Harvard Medical School Commentaries: Minding Your Mind

Apr252012

The Link Between ADHD and Sleep Problems

by Michael Craig Miller, M.D.
Harvard Medical School

Parents and clinicians report that sleep problems affect 25% to 50% of children and adolescents with attention deficit hyperactivity disorder (ADHD). The most typical problems include resisting... read more

Category: Minding Your Mind

Mar232012

Motivating Behavior Change

by Michael Craig Miller, M.D.
Harvard Medical School

If change were easy, people wouldn't have to make New Year's resolutions. And anyone who wanted to give up smoking, become sober, or lose weight would "just do it." The reality is that changing ... read more

Category: Minding Your Mind

Feb242012

The Downsides of Multitasking

by Michael Craig Miller, M.D.
Harvard Medical School

I was multitasking while driving home from work a week or so ago. Stuck in traffic, I looked to my right and saw a woman driving a luxury car, staring down at her lap. It was too dangerous for me... read more

Category: Minding Your Mind

Jan262012

Can You Become Addicted to Chocolate?

by Michael Craig Miller, M.D.
Harvard Medical School

Do you love chocolate so much that you're afraid you might be addicted to it? With so many Americans overweight or obese, public health experts are also asking this question. ... read more

Category: Minding Your Mind

Dec212011

Social Media -- A Brief Guide for Parents

by Michael Craig Miller, M.D.
Harvard Medical School

When I was growing up, which was before the era of cell phones, contacting a friend involved calling their home and saying (to the adult who answered the phone) something like, "Hi, Mrs. Doe. Is ... read more

Category: Minding Your Mind

Nov232011

Boosters for Antidepressant Treatment

by Michael Craig Miller, M.D.
Harvard Medical School

Antidepressants often don't work well enough. In fact, only about a third of people taking any given medication for depression will get complete relief. ... read more

Category: Minding Your Mind

Oct242011

Stress and Your Stomach

by Michael Craig Miller, M.D.
Harvard Medical School

Functional gastrointestinal (GI) disorders are stomach problems that have no clear cause. They affect up to two out of every three people at some point in their lives. ... read more

Category: Minding Your Mind

Sep212011

Treatments for Pathological Gambling

by Michael Craig Miller, M.D.
Harvard Medical School

Gambling has been around for thousands of years. The earliest known six-sided pair of dice, for example, dates back 5,000 years. Today rolling the dice is only one of many gambling activities ... read more

Category: Minding Your Mind

Aug242011

Does Everyone Need Psychological Help After a Tragic Event?

by Michael Craig Miller, M.D.
Harvard Medical School

We are approaching the tenth anniversary of the attacks of September 11, 2001. It is one of the most traumatic incidents in our nation's history. The anniversary is a reminder of the physical ... read more

Category: Minding Your Mind

Jul222011

Preventing Depression in Adolescents

by Michael Craig Miller, M.D.
Harvard Medical School

Each year, about 1% to 6% of children and teenagers develop major depression. This mood disorder not only interferes with school achievement and relationships, but also increases the risk of ... read more

Category: Minding Your Mind

Jun232011

Pain, Anxiety and Depression -- A Challenging Trio to Treat

by Michael Craig Miller, M.D.
Harvard Medical School

Anxiety, depression and pain often go together. This is true for people with chronic and sometimes disabling pain syndromes, such as fibromyalgia, irritable bowel syndrome, low back pain, ... read more

Category: Minding Your Mind

May262011

Treating Mild or Moderate Depression Without Drugs

by Michael Craig Miller, M.D.
Harvard Medical School

Major depression is the most common mood disorder in the United States. It affects about 15 million American adults (almost 7% of the population) each year. ... read more

Category: Minding Your Mind

Apr252011

Understanding the Stigma of Mental Illness

by Michael Craig Miller, M.D.
Harvard Medical School

In our society, it is common to hear disparaging remarks and jokes about mental illness or the clinicians who treat psychiatric disorders. Every October, the National Alliance on Mental Illness... read more

