Hype about antidepressants

Blog Post No. 163

By Dr Jim Byrne

27th February 2018

Dr Jim’s Counselling Blog:

Regarding some announcements about depression and medication

Some research results that should be known by all counsellors and psychotherapists, as well as their clients

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Copyright (c) Jim Byrne, 2018

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Context

Moncrieff on antidepressants.JPGWe wanted to post a blog about the new hype about antidepressants, which has been generated by a new report, which will be mentioned below; and which has been wildly hyped in the British newspapers over the past few days.

Then the magazine, What Doctors Don’t Tell You, produced an article which we liked, and we posted a link to that article, on Facebook, as follows:

“Antidepressants are a family of drugs that are bad and dangerous to know – and now researchers have named Effexor (venlafaxine) as the baddest of the bad. Patients are much more likely to attempt suicide while taking Effexor than any of the other antidepressants, a new study has found.

“The news comes as no surprise to those who’ve already been exposed to the drug. It’s considered to be one of the most powerful antidepressants, and one of the hardest to tolerate. In fact, around 19 per cent of patients stop taking the drug early because they can’t stand the side effects, which include anxiety, sexual dysfunction, weight gain, high blood pressure and thyroid depression. One patient even reported a sudden change of hair colour.

“They are the lucky ones. Once over the initial hurdles of life-destroying side effects, withdrawal symptoms are so severe that it’s almost impossible to stop taking the drug.

Antidepressants are a family of drugs that are bad and dangerous to know – and now researchers have named Effexor (venlafaxine) as the baddest of the bad…
WDDTY.COM

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Some time later, there was a response.

A statement in defence of antidepressants!

A contact on a major social media platform posted this piece:

Unnamed Person: “…”  (The statement made by Unnamed Person has been removed, at their request, and is now replaced by a simple statement of the objections they made to my post above.) This was the substance of their objection:

1. It is ridiculous to post my post, because it is based on just ONE study!.

2. It seemed to Unnamed Person that there is a rigorous 6-year study of antidepressants and talking therapy which I should have posted alongside my post, for the sake of balance. And for the sake of acting responsibly.

I (Jim Byrne) responded like this:

Jim Byrne Hi Unnamed Person,
DrJimCounselling002Thanks for your message. So I looked up the study to which you refer, and this is what I found:

“The international study – an analysis pooling results of 522 trials covering 21 commonly-used antidepressants and almost 120,000 patients – found that all such drugs were more effective than placebos.” (Source, SBS News, Australia: https://www.sbs.com.au/…/antidepressants-really-do-work…).

What could possibly be wrong with the design of that study?

Well, look! They “…pooled the results of 522 studies…”.

What could be wrong with that?

Well, *how many* studies were *conducted* by drug companies, where they *refused* to release the results? It could be that they hide the almost half of studies which show *no benefit*, and publish the just over 50% that show *modest benefits*. (And they try very hard to *hide* the very widespread and *very serious* negative side effects of all of these ‘medicines’. (See this report in The Sydney Morning Herald – an equally well known Australian news outlet: https://www.smh.com.au/…/2008/03/02/1204402265828.html)

Here are some extracts from that Sydney Morning Herald source:

“The key issue is simple. In any situation, to make any kind of sensible decision about which treatment is best, a doctor must be able to take into account all of the available information. But drug companies have repeatedly been shown to bury unflattering data.”

“Sometimes they bury data that shows drugs to be actively harmful. This happened in the case of Vioxx and heart attacks, and SSRIs and suicidal thoughts. Such stories feel, intuitively, like cover-ups. But there are also more subtle issues at stake in the burying of results showing minimal efficacy, and these have only been revealed through the investigations of medical academics.”

“In January a paper in the New England Journal Of Medicine dug out a list of all trials on SSRIs that had ever been registered with the US Food and Drug Administration and then went to look for those same trials in the academic literature. There were 37 studies which were assessed by the regulator as positive and, with a single exception, every one of those positive trials was written up, proudly, and published in full.”

“But there were also 33 studies which had negative or iffy results and, of those, 22 were simply not published at all – they were buried – while 11 were written up and published in a way that portrayed them as having a positive outcome.”

I (Jim) then commented:

So, Unnamed Person, let me sum up. You cannot evaluate the effectiveness of drugs when the companies producing those drugs are allowed to selectively publish the results they want you to hear; and to hide the results they do not want you to hear.

And if some idiot, or charlatan, does a meta-analysis of the studies published by the drug companies, and their patsies, and says this proves those drugs are safe and effective, I have just one thing to say to them: This is not science! This is not good academic work! This is propaganda for the drug companies!

So, Unnamed Person. Who is being ridiculous? Think again about the flag you were flying under: “There is a *rigorous* 6-year study of antidepressants”. That flag is a pirate rag! There is no possibility of rigorous studies of all of the data on antidepressants so long as drug companies are allowed to hide bad data, and to publish what they choose to show us! 

