Shadow Syndromes: The Mild Forms of Major Mental Disorders That Sabotage Us

by John J. Ratey

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Author: John J. Ratey

Paperback:
Publisher: Bantam
ISBN 10: 0553379593
ISBN 13: 978-0553379594

Hardcover:
Publisher: Pantheon
ISBN 10: 0679439684
ISBN 13: 978-0679439684

Are you living under a shadow?

Do you or someone you love suffer from:

Chronic sadness
Obsessiveness
Outbursts of anger
The inability to finish tasks
Acute anxiety
Disabling discomfort in social situations

These are the "shadow syndromes" of major mental disorders that limit the lives, productivity, and happiness of millions of people.

Drawing on cutting-edge research, Drs. Ratey and Johnson challenge the most basic beliefs of our mental health professionals by uncovering the biological factors that often determine our personalities. They use real-life case studies to illustrate how shadow syndromes affect our everyday lives and how they can be treated--often dramatically--with diet, exercise, psychotherapy, and medication.

Shadow Syndromes is the revolutionary theory that sheds light on our life-limiting behaviors and offers the essential tools for changing them. This book will liberate you and those you love.

Amazon.com Review

Freud once said that nobody is "normal," and after reading Shadow Syndromes, you may well be convinced of that. While more than 50 million Americans suffer from full-fledged mental illnesses such as depression and obsessive-compulsive disorder, millions more suffer from milder forms--yet they likely don't realize it. From chronic sadness to low self-esteem to shopping addiction to intermittent rage disorder, compassionate authors John J. Ratey, M.D. and Catherine Johnson, Ph.D. chronicle the often-undiagnosed (yet definitely insidious) "shadow" disorders. One of the most eye-opening points the authors make is that men who "can't commit" to a relationship may in fact be suffering from an unrecognized adult form of attention deficit disorder.

Shadow Syndromes is thorough, but at the same time it simplifies the technical aspects of mental illnesses--no stacks of footnotes or complicated neurotransmitter charts here. The authors use plenty of anecdotes to illustrate how everyday people have recognized and overcome shadow syndromes. They also prevent the book from becoming one big bundle of bad news by stressing that these disorders are treatable with medications such as Prozac, which Johnson took to handle her mild depression. Specific lifestyle changes are also advised, including more sleep, changes in diet, and more exercise. The "Care and Feeding of the Brain" chapter compiles other empowering, healing approaches. This book will be valuable not only for those who believe they're suffering from a shadow syndrome, but for doctors and therapists as well. --Erica Jorgensen

Review

Identify the hidden timebombs in your personality...featuring proven treatments and strategies that can change your life.

From the Publisher

Identify the hidden timebombs in your personality...featuring proven treatments and strategies that can change your life.

From the Inside Flap

Are you living under a shadow?
Do you or someone you love suffer from:
Chronic sadness
Obsessiveness
Outbursts of anger
The inability to finish tasks
Acute anxiety
Disabling discomfort in social situations
These are the "shadow syndromes" of major mental disorders that limit the lives, productivity, and happiness of millions of people.
Drawing on cutting-edge research, Drs. Ratey and Johnson challenge the most basic beliefs of our mental health professionals by uncovering the biological factors that often determine our personalities. They use real-life case studies to illustrate how shadow syndromes affect our everyday lives and how they can be treated--often dramatically--with diet, exercise, psychotherapy, and medication.
"Shadow Syndromes is the revolutionary theory that sheds light on our life-limiting behaviors and offers the essential tools for changing them. This book will liberate you and those you love.

About the Author

John J. Ratey, M.D. is an Assistant Professor of Psychiatry at Harvard Medical School and Executive Director of Research at Medfield State Hospital in Medfield, MA. He is the co-author of Driven to Distraction and Answers to Distraction. He lives in Wellesley, MA.

Catherine Johnson, Ph.D., is a contributing editor at New Woman magazine, and the author of When to Say Goodbye to Your Therapist and Lucky In Love. She lives in Los Angeles.

Neuropsychiatry is now discovering that a great deal of what we thought was due to (poor) upbringing in fact is heavily influenced by the genetics, structure, and neurochemistry of the brain.  Every one of the troublesome personalities made famous by our popular press likely has its roots in an unsuspected brain difference: the Peter Pan syndrome, the Cinderella complex, the women who love too much, the men who can't love, the codependent--the list goes on.  All of these people are doubtless going to turn out to have brain differences that contribute to their Peter Pan-ness or their Cinderella-ness or their codependentness.  Of course, differences in the brain cut both ways: as studies of artists with manic-depressive illness have shown, a brain difference that handicaps us in one realm may also endow us with greater capacities in another.  Our purpose in writing this book is not to pathologize every nook and cranny of everyday life, but to offer help for those areas in which our brain differences do hurt more than help.  Until now there has been no biologically based help for the difficult personalities among us because no one has suspected that their problems might have biological facets.

