Part II: Skills vs. Pills

December 5th, 2011 No comments »

In Part I, I reviewed the clinical literature which clearly contradicts the “clinical imbalance” theory of depression and anxiety.  Results indicate approximately 80% of the effectiveness of anti-depressant medications are due to placebo.  Here are some other interesting facts to be aware of in the effective treatment of depression and anxiety:

Genetic pre-disposition for the development of anxiety and depressive disorders is about .4.  This means that about 40% of the tendency toward development of an anxiety or depressive disorder can be attributed to genetics.  This also means the majority of what influences the development of anxiety or depression is due to environmental influences and stress factors.

There is no evidence to claim that drugs are the most effective treatment for depression and anxiety.  This claim that drugs are the most effective treatment has been made by the American Psychiatric Association and widely published by the pharmaceutical industry, but is not consistent with clinical research.

Research over the last two decades indicates CBT, not pills, is the most effective treatment for depression and all anxiety disorders, both in the short and long term.

There are exceptions to every rule.  Medications can be helpful, even lifesaving, for those struggling with severe depression or anxiety.  In these cases, however, they should be combined with CBT.

There are several psychiatric disorders which absolutely require medication.  These include schizophrenia and bi-polar disorders.  Uni-polar depression, generally referred to as major depression, is most effectively treated by CBT alone.

Treatment of anxiety and depression through CBT generally leads to the ability to taper off medications with no relapse.  Treatments for anxiety and depression can be just as effective when CBT is used alone, as when it is used in combination with medication.

The withdrawals from anxiety medications, such as Xanex and Valium can produce anxiety far in excess of the anxiety they were prescribed to treat.

Dr. David Healey, from the University of Wales College of Medicine, recently used the Freedom of Information Act to obtain data fromt he FDA on adults treated with SSRI anti-depressants, such as Prozac.  The results were startling and indicated the suicide rates of those individuals receiving placebos.

While these are shocking truths, the news is beginning to get out.  Just last year, in January 2010, Newsweek’s cover story, entitled “The Depressing News About Anti-Depressants” exposed truths about the placebo effects at work with anti-depressant medications.  In this article, they wrote, “Yes, the anti-depressant drugs are effective in that they lift depression in most patients.  But, the benefit is hardly more than most receive when they, unknowingly, as part of the study, take a dummy pill (placebo).”  As more and more scientists study depression and the drugs to treat it conclude, the research suggests that anti-depressants are basically “expensive tic-tacs.”

If you are one of the millions of individuals attempting to treat your depression or anxiety medically, it would be wise to educate yourself.  I recommend David Burns, M.D., “When Panic Attacks” 2006.  This book provides a great review of the research and literature, and a treasure-chest of CBT tools and techniques for developing skills to break free of anxiety and panic.

 

Pills vs. Skills–Part 1 The Shocking Truth About Anti-Depressant and Anti-Anxiety Medications

September 12th, 2011 No comments »

At any given time, it is estimated that one out of four individuals struggle with anxiety.  The World Health Organization indicates major depression will be the leading cause of human suffering by 2020.  That said, this means millions of Americans are attempting to treat their depression and anxiety medically, and the theory that anxiety and depression are the result of a chemical imbalance has become deeply ingrained in our society.

However…the truth is…A thorough review of the clinical research indicates there is no evidence to support a bio-chemical imbalance theory for either anxiety or depression.

Perhaps even more difficult to wrap one’s mind around is the clinical evidence that the effectiveness of anti-depressant medications are primarily the result of placebo effects!  In a review of world literature, which includes all data submitted to the Food and Drug Administration over the last several decades, Dr. Irving Kirsch (University of Connecticut), discovered the difference between anti-depressant medications and placebos were minimal, at best.  At least 75% of the effectiveness attributed to anti-depressant medications were the result of placebo effects alone.  This research clearly indicates the effectiveness of the medication is primarily due to the positive expectation of improvement.  Ahhh…the power of the mind!

Over three decades of research indicates the effectiveness of Cognitive Behavioral Therapy (CBT) in the treatment of depression and anxiety.  CBT teaches skills for dealing with life stressors.  Dr. Henry Westra (York University in Toronto) concluded CBT to be the golden standard in the treatment of all forms of anxiety.  His research found CBT to be more effective than any other type of psychotherapy or medication for the treatment of anxiety.  They also discovered that CBT without medication appeared to be more effective than CBT with medication.

