Latest / Vox Novus with Victor Fuhrman / Dr. Norman Rosenthal – Defeating SAD (Seasonal Affective Disorder)
Transcript
- 0:05Vox Novus, the New Voice, Vox Novus, the New Dimension, Vox
- 0:15Novus thought and movement leaders who will share from their experience and offer tools to
- 0:21help us navigate our rapidly changing world. My name is Victor Furman. Welcome
- 0:28to Vox Novus, the New Voice. Does the diminishing daylight during fall and
- 0:39winter leave you feeling sad? My guest this week on Vox Novus. Doctor
- 0:45Norman Rosenthal is the world renowned psychiatrist and best selling author who first described seasonal
- 0:53effective disorder SAD and pioneered the use of light therapy as treatment during his time
- 0:59at the National Institute of Mental Health. A prolific researcher and writer, he
- 1:04has written more than three hundred scholarly articles and authored or co authored ten popular
- 1:11books. These include Poetry RX, the New York Times bestseller Transcendence, and
- 1:17the National bestsellers The Gift of Adversity and Supermind. His website is Norman Rosenthal
- 1:25dot com, and he joins me this week to discuss his healing path and
- 1:29latest book, Defeating SAD Seasonal Effective Disorder, A Guide to health and happiness
- 1:37through all Seasons. Please join me in welcoming back to Vox Novis doctor Norman
- 1:44Rosenthal. Welcome back, doctor Rosenthal. Oh great to be here again.
- 1:49Thank you so much for joining us. We're going to be talking about your
- 1:52latest book, Defeating SAD Seasonal Effective Disorder, A guide to health and happiness
- 1:57through all seasons. First, for our listeners meeting you for the first time,
- 2:02please share your early path and how it led to medicine and psychiatry.
- 2:07Well, I always was fascinated by the workings of the mind, and even
- 2:14when I was sixteen years old, I knew I wanted to be a psychiatric
- 2:17researcher and try to understand how the mind works and how it went wrong when
- 2:24it didn't work. So that is a course that I pursued through medical school
- 2:31in Johannesburg, where I was born, and then I came to Columbia to
- 2:36do my psychiatric residency, and following that, I came to the National Institumental
- 2:43Health, where I did a research fellowship and that got me to track alongs
- 2:50some interesting lines of research that have defined my research career. At the same
- 2:57time, I always wanted to be a nisson and a writer, so I
- 3:04have had a clinical practice all this time and a coaching practice. And I
- 3:09have also written several books which have been the subject of our conversation in the
- 3:15past, and that's partly what we're going to be talking about here as well.
- 3:20Yes, when you last joined us, you shared your wonderful book Poetry
- 3:24r X. How did you discover the therapeutic nature of poetry and how is
- 3:29this applied? Well, poetry has always done a lot for me. I
- 3:37have found various poems through the course of my life that have been a comfort
- 3:43and inspiration, a source of ideas and creativity. And it always struck me
- 3:50that if I collected a group of these poems together, not long ones,
- 3:54short ones, because that's the whole point is not to embroil somebody in a
- 4:00long poem like the rhyme of the Ancient Mariner, but a short poem,
- 4:04a sonnet, a villanelle, something short that really delivers an important point.
- 4:13And so that's what I wanted to do. I collected fifty of them together,
- 4:17and it has been one of the more delightful surprises of my writing career
- 4:25because initially people thought, oh, my poetry, you know, don't give
- 4:29me that. Even my wonderful colleague Jane Brodie, who was a columnist at
- 4:36the New York Times for many years, and we had collaborated on several articles
- 4:43on my work together, and this time with a poetry. She said,
- 4:46ah, that's not for me, and I fedexed her my manuscript and within
- 4:53a day or two she said, Okay, I'll do this one. I
- 4:57really want to. It just really speaks to me. So that was a
- 5:01wonderful turnaround from a good friend and columnist. But also so many people that
- 5:09I've spoken to have gravitated towards this book as inspirational, interesting, helpful,
- 5:18people who've said, you know, I've never really understood poetry, saying you
- 5:24know, now I really get it and it really means a lot to me,
- 5:27and I have it by my bedstand and that sort of thing. And
- 5:30of course, for a writer to hear that your words have actually reached people,
- 5:35there's no greater reward than that. Absolutely, are there one or two
- 5:41poems that stand out for you as having the most therapeutic value? You know
- 5:45so many do, but one, and you know one has come to mind
- 5:49recently. You know, so many people are grappling with a breakup, and
- 5:56sometimes people are so invested in their relationship that when they break up, they
- 6:03feel as though a piece of themselves has been lost. So in a section
- 6:10called Loving and Losing, I have a couple of poems that deal with that
- 6:15particular experience, and the one that I would like to read today is getting
- 6:21over a breakup, reclaiming yourself. That's what I call it. But the
- 6:27poem itself is called love after Love by Derek Walcott, And here it is.
