Saturday, December 29, 2007
Outpatient Holistic Mental Health Treatment Services from Integrative Psychiatry
(live-PR.com) - Sarasota, FL ( Livepr ) - December 20, 2007 – Integrative Psychiatry Inc., a mental health wellness company offering both holistic and traditional approaches to mental health treatment, has expanded their services by launching Integrative Psychiatry.Net, (www.integrativepsychiatry.net). What makes Integrative Psychiatry. Inc unique is their approach to mental health treatment, namely, Integrative Psychiatry looks for the underlying causes of mental health disorders rather than prescribing medications that merely treat the symptoms, as is common with traditional psychiatric services.
"Traditional medicine in Psychiatry has historically focused on the treatment of mental disorders such as depression, anxiety, bipolar disorder, and panic attacks primarily with medication. Little is done to determine the underlying cause of the imbalance." states the Integrative Psychiatry website. This, amongst other innovative measures such as "neurotransmitter testing, e-health visits and telephone consultations", is what makes Integrative Psychiatry. Inc a much needed outlet for patients in need of mental health treatment services today.
Even though Integrative Psychiatry's office is located in Sarasota, Florida, out of state residents have the ability to receive mental health consultation and treatment from a licensed and board certified mental health practitioner though Integrative Psychiatry's e-health visits program. Considering itself an "outpatient treatment center", Integrative Psychiatry. Inc offers mental health evaluation services and consultation on location, though telephone, fax and email.
As stated on the Integrative Psychiatry (www.integrativepsychiatry.net) website: "We believe in improving patient access to care, [which] you may not be able to get in your area therefore we offer e-Health visits from the convenience of your home with our licensed practitioner." By taking this approach, Integrative Psychiatry opens up availability for proper mental health care even in rural areas or areas lacking proper mental health facilities.
http://www.live-pr.com/en/outpatient-holistic-mental-health-treatment-r1048177777.htm
Cascadia fined for overpayments
The problems were discovered during a routine Medicaid audit by the Department of Human Services Office of Payment Recovery and Accuracy. The state agency is now in negotiations with Cascadia over the amount that must be repaid, a state spokesman said.
Portland-based Cascadia is Oregon's fifth-largest nonprofit, ranked by budget. It had a $57 million budget in fiscal year 2006-2007, and served 23,000 clients. The agency also operates housing for about 800 people with mental health disorders.
The Oregon Health Plan, Oregon's expanded Medicaid program, covered many of Cascadia's clients prior to a state budget crisis that precipitated a huge drop among the health plans' expanded membership, which included many people not traditionally eligible for Medicaid.
http://www.bizjournals.com/portland/stories/2007/12/24/daily19.html
Saturday, November 17, 2007
Mental Health Services
It is an established fact that almost two-thirds of all people afflicted with some kind of mental dysfunction do not seek treatment. This is confirmed by the WHO’s Global Burden of Disease study.
The reasons for that people do not seek treatment vary, but some of the most common ones are a fear of the social stigma attached to mental disease; a fear of compromised security (loss of job, spouse, benefits entitlement, etc.); an inability to pay for treatment; or lack of awareness of the problem.
Thankfully, many forms of mental disease are no longer looked down upon; nor are those who suffer from them necessarily ostracized in society or at the workplace. Many progressive companies now offer more time to their employees for recovery from mental illness, and there is a decided increase in general social awareness prevalent today.
Considering its increased prevalence today, it is understandable that mental health has become a lucrative money-spinner. Psychiatrists and psychologists are amongst the highest-paid professionals in the modern world. This being so, there is a lot to be said for self-help groups like Schizophrenics Anonymous, Alcoholics Anonymous, and Narcotics Anonymous. These offer an amazingly effective therapeutic support systems for sufferers, free of cost.
There are various organizations that monitor and streamline mental health efforts on a national scale today. Among them are the Center for Mental Health Services (CMHS), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Federal Action Agenda for Mental Health. These organizations exist to ensure fair and helpful practices among mental health professionals and to upgrade the standards of mental health services as and when necessary.
Basically, professional mental health services offer treatment for either the whole gamut of mental disorders, or they specialize in them individually. The onus of treatment in present times is on the most prevalent: anxiety disorders such as obsessive-compulsive and post-traumatic-stress disorders; bipolar and manic-depressive disorders; schizophrenia; behavioral disorders, such a eating disorders; and ADHD/ADD (Attention Deficit Hyperactivity Disorders).
Mental Health provides detailed information on Mental Health, Mental Health Services, Mental Health Clinics, Mental Health Software and more. Mental Health is affiliated with Depressed Teens.
Mental Health Software
In the age of the Internet, identifying and monitoring mental health problems has, to a certain extent, become something one can do at home. This does not mean that complete mental health treatment is available via cyberspace. However, the lacuna of general awareness that existed until only ten years ago has been filled by readily available information on the Internet.
Mental health software is a great self-help tool, but its scope in that field is necessarily limited. Accurate diagnoses and therapeutic measures will remain the exclusive domain of mental health professionals.
In that respect and to such practitioners, mental health software is a genuine boon. It is useful in assisting clinicians in maintaining updated case histories and records. This is very important because of the high rate of litigation associated with mental health cases in America today. Psychiatrists are often called upon to testify on the state of a defendant’s mental health status. In such cases, easy retrieval of records is of the essence.
Medical records in mental health can also be formatted and streamlined to the required Federal standards by using specialized software. Mental health software also helps mental health professionals in scanning and matching mental disorders to appropriate medications and maintaining billing flow charts.
Owing to the exceptional confidentiality parameters surrounding professional mental healthcare, software packages for practitioners now also include features to hide PHI (Protected Health Information) from anything but authorized eyes. This is especially useful for individual practitioners who do not have the benefits of a full-fledged clinic’s security measures at their disposal.
Mental health software also helps clinicians in maintaining comprehensive appointment schedules. Since a psychiatrist or psychologist might have as many as twelve fifty-minute appointments in a single day, this is a major advantage to them.
Mental Health provides detailed information on Mental Health, Mental Health Services, Mental Health Clinics, Mental Health Software and more. Mental Health is affiliated with Depressed Teens.
Mental Health Clinics
Clients to mental health clinics are usually not admitted arbitrarily. The process usually consists of an initial interview with a community worker or a mental health professional. If a client is considered in need of residential or out-patient treatment at a mental health clinic, an extensive history of the mental illness will then be recorded. Such assessments will also include interviews with other doctors and family physicians who have noted the onset and progress of the ailment.
The staff at mental health clinics usually consists of psychiatrists, psychologists, mental health nurses, and support personnel who are specially trained. The scope and activities of mental health clinics in America generally falls under the purview of the CMHC (Community Mental Health Centers). This body issues licenses to clinics and centers for the practice of mental health-related treatment.
Considering that mental health crises do not always announce themselves in advance, a mental health clinic or center usually offers twenty-four-hour emergency services. These include inpatient hospital referral, since many cases are diagnosed in hospitals while the client is under treatment for other health problems.
Mental health problems affect people from all age groups, and American mental health clinics also offer services specifically for the aged as well as children and adolescents. The reasons that commonly lead to a referral for elderly persons range from senile dementia and Alzheimer’s disease to problems related to chronic alcohol abuse. Mental health problems typical to the aged fall under the category of geropsychiatric medicine.
Teenagers and young adults often find themselves in need of mental health services because of substance abuse, inherited mental problems, and Attention Deficit Disorders (ADD).
The services available at mental health clinics necessarily include group therapy, individual and family counseling, and a social awareness cell. The latter would be staffed by personnel who could explain the various issued surrounding metal health in layman’s terms to clients and their families. They are also an integral part of the evaluation process.
Mental Health provides detailed information on Mental Health, Mental Health Services, Mental Health Clinics, Mental Health Software and more. Mental Health is affiliated with Depressed Teens.
Being Paranoid is Nothing to Worry About, I Assure You
Paranoia is something I've always worried about contracting. I'm afraid I might have picked it up somewhere in the past few years. I won't even eat chicken nuggets anymore because I'm too worried about getting infected with the Avian Flu.
How can you tell if you're paranoid? There are several ways. Do you think that people lie to you a lot? Do you question government policy? When companies advertise new products do you question if they're being honest with you? Do you wonder how much they are actually profitting from each sale?
If you answered "Yes" to any of those questions, then you are not paranoid. Documented proof has been established to support all of your fears, concerns, worries, pessimism, cynicism, and lack of faith in many facets of life. If you don't believe me, then you're only being paranoid. Search the Internet and you'll find many facts supporting my claims, including proof that the moon doesn't exist.
If you are scared of an alligator or snake attacking you while you're relaxing on your toilet, you may or may not be paranoid. I confess that I'm unable to state with absolute certainty that there is a 0% chance of a reptile biting your butt while you're taking care of business.
If you're concerned about nuclear war and the devastation and eradication of life on Earth, you're probably not being paranoid. Nuclear weapons exist, and probably will continue to exist until the leaders in some country decide to oust the rulers of those other nations who dare possess such weapons of mass destruction.
Have you ever been fearful that you've started too many sentences with the phrase, "If you are?" You should consider that your fear is based on reality and consider going back to school for writing. If you're concerned that you've forgotten periods or commas in your writing, don't let needless worry consume you: proofread and perform an edit. The solution is just that simple.
