Morning Faces Therapy For Bipolar Disorder: A Story (Part 2: First Two Months)

In the 1990s, I discovered that if I see faces on TV early in the morning, I feel better (happier, more eager, more serene) the next day, but not the same day. Faces Monday morning, for example, make me feel better on Tuesday but not Monday. I studied this effect extensively. The results suggested that a circadian oscillator controls our mood and sleep and needs morning face exposure to work properly. Absence of morning face exposure, this theory says, increases your risk of depression — a view not compatible with the “chemical imbalance” explanation of depression but one supported by the strong association between depression and insomnia.

I told friends about this. One of them had devastating bipolar disorder. As he describes here and here, he got great benefit from looking at faces in the morning. After I posted his account of his experience, a man I’ll call Rex wrote me that he was going to try it. At 29, he was diagnosed with bipolar disorder. At 32, he slit his wrists. He is now 37.Since then he’s been in and out of mental hospitals. Now he lives at home. I wanted to follow his use of morning face therapy “prospectively” — before knowing what would happen. I posted this, about his background, around the time he started.

Treatment details. He began about two months ago. He gets up naturally (no alarm) at about 8 am. He starts watching faces on TV — Squawk on the Street (CNN) — soon after he gets up. He watches for 1-2 hours on a 43-inch high-definition TV; the faces are roughly life-size. He sits 10 feet away.

Mood. Before starting the faces, he was in a depressed mood 5-7 days per month. During those days he had low energy, low motivation, and a bad attitude. The low phases would last a few days, then he’d start feeling better. Now, he says, “my mood is better first thing in the morning. I feel ready to go, turn the TV on, watch something. I feel a little lighter. I no longer feel the early morning doom that I used to feel. I’ve never been a morning person, but I feel that way more now than any time I can remember. I haven’t had any depressed moods since I started the faces. I haven’t had any really adverse or negative emotions. Things are going very smoothly. I have less worries, I feel a more uplifting, upbeat tempo throughout the day. Everything seems better.” (Note: Morning faces likewise shifted me toward being a morning person.)

Medication. He used to take an antidepressant every day (Simbalta, 60 mg/day). Now he takes 30 mg once every 3 to 4 days. He’s tried to stop taking it entirely but gets withdrawal symptoms (headache, nausea) when he does that. Note that he still had 5-7 days/month of depressed moods every month even when taking the antidepressant. In the spring his depression was better so he cut back slowly on the medication.

Sleep. For a long time he has had great difficulty falling asleep. He would lie in bed for an hour without falling asleep. He took sleep medication, usually Lunesta or Ambien, very often. “Lots of times in the past I would give up [after lying in bed a long time] and go watch TV. Or start to read, stay up to 2:30. That’s always been a problem — ever since I was in college. In college, my sleeping schedule went nuts. When I got into the working world, it continued to where I would stay up late and couldn’t sleep.” Since he started the morning faces, his sleep is much better. He usually falls asleep within 20 minutes of lying down, a very noticeable difference. He has taken much less sleep medication — about 20% of what it was before. (He still takes it when he knows he has to get up early or he feels wired.) At one point, when he took antipsychotics, he did fall asleep quickly “but the side effects were awful,” he said. “Grogginess, foggy head all day. I didn’t have as much mania and depression but I would sleep 11 hours per night and I couldn’t get out of bed in the morning. I couldn’t concentrate. I couldn’t go back to college, because I couldn’t think clearly.”

At the same time he started the faces, he started getting blue light exposure in the morning from a blue light box called the Apollo Health goLITE. He started with 20 minutes of exposure. It did seem to improve his mood and make him feel tired earlier. However, it also made him feel anxious and tense. To try to get rid of this effect, he reduced the exposure: 10 minutes, 5 minutes, 2 minutes. After a week, he stopped using it altogether.

“I’m just ecstatic about the results,” he said.

 

Phone Hacking and Jane Jacobs (Roberts/Jacobs emails: 3 of 3)

After I posted on the relation between Jane Jacobs’s ideas and the British phone-hacking scandal, Jim Jacobs, one of her sons, wrote to me. The first back-and-forth emails in our discussion are here and here. Finally, I wrote:

Thanks for more explanation. You’re quite right that exposure of the truth is at the heart of journalism and is utterly counter to what governments want. In this sense good journalism and governments are opposites — or rather opponents. In this sense, also, journalism is inherently populist whereas governments rarely are. Businesses are inherently populist.

On the other hand, journalism is not a standard commercial enterprise. This is why at many publications there is strict separation between advertising (devoted to raising money) and “editorial” (which spends it). They don’t want what they print to be affected by commercial considerations. That is utterly different than a conventional business. Powerful newspapers, such as the NY Times, see themselves (rightly) as far more than mere commercial enterprises — which is one reason the NY Times has lost so much money lately. It is one reason the NY Times took so long to get a sports section and why they barely have a gossip column. I have seen too many “undercover investigations” and “hidden camera” interviews to believe that journalists find anything wrong with deceiving for the sake of the task. They usually identify themselves, true, but so do police officers.

