Guest Post from Dr. Patrick Mbaya on Clinical Depression

 

Publication Date: September 2016

Publisher: AuthorHouse

Formats: Ebook

Pages: 76

Genre: Biography/Autobiography

Tour Dates: September 25-October 20

  Add to GR Button   


Although Dr. Patrick Mbaya’s illness caused a lot distress and nearly took his life, the emotional symptoms of the depression he developed helped him understand and empathize with patients and how they feel when they become ill. In My Brain is Out of Control, Mbaya, fifty-five and at the peak of his career, shares a personal story of how he suffered from a brain infection in 2010 that caused loss of speech, right-sided weakness, and subsequent depression. He tells how he also dealt with the antibiotics complications of low white cell count and hepatitis. He narrates his experiences as a patient, the neurological and psychiatric complications he encountered, how he coped, and his journey to recovery. Presenting a personal perspective of Mbaya’s illness from the other side of the bed, My Brain is Out of Control, offers profound insight into battling a serious illness.

 

CLINICAL DEPRESSION
Clinical Depression is a common illness, different from ordinary sadness, which is a normal reaction. It can affect anyone, including doctors like myself, and indeed I suffered from this, during my illness. It is not a weakness.
It may occur spontaneously in vulnerable individuals, like someone with a family history of depression. Severe stress or traumatic events in childhood, may also make an individual vulnerable to developing depressive illness, later on in life. Recent research has shown that this could be due to the effect of stress hormone cortisol, on the developing brain. Severe stress or loss events (like losing a family member) can cause (precipitate) it. In my case the brain infection I suffered, affected the limbic/emotional brain (see below).
Emotions, and certain behaviours are controlled by the limbic (emotional) brain. This is like a circuit comprising of connections from the brain stem (stem of the brain), to the front part of the brain (prefrontal cortex, the part in front of the motor cortex), then to the medial (inner side) of the temporal lobe structures like amygdala and hippocampus. In my case, it is the left prefrontal cortex, which is next to the motor cortex (which caused weakness on my right side) and the speech (Broca’s) area.
There are different theories about the biological causes of depression within the brain. However, there is a lot of clinical, and research evidence that depression is associated altered levels of chemicals (neurotransmitters) that control emotions, and behaviours. The two main chemicals (neurotransmitters) being serotonin and noradrenaline (also known as norepinephrine). These chemicals are made by the brain from the food we eat, like bananas (I asked my daughter to get me bananas during my recovery phase). Emotions and behaviours like mood, sleep, appetite, enjoyment, concentration, short-term memory, energy, and some forms of thinking are controlled by these chemicals.
There is both clinical, and research evidence that these chemicals become imbalanced, causing symptoms of clinical depression including persistent low mood, tearfulness, poor sleep, lack of enjoyment, poor concentration, short term memory, reduced interest in things, poor appetite, feeling negative (like focussing on past traumatic or unhappy events, or being emotionally affected by current sad events) up to including suicidal thoughts. (Recent research has shown that amygdala become very active in clinical depression, negative traumatic past events tend to re-surface and the individual becomes pre-occupied with these events, feels hopeless, worthless, and has suicidal thoughts, and these symptoms are reversed by effective treatment of depression). These symptoms tend to be worse in the morning (diurnal variation, possibly related to high levels of the stress hormone cortisol) and can improve later on during the day. Like in my case, my mood was worse in the morning. “I was emotional and found myself crying without a moment’s notice.”
As depressive illness can affect confidence, energy, motivation, concentration, short term memory, level of functioning is impaired (the ability to carry out activities of daily living, even to the point of being unable to work, socialise or to go to school). The World Health Organization (WHO) found out in a study (1990), comparing medical illnesses, that depression was four in the league table, as a cause of health-related disability. They estimated that by 2020, it will rank second to heart disease!
Current research has shown that severe stress increases the levels of stress hormone cortisol, which in turn reduces serotonin, noradrenaline, and brain-derived neurotrophic factor (BDNF, also known as brain fertilizer, which protects against cell death by cortisol), in the brain, causing depression.
Antidepressants work by increasing these chemicals/neurotransmitters (improving symptoms, and level of functioning), and may protect against severe stress causing depression. Psychological treatment like cognitive behavior therapy (CBT), is also effective in depression, especially in combination with antidepressants. Current guidelines recommend psychological treatment for mild to moderate depression, and antidepressant medication, plus psychological treatment for moderate to severe depression.
Dr Patrick Mbaya MD FRCPsych.
References:
Duman Ronald. Depression: a cause of neuronal life and death. Biological Psychiatry, 1 August 2004, vol.56:140-145
Global Burden of Disease, World Health Organization, 1990.
Mbaya Patrick. My Brain Is Out Of Control. Author House. September, 2016
Shimizu Fiji et al. Alterations of serum levels of brain-derived neurotrophic factor (BDNF) in depressed patients with or without antidepressants; Biological Psychiatry, 1 July 2003,Vol 54(1): 70-75
Stahl Stephen M. Essential Psychopharmacology, Neuroscientific Basis and Practical Applications. Second Edition. Cambridge University Press.
Stress and Plasticity in Limbic System, Robert M. Sapolsky; Neurochemical Research, Vol. 28, No. 11.
Dr. Patrick Mbaya is a medical doctor specializing in psychiatry. He is a consultant psychiatrist and honorary clinical lecturer in psychiatry at the University of Manchester, United Kingdom. He has a special interest in mood and addiction disorders.