Category: Minding Your Mind

Mar232011

Help for Anxious Children

by Michael Craig Miller, M.D.
Harvard Medical School

I was talking recently with a colleague about her young child who gets very anxious when the school day doesn't go exactly as planned. As a result, she might stop cooperating with teachers and... read more

Category: Minding Your Mind

Feb222011

Dogs -- A Source of Love and Well-Being

by Michael Craig Miller, M.D.
Harvard Medical School

Our family dog may be the nicest "person" on the planet. Okay. He's not perfect. He does bark at the postman every day. And you have to make sure the trash bins are covered or he'll grab and shred... read more

Category: Minding Your Mind

Jan252011

Violent Video Games –- Harmful or Not?

by Michael Craig Miller, M.D.
Harvard Medical School

Here are just a few of the phrases that the Entertainment Software Rating Board (ESRB) uses to describe the content of several games in the Grand Theft Auto series, one of the most popular video... read more

Category: Minding Your Mind

Dec222010

Can Vitamin Supplements Protect Your Brain?

by Michael Craig Miller, M.D.
Harvard Medical School

Last month I wrote about how regular physical activity and a Mediterranean-style diet are good for... read more

Category: Minding Your Mind

Nov242010

Eating Well,Thinking Straight

by Michael Craig Miller, M.D.
Harvard Medical School

A neighbor of mine was having some stonework done outside his home. The leader of the crew doing the work was a lively, muscular, good-natured fellow with a strong Italian accent. I took him to be... read more

Category: Minding Your Mind

Oct252010

Taking on the School Bullies

by Michael Craig Miller, M.D.
Harvard Medical School

The subject of bullying has come up in recent days in the wake of some well-publicized suicides of gay teens. It is hardly a new problem. The pain caused by bullying doesn't go away. It's chronic, ... read more

Category: Minding Your Mind

Jul222010

Sleep and Mental Health

by Michael Craig Miller, M.D.
Harvard Medical School

Americans are notoriously sleep deprived. Whether it's stress, financial worries or the Internet keeping people up, 10% to 18% of adults have chronic sleep problems. A study published in the June... read more

Category: Minding Your Mind

Jul202010

When Striving for Perfection Is a Problem

by Howard LeWine, M.D.
Brigham and Women's Hospital

Some people can't live with the slightest imperfection. Their need to appear or be perfect — perfectionism — is so intense that it's exhausting if not painful.

But striving for perfection, while... read more

Category: Minding Your Mind

Jun232010

Overcoming Scary Memories

by Michael Craig Miller, M.D.
Harvard Medical School

The dramatic landing of U.S. Airways Flight 1549 in the Hudson River in early 2009, and the rescue of all 155 people aboard, was a testament to good flight training as well as the calm and focused... read more

Category: Minding Your Mind

May232010

The Emotional Strain of Infertility

by Michael Craig Miller, M.D.
Harvard Medical School

In 2009, the story about a California woman who gave birth to octuplets generated intense media coverage. On the heels of the story came a run of public discussions about infertility treatments. The... read more

Category: Minding Your Mind

Apr212010

Heart Disease & Depression -- A Two-Way Street?

by Michael Craig Miller, M.D.
Harvard Medical School

When a cardiologist (heart doctor) asks how a patient is feeling, the question usually refers to the body. But he or she should ask about moods and emotions, too. The answer can offer important... read more

Category: Minding Your Mind

Mar232010

Diet and ADHD

by Michael Craig Miller, M.D.
Harvard Medical School

Diet is probably not the driving force behind the symptoms of attention deficit hyperactivity disorder (ADHD) — inattention, hyperactivity or impulsive behavior. But several studies have stirred... read more

Category: Minding Your Mind

Mar82010

Understanding Bias In Mental Health Professionals

by Michael Craig Miller, M.D.
Harvard Medical School

A study published in the June 2007 issue of the Journal of Consulting and Clinical Psychology shows that personal and professional biases can affect first impressions and the label used by mental... read more

Category: Minding Your Mind

Mar82010

How Alcoholics Anonymous Works

by Michael Craig Miller, M.D.
Harvard Medical School

Just about everyone knows what the initials "A.A." stand for. Alcoholics Anonymous was founded in 1935 and is the oldest, best known, most successful mutual help organization. With millions of... read more

Category: Minding Your Mind

Mar72010

The Mystery of Muscle Relaxation

by Michael Craig Miller, M.D.
Harvard Medical School

Muscle relaxation has been used for decades to relieve anxiety. The idea is that patients can calm their minds by learning how to relax their bodies.

