Treating Anxiety & Depression With a Smartphone App

Two English universities have joined forces to assess how a new smartphone app can help people manage their psychological issues. The Catch It app uses some of the key principles of psychological approaches to mental health and well-being, specifically cognitive behavioral therapy (CBT), according to researchers.  Read the News

The Struggle: Law Students Suffer From High Rates of Depression and Binge Drinking

The Above the Law website reports: “Once law students graduate, these problems do not improve, but seem to only get worse. According to a study conducted by the American Bar Association and the Hazelden Betty Ford Clinic found, one in three lawyers say they have a drinking problem, and 28 percent of them suffer from depression. Among those who reported problem drinking, 27 percent say their problems started in law school. Read the News

Out of the Darkness: Overcoming Depression Among Lawyers

The ABA’s GPSOLO magazine reports, “Lawyers seem to have a particular reluctance to seek help for depression and mental health issues because they are concerned about appearing weak or negatively affecting their reputation. Lawyers we may be, but we are human, after all. In 2004 a study was completed at Cottonwood de Tucson, a behavioral health treatment center in Arizona, where lawyers recovering from mental illness were interviewed. These individuals indicated that one main obstacle preventing them from accessing care was that they believed they could handle it on their own. Additionally, these lawyers were afraid that seeking help would negatively impact their reputation.” Read the News

Happy: An App That Replenishes Your Most Important Resources

On January 27, 2010, I became an uncle.

The day was surreal — not for me, but for my brother, who welcomed his first child into the world at 2:34 p.m.

Immediately after the baby was delivered she began experiencing respiratory distress, and at 2:35 p.m. the doctors and nurses whisked the newborn to the hospital’s neo-natal intensive care unit (NICU).  At 2:37 p.m. — while standing in the NICU praying that his baby would hang on — the new father received a call on his cell phone from opposing counsel in a case halfway across the country, where a two-week trial was scheduled to begin in ten days.

This wasn’t just any old case — a seven-year old child with profound disabilities had been raped on a special needs school bus by a twenty-year old serial predator assigned to ride the same bus.  The point of the trial was to determine what steps (if any) the school district was required to take to ensure that something like this wouldn’t happen again.

From 2:38 to 3:00, my brother negotiated a settlement in the NICU.  To hear him tell it:

“With one hand, I was pressing the phone so hard to my ear that it left an indentation for a week.  With my other hand, I was cupping the receiver as tightly as I physically could, so that the lawyer I was speaking with couldn’t hear the instructions the physicians were shouting to the attending nurses.  If he had caught wind of the fact that I was standing in the NICU with my new baby, I would have lost any leverage to settle the case, and we almost certainly would have gone to trial.  Thankfully, by the way, my wife has no memory of any of this.”

By 3:15 p.m., my niece began to breathe normally.  Seven days later, my brother and his counterpart signed a settlement agreement that, among many other things, required the school district to place paid adult bus monitors on all special needs school buses.

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I had not yet gone to law school when all this happened, and I recall being extraordinarily impressed with my brother.  But now, I realize that almost every lawyer has at least one story like this.  The simple fact is that lawyers experience tremendous stress from their vocation. Indeed, the practice of law is riddled with psychological land mines — tight deadlines, job insecurity, career dissatisfaction, pressure to achieve status (e.g, make partner), becoming emotionally invested in cases that may end unsuccessfully, feeling real fear of being chewed out for or embarrassed by a small error — to name just a few.

We experience such severe stress, and have such little discretionary time to address it, that it almost feels natural to reach for expedient but unhealthy solutions to life’s miseries (alcohol, prescription and non-prescription drugs, overly intensive exercise) that mask our problems instead of addressing them.

A group of Princeton graduates is building a valuable tool — called Happy — to help people like lawyers cope with stress and burnout in a healthier way that enables greater personal fulfillment and peace of mind.  Their big idea is that a short conversation with a compassionate listener can quickly restore perspective and significantly boost a person’s happiness and health.  Happy will soon be an on-demand app that connects callers to everyday people — lawyers, baristas, musicians, teachers, nurses, retirees, etc. — who have proven themselves to be exceptionally empathetic and highly effective. Happy is developing a community of these ‘happiness givers’ who are eager to hear your story, and help you in unexpected ways to find and experience the real happiness that is well within your grasp.