- 6:33The time will come when, with elation, you will greet yourself arriving
- 6:40at your own door, in your own mirror, and each will smile at
- 6:45the other's welcome and say, sit here, eat. You will love again
- 6:51the stranger who was yourself. Give wine, give bread, Give back your
- 6:58heart to itself, to the stranger who has loved you all your life,
- 7:03whom you ignored, for another who knows you by heart. Take down the
- 7:09love letters from the bookshelf, the photographs, the desperate notes, peel your
- 7:15own image from the mirror, sit feast on your life, beautiful. Thank
- 7:23you so much for sharing that with us. So that is an example to
- 7:29me of this brilliant man using this image of the mirror to say, rekindle
- 7:38the relationship with yourself and the image of a man looking in the mirror is
- 7:44the pivot, the mechanism by which this reclaiming occurs. If you want one
- 7:51more poem, there are so many good ones that I want to be sure
- 7:58that I choose well, And to choose, I will select a poem that
- 8:05is a villainell, maybe the most famous villainelle of all time. Now,
- 8:11a villain l is a very carefully structured poem. It consists of nineteen lines.
- 8:18Certain lines recur, they come back again and again, and they're very
- 8:24very difficult to write well. But when they are well written, they are
- 8:30gorgeous, they are beautiful. And I have three villain ls in this collection.
- 8:33The one is one art by Elizabeth Bishop. There's another one called The
- 8:41Waking, And this one, of course is do not go gentle, and
- 8:48I will read it now if I may, please, do not go gentle
- 8:52into that good night. Old age should burn and rave it close of day,
- 9:00rage, rage against the dying of the light. Though wise men at
- 9:05their end, no dark is right, because their words had forked no lightning.
- 9:11They do not go gentle into that good night good men the last wave,
- 9:18by crying how bright their frail deeds might have danced in a green bay.
- 9:24Rage, rage against the dying of the light. Wild men who caught
- 9:31and sang the sun in flight, and learn too late they grieved it on
- 9:35its way. Do not go gentle into that good night grave men near death
- 9:41who see with blinding sight, blind eyes could blaze like meteors and be gay.
- 9:50Rage, Rage against the dying of the light. And you, my
- 9:54father, there on the sad height, curse bless me now with your fierce
- 10:01tears, I pray, do not go gentle into that good night rage,
- 10:07rage against the dying of the light. Beautiful, thank you for sharing those
- 10:13with us, sir. Difficult to read the second poem without getting a tear
- 10:16or two because of this intense bond between father and son, and the son
- 10:26having to say goodbye to his father and wanting the father to rage and not
- 10:31let go of life, because the son himself presumably can't tolerate losing the father,
- 10:39and he himself is raging against the impending loss. So it is such
- 10:46a loving and at the same time terrifying poem because it does confront that last
- 10:56moment of the bond between father and son. So here are two very short
- 11:01little examples of the kind of connection that I try and create between the reader
- 11:09and the writing in this particular book Poetry Rix. The last time you were
- 11:16on, I had cheered with you that poetry has always been a form of
- 11:20expression for me, especially at times that I've had challenges in my life.
- 11:24And my mother passed in January of twenty twenty, and in the process of
- 11:28my grieving, I started having these visions of circles and rings in my imagination
- 11:35and this poem came through me as part of my healing process. May I
- 11:37share it with you? Of course? Yeah. It's called circles and Rings,
- 11:43the path of great beauty and so many things, from atoms to galaxies,
- 11:48circles and rings, natural wisdom that dwells there within from not to three
- 11:54sixty, that magical spin. We circle each other, and He's dance as
- 12:01Guy, a circle's soul, the solar romance as Luna circles us in life,
- 12:07giving motion, drawing the tides and inner emotion. And the age of
- 12:11the oak is found in its rings, as in woman and man and all
- 12:16living things. And when the ring stop and life comes to an end,
- 12:22we'll all circle back and dance once again. Powerful stuff. Thank you,
- 12:30beautiful, thank you, sir, What effect did that have on you?