A 2007 article in the Journal of Anxiety... read more

Category: Minding Your Mind

Mar72010

Children Attacking Other Children

by Michael Craig Miller, M.D.
Harvard Medical School

Child-on-child violence is common, but it can't be dismissed as "normal" — at least according to a study published in the December 2006 issue of the journal Child Abuse and Neglect. Researchers at... read more

Category: Minding Your Mind

Mar72010

A New Clue to Bipolar Disorder

by Michael Craig Miller, M.D.
Harvard Medical School

Mice may be teaching us about the genetic basis of bipolar disorder. This mood disorder, which is often called by its older name, manic-depressive illness, is characterized by wide mood swings that... read more

Category: Minding Your Mind

Mar72010

Keeping -- Or Not Keeping -- Your Internet Use Under Control

by Michael Craig Miller, M.D.
Harvard Medical School

Mental health professionals continue to worry about the activity you're engaged in right now — using the internet. They worry it has become a breeding ground for addiction. The phenomenon has been... read more

Category: Minding Your Mind

Mar72010

Using Spirituality To Ease the Mind

by Michael Craig Miller, M.D.
Harvard Medical School

As December leads into a new year, enthusiastic holiday preparations are supposed to lead to joyful family celebrations. Typically, however, this time brings as much stress as pleasure.

Given that all... read more

Category: Minding Your Mind

Feb222010

The Angry Adolescent

by Michael Craig Miller, M.D.
Harvard Medical School

An acquaintance was recently talking to me about his son, who was about to turn 20. The boy always had a quick temper during his teen years. Dad assumed that his short fuse was part of being a... read more

Category: Minding Your Mind

Feb12010

Which Antidepressant Is Right for You?

by Michael Craig Miller, M.D.
Harvard Medical School

Depression is one of the most common medical problems in the world. It affects at least one out of every six adults in the United States at some point during a person's life. Psychotherapy and... read more

Category: Minding Your Mind

Dec242009

Rewarding Smokers To Help Them Quit

by Michael Craig Miller, M.D.
Harvard Medical School

With New Year's resolution season upon us, this old joke may be making its rounds. But quitting is no joke for the almost three-quarters of current smokers who want to quit. Sadly, fewer than 3% of... read more

Category: Minding Your Mind

Nov192009

Remembering As a Form of Therapy

by Michael Craig Miller, M.D.
Harvard Medical School

Memory looms large in our understanding of mental health and mental illness. For some people, remembering painful events, like abuse or the death of a loved one, causes suffering. But as we age,... read more

Category: Minding Your Mind

Oct282009

Yoga -- Reduce Stress and Improve Your Mood

by Michael Craig Miller, M.D.
Harvard Medical School

Since the 1970s, meditation and other stress-reduction techniques have been studied as possible treatments for depression and anxiety. One such practice, yoga, has received less attention in the... read more

Category: Minding Your Mind

Sep232009

Mental Distress: Where Do You Turn for Help?

by Michael Craig Miller, M.D.
Harvard Medical School

Labor Day, which is always the first Monday in September, came as late as it ever can this year — on the 7th of the month. It was a welcome extension of summer.

But when September 8th came, so did... read more

Category: Minding Your Mind

Aug252009

The Psychological Impact of Infertility and its Treatment

by Michael Craig Miller, M.D.
Harvard Medical School

The vigorous media coverage of "Octomom" Nadya Suleman touched off a spirited public debate about infertility treatments. Suleman gave birth to octuplets in January 2009 through an advanced technique... read more

Category: Minding Your Mind

Jul222009

The Pleasure of Improvising

by Michael Craig Miller, M.D.
Harvard Medical School

As an amateur musician, I was pleased to come across an article that brought together two of my favorite topics: music and the brain. Two scientists in Baltimore devised a clever way to discover what... read more