If you think you're paranoid because you fear people talking about you behind your back, you needn't give it much thought. People are most likely talking about you behind your back. How can you tell? Have you ever talked about someone when he or she wasn't present? Has anyone ever spoke to you about someone when he or she wasn't present? If you've answered "Yes" to either of these then that means you're talking to yourself. If you find that you talk to yourself more than you talk to other people, you might want to consider socializing more often. As for people talking about you behind your back, it's very likely. Now that you know the truth, you can stop worrying about it. They're only talking about you behind your back for your own good.
If you're afraid of the dark, chances are that at some point in your life, something bad has happened to you while it was dark. If you're worried that there are monsters inside your closet, chances are that you have been violently attacked by monsters coming from your closet at least once in your past. If you're afraid of people close to you dying, chances are that you have heard of death and understand its implications.
While you're absorbing all of my confusing facts, remember that worry is not reality. Reality is what exists in your present. Yes, people will die, you'll get screwed over in business deals and as a consumer, and you'll get the Avian Flu from chicken nuggets. The point is, worrying about such inevitable situations is a waste of time. In relative terms, you only have a short time before you or someone close to you dies, or before you get attacked again by monsters hiding in your closet. Use the time wisely. Avoid contact with people, avoid eating chicken nuggets, avoid residing in a potential target for Ground Zero, and make sure your lights are always on and all your closets locked. Once that's done, your spirit will be free to enjoy life once again, fear and worry only a forgotten nightmare that caused you to wake up screaming a long time ago.
--
Andy Alt
Mental Dimensions
http://mentaldimensions.blogspot.com/
A weblog for people who enjoy mental health and observational humor, political farce, comedy editorials, satire and spoof, along with occasional doses of non humor
Acceptance of Social Anxiety
If you suffer from social anxiety, then you are among the millions who have been told by your doctor that you're abnormal and need medication. If you prefer alternative treatment, then this article is worth reading. If you prefer alternative treatment because you already do enough drugs, then it's merely recommended reading. If you get bored and fall asleep by the second paragraph, then it will just be light reading.
Avoidance of social situations can be a positive reaction to feelings of insecurity. It indicates some level of intelligence. You've probably learned from past experiences that you'll be scorned or shunned from society for being different. Idiots, however, will keep talking to people, never learning that they are not wanted.
Moving frequently during my childhood, I learned how to not make friends for very long, and how not to form healthy relationships. Having a lack of healthy relationships as a child means that as an adult, I'm much better at playing video games. An arcade is a great place to form bonds and make new friends. After you've accomplished socializing in the arcade, go home and look back fondly on all the good times and social experiences you had while at the arcade earlier that night. Realize that the next time you go to the arcade it will be rich with experiences and new people who share similar interests. You'll never see those people again, but always cherish those memories and look forward to meeting new people the next time you have a roll of quarters bulging in your pants.
Historically speaking, many great accomplishments have been achieved by people who had a mentall illness and/or suffered from social anxiety. If you are a mentally ill person with a high IQ, it's important that you help in the advance of civilization. Here are some advancement ideas: poetry, art, culture, technology. If you're mentally ill with an IQ that's above average, it's important that you change the world with some of the latter-mentioned accomplishments. Unfortunately, a possibility exists that you'll be prevented from a great destiny by your anxiety, concentration, and fatigue. If that's the case, you'll merely be a weirdo with a pocket full of prescriptions while in your social circles.
If you find yourself in a social situation, don't panic. Just be yourself. Don't be afraid to fidget your extremities (don't fidget so much that other people get scared). Stutter a bit while you're speaking. Walk away in the middle of a sentence and come back a few seconds later. People are generally good-natured; they will either appreciate your honesty or feel sorry for you and offer you a cookie, or the telephone number of a crisis clinic.
Social contact with one's family is sometimes complex and causes anxiety. If you haven't talked to your parents in a while, give them a call -- it's good practice for the times during which you socialize with people who don't love you. Sometimes it won't be a good experience, but put your failures behind you (where everybody else is talking about you, behind your back). Personally, I recently had a negative experience while practicing talking with my mother. She was expressing positive sentiment about my birthday, but suddenly she demanded I pay her nine months back rent for residing in her womb, and she also requested extra monetary compensation for the food I ingested during my stay. I was taken aback by her verbal invoice, and thought I had done something wrong again while attempting human social contact. A few seconds of thought later, I aggressively reminded her that I never signed a lease, and I'll never pay for food through a straw unless it's a root beer float.
--
Andy Alt
Mental Dimensions
http://mentaldimensions.blogspot.com/
A weblog for people who enjoy mental health and observational humor, political farce, comedy editorials, satire and spoof, along with occasional doses of non humor
Friday, November 16, 2007
Treating Mental Health and Forensic Populations
No longer is it possible to assess and/or treat a mental health population without also interfacing with forensic issues such as legal infractions, Courts, violence, sexual behavior problems, delinquency, crime, Not Guilty by Reason of Insanity, substance abuse, and others. The training and approaches to the mental health population is different than that for a forensic population. So what is to be done, if a person has both issues? We must be cross trained for dually affected clients.
How Are the Populations Different
A Mental Health population is comprised primarily Axis I disorders, such as Bipolar Disorder, Schizophrenia, Major Depression, PTSD, and Anxiety Disorders. Daily functioning is on a continuum. Recovery is quick for some and slow for others and is also on a continuum. Well controlled intermittent, mild to moderate episodes of a mood or anxiety disorder will not necessarily interfere with daily functioning. Someone with severe, chronic Schizophrenia or Mood Disorder requiring periodic hospitalizations and extensive community support, will have impairment in daily functioning. Goals for these folks are often pro-social and involve being an active member of society. A therapist can be fairly sure that the mental health client without forensic issues will be relatively honest in his or her interactions and the therapist can take most of what he/she says at face value. An emphasis on a strengths model works well when no personality disorder is involved.
A forensic population can be defined as having personality disorders, interpersonal difficulties, behavioral problems, multiple problems and life long courses of various levels of dysfunction or difficulty. Again, this population fills the full spectrum of effective daily functioning. However, social functioning is often the most severe impairment. There are issues of trust, appropriate relationships, ego centrism, moral development, honesty, manipulation, and danger to self and others. They often have a negative view of themselves and others, especially authority figures. Moral development is often delayed leaving them at the egocentric stage of development. This means that what serves the self is what matters and empathy for others and the ability to have an honest relationship with another person may not yet have developed. Their goals are often self-serving.
The capacity to understand the importance of the best interest of the group through laws and rules that we voluntarily follow, may not be well understood. Many, if not most, have histories of childhood abuse, neglect, or exposure to domestic violence. The assessment and interventions with this population is necessarily different that those for a people with no Axis II disorder or trait. The people with forensic issues do not always tell the truth because of their lack of trust in relationships. The therapist cannot take what he/she says at face value. The therapist must separate the sincere from the manipulative moves for self-gain. The internal boundaries are such that they need the therapist to put external boundaries into place for them. Information must be checked with other sources of information.
How Assessment Tools Differ
In a mental health population, assessment can quite effectively be done through instruments such as the MMPI-A, BASC, and MACI. These self-report tools are quite sufficient for this population and will elucidate psychological dynamics and mental illness, if present. Self-report is not as much of an issue as it is in the forensic population, where third party verification is more important. However when a youth has multiple problems, both mental health and forensic, a combination of tools is preferred.
Forensic evaluation tools rely less on self-report because of the trust issues and because it is not always in the client's best interest to be completely truthful. Self-report assessment instruments can be used, but third party and official reports should also be used in the evaluation phase of a forensic assessment. Courts are concerned with public safety, therefore, the need for tools that assess future risk of dangerousness to others. Risk of future aggression and sexual behavior problems that have been derived from statistical models (actuarial tools) should be part of the evaluation since clinical assessment of risk of future dangerousness is only a little better than chance. While risk assessments are not perfect, they are better than clinical judgment in this area.
How are Interventions Different?
Major Mental Illnesses, while often chronic, can often be very effectively treated with medication and therapy. At the higher functioning end of the continuum, therapy can be supportive, psychotherapeutic, family, or cognitive behavioral. Therapists are trained to accept what the client presents and start where the client is functioning and how the client sees the world. The clients are usually self-motivated and seek therapy voluntarily. They accept responsibility for their behaviors and for making changes in their lives. Use of a strengths model is often very effective. Many people recover fully and lead quite "normal," non-disrupted lives. When someone is on the lower end of the continuum, with major disruption in every day functioning (work and family),despite medication and therapy, major supports for housing, jobs, and activities of daily living and medication are needed for a very long time, perhaps a life time. However, their life goals are often still pro-social. Serlf-directed care works well with the mental health population without Axis II diagnoses.
In the area of intervention, different approaches are needed for the forensic population. Some level of social and family dysfunction is generally intergenerational and lifelong. These clients are often Court ordered to an assessment or therapy or they are having significant problems at work or within the family causing others to seek assessment or therapy for them. They do not always accept responsibility for their actions or for changing. There are skill deficits that need to be addressed, such as social skills, anger management, and problem solving. You cannot take what these clients say at face value. Third party information is always needed. This is because you need to trust someone in order to be honest with them and most of these folks have been abused, neglected, or exposed to domestic violence and a suspicious arm's length treatment of others is a coping strategy that is difficult to give up.
This population often has multiple problems so that Multi-systemic Therapy that approaches many areas that need to be addressed is often effective (treating the whole person). Group work and trauma therapies are also good tools. Self-directed therapy may not be effective because of the need to protect oneself from what may appear to be an unsafe world. Nurturing, setting good boundaries, and structure are essential in this work. Motivational interviewing and stages of change can be very helpful. When clients have issues in the mental health and forensic arenas, both approaches must be used to the extent possible.