- 12:33What did it have a healing effect? Absolutely? It helped to abate my
- 12:37grief. Well, there you are. What more can you ask from words
- 12:43than that? Absolutely, sir, Thank you. You're also well known as
- 12:48an expert in transcendental meditation, with two best selling books on the topic.
- 12:52Transcendence was a New York Times bestseller and Supermind became a national best seller.
- 12:58What some of the benefits of a regular meditation practice? You know? As
- 13:05I think about how best to answer it, I'm almost overwhelmed by how much
- 13:11this practice has done for me and many people whom I know. Some have
- 13:16been my patients and clients, others my friends, people I have directed to
- 13:22this practice. It is so astonishing that a simple practice. Of course,
- 13:30it's simple, but it also needs to be learned and needs to be practiced.
- 13:35Of thinking a mantra or a word sound and taking a little time each
- 13:41day to do that takes you into a place in your mind that fills you
- 13:46with relaxation but also with energy and activation, and at the same time is
- 13:56a masterful stress busting techechnique and a magical creative technique. I recommend it to
- 14:05my clients who are stuck in their creative processes. I recommend it to people
- 14:13who are overworked and have too much to do and are experiencing physical or psychological
- 14:20effects of that, and I find it to be for me a foundational habit.
- 14:28Absolutely, many of our listeners are regular practitioners of meditation, and I'm
- 14:33sure they appreciate the sentiment that you share. Your latest book is Defeating ZAD
- 14:39Seasonal Effective Disorder, A Guide to health and happiness through all seasons. You
- 14:46are world famous for your breakthrough research with SAD and developing the light therapy to
- 14:52treat it while you were at the MH. Please tell us about the nature
- 14:56of SAD and how many people this affects in the United States. Well,
- 15:01SAD is an exaggerated effect psychologically and physically to the changing seasons. I say
- 15:11exaggerated because for many people they can observe the seasons quite pleasantly, the leaves
- 15:16changing, the days getting shorter, the days getting colder. These may be
- 15:24trivial changes to some, but for a significant percentage of the US population,
- 15:33there are consequential changes in behavior and feelings across the seasons. Specifically when the
- 15:43days get short and dark. Some people can slow down, eat more,
- 15:48gain weight, oversleep, withdraw from friends and family, struggle with their cognitive
- 15:56functioning, putting things together, their careers, their professions, and can become
- 16:03very depressed and withdrawn. And so this can happen and continue for three four
- 16:12five months, starting maybe in September, October, and going all the way
- 16:18to February, March, even April. So it's a significant chunk of the
- 16:22year and a significant chunk of the population. Some estimate that five percent have
- 16:30it to a severe degree. That's probably a good twenty to thirty million people,
- 16:37and another fifteen percent to a lesser degree that we call not sad,
- 16:42which is the more extreme form, but the winter blues, people who are
- 16:47just not at their best. They're not at their most cheerful, most productive,
- 16:52most creative in this time. So I would say one in five people
- 16:56experiences negative effects at the change of the seasons, and I'm talking specifically here
- 17:03from autumn to winter, and then to a lesser degree, this is just
- 17:11unpleasant. It's a creative block. It's you less effective, less having less
- 17:18of a good time, and to the greater degree it really does impair your
- 17:26ability to have relationships and do your work. How does SAD differ from other
- 17:33mood disorders and how do you differentiate between SAD and clinical depression. Well,
- 17:40to start with, SAD is a form of clinical depression when you've got SAD.
- 17:45If you went through a checklist of symptoms that qualify a person for depression,
- 17:52you will qualify it just is a specific type of depression insofar it has
- 18:00this very clear relationship to the changing seasons. So it is a kind of
- 18:06depression. But the kind of depression INSAD is different from some other depressions in
- 18:12that in other kinds of depressions you can lose your appetite, lose weight,
- 18:19not sleep, and in this kind you often eat more, gain weight,
- 18:25sleep more. So some of the symptoms differ, but at core it's a
- 18:30type of depression just as bad as any other. It all sounds like you're
- 18:38describing when an animal goes into hibernation. Yes, it's a good analogy.