 

Advertisements

Book Feature: The Light Theatre Opened to Universe (II) by Kazuo Ueno

 

Title: The Light Theater Opened to Universe (II)
Author: Kazuo Ueno
Publisher: Xlibris
Genre: Philosophy
Format: Ebook 

How 17th Century Dutch Painter Johannes Vermeer’s idea was ifluenced from Christian Huygens? Perhaps in the sense of subconsciousness and eventually how it was realized by the method so called “Mitate” (look alike) in his painting as Heaven & Earth correspondence. His painting represents “Universe” itself.

 

 

Book Feature: Forestry Flavours of the Month by Alastair Fraser

 

Publication Date: May 20, 2016

Publisher: AuthorHouse

Formats: Ebook

Pages: 228

Genre: Biography

Tour Dates: September 4 – 15

  Add to GR Button   


Forestry touches on all aspects of human welfare in one way or another, which is why foresters need to play an active role in determining our collective agenda. Alastair Fraser, a lifelong forester and the co-founder of LTS International, a forestry consulting company, explains how forestry changes with political cycles and how foresters can promote healthy forests at all times.

He explores critical issues such as:

• forests and their connection to coal;

• forest’s role in combatting floods and climate change;

• illegal logging in Indonesia, Laos, and elsewhere;

• tactics to promote sustainable forestry management;

• plantations as a solution to tropical deforestation.

From pulping in Sweden and Brazil, paper mills in Greece and India, agroforestry in the Philippines, “pink” disease in India and oil bearing trees of Vietnam, no topic is off limits. Based on the author’s life as a forester in dozens of countries, this account shows the breadth of forestry and makes a convincing case that forestry management needs to focus on managing change and achieving sustainability. Whether you’re preparing to become a forester, already in the field, or involved with conservation, the environment or government, you’ll be driven to action with Forestry Flavours of the Month.

SIGN UP HERE

 

Alastair Fraser is a founder member of the archaeology group No Man s Land. He has worked as researcher and participant in a number of Great War documentaries. Steve Roberts is a retired police officer and an ex-regular soldier. He specialises in researching individuals who served during the war and is also a founder member of No Man s Land. Andrew Robertshaw frequently appears on television as a commentator on battlefield archaeology and the soldier in history, and he has coordinated the work of No Man s Land. His publications include Somme 1 July 1916: Tragedy and Triumph, Digging the Trenches (with David Kenyon) and The Platoon.
 
Monday, September 4
Book featured at Books, Dreams, Life
Book featured at A Book Lover
Tuesday, September 5
Book featured at Mythical Books
Book featured at The Hype and the Hoopla
Book featured at Author C.A. Milson
Wednesday, September 6
Book featured at T’s Stuff
Book featured at Voodoo Princess
Thursday, September 7
Book featured at My Bookish Pleasures
Book featured at Lover of Literature
Friday, September 8
Book featured at Write and Take Flight
Book featured at The Dark Phantom
Monday, September 11
Book featured at I’m Shelf-ish
Tuesday, September 12
Book featured at Harmonious Publicity
Book featured at A Title Wave
Wednesday, September 13
Book featured at The Revolving Bookshelf
Thursday, September 14
Book featured at Bent Over Bookwords
Friday, September 15
Book featured at Niume
Book featured at The Literary Nook

Book Feature: Unlocking the Natural Born Leader’s Abilities: An Autobiographical Expose by Salar Khan, MD., MBA.

 

 

 

 

 

Leaders orchestrate commands to people in order to accomplish objectives pertinent and in accordance with their personal principles and intentions. This book sets to identify the qualities and abilities of a certain kind of leader, which I refer to as the natural-born leader (NBL). The NBL possesses innate traits, refined and perfected over time with education, training, and experience. I will attempt to illustrate these traits by drawing from my fifty years of personal experiences and hope readers will look at this as an opportunity to introspect. I have also designed a self-assessment tool so you may self-evaluate the presence of these NBL abilities and identify where you ultimately fall on the spectrum.
Today, there is widespread lack of confidence in leadership whether in business, government, education, or elsewhere. The vision of a confident leader, that of an NBL, is needed for the betterment of the world.

