If you look at Facebook, everybody seems happy. Nobody suffers. Right?

If you believe that, I’ll tell you other stories, too. We all know the only photos people seem to take are when they’re having fun. No one shows photos of marital difficulties, problems with their parents, embarrassing health issues, eating disorders or just plain depression.

And, of course, they’re all having so much fun with their friends. Tons of friends. It’s kind of like TV at Christmastime – everyone is happy, getting those gifts they always wanted.

Facebook can be a Santa Claus existence that looks so real. And because of that, it can make us feel so bad. This is a big problem for people who don’t have real friends – the ones you call up, pal around with and actually do go out with and have a good time.

A study recently published by computer scientists at the University of Indiana showed that this Facebook and Instagram science fiction may be harmful to people who don’t have a true social network. Such people appear to be overindulging in social media as a substitute for actual face-to-face interaction.

Back in the ’60s when I was in college, social media meant wearing buttons with slogans and having passionate face-to-face discussions about the meaning of life.

My spin (and even as a doctor and an elder statesman, I do have a spin on this): Social media is here to stay. But remember, Facebook graffiti may have a role, but it should be a minor one in your life.

More on opioids

Here’s another comment from me on the opioid crisis — and it is a crisis. An article out of the University of Rochester found that back-pain sufferers who also had depression were twice as likely to get narcotics for their pain as those who were not depressed.

The problem is this: Depression is a risk factor for opioid abuse. So prescribing opioids to a depressed patient, especially if they’re not treated for their depression, may have fed the epidemic.

Several years ago, I studied duloxetine (Cymbalta is one brand name) for arthritis pain. Full disclosure: I was a clinical investor who was employed to do this research. We showed that this non-narcotic drug, an antidepressant, was quite good in treating pain, even in patients who were not depressed. By the way, this is an SNRI antidepressant (serotonin-norepinephrine reuptake inhibitor), in a different category than Prozac.

For years we were taught that opioids were not habit-forming for most people. We were dead wrong. Now is the time for us to explore other medications for people with chronic pain. This is a good example.

For chocolate lovers

Want a fresh brew to wake up your brain? Perhaps you should eat some chocolate, instead.

Italian researchers publishing in the journal Frontiers in Nutrition combed studies looking for the effects of cocoa on brain function. They asked the question: Does a cocoa-rich diet improve thinking?

They didn’t find many studies from which to draw data, but the ones they did find showed that memory improved, visual processing quickened and people slept better when eating more cocoa. This was true not only in the young but with the elderly as well.

So what does this mean for you? I’ll let you figure it out. I’m going to break out some of my favorite chocolate now and go think. Stay well.

This column provides general health information and is not specific advice intended for particular individual(s). It is not a professional medical opinion or diagnosis. Always consult your personal health care provider about concerns. No ongoing relationship of any sort (including but not limited to any form of professional relationship) is implied or offered by Dr. Paster to people submitting questions.

Outbrain