- 18:45In fact, one of my earliest patients said, I should have been a
- 18:48bear, because bears are allowed to hibernate and humans are not. We are
- 18:53expected to get up in the morning and do a thousand things, and when
- 18:59all you feel like is curling up in a ball. That thought alone is
- 19:04enough to send you into a spiral of depression. Now are there other manifestations
- 19:11of sad in other seasons? There are, actually, and in fact I
- 19:17do deal with each and every one of them in the book. But summer
- 19:21depression is definitely there, and it may well be a response to too much
- 19:26heat. And as we know, the earth is getting warmer and areas are
- 19:33becoming more and more difficult to endure, especially during the summer, And so
- 19:38people with summer said may have a specific vulnerability to the heat, as opposed
- 19:45to the winter folks who have a vulnerability to the lack of light. So
- 19:49the other thing is that they do have different clinical presentations in that they do
- 19:56eat less and sleep less and feel agitated. In addition, the summerset is
- 20:02actually more dangerous insofar as they're more likely to contemplate suicide and even go on
- 20:10to take their own lives. I happen to love the season of autumn,
- 20:15but I know there are many who find a difficulty with that season. What
- 20:19about autumn? You know, Autumn is such a fascinating season because just as
- 20:26you say, some people are dreading the forthcoming winter, and other people are
- 20:33relishing what Keats called Season of Mists and mellow fruitfulness. There's this really gorgeous
- 20:41poem called Ode to Autumn by John Keats that really celebrates the sounds, the
- 20:48smells, the colors of autumn in a very beautiful way. And so it
- 20:57is that the it leaves so many of us go and look at the foliage,
- 21:03the ripened fruit, the fruits of summer can make this a very seductive
- 21:10and wonderful season, unless you're one of those people who knows, you know
- 21:17that if autumns here, can winter be far behind? Not really, So
- 21:22I think what the seasons do is they sort of select us out, which
- 21:26of us likes this one, which of us likes that one? And I
- 21:30think that one useful way to look at the changing year is to look at
- 21:34it as like a wheel, the whole year altogether. And so I organize
- 21:41my book to go season by season, stressing the good things about them,
- 21:47but also the things that you have to watch for. And autumn, of
- 21:51course is a time to make a checklist. If your winter is a troubled
- 21:55time, spring can be wonderful and be a release from the winter, or
- 22:02it can be a trouble in its own right. In fact, you know
- 22:06most of people do take their own lives in those who do are going to
- 22:15do it mostly in spring and summer, as I mentioned, not in winter.
- 22:18So I think that we have this beautiful diversity in our population, and
- 22:26that diversity is shown in so many ways, and one of the ways that
- 22:30it emerges is in our different responses to the changing seasons. My guest is
- 22:38doctor Norman Rosenthal. His latest book Defeating SAD Seasonal Effective Disorder, A Guide
- 22:45to health and happiness through all seasons. Doctor Rosenthal, please share with our
- 22:49listeners when they may get your books and find out more about you and your
- 22:52wonderful work. Well, yes, thank you. You can reach me on
- 22:57my website at Norman Rosenthal dot com. There's a page on Amazon of all
- 23:04my available books, and just as we discussed, there are two books on
- 23:11transcendental meditation, Transcendence and Supermind. There is my last book, Poetry RX.
- 23:21There is a kind of a memoir and self help book combined called The
- 23:26Gift of Adversity, and it's all about growing up in South Africa coming to
- 23:32America. Some of the famous and fascinating people I've met, including Victor Frankel,
- 23:40who wrote Man's Search for Meaning. That was one of the most meaningful
- 23:45visits that I've ever had with somebody, because he was certainly one of the
- 23:48greats, the one of the greats in my pantheon at any rate. And
- 23:55so a gift of adversity is something worth looking at. Two small chapters,
- 24:02each one with a little takeaway. And I took that format and repeated it
- 24:07in poetry RX. So each of the poems has it as a series of
- 24:11takeaways things that I've learned from them, and hopefully some of my readers might
- 24:18learn as well. And then, of course, my latest book, Defeating
- 24:22SAD, is really a condensation of four decades of my work in the field
- 24:29of seasonal effective disorder and seasonal changes. In this last book, I have
- 24:36very deliberately made it short, simple, to the point I feel like people
- 24:44these days don't want a long rigmarole, they want give me the bottom line.
- 24:48So I have, but I have tried to pepper it with some intriguing
- 24:55quotes and intriguing little vignettes. One of they tell you about right away was
- 25:03an eighteenth century French psychiatrist named Esquirol, and a man came to him a
- 25:10businessman in the autumn and said, look, the last three winters, I
- 25:15have gotten so depressed, I've contemplated desperate things, and I'm about to go
- 25:21into winter again. Should I go to a hospital and be confined there?