While this startling information for most, this knowledge has actively been around for almost two decades.  Of course, pharmaceutical companies continue to reap the benefit of anti-depressant and anti-anxiety medications in the form of  billions of dollars annually…providing a great incentive to continue to perpetuate the bio-chemical imbalance theory, even if there is evidence to contradict it.

Please stay tuned…I have other interesting points to be made on this subject.  Everyone is, or knows someone who takes anti-anxiety or anti-depression medications, making this information valuable virtually everyone.   Stay tuned for Part II!

 

Warning: Don’t text and expect meaningful communication

February 8th, 2011 No comments »

As a practicing psychologist over the last 30 years I have helped hundreds of couples examine and improve the quality of their relationships.  While the ingredients of a healthy relationship will forever remain the same; trust, respect, and open and honest communication, to name a few, somethings have changed significantly.   One of these changes is the way in which we communicate.  With e-mail, texts, and Facebook, we have new ways of communicating and keeping in touch with the world around us.  However, these new ways bring with them a whole new set of relationship issues through which to navigate.

One common mistake, made by those I have recently counseled, involves the attempt to address conflict and issues through text messages and e-mails.  It is not a wise practice to attempt to communicate about emotionally charged issues electronically.  There is too much room for miscommunication.  Even small issues can easily escalate into major conflicts.  A guiding rule to follow: Don’t text and expect meaningful communication!  Miscommunication through electronic communication is not surprising when you consider that only 7% of effective communication is verbal.  Effective emotional communication strongly depends upon accurate visual information.  In an informational exchange, it is estimated that 38% of effective communication depends on accurate assessment of vocal tone and inflection, and 55% relies on facial expression and body language.  This means that 93% of the information we need to communicate effectively is lacking in electronic communication!!

When I counsel couples, one guiding rule is that they do not attempt to communicate any meaningful emotional issues through e-mail or texting.  By all means, you can text your grocery lists, schedule changes, and positive affections, but leave the communication on emotionally charged issues for face-to-face time together.  Learning to sit down and respectfully listen to one another requires the ability to process all the emotional information available, and in the moment.  Effective emotional communication cannot, nor will it ever be, through electronic methods.  It is only that human-to-human, face-to-face communication, with a genuine desire to understand and respect one another, that we have the ability to accurately interpret and convey the emotional information we need to both give and receive in building and enriching genuine emotional intimacy. 

For more information on building effective relationship communication, I highly recommend John Gottman’s book, The Relationship Cure.  In this book, Dr. Gottman lays out five steps for guiding and strengthening marriages, families, and friendships.  This book has a good deal of useful information.

Critical Thinking: Why ask why?

August 1st, 2010 No comments »

I remember when our daughter was around 3 or 4 years old and it seemed like 90% of her vocabulary consisted of the word “why.”  Everything generated a question and there was not an aswer that would satisfy her curiosity.  At that age, children are learning about cause and effect and the process of questioning every aspect of their life experience, from brushing teeth and eating vegetables to why Santa rides in a sleigh and not a mini-van is open for discussion.  It is now easy to find the humor in what were then very trying times!  It is unfortunate that we grow so far away from that childhood curiosity to question every life experience, because it is the willingness to ask why that is at a foundation of developing strong critical thinking skills.

When I complete selection assessment reports for businesses seeking to evaluate the quality of fit of a candidate for employment, the first measure is an assessment of critical thinking skills.  Individuals with strong critical thinking skills think faster under pressure and draw more accurate conclusions from the data and information they have at hand.  To an organization, these individuals are far more likely to avoid costly errors in judgment, find cost savings others miss, and devise the strategies that improve operational functions.  These are folks who never stopped asking “Why?”

The willingness to ask “why?” is the courage to question and challenge assumptions.  When we stop questioning the underlying assumptions upon which our methods and practics are built, we become locked into strategies and procedures which can ultimately become outdated and ineffective.  Our methods can become less than optimal, even outdated, and we have no way of knowing it, because that’s the way it’s always been done and we don’t ask “why?”

The failure to ask this question is the failure to constantly challenge assumptions, explore new possibilities and discover new solutions.  Great organizations are filled with folks who never stopped asking “why?”  Are you one of them?

Does encouragement really influence performance?

June 28th, 2010 No comments »

Really believe in your heart of hearts that your fundamental purpose, the reason for being, is to enlarge the lives of others.  Your life will be enlarged also.  And all of the other things we have been taught to concentrate on will take care of themselves.     Pete Thigpen

Ask yourself this question:  Do you need encouragement to perform at your best?  Typically, about 2/3 of those asked will respond “Yes!”  They need encouragement to be at their best.  This may appear to be quite high at first, but the fact is…far more than 2/3 of individuals are impacted by positive feedback.  In fact, when the question is rephrased:  When you get encouragement, does it help you elevate your performance? Only 4% tend to answer “no.”  Studies of North American workers consistently find that 96% agree with the statement that…”I get a lot of satisfaction out of knowing I’ve done a good job.”