Category: Minding Your Mind

Jun242009

Overcoming Cocaine or Stimulant Addiction

by Michael Craig Miller, M.D.
Harvard Medical School

Millions of Americans either abuse or are dependent on illegal drugs like cocaine, methamphetamine (also known as speed, meth, ice, or crank), and methylenedioxymethamphetamine (often called MDMA or... read more

Category: Minding Your Mind

Jun82009

What Does It Take To Be a Satisfied, Retired Man?

by Michael Craig Miller, M.D.
Harvard Medical School

In the opening line of one of his sweeter songs, James Taylor sings, "The secret of life is enjoying the passage of time." And now there appears to be data to support his assertion. ... read more

Category: Minding Your Mind

Jun72009

Children and Breakfast -- Follow Your Intuition

by Michael Craig Miller, M.D.
Harvard Medical School

Many parents hate to see their children skip breakfast before sending them off in the morning. Reason tells them that in order to maximize learning in school, children's bodies need plenty of fuel. A... read more

Category: Minding Your Mind

Jun72009

Understanding the Adolescent Brain

by Michael Craig Miller, M.D.
Harvard Medical School

It's a good thing parents get 12 years to bond with their children before they become teenagers. Otherwise they might not be so motivated to help them grow into adults.

Teens are often annoying,... read more

Category: Minding Your Mind

Jun72009

Hair Pulling -- Is It Taken Too Lightly?

by Michael Craig Miller, M.D.
Harvard Medical School

Hair pulling carries a tongue-twisting name: trichotillomania. The disorder is not widely recognized by the public or by mental health professionals. People with trichotillomania suffer in silence.... read more

Category: Minding Your Mind

Jun72009

New Help for Kicking the (Smoking) Habit

by Michael Craig Miller, M.D.
Harvard Medical School

Smoking is a huge cause of illness and death around the world and may be the toughest unhealthy habit to break. More than 40 years after the Surgeon General's office released its first Report on... read more

Category: Minding Your Mind

Jun52009

When a Child Refuses To Go to School

by Michael Craig Miller, M.D.
Harvard Medical School

Separation anxiety is normal for a child. Sfter about six to nive month of age, children realize that their parents leave them from time to time. That's why they become uncomfortable around... read more

Category: Minding Your Mind

May262009

The Truth About Altruism

by Michael Craig Miller, M.D.
Harvard Medical School

Eleanor Roosevelt is supposed to have asked, "When will our consciences grow so tender that we will act to prevent human misery rather than avenge it?" Mrs. Roosevelt was reflecting on the long... read more

Category: Minding Your Mind

May252009

Compulsive Buying - When Pleasure Turns to Pain

by Michael Craig Miller, M.D.
Harvard Medical School

It had become a tradition in my family. After we dropped our kids at camp near Augusta, Maine, we stopped in Freeport on our drive back to Boston.

Freeport is the home of clothing retailer L.L.... read more

Category: Minding Your Mind

May252009

Brand Name vs. Generic Antidepressants: What's the Difference?

by Michael Craig Miller, M.D.
Harvard Medical School

People who are asked to switch from a brand name drug to a generic often wonder if the change will cause them any problems.

A number of years ago, a patient of mine received a generic pill instead of... read more

Category: Minding Your Mind

May252009

To Treat Depression, Take Action

by Michael Craig Miller, M.D.
Harvard Medical School

I have always resented that commercial urging us to "just do it." For people with depression, it's insulting — and useless — because the smallest task can seem like a huge obstacle. There are many... read more

Category: Minding Your Mind

May252009

Alzheimer's Disease -- Where Are We Today?

by Michael Craig Miller, M.D.
Harvard Medical School

Alzheimer's disease is a frightening illness. It threatens to rob people of their memories of themselves and how to do normal daily activities.