- 25:26And Esquirol said, not at all, that's the last thing you want to
- 25:30do. What you need to do is you need to go to the south
- 25:33of Italy and stay there through the winter and only come back when the winter
- 25:38is over. And this the man did with outstanding results. So just little
- 25:45vignettes like that to think that here was this rather brilliant psychiatrist giving this sort
- 25:51of very counterintuitive advice because he had already at that time and insight that some
- 25:59people people have radical responses to the changing seasons. Brilliant and we'll be back
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- 27:56More than twenty four million Americans have an autoimmuneist disorder, and that number continues
- 28:00to grow. I'm Sharon Sailor, and I'm one of those twenty four million.
- 28:04To put that number in perspective, cancer effects about nine million, and
- 28:08heart disease up to twenty two million. That's why I've brought together top experts
- 28:12and those thriving regardless of their diagnosis, to bring you the latest, most
- 28:17up to date information. Join me Sharon Saylor Friday night, seven pm Eastern
- 28:22for the Autoimmune Hour on Life Interrupted Radio to find out how to live your
- 28:25life uninterrupted. Back on Vox Novus, my guest this week is doctor Norman
- 28:40Rosenthal. We're talking about his new book, Defeating SAD Seasonal Effective Disorder,
- 28:47A Guide to health and happiness through all Seasons. Doctor Rosenthal, what is
- 28:52light therapy and how does this work as a treatment for sad well? We
- 29:00originally conceptualized light therapy as something to replace something that's missing, in other words,
- 29:10with the waning light of automan winter, some people were expressing illness as
- 29:17a result of light deprivation, and we thought if you just replaced the light
- 29:22that wasn't there, people could be restored to their healthy selves. So we
- 29:30worked to find ways of taking a box like structure that emanates much more light
- 29:38than you would get from your ceiling lights and expose people to those lights and
- 29:45bring them out of their depression. And in fact that's what happened. We
- 29:51did it with one person, we followed it up in controlled studies, and
- 29:56then other people replicated it, not only in the United States but in Europe
- 30:02as well, and so now when we think of how to treat seasonal effective
- 30:07disorder, light therapy is a primary way to do that. And of course
- 30:15there are a lot of little ins and outs of it, which I do
- 30:19completely layout in the book. In other words, what kind of light,
- 30:23And there are different kinds of boxes from different manufacturers, and people are guided
- 30:30through some of the features, like, for example, you don't want a
- 30:34teeny weeny light. You want a light of a certain size, maybe one
- 30:40foot square in its face that faces you, and so on and so forth.
- 30:47There are times of day that are better than others, like the morning.
- 30:52There are durations. There are side effects to consider, like not using
- 30:57it too late at night and keeping yourself awake, not jazzing yourself up too
- 31:03much, which people with bipolar disorder can do not hurting your eyes if you've
- 31:08got some kind of retinal problem. So all these things are involved in doing
- 31:15a good job of treating oneself with light therapy to help your seasonal effective disorder.
- 31:22Now beside also be treated with natural light, yes, absolutely. In
- 31:29fact, getting outdoors on a sunny winter day and going for walks can be
- 31:36extremely helpful. And you know, hills are wonderful because they offer you the
- 31:45high intensity, intermittent exercise that comes from going up and down hills. And
- 31:52so that's one thing I do on winter mornings when I can, and it's
- 31:57a very very good for your cardiovascular function and for your mood looking up at
- 32:05the sky getting the benefit of the light. These are very good things to
- 32:10do. And also remember that getting natural light in from outside is important.
- 32:19So you may want to from the hedges around your windows, or clean the
- 32:22windows which might be grimy from summer crud that has collected on it. These
- 32:30are all derivative of our understanding that a lack of light is bad and more
- 32:37light is good when it comes to sad. I'm curious. Here in the
- 32:42United States, we have what's known as daylight savings time in parts of the
- 32:45world where that does not exist. Is there a difference inside? You know,
- 32:50that exact question has not been scientifically answered, but I know the one
- 32:59thing that daylight saving time does for people with SAD is that all of a
- 33:04sudden you are confronted with an extra hour of darkness at the end of the
- 33:09afternoon, and this can be very depressing to people with SAD, and to
- 33:19counteract that with light at that time of day can be very therapeutic. Are
- 33:25there any potential side effects or precautions to consider when using light therapy? Definitely?
