cbt for pain

CBT for Pain: Johns Hopkins study shows Improvement

Researchers at Johns Hopkins showed CBT for pain management with patients with knee osteoarthritis (KOA) significantly  improved their symptoms.  Patients in the study reported significantly lower levels of pain after CBT sessions.  Additionally, patients with KOA in the study reported improved quality of sleep.  The new double-blind, randomized placebo-controlled clinical trial findings were published online January 26 in Arthritis and Rheumatology.  Jennifer Garcia summarizes the results of the study in the February 25, 2015, edition of OrthoSpineNew.

Holly Scott of Uptown Dallas Counseling specializes in Cognitive Behavioral Therapy (CBT).

Bipolar: What is it?

bipolar uptown dallas

We hear these statements about bipolar all the time: “I can’t focus because I am bipolar”, “she is just being bipolar”, “he has major mood swings, maybe he is bipolar”, “I am feeling so bipolar today”, “that’s my bipolar coming out.”

What does “being bipolar” really mean?  

The National Institute of Mental Health gives a detailed description of the symptoms of bipolar disorder, stating:

Bipolar disorder includes periods of both mania and depression.

Symptoms of mania or a manic episode include: 

  • A long period of feeling “high,” or feeling overly happy or outgoing.  Feeling extremely irritable, agitated, “jumpy” or “wired.”  Talking very fast, jumping from one idea to another, having racing thoughts.
  • Being easily distracted
  • Increasing goal-directed activities, such as taking on new projects
  • Being restless
  • Sleeping little
  • Having an unrealistic belief in one’s abilities
  • Behaving impulsively and taking part in a lot of pleasurable, high-risk behaviors, such as spending sprees, impulsive sex, and impulsive business investments.


Symptoms of depression may be:

  • A long period of feeling worried or empty
  • Loss of interest in activities once enjoyed, including sex.
  • Feeling tired or “slowed down”
  • Having problems concentrating, remembering, and making decisions
  • Being restless or irritable
  • Changing eating, sleeping, or other habits
  • Thinking of death or suicide, or attempting suicide.


People with bipolar disorder may also have behavioral problems. They may abuse alcohol or other substances, have relationship problems, or perform poorly in school or at work. At first, it’s not easy to recognize these problems as signs of a major mental illness.  Bipolar disorder usually lasts a lifetime. Episodes of mania and depression typically come back over time. Between episodes, many people with bipolar disorder are free of symptoms, but some people may have lingering symptoms.

Proper diagnosis and treatment helps people with bipolar disorder lead healthy and productive lives.


Terri Cheney’s memoir, Manic, is a description of what it felt like inside her brain to be manic and then move quickly to depression.  Cheney details experiences from her adult life that range from being so manic she could not speak coherently, to being so depressed she could not move.  Her book gives the reader a personal view of how devastating life can be when bipolar disorder is out of control.

Some of my favorite quotes from her book that describe her feelings are:

“I actually stopped talking. I actually listened. So I knew that I wasn’t all the way manic, because when you’re all the way manic you never listen to anybody but yourself.”
“There’s nothing quite like breaking something – the law, a pane of glass, whatever – to embolden a manic mood.” 

What right did I have to my own despair, with such genuine suffering before me? I looked around me at the pockmarked children, and all I could think was, a six-figure lifestyle drove me to suicide. It’s chemical, I told myself. I didn’t choose to be manic depressive.”

But mostly I long for sustenance – a sense of fullness, an absence of ache. It’s a primal hunger, that goes beyond food: what I really crave is normalcy.”

Well, if it wasn’t for my manic depression, there would be no me for him to marry, period. I’d be some other person entirely. I wouldn’t have those flashes of brilliance he so admired, that made him want me in the first place. I wouldn’t have the volatility that maddened but intrigued him. Alan hated ordinary. That’s just what I would be.”