We don't yet know how to prevent or cure Alzheimer's... read more

Category: Minding Your Mind

May242009

New Key to Autism

by Michael Craig Miller, M.D.
Harvard Medical School

A study published in the September, 2006 issue of the Archives of General Psychiatry may give older prospective fathers pause before plunging into biological parenthood. The authors found a... read more

Category: Minding Your Mind

May202009

Pheromones: The Scent of Sex

by Michael Craig Miller, M.D.
Harvard Medical School

Everyone would agree that the most important human sex organ is the brain because that's where sexual impulses, drives and reproductive behavior are programmed. We're also accustomed to thinking of... read more

Category: Minding Your Mind

May202009

'Intermittent Explosive Disorder' Grabs Attention

by Michael Craig Miller, M.D.
Harvard Medical School

Political commentator John McLaughlin introduced the issue on his weekly television program, The McLaughlin Group, like this:

"Road rage drivers are not just angry. They're crazy. So says research... read more

Category: Minding Your Mind

Apr222009

For Alcohol Problems: Abstinence or Moderation?

by Michael Craig Miller, M.D.
Harvard Medical School

Is it possible to control problem drinking, or must a drinker give up alcohol completely? This question, which is still important today, has been debated among addiction experts for almost 50 years.

... read more

Category: Minding Your Mind

Mar242009

Brain Medicine -- Reach Out and Touch Someone

by Michael Craig Miller, M.D.
Harvard Medical School

Two articles published last year in the American Journal of Public Health suggest that a good way to help prevent dementia is to have an active social life. Other studies, too, have shown that people... read more

Category: Minding Your Mind

Jan252009

The Value of Long-Term Talk Therapy

by Michael Craig Miller, M.D.
Harvard Medical School

"Talk therapy" has taken a back seat to drug therapy for decades when it comes to treating mental disorders. Drug therapies have been praised as faster, more effective, cheaper and easier. But the... read more

Category: Minding Your Mind

Dec232008

Positive Psychology for Troubled Times

by Michael Craig Miller, M.D.
Harvard Medical School

In January 2009, a new administration will take over in Washington, D.C. It's facing overwhelming problems. Critics of the Obama campaign were deeply skeptical that the candidate's message of "hope"... read more

Category: Minding Your Mind

Nov252008

Coping with Darker Times -- Treating Seasonal Affective Disorder

by Michael Craig Miller, M.D.
Harvard Medical School

Here in Boston, we've had another unseasonably warm autumn. Some of us worry about climate change and others simply enjoy the extra coat-free days. But, no matter what the temperature, it's still... read more

Category: Minding Your Mind

Oct262008

Hypnosis -- Mental Health Therapy

by Michael Craig Miller, M.D.
Harvard Medical School

Hypnosis is one of the oldest forms of psychotherapy in the Western world. It may also be the most misunderstood, given its association with entertainers and charlatans. But, in fact it is a... read more

Category: Minding Your Mind

Sep242008

Treating Addictions -- Act Sober

by Michael Craig Miller, M.D.
Harvard Medical School

Addictions — whether to drugs, alcohol or tobacco — are common and difficult to break. Addiction is not a moral problem. Rather, it's a brain problem: Drugs change the brain's self-regulating... read more

Category: Minding Your Mind

Aug242008

Psychiatric Treatment for Preschoolers

by Michael Craig Miller, M.D.
Harvard Medical School

Several studies have confirmed what many observers have suspected: The number of medications prescribed to children ages two to four to treat psychiatric disorders has increased dramatically in the... read more

Category: Minding Your Mind

Jul242008

Learning How To Say 'I'm Sorry.'

by Michael Craig Miller, M.D.
Harvard Medical School

Anyone who's had to apologize for something knows how difficult it can be to get the words out. Yet an apology is often the first step toward repairing a damaged relationship, be it personal or... read more

Category: Minding Your Mind

Jun242008

Strattera: More Suicide Worries for Our Children?

by Michael Craig Miller, M.D.
Harvard Medical School

In September 2005, the U.S. Food and Drug Administration (FDA) issued a warning that atomoxetine (Strattera) — a treatment for attention-deficit hyperactivity disorder (ADHD) — may increase suicidal... read more

Category: Minding Your Mind

Jun242008

The Hazards of Hookah

by Michael Craig Miller, M.D.
Harvard Medical School

Waterpipes, for people of a certain age, are remembered as fixtures of the 1960s and 1970s. They’re back — and not just for smoking marijuana. They are increasingly popular for smoking tobacco.