- 33:32You know you want to, as I said, use a proper,
- 33:37well approved light box that has been screened for ultraviolet light because that could damage
- 33:44the eyes. You want to use not too much light because that can cause
- 33:51side effects and sometimes quite bad ones. If you've got a tendency to mania,
- 33:58it can trigger a manic attack, so you don't want to do that,
- 34:02and I strain headaches. These can occur. But I should say that
- 34:08overall, light therapy is a very benign and well accepted treatment. Now we
- 34:16talk about the season beginning and they fall, but when should those with said
- 34:22actually start like therapy. Should they wait for that seasonal change or should they
- 34:28start before. I think earlier is better, but of course if it's already
- 34:34in the middle of the season, then you want to just start as soon
- 34:38as you can. But in an ideal situation, the autumn is better because
- 34:45then you can pre empt and get ahead of the game and prevent the symptoms
- 34:52from occurring in the first place. And of course that makes a lot of
- 34:54sense, you know, prevention is always better than cure. How many individuals
- 35:01incorporate light therapy into their daily routines, especially during the darker seasons. You
- 35:08know, it boggles the imagination to think of all the different ways, but
- 35:15typical ways are at your desk in the morning, when you are looking at
- 35:23your computer or your emails from the night before, at the breakfast table,
- 35:34when you're attending to your personal grooming in the morning. These would all be
- 35:38good times because there are times when you naturally are in one place, you're
- 35:43not running around, and then of course you get your office, you sit
- 35:49down, you can turn on a bright light there as well. The times
- 35:53when it's not usually a good idea for most people is very late at night,
- 35:59because you can keep yourself up at those hours, and of course we
- 36:02all need our sleep. That's another important foundational habit that we need to attend
- 36:08to. For those who do incorporate a meditative practice in their lives, should
- 36:14that be done in conjunction with the light therapy? You know it's either or,
- 36:20because I know that in the winter I need my light first before the
- 36:27meditation. In the summer, you're probably not doing your life therapy anyway.
- 36:32So but there's such an abundance of light that you have a lot of flexibility
- 36:37as to when you do your meditation in the winter. If you have sad,
- 36:45often, the earlier you can get your life therapy, the better you're
- 36:50going to get traction through the day from that investment. So I would do
- 36:55my life therapy first and then the meditation. But if your problem is not
- 37:00that bad, you can flip it around. Trial and error is the best
- 37:05way to tell you what works best for you. Are there specific guidelines or
- 37:12recommendations for choosing the right light therapy devices or sources? Yes, there are.
- 37:21If your seasonal effective disorder is very marked, you certainly want to go
- 37:28with one of the bigger boxes. If it's not so marked, then a
- 37:31small tablet sized box may be fine. Also, if you need to travel
- 37:37with your light boxes, then smaller is better, and often clients of mine
- 37:45have used more than one of those tablet sized light boxes. A raid in
- 37:50such a fashion that the light can come from both sides, almost like a
- 37:55stereo system would bring sound from both sides, and that way you can expose
- 38:01more of the retina to light. So these are some of the considerations.
- 38:07Severity of the illness, cost considerations, portability of the light boxes, those
- 38:15would be dominant themes. What is the actual activity within the brain while undergoing
- 38:22light therapy, Well, that's a great question. I do have a section
- 38:29in my book that looks at that. For some time, it's been known
- 38:36that the retinas of the eyes contain receptors rods and cones, other receptors that
- 38:45then go to the hypothalamus where the body's clock, the supra chismatic nucleus or
- 38:52SCN for short, the body's clock, takes in that neural input and then
- 39:01is effective in orchestrating your daily rhythms, your so called circadian rhythms, as
- 39:08well as activity, and that in turn feeds back onto mood. But what's
- 39:15really fascinating is that more recently researchers have found that there's a completely separate circuitry
- 39:23that is specifically related to the effects of light on mood. Again, it
- 39:29comes through the retina. Besides the light circuitry that goes through the super chismatic
- 39:37nucleus, there's also light that enters the eyes acts then on specific neurons called
- 39:44intrinsically photosensitive retinal ganglion cells iprgc's intrinsically photosensitive retinal ganglion cells, and as their
- 40:00name indicates, they have an intrinsic capacity to be receptive to light and to
- 40:08stimulate the nerve impulses to pass to the relevant part of the brain, which
- 40:15is different from the super cosmetic nucleus and is directly responsible for mood. So
- 40:22let's go back for a moment to the daylight savings time and the immediate effect
- 40:30of that hour of darkness in the afternoon that makes you depressed. And consider