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Unnamed Person‘s response

Later, Unnamed Person, got back to me:

Unnamed Person: OK – if you batter me about what has been omitted, what ignored, what privileged by Pharma, money generally, academic status, medical ranking… then who am i to make such a foolish, academically unfounded post? Goodness, i will not use the word rigorous again. I similarly hope that your posted promulgations are way beyond the deeply adulterated processes they used. Mea culpa – and i look forward to hearing more about external academic critiquing of your claims to efficacy as well.
Jim Byrne Hi Unnamed Person, I did not mean to batter your about. You came out batting for Big Pharma – without realizing that that was what you were doing. You thought you were citing irrefutable evidence of a high quality against my paltry single study. The point about my single study is that it adds a little to the body of knowledge we are building up about the effects of food on mood. People who eat junk foods, or a diet high in carbohydrate are likely to get inadequate amounts of the amino acid studied – argenine. As such, they may be vulnerable to major depression. They should be informed of that risk, and not told that they can eat any kind of diet they like – including high carbs, high sugar, and junk – and then Big Pharma will fix them up with ‘Medicine’. But most of the antidepressants being prescribed for depression should not be in use at all, because the *proportion* of patients who take them, who will develop serious side effects – like sexual dysfunction or suicidal ideation – is well above the 10% safety line – often as high as 40%, or 50% or more than 60%. It is *unethical* for physicians to cause so much predictable *harm*! But they continue to do it, and studies of the kind you cited earlier do help to keep their consciences quiet! PS: I did not mean to beat you up. But if you call my attempts to educate the public – about self-care – ‘ridiculous’, I guess I will normally come out fighting! 🙂
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Some thoughts from Mad in America
PS: Since Unnamed Person was interested in how well or how badly my position on antidepressants might be supported by scientific studies and expert support, I was pleased to see that Dr Joanna Moncrieff has published a piece on the latest hype in the Mad in America online blog – here: https://www.madinamerica.com/2018/02/challenging-new-hype-antidepressants/

Here is an extract from the opening of Dr Moncrieff’s piece:

Challenging the New Hype About Antidepressants

By

Joanna Moncrieff, MD

February 24, 2018

Joanna Moncrieff, MDThe extraordinary media hype over the latest meta-analysis of antidepressants puts the discussion of these drugs back years. Despite the fact that 9% of the UK population are taking antidepressants,1 and rates of prescribing have doubled over the last decade,2 the authors of the analysis are calling for yet more prescribing. John Geddes suggested in The Sun newspaper that only 1 in 6 people are receiving adequate treatment for depression in high income countries. In The Guardian he estimates that 1 million more people require treatment with antidepressants in the UK, but by my maths, if 9% are already taking them and they only represent 1 in 6 of those who need them, then 54% of the population should be taking them. I make that another 27 million people!

The coverage was almost universally uncritical, and said little about the terrible adverse effects that some people can suffer while taking antidepressants, or while trying to get off them. The Guardian even claimed that the new “groundbreaking” study will “put to rest doubts” about antidepressants.

But there is nothing ground-breaking about this latest meta-analysis. It simply repeats the errors of previous analyses. Although I have written about these many times before, I will quickly summarise relevant points.

The analysis consists of comparing ‘response’ rates between people on antidepressants and those on placebo. But ‘response’ is an artificial category that has been arbitrarily constructed out of the data actually collected, which consists of scores on depression rating scales, like the commonly used Hamilton rating Scale for Depression (HRSD). Analysing categories inflates differences.3 When the actual scores are compared, differences are trivial, amounting to around 2 points on the HRSD which has a maximum score of 54. These differences are unlikely to be clinically relevant, as I have explained before. Research comparing HRSD scores with scores on a global rating of improvement suggest that such a difference would not even be noticed, and you would need a difference of at least 8 points to register ‘mild improvement’.

Moreover, even these small differences are easily accounted for by the fact that antidepressants produce more or less subtle mental and physical alterations (e.g. nausea, dry mouth, drowsiness and emotional blunting) irrespective of whether or not they treat depression. These alterations enable participants to guess whether they have been allocated to antidepressant or placebo better than would be expected by chance.4 Participants receiving the active drugs may therefore experience amplified placebo effects by virtue of knowing they are taking an active drug rather than an inactive placebo. This may explain why antidepressants that cause the most noticeable alterations, such as amitriptyline, appeared to be the most effective in the recent analysis.

Antidepressant trials often include people who are already on antidepressants. Such people may experience withdrawal symptoms if they are randomised to placebo, which, given that almost no antidepressant trial pays the slightest attention to the problems of dependence on antidepressants, are highly likely to be classified as relapse.

The analysis only looks at data for eight weeks of treatment, whereas in real life people often take antidepressants for months or even years. Few randomised, placebo-controlled trials have investigated long-term effects, but ‘real world’ studies of people treated with antidepressants show that the proportion of people who stick to recommended treatment, recover and don’t relapse within a year is staggeringly low (108 out of the 3110 people who enrolled in the STAR-D study and satisfied inclusion criteria).5 Moreover, several studies have found that the outcomes of people treated with antidepressants are worse than the outcomes of people with depression who are not treated with antidepressants,67 even in one case after controlling for the severity of the depression (as far as possible).8 The huge increase in prescribing of antidepressants over the last three decades has been accompanied by a substantial rise in the numbers of people who are in receipt of long-term disability benefits due to depression and related disorders in the UK, and this is at a time when benefits for other disorders, like back pain, have been reducing.9

Calling for antidepressants to be more widely prescribed will do nothing to address the problem of depression and will only increase the harms these drugs produce. …

…For more, please click the link that follows: https://www.madinamerica.com/2018/02/challenging-new-hype-antidepressants/