Exclusivity varies with organizational needs. Journalists do mix with everyone to get stories but that’s because of what they do; it couldn’t be otherwise. Some religions (which are far more guardian than commercial) make a big deal out of missionary work — again, the details of their enterprise demand it. Along the same lines, some businesses try to appear exclusive — the nature of their brand (luxury) demands it.

I agree that journalists trade information and favors with powerful sources. (But think it bad form to pay for interviews.) Whether this is different than governments forming alliances and signing treaties I don’t know.

Because journalism is actually a business, there are necessarily some commercial values, such as avoiding waste, being efficient, and so on.

In contrast to trading and rulers, which have been around for many thousands of years, powerful newspapers and powerful journalists are no more than a few hundred years old, if that. So there has been less time to clarify values. But there’s a reason they’re called the “fourth estate” — two of the other estates being religion and government.

And you’ve heard the phrase “the pen is mightier than the sword” — implying that the pen and the sword are on the same playing field. I can’t imagine anyone saying “the jacket is mightier than the sword” or “the carton of milk is mightier than the sword”.

To which Jim replied:

As I mentioned before, Jane had real trouble finding good names for the two syndromes. You can see it in the part of Chapter 2 where she talks about names – first A & B, then heroic is rejected, etc. and finally she ended up with commercial & guardian. She later regretted the choice because these names can be quite misleading. Activities using the commercial syndrome don’t need to make money or be ‘commercial’ – most good science, for example. Activities using the guardian syndrome don’t need to be guarding anything – classical music, for example. Writing can be either, depending on its use. Advertising shares much with propaganda writing – deception, ostentation, fortitude, etc. No wonder advertising and journalism need to be kept apart! Too much charitable work will ruin any business’ profitability, but it isn’t inherently at odds with the moral syndrome. Nor are stupid business decisions.

I agree that journalists do use unscrupulous means to get their information – like hacking phones. It works. It’s effective. But it isn’t right, and in the end, like all unethical behavior, there’ll be a comeuppance. But what’s wrong for a journalist is right for a police detective, as Jane explains.

Religions are guardian activities, as you say, and missionary work can be either charity or largesse, or a mix. It’s not an aberration that missionaries were traditionally expected to remain aloof from their flocks, just as religious leaders were. Although a luxury goods dealer may sell its goods to royalty, it should itself operate ‘commercially’, being non-exclusive in its dealings with suppliers, rich foreigners, etc. Journalists get much of their material from government, and to government the selling of information is treason. Don’t expect government to give such activity any blessing! Unlike the breaking of a contract, the breaking of a treaty between governments is considered ‘strategic’ (the Hitler/Stalin pact, for example). Between governments the aberration is a contract (Alaska purchase, for example).

Journalism may be older than one would guess. Sometimes it’s hard to tell after ages of editing and translation. Homer probably wrote propaganda, but Herodotus and Thucydides, although usually thought of as historians, seem much like journalists to me – their values certainly align with those of journalists.
And just as the sword and shield can be used to make dinner (paella may have originated as a soldier’s meal, prepared on a shield) so may the pen be made to serve both commercial and guardian work – and be mighty in either role.

And there you have it.

Phone Hacking and Jane Jacobs (Roberts/Jacobs emails: Part 1 of 3)

After I wrote about the relation between Jane Jacobs’s ideas and the British phone-hacking scandal, I heard from Jim Jacobs, one of her sons. He wrote:

Mary Rowe forwarded your post about News of the World and Systems of Survival. It’s an interesting observation. Here’s my take on it:

The moral principle we all value most in our news media is ‘Be honest’. Even the slightest deviation is viewed with alarm. Among other types of dishonesty, when newspapers get too close to government or filter their presentations through ideology they become worthless, often destructive. This requirement for honesty pervades the work of searching out the news too, just as it does for scientists searching for an understanding of something. (We expect reporters to respect ‘off-the-record’ confidentialities, for example.) Together with honesty, the entire commercial moral syndrome fits a newspaper, whatever its size. I won’t repeat the list here, but just look at it and see if you don’t think every one of the commercial moral principles are considered admirable in a newspaper, right down to ‘Be optimistic’ – newspapers are frequently criticized for too much doom-and-gloom. Note that there is no moral principle of ‘Sell more newspapers’: commercial morals don’t always lead to financial success. In fact, what Jane dubs ‘Monstrous Hybrids’ are often the roads to quick, immoral, riches. Media empires frequently drift toward guardian morals, immoral for them, and Murdoch’s is no exception. Therein lies their destructiveness, and eventual demise.