Conclusions
Clients in a mental health setting range from the single diagnosis of a major mental Illness to the dual diagnosis of a major mental illness and a personality disorder and/or forensic/legal issue. The approaches to these dissimilar populations is unique when clients are dually diagnosed, both approaches are needed. Assessments and treatment for a mental health population can be self-directed and strengths based.
However, the approach for the forensic population cannot be self-directed because the client's goals are often antisocial and by definition counter to the best interests of society. The therapist or evaluator cannot accept everything the client says at face value because not being honest is part of the disorder that the therapist is treating. Motivational interviewing seems to blend the views of traditional mental health and forensics in a way that is beneficial for the client and society.
Dr. Kathryn Seifert has over 30 years experience in mental health, addictions, and criminal justice work. She has authored the CARE and numerous articles. Dr. Seifert has lectured internationally on youth and family violence and trauma. http://careforusall.com
Home Care for People with Mental Health Issues
The Need For Different Home Care Services For People With Mental Health Issues
People of all ages and backgrounds experience mental health issues such as schizophrenia, anxiety and manic depressive disorders. Indeed, mental health problems are widespread in the UK with 25% of people having some kind of issue. Given the broad range of mental health problems, a variety of home care services is needed to look after people with mental health issues.
The Different Home Care Services For People With Mental Health Issues
There are many different types of home care services for people with mental health issues. These services include respite for care givers and on-going in home care for people with mental health problems.
Home care enables people with mental health issues to live in their own homes. Furthermore, respite care provides invaluable help for families and individuals who are responsible for looking after people with mental health issues. This is because respite care enables primary caregivers to take a break from looking after their mentally ill charge by organising for a care worker to take over from them for a period of time.
People With Mental Health Issues
People with mental health issues have varying needs. Some people with mental health issues are able to live fairly independently whilst others might require constant care. As a result, if you are looking for respite care or for supported living for a mentally ill friend or relative, it is essential to choose which services you want carefully. This way you will be able to ensure that your friend or relative’s specific requirements are met.
The Home Care Services for People With Mental Health Issues
There are a number of home care services for people with mental health issues in the UK.
Respite Care: This is when outside carers will come into the home of the person with mental health issues. They care for him or her so that the main caregivers can take a break from their everyday care duties.
Supported Living: This is when a carer comes into the home of the person with mental health issues and helps them to look after themselves.
Full time home care: This is when a person with mental health issues requires full time care. Sometimes this care is carried out by a friend or relative and other times it is carried out by professional care workers.
Quality Care offers Home Care and Supported Living For People With Mental Health Issues in Surrey, Hampshire and Berkshire.
Walking Is Good For Mental Health
One of the most natural things that an individual does every day is to walk. For years, this single act has been linked to improving cardiovascular health. The reason is because, generally, walking is a safe movement that isn’t likely to cause injury. New studies have shown that walking is also a terrific way to improve your mood. The next time you are feeling a little blue, there may be a way to walk it off - literally.
A recent study paired individuals into groups, one of which spent 30 minutes on a treadmill and the other that participated in 30 minutes of rest. Each group’s progress was monitored throughout the treatment with a conclusion that both groups reported having less negative feelings at the end of the study, along with less stress and tension. The difference, however, was found when the group that spent 30 minutes walking also noted an overall improvement in well-being.
While the study further proves the theory that walking is good for mental health, as well as physical, it also lends credence to the theory that people who walk feel better overall. It also proves that an individual does not have to be outside in order to enjoy the benefits of walking. This simple exercise can be achieved with a treadmill or by simply walking in place while tuning into a favorite movie or television show.
Anyone who has been diagnosed as having clinical depression or other illnesses should not ignore, or disregard, his/her medical treatment program. Walking is simply a way to sometimes add further improvement to certain conditions. A simple 30 minute walk can benefit an individual’s mood, improve cardiovascular health and combat obesity all at the same time. In order to be effective, many people find that a daily walking schedule will help to keep them motivated and improve their spirits. In addition, a regular schedule will ensure that there is a time set aside for a walk. It’s very easy to think, “I’ll get around to it later,” but something more often than not will distract individuals away from exercise unless they have a certain schedule that is followed every day.
The information in this article is intended for informational purposes only. It should not be considered as, or used in place of, medical advice or professional recommendations for an exercise regimen. Every individual should consult his/her physician prior to beginning any program consisting of diet and/or exercise.
Read everything about women bodybuilding, aerobic exercises or read about diet during pregnancy on http://www.weekbyweek-pregnancy.com.
Teachers: Do You Know the Basics of Children's Mental Health?
In earlier articles, I explained one basic mental health
category called conduct disorders (C.D.s), the child at
highest risk of extreme violence, and
emphasized how you must work differently with C.D.s
compared to any other kids. Hopefully, I successfully
conveyed how critical it is to thoroughly understand what
makes this kid "tick," and to work with them differently
than everyone else, or you may find yourself or others
in dangerous situations. In that piece, I devoted
extensive time to teaching you "all" the in's and out's
of working with this complex, potentially dangerous youth.
I want to move past the youngster at highest risk of
violence so I can now address the next two groups of
high risk students in this article.(Our web site
has some additional information on conduct disorders
if you need more info on that group now. Visit
http://www.youthchg.com/hottopic.html.)But, remember that
these pointers will be no substitute for
thoroughly updating your skills on such a challenging kid.
Now that you know a bit about C.D.s, the youth at
top risk of violence, let me tell you about the
students who follow next in risk. That is the focus of
this article.
** Youth at 2nd and 3rd Risk of Extreme Violence:
These youth are not nearly at as great a risk as the conduct disorder.
We will cover each of these 2 types of youth separately, but must stress
that the risk for both of these 2 groups drops off dramatically
from that posed by conduct disorders. Remember that when any child
appears to be potentially violent, you take that concern seriously,
regardless of whether the child was on our list. This list is meant only to
guide you when you lack any specific events or circumstances that
show you how to apportion your time, supervision and other resources.
** Thought Disorders: The risk posed by thought disordered
children is probably far less than that of the conduct disordered
youth. Although #2 on this list, it is a rather distant second choice.
Part of the explanation is that there are probably a lot more
conduct disordered kids than thought disordered ones. The other
reason that explains the somewhat distant #2 status is that the
thought disordered child may be well-intentioned, kind, and loving
at times. The conduct disorder child really never is able to care
about anyone else. Another reason to explain the distant #2 status is
that often the thought disordered child will act in rather than act out.
They often will pose a harm to self rather than others.
Unless you work in a treatment setting, just a very small fraction of
the children you work with, may have what mental health professionals
call a thought disorder. While the thinking of the conduct disorder is
clear and lucid, that assumption is not always true for the
thought-disordered child. The child who has been diagnosed with this
type of problem by a mental health worker, has very serious problems
with their thinking. The child may hear voices or see visions that no one
else can, for example. The child may believe demons or devils are
governing them. If the voices, for instance, tell the child to hurt
someone, then the child may feel compelled to do it. This is where
potential danger could lie.
The thrust of working with a diagnosed thought disorder is often
on proper medication, although focusing on skill building and structure
are also very important. Perhaps the single most important concern
will be that the child takes any prescribed medication regularly and
properly, because when properly medicated, this child may
function almost normally in many ways. When not correctly medicated,
this child is at the mercy of any demons, visions, voices or upsetting
thoughts that pop into their head.
** Severely Agitated, Depressed Kids: The occurrence of extreme
violence by severely depressed, agitated children probably also
greatly lags behind the risk posed by conduct disorders. This term
refers to a child who has experienced extremely severe problems
with depression, and also struggles mightily at least once with
agitation. Many kids, especially teens, struggle with depression,
but this group endures some of the most prolonged, profound,
deep depression; this should not be confused with typical
adolescent ups and downs. When the severely depressed and
agitated child also abuses substances, the problem can be
magnified greatly depending on the interplay of the substance
and the existing emotional concerns. Crisis, sudden changes and
the usual adolescent successes and failures can quickly
de-stabilize this child who is already seriously struggling;
these events can have the effect of the straw that broke the
camel's back.
Any emotion that a child has trouble managing may get acted out
or acted in. Depression is generally acted in. Many view it as
anger turned inward: the child withdraws, reduces their activities,
may eat less, etc. But, depression can also be acted out. Feeling
cornered, unable to endure any more pain, some children will act
out, sometimes lashing out in very severe ways. All things in nature
strive to come to a conclusion. Storms eventually dissipate, the
rain ultimately gives way to sun, and even the snow will eventually
end. Humans, as part of nature, also tend to move towards resolution.
For some children, extreme violence can be the flash point that
offers that resolution. When there appears to be no hope, perhaps
the child believes that there is nothing left to lose. Depression can be
tough on adults, but couple the depression with a child's lack of time
concept, lack of perspective, their impulsiveness, immaturity, and
resistance to understanding the link of actions to final outcomes,
extreme violence can be grabbed as perhaps a solution. If this
vulnerable child becomes involved with a conduct disordered
peer, you can see how under certain circumstances, that could
become a deadly combination as the depressed, agitated child may
join in the acting-out.
To help this child, alleviating some of the torment will be critical.
Help to manage anger in socially acceptable ways, tempering the
depression, and alleviating some of the agitation can keep this
child from remaining at the level of extreme discomfort they
currently experience. If this child receives useful aid to vent
the agitation and give some light to the depression, any risk of
extreme violence can be significantly impacted. Of the three
risk categories, this group's concerns are potentially the most
amenable to intervention by you, and is of the three, the
most hopeful diagnosis. You can have much lasting impact
on this child.