 

Salar Ahmed Khan, MD, MBA, FACA, FCCP, DTCD, MCPS, worked as an Internist and Pulmonologist at Karachi, Pakistan from 1985-87; as the Chief of Medicine, the Acting Director of Medical Services, and Acting Hospital Director at Al-Midhnab General Hospital under the Ministry of Health in Saudi Arabia from 1988-93; as the Associate Professor Medicine at Baqai Medical College and Hospital in Karachi, Pakistan from 1993-94; as a Surgical Assistant, Material Management, and Acting Central Processing Supervisor at Edge Water Medical Center in Chicago from 1996-2000. He is working as a program specialist at Chicago, Illinois since 2000. He was nominated and won several awards at national and international levels. In his spare time, he enjoys cooking, photography, and watching sport, like cricket. He lives in Chicago, Illinois with his wife and two sons.

Book Feature: Mary Lives: A story of Anorexia Nervosa & Bipolar Disorder by Mary Brooks

 

Publication Date: March 5, 2014

Publisher: XlibrisAU

Formats: Ebook

Pages: 396

Genre: Mental Health

Tour Dates: July 24th-August 4th

  Add to GR Button   


In this chaotic, desperate storm the brain tries hard to gather its fragmented parts, and anchor down the guy lines. To weather out this hopelessness, this turmoil and this pain, -prevent disintegration until the calm returns and clear skies come again.In this chaotic, desperate storm the brain tries hard to gather its fragmented parts, and anchor down the guy lines. To weather out this hopelessness, this turmoil and this pain, -prevent disintegration until the calm returns and clear skies come again. 

Mary is a General Practitioner, a Family Doctor, and became anorexic and depressed at age 12. She writes of the chaos and pain of her life, through her abnormal adolescence and adult years, to the equilibrium of the current day. It is an enlightening and inspiring story of Anorexia Nervosa and Bipolar Affective Disorder or Manic Depression.
 

Book Feature: My Brain is Out of Control: Memoirs of a Doctor as a Patient by Dr. Patrick Mbaya

 

Publication Date: September 2016

Publisher: AuthorHouse

Formats: Ebook

Pages: 76

Genre: Biography/Autobiography

Tour Dates: August 14-August 25

  Add to GR Button   


Although Dr. Patrick Mbaya’s illness caused a lot distress and nearly took his life, the emotional symptoms of the depression he developed helped him understand and empathize with patients and how they feel when they become ill. In My Brain is Out of Control, Mbaya, fifty-five and at the peak of his career, shares a personal story of how he suffered from a brain infection in 2010 that caused loss of speech, right-sided weakness, and subsequent depression. He tells how he also dealt with the antibiotics complications of low white cell count and hepatitis. He narrates his experiences as a patient, the neurological and psychiatric complications he encountered, how he coped, and his journey to recovery. Presenting a personal perspective of Mbaya’s illness from the other side of the bed, My Brain is Out of Control, offers profound insight into battling a serious illness.

 

Dr. Patrick Mbaya is a medical doctor specializing in psychiatry. He is a consultant psychiatrist and honorary clinical lecturer in psychiatry at the University of Manchester, United Kingdom. He has a special interest in mood and addiction disorders.

Book Feature: Hope by Rima Jbara

Publication Date: May 22, 2017

Publisher: AuthorHouse

Formats: Ebook,
Paperback

Pages: 164

Genre: Poetry

Tour Dates: July 24th-August 4th

  Add to GR Button   

Hope is about a woman who lives in a drowned world and is going through a silent ruin, and finds comfort in believing that her own self exists as another being, and confides her inner most secrets to her. It all started with a dream, advancing to a nightmare that then became a reality. Hope plays a lonely game in silence until her dreams turn to dust. She lives her life through an illusion that ends with capturing her own light, making that moment an unforgettable day. This novel reveals in detail how a woman suffers from depression, and how it rules and guides her life through her journey in finding solace.

Rima Jbara was born on 20th August 1979, in Damas, and spent most of her childhood writing short stories and eventually novels. At the age of 14, she published her first novel and by the time she turned 15, she gave readers her first bestseller. Rima’s zest for writing continued as she released Road To Hell, The Mystique of Asmahan and Shams. It took Rima three years to write Hope, which was called “a masterpiece” by many critics and readers. Through her writing, Rima has fought tradition and reality, and has always chosen daring topics to shock conventional people.