My all-time favorite topic in positive psychology is the study of positive emotions. I'm fascinated by how pleasant experiences, which can be so subtle and fleeting, can add up over time to change who we become. I'm especially excited these days about investigating how positive emotions change the very ways that our cells form and function to keep us healthy.  Barbara Fredrickson

Anyone can become angry - that is easy. But to be angry with the right person, to the right degree, at the right time, for the right purpose, and in the right way - this is not easy.   Aristotle

We transmit and catch moods from each other in what amounts to a subterranean economy of the psyche in which some encounters are toxic, some nourishing.    Daniel Goleman

Emotions give life colour & vitality.  Yet we are often relatively unaware of our emotional states.

“ One evening an old Cherokee told his grandson about a battle that goes on inside people.  He said "My son, the battle is between two wolves inside us all.  One is Evil.  It is anger, envy, jealousy, sorrow, regret, greed, arrogance, self-pity, guilt, resentment, inferiority, lies, false pride, superiority, and ego.  The other is Good.  It is joy, peace, love, hope, serenity, humility, kindness, benevolence, empathy, generosity, truth, compassion, and faith."  The grandson thought about it for a minute and then asked his grandfather, "Which wolf wins?"  The old Cherokee simply replied, "The one you feed." ” - Anonymous

                  Trip-sitting for a dear friend: before

               "Who will prefer the jingle of jade pendants if he once has heard stone growing in a cliff?"   Lao Tzu

I'm just off to the Netherlands with a dear friend.  They're planning to take psychedelic truffles and have asked me to 'trip-sit' for them.  Thinking about the different things I can do to support them, I came up with the somewhat 'clunky' acronym IDSPM. It stands for Information, Discussion, Safety, Practicalities & Measurement.  

I'm running a ten-session training, starting next week, called "How to live well - a shared exploration".  Here's a link to a description of the first evening - "How to live well: 1st meeting - values, self-determination theory, roles & goals".  Before, during & after the course, there's encouragement to fill in questionnaires.  This is suggested for at least three reasons.  One is that when we measure something, we tend to pay more attention to it.  Keeping track is often a therapeutic intervention in its own right.  Secondly we're using questionnaires to see if changes in our behaviours actually produce the improvements we're hoping for. 

When assessing and monitoring progress with OCD sufferers, originally I used the Y-BOCS questionnaire.  Then some years ago I switched to using the OCI (distress scale).  This is fine ... it's the officially recommended OCD questionnaire by IAPT, the English Increasing Access to Psychological Therapies initiative (see pages 39-41 of their freely downloadable Appendices and helpful resources manual).  But a hassle about the 42-item OCI is that it's time consuming, taking about 12 minutes to complete and a fair amount of time to review & score.  I've now shifted to using the 18-item OCI-R (see Veale et al, 2016 below). 

I have already written a couple of posts on sleep apnea -"Sleep apnea - what is it, how common is it and how does it affect mortality & physical health?" and "Sleep apnea - how does it affect psychological health?".  In this third & last post of the sequence, I'll explore how we can recognise sleep apnea and what we can do about it.

OK, the annual summer British Association for Behavioural & Cognitive Psychotherapies conference has come around again and this year it is back at Warwick University.  As usual there are a wealth of one-day pre-conference workshops - a dozen in all this year.  I'm off in a few minutes to Ray Novaco & John Taylor presenting on "Anger dysregulation: assessment, case formulation, and treatment".  

I went to a workshop on the treatment of social anxiety disorder with David Clark in July.  It was very helpful.  I've listed assessment & monitoring questionnaires that he recommended below:

As a general measure to assess and track changes in social anxiety severity, the freely available Social Phobia Inventory (SPIN) is the questionnaire recommended by the England & Wales NHS Improving Access to Psychological Therapies (IAPT) "outcomes toolkit".  Interestingly David seems to prefer the Liebowitz Social Anxiety Scale (LSAS) probably because it makes a pretty full job of assessing both anxiety and avoidance.  

I'm a big fan of Self-Determination Theory (S-DT).  For me it's one of the best ways into understanding flourishing and wellbeing.  I use the ideas all the time in my work and in my life.  The fine S-DT website at Rochester University in the States gives vast amounts more information.  I've mentioned S-DT many times in this blog - see for example the post "Self determination theory" from five years ago that gives links to the slides of a lecture I gave on S-DT and a whole bunch of relevant handouts.

I have recently written a couple of blog posts about diet and mental health - "Emerging research on diet suggests it's startlingly important in the prevention of anxiety & depression" and "So what dietary advice should we be following - for psychological as well as physical health?"