Manic intentions are always good; manic consequences, almost never”. ~ Terri Cheney

Cheney’s life was miserable.  She was not experiencing “just normal mood swings”.  She had uncontrolled bipolar disorder, and the condition was ruining her life.  As she details in her book, she continues to be disabled by the condition, but with the combination of medication and therapy, she is able to live a productive life.  She is a mental health advocate and on the boards of directors of several mental health organizations.  She also facilitates a weekly community support group at UCLA’s Neuropsychiatric Institute. Her writings about bipolar disorder have been featured in New York Times, the Huffington Post, and countless articles and blogs. She currently resides in Los Angeles.

bipolar manic author terri chaney

Terri Cheney

If you believe you may have bipolar disorder, or any type of mental health challenge, see your primary care physician or a psychiatric professional for help.  Do not use the above lists of symptoms to make your own diagnosis.





Depression Therapy: When is it time to see a Professional?

depression therapy Uptown Dallas Counseling
Depression or “being depressed” means something different to everyone.  The official “dictionary” of mental disorders used by psychiatric practitioners is the Diagnostic and Statistical Manual, Revision 5 or DSM-V.  The DSM-V defines different levels and types of depression from mild to severe, depending on the specific symptoms present.  Most people do not have the 947-page DSM-V manual at home or on their kindles, so how do you know if you are depressed?  When should you seek professional help for depression therapy?
Most people who contact me for help with depression have symptoms that are affecting their ability to function on daily a daily basis.  These difficulties may include problems with home, work, or social life.  They may be personal feelings and emotions that include sadness, lack of motivation, low energy, or inability to concentrate.  Once symptoms of depression increase to the point where you can no longer complete normal daily activities, most people want to reach out for help.
What about other, more subtle signs of depression?  Margarita Tartakovsky, M.S., an Associate Editor at Psych Central and author of Weightless, offers suggestions of when to seek help based on her interview with two experts in the field of mood disorders.  She interviewed Deborah Serani, PsyD, a clinical psychologist who specializes in treating mood disorders and Lee H. Coleman, Ph.D., ABPP, a clinical psychologist and assistant director and director of training at the California Institute of Technology’s student counseling center.
Here are some not-so-obvious reasons you may want to seek professional help for depression therapy.
  • You feel hopeless or helpless. According to Serani, your thoughts might sound something like this: “Why is everything so hard for me?  “Often, helplessness is a negative circle. If you feel helpless, you get more depressed. When you get more depressed, you feel helpless.”
  • You feel guilty, worthless or ashamed. Unfortunately, depression is sometimes misperceived as a character flaw (instead of a real, debilitating illness), said Serani, also author of the books Living with Depression and Depression and Your Child. “So many children and adults blame themselves for not being able to snap out of depressed episode.” They think: “I’m so stupid,” or “I can’t do anything right.”
  • You experience extreme irritability, anger or impatience, Serani said“These symptoms are often misunderstood and viewed as ‘burnout’ or ‘stress.’” However, when agitated individuals are further questioned, they “reveal more classical symptoms of depression like negative thinking, helplessness, sadness and hopelessness.”
  • You don’t want to be around others. You might start taking time off from work, Coleman said. “Coworkers might ask if you’re feeling OK, or comment to you that you don’t seem like yourself.” 
  • You have a harder time concentrating on tasks, even ones you enjoy, Coleman said. “It’s common for people with depression to read, write and even think more slowly.”
  • You’re tired, have less energy or don’t feel like getting out of bed, he said. “A lot of the time, the signs of depression show up in our bodies.”
  • You have headaches or body aches, Serani said.
  • Your sleeping patterns have changed. You might have trouble sleeping and wake up much earlier than you normally do, Coleman said. Or you start oversleeping. “The key is to look out for a major change in the way you sleep”
  • Your eating has changed. Some people with depression find food to be less appetizing and start to eat less, whereas others eat more than usual, Coleman said. Again, the factor to zero in on is change.

If you have any of the above symptoms, you may be clinically depressed.  Ask yourself if it is time to look for a professional to help alleviate these symptoms.

** If you’re having thoughts of suicide, please get help immediately. Call the National Suicide Prevention Lifeline at 1-800-273-TALK or 1-800-273-8255.