**Appraising the Risk: Now you can look at your class or group
and not just wonder where the where the potential, serious
danger would come from. Now that you have more refined
guesses about which youth potentially pose potential danger,
here is a way to better rank that risk in your mind. A juvenile
court judge in Springfield, Oregon, said after the shooting
there, that so many kids are like "little match sticks waiting
to be lit." To adapt that image a bit, here is how you can
apply that thinking to the three at-risk groups listed here.
You can imagine that the conduct disorder is already lit;
a flame is burning. Whether that flame becomes smaller,
flares larger, or creates an inferno, is anyone's guess, but
the flame is burning always, the potential for disaster is
always there.
The thought-disordered child may be like a pilot light,
a tiny flame that is always lit, but is fairly unlikely to
inexplicably get massively bigger or out of control. Properly
shepherded and assisted, this light may stay forever just a
benign flicker. Unshepherded or inadequately assisted,
however, this flame can get bigger, even flare out of
control.
The extremely agitated depressed child may be the
unlit match stick that the judge visualized. Outside
factors will likely come into play to incite any flare-up.
Outside forces could include peer pressure, crises, substance
abuse, family woes, or just mounting problems that fuel the
agitation and create a profound, all-encompassing sense of
desperation that leads the child to "spontaneously" combust.
Like the thought-disordered child, the severely agitated
depressed youth can often be so readily aided if the
community can identify them, then consistently care and
effectively intervene.
** In Summary: If you work with kids, but you are not
a mental health professional, maybe it's time to at least
learn some of the basics about children's mental health.
And, no matter what your role with children, please
consider it your obligation to train your kids to be peaceful.
That may be the most important contribution you could
make in a world that so thoroughly ensures that every
child knows so much about extreme violence, and so little
about anything peaceful.
Hopefully, you now have more mental health basics for working
with juveniles who pose extreme classroom management problems.
Remember, if you wish to get more thorough information, click
over to our site for free magazines, strategies, articles and
much more-- all designed to assist educators to better manage
and instruct problem and difficult students.
Get much more information on this topic at http://www.youthchg.com. Author Ruth Herman Wells MS is the director of Youth Change, (http://www.youthchg.com.) Sign up for her free Problem-Kid Problem-Solver magazine at the site and see hundreds more of her innovative methods. Ruth is the author of dozens of books and provides workshops and training.
Preseli Venture Helps Companies Take Positive Action on Mental Health
Mental health is a huge issue for companies and it has a direct impact on the bottom line, so Preseli Venture is keen to encourage clients to give their team a ‘mental health boost’ and give them time, away from the office, to think about coping with this important topic.
Nearly three in 10 employees will have a mental health problem in any year, and more than £4bn is lost annually to stress-related absences from work, according to the Mental Health Foundation.
Improving physical health may sound surprising but the Mental Health Foundation is running a year-long campaign to raise awareness of the benefits of exercise in treating mild to moderate depression. Also, exercising for half an hour at least twice a week during midlife significantly reduces a person’s risk of dementia in later life.*
Furthermore, researchers from the University of Hull have suggested that drawing ideas from sports psychology, where participants in outdoor activities showed improved mental toughness and also less stress when exposed to demanding tasks, can help people cope with the ever-demanding pressures of working life.
Preseli Venture aims to give companies an unbeatable cocktail for great mental health – and even better business performance. Combining the recognised benefits of exercise and fresh air with the theory that being in and connecting to nature can itself provide mental health benefits is a sure winner. People find there are real mental health benefits after spending a few days in the spectacular Pembrokeshire Coast National Park, enjoying the glow of achievement and sense of well-being that can only come from sharing fun, refreshing adventure activities.
Sophie set up Preseli Venture in 1988, with her husband, Nick. She is passionate about spending time in a wilderness environment and pushing herself into her 'adventure zone'. Sophie is committed to helping companies develop better internal and external relationships through sharing fantastic experiences in the stunning Pembrokeshire Coast National Park
Article Source: http://EzineArticles.com/?expert=Sophie_Hurst
Wednesday, November 14, 2007
Safe Touch - A Key to Good Mental Health and Relationships
I believe any educated and sensitive massage therapist will tell you that they tend to meet people who are more authentic in expressing themselves than perhaps one would just meet in an office setting. Even the same person is more authentic and gentle in a safe touch massage setting. Minimal clothing, lulling fountain sounds, the scent of lavendar, orange, sandalwood or other essential oils and music that doesn't destroy your soul just seems to do that. Everyone needs safe touch to be comforted and to feel free to be themselves without judgement.
From my own experience, we live in a touch deprived culture. Touch someone in the workplace, even as an encouraging "good for you" pat on the back, and you might find yourself judged some kind of office pervert. Rub a back in gesture of comforting or hold a hand to say "I care about how you're feeling," and well, off to prison you go!! Touch in our culture is suspect and often threatening. I'm not encouraging anyone to just accept the touch of anyone they meet as well intentioned or harmless. But for the most part, out went the baby with the bathwater as usual.
I used to lay hands on people as a pastor in compliance with and hope that James 5:14-16 would bring about the desired and promised results. "Is any one of you sick? He should call the elders of the church to pray over him and anoint him with oil in the name of the Lord. 15 And the prayer offered in faith will make the sick person well; the Lord will raise him up. If he has sinned, he will be forgiven. 16 Therefore confess your sins to each other and pray for each other so that you may be healed. The prayer of a righteous man is powerful and effective."
I did this thousands of times and respectfully observe that it is not the cure for anything significant, from my perspective. I am sure however, that at times and because of the reaction of some, the touch itself was deeply appreciated and meaningful. A church or pastor that relies ONLY on this because "it's in the Bible, God said it, I believe it, that does it for me," is a fool and delaying help a genuinely sick person might need to receive from professionals. I've seen that in my past career and it's difficult to speak of, though I was not of the anoint only perspective.
Kind, intentioned and educated touch seems to release a person from the masks we all wear. Everyone wears masks. It's how we survive dealing with topics that we can not speak of or will receive no understanding for even thinking about. In massage, people become more openly genuine and some want to talk, at times, about what they really are thinking. Some few might wish to vent about the office envirnoment, the company or the boss, but when sharing, most simply talk about touch and why humans are so fearful of their own thoughts and needs.
"Needs", now there is a word for you. Our Christian culture has all but beat the idea that what one needs having any validity out of the needy. Sermon after sermon over decades has made that equal with being selfish and carnal or unconverted and "of the world." Just say "I need" to a pastor and often his own repressions will bubble up and you will receive a lecture on how the Bible tells us this or that mainly along the lines of "doing nothing through faction or through vainglory, but in lowliness of mind each counting other better than himself;" Phil. 2:3 (ASV) I always wondered if we are to count all others better than ourselves and all that implies about our own selfworth, what are others supposed to do?
Everyone needs to be safely touched. One client, long ago, was very quiet as I worked on them and then suddenly said, "don't you think it's funny my dad never hugged me?" We chatted a bit about that but I knew that me, a stranger, touching him set off that thought in contrast to his dad, who knew him well, never hugging him. After a few minutes he said, "I don't think I am gay." That was also a no brainer. Here is how it worked in his mind. "I like this touch." "Dad never hugged me." "Yikes, I like this and this is a guy!" "I better tell him I don't think I'm gay so he doesn't think I am." Interesting huh? To him, touch was needed yet had conotations that weren't really there, but needed to be referenced. I'm not gay by the way either.
One of the things people need to practice more is the phrase "I need." It is not selfish or crass. It is human and is the stuff that makes relationships function at a more real and authentic level. How many relationships would be better or even saved if we learned to say, "I need you not to speak to me that way." "I need you to be around more often." "I need you to touch me in a way that feels caring of ME." "I need you to listen to what I think for a change." "I need you to give me some space." "I need variety in my life." "I need you to take better care of yourself." "I need you to leave the people you don't like, the crazy relatives, the stupid boss and the damn church out of our conversations." "I need..." Try it sometime and you might see that others also need the same. They just didn't know you knew anything about needs.
Others talk about what they don't need in the way of touch in their lives. They don't need to be grabbed, or pushed. They don't need to be slapped or pinched crudely. They don't need to feel used and not loved. I guess this is another whole topic.
The mask that covers topics of sexuality is a biggie for ALL people. All massage is sensual even when therapeutic as touch just is that by nature. In a safe and compassionate envirnoment, many think about the place that sex has or does not have in their lives. Human sexuality and the need to express it and experience it never goes away. I always got a chuckle about how the Bible tells us that when Moses died at 110 (maybe yes, maybe no), and that " that Moses was one hundred and ten years of age when he died—that his eye was not dim, nor his natural force abated; ..." This is a coded way of saying he noticed everything and could still get excited. How they knew this, I am not sure. I guess he bragged about it. But it is an old way to affirm that the man was not dead and that he was really really alive right up until he was dead. Many people I meet feel dead because they have no touch or sexual expression in their lives.
While many fundamentally religious types will deny this aspect of human need as being merely selfish and carnal, it is very normal and very necessary for a healthy life. The most extreme sexual religious ignorance I have heard to date is of one who always prayed to God they would not experience, shall we say, the unabated force, and have to have sex with a partner just for the sake of sex. Argh... no further comment. I'd say the partner is looking elsewhere in some way.
