Is It Just the COVID-19 Blues or Is It Depression?

January 27, 2021. Dr. Dimitriu was published in Psychology Today in an article titled: “Is It Just the COVID-19 Blues or Is It Depression?”

“Don’t wish it away. Don’t look at it like it’s forever. Between you and me, I could honestly say that things can only get better.”

These words from Elton John’s song “I Guess That’s Why They Call It the Blues” may be good advice for many of us who have become a bit stir crazy after being cooped up at home for months, compliments of the unrelenting COVID-19 viral pandemic. But what exactly are “the blues?” Do they constitute a mental health disease – like anxiety disorder or clinical depression — requiring professional therapy? Or do those feelings of sadness, loneliness, anxiousness, pessimism, and melancholy ascribed to “the blues” represent simply a transitory “psychological state of mind,” in this case, one effected by the confinement, social isolation, and repetitive daily sameness wrought by the virus?

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How a Full Moon May Affect Your Sleep

Written by George Citroner on January 27, 2021

Dr. Alex Dimitriu, who is double board-certified in psychiatry and sleep medicine, said the moon most likely exerts its effect by an increase in evening or nighttime light. This might suppress melatonin (a sleep hormone), which affects the onset and duration of sleep. “According to this study, it does seem that there is a significant delay and decrease in total sleep time on nights leading up to a full moon,” said Dimitriu, founder of Menlo Park Psychiatry & Sleep Medicine.

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What Is Toxic Positivity, and Why Do Experts Say It’s Harmful?

January 21, 2021 by Jenna Wirth

“Toxic positivity is essentially the denial of negative feelings, a forced positive attitude that attempts to negate any negative sentiment,” Alex Dimitriu, MD, a double board-certified physician in psychiatry and sleep medicine and founder of Menlo Park Psychiatry & Sleep Medicine, told POPSUGAR. “It’s telling someone ‘to cheer up’ or that their sadness or worry is not warranted or useful.” This unhealthy denial is harmful, he explained, because any defense that glosses over reality can be a dangerous thing. Not only does it have the potential to hurt people by discrediting their experience or feelings, but it can also hurt yourself by rejecting real information or feelings in favor of a positive facade. “It’s like putting makeup on a wound,” Dr. Dimitriu said.

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Should you wake a sleepwalker? And other sleepwalking FAQs answered

Amanda Capritto, Jan. 20, 2021

Dr. Alex Dimitriu, psychiatrist and sleep medicine doctor at Menlo Park Psychiatry and Sleep Medicine, says sleepwalking is an example of a “disorder of confusional arousal.” “People do weird things at night when they are half awake and half asleep,” he says. “You are confused, because you are half asleep. I compare it to your bed partner poking you in the side every two minutes — you might eventually wake up and say something thoughtless, half asleep. Sleepwalking is not much different.” 

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Night terrors: What causes them and how to get rid of them

Amanda Capritto, Jan. 20, 2021

Night terrors and nightmares both involve sleep and fear, but they differ in a couple of ways. One key difference is the time at which they happen, says Dr. Alex Dimitriu, psychiatrist and sleep physician at Menlo Park Psychiatry and Sleep Medicine.  Nightmares are scary dreams that usually occur during REM sleep, which is when dreams occur, Dimitriu says. This means nightmares commonly occur in the second half of the night, or early morning. Night terrors, on the other hand, more often occur during deep sleep, which is more clustered in the first half of the night, he says. People generally wake up with night terrors around 90 minutes after falling asleep. Additionally, during nightmares, people usually wake up and remember the dream, Dimitriu says. But with night terrors, “People wake up startled, scared and confused, with no recall of what they were dreaming,” he explains. 

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What Are Depression Naps?

By Emilia Benton, January 13, 2021

According to Alex Dimitriu, MD, a psychiatrist and sleep medicine specialist and founder of Menlo Park Psychiatry & Sleep Medicine in Menlo Park, California, depression naps refer to taking a nap when you’re feeling low, in an effort to boost your mood. But it might not necessarily indicate a serious problem. “It is important to realize there is a very big difference between feeling tired, sleepy, sad, and depressed,” Dr. Dimitriu says. “A lot of times it can be hard to know your own feelings, and too often in my work, people with fatigue end up thinking they are depressed.”

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This Is What Your Brain Does During Sleep

By Gary Greenberg, December 2020

“Sleep is essential for the brain, which is the most metabolically active organ in the body,” says Alex Dimitriu, MD, founder of Menlo Park Psychiatry & Sleep Medicine in California. “Like a house after a wild party, the brain needs a complete shutdown for a thorough clean-up after each day.”