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  1. Lewer D, O’Reilly C, Mojtabai R, Evans-Lacko S. Antidepressant use in 27 European countries: associations with sociodemographic, cultural and economic factors. Br J Psychiatry 2015 Sep;207(3):221-6.
  2. NHS Digital. Antidepressants were the area with largest increase in prescription items in 2016. Cited 2018 Feb 23; Available from: URL: http://content.digital.nhs.uk/article/7756/Antidepressants-were-the-area-with-largest-increase-in-prescription-items-in-2016
  3. Kirsch I, Moncrieff J. Clinical trials and the response rate illusion. Contemp Clin Trials2007;28:348-51.
  4. Fisher S, Greenberg RP. How sound is the double-blind design for evaluating psychotropic drugs? J Nerv Ment Dis1993 Jun;181(6):345-50.
  5. Pigott HE, Leventhal AM, Alter GS, Boren JJ. Efficacy and effectiveness of antidepressants: current status of research. Psychother Psychosom 2010;79(5):267-79.
  6. Ronalds C, Creed F, Stone K, Webb S, Tomenson B. Outcome of anxiety and depressive disorders in primary care. Br J Psychiatry1997 Nov;171:427-33.
  7. Dewa CS, Hoch JS, Lin E, Paterson M, Goering P. Pattern of antidepressant use and duration of depression-related absence from work. Br J Psychiatry2003 Dec;183:507-13.
  8. Brugha TS, Bebbington PE, MacCarthy B, Sturt E, Wykes T. Antidepressants may not assist recovery in practice: a naturalistic prospective survey. Acta Psychiatr Scand1992 Jul;86(1):5-11.
  9. Viola S, Moncrieff J. Claims for sickness and disability benefits owing to mental disorders in the UK: trends from 1995 to 2014. BJPsych Open 2016;2:18-24.
  10. Farnsworth KD, Dinsmore WW. Persistent sexual dysfunction in genitourinary medicine clinic attendees induced by selective serotonin reuptake inhibitors. Int J STD AIDS2009 Jan;20(1):68-9.
  11. Sharma T, Guski LS, Freund N, Gotzsche PC. Suicidality and aggression during antidepressant treatment: systematic review and meta-analyses based on clinical study reports. BMJ2016 Jan 27;352:i65.
  12. Fava GA, Gatti A, Belaise C, Guidi J, Offidani E. Withdrawal Symptoms after Selective Serotonin Reuptake Inhibitor Discontinuation: A Systematic Review. Psychother Psychosom2015 Feb 21;84(2):72-81.
  13. Reefhuis J, Devine O, Friedman JM, Louik C, Honein MA. Specific SSRIs and birth defects: Bayesian analysis to interpret new data in the context of previous reports. BMJ2015;351:h3190.

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Anger, anxiety, depression, and nutrition and physical exercise, imagePostscript

In November 2017, we (Renata Taylor-Byrne and Jim Byrne) published a book on How to Control Your Anger, Anxiety and Depression, Using nutrition and physical exercise.  There is a lot of evidence, and a growing evidence base, that the major mood disorders (which Big Pharma wants to treat with hard drugs with nasty side effects) can better be managed by healthy diet and regular physical exercise (and a good night’s sleep!)

Here is a brief extract from one of the main sections that deal with diet and depression:

(ii) Treating depression

There are many different views about how to treat depression, and here is a summary of some of the most recent explanations of what is happening to us when we are depressed.

Firstly, the views of Dr Kelly Brogan will be summarised, as she has a unique explanation, which she has described in her recent book, titled ‘A Mind of Your Own’ (2016)[i]. She is a practising psychiatrist in America, with training as a medical doctor, and a degree in cognitive neuroscience, including clinical training from the NYU School of Medicine. She uses holistic methods of treating her patients and describes her work as ‘lifestyle medicine’.  In this approach, she uses the techniques of meditation, nutrition and physical activity as crucial daily habits with which to treat her depressed patients (and this approach overlaps, but is not co-extensive with, the E-CENT approach [Byrne, 2016]).

Dr Brogan’s view is that depression is a symptom or sign:  “…that something is off-balance or ill in the body that needs to be remedied”.

She considers that mental illness symptoms aren’t entirely psychological or solely neurochemical. And she points out in her book that there is no single study which has produced evidence that depression is caused by a lack of chemical equilibrium in the brain.

She considers depression to be a grossly misidentified state and in particular for women who, in the US, are being medicated at the rate of one in seven. Also, one in four women in their 40’s and fifties use psychiatric drugs.

She states: “We owe most of our mental illnesses – including their kissing cousins such as chronic worry, fogginess and crankiness – to lifestyle factors and undiagnosed physiological conditions that develop in places far away from the brain, such as the gut and the thyroid”, and she goes on to state that:

“You might owe your gloominess and unremitting unease to an imbalance that is only indirectly related to your brain’s internal chemistry. Indeed, what you eat for breakfast … and how you deal with that high cholesterol and afternoon headache (think Lipitor[ii] and Advil[iii]) could have everything to do with the causes and symptoms of depression.”

Her opinion of the foolishness of applying chemical solutions to people’s problems is very clear. In her view: “… if you think a chemical pill can save, cure or ‘correct’ you, you’re dead wrong. That is about as misguided as taking aspirin for a nail stuck in your foot.”

Her approach is to get a medical and personal history of her clients, their manner of birth (natural or section), whether breast fed or not; and she orders lab tests to ascertain the whole picture of their biological make-up.

