long distance calls unless acknowledge our publication, date, au- can send about 30 newsletters in a
you give us permission to call collect. thor, and source. Priortity Mail packet.
P.O. Box 340572
Tampa, FL 33694
Michael F. Sheehan, M.D.
President: Susan Shaw
1st Vice President: Michael Sheehan
2nd Vice President: Randy Hillhouse
Treasurer: Joseph Baruta
Scribe: Jane Trilling
Editor: Jane Trilling
Assistant Editor: Paulette Lane
Serving the Community Since 1985
TAMPA BAY DMDA NEWSLETTER FEBRUARY-MARCH 2001