On the other hand, those that, while very religious and faithful to their church politely listen to those in authority represent "God's view" on these topics to them every week, are very able to say that they don't care what the minister says and their sexuality is really none of the church's business, which it isn't. I find so many devote believers who sturggle against what they are taught or in many cases not taught by a church. Much of that which has to do with human sexuality in the Bible is wrong and harmful to humans. It's archaic, middle Eastern in perspective and It does control them nicely though which is perhaps it's intent. It also promotes much anxiety and depression which are functions of an shame, guilt, fear and anger unexpressed. I have yet to meet an anxious or depressed client that is not fearful or angry about something they feel they have no right to or is too risky to express. Think about it.
I love my gay clients. There are probably no more honest, open and compassionate types of human being. They have a nature that lends itself to that and often the experience to reinforce the benefit of that way of being and thinking. They have also dealt with a lot of rejection and had to face issues of authenticity that, again, most never face, openly. Not one I know is gay by choice but rather by nature. Not one is trying to be ungay, nor should they. Everyone is a genuine human being who knows more about themselves than most will ever dare explore. I think of the one who was "outed" by a friend at Church and was given a video tape to watch on how to not be gay. If they could not change and the video did not convince them, then they were not welcome at church. Needless to say the video just didn't work. I asked a lesbian client once why she came to me as I was, well...a man! I knew the history of abuse and was just wondering. She said the nicest thing I have ever had said to me. "Because I love what you do, I feel safe, and you are the only man that is ever going to touch me again." Wow..but she wouldn't let me use that in my advertising.
Everyone needs safe touch. Touch tends to send it's message subtley but loud and clear. A client knows if I am not present in the massage by the way touch feels. One client said he'd tell me later in the session if he wanted to go for 90 minutes instead of just an hour. From my perspective, I'd like to know now as it determines what and how I do the massage, but I just said ok. I put my hands on him and made half a pass down the back when he said, "let's do 90." He said when I touched him, he knew he wanted to go longer. Nice compliment. It was the touch.
On occasions there might be a person who is so stressed and so angry, that they just feel that way without saying so. It is more sensing than feeling. I can feel a bad intention and it makes for a very long hour. Sometimes you just can't put your "finger" on it but you know that all is not well. That's how touch works too. Just the energy people give out can inform you long before they ever get near enough to touch you. It's why we can feel great or bad when some people walk in the room. Even without touching us, they are getting to us.
So think about how you touch and why. The mantra for many is sadly "don't touch me," and that also needs to be respected. I believe much obesity is a subconscious message to "stay away form me." Research tells us that 80% of all obese females have experienced sexual abuse. Sounds high to me, but might be close. Even untouch or ungentled, as the term is used, RATS, die sooner and don't survive surgeries as well as those who are oft gentled or touched. How much more so our partners, family members, children and even ourselves. Watch even how others soothe and touch themselves to see that even unconsciously our brain tells our hands to comfort us in time of need.
So...have you gentled someone today? Or if you need it, do you allow. from those whose intentions are right, without drama or indictment. I always tell my clients, "more touch and less rocket propelled grenades is what I always say." They laugh, and they always say, "ain't that the truth." Yes it is.
Article Source: http://EzineArticles.com/?expert=Dennis_Diehl
Long Term Space Exploration; Physical and Mental Health Limitations
Long-term space flight will take its toll on astronauts including entropy, bone loss, radiation and a feeling of loneliness. For us to send people into long-term space flights, which could take years if not decades we will need to consider modification concepts to our space craft.
There are a number of things we can do. I propose that the water we will need for these space missions be stored along the outer shells of the astronauts quarters thus protect them from radiation. I also propose that the astronaut’s quarters spin at a rate to provide centripetal force simulating gravity. I also propose that the resonance of all equipment leave a near Earth frequency of 7.89 Hz to help keep the immune system synchronized with what the human body is use to.
One thing we can do it allow astronauts to receive emails, although they will be hours or days in delay, they can read them and reply to Earthlings and students with questions. Also we will need artificial intelligent robotic companions, with down loadable information for studying, entertainment and someone to shoot the breeze with. The companion robot will need to be much better than the current artificial intelligent robots available. Consider these few modifications and I am ready to go.
"Lance Winslow" - Online Think Tank forum board. If you have innovative thoughts and unique perspectives, come think with Lance; www.WorldThinkTank.net/. Lance is a guest writer for Our Spokane Magazine in Spokane, Washington
Conquering the Stigma of a Mental Health Disorder
Having a family member that is suffering a mental health disorder can be taxing at times. Depending on the severity of the disorder, many families have been broken up because of this. Some of them can be blamed on the lack of love or patience a family member can bestow. Some just cannot handle the pressure and others just cannot take the shame.
But if the people around a person with a mental health disorder feels awkward, then what about what the actual person with the disorder feels? Many or most of these people are too afraid or ashamed to share their disorder with other people because they fear being ridiculed or judged.
Even as seeing a psychiatrist or taking mental health disorder medicines are commonplace nowadays, many people still distrust a person with a mental health problem; they feel that they are too unstable and unpredictable. Fearing what they do not know, this ignorance causes more depression and damage to a person with a mental health disorder.
Getting Over the Fear
What mental health disorder patients want is for them to be considered as normal people. Only that they need more compassion, understanding and kindness. Treat a mental health disorder afflicted person the same way as you would anyone, this would make him or her feel more normal.
As they feel more accepted and happy, they increase the chance of becoming normal. Also, be prepared; learn about the disorder that has afflicted your family or friend. Know the symptoms so you can be prepared as well.
For the patient, learn and try to accept your condition, do not be afraid of what people will say, open up your condition to them. If they can’t take it then they’re not worth it. Remember that there are many people with mental health disorder; some are not just as obvious. Hold your head up high and live with dignity.
Article written by Hector Milla, editor of http://www.mydepressionsymptoms.com/ , they have recently published a free online guide :: Mental Health Disorders :: , you may learn about mental health at http://www.mydepressionsymptoms.com/mental-health-disorders/ , thanks for publish this article in your website or ezine keeping a live link.
How To Beat Unfair Mental Health Funding
I happened to be talking to my local politician before Christmas because a fine website on depression, www.DepressioNet.com.au was about to lose funding for its crucial 24 hour support forums as a result of failure by the Australian government to fund its programs.
So I pinged the pollies and Bill, my local politician, wanted to chat. The one illuminating aspect of our 45 minute conversation was that it was very hard (for politicians) to decide what other health programs should be cut in order to increase funding for mental health because of myriad vested interests.
Watching news reports around the world and back home I see similar difficulties arising. It is somewhat reminiscent of the ‘Yes Minister’ dilemmas that Sir Humphrey Appleby would put to his boss, thereby stymieing him every time.
Just last week in South Australia an identical furore erupted. There, the government was brave (or hassled) enough to announce increased mental health funding. The opposition was equally mean enough to demand to know what (more highly valued) general health programs were to be sacrificed for the increase. Read the report here: http://www.abc.net.au/news/newsitems/200601/s1545360.htm
Now to get back to Yes Minister, Jim Hacker in his early days would have said ‘But we should just fund health needs according to the cost to the community, the individual and the carer. And that should be the minimum amount needed to restore the ill person’s health so as to function in relationships, at work and in the community.’ You wish!
The unfairness is obvious when authoritative reports state: ‘Stigma is systemic in decision-making at the highest political levels. Ultimate responsibility for mental health services lies with government leaders at Federal and State levels.
‘It is they who have ensured these services have had such a low priority in policy-making and funding…
‘The proportion of Australia’s health budget spent on mental health services is under 8%. In comparable OECD countries, the proportion is 12% or more.’ Dare to Care, SANE Mental Health Report 2004 at http://www.sane.org/images/assets/Research_reports_and_images/MHR2004text.pdf
A report by Access Economics for SANE Australia in 2003 calculated the costs of bipolar in Australia as being ‘$16,000 on average’ per year for each sufferer. Yet spending is ‘only $3,007 per person.’
It gets worse. The report states that this paltry $3,007 is even less than spending on the average Australian’s health care, even though ‘the burden of disease – the pain, suffering, disability and death – is greater for bipolar disorder than for ovarian cancer, rheumatoid arthritis or HIV/AIDs, and similar to schizophrenia and melanoma.’
And who makes up the shortfall? According to the report, ‘around half (i.e. $8,000) of this cost is borne by people with the illness and their carers.’
‘Mentally healthy’ public outnumber the mentally ill by a factor of 4 to 1. They want their subsidized spas and perfect teeth at the expense of us getting into hospital when we need it! But because they still view the behaviors of mental illness as not symptoms but as plain bad behavior, our health needs are viewed as less deserving than theirs, and funded accordingly.
Because of the ‘Yes Minister’ factor, I think we face an uphill battle persuading the politicians. They won’t shift until public opinion does, to say nothing of favors and kickbacks.
The 4 people in 5 who don’t have a mental illness have something much worse—prejudice. They are the ones who need persuading that mental health deserves equitable funding.
Australians who want to get involved in dismantling stigma can get involved in SANE Australia’s StigmaWatch program at http://sane.org/index.php?option=displaypage&Itemid=266&op=page
Visit www.twotreesmedia.com/links for other organizations around the world.
You can read a summary of the Access Economics report Bipolar Disorder: costs—an analysis of the burden of bipolar disorder and related suicide in Australia, an Access Economics Report for SANE Australia 2003 at http://www.sane.org/images/assets/Research_reports_and_images/bipolar_costs_es.pdf
Madeleine Kelly is the author of the award-winning book Bipolar and the Art of Roller-coaster Riding (Two Trees Media ISBN 0-646-44939-7). More information about managing bipolar disorder can be found at http://beatbipolar.com.
