Category Archives: mental health

The Role of Self-Esteem in Mental Health

February is International Boost your Self-Esteem Month

What is Self-Esteem

How we view ourselves in terms of our own subjective sense of personal worth or value is typically referred to as self-esteem, self-worth, self-regard, or self-respect. It’s basically the way we perceive ourselves and our own value, regardless of the current circumstances in our lives. Our self-esteem can be defined by our own feelings of security, our sense of self-confidence, a sense of belonging or our feelings of being capable and confident. It is many times the foundation of our identity.

Poor self-esteem can come from a variety of places. Some of us are born with it as part of our genetic make-up. For others, they can feel “less than” due to their socioeconomic status, physical or mental disabilities; or perhaps low self-esteem is due to a mental health struggle. Sadly, children raised in a negative environment where they didn’t feel valued, or perhaps they were abused or neglected, may grow up with feelings of worthlessness, and consequently, continually struggle with self-esteem as an adult.

Regardless of what the source of self-worth struggles are, low self-esteem is a biased view that reflects a harsh and unfair judgment about ourselves. We then act according to those self-taught beliefs. For example, you may know somebody who is chronically indecisive, never seeming to trust their own decisions or perhaps easily swayed by the opinion of others.

For others low self-esteem manifests as negative self-talk or going to extreme lengths to please others. If you have low confidence or know of someone who lacks self-confidence they also tend to suffer from low self-esteem. All in all, it can result in feeling a lack of control in many or all aspects of life without the ability to create the change needed to feel more confident and in charge of their own destiny.

Social Media and Self-Esteem

Increasingly, the role of social media is being questioned in the role of individuals’ self-esteem, especially when it comes to young adults. While both men and women of any age can suffer from low self-esteem, social media plays a heightened role particularly in young girls questioning their own self-worth. Social media creates a platform where it becomes easy to compare yourself to someone else. Individuals post “versions of themselves” which are typically not accurate of their day-to-day lives. This can prompt comparisons that foster body image issues and create self-esteem gaps and questions around a person’s looks, their lifestyle and their quality of life – and whether they are “good enough.” It becomes easy to see how constantly viewing the joy of others through a filter of their “perfect life” as portrayed on social media can create insecurities.

A 2021 survey of 200 teens ages 13 to 21 revealed that young people who use beauty filters regularly in their posts on platforms like Snapchat and Instagram are more likely to have a desire to want to get cosmetic surgery and/or to alter their skin color. The survey also revealed a correlation between the amount of time a teen spends on social media and their dissatisfaction with their appearance. As one would expect, the more time spent on social media, the higher their feelings of dissatisfaction with themselves. Social media is setting a disingenuous and unrealistic bar for what people feel they should look like, how they should act, and what their lives should look like.

“It makes very intuitive sense that when you don’t have a strong sense of self or don’t have strong attachments or modeling behaviors from family that it can sometimes lead to developing poor self-esteem and even poor body image, which translates to anxiety, depression, and isolation. It also contributes to developing traumatic attachment, trauma, and codependency. Poor self-esteem can be a symptom of underlying mental health issues.”
Eric Chaghouri, MD
Psychiatrist/Medical Director,
Lido Wellness Center

The Risks of Low Self Esteem

It is difficult to lead a healthy, full life when you suffer from low self-esteem. It can affect your ability to connect with others and have a meaningful relationship with a significant other. It can lead to becoming codependent or contribute to loneliness and propagate isolation. It can cause social anxiety and create stress around interactions with others – even casual conversation can be affected, wondering if you are saying the right things or worrying that you are dull or don’t have anything of value to contribute to the conversation. Individuals with low self-esteem can also have trouble setting boundaries with others and allow themselves to be taken advantage of or find themselves in uncomfortable, or even sometimes, dangerous situations.

From a total health perspective, low self-esteem contributes to high levels of stress and can lead to unhealthy coping activities if individuals turn to substances such as alcohol or drugs. Having poor self-esteem can manifest into serious mental health disorders such as anxiety and depression, and even suicidal ideation.

Several studies have been done that connect the feeling of positive self-esteem with the ability to experience more joy and optimism daily. There’s also evidence that those who enter treatment regimens for treating disease with positive feelings of high self esteem get through treatment faster and have better outcomes, and even have a stronger immune system.