I hope this helps.

I replied:

It’s great to have your take on this. Here’s what I think about the points you raise.

For newspapers the overwhelming value isn’t “be honest” but “be accurate”. Honesty is saying what you think; accuracy is being accurate in what you say. It’s easy to be honest and inaccurate.

I believe that powerful newspapers consider themselves a fourth branch of government, and rightly so. Publication of the Pentagon Papers, for example, had nothing to do with selling more papers; it was all about fulfilling their responsibilities — which included loyalty to readers.

“Shun trading” is a part of newspaper practice in the sense that paying for interviews is thought to be bad. “Respect contracts” is not supposed to apply to them — it is bad for a magazine to strike a deal with a celebrity in order to get their cooperation.

“Be optimistic”. Sure, some readers want newspapers to be different, including more optimistic. They want more entertainment listings, for example. They want more stories about celebrities (and Murdoch gave them this). But the people who run powerful papers don’t agree. Editorials are usually preachy: this is bad, that is bad. That’s not entertaining at all — which is why Us magazine has no editorials — but whoever writes them thinks it is their job to make the world a better place by telling others what to do. When one of Murdoch’s lieutenants took over the Wall Street Journal, he said something about other papers being too concerned with their status in the eyes of other journalists (an example of “treasure honor”) than selling newspapers. Whereas to NY Times journalists, Murdoch’s papers “pandered”.

“Respect contracts”. I agree with you there.

“Come to voluntary agreements.” Newspapers are supposed to be nonviolent, yes. But when they have something important to say — e.g., some dirt to reveal — they are supposed to ignore legal threats. For example, the CBC is now being sued by a nutrition researcher because they aired a negative program about him.

“Deceive for the sake of the task.” Journalists do this all the time. For example, a restaurant reviewer will wear a disguise.

“Treasure honor”. There is now talk of a Hippocratic oath for journalists.

“Dissent for the sake of the task.” I don’t see that. I see newspapers with a party line. For example someone was fired from NPR recently for expressing views his bosses didn’t agree with.

“Be open to inventiveness and novelty.” I don’t see this. Perhaps newspapers are no more stagnant than other powerful companies however.

Because newspapers are actually businesses, they do value certain commercial values. But they see themselves as quite different from other businesses. Few people in other businesses are so concerned with “truth” and “the public interest”.

I will post Jim’s reply tomorrow.

Yogurt and Nuts Correlate With Weight Loss: Why?

A new longitudinal study finds:

Despite conventional advice to eat less fat, weight loss was greatest among people who ate more yogurt and nuts, including peanut butter, over each four-year period. . . .

That yogurt, among all foods, was most strongly linked to weight loss was the study’s most surprising dietary finding, the researchers said. Participants who ate more yogurt [than the average for all participants?] lost an average of 0.82 pound every four years.

Why might this be?

Yogurt and peanut butter are both unusual foods. Yogurt is strange because unflavored yogurt has little or no smell. It tastes good for other reasons: strong sourness, creaminess, and coolness. People are also pushed to eat it not only by how pleasant it is to eat but by the thought that it is good for them. Most foods, in the form that we eat them, have a smell. I explain the yogurt results by saying that yogurt consumption replaced consumption of foods with stronger smells.

Peanut butter is unusual because when I was visiting publishers to sell The Shangri-La Diet, I met a woman who told me she had lost weight simply by eating peanut butter — that is, by adding peanut butter to the rest of her diet, making no other changes. I think she ate about 3 tablespoons per day. This predisposed her to think there might be something to my ideas. No one has ever told me such a story about another food. If peanut butter has a smell, it’s really weak. It’s pleasant to eat because of fat content and texture. When I was a boy, my mom made me peanut butter sandwiches (no jam) for school lunch. I never came to like them. This implies I never learned a smell-calorie association. The bread must have supplied a strong fast calorie signal so this implies that the peanut butter generated little or no smell signal.

Thanks to Eri Gentry.

Finding The Source of Migraines

Please read my story at Boing Boing about how a woman figured out what caused her migraines. I am always interested in cases where people figure out for themselves how to be healthy. If you have a story like that please contact me.

It has generated a lot of comments. Mark Frauenfelder, who posted it, told me he knew it would generate a lot of comments and one of the first would be “anecdotes are not data”. He was right. Preventive stupidity in action. It tells you something that scientists teach that “anecdotes are not data”, when all major scientific truths, as far as I know, began with a single observation. For example, the discovery of electricity began with a single observation that a dead frog’s leg twitched when touched with a scalpel. Why is something so at odds with reality taught and repeated by scientists, whose job is paying attention to reality? My explanation is human nature: How much we enjoy feeling superior.