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The truth about Weight Watchers

By K.M. Langevin, Dec. 30, 2020

“Dieting alone is part of a much more complex system,” Dr. Alex Dimitriu, psychologist and sleep specialist, told Health Digest. “Behavioral change, with the aim of overall health and sustainability, can lead to much better outcomes.” That bodes well for WW, as it offers training and tools to help people change behaviors associated with weight gain (via WeightWatchers.com). In meetings and provided online content, they teach members to make mindful nutritional and meal choices, manage stress and other emotions without a reliance on food for comfort, and put yourself first as you become more confident and assertive in meeting your needs.

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When Is It Too Much? Managing OCD During COVID

December 22, 2020. Dr. Dimitriu was published in Psychology Today in an article titled: “When Is It Too Much? Managing OCD During COVID”

Imagine trying to tell yourself not to think about the coronavirus. Impossible, right? But everyday virus prevention measures such as handwashing and physical distancing also happen to overlap tremendously with the type of circular thinking and repetitive behaviors known all too well by those with obsessive-compulsive disorder, or OCD.

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When Is It Too Much? Managing OCD During COVID

By Dr. Alex Dimitriu, Dec., 22, 2020

Imagine trying to tell yourself not to think about the coronavirus. Impossible, right? But everyday virus prevention measures such as handwashing and physical distancing also happen to overlap tremendously with the type of circular thinking and repetitive behaviors known all too well by those with obsessive-compulsive disorder, or OCD.

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Surprising ways marriage can affect your health

By K.M. Langevin/DEC. 22, 2020

“Humans are essentially social creatures,” Dr. Alex Dimitriu, dual board-certified psychiatrist and sleep medicine specialist, explained to Health Digest. “And we do better when we ‘belong,’ or have a purpose.” Dimitriu highlighted a study about “Blue Zones,” or places where people live the longest. These are also “places where there are large families and a strong sense of community,” he explained. They also happened to be married or in otherwise committed relationships. “Marriage is in many ways a most essential relationship, as this is the person we are most likely to be with the most, so it matters,” Dimitriu continued.

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THE ONE THING THAT’S PROVEN TO TREAT INSOMNIA

By Lauren Vinopal, DEC., 17, 2020

Psychiatrist and sleep medicine specialist Alex Dimitriu agrees, describing insomnia as “a finger-trap problem, where the harder you force sleep, the worse sleep can be.” This is why many doctors are careful to clinically diagnose insomnia, preferring instead to focus on the main symptom of not being able to fall or stay asleep. “If the diagnosis of insomnia induces anxiety, it may hurt more than help,” Dimitriu says.

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Always Running on 6 Hours of Sleep? Experts Explain Why You Should Aim For More

December 17, 2020 by Caitlin Flynn

Alex Dimitriu, MD, a double board-certified physician in psychiatry and sleep medicine and founder of Menlo Park Psychiatry & Sleep Medicine, agreed, noting that you may need to allot even more time to make sure you’re getting adequate sleep on nights when it doesn’t come easily. “Aiming for eight hours most often results in about seven and similarly, aiming for six — which is already not enough — can in reality turn into five hours of sleep,” Dr. Dimitriu said. He recommends creating an eight-hour “opportunity” window for sleep, which will hopefully result in at least seven hours of actual sleep time.

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Ever Wondered About Lucid Dreaming? Experts Explain the Risks and Benefits and How to Do It

December 15, 2020 by Jenna Wirth

In simple terms, lucid dreaming can feel like a “virtual reality” experience, Alex Dimitriu, MD, a double board-certified physician in psychiatry and sleep medicine and founder of Menlo Park Psychiatry & Sleep Medicine, told POPSUGAR. People who experience lucid dreaming can “control the content and interact with the dream, whereas the rest of us often watch dreams passively, like an immersive movie,” Dr. Dimitriu said.

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Working around stress

By Jackson A. Thomas, Dec. 2020

“The pandemic has worsened stress, as boundaries between home and work have been blurred,” says Dr. Alex Dimitriu, founder of Menlo Park Psychiatry & Sleep Medicine in Menlo Park, California. “Kids, pets, home life and other distractions now interfere with people’s attempts to work. The lack of social contacts or vacations to punctuate our lives have also added stress during COVID. Working remotely, through video visits and little in-person interaction has also significantly limited the multimodal ways we used to work — when we worked in person. For many, COVID had become Groundhog Day, with each day melting into the next, and this is hard.”

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