The Effects Of Addiction On Your Mental Health
Alcohol abuse is overstated, while drug abuse is underrated. The DSM manual suggests that in substance abuse there are differences in the definition of drug and alcohol use. To confuse matters worse the law has its own version of who is an alcoholic or drug addict.
Some of the symptoms that help professionals determine if alcohol and drugs are a problem include, excessive drinking/drugs, withdrawal symptoms, shaking of the hands, etc. If a person drinks everyday of the week and relies on alcohol, then you are probably dealing with an alcoholic.
The fact is, most of the people nagging or evaluating alcohol and drugs have a problem themselves or have gotten help someone in their lifetime to treat their own problems. Therefore, as you can see addictions, dependant alcoholics, and other types of alcoholics and drug addicts may alter.
Any chemical that causes harm is a potential danger to you.If you start out drinking when you are young and continue through your lifetime without alcohol causing you trouble, or else landing you a spot in jail, then you are probably not an alcoholic according to some.
The fact is the ones that are drinking and driving and getting caught are alcoholics according to the system. Alcoholism and drug addictions are complex, in the sense there are too many misconstrued inputs and often the label is placed on individuals according to culture and history.
The problem becomes a problem when the person has difficulty putting down the bottle and/or increases their intake as well as combining drugs with the alcohol to get an affect they was had. If someone will steal or lie to get alcohol or drugs then you know they have a real problem.
However, most alcoholics and drug addicts have bigger problems than addictions and this is often ignored. For example, people with mental illnesses often resort to alcohol and/or drugs to find relief of their symptoms. Now if a professional is treating this person for his or her diagnosis and progress is moving along the person often feels healthy and the alcohol and drugs are out the door.
In my studies and opinions, I disagree with alcoholism and drug addictions if the person is able to stop once the mental illness is treated. This means that the person was suffering and the substances was a mechanism to help them cope. On the other hand, if the person is treated for mental illnesses and his or her drug and alcohol habits continue, then I think you had better get out the chair and start talking ‘one day at a time.’
There are many therapeutic strategies in mental health, and each depends on the patient and the diagnoses. The focus of this therapeutic strategy is to get the patient to stay focused, voice their values and beliefs freely without feeling threatened, learn to pay attention, teaching the patient to accept responsibility and so forth. In most events, the groups consist of Interpersonal, Psycho educational, support, and psychotherapy groups.
Many of the patients that attend each of the groups have difficulty socializing, staying focused, trusting others, and are often emotional immature or underdeveloped. Most of the patients were subjects of harsh society and impractical parent/educational up bring. The point then is to bring the patient to a point of survival that does not include fear.Left untreated it can become a chronic illness that becomes resistant to treatment.
For more related information visit: http://www.DepressionSymptomsTreatment.com - a site that offers advice for avoiding, coping with depression. Get professional knowledge on dealing with symptoms, drug side effects and improving your life!
Tuesday, November 6, 2007
Mental Health and Nutrients
Every one of us humans innate biomedical factors that influence health functions, since every person has a different combination of characteristics from either one of there parents or ancestors they adapt to different types of psychological behaviors and nutrient needs. Therefore some of us are genetically suited for vegetarian-based diets and others are not. Some get satisfied with nutritional needs by diet alone and others require nutrition supplements to overcome genetic aberration.
When genetics differ from body to body in the process of food then we can ponder that some of us have an overload of nutrients than the others. Some of us have very low levels of such nutrients causing at most times the RDA (Recommended Daily Allowance) to achieve not on a physical but also a mental health unbalance. Its also very important to understand that excessive amount of such nutrients can also result to serious health problems- namely such nutrients include copper, iron, folic acid,, calcium and many forms of fatty acids, this naturally differs from person to person but the presence of multiple vitamins and minerals can be harmful for some and act normal for some.
The medical communities agree on tremendous influence of neurotransmitters on behavior of disorder. People can have a predisposition for there problems due to genetically aberrant level of neurotransmitters. Our mental health is dependant upon having the proper amounts nutrient intake or presence to be comprehensive of no critical brain malfunction.
The brain works like a factory producing serotonin, dopamine and various such chemicals everyday, the only relief for our brain is the proper intake of nutrients such as vitamins and minerals. Improper amounts of nutrients can cause serious problems with our neurotransmitters. People with depression require basic amounts of vitamin B-6. This vitamin is the deplete nutrient we persist or have to synthesis our actual mental health trauma. There are other serotonin enhancing medications and other altering drugs but the true cause of mental difficulties so often remains uncorrected, therefore if a patient needs the support in basic mental conditions medical administrators improvise on vitamin B-6 with supporting nutrients to achieve simple health benefits of the body and mind. Hence nutrient therapy can be very potent chemistry that doesn’t involve side effects, since no molecules foreign are needed for body support. This therapy may eventually eliminate the need for most psychiatric medication and observation.
Nutrients play a critical role in mental health, they are the building blocks of the nervous system, correct testing and understand of deficiencies, and overloads can pinpoint the causes of many sever mental symptoms, thus opening the door to hope and recovery.
About the author:
Mehjabeen Poonawala- Ph.D. Research Scholar (Foods and Nutrition) The author is Content Editor of http://www.eguruguide.com which is a health information portal. eguruguide.com offers quality information on topics like Nutrition, Diet, Obesity, Diabetes, Food habits, Blood pressure and weightloss.
Questions to Ask Mental Health Professionals About Depressive Illness
If you or someone you love visits a therapist, there are questions you need to ask to avoid problems. Some therapists are more advanced than others are. I can tell you that some are not qualified to diagnose anything that is more complex. If you suspect you have a disorder, the best thing you can do is get accuracy on those symptoms, research your behaviors, and write them down.
If you go to the therapist you will be ahead of the game, and by learning more about your own behaviors, symptoms, and so on can save you from a diagnose you may or may not have. Therapists as a rule base their treatment on the thought patterns, which includes hearing and talking. If the patient shows a disturbance in their thinking patterns, the therapist will consider psychosis, since this is a symptom related to the diagnosis.
They will search for signs that the patient may demonstrate, including vague thoughts, fleeting ideas, peripheral thought patterns, blocking thoughts, disassociation and so forth. Counselors often search for evidence of schizophrenia or psychosis when there is a break in reality, paranoia etc.
Paranoid and Paranoia are separate from the other, and must not be misconstrued. Professionals could make a mistake in diagnosis if they are not aware of the difference of paranoia and paranoid. Schizophrenias are often paranoid, while patients that suffer posttraumatic stress in the early stages may illustrate paranoia.
When a patient answers out of content, or else the ideas delivered are unrelated to the conversation then there is a potential mental illness. For example, we are discussing society, and the patient says, “I never go there. After I get back from Australia next week we can do that.”
An area of concern is when the patient is talking fragments. The patient will start with one idea and jump to several other ideas. This pattern is known as fleeting thought processing. When the patient is illustrating thoughts that are sidetracked, the therapist may show a degree of concern.
Language is important when evaluating a patient, since some patients may not have sufficient skills in communication it could very well mean a lack of education rather than a diagnosis. If you have been talking individually to a therapist, and this is the only symptom, make sure that the patient is not on medications he or she may not need.
It is important to pay attention to symptoms and signs that link mental health problems and other issues. Ask the therapist questions any time there is a diagnosis, what the symptoms include, and what medicines can do to treat the disorder. When a person is suddenly, loosing a train of thought during a session this may be a possible diagnosis.
If a person is telling you about a dream related to his or her parent, and all of a sudden claims they cannot remember what they were talking about, this is an evident sign of some disorder. Most likely, this patient has suffered trauma. The symptoms are in front of you and it is important to continue treatment to find which diagnosis the patient may have.
Unfortunately, most therapists are not trained to treat patients with Multiple Personality Disorders, and often these people pay a steep price. The sign or symptom is known as disassociation or blocking memories and this is a definite sign or Multiple Personality Disorder. Multiple Personality Disorder is often exclusive in blocking memories to avoid pain.
It is always wise to ask questions when you are visiting any therapists since anyone can make mistakes without the complete medical picture and your mental health is important and should not be taken lightly.
For more related information visit: http://www.DepressionSymptomsTreatment.com - a site that offers advice for avoiding, coping with depression. Get professional knowledge on dealing with symptoms, drug side effects and improving your life!
Sunday, November 4, 2007
GIRL POWER! Is Good Mental Health
GIRL POWER! is paving the way for girls to build confidence, competence, and pride in themselves, in other words, enhancing girls' mental wellness. Girl Power! is also providing messages and materials to girls about the risks and consequences associated with substance abuse and with potential mental health concerns. For instance, did you know:
Girls are seven times more likely than boys to be depressed and twice as likely to attempt suicide.*
Girls are three times more likely than boys to have a negative body image (often reflected in eating disorders such as anorexia and bulimia).*
One in five girls in the U.S. between the ages of 12 and 17 drink alcohol and smoke cigarettes.*
Girls who develop positive interpersonal and social skills decrease their risk of substance abuse.*
Girls who have an interest and ability in areas such as academics, the arts, sports, and community activities are more likely to develop confidence and may be less likely to use drugs.*
On the other hand, this also is a time when girls may make decisions to try risky behaviors, including drinking, smoking, and using drugs.*
The Girl Power! Campaign, under the leadership of the Center for Substance Abuse Prevention (CSAP), Substance Abuse and Mental Health Services Administration (SAMHSA) is collaborating with the Center for Mental Health Services (CMHS) to provide this valuable mental health information.
* Girl Power! Hometown Media Kit, Center for Substance Abuse Prevention, 1997.
