Social engagement and relationships Archive

No single treatment—whether it's an antidepressant drug or a style of talk therapy—can ease depression in every case. However, research suggests you will improve your chances of getting relief if you combine drugs and therapy. One report that pooled findings from 25 studies found that adding psychotherapy to drug treatment was more helpful than medication alone in treating major depression. Earlier research suggested that one reason therapy and medication may complement each other is that they have different effects on the brain.

In addition to relieving depression, combination therapy may help ward off recurrences. A classic three-year study reported in JAMA tracked recurrences of major depression in about 200 people ages 60 or older. Of those who received monthly interpersonal therapy and who also took an antidepressant medication, 80% avoided a recurrence. In contrast, the same could be said for only 57% of those who received the drug alone, 36% of those given just interpersonal therapy, and a mere 10% in the placebo group.

Are you worried about your memory? You can go it alone and teach your-self techniques for strengthening your memory. Or, you can get pro-fessional memory training. Some medical centers offer memory training programs in which people meet every week or so to learn memory enhancement techniques, then practice them as homework. Another alternative is to attend a series of individual sessions with a clinician who specializes in memory and other cognitive problems. Such a specialist can recommend specific strategies for the types of memory problems that affect you.

If you are considering a memory enhancement program, choose one that is run by a health professional with specialized training in cognitive rehabilitation. Some people benefit from individual treatment, where their particular needs can be identified and addressed.

People are often surprised to learn that there's more to walking than simply putting one foot in front of the other. In fact, a little technique goes a long way to making your walks more enjoyable and more effective. Technique is especially important if you are hoping to become fitter and lose weight, because it will enable you to walk faster and longer. When you're standing tall, your muscles will move through a greater range of motion for a more powerful stride. Improving your walking posture will help you to look and feel more confident, too—and you'll look slimmer before losing a single pound. It will also help alleviate aches and pains and allow you to take deep breaths for more energy.

For any type of walking

The following rules will help you maintain good form.

The hip hike is used to build hip strength if you're about to get into a running or walking program. It's easy, but you can also perform the hip hike by holding a chair to steady yourself. Make sure you're standing on a low, but stable, platform before you begin.

It's easy. Make believe your big toe is a pencil and sketch out the alphabet. These muscle movements will help build foot and ankle strength, which aids balance and helps prevents falls. You can learn more at the Harvard online course Exercises for Bone Strength.

A sauna benefits your heart health, as long as you practice sauna safety

A saunas' dry heat (which can get as high as 185° F) has profound effects on the body. Skin temperature soars to about 104° F within minutes. The average person will pour out a pint of sweat during a short stint in a sauna. The pulse rate jumps by 30% or more, allowing the heart to nearly double the amount of blood it pumps each minute. Most of the extra blood flow is directed to the skin; in fact, the circulation actually shunts blood away from the internal organs. Blood pressure is unpredictable, rising in some people but falling in others.

Saunas appear safe for most people. However, people with uncontrolled high blood pressure and heart disease should check with their doctors before taking a sauna.

The body’s circadian rhythm controls our sleep-wake cycle, so an irregular rhythm can negatively affect sleep and proper functioning, which can lead to health problems including mood disorders. The tendency to rise early or stay up late is genetically determined, but you may be able to adjust your life to better match your circadian rhythm.

It's more important than ever to consider your particular health risks before popping a nonprescription pain reliever.

Have a headache, muscle strain, or maybe arthritis pain? Don't reach for just any over-the-counter (OTC) remedy. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin are commonly used OTC painkillers. So is acetaminophen (Tylenol). For decades, these drugs were thought to be entirely safe — justifying the ability to purchase them without a doctor's prescription.

But the thinking on OTC painkillers has changed now that we know more about their risks. And it's especially important to navigate these medications with care. Here are guidelines to help you narrow the options.

Ask the doctor

Q. You recommend eating fish twice a week. However, I've read that fish contain toxins and microplastics. Is it really safe to eat fish?

A. Most options in life contain both benefits and risks. Foods are no exception. Eating fish has potential benefits (largely from the omega-3 fats they contain) and risks (from the toxins). Do the benefits exceed the risks? That question has been addressed by research — much of it by colleagues here at Harvard. The answers are different for different people, and for different types of fish.