She focusses on the information from their cellular analysis and the workings of the immune system, and points out to the reader of her book that, over the last twenty years, medical research has identified the significant part that inflammation plays in the creation of mental illness.

She also focuses on the client’s lifestyle, dietary habits e.g. sugar consumption, the condition of their guts, and microbe balance (in their guts), hormone levels – e.g. thyroid and cortisol – and genetic variations in their DNA, which could affect their susceptibility to depression. And finally, their beliefs about their own health can also play a role, she says.

So Dr Kelly Brogan shares the same conviction as Dr Perlmutter (2015): that the state of our guts is a very important determinant of our emotional well-being.

Dr Perlmutter (2015) states: “Depression can no longer be viewed as a disorder rooted solely in the brain. Some of the studies have been downright eye-opening. For example when scientists give people with no signs of depression an infusion of a substance to trigger inflammation (in the body), classic depression symptoms develop almost instantly”. (Page 76)

Perlmutter is a board-certified neurologist and Fellow of the American College of Nutrition. He is also president of the Perlmutter Health Centre in Naples, Florida. Dr Perlmutter considers that our mental health and physical wellness are totally affected by the internal systems of bacteria that operate in the gut.

But what exactly is going on in our guts? Apparently, we’ve all got millions of microbes in our body and most of them live in our digestive tract (10,000 species!). And each of the microbes have their own DNA, and that means that for every human gene in our body, there are at least 360 microbial genes. These organisms include fungi, bacteria and viruses.  In a healthy gut, most of these microorganisms are ‘friendly’, with a few ‘bad’ bacteria which are controlled by the ‘good’ stuff.

These tiny microbes: (1) strongly influence our immune system; (2) affect absorption of nutrients; (3) signal to us whether our stomach is empty or full; (4) and determine our level of inflammation and/or detoxification (which are directly related to disease and health).   They also affect our moods.

Apparently our guts contain 70-80% of our immune system, and so our gut bacteria participate in maintaining our immunity.

They can also keep cortisol and adrenaline in check. These are the two major hormones of the stress response, which can cause havoc in the body when they are continually triggered and flowing.

And our gut microbes influence whether we get any or all of the following conditions: Allergies, ADHD, asthma, dementia, cancer and diabetes, a good night’s sleep; or whether we quickly fall prey to disease-causing germs. And there is increasing evidence of a link to anxiety and depression.

Dr Perlmutter makes recommendations for changes in people’s diet which he says will:

(1) treat and prevent brain disorders;

(2) alleviate moodiness, anxiety and depression;

(3) bolster the immune system and reduce autoimmunity problems; and

(4) improve metabolic disorders, including diabetes and obesity, which are all linked to overall brain and body health.

He makes recommendations which are very practical, including…

…end of extract…

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Endnotes

[i] Brogan, K. (2016) A mind of your own: The truth about depression and how women can heal their bodies to reclaim their lives. London: Thorsons.

[ii] Lipitor is a drug commonly prescribed for reducing high cholesterol.

[iii] Advil (ibuprofen) is a nonsteroidal anti-inflammatory drug (NSAID). Ibuprofen works by reducing hormones that cause inflammation and pain in the body.

For more about this book, please go to: How to Control Your Anger, Anxiety and Depression, Using nutrition and physical exercise.

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Lifestyle coaching on diet and exercise

Blog Post No. 161

By Dr Jim Byrne

2nd February 2018

Dr Jim’s Counselling Blog: Walking the talk of the holistic self-care movement…

Managing my mind by the use of exercise, diet, meditation and self-talk…

Copyright (c) Jim Byrne, 2018

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Introduction

natajim-coaching-counselling2My wife, Renata Taylor-Byrne, sometimes reminds me of the important principle of ‘extreme self-care’.

I didn’t learn any such principle in my family of origin, where the main message was to ‘behave yourself’; and to uncritically go along with the dominant trend of social pressure!

Over the years, I have woken up to the problem of (physical and emotional) stress, and how unmanaged stress leads to all kinds of mental, emotional and physical health problems. Also, because I developed a problem with Candida Albicans overgrowth – a gut dysbiosis problem – decades ago, I had to become clear about the importance of managing my diet – especially the elimination of sugary foods and alcohol.

This morning

Michael-Tse-demonstrating-Chi-KungAt a certain point this morning, I found myself exercising, and wondering if this information would be helpful in motivating some of our website readers (meaning you!) to shift to following the principle of ‘extreme self-care’. So here I am, following up on that thought, as a contribution to your health and happiness.

I got up this morning, at the same time as Renata, and got some salad ingredients out of the fridge, and put them on one side to warm up to room temperature.  (While that was happening, I checked my emails and website traffic, and so on).

When the salad ingredients had warmed up enough, I chopped them up and put them into two bowls.  They consisted of:

Salad bowl 74 leaves of Romaine lettuce (chopped very small)

2 radishes

a quarter of a yellow pepper (diced)

a quarter of a red pepper (diced)

four inches of cucumber (halved and sliced)

a quarter of a red onion (diced)

8 green olives

2 black olives

2 ozs of petit poise

6 fine beans (chopped small)

2 tsps of Maca powder

2 desert spoons of flaxseed

2 desert spoons of mixed pumpkin and sunflower seeds

8 whole almonds

2 ozs of pickled beetroot

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This meal was so much more exciting and enjoyable than a bowl of cereal, or a full ‘English’ (fried) breakfast; or waffles with maple syrup!  Truly enjoyable! However, it would not be a good idea to eat the same breakfast every day.  Varity is important for gut bacteria and the available range of nutrients!