- 40:37that if you are going to be giving yourself light at that time of day
- 40:43just after that daylight savings time change, that will stimulate those ipRGCs and that
- 40:52will have a direct effect on mood. And this is a newly discuss a
- 41:00mechanism that is going to, in my opinion, lead us to some very
- 41:07interesting connections with seasonal effective disorder. My guest is doctor Norman Rosenthal his new
- 41:15book Defeating SAD Seasonal Effective Disorder, a guide to health and happiness through all
- 41:21seasons. We'll be back with more after these words on the Old Times Radio
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- 43:12org brought to you by the AD Council. Welcome out. And So I'm
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- 43:46dot Org. Box Novus my guest this week doctor Norman Rosenthal. His latest
- 44:04book, Defeating SAD Seasonal Effective Disorder, A Guide to health and happiness through
- 44:10all the Seasons. Doctor Rosenthal, please share some of the foundational habits that
- 44:15promote holistic health and happiness throughout the year. Yes. I often think of
- 44:23Aristotle, who said we are what we repeatedly do. Excellence, then,
- 44:31is not an act but a habit, and the idea of living an excellent
- 44:37healthy life is a habit, a set of habits, and I strive to
- 44:45live by that because I want to live a good, healthy life as long
- 44:50as possible. And to do that, I know I need to exercise,
- 44:55some aerobic exercise, some strength training, and I try to that several times
- 45:00a week. And I talk about myself, but it's because I would like
- 45:07for my patients what I do for myself. I feel like a good parent
- 45:15feeds their children what they feed themselves, and a good doctor gives the recommendation
- 45:24to their patients that they give to themselves. So regular exercise, aerobic and
- 45:32strength training, good sleep, and there's a whole set of items that are
- 45:39important to darkened room. Don't push your timeline so that you expect to fall
- 45:46asleep in five minutes. Give yourself time and so on and so forth.
- 45:52Don't get yourself into a tizzy late at night about stuff. Say hey,
- 45:58wait, a sect that can wait all the morning, and so on and
- 46:00so forth. So exercise, sleep meditation we've spoken about is another way of
- 46:08strengthening the psyche and something that I recommend and practice myself. Diet, of
- 46:19course, and diet doesn't mean I'm going on a diet. It's funny because
- 46:23you know, when I was growing up, they used to have these fad
- 46:27diets like pineapple and chicken diet, and that's all you could eat for a
- 46:31week, and then you were supposed to lose weight, and funny things,
- 46:37funny combinations that were supposedly combinations that would cause you to lose weight even though
- 46:44you could eat whatever you wanted. It was really a silly notion. But
- 46:47what we know now is that it's a food plan or a way of eating
- 46:53that you know, allows you to enjoy your food. Of course that's important,
- 46:59but at the same time time recommends that you stick with certain guidelines.
- 47:05So those would be, you know, my fundamental habits, and I do
- 47:10mention all of them in relation to seasonal effective disorder. There's a favorite story
- 47:16of mine when it comes to transcendental meditation. There is someone I interviewed in
- 47:24Scotland. She is a litigator, a lawyer in Scotland who had a very
- 47:31prickly disposition. She was very irascible, and everybody commented on it. And
- 47:39then she took up transcendental meditation and people said, what's the matter with you?
- 47:45Are you well? Others said, are you on medicine? Because you've
- 47:50become so nice all of a sudden, And even her opposing counsel in a
- 47:55case said, you know, you're a pleasure to work with. This is
- 48:00so different from how you've usually been. So anyway, this lawyer, litigant
- 48:07in Scotland gave this beautiful description of how her temperament was tamed, as it
- 48:15were, by regular transcendental meditation. And she said when she did so,
- 48:22she said she would get more the luck of the drawers, how she put
- 48:25it, people would be nicer to her because she was nicer to them,
- 48:30she said, even those traffic wardens, which was what they call traffic cops.
- 48:36I guess even those traffic wardens who love to give me tickets actually are
- 48:42now showing me to where I can find a parking space. And whoever heard
- 48:46of such a thing. So I think that these habits change who we are,
- 48:52how we relate to the world, and therefore how the world relates to
- 48:57us. And these foundational habits are very vas valuable and very good for us.
- 49:01And how may these habits help impact those who are dealing with seasonal effective
- 49:07disorder? Well? I think there are some specific behaviors that are very good
- 49:12over and above these general behaviors that are good for everybody, and that is,
- 49:16maintain your social schedule. If you have lunch with a certain person every
- 49:22week, or with certain groups every week, or however often keep your social
- 49:29schedule. Don't fall off the don't fall off the wagon from a social point
- 49:36of view, Keep up your exercise regimen. Do interesting things, different things.
