Medscape has just commented: "It's officially 2023, and if history repeats, millions of Americans are likely vowing that this year will be one when they drop those unwanted pounds for good.  After all, weight loss usually lands one of the top spots on New Year's resolution surveys.  And just in time, there's guidance to pick the best plan. Released today are U.S. News & World Report's annual rankings of the best diet plans.  Once again, the Mediterranean diet, which emphasizes fruits, vegetables, olive oil, and fish, got the top spot, as best diet overall. It's the sixth consecutive year for that win. But many other diets got top marks as well."

This recent article from JAMA - Adiposity, body fat distribution, and risk of major stroke types among adults in the United Kingdom - comments: "In 2019, stroke was the second leading cause of death globally, estimated to be responsible for approximately 10% of all deaths.  Of the 12.2 million incident strokes worldwide in 2019, approximately two-thirds were ischemic strokes, one-quarter were intracerebral hemorrhages (ICHs), and one-tenth were subarachnoid hemorrhages (SAHs).  In the United Kingdom (UK), stroke incidence is increasing after a longstanding decline, possibly due to an increasing prevalence of major modifiable cardiovascular risk factors, including adiposity, blood pressure, dyslipidemia, and diabetes. However, the evidence regarding the associations of body mass index (BMI; calculated as weight in kilograms divided by height i

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.

I have already written a first post "Sleep apnea - what is it, how common is it and how does it affect mortality & physical health?" which highlights that sleep apnea is a common, regularly unrecognised disorder, occurring in approaching 1 in 5 adults and that, particularly as it becomes more severe - probably approximately 1 in 10 sufferers (Li et al, 2015) - sleep apnea is linked with a wide range of serious diseases and with significantly increased death rates.  In this second post, I'll look at the relevance of sleep apnea for psychiatric disorders.

Sleep apnea is a common, but frequently unrecognised, contributor to psychological difficulties and to health problems more generally.  I would like to look at a series of questions about this disorder - what is it, how common is it, why is it important, how do you recognise it, and what can be done about it?

I was talking to an old friend recently and I remarked on how well he was looking.  He said he had lost two stone in weight and his waist circumference had gone down from 42 to 34 inches.  Wow!  I was very interested to hear how he had done it and he very kindly agreed to write his story:  

A Wake-up Call 

Salman Rushdie "Those who do not have the power over the story that dominates their lives - the power to retell it, re-experience it, deconstruct it, joke about it, and change it as times change - truly are powerless because they cannot think new thoughts."

(This post is downloadable as a Word doc or a PDF file).  

(This post is downloadable as a Word doc or a PDF file).  

I wrote yesterday about "Commitment contracts: another good way of helping us reach our goals".  In today's post I'd like to look a bit more at the practicalities of setting up and using commitment contracts.  I'll illustrate this by talking about my own personal exploration of this area, but I'd also like to highlight that I think these ideas and the associated web resources are potentially very useful tools for psychotherapists, counsellors, life coaches and their clients.  

(This post is downloadable as a Word doc or a PDF file).