Please Listen To My First Podcast!

Hi everyone and Happy Friday!

Last Monday I recorded my first podcast with Dr. Katayune Kaeni.”Dr. Kat” is the host of the popular podcast Mom and Mind. She’s a psychologist & has lived experience in Perinatal Mental Health Training, Advocacy, Treatment, and Stigma Crushing!!!

Dr. Kat was a wonderful and patient host. I couldn’t have asked for a better person to guide me through my first podcast experience. I know it might not seem like a big deal to record a podcast, but I was able to rustle up all kinds of anxiety, all the way from the technical to the emotional aspect of the process!  

It will be available this Monday and I’d love it if you could listen to it and/or spread the word about it via your social media.  You can follow Dr. Kat on Twitter at  @DrKaeni, she has a Facebook page, and her website is: http://www.momandmind.com

Our conversation will be available this Monday and I’d love it if you could listen to it and/or spread the word about it via your social media. 

Last week I promised to write about a tool that can potentially help lift depression.

What is it??? It’s an air ionizer of all things! My psychiatrist emailed me an article that has the details and I’m copying the info. for you below. Please let me know if you’ve heard about air ionizers for depression! If you have a success story to share, let me know in the comments so I can mention it in my upcoming book talks.

A Hopeful Contender for Bipolar Depression

While some psychiatric breakthroughs are greeted with a hope that borders on hype (think ketamine), others are met with undue skepticism. The humble air ionizer falls into the latter category. These devices purify air by creating negatively charged oxygen ions. The idea that they could treat depression is so implausible that scientists first employed them as placebos, before discovering that they actually worked.

Evidence in unipolar depression

That discovery was first reported in 1995 by Michael Terman’s laboratory at Columbia University,1 and since then 5 controlled trials have emerged in unipolar depression Each has been positive, with effect sizes in the range of what we see with antidepressants (total sample size: n = 168) Ionizers are well tolerated and lack significant risks, and the research that supports their health benefits dates back to the 1950s. Although their safety and efficacy are reasonably well established, we know little about their mechanism of action, which is part of what has hindered their mainstream adoption.

Which device?

Another factor that has limited their use is the difficulty of finding air ionizers with the right specifications. Without FDA regulation, it’s hard to know which device to use. Many ionizers produce ozone as a by-product, which can damage the lungs. Others don’t generate a high enough density of negative ions to treat depression. In the clinical trials, only high-density ionizers worked; low-density devices served as a placebo.

Recently, Dr. Terman has helped remove that obstacle by identifying a low-cost device that’s feasible for clinical practice: the Wein VI-2500. (My psychiatrist wrote: I looked up the price of the Wein VI-2500 – $74.00) This device generates ions at a high enough density to treat depression (450 trillion ions/sec), with ozone production well below the FDA’s cut-off for safety (< 0.05 ppm)

How to use

The Wein is easy to use, and Dr. Terman has a useful guide on his website. Patients can either sit near the device for daily sessions or have it turn on while they are asleep using a socket timer. Sessions should be 30 to 90 minutes. Either way, they need to be close to the device (within 3 feet) and keep things that would pull the negative ions away from them (mainly other electronic devices) away from the ionizer. Unlike the lightbox, air ions do not affect circadian biology, so the device could feasibly be used at any time of day, or even left on throughout the night, although the available studies employed a morning protocol.

Dr. Terman expects to see improved air ionizers in the near future and keeps updated product recommendations at www.cet.org

While we may not understand their mechanism in the brain, we do know what they do in the air, and that story has some natural appeal. If you’ve ever enjoyed the fresh air around a waterfall, ocean breeze, or humid forest, then you’ve experienced natural air ionization. When water breaks into the air, it creates negative oxygen ions. Those ions have a pleasant scent and also filter out pollutants such as cigarette smoke, dust, and mold. Indoor air tends to be depleted of negative ions, mainly because of the effects of air conditioners, heaters, and dehumidifiers.

Ionization and bipolar depression

What remains unknown is whether these devices will work in bipolar depression. One study has been published, but the primary aim was to test light therapy in bipolar depression, and the high-density air ion group was too small to draw conclusions (n = 2)

On the other hand, we have no evidence that these devices destabilize mood, and Dr. Terman is not aware of any cases of hypomania caused by ionization.8 Air ionization has been tried in manic patients, with results that suggest it may improve manic symptoms. Those 2 studies did not have the rigor to conclude anything beyond the suggestive. They used a double-blind crossover design with single treatment sessions in a total of 28 patients. Their findings are consistent with a host of small studies in normal populations that suggest negative air ions improve irritability and tension, while positive ions tend to have the opposite effect. Dr. Terman does warn that the ionizers can raise energy and alertness, so they should be used in the morning if tried in patients with bipolar disorder.

The bottom line

My previous column listed 20 treatments with at least some controlled-trial support for bipolar depression. In practice, that list is often insufficient to meet the clinical needs of patients with this chronic and highly recurrent condition. Beyond that evidence base, I’ll consider treatments that work in unipolar depression and have a low risk of destabilizing mood. Aerobic exercise makes that list, and air ionizers deserve a place on it as well. Their empiric support may not be as robust as what we have for exercise and depression,but their ease of implementation will be a plus for many patients whose depression has sapped their energy and motivation. 

REFERENCES

1. Terman M, Terman JS. Treatment of seasonal affective disorder with a high-output negative ionizer. J Altern Complement Med. 1995;1:87-92.