- 49:43If it's a snowy area, go cross country skiing, if it's a
- 49:46hilly area, go hiking. Whatever it is that you can do that keeps
- 49:52you feeling alive and engaged and active is going to help your mood. You
- 50:00ever thought of addressing news effective disorder or social media effective disorder? Well,
- 50:07I think you need to be careful because I think you get a kind of
- 50:14an adrenaline high from you know, if you hate a certain person and then
- 50:20you join a group all of whom hate that person, and then you have
- 50:23a lot of fun slamming on her or him, or a group of people.
- 50:30Or you love guns or you hate guns, or whatever it is you
- 50:35love or hate. You find a group of like minded people and you reinforce
- 50:39each other's preferences and get very riled up in the process. You worry a
- 50:47great deal about weight and body image, and you're basically stoking the flames of
- 50:57whatever it is that's burning you up. Maybe just cool it, do less
- 51:04of that. I know, I used to do much more social media than
- 51:08I do now. Right now, I go and find what I'm interested in.
- 51:13I don't let the social media crazed d joure lead me by the nose
- 51:21and get me all riled up, especially, I might say, late at
- 51:23night, with all the negativity being shared on a daily basis, what would
- 51:30you suggest that we do. You know, I suggest that we slow things
- 51:37down a little bit. And a lot of the things that I've said,
- 51:40like the meditation, A good sleep is going to slow you down because a
- 51:46lot of us get fueled by our adrenaline and get fueled by our anger,
- 51:53and I think we need to take it easy. I mean, we're all
- 51:57people. I'm reminded of that wonderful expression by Rodney King, the guy who
- 52:02was imprisoned in Los Angeles and really mistreated, and he said, can't we
- 52:08all just get along? And it's such a simple statement, and at the
- 52:14same time, there was something in its naivete and in its simplicity that really
- 52:21tugs at one's heart strength. Can't we just get along? Isn't that really
- 52:25what we want to do. We want to have a successful country where people
- 52:30are working together. We want to be helping one another the best way we
- 52:35can. And if we burn up our energy and our mental energy in battles
- 52:43that oftentimes go nowhere, I think we're really moving in the wrong direction.
- 52:49What about common everyday kindness and compassion. I think that's one of the most
- 52:58important things, kindness and compassion. I think the Dalai Lama put it well
- 53:04when he said, be kind whenever possible, and it's always possible. I
- 53:08think we need to look within ourselves, because we're not just loving, kind,
- 53:16adorable human beings. We're also some of us, most of us sometimes
- 53:22angry, envious, competitive, aggressive. These are parts of our fiber,
- 53:30and sometimes they're necessary and they do a lot of good for us. But
- 53:34sometimes they get in our way when we're being unnecessarily competitive. Not telling people
- 53:42that, oh, go up that way and you'll find that you can get
- 53:45through the traffic much more easily, or just reaching out in some way,
- 53:50you know, go to that part of the store. They've got much better
- 53:54fruit than here, or whatever. You know what I'm saying, Just little
- 53:58kindnesses that make a difference in a person's day. And I find that,
- 54:06you know, I try my best to do that when I can. I'm
- 54:07not perfect by any means goodness me, but I'm always I always feel good
- 54:14when I do that. And I must say, I feel very grateful when
- 54:19people are kind to me. And that happens, you know, quite a
- 54:22lot. And the more I meditate, the nicer I am, the kinder
- 54:25people are to me. It's called in the TM transcendental meditation, world support
- 54:32of nature when nature seems to be collaborating with you instead of blocking you at
- 54:39every turn. Absolutely the wisdom of doctor Norman Rosenthal. His latest book,
- 54:45Defeating Side Seasonal Effective Disorder, A guide to health and happiness through all seasons.
- 54:52Doctor Rosenthal, one more time, please share with our listeners whether it
- 54:55can get your books and find out more about you and your wonderful work.
- 55:00Thank you, yes, and thank you for a really inspiring interview. Norman
- 55:07Rosenthal dot com is the title of my website and you will find all about
- 55:14the different things that I offer there, my books, my services, my
- 55:20clinical work and coaching, my research. You'll find out a lot about me
- 55:27and please come and visit me there. I have a Facebook page, I
- 55:30have an Instagram, all the usual ways to connect with people and linked in
- 55:38for those who are interested in a professional connection, please come and visit me.
- 55:45And thank you for listening to this doctor Rosenthal. Thank you so much
- 55:49for joining us and sharing this wonderful wisdom which is so needed in our world
- 55:52today. Thank you, sir, thank you and thank you for joining us
- 55:58on Vox Novus. I am Victor the Voice Herman. Have a wonderful week,