Tips for Improving your Self-Esteem

One of the first things to remember for anyone struggling with their sense of self-worth is to reject that your negative self-talk is true. Believing the inaccuracies, we tell ourselves plunges us further into a hole where we risk sinking so far that we can no longer see the truth about ourselves. Instead, we believe the lies through the poor self-esteem filter that we have created. Here are a few ideas on how to consciously tackle feelings of low self-esteem:

  • Challenge some of the automatic thoughts that you have about yourself. Don’t just accept what comes into your head about yourself as true.
  • Don’t compare yourself to others.
  • Remember your achievements – small or large. Keep a list handy to refer to.
  • Talk to yourself as you would talk to a friend. You wouldn’t constantly criticize a friend or find fault with everything they do. Give yourself the same grace. Learn how to practice self-compassion.
  • Pay attention to good health habits – engage in regular exercise and eat healthy.
  • Select those around you carefully – stay away from individuals who are constantly critical and who aren’t positive.
  • Seek professional help and explore the source of your self-esteem issues to address it at its core.

Self-Esteem and the Lido Model of Care

At Lido Wellness, our mental health approach is driven by a Person-Centered Treatment Philosophy that is based on respecting and understanding each individuals’ unique life experiences. Self-esteem struggles can develop as a result of those life experiences. Low self-esteem is commonly found in people with trauma and stress related disorders, anxiety, depression, substance use disorders and eating disorders. It’s no wonder that a driving force behind development of these types of mental illnesses can be low self-esteem.

In recent outcome surveys conducted by Lido Wellness Center, individuals who completed a patient health questionnaire noted improvements to many areas of their lives, including ability to notice or regulate emotions, ability to tolerate distressing experiences/emotions, and readiness to transition back to a regular routine of their lives, including work, school, etc. Many noted feeling listened to and heard during their time at Lido Wellness Center, which is important in being open to treatment and plays a vital role in the success of individuals seeking care.

At Lido Wellness Center, our Person-Centered Treatment Philosophy goes hand in hand with helping individuals build self-esteem which is vital to being open to receiving mental health treatment that eventually helps individuals:

  • Feel valued
  • Believe they are cared for
  • Increased confidence in their abilities to improve their lives and live their best life
  • Enhance motivation to continue to improve
  • Build better health and resilience for an improved quality of life

For many individuals, being heard translates to feeling respected and important – which are crucial components to self-worth. The feeling of being heard also adds to the idea that our experiences are legitimate, and our concerns are real. It can also add to the feeling of empowerment and the idea that we can accomplish what we set out to do.


Eric Chaghouri, MD, Psychiatrist/Medical Director Lido Wellness Center

11 Signs of Low Self-Esteem (

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Mental Health During The Holidays

Mental Health During The Holidays: Coping With Anxiety And Depression

The holidays are always depicted as a season to be joyful, celebrate and enjoy time with the ones we love. But for some, this time of year brings stressors that trigger unhappy or uncomfortable feelings. This is because people may be spending time with family or friends, or in environments that are not good for their mental health and well-being. As a result, it adds extra stress and incites triggers brought on by the holiday season. 

The holiday season can bring on unique challenges for those who are struggling with mental health concerns such as anxiety and depression. But, with a clear plan in place, the season can be more enjoyable instead of something to dread. 

Depression and Anxiety Around the Holidays

Many people thrive during the hectic holiday season. However, many people struggle with mental health during the holiday season. At least 64% of people surveyed by the National Alliance on Mental Health reported that the season worsened their mental illness. 

Similarly, the American Psychology Association found that 38% of people surveyed reported increases in stress levels. For those already suffering from depression and anxiety, coping with holiday stress can lead to depression or anxiety.

The frenetic pace and high expectations of the stressful season can escalate those issues for many people. Everyone’s mental health can be affected by the joys and stresses of the season. We have some tips and suggestions to help learn how to best treat and cope with your mental health conditions during the holidays.

What Causes the Holiday Blues? 

The holidays come with high expectations. Families and friends are expected to gather and celebrate, sometimes repeatedly. However, coping with the holidays is stressful for those who would rather not gather with family or friends. Loneliness can trigger stress, too.

Gift-giving can generate feelings of anxiety and stress, as well, for some during the holidays. The “holiday blues” is the feeling of sadness or anxiety brought on by the expectations and stresses of the season. But is a case of the holiday blues the same as depression? 