Substance Abuse and Mental Health
Results from a study of nearly 6,000 people aged 15 to 24 show that among young people with a history of both a mental disorder and an addictive disorder, the mental disorder is usually reported to have occurred first. The onset of mental health problems may occur about 5 to 10 years before the substance abuse disorders.**
This provides a "window of opportunity" for targeted substance abuse prevention interventions and needed mental health services.
** "National Comorbidity Survey," Ronald C. Kessler, Ph.D., et al., American Journal of Orthopsychiatry, June 1996.
What Is Mental Health?
Mental health is how we think, feel, and act in order to face life's situations. It is how we look at ourselves, our lives, and the people we know and care about. It also helps determine how we handle stress, relate to others, evaluate our options, and make choices. Everyone has mental health.
A young girl's mental health affects her daily life and future. Schoolwork, relationships, and physical health can be affected by mental health. Like physical health, mental health is important at every stage of life. Caring for and protecting a child's mental health is a major part of helping that child grow to become the best she can be.
Girls' independence is usually encouraged in childhood, and their strengths nurtured. Most girls become emotionally, mentally, and physically healthy young adults. But sometimes, during the transition from childhood to adolescence, extra care is necessary, so that a girl's self-esteem and coping skills are not diminished. For more information on teen mental health, call 1-800-789-2647 and ask for the brochure: "You and Mental Health: What's the Deal?" (Order # CA-0002)
Nurturing Your Child's Mental Health
Parents and other caregivers are responsible for children’s physical safety and emotional well-being. Parenting styles vary; there is no one right way to raise a child. Clear and consistent expectations for each child, by all caregivers, are important. Many good books are available in libraries or at bookstores on child development, constructive problem-solving, discipline styles, and other parenting skills. The following suggestions are not meant to be complete.
Do your best to provide a safe home and community for your child, as well as nutritious meals, regular health check-ups, immunizations, and exercise.
Be aware of stages in child development so you don’t expect too much or too little from your child.
Encourage your child to express her feelings; respect those feelings. Let your child know that everyone experiences pain, fear, anger, and anxiety.
Try to learn the source of these feelings. Help your child express anger positively, without resorting to violence.
Promote mutual respect and trust. Keep your voice level down—even when you don’t agree. Keep communication channels open.
Listen to your child. Use words and examples your child can understand. Encourage questions.
Provide comfort and assurance. Be honest. Focus on the positives. Express your willingness to talk about any subject.
Look at your own problem-solving and coping skills. Do you turn to alcohol or drugs? Are you setting a good example? Seek help if you are overwhelmed by your child’s feelings or behaviors or if you are unable to control your own frustration or anger.
Encourage your child’s talents and accept limitations.
Set goals based on the child’s abilities and interests—not someone else’s expectations. Celebrate accomplishments. Don’t compare your child’s abilities to those of other children; appreciate the uniqueness of your child. Spend time regularly with your child.
Foster your child’s independence and self-worth.
Help your child deal with life’s ups and downs. Show confidence in your child’s ability to handle problems and tackle new experiences.
Discipline constructively, fairly, and consistently. (Discipline is a form of teaching, not physical punishment.) All children and families are different; learn what is effective for your child. Show approval for positive behaviors. Help your child learn from her mistakes.
Love unconditionally. Teach the value of apologies, cooperation, patience, forgiveness, and consideration for others. Do not expect to be perfect; parenting is a difficult job. Many good books are available in libraries or at bookstores on child development, constructive problem-solving, discipline styles, and other parenting skills. Mental Health Problems Many children experience mental health problems that are real and painful and can be severe.
Mental health problems affect at least one in every five young people, at any given time. At least 1 in 10 children may have a serious emotional disturbance that severely disrupts his or her ability to function.
Tragically an estimated two-thirds of all young people with mental health problems are not getting the help they need. Mental health problems can lead to school failure, alcohol or other drug abuse, family discord, violence, or even suicide.
A variety of signs may point to a possible mental health problem in a child or teenager. If you are concerned about a child or have any questions, seek help immediately. Talk to your doctor, a school counselor, or other mental health professionals who are trained to assess whether your child has a mental health problem. For a list of warning signs, call 1-800-789-2647 and ask for the brochure “Your Child’s Mental Health: What Every Family Should Know. (Order # CA-0001)
Available HELP
The National Mental Health Information Center, funded by the Center for Mental Health Services, can provide confidential information; free publications; and referrals to local, State, and national resources.
Call 1-800-789-2647
FAX 240-747-5470
(TDD) 866-889-2647
With Much Love,
Arthur Buchanan
President/CEO
Out of Darkness & Into the Light
43 Oakwood Ave. Suite 1012
Huron Ohio, 44839
567-219-0994 (cell)
http://www.out-of-darkness.com
They are calling Arthur Buchanan's methods of recovering from mental illness REVOLUTIONARY! (MEDICAL COLLEGE OF MICHIGAN) 'Arthur Buchanan has given us a revolutionary blue print for recovery in these uncertain times, when Mental Illness at a all time high in the United States of America, yet if you follow this young mans methods, we assure you of positive results and I QUOTE 'If these methods are followed precisely, their is no way you can't see positive results with whatever illness you have' -Dr. Herbert Palos Detroit, Michigan
Listen to Arthur Buchanan on the Mike Litman Show!
http://www.freesuccessaudios.com/Artlive.mp3
THIS LINK WORKS, LISTEN TODAY!
Alternatives In Mental Health
"Health" and "illness" are contrasting terms. They can be used in physical or in mental context. We know that physical exercise done on a regular basis keeps us healthy. Mental exercise also keeps us mentally healthy. Just like after doing physical exercise we need rest, after mental exercise the mind also needs rest. But we hear the term "physical rest" frequently. The term "mental rest" is rarely used. No doubt then that as mental activities have increased with industrialisation, stress has increased. This stress results from our inability to allow our mind to become inactive or relaxed for even a short time.
Some people believe that our brain becomes inactive when we sleep. If that were so then we should not have any dreams. Dreams are evidence that our mind remains active, even when we are asleep. This simply means that our mind is active 24 hours a day without any rest at all. Just imagine how our bodies would behave if we were to go through 24 hours of physical activity.
Although research may show that 30% of mental illness may occur without a trigger of stress, it also shows that a majority - 70% - of mental illnesses occur with stress. The research may have failed to look at the other 30%, mentally ill who may not be 'acknowledging' stress at a given moment. This gives us a pessimistic view of mental illnesses. We are made to believe that we can do nothing about them. We are also told that mental illnesses occur because of our genes, our upbringing, our personality, our temperament, our lifestyle and we can do nothing about them. Stress or no stress, we are told, if we have all these factors loaded in our personal history, we are prone to have a mental illness. Some psychiatrists adhere to this belief strongly. This belief is then put across authoritatively as the "gospel truth" of science. Naturally, this brings up a sense of low self-esteem and helplessness in the person who is suffering with the illness. We are then made to believe that medications are man-made answers to mental illness, which is a curse of nature.
Prayer, which was until recently considered unscientific, has now been shown to have beneficial effects on patients.1 Similarly, the current belief in psychiatry is that mental illnesses can be treated by medical professionals only and the person who is mentally ill has no control over their lives. The medical system works in a way in which the doctors themselves have limited choices other than prescribing drugs. The patient has no choices worth mentioning. From the legal perspective, a person who is mentally ill is considered not capable of taking any responsibility for their actions. This is one of the most unfortunate aspects of mental illnesses. People who are mentally ill also have a sense of responsibility in many areas of their lives.
The role of emotions in mental illnesses has been totally ignored by scientists. Yet researches do show that separation from mother,2 losses3 - including deaths,4 traumatic events, especially when they occur over the previous three months5 can trigger mental illnesses. What has been looked at is the history of such events in a person's life. What is ignored is the emotional upheaval it causes in a person's body and mind. Emotional expression ameliorates the effects of trauma.6 Repetitive upheavals in the body are simply not forgotten. Release of emotions by emotional expression explains the role of counselling and confession. We tend to believe, erroneously, that everything will settle with time. Things do settle with time - but not everything. It is these issues and their emotional effects, that cause mental illnesses and psychosomatic illnesses. It is obvious that whenever we undergo any emotional experience, our nervous and hormonal systems are shaken-up. The nervous system and the hormones together control the activities of various parts of the body. If the neurohormonal expression is allowed to go through completion, a physiological calmness occurs in the body. This has a scientific basis.7
For people who attend church regularly, a common experience is the sense of calmness on entering a church. Coupled with music, incense and sermons spoken in a low, soft tone, a sense of calmness dwells on the person. There is scientific evidence to suggest that going to church helps a person remain healthy.8 More interesting is the fact that there is little research to state that music or aromatherapy help to bring about mental health. Yet experience shows that they have a calming effect. Only recently have papers started to be published in scientific journals bridging the gap between spirituality and science.9 It has now been researched that people who are religious in orientation have a lower rate of strokes than those who are not religious.10
The whole area of mental illness is about losing a sense of freedom. When we find ourselves bound to emotional issues of our life, that we cannot rid ourselves of, we lose our freedom of thinking. This creates stress in our mind and our body bears the brunt of it. This loss of freedom brings up a sense of fear or a sense of helplessness. Both such feelings bring up a sense of insecurity. A person loses confidence in their own worth. Self-esteem becomes low. With lack of confidence and low self-esteem, comes poor decision-making. A person suffers with all these conditions when suffering with a mental illness. This changes the behaviour of the person. The behaviour is affected by the way the person feels and thinks. If the person feels fear for a long time, the chances of becoming phobic and paranoid increase. Withdrawal from social situations occurs. The family members observe the person to be unwell. Such a person is then asked to see a doctor. With the person's self-esteem low, vulnerability increases. This does not mean however, that the person becomes totally irresponsible towards their own well-being. Many times the person wants to do 'something' to get better, but the health system has limited resources to offer much in terms of growth of the person, except medication. When a mentally ill person goes to seek help - confidence, self-esteem and sense of freedom are already lost. Instead of helping the person become independent, there is a tendency to make the person dependent on medication.