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On my own bowl, I also added some fermented cucumber (instead of kimchi, which I had yesterday), and some Miso (the brown rice variety).

I then ate this as my breakfast, with a mug of green tea.

(In case I am beginning to sound like Saint Selfless, I had a cafetiere of exotic coffee while I was processing my emails!)

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Meditation and physical exercise

Sitting-meditationWhen we had finished breakfast, I read some brief quotes – about living in the moment, in the main – to set the mood for our Zen meditation, which we did for 30 minutes.  And then Renata led our Chi Kung (Chinese exercise) session, which lasted about 20 minutes.  Then we did a couple of minutes of the Plank (from Pilates) – for core strength – and then I did three sets of press-ups (30 presses in each set), and three sets of sit-backs (for 30 seconds in each set), for arm and stomach strength, and for hips and lower back.

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The sun was shining in the front and back of the room in which we meditated and exercised, and we had Mozart playing in the background for the exercise session.  Divine!

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At the end of this time, I was as relaxed, happy and de-stressed as a person could be, and all set for another session on the computer, working on promoting our book on diet and exercise.

Anger, anxiety, depression, and nutrition and physical exercise, imageThe book is called: How to control your anger, anxiety and depression using nutrition and physical exercise; and it is available at amazon, at the following links:

Diet and Exercise book at Amazon.com*** (North America)

Or:

Diet and Exercise book at Amazon.co.uk*** (UK and Ireland)

If you want to order the book from another Amazon outlet, then please go to the webpage listed below, and order it from one of the other links (in Europe, Australia, Canada, etc.), which are listed there.

Renata has just completed a little 2-minute video introduction to this book, here:

Please take a look and see what you think.

DrJimCounselling002If you would like some more information about the book (or to order it from a non-UK/US outlet), you can find a good introduction on our webpages. Just click the following link: Diet, Exercise and Mental Health.***

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That’s all for now.

I wish you a happy and healthy life, and the wisdom to engage in extreme self-care! J

Jim

 

Dr Jim Byrne

Doctor of Counselling

ABC Coaching and Counselling Services

01422 843 629

drjwbyrne@gmail.com

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philosophy of happiness and success

Blog Post No. 55

6th January  2018

Copyright © Renata Taylor-Byrne 2018

Renata’s Coaching Blog: A philosophy of happiness and success for 2018

Five powerful quotations that change people’s lives!

Here’s a selection of treasures from the past which strengthen us in the present

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Introduction

Some simple words and phrases, created by others, can help us to survive in this complex world that is saturated with excessive information and bad news. Our thoughts, feelings and behaviours are all interconnected.  And some insights from profound thinkers can change the way we think-feel-act.  For this reason, if you change your philosophy of life, you can become happier, healthier and more successful, at home and in work.

In this blog I want to present a brief range of profound insights which have woken me up, and which can awaken you to a new way to think, feel and act in your new year of opportunity: 2018.

These quotations are like a dose of medicine, strong and powerful, (and without side effects); which can ground you in your body-mind and your actual surroundings; and awaken you to the stunning world in which you live; thus recharging your energy, and providing optimism for the year ahead.

These insights have worked wonders for me – and I hope they help you to be happier, healthier and more successful in the period ahead!

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Teddy Roosevelt quotes

Theodore (“Teddy”) Roosevelt was an American president who had strong views about how to live. He won a Nobel Peace prize and entered political office in 1901. The following quotation from him is magnificent – because it forces us to reign back our minds from fantasies and re-orient ourselves to the reality around us, and our limitations. We aren’t superhuman; and we need to manage our bodies, and our environments, carefully, and not exhaust ourselves. This is it:

Roosevelt-1

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The next quote by Roosevelt was one that I heard for the first time at a Landmark Forum, (or Personal Development marathon), in Leeds, many years ago. And I was blown away by it. It states, very eloquently, the warning message that, whatever we do in life, there will be people on the side-lines criticising us, and trying to demotivate and divert us from our goals. But to live our lives fully we need to be in the arena of life, striving to find our way forward. (Imagine a massive football stadium with you in the centre, dealing with life and its challenges).The glory doesn’t go to the critics, sitting in the stands; but to the millions of heroic people who struggle through life to achieve their goals.  Here are the words that moved me:

Proper-Roosevelt-critic-quote

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We now move on to a statement by Lao Tzu, an ancient Chinese sage, who created Taoist philosophy, and who lived in the 6th century BCE. His profound insights were written down and put in to a book called the “Tao Te Ching”, and I strongly recommend that you read this book, many times.

Lao Tzu 

This is the bit I mean:

Lao-Tsu

In this quotation, Lao Tzu is advising us to work at accepting reality and accepting change as a constant part of our lives. (But please remember, it’s okay to try to change those things which are changeable, as we will see when we look at Epictetus, below). And Lao Tzu is also saying that blocking change is not a constructive thing to do. This is not easy to accept, and at times it can seem overwhelming. However, it is, he implies, the wisest way to live our lives.