Holiday Blues vs Depression

Anxiety around the holidays is real, but there’s a difference between someone experiencing the blues and actual depression. Symptoms of the holiday blues may be:

  • Situational sadness that increases with the season
  • Irritability
  • Anxiety
  • Fatigue
  • Stress
  • Trouble concentrating

Depression during the holidays is possible, too. Unlike the holiday blues, depression does not necessarily lessen when the holidays are over. Common symptoms include:

  • Sad or empty feelings
  • Loss of interest in activities once enjoyed
  • Fatigue
  • Sleeplessness or sleeping too much
  • Difficulty concentrating 

How Mental Health Conditions Are Affected by the Holidays 

All conditions of mental health during the holidays require attention. The stresses of the season can be a challenge for those who struggle with mental health. Some specific symptoms or changes in mental health that may occur during the holidays are:

  • Mania or Bipolar Disorder: Lack of sleep can trigger these disorders or cause depression. 
  • Substance Abuse Disorders: Festivities without a plan for success can provide opportunities to repeat past behaviors.
  • Schizophrenia: Seasonal activity changes may worsen symptoms like hallucinations or delusions. 
  • Depression Feelings of hopelessness and isolation can increase with holiday anxiety. 

Risk Factors Of Depression, Anxiety, and Other Mental Health Conditions

Who is at risk of increased anxiety, stress, or depression during the holidays? Anyone can experience mental health concerns when coping with holiday stress. But some people have risk factors that make them vulnerable to anxiety, stress, or depression during the holiday season. 

  • Having pre-existing Mental Illness: One risk factor is already having a diagnosis of depression. Those who have this diagnosis should be aware that holiday anxiety can increase symptoms of depression. 
  • Grief and Loss: Another risk factor involves those dealing with grief or loss. The season is full of events bringing people together. Those who have recently lost a loved one may feel anxious, sad, or depressed instead of joyful. 
  • Trauma: Those who have experienced trauma or family conflicts are at risk. Coming together with family or friends may be uncomfortable or bring back unpleasant memories. Experiencing situations that bring back these feelings or memories can put stress on mental health during the holidays.

Those under financial strain may be at risk of mental health problems. The pressure to select just the right present or spend limited funds may increase holiday anxiety for many.

Those experiencing a lack of natural sunlight may be at risk. Seasonal Affective Disorder, or SAD, results from low sun exposure. SAD can cause or increase depression symptoms. 

Know the Signs Of Mental Health: What to Watch Out For 

Be on the lookout for signs or changes in others or yourself over the holidays. Changes in mental health usually send out warning flares for others to see. If you know what to look for, help can be on the way sooner. 

  1. You may see someone numbing their feelings or emotions. Look for excessive alcohol or other substance use during the holidays.
  2. Be mindful of someone who doesn’t participate in any holiday events or activities. They may be at risk for mental health changes. They could also be simply struggling. Loneliness, loss of a loved one, or grief may all play a part in detaching from celebrations. 
  3. Be on the lookout for excessive sleeping or sleeplessness. Normal exhaustion from the holidays might be expected, but excessive changes should be noted.
  4. When someone shows you they are overwhelmed by the season, and they’re willing to verbalize their stress, struggles, or sadness, it’s a sign they may need help to cope.  

Helping A Friend Or Loved One Suffering During the Holidays

We all want to see our friends and family happy and healthy. When we see them struggling with holiday anxiety or other changes in mental health, you can help. The Mayo Clinic suggests these steps to help out friends or loved ones during this busy season. 

  • Acknowledge their feelings: If they are grieving a loss, feeling lonely, or feeling left out of celebrations, validate how they feel.
  • Reach out: Check in on friends and family members during the season. Ask how they are feeling and how they are coping with holiday stress.
  • Celebrate by marking the season in some small way. Set up a video call, drop off a card, or share pictures to connect with them. 
  • Accept friends or family as they are: Set aside previous differences, when it is healthy to do so, to come together. Let them know they are important to you and that they are valuable and loved. 
  • Choose physical health: Encourage self-care and healthy habits. Holiday indulgences can increase mental health problems. Counteracting them with invitations to take a walk, have a nutritious meal or take a break from holiday busyness can help reduce seasonal stress. 
  • Encourage mental health support: If you see suffering, suggest seeking professional advice. Know the signs of trouble and don’t be afraid to advocate for a mental health check or professional support. 