For now you can arrange a free conversation at one of the following links:

http://www.happytheapp.online/

https://calendly.com/hap/30min

By Jeremy Fischbach, Esq., B.A. Psychology, Princeton; J.D., NYU

When Working Out Doesn’t Always, Well, Work Out

I had a tough spell of moderate depression that started two weeks ago and just ended recently.

I had little energy. I was glued to my seat.  Before this, I had been exercising religiously three times per week.  I noticed that exercise had a wonderful cumulative effect on my mood that carried over from day-to-day as long as I kept at it.  I actually looked forward to going to the gym.

But then, something happened.  I got a horrible head cold. I couldn’t work out.  As I laid on the couch, I felt myself sinking.  I was cranky. More followed.

image0I got a call a few weeks ago from folks that wanted to write an article about my parents and I.  They had found me by reading a blog I had written, Our Parents, Our Depression.”  They interviewed me then asked if I would rummage through some old pictures of my parents.  I dug around in some boxes. I found an old black and white of my parents. Probably when they were in their early fifties.  It brought me down.  They had depression also. Though I didn’t know that as a child. And they probably didn’t think of it that way.  But they clearly had all the symptoms.

This whole thing brought up a lot of sadness. Some of it because of the unhappy lives they led – much of it punctured by episodes of depression, drinking, and violence.  I feel connected to them still years after their deaths. I thought about how powerful the link, genetic, emotional and psychological, is between where we come from and where we find ourselves now.  Given this history, I sometimes feel like my depression is insurmountable.  Why even try? I think. It’s just going to come back away.

So, back to working out.  I just couldn’t get going.  Just thinking of the 10-minute drive from Starbucks made me weary. I drank more coffee to get a boost, but it had no effect.

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I started feeling a bit better yesterday. I still didn’t want to go to the gym but had enough energy to push through my resistance.  I got to the gym parking lot. My legs felt heavy as walked to my workout.  I got through 20 minutes on the elliptical and pumped weights.  I felt great the rest of the day and today the depression is gone.  I feel back to my old self.  While exercise and movement aren’t a panacea, it is one powerful tool to coping with this onerous illness.

This experience taught me something: exercise isn’t just something that healthy for someone like me who has depression.  It’s essential.  It has powerful effects on the brain that are difficult to achieve with therapy and/or medication. In fact, for mild to moderate levels of depression, studies show that exercise is just as effective as the meds.  As it turns out, exercise actually boosts the positive effects of antidepressants.

So build up a regular workout regimen.  There will be times that you’ll fall off the wagon. You’ll find that working out just doesn’t isn’t working out when you’re blue.

But get back on the wagon. And get your heart and spirit pumping again.

Check out the excellent book, Spark: The Revolutionary New Science of Exercise and the Brain for a wonderful explanation of what goes on in the brain during a depression and how exercise counteracts it.

Copyright, 2016 by Daniel T. Lukasik

Why Lawyers are so Stressed Out and How to Prevent It

The New York City Bar met recently to discuss stress in the legal profession. The workshop–titled Resilience for Lawyers: Practical Skills to Decrease Stress and Avoid Burnout–was run specifically by the Mindfulness in Law program, a group that meets monthly at the New York City Bar to discuss using meditative practices in the legal profession.  Read the News

Upcoming ABA Webinar on Batting Burnout and Depression

This ABA program to be held on April 18,2016 between 1:00 p.m. and 2:35 p.m. (EST) will focus on stress management and emotional balance, peer-to-peer support groups, workaholic behaviors and proactive approaches to accommodating and supervising those at risk. Register Now

Doctor Burnout, Stress and Depression: Not an Easy Fix

U.S. News & World Report writes, “Awareness is growing around the stress that doctors-in-training and those practicing medicine experience. The statistics are alarming to some degree. Approximately one-third of physicians report experiencing burnout at any given point. As a matter of fact, doctors are 15 times more likely to burn out than professionals in any other line of work, and 45 percent of primary care physicians report that they would quit if they could afford to do so.” Read the News

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