Self-care (including diet, physical activity and sleep) is an important aspect of recovery in depression but one that is often neglected generally despite it being an important factor in maintaining good health and more often than not, issues in these areas, also show up as a symptom of depression. 

Our diet is an important part of our health and wellbeing and there is ever growing research that what we eat can help us optimise our mental health as well as our physical health. We know that heavy alcohol intake and certain drug use can change the way our brain functions, you just have to look down the high street on a friday night to witness that!.... Well it makes perfect sense that if your brain doesn’t receive the nutrition including hydration that it requires to function and is subjected to bombardment by free radicals damaging cell tissue caused by (amongst other things) an unhealthy diet, that it could also affect how well the brain works. 

The affect of food on mood is not a new idea, in fact research dates back to the 1970s – but there are increasing research studies linking food and mood. Including differences in requirements of different age groups. With younger adults needing more meat than older adults who seem to benefit more from foods with antioxidant properties. There may also be a link with poor diet in childhood and adolescence to mental health issues as clearly the brain requires nutrition for it's continuing  development during this important time. It makes sense that the changing brain needs a different balance as it changes with age. 

Fluctuations from low to high blood sugar levels can cause mood swings on a day to day basis and it also appears that the impact of regularly missing breakfast may be linked to depression according to The American Psychiatric Association. 
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​According the American Physicians Committee, we need a balance of approx 1:1 (no more than 4:1) of Omega 6 to Omega 3 in our diet as deficiencies in these fatty acids which help our biological functioning can lead to amongst other problems, depression. However like any fat too much is also not good for us! They recommend that intake of Omega 3 should be 1.1g /day for women and 1.6g /day for men. The British Nutrition Foundation suggest that in UK we generally get enough of Omega 6 in our diet but not Omega 3. Its all about balance as too much Omega 6 appears to wipe out the positive effects of Omega 3, hence the suggested ratios.

Wholegrain foods, vegetables and fruit are important factor in maintaining good mental health according to an article in The British Journal of Psychiatry. The study showed a strong link to development of depression in those with a diet high in processed, high fat,high sugar and protective factor in those eating the healthier diet. 

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YES! When we're stressed, when we're anxious, when we're angry AND in fact EVERY day. Let me explain....
Our brain is hard wired to protect and survive; a small primitive but powerful part of our brain, the amygdala, is constantly alert for signals of danger. It's the part of our brain which kick starts the "Fight/Flight/Freeze" survival response. It works amazingly!! And the physiological process occurring in the survival response is truly incredible! Unfortunately the amygdala, whilst it's looking out for us, is not a rational part of our brain and can kick off in a split second when it interprets threat. Unfortunately the "threat" may not actually be a "life or death" threat but our body is motivated, infact propelled,  into responding at its optimum performance.  Great when we find ourselves being attacked by a dangerous animal (hmm I'm encountering tigers all the time!!) and when we need to be functioning at our optimum for a deadline or an exam but not so great when its triggered constantly by everyday stressors. The stress response constantly "kicking off" has a negative effect on our physical health - it's exhausting for one! It impacts our immune system, our digestive system, our cardiovascular system. After all its purpose is to ensure immediate safety, here and now, not for the long term.  So when the instinctive brain perceives a "life or death" scenario (that isn't always "life or death"!!) then at that moment, fighting disease, replenishing skin cells, digesting food effectively is not a priority.

There's lots of ways to relax and release yourself from the survival / stress response. For instance Yoga, Tai Chi, Mindful meditation, progressive muscle relaxation, massage, breathing exercises.
Deep breathing, often referred to as diaphragmatic breathing allows us to take a full natural breath, optimising oxygen exchange.   By deliberately activating a healthy diaphragmatic breath it indicates to our brain that we are in a relaxed peaceful state to heal, to digest, replenish skin cells, fight infection and helps to lower blood pressure..... it helps us relax and can help us manage stressful and anxiety provoking situations.
So we can use this type of breathing in stressful situations, for instance, I still use breathing exercises to "breath through" my dentist appointment if I have to have work done! Focusing on the breath can help manage pain; its not a case of simply "distracting" yourself with breathing but allowing yourself to "breath through" the pain - its no surprise that mothers have been taught breathing exercises to help in labour (note: no one said a breathing exercise made labour pain free mind!)  Recently I fell and hurt my back and whilst doing yoga the other day my back went into an excrutiating spasm but focussing on the breath got me through it. ​

When  I was first taught to do diaphragmatic breathing I was told to put one hand on my chest and one on my stomach and to make sure that as I took a breath in to watch my stomach rise and as I took a breath out watch my stomach fall...... well that's certainly what it should look like but try making yourself do that! How un-natural can breathing naturally feel?!!! You can use "7/11" breathing or a "breathing square" - what ever works for you but why not...
Try this instead...

1. Close your eyes, soften your lips so they are only just touching and imagine you have a balloon in your stomach (any colour you like!)
2. Take a breath in through your nose, and as you do, imagine your balloon inflating and filling your stomach.
3. Once inflated, pause briefly and begin to let it go
4. Allowing the breath to leave out of  your mouth and as you do, the balloon deflates
5. Repeat this, noticing too how the balloon gets lighter in colour as you breath in and inflates and darker as you breath out and deflates

Practice this regularly, the more you practice the quicker and easier it will be to implement when you really need it! If you only ever do it when you're really stressed, its likely to feel forced and unnatural and therefore not very relaxing!! You don't always have to find somewhere quiet and shut your eyes. You can keep your eyes open and look quite normal stood in the queue at the local bakers while doing this!