... read more

Category: Minding Your Mind

Jun232008

Accutane, Pregnancy and Mental Health

by Michael Craig Miller, M.D.
Harvard Medical School

The acne drug isotretinoin (Accutane) pits worries about depression and suicide against a potentially huge benefit — relief from severe acne. The use of this drug is guided by more than 20 years of... read more

Category: Minding Your Mind

Jun102008

Letting Go and Letting Your Brain Decide

by Michael Craig Miller, M.D.
Harvard Medical School

The human brain is a remarkable and sometimes surprising computer. A group of researchers in Amsterdam, publishing their work in the February 17, 2006, issue of Science, arrived at an unexpected... read more

Category: Minding Your Mind

Jun102008

Caffeine: Performance, Addiction and Myth

by Michael Craig Miller, M.D.
Harvard Medical School

Passionate about your coffee? Me, too.

In fact, I should confess I'm a coffee snob. I've been buying java from the same purveyor for more than 25 years and people around my office identify me as a... read more

Category: Minding Your Mind

Jun102008

Caregiver Stress: Is There Help for the Helpers?

by Michael Craig Miller, M.D.
Harvard Medical School

Do you take care of a loved one who is severely ill? A spouse, a parent or a child? Then you know how stressful it can be. In an important study published in 2006 in the New England Journal of... read more

Category: Minding Your Mind

Jun102008

Schizophrenia Treatment: Not by Drugs Alone

by Michael Craig Miller, M.D.
Harvard Medical School

Schizophrenia is a devastating psychiatric condition. It is a major cause of disability with huge human and financial costs. In the United States alone, direct medical expenditures are more than $30... read more

Category: Minding Your Mind

May252008

Nighttime Overeating

by Michael Craig Miller, M.D.
Harvard Medical School

As the day winds down in my house, the TV is tuned to late news, a review of the day's sports action or a talk show. This is when I often find a late-night snack irresistible. It's never clear to me... read more

Category: Minding Your Mind

Mar242008

Sleep Apnea: A Stealthy Cause of Depression

by Michael Craig Miller, M.D.
Harvard Medical School

It seems like a minor problem, even an amusing one: A bedmate complains about his or her partner's snoring. Laughs follow when someone imitates the racket that regularly intrudes on sleep. But the... read more

Category: Minding Your Mind

Feb272008

Time To Stop Just Saying No

by Michael Craig Miller, M.D.
Harvard Medical School

Just say no? It turns out that such an approach to treating addictions never made much sense. What scientists have learned about the biology of addiction should help them persuade policy makers — if... read more

Category: Minding Your Mind

Feb272008

Vagus Nerve Stimulation: Does It Help Depression?

by Michael Craig Miller, M.D.
Harvard Medical School

The vagus nerve is a long nerve that does many things. It communicates with the brain about sensations in your gut. It conveys information about taste and speech from your mouth. And it affects the... read more

Category: Minding Your Mind

Feb202008

Taking on the School Bullies

by Michael Craig Miller, M.D.
Harvard Medical School

The subject of bullying has come up in recent days in the wake of some well-publicized suicides of gay teens. It is hardly a new problem. The pain caused by bullying doesn't go away. It's chronic, ... read more

Category: Minding Your Mind

Can Vitamin Supplements Protect Your Brain?

by Michael Craig Miller, M.D.
Harvard Medical School

Last month I wrote about how regular physical activity and a Mediterranean-style diet are good for... read more

Category: Minding Your Mind

Violent Video Games –- Harmful or Not?

by Michael Craig Miller, M.D.
Harvard Medical School

Here are just a few of the phrases that the Entertainment Software Rating Board (ESRB) uses to describe the content of several games in the Grand Theft Auto series, one of the most popular video... read more

Category: Minding Your Mind

Violent Video Games –- Harmful or Not?

by Michael Craig Miller, M.D.
Harvard Medical School

Here are just a few of the phrases that the Entertainment Software Rating Board (ESRB) uses to describe the content of several games in the Grand Theft Auto series, one of the most popular video... read more

Category: Minding Your Mind