2. Terman M, Terman JS, Ross DC. A controlled trial of timed bright light and negative air ionization for treatment of winter depression. Arch Gen Psychiatry. 1998;55:875-882.

3. Goel N, Terman M, Terman JS, et al. Controlled trial of bright light and negative air ions for chronic depression.Psychol Med. 2005;35:945-955.

4. Terman M, Terman JS. Controlled trial of naturalistic dawn simulation and negative air ionization for seasonal affective disorder. Am J Psychiatry. 2006;163:2126-2133.

5. Flory R, Ametepe J, Bowers B. A randomized, placebo-controlled trial of bright light and high-density negative air ions for treatment of seasonal affective disorder. Psychiatry Res. 2010;177:101-108.

6. Perez V, Alexander DD, Bailey WH. Air ions and mood outcomes: a review and meta-analysis. BMC Psychiatry.2013;13:29.

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What do you think?!?!?!

Thank you so much for stopping by my blog. Today I didn’t get a chance to find some cutesy memes I love to intersperse through the post (it’s one of my favorite things about blogging!) but I hope to have time to that next Friday. (And for all I know, maybe some of you are muttering “Thank God, I can’t stand memes!”)  😉

Have a wonderful weekend  and please take good care of yourselves,

Love,

Dyane

 

 

Birth of a New Brain – Healing from Postpartum Bipolar Disorder, with a foreword by Dr. Carol Henshaw, will be published by Post Hill Press on October 10th, 2017. Birth of a New Brain is available on Amazon for Kindle and paperback pre-sales.

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21 thoughts on “Please Listen To My First Podcast!

  1. And I forgot to say Air ionizers! Wow what detailed, scientific paper you have put forth in this blog post! Beautiful! Thank you for all the information on them. I’m seriously thinking about getting one after I read your post! Love and hugs.

    1. Thank you, sweet Samina, for writing! I think we should ask for air ionizers of Christmas gifts this year, eh??? Take a look at what my friend Martha Graham-Waldon wrote about her work experience – I know you’ll get a kick out of it!!!! OXOXOXOXOX

  2. Such an amazing podcast, Dyane. Honesty and bravery – you must give hope to so many people going through similar experiences. So sorry to hear about your dad’s passing too. Life so often heaps too much on us at once. You are such a fabulous speaker – I was completely hooked listening to you. Wonderful – I’m in awe of you. A great job. Congratulations! Now off to share on social media xxx

    1. Oh…thank you SOOOO much for listening to the podcast and for this glorious “cake-like” comment!!!! (You know I mean that in the very best way possible!) Reading your words totally made my dreary day better – it truly did. Thanks for sharing it and heaps of thanks for being a true friend!!!!!!

  3. I’m too all bleeeeeeeeeeeeh right now for your podcast (just exhaustion, no worries, just been a LONG weekend of family and a playdate and work), but I can’t wait to listen to it tomorrow! xxxxxxxxxxx

    1. No rush my lovely!!! It can take me WEEKS to listen to a particular podcast no matter who is on it! :))))
      Please take your time — and I beseech you to forgive me for not being caught up at your blog yet – I flaked on everything I had hoped to do over the weekend due to an all-day Toastmasters contest I attended. Yep.I went there to support one of my friends in my club who was competing. (Thank God I didn’t speak at it, but I let myself get talked into helping out by counting ballots and taking pictures, for crying out loud!!) It totally wiped me out! :0000 Sending you caffeine jolliness, & my love, my dear one!

      1. And Hugs and Hellos and Love from the across the Plains and Rockies back to you, Empress Percolatia! I’m glad you went to support your friend in her time of speaking need. (and it makes the podcasting thing look even LESS stressful! 🙂

    1. Hey there sweetness – I tweeted you the link today – let me know if that doesn’t show.
      And pretty please, can you give me until the end of the week to answer the Q & A????

      I’m overhwhelmed with stuff but I don’t mean to be ungrateful! I want to do it! XOX)

      1. Lady how I wish you knew how frustrating my current data plan is. Maybe it’s the tablet am using…can’t pick up any signal hence I had to drop lose it. Wifi only at office and while there I can’t tweet and listen to podcasts except when I have some space and my headset with me. Let me try to find that link and see how far I can manage. With regards to the QAs, no pressure since we both know our timeline right? Loads of love, u rock

      2. And so lady, because it’s you, I struggled patiently and listened to the podcast not once but twice. First for bedtime and yup your sweet voice pampered me to sleep, and second this am while in one of my favourite corners of all my homes (guess where, starts with L). I then struggled to leave a comment but once I get to the office I’ll get another comment out and share same far and wide. Bravo lady you did awesome

      3. I’m SOOO honored you made the effort to hear it and! I’m so happy you liked it!!!!!!! I’m also thrilled you were able to acess it after all…..thank you for getting a comment and for sharing it too. XOOXOXOOXXO

      4. What wouldn’t I do for five minutes of your voice? I mean write an encyclopedia that could trap my reading buds but your voice does the ultimate soothing and for that I appreciate you loads. The first time I heard your voice I was under a tree at the Bratt retreat in VT from visiting Pammy and I remembered we had had to postpone that phone call a few times because of one reason or the other. I couldn’t miss this podcast and look forward to more. Rooting for you Lady as the countdown rolls down: Whoop whoop whoop

  4. Congrats! I trust you will send us a link on Monday? I will listen FOR SURE! BTW I used to work in a factory for Intel packing computer chips. We had ionizers on the table to reduce static electricity. We were all pretty relaxed too (on swing shift) but the ionizers must have helped!

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