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Epictetus and the question of control…

This leads us into one of my really top quotes, which I use myself, by reminding myself of its wisdom, whenever I become upset about the nature of reality. I also mention it to my coaching/counselling clients, because of its simple clarification of our personal boundaries. It comes from an ancient Greco-Roman philosopher called Epictetus. He was born in 55 CE in Turkey and was one of the most famous Stoic philosophers. (I advocate the use of the moderate elements of his philosophy, but I reject, and warn against using, his extremist views: such as the one where he asserts that we are not upset by what happens to us! [All our heroes have feet of clay!])

This quote, below, states that there are some things that we can control and some things that are definitely beyond our control. This sounds glaringly obvious, but it isn’t! Lots of human suffering arises when we try to change something which we can’t – because we haven’t got the power. And all too often, humans continue to try to change things which are beyond their control – and this makes them very frustrated and unhappy. To be really happy we’d better actually work at sussing out what we can control, and forget about trying to change those things, events and people which we cannot change or affect in any significant way.  Here’s that relevant statement:

Proper-epictetus

The question of personal change…

Finally, this last quote explains why there are limits in the control that we have over other people. Marilyn Ferguson was an American author, editor and public speaker who specialised in personal and social transformation. She was born in 1938, and died in 2008. Her quote describes the truth that people can’t be forced to change – it’s up to them and they are (often) firmly in charge of their own growth processes (in those areas which they can control! This is what she said:

Proper-marilyn-ferguson-quote

Conclusion

Reading the views and ideas of thoughtful and wise people, who have lived before us, can be very helpful – as indicated above. They can broaden our view of life; and help us to manage our emotions in difficult circumstances.  They enrich the wealth of knowledge that can be passed down in our families, and can be therapeutic for us and our nearest and dearest.

Their views can act like compasses or road maps, and help us make our way through life more easily. The quotes I have selected above are some of my favourite, treasured principles; and I strongly recommend that you look for your own, which will nourish you when times get tough. (But please remember, all our heroes have feet of clay.  So we’d better read their writings critically, and try to avoid following their errors or unhelpful thoughts.

As a lifestyle coach/counsellor, I am always looking for examples of the practical and useful wisdom of others, which can strengthen my clients as they make their courageous way through life. I hope you find this blog post helpful; and I hope you also search for and find some really good wisdom quotes for yourself.

That’s all for today.

If you need to clarify your thinking or feelings, call me to arrange a conversation.

Best wishes,

Renata

Renata Taylor-Byrne

Lifestyle Coach-Counsellor

The Coaching/Counselling Division

Email: renata@abc-counselling.org

Telephone: 01422 843 629

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Health, happiness and self-disciplined goals

Blog Post No. 157

23rd October 2017

Copyright (c) Dr Jim Byrne, 2017

Dr Jim’s Blog: Health and happiness are the most important goals in (a moral) life

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Introduction

It’s been quite a while since I posted a blog, because I’ve been extremely busy.  I am still very busy, finishing off the writing of a new book, but I thought it was about time I shared some ideas with the world.  The main theme of this blog is health and self-healing, using food and physical exercise.

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Writing about diet and exercise for mood control

Front cover, 8For the past few weeks, Renata and I have been writing our book which is titled, How to control your anger, anxiety and depression, using nutrition and physical activity.  We have finished writing the five sections, and I am working on constructing a comprehensive index for the back of the book, to make it optimally user-friendly, as a resource.

Several days ago I constructed the index section on diet and nutrition, and type of diets.  And, by finishing time last Friday, 20th, I had just completed a section on Essential fatty acids (EFAs). And today, Monday 23rd, I will begin to work on the index entries for the section on physical exercise.

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Self-healing

Last Thursday, I turned my body, suddenly, while leaving my feet relatively stationary, and pulled a muscle in my back.  Did I run to the doctor?  No!  Did I get some ‘painkillers’ from the chemist?  No!

Why did I not go to the doctor?  Because the doctor would have simply recommended “painkillers”!

Why did I not buy my own painkillers from the chemist?  Because most of the painkillers used today are what are called NSAIDs (non-steroidal anti-inflammatory drugs). And the problem with NSAIDs is that they cause ‘leaky gut syndrome’, which not only allows whole molecules of food to enter the bloodstream, and trigger various forms of inflammation in the body (paradox of paradoxes!), but they also compromise the blood/brain barrier, which can precipitate mood disturbances!

So, what did I do with my terrible back pain?  I got out my copy of ‘Body in Action’, by Sarah Key, and did five of her exercises for improving the functioning of the muscles and joints in the lower back.  (I’ve done this several times in the past, and I know it always works).

I did the exercises on Thursday and Friday, and by Saturday the back pain had gone – completely!

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Sharpening the saw

Rest and recuperation are very important parts of my self-management of health program.  So, on Saturday afternoon, and Sunday afternoon, I had a siesta (of three hours each time).  I had been feeling tired because of overworking on the index of our new book on how to control anger, anxiety and depression, using diet and exercise systems.

CreasespaceCover8, diet-nutrition.jpg

I also had a restful evening with Renata, and I was in bed by 9.45pm.

By 5.45am today (Monday 23rd Oct) I was fully rested, and so I got up and made my breakfast.  A solid bowl of chunky salad.

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Food for health and mood control

Book-cover-frontI chopped up the following ingredients into small chunks, of perhaps 3 or 4 mm at the widest point:

3 oz of red cabbage; 6 oz of cucumber; 1 spring onion; 1 organic carrot; half an organic apple; and put them into a soup bowl.