TOP TIP: If you're angry breathing exercises can help too but avoid starting by taking a deep breath in, instead, take a breath out, blow out (make sure the balloon is empty before gently inflating it again! And aim to focus on calm breath) The reason for this is when we're angry a deep breath in can energise us into acting and that isn't always helpful when we might be better helped by taking a step back and thinking before acting! 

Lots of people suffer a bit of a low during the winter months, some can experience a more pervasive recurring depression which begins as the days get shorter known as SAD (Seasonal Affective Disorder). I wouldn't go so far as to say I suffer from SAD but I can definitely sometimes feel a greyness and heaviness about winter months if I don't look after myself!

There's been increasing research into the impact the lack of sunlight has on our circadian rhythm, our melatonin and seratonin levels. There also may be a link with vitamin D absorption. Vitamin D is known as the sunshine drug and around 80% of our vitamin D comes from exposure to the sun. Unfortunately holidaying in the sun over winter isn't an option for most of us. There are very few natural sources of Vitamin D in our diet (fatty fishes like tuna and mackeral contain Vitamin D - not my favourite foods unfortunately!) and lots of dairy, juice and cereal products are fortified with it.  The National Institute of Health recommend 600 IU (15 mcg) and suggest that those suffering from SAD have difficulty producing Vitamin D. So it might be worth considering a supplement.

I've been curious about SAD lights for a while; a couple of clients have told me they've found them useful and one particular client of mine (who suffered from SAD) who swore by using a daylight lamp was most upset that she found herself having to save for a second one as her daughter had "pinched" hers and she missed it it terribly. The idea is that light boxes (using traditional full spectrum white light or the newer blue light) effectively replicate natural sunshine and give a positive effect to those lacking in sunlight exposure. Many sufferers get benefit from as little as half an hour use a day.

I was more recently reading about a Sunset/Sunrise Alarm clock and purchased it somewhat spontaneously when it was on offer!  I'm one of those who often make comment about the dark days being miserable and I personally absolutely hate mornings! ....The latter makes for an interesting combination in our household as my other half is a bright and breezy kind of person in the mornings, ready to "sing" good morning and to have a full blown conversation, where as I on the other hand prefer not to speak to anyone for a while; I function, but on a quiet peaceful level with minimal engagement with others!! So the dark and dreary mornings don't really help my transition into "The real world"! Plus I'm naturally a night owl not a morning bird so really not a great combination!

My "investment", was in a Lumie Bodyclock Iris 500 which is a sunset and dawn simulator. The company Lumie have been around for sometime and supply light boxes to the NHS so I was hopeful! I wondered if this alarm clock might help me to be a bit more sociable and ready to rumble on these winter mornings...  and thought it would be interesting to see if it did have an affect on my mood too?

The idea of these simulator lamps is that, using a daylight bulb they gradually come on simulating a gentle sunrise (and in reverse, a sunset for bedtime). The one I bought also has the option to use a diffuser for essential oils which, with my interest in essential oils, of course appealed to me too ....I will have to play around with some combos for sleep and waking up to use with it!!

Well!!! The results after a month's use? I'm not saying I've suddenly become the great conversationalist in the mornings BUT I've definitely found it easier to crawl out of bed. Actually I have been throwing my duvet off with some determination and shifting into 1st gear with relative ease! Which is very bizarre! Quite the opposite of begrudgingly emerging from the warmth at snails pace and having to sit for 5 minutes contemplating the next move off the bed!

I also really like the sunset mode - it allows me to read a little before going to sleep but the gradual reduction in light makes reading gradually a little harder as it lowers and this, rather than being irritating, I found made me drop off nicely without reading excessively and not having to turn a bright light off, then having to settle down. It made a nice gentle transition from wakefulness, reading and into sleepy zone!

So, so far I'm a fan. I feel it definitely starts and ends my day nicely and according to the manufacturer the light "resets your internal body clock each day to create a healthy sleep cycle, help you get up and feel alert, refreshed and energetic all day" .....I'm not sure I've experienced being energetic all day!! But I DO feel brighter in the morning. Has it improved my mood? Difficult to say.... I don't think I'm  feeling too miserable about the miserable days, as I am starting my day off a bit brighter and that has to have a knock on effect doesn't it?!  It took me a little time to get to grips with the programming on the light but I'm pleased with the results so far. And I like the remote control it comes with.

Though technically its not a full blown SAD light the manufacturer has registered this model as a Class 1 medical device. However if you suffer from SAD www.sad.org.uk recommend using a Dawn Simulator followed by a SAD Light treatment about half an hour after you wake up as the most effective way to treat SAD.

There are others available but you can purchase the one I've been using here plus also some essential oils for the diffuser! ....and of course if you want some help with a personalised oil blend, get in touch! 

The other thing of note is that, since I now have this as my alarm clock, I've been leaving my phone out of the bedroom (which I was previously using as an alarm) and I can highly recommend doing this, as distancing yourself from the interuptions our mobile phones can bring, has to be a good thing!) 

I will definitely continue to use my Lumie Bodyclock!  Perhaps with prolonged use I'll become the morning conversationalist my other half has been hoping for in me for 25 years!.....