Flaxseed Oil Cures Bleeding Gums in Three Days

I am pleased by these results:

After a possibly overzealous dentist told me I need a gum graft [which may cost $3000], my husband encouraged me to start taking flaxseed oil. A few people online have reported that flaxseed oil dramatically improved their gum health, and we figured it was worth a shot.

My initial dose of flaxseed oil was two tablespoons a day, and my gums stopped bleeding and hurting within three days. This is pretty huge for me, because my gums have been bleeding since I was in junior high. [Emphasis added.] At the same time, I added using a Sonicare toothbrush and flossing a little more vigorously. Considering that I had tried these things in the past without the flaxseed oil and they only made me bleed more, I feel like the flaxseed oil is the difference maker.

I have subsequently reduced my flaxseed oil dose to one tablespoon, which I feel is more appropriate for a woman my size. I haven’t gained any weight from the flaxseed oil, which was a bit of a surprise. Taking it in the morning seems to help curb my appetite by at least the 130 calories it consumes.

The online reports she mentions are from this blog. A recap: Because of the Shangri-La Diet, one evening I took four or five flaxseed oil capsules. The next morning, I was surprised to notice that putting on my shoes standing up, which I’d done hundreds of times, was much easier than usual. This suggested that the flaxseed oil had improved my balance. I started to carefully measure my balance and varied my flaxseed oil intake. My measurements showed that variations in amount of flaxseed oil really did affect my balance. They also suggested the best dose. My balance improved up to a dose of 3 tablespoons/day of flaxseed oil. So the best dose was about 3 tablespoons per day. I blogged about this.

Tyler Cowen, inspired by my results, started taking 2 tablespoons/day. A month later, he no longer needed gum surgery. Knowing nothing about my flaxseed oil intake or Tyler Cowen’s results, my dentist told me my gums were in excellent shape, better than ever. My sister’s gums showed similar improvement. Tucker Max noticed his gums stopped bleeding after he started taking flaxseed oil. He’d had bleeding gums most of his adult life. Nothing else had helped. He also found training injuries healed faster. When he stopped drinking flaxseed oil, his gums soon got worse. Carl Willat noticed dramatic gum improvement. Joyce Cohen had excellent results (her gums were “in great shape — better than ever”). Tim Beneke and Jack Rusher had similar results. Gary Wolf, on the other hand, didn’t like the mental effects. A recent epidemiological study found a weak correlation between inflamed gums and omega-3 intake.

What have I learned? Above all, that such a pattern of results is possible. These results suggest there was/is a big hole in the usual nutritional ideas. Tyler Cowen, me, my sister, etc., were eating a conventionally “good diet” yet there was a lot of room for improvement, both in brain function and overall inflammation level. (I’m sure flaxseed oil heals gums because it reduces inflammation.) And improvement wasn’t hard — there was a simple fix. In other words, omega-3 deficiency is very common. The conventional deficiency diseases, such as scurvy and pellagra, were/are rare. They appeared only under extreme conditions with very limited diets (e.g., prison, long sea voyage). Yet just as scurvy and pellagra are easily cured, there is a simple cure for omega-3 deficiency: about 2 tablespoons/day of flaxseed oil. (Perhaps ground flaxseed is an even better source.)

Other facts support the idea of widespread omega-3 deficiency. When gums are very red, and bleed very easily, it’s called gingivitis. According to this article, ” estimates of the general prevalence of adult gingivitis vary from approximately 50 to 100%”. Heart disease is common. There’s plenty of evidence that heart disease is caused by inflammation (gated). For example, it’s well-known that inflamed gums correlate with heart disease. Statins may reduce heart disease — to the mild extent they do — because they reduce inflammation.

I also learned that psychology can help improve general health (too much inflammation causes all sorts of problems, as Tucker Max’s experience suggests). My background in experimental psychology made it easy for me to measure balance. I also found other mental tests were sensitive to flaxseed oil. These mental tests were like an animal model in the sense that they made helpful experiments (e.g., different doses) much easier. My friend Kenneth Carpenter, in his book about the discovery of Vitamin C (gated), stressed the importance of an animal model of scurvy. Once the best dose of flaxseed oil (for me) was known, it turned out to be easy to take a dose that produced dramatic improvement (in others).

The idea that psychology and self-experimentation can improve overall health is new. I presented my flaxseed oil results at a meeting of the Psychonomic Society a few years ago. After my talk, one member of the audience, a professor of psychology at Illinois State University, angrily complained that my talk was “pop culture” — not even pop psychology — and said I shouldn’t have been allowed to speak. He thought I had made elementary mistakes.

Flaxseed oil better than fish oil. Bad results of flaxseed oil.

Assorted Links

Thanks to Dave Lull and Aaron Blaisdell.