(See the Appendix on Diet and Nutrition, in our book: Holistic Counselling in Practice.***)

Then, I added a teaspoon of Maca powder; a dessertspoon of ground flaxseed; two dessertspoon’s of mixed seeds (sunflower, pumpkin, ???), ten almonds, three walnuts, four hazelnuts; ten blueberries; 2 ozs of cooked beetroot (diced); two small tomatoes (halved); and half a kiwi fruit (diced).

I then added some brown rice miso, and some sauerkraut.

After consuming that breakfast, I meditated for 30 minutes.

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Physical exercise for health and strength and mood control

Standing pose 2Let me now describe the exercises that I went on to do, after meditating:

Twenty minutes of Chi Kung exercises.

Followed by a couple of minutes of ‘The plank’ exercise, which is like ‘stationary press-ups’: https://youtu.be/kiA9j-dR0oM

Then I did my own press-ups and sit backs, for about 5 or 6 minutes.

I then moved on to do fifteen minutes of my old Judo Club calisthenics (or whole body warm up exercise), which combine strength training, stretching of muscles, and aerobic exercise, all in one.

Then ten minutes of Zhan Zhuang (pronounced Jam Jong, and meaning ‘Standing like a tree’).  These are body poses which work on our postural muscles, affecting strength and speed and balance. They create a calm and happy mental state.  And they also relax the body and establish whole-body connection.

powerspinFinally I did some strength training using the Powerspin rotator, to build arm, shoulder and upper body strength.

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Reflections

This is clearly a time-consuming start to the day, compared with a bowl of cornflakes, a cup of coffee, and a brisk scratching of the head!

So why do I do it?

Because, I value my health above all things.  Without my physical health, I am unlikely to be happy.  And I am unlikely to be emotionally stable.

The people who do the least exercise, and who eat the worst diets, have the worst physical and mental health outcomes. (I have not seen a general medical practitioner for more than twenty-five years! And I am not about to start now!)

Most people leave their health (physical and mental) to chance, and to the vague belief that there are people who can “fix them up” when they fall apart.  Sadly this myth is totally misleading.  Once you’ve ruined your health – from sedentary lifestyle, poor sleep, and inadequate diet (such as one based on junk food, or an unbalanced diet, or too much alcohol [over the government limit], caffeine, sugary foods, gluten, and other toxic substances) – it is then ruined!  And a ruined body-brain is a burden to haul through life!

It takes self-discipline to get on a good diet, and to begin to do regular physical exercise, and to go to bed and have eight hours sleep, without mobile phones or laptops or tablets, and so on.  But the alternative to developing that self-discipline is a life ruined through serious illness, emotional distress, and early death.

Some people will argue with me, and insist that there are some things called “medicines” (and “surgeries”) which can be used to resuscitate their body-brain-mind once they have allowed it to fall into ill-health. The editors of What Doctors Don’t Tell You, strongly disagree with that fantasy!  See the article titled ‘Don’t trust me (I’m Big Pharma).***

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POSTSCRIPT: Of course, it takes time to build up expertise in ‘extreme self-care’; and it’s a good idea to do that one step at a time.  Gradually, over a period of time, this will build up into significant changes, and huge improvements in health and happiness.  And you don’t ever have to adopt the kind of ‘monkish’ approach that suits me.  Some simple changes in what you eat, and how you exercise your body (brisk walking for 30 minutes per day is enough!), will make a huge difference over time.  You can find out more about how to begin these small, easy steps in our book: How to control your anger, anxiety and depression, using nutrition and physical activity.

honetpieIf you want me to help you to figure out how to live a happier, healthier, more emotionally buoyant life, then please contact me:

drjwbyrne@gmail.com

Telephone: 01422 843 629 (inside the UK)

or 44 1422 843 629 (from outside the UK)

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I hope you have a very happy and healthy life!

Best wishes,

Jim

 

Dr Jim Byrne

Doctor of Counselling

ABC Coaching and Counselling Services

Telephone: 01422 843 629

Email: drjwbyrne@gmail.com

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Albert Ellis and REBT ten years later

Blog Post No. 156

21st July 2017

Copyright (c) Dr Jim Byrne, 2017

Dr Jim’s Counselling Blog: The tenth anniversary of the death of Albert Ellis…

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Introduction

Ellis-video-imageAlbert Ellis, the creator of Rational Emotive Behaviour Therapy (REBT), which is sometimes called Rational Emotive and Cognitive Behavioural Therapy (RE&CBT), died on 24th July 2007.  So we are very close to the tenth anniversary.

Since that event, Renata and I have posted something on each anniversary about Albert Ellis and REBT.  Initially, those posts were very positive about the man and his theory of therapy.  But as time passed, and we found more and more problems with the man (from his autobiography, All Out!) and from our reflective analyses of his theoretical propositions, our posts became more and more distant, and more and more critical.