Finding the Right Specialist to Help With Holiday Mental Health

When the holiday season is negatively affecting your mental health, it is time to see a professional. Finding the right specialist can be tricky unless you follow a few simple guidelines. First, touch base with your primary care doctor. 

This generalist physician can rule out other illnesses that may be contributing to the holiday anxiety you are feeling. Next, seek out a professional practice to conduct a mental health check. It is important to get the opinion of a mental health professional at this stage to determine if the “holiday blues” or a more serious mental health issue is the concern. 

Typical Treatment for Mental Health Around The Holidays 

When mental health and the holidays collide, a professional may suggest treatment to help. All mental health concerns can heighten during the holiday season. So, holiday anxiety, stress, or depression can feel more intense than when they are experienced at other times of the year. But treatment for coping with holiday stress and anxiety can be necessary for those struggling. Professional care is necessary for some people. A few potential treatments may include:

  • Relaxation techniques or breathing exercises
  • Regular exercise to combat stress
  • Therapy sessions 
  • Joining a supportive group
  • Guided discussions with family members or friends
  • Self-help materials specific to your needs

Lido Wellness Center Can Help Restore Your Mental Health 

When seasonal stressors impact how you feel and act, you should ask for help. Even though it might seem scary, asking for help can be a life-changing decision. The holiday season is challenging for many people, and even though it may seem like a joyful season it may not be for everyone. 

If you are feeling stressed, anxious, or depressed this holiday, you may benefit from professional support and guidance. Contact us to find out how we can help you. Our mental health professionals have the experience and training to assist you in improving your life and the lives of the people you love. 

If any form of physical self-harm is suspected, contact authorities or someone who can help. If you or someone you know is considering suicide or self-harm, there are resources available to provide free and confidential support. Call the National Suicide Prevention Lifeline at 1-800-273-TALK or the Teen Line at 1-800-TLC-TEEN.


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ketamine infusion therapy

What Is Ketamine Infusion Therapy?

Ketamine, also known on the street as “Special K,” has been abused in the past as a recreational drug due to its hallucinogenic and tranquilizing effects. However, today it is receiving a lot of positive attention due to it being used “off-label” to treat treatment-resistant depression. (When a drug is “off-label” it’s being used to treat a condition in a way that doesn’t have FDA approval.)

Ketamine infusion therapy involves the administration of a single infusion or a series of ketamine injections. This may help with the management of psychiatric disorders such as:

How Does Ketamine Work To Fight Depression?

The way ketamine works are not completely clear yet because it exerts an antidepressant effect in a new way. It might be able to help people manage their depression successfully when other treatments haven’t worked. It is likely that ketamine targets the NMDA receptors in the brain and binds to them. 

By doing this, it sets off a chain of reactions that leads to the release of molecules that help neurons (brain cells) communicate with each other along new pathways. This process is known as synaptogenesis and likely affects the individuals:

  • Mood
  • Thought patterns
  • Cognition (the process of thinking and understanding)

Ketamine may also influence depression in other ways. It may reduce signals involved in inflammation which has been connected to mood disorders. Similarly, it may also facilitate communication in certain areas of the brain. It is very likely that ketamine works in several ways at the same time and is still being studied.

Why Is Ketamine So Significant For Treating Depression?

The significance of ketamine as a treatment for depression is that it can: 

  • rapidly reduce suicidality (life-threatening thoughts and behaviors), 
  • relieve other serious symptoms of depression, and 
  • can be effective in treating depression combined with anxiety.

Other treatments for depression and suicidal thoughts typically take weeks or even months to take effect. Also, some people need to try several different approaches and medications to find relief. This is the case for talk therapies, antidepressant medications, TMS (transcranial magnetic stimulation), and ECT (electroconvulsive therapy). ECT is currently the most effective treatment for major depression that doesn’t respond to other therapies.

Two Types Of Ketamine

There are two main types of ketamine. They are both used to treat major depression that hasn’t responded to two or more treatments (treatment-resistant depression). They are:

  1. Racemic ketamine: usually given as an infusion, or IV, into the bloodstream. Approved by the FDA decades ago as an anesthetic, it is used off-label for depression.
  2. Esketamine: approved by the FDA, it is given as a nasal spray.