So, if encouragement elevates performance and morale, why is it so sorely lacking in most work environments?  Research indicates that only about 40% of American workers say they receive any form of positive feedback for work well done.  Only 50% of managers report giving positive recognition for high performance.  A common management mindset is:  Why should I give positive feedback for work my people are getting paid to do?

The problem is, most of us grew up with minimal amounts of positive feedback.  It just doesn’t feel comfortable to give what we have never received.  We have all received a lot of negative feedback when our performance was subpar.  The truth is, we are probably fortunate if the negative feedback we have received doesn’t outweigh the positive by more than three to one!

Not good news is it?  In 1949, a famous study by Lawrence Lindahl asked employees to rank the rewards of their job they valued most.  The highest on their list was  1) feeling appreciated; and 2) being informed about decision and changes that were happening.  Their managers believed they would rank good wages and job security at the top of their list.  This just goes to show you how in touch most managers are with the value system that drives their employees’ performance!

Lindahl’s results have been replicated dozens of times over the years.  The bottom line is you can rationalize all you want about why learning to provide praise and positive feedback isn’t really important to organizational success.  You are simply rationalizing away your discomfort at giving positive feedback!  If you really want to improve your ability to motivate human performance, you have to get really good at giving positive recognition and encouragement.  This is where a good coach is worth their weight in platinum! 

Working with a good coach can elevate your skills in delivering positive feedback and excel in your ability to motivate your workforce.  Is it time you elevate your game by learning how to deliver positive encouragement in ways that really make a difference for those you manage?  98% of your workforce may think so!

Call me for more info…go back to www.rebmanconsulting.com or 260-471-9902

Discover Your Potential

March 25th, 2010 No comments »

1180616_mountains[1]Inside each and every one of us is the potential to accomplish great things in a way that is uniquely our own.  Abraham Maslow, the great motivational psychologist, wrote about becoming “self -actualized.”   He used the term to describe those unique individuals who had tapped into their inherent greatness, and found  unique ways of sharing that greatness with the world.  The ability to self actualize is within each of us; it’s programmed into our DNA.

Jesus spoke of this self -actualizing process. He taught that for those who believe they could and would, do even greater things than he.  This was his way of encouraging us to recognize that within each of us is the potential for greatness.  To bring out our greatness, however, requires a willingness to do two things:

 1)   Believe that there is greatness within you.  Nothing positive can happen until we first believe.  Belief  is what opens the doorway into  positive potential.

 2)  Affirm that your greatness is found in a power and wisdom that is beyond yourself.  The human ego loves to celebrate it’s specialness. Thinking of one’s self as “special” is not what were talking about here.  No one is special, but every one is unique.

Once you are willing to believe:  1) There is a power in you that is a source for unlimited  good.   2) This power seeks to manifest  in ways that are uniquely your own.   3)  This power is  in you, but not of  you.    Now, you are on your way to self -actualizing.  One might think of  positive potential as the energy of unconditional love waiting for the opportunity to manifest in the world.  You are here for a purpose and have within you the potential to manifest  good.  

There are those in need of your unique service, that is, your manifestation of greatness.   They are waiting on you!  Awaken  to your potential and fulfill the role that you have been assigned.  It  is your divine destiny.  To live a life of anything less is not to have really lived at all!!

Giving and Receiving Are One In The Same

January 28th, 2010 No comments »

Power Lesson #4  God can do no more for you than He can do through you.

So often we look 1209466_blue_space_wave[1]at life and our relationships and ask “Why God?”  Why can’t things be different? We pray and seek change, but things continue along the same old path, and it seems the only change we experience is with those things we wish could remain the same.  It’s easy to question why God is not more  influential in our healing.  These are the moments when we need to step back and remind ourselves of two very important facts:

1) God is a word used to describe the power of unconditional love. God is love-literally.

2) To experience love, we must give it away.  Try holding on to love and you lose it. 

God (love) can do no more for us than we are willing to allow it to do through us.   To experience the power of miracles in our lives, we must give love away abundantly.  The more we give it away, the more it flows back to us and manifests in abundant and fruitful ways through a wisdom that only love knows. 