Books about Ellis and REBT

Wounded psychotherapistIn 2013, I published a book on the childhood of Albert Ellis, which was an analysis of the ways in which he was mistreated and virtually abandoned at times by his parents, and the effect of these early negative experiences on his psychological development.  Here are the basic details:

A Wounded Psychotherapist: Albert Ellis’s childhood and the strengths and limitations of REBT, by Dr Jim Byrne

A critical review of the childhood of Albert Ellis and the impact of his suffering on the shape of Rational Emotive Behaviour Therapy (REBT)

‘A Wounded psychotherapist’ is a critical enquiry by Dr Jim Byrne.  It is an analysis of both the childhood of Dr Albert Ellis (the creator of Rational Emotive Behaviour Therapy [REBT]), and how some of those childhood experiences most likely gave rise to certain features of his later philosophy of psychotherapy.  If you have ever wondered what the roots of REBT might have been, then this is the book for you.  it explores the childhood difficulties of Albert Ellis, and links those difficulties forward to the ways in which REBT was eventually shaped.  It also identified the strengths and weaknesses of REBT, and proposes an agenda for reform of this radical system of psychotherapy. Available now from Amazon, in two formats:

Paperback: for as little as £6.66 GBP

Kindle: for as little as £6.89 GBP

Buy it now: A Wounded Psychotherapist: The childhood of Albert Ellis, and the limitations of REBT/CBT

Amazon in the US Amazon in UK (and Ireland)
Amazon in Canada Amazon in Italy
Amazon in Germany Amazon in France
Amazon in Japan Amazon in Australia

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honetpieHowever, in that book, I was still very soft on some of Ellis’s major errors, such as his false definition of ‘awfulizing’, and his mistaken assumption that, just because ‘demandingness’ is often a ‘sufficient condition’ for human disturbance, therefore it is also a ‘necessary condition’, which, the Buddha’s followers would argue, it is not.  Any significant degree of desiring that the present be different from how it is, could, in theory, cause significant levels of negative affect.

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Tenth Anniversary of the Death of Albert Ellis:

On this anniversary, I have today posted some feedback from Dr Meredith Nisbet of my book on the childhood of Albert Ellis.  This is what she wrote:

Book Review – by Dr Meredith Nisbet:

“I learned so much about human nature reading your book (Jim) about (Albert) Ellis. I also learned from your book about Jim Byrne. The similarities are obvious. The differences are where most of the learning comes. You overcame your childhood experiences; he lived with his experiences, but the differences were that he needed help to conquer his experiences, but he never was able to “normalize” as you did. I’d like to hear your comments on what made the difference for you  – something within you or the people who helped you? Was his problem something he missed or didn’t think he needed? I think it was more the latter. What do you think?”

To see my response to her questions, please go here: https://abc-counselling.org/albert-ellis-a-wounded-psychotherapist/

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Since 2013, my thinking about Albert Ellis and REBT has moved on again, into a more detailed critique of the foundational ideas underpinning his basic conclusions about human disturbance.  This work of mine is described in my latest boon on Ellis and REBT:

Cover444REBT Unfit for Therapeutic Purposes

The book that reveals the fundamental falsehoods at the heart of REBT/CBT

At a moment in history when thousands of counsellors and therapists are being coerced and cajoled into using the ‘flavour of the month’ therapy – CBT – in order to keep their jobs and incomes, everything is changed by one action! Dr Jim Byrne has produced a devastating critique of the original form of CBT: known as Rational Emotive Behaviour Therapy (REBT).

Many of his criticisms of REBT apply equally to all forms of CBT which utilize the ABC model of human disturbance.

Dr Byrne begins by showing that Dr Ellis was wrong to claim that he had evidence that people are upset by their thinking, plus their thinking about their thinking.  In a line by line analysis of the relevant text from Dr Ellis, Dr Byrne destroys the basis of this false claim.

He then explores the value and veracity of some of the core principles of Stoicism , which are built into REBT/CBT, and find that they do not stand up to scrutiny!

There are at least seven key errors in the foundations of REBT, many of which overlap CBT practice.

For anybody to practice these forms of therapy, without taking Dr Byrne’s critique into account, would be a grave error and a serious miscalculation.  These systems of therapy are enjoying a short-lived popularity which will end in tears.  If you are being forced on to this particular bus, now is the time to object – to present a strong counter argument against this madness.

This madness which denies the impact of the social environment upon the body-brain-mind of the client.  This madness which blames the client for their emotional disturbances.  This madness which copies the delusions of a first century Roman slave, instead of the research evidence of modern social psychology, neuroscience, and interpersonal neurobiology!

Get this book today, if you want to retrieve your right to work for the client; to feel with the client; to champion the rights of the client; and to refuse to go along with the idea that helping the client to repress their feelings, in the name of Stoical bravery, is an adequate ‘therapeutic solution’.

Get the book here, now:

Amazon.com Amazon.co.uk Amazon Canada
Amazon Australia Amazon Netherlands Amazon Germany
Amazon Italy Amazon India Amazon France
Amazon Spain Amazon Brazil Amazon Japan

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Albert Ellis was a man of his time, which was a long time ago.  He modelled his philosophy of psychotherapy[y on the idealistic notions of a Roman slave, instead of on modern theories of social psychology, developmental psychology, neuroscience, and so on. He grossly oversimplified the nature of human disturbance; blamed the client for ‘choosing’ to upset themselves; and denied the value of moral language.

We no longer need to reflect upon the contribution of Dr Ellis.  It was very small.  His contribution is evaluated in the book above: Unfit for Therapeutic Purposes.

That’s all for now.

Best wishes,

Jim

Dr Jim Byrne

Doctor of Counselling

ABC Coaching and Counselling Services

Telephone: 01422 843 629

Email: jim.byrne@abc-counselling.com

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