The two forms interact differently with the receptors in the brain. The way the drug is given and the type will determine the drug’s effectiveness and side effects. So far, most research has been on ketamine infusions.

Ketamine Infusion Side Effects

All drugs have side effects. However, when someone is suicidal or severely depressed, possible benefits may outweigh possible side effects. Given by infusion, ketamine may cause:

  • High blood pressure
  • Nausea and vomiting
  • Disturbances in perception (colors, textures, and noises that seem excessively stimulating, blurry vision, time seems to speed up or slow down)
  • Dissociation (out-of-body experience)

Generally speaking, any changes in perception or dissociation are most evident during the first ketamine injection and end very soon afterward. The nasal spray form may cause the same side effects, but the timing and intensity of those effects are different.

Main Drawbacks

Some medical professionals are advising caution until the long-term effects are studied more thoroughly. These are some of the major drawbacks to ketamine therapy:

  • The beneficial effects of the drug wear off after 7 to 10 days so patients need to get infusions on a regular basis. 
  • Some studies have shown that it can be toxic to brain cells.
  • It may cause bladder damage at higher doses.
  • It could cause psychotic-like symptoms during treatment.

Still, it should be noted, ketamine can help some people with depression and is especially beneficial for patients who require immediate improvement and have failed with conventional FDA-approved treatments. Research is ongoing on ketamine’s long-term safety and the best doses.

Help For Veterans

Ketamine may provide relief from the post-traumatic stress disorder (PTSD) that many veterans endure. PTSD is a mental health problem that many people develop after experiencing a trauma, such as combat. According to Aimee Cabo Nikolov, BSN who runs the Ketamine Medical Clinic in Miami (a division of the Neurosciences Medical Clinic), ketamine may be the most important discovery in half a century. About 35% of their clinic are military veterans who need treatment for PTSD and ketamine is giving them hope that other kinds of treatment didn’t provide.

Pain Management

Besides being included in the treatment of psychiatric disorders such as MDD and PTSD, it is also being used for post-operative and chronic pain management. Intravenous (IV) ketamine infusion therapy has developed as a treatment for several conditions.

What Is Ketamine And Where Did It Come From?

Ketamine started being used in Belgium in the 1960s as anesthesia for animals. It was approved by the FDA as an anesthetic for people in 1970. Thereafter, it was used in treating injured soldiers in Vietnam because, unlike other anesthetics, ketamine doesn’t slow breathing or heart rate. This means that patients don’t need a ventilator to receive it.

Today ketamine is gaining ground as a treatment for major depression which is the leading cause of disability worldwide. Recent estimates in the U.S. show 16 million adults had an episode of major depression in a year. In addition, suicide rates rose significantly between 1999 and 2016 increasing by over 30% in 25 states. Due to its rapid action, ketamine could play a part in preventing suicide.

Do You Have Any Mental Health Questions?

If you are experiencing issues with or have concerns about your mental health don’t wait to get help. Located in Newport Beach, CA, the Lido Wellness Center is available to help you manage and understand your mental and emotional health problems. We offer multiple levels of care so you can receive the treatment that is truly right for you. Contact us today. If you think you have a problem, you need to talk about it.



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bipolar disorder triggers

10 Bipolar Disorder Triggers And How To Manage Them

Bipolar disorder is a mood disorder where people experience mania (extreme highs) and depression (extreme lows). These episodes are often random or may be triggered by specific events. However, understanding your bipolar disorder triggers can help manage or prevent an episode. 

What Triggers A Bipolar Episode?

Bipolar disorder generally develops due to a combination of genetic and environmental factors. Although the genetic aspect of bipolar disorder is not fully understood, having a parent with this disorder increases the likelihood of also struggling with bipolar disorder. 

If you are struggling with bipolar disorder, it is vital to understand the personal factors that can trigger an episode. Though triggers vary from person to person, we will explore the most common triggers of bipolar disorder.

1. Sleep Issues

Sleep issues are not only a symptom of bipolar disorder but also a trigger. If you work long hours or you’re a student functioning on little sleep, you risk triggering a bipolar episode. Sleep disturbances such as traveling between time zones may contribute to these sleep issues as well.