God can do no more for us than we allow love to flow through us.  Need some miracles??? Open your eyes and look around you.  See all the opportunities to give your love, kindness and compassion away, and for no good reason other than because you see the need and you have love to give.  Give your love away abundantly and watch the healing miracles flow into your life.

More On The Power Of Belief

January 13th, 2010 No comments »

1240565_bruncu_teulaPower Lesson #3  We do not see things as they are, we see them as we are.

Reality, as we experience it, is nothing more than a reflection of our deeply held beliefs and convictions.  We now have over six billion people in the world, so we  now have over six billion conflicting realities all attempting to co -exist and demanding validation!  Is it any wonder we battle and war against  one another ? 

Wayne Dyer is  fond of saying “Change the way you look at things and the things you look at change.”  This is, of course, his way of saying that we never see things as they are, but rather as we are.  We spend countless hours and infinite amounts of creative energy  attempting to persuade others to see the world as we do.  We have politicians who invest entire careers in telling us how we should perceive things; all while spinning to fit their own personal agenda. 

Of course, we all engage in the game of political posturing; attempting to persuade others to our point of view, so we can experience the false security that comes with having our view of the world validated.  If, for one minute, we could all step back aand realize that none of us have it completely right, and there is value (not to mention fascination and humor) in listening to each others’ distorted points of view, we would open  a window for reason to prevail.  In that brief monent , we might simultaneously see that we are all wrong and all right, all at the same time.  None of us see things as they truly are, and all of us deserve to be valued and respected; now the window is open for an experience in oneness. 

We do not see things as they are, we see them as we are.  That is how it was created to be.  The world was not intended to be a place for validating our personal points of view.  It was, rather, intended to serve as a mirror for evaluating  how we are doing in learning  to love one another unconditionally.  That is how I see it and I do recognize –it’s just my point of view.  What’s yours?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1  No wonder

The Definition Of Faith

January 8th, 2010 No comments »

1210515_sun_burst[1]Power Lesson #2:  Faith is another word for expectancy. 

  Faith is the power of belief manifesting.  In psychology we talk of the power of the “self-fulfilling prophecy.”  It is an uncanny way in which–what we expect becomes what we eperience.  You expect the worst and you experience the worst.  Folks who spend large portions of their time worrying about the future attract into their lives the very stuff they’re worrying about!!  It’s just the power of  thought manifesting in the physical world.

Of course, the opposite is true as well.  When we expect great things, great things show up.  The bottom line is we don’t get in life what we want, nor do we get in life what we pray for.  We get in life what we expect.  This is because what we expect  is the reflection of what we are believing to be true.  Henry Ford  once said “Believe you can or  believe you can’t, either way you are right.”

Faith is another word for expectation.  Do you like what life is showing you?  If not make a decision to change your mind and change your life.  Change what you are expecting out of life and you change the quality of your life. Always remember -we don’t always get what we want-but we always get what we expect!

The First In a Series: Christmas

December 22nd, 2009 No comments »

1212432_lighthouse[1]            “The greatest power in all the universe rests in mans ability to change his mind.” 

                                                                                                                                Albert Einstein

Eastern religions teach that the world is but a reflection of our state of mind.  Einstein’s quote reminds us of this fact (Yes, it is now a well established fact that our thoughts and the world out there are intimately entangled.) Einstein was also quoted as saying, “The world is an illusion, albeit a very persistent one. ”

OUR TOUGHTS ARE A POWERFUL CREATIVE FORCE.  Change the way you think and you change the quality of you life.  With this in mind, my next ten postings will explore 10 powerful  thoughts which I have found to be extremely helpful in raising my level of consciousness and improving the quality of my life.  These thoughts have come to me over the last month through my readings, meditations, and discussions with friends and colleagues.  I hope you find them as powerful as I have.

Power Lesson #1  The True Meaning  Of Christmas

Christmas is a celebration of the birth of Jesus. Jesus’ birth is not a celebration of God becoming man, but of man claiming his oneness with God.  Through  his life and ministry, Jesus taught that the Kingdom of Heaven could only be found within one’s self (Luke 17:21).  Within each and every one of us live the power that created the universe. The power of the divine lives within each of us and is activated through our willingness to believe.  Jesus encouraged us to realize that we are capable of even greater things than he (if we choose to believe).

Jesus does not call us to worship him, but to emulate him.  We are called to claim our divinity; to put on the mind of Christ, through which miracles become  natural expressions of love..  We are called not to act as he did, but to think as he did.  Action is a product of thought.  When we adopt the mindset of Jesus we rediscover our oneness with God and anything becomes possible.   Merry Christmas!!!