That is the purpose of this book: to look again at the biology of everyday life one hundred years later--this time from the vantage point of twentieth-century neuropsychiatry.  Our question in this book is: when we--or someone we love--are behaving at our worst, or simply behaving irrationally, what role does biology play? And: how do genuine problems in life, problems like a difficult childhood or a parent who drinks, interact with our biology to create the character traits and flaws that are not just written into our characters but into our neurons as well?

In order to take a second look at normal "craziness," we can learn from the kinds of craziness that are not so normal.  When we speak of schizophrenia or severe manic-depression, there is no question in anyone's mind that the person is ill.  And it is easy enough for us to believe that these illnesses are biological in origin (though it was not so long ago that these illnesses, too, were blamed upon bad parents).

The confusion begins when one sees patients who do not fit the classic categories, but who nevertheless have very real difficulties in life.  Are these difficulties due entirely to upbringing and environment, or do they, too, have some basis in the brain's biology? Modern psychiatry has been struggling to make sense of these people for fifty years.  Doctors diagnose their patients according to the syndromes described in DSM-IV, the Diagnostic and Statistical Manual, Fourth Edition.  A syndrome is a set of behaviors that consistently appear together: a set of behaviors the patient, the doctor, or the patient's friends and family can observe and describe.  A syndrome is not, at this point, a physical marker like the positive result on a test for HIV antibodies that establishes a diagnosis of HIV-positive.  When a psychiatrist diagnoses the syndrome of panic disorder, for example, he cannot--yet--perform an MRI (magnetic resonance imaging) that tells him whether the patient does or does not qualify for the diagnosis (although we may be closest to such a test for this particular disorder).  Instead, he looks for symptoms: a pounding chest, rapid heartbeat, shortness of breath or hyperventilation, sweating or coldness and changes in temperature regulation, the fear that one is having a heart attack, sometimes a feeling that the person is going to pass out, sometimes a feeling that he or she is going to go crazy.  This is the set of symptoms that make up the syndrome.

The problem is, every patient is different--including every patient with the same diagnosis.  As a result, the number of syndromes recognized by practicing psychiatrists has leapt in the forty years since the first edition of the DSM appeared in 1952.  That volume described 60 categories of abnormal behavior.  DSM-II, published in 1968, more than doubled this number to 145 syndromes, and DSM-III raised the total to 230.  The DSM-IV, which appeared in 1994, lists 382 distinct diagnoses, plus an additional 28 floating, or unassigned, diagnoses--which brings us today to a total of 410 different possible diagnostic labels.  What the ever-increasing number of possible diagnoses means is that a person who comes into a psychiatrist's office complaining of being depressed, for example, could be categorized as belonging to one of four major categories--bipolar disorder, major depression, "other specific affective disorders," or "atypical affective disorder"--with several subcategories included within each of these main categories.  (A patient diagnosed as bipolar could then be further characterized as "mixed," "manic," or "depressed," for instance.) It is a complex business.

As time goes by, we find that the art of diagnosis grows ever more fragmented; seemingly sound diagnostic categories keep breaking down.  Emotional problems do not fit the "concrete blocks" of the DSM-I, -II, -III, or -IV; real people come into the office with bits of this and pieces of that.  A patient might show signs of panic disorder, signs of major depressive disorder, and signs of a narcissistic personality disorder all in the same package.  He or she may have parts of a whole array of syndromes, and yet not suffer from all of the symptoms of any one syndrome.  Or he may fit every aspect of a syndrome down to the smallest detail and yet be so mildly affected compared to other people suffering from that problem that even a good therapist might miss the diagnosis.  Finally, a patient may exhibit only one or two symptoms from a particular syndrome, a condition long known as a forme fruste in conventional medicine.  A patient with a forme fruste of Graves disease, for instance, might have the bulging eyes without the sweaty hands, rapid heartbeat, irritability, and weight loss that accompany a full-blown case of the illness.  A forme fruste is an incomplete expression of an illness, though the term is little used today.  We have chosen to replace it here with the phrase shadow syndrome because the meanings of the word shadow, both literal and metaphorical, capture the nature of a mild mental disorder.  In the literal sense, a shadow is an indistinct form of something all too vivid and real, just as a shadow syndrome is an indistinct and seldom obvious form of a severe disorder.  And metaphorical shadows cast a pall across a day that might otherwise be sunny and clear.  This is what shadow syndromes do in the realms of work and love: they cast a shadow.

Shadow Syndromes: The Mild Forms of Major Mental Disorders That Sabotage Us

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Shadow Syndromes: The Mild Forms of Major Mental Disorders That Sabotage Us