2. Positive Events

While most bipolar disorder triggers revolve around a negative event, meeting goals and positive events can also be triggers of bipolar disorder. Winning an event, getting a promotion, or starting a new relationship can all trigger a manic episode. 

3. Substance Abuse

Using drugs and alcohol does not cause bipolar disorder. However, they are significant triggers of a bipolar episode. Drugs and alcohol can also “awaken ” bipolar disorder that beforehand was dormant. Even though both drugs and alcohol are bipolar disorder triggers, one in five people with bipolar disorder has a co-occurring substance use disorder. 

4. Life-Changing Event

One of the most significant life changes we will face is the death of a loved one. Although you may be able to manage your bipolar episodes while mourning, death can also be a trigger of bipolar disorder. 

If you are going through a life-changing event while also managing bipolar disorder, eliciting the help of friends and family may provide extra support and monitoring during difficult times.

5. Stress

Stress is perhaps the number one trigger of bipolar disorder. Not only can childhood stress lead to developing bipolar disorder, but stress can also trigger an episode. Managing stress is often easier said than done. It is crucial to work with a therapist to learn ways to cope with and manage your stress levels.

6. Trauma

Childhood trauma is a leading factor in the development of bipolar disorder. This trauma may include physical or sexual abuse, neglect, or the loss of a parent. While the trauma may have happened during childhood, symptoms of the trauma may not be apparent until another traumatic event occurs in adulthood.

7. Changes In Seasons

The changes in seasons are triggers for almost 20 percent of people with bipolar disorder. Seasonal changes are often experienced as mania during the spring and summer, and depressive episodes or seasonal depression in the winter and fall.

8. Changing Or Missing Medications

The majority of those who experience bipolar disorder rely on medication for symptom management and stabilization. This is important in keeping depressive and manic episodes under control and preventing a relapse. However, finding the proper medication can be tricky. 

For instance, antidepressants may actually trigger bipolar disorder. To mitigate this trigger, they must be taken with a mood stabilizer or avoided altogether. Always consult with your doctor before changing or stopping medications to avoid unwanted side effects or bipolar episodes.

9. Arguments With Friends, Family, Or Coworkers

When your bipolar disorder goes untreated, it often leads to broken relationships. The irritability you experience during manic and depressive episodes can increase arguments with friends, loved ones, and even co-workers. 

These arguments increase stress which is one of the triggers of bipolar disorder. In fact, A study in the Journal of Affective Disorders found that negative social experiences often trigger suicidal thoughts in those struggling with bipolar disorder triggers. 

10. Having A Baby

Bipolar disorder is strongly associated with postpartum psychosis. As a result, 67 percent of women with bipolar disorder will experience episodes weeks and months after birth. New moms commonly experience changes in their sleep, hormones, and medication each of which are common triggers of bipolar disorder. 

How Can You Manage These Bipolar Disorder Triggers?

It is impossible to avoid your bipolar disorder triggers. However, learning how to manage these triggers is key to controlling this disorder. Just like with triggers of bipolar disorder, managing personal triggers may be different from others. 


Minimizing your stress levels is the best way to prevent and manage bipolar episodes. Some ways to reduce stress include:


  • Avoid drugs and alcohol
  • Get more sleep
  • Create boundaries
  • Manage your time 
  • Eat a balanced diet
  • Exercise
  • Spend time with friends and family
  • Yoga
  • Mindfulness and meditation

Regularly attending therapy is very beneficial in helping you manage your bipolar disorder triggers. Some people also use medications along with therapy. However, you should never self-medicate as this can worsen your bipolar disorder.

Why Is A Stable Routine And Environment Important For Bipolar Disorder Triggers?

If you struggle with bipolar disorder, it is vital to have a stable environment and regular routine. People suffering from Bipolar Disorder are often sensitive to disruptions in routine.

The most important way to manage bipolar disorder triggers is having a set sleep schedule. This means going to bed at the same time each night and waking up at the same time each morning. A set sleep schedule helps keep the brain regulated and minimizes your reactions to bipolar disorder triggers.

Lido Wellness Center Can Help You Manage Triggers Of Bipolar Disorder

If you or a loved one is struggling with managing bipolar disorder or other mental health issues, we can help. With our integrative and comprehensive holistic care, you can live a happy and fulfilled life. Contact us today to find out how.


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