Medication plays its role in controlling the condition or state of illness. It does nothing to improve the quality of life permanently. To improve their quality of life, the person needs to take responsibility for their own well-being. This is encouraged in some of the organisations, which are being run by the sufferers themselves. GROW is an example of such an organisation. Are there any alternatives to medication in mental conditions? A doctor can only prescribe drugs to "control" the mental condition. The current trend in some other parts of the world is to encourage people suffering with mental illnesses to take responsibility for their own well-being, along with medication. Psychotherapy11 and self-help is encouraged. The usage of medication in such situations is minimised or eliminated.
In psychiatry, we know that the suicide rate among physicians is higher than in the general population and psychiatrists are at a greater risk among physicians, than other specialists.12 Research shows that psychotherapy is more economical than medication alone in treating mental illness.13 Conditions like schizophrenia are also being treated without medication in some parts of the world.14 It is also a known fact that the more positive the attitude we have, the more balanced are the chemicals in our body.15 This would be more acceptable for those who see the positive role of religion on mental health. Some authors have suggested that the medicine of the future is going to be "prayer and Prozac."16 Mental health is a preventative activity. Do we need to suffer first before we take steps to deal with it? If we could only assume responsibility for our own mental health, we may not have to suffer. The best medicine in this case is certainly prevention.
We live in a free society. The freedom to suffer is also one kind of freedom. We also have the freedom to look for answers to minimise our suffering.
REFERENCES
1. ASTIN, J.A., (2000) Prayer, Other Forms of 'Distant Healing' seem to have Positive Effects. Medscape. Annals of Internal Medicine 132: P.903-910.
2. HARRIS T., BROWN G. W., BIFULCO A., (1986) Loss of Parent in Childhood and Adult Psychiatric Disorder: The Role of Lack of Adequate Parental Care. Psychological Medicine 16: P.641-659.
3. BROWN G. W., HARRIS T., (1978) Social Origins of Depression. Tavistock, London.
4. BIRTCHNELL J., (1970) Depression in Relation to Early and Recent Parent Death. British Journal of Psychiatry 116: P.299-306.
5. BROWN G. W., BIRLEY J. L. T., (1968) Crises and Life Changes and the onset of Schizophrenia. Journal of Health and Social Behaviour 9: P.203-214.
6. KELLER, S.E., SHIFLETT, S.C., SCHLIEFER, S.J. & BARTLETT, J.A. (1994) Stress, Immunity and Health. Handbook of Human Stress & Immunity. San Diego: Academic. P.217-244.
7. CHADHA, P. K., (2000) Drugless Psychiatry - Physiological Basis of Clinical Experiences. Paper presented in 6th Conference - Innovations in Psychiatry, London, April 2000.
8. COMSTOCK, G.W., PARTIDGE, K.B., (1972) Church Attendance and Health. Journal of Chronic Diseases 225: P.665-72.
9. SLOAN, R.P., BAGIELLA E., POWELL T., (1999) Religion, Spirituality and Medicine. Lancet 353: P.664-67.
10. KOENIG, H.G., (1997) Is Religion Good for your Health? Haworth Pastoral Press, N.Y.
11. POMERANTZ, J.M. (1999). Focused Psychotherapy as an Alternative to Long Term Medication. Drug Benefit Trends 11 (7) : P.2, 5.
12. KAPLAN, H.I., SADOCK., B.J., (1998) Synopsis of Psychiatry - 8th Edition - B.I. Waverly Pvt. Ltd., New Delhi. P.865.
13. TALLEY P. F., STRUPP, H. H., BUTLER S. S., (1994) Psychotherapy Research and Practice, Harper Collins: London.
14. McKENZIE, C.D., & WRIGHT, L.S., (1996) Delayed Post-Traumatic Stress Disorders from Infancy - The Two Trauma Mechanism. Harwood Academic.
15. MOON, A. M., (2000) Positive Psychology Halved Depression in Kids. Clinical Psychiatry News. 28 (5): P.29.
16. MATTHEWS, D.A., LARSON, D.B., (1997) Faith and Medicine: Reconciling the Twin Traditions of Healing. Mind/Body Medicine : 2: P.3-6.
Dr. Pradeep K. Chadha is a psychiatrist,who practises as a psychotherapist specialising in drugless treatment of psychological conditions. He is the author of 'The Stress Barrier - Nature's Way To Overcoming Stress' published by Blackhall Publishing, Dublin. His second book- The Road To A Happy Life- is being published this year by Raider Publishing in the UK, USA and Canada. He is based in Dublin, Ireland. His website address is:http://www.drpkchadha.com
Saturday, November 3, 2007
Real Men, Real Depression! (Mental Health Matters)
Depression is a serious but treatable medical condition - a brain disease - that can strike anyone, including men. In America alone, over 6 million men have depression each year.
Whether you're a company executive, a construction worker, a writer, a police officer, or a student, whether you are rich or poor, surrounded by loved ones or alone, you are not immune to depression. Some factors, however, such as family history, undue stress, the loss of a loved one or other serious illnesses can make you more vulnerable.
If left untreated, depression can lead to personal, family and financial difficulties, and, in some cases, end in suicide. With appropriate diagnosis and treatment, however, most people recover. The darkness disappears, hope for the future returns, energy and desire come back, and interest in life becomes stronger than ever
Depression can strike anyone regardless of age, ethnic background, socioeconomic status, or gender; however, large scale research studies have found that depression is about twice as common in women as in men. In the United States, researchers estimate that in any given one year period, depressive illnesses affect 12 percent of women (more than 12 million women) and nearly 7 percent of men (more than six million men).3 But important questions remain to be answered about the causes underlying this gender difference. We still do not know if depression is truly less common among men, or if men are just less likely than women to recognize, acknowledge, and seek help for depression.
Types of Depression
Just like other illnesses, such as heart disease, depression comes in different forms. This booklet briefly describes three of the most common types of depressive disorders. However, within these types, there are variations in the number of symptoms, their severity, and persistence.
Major depression (or major depressive disorder) is manifested by a combination of symptoms (see symptoms list below) that interferes with the ability to work, study, sleep, eat, and enjoy once pleasurable activities. A major depressive episode may occur only once; but more commonly, several episodes may occur in a lifetime. Chronic major depression may require a person to continue treatment indefinitely.
A less severe type of depression, dysthymia (or dysthymic disorder), involves long lasting, chronic symptoms that do not seriously disable, but keep one from functioning well or feeling good. Many people with dysthymia also experience major depressive episodes at some time in their lives.
Depression
Persistent sad, anxious, or “empty” mood.
Feelings of hopelessness or pessimism.
Feelings of guilt, worthlessness, or helplessness.
Loss of interest or pleasure in hobbies and activities that were once enjoyable, including sex.
Decreased energy, fatigue; feeling “slowed down.”
Difficulty concentrating, remembering, or making decisions.
Trouble sleeping, early morning awakening, or oversleeping.
Changes in appetite and/or weight.
Thoughts of death or suicide, or suicide attempts. Restlessness or irritability.
Persistent physical symptoms, such as headaches, digestive disorders, and chronic pain that do not respond to routine treatment.
Men and Depression
Researchers estimate that at least six million men in the United States suffer from a depressive disorder every year. Research and clinical evidence reveal that while both women and men can develop the standard symptoms of depression, they often experience depression differently and may have different ways of coping with the symptoms. Men may be more willing to acknowledge fatigue, irritability, loss of interest in work or hobbies, and sleep disturbances rather than feelings of sadness, worthlessness, and excessive guilt. Some researchers question whether the standard definition of depression and the diagnostic tests based upon it adequately capture the condition as it occurs in men.
Men are more likely than women to report alcohol and drug abuse or dependence in their lifetime;14 however, there is debate among researchers as to whether substance use is a “symptom” of underlying depression in men or a co occurring condition that more commonly develops in men. Nevertheless, substance use can mask depression, making it harder to recognize depression as a separate illness that needs treatment.
Instead of acknowledging their feelings, asking for help, or seeking appropriate treatment, men may turn to alcohol or drugs when they are depressed, or become frustrated, discouraged, angry, irritable, and, sometimes, violently abusive. Some men deal with depression by throwing themselves compulsively into their work, attempting to hide their depression from themselves, family, and friends. Other men may respond to depression by engaging in reckless behavior, taking risks, and putting themselves in harm’s way.
More than four times as many men as women die by suicide in the United States, even though women make more suicide attempts during their lives. In addition to the fact that men attempt suicide using methods that are generally more lethal than those used by women, there may be other factors that protect women against suicide death. In light of research indicating that suicide is often associated with depression, the alarming suicide rate among men may reflect the fact that men are less likely to seek treatment for depression. Many men with depression do not obtain adequate diagnosis and treatment that may be life saving.
Depression in Older Men
Men must cope with several kinds of stress as they age. If they have been the primary wage earners for their families and have identified heavily with their jobs, they may feel stress upon retirementloss of an important role, loss of self esteemthat can lead to depression. Similarly, the loss of friends and family and the onset of other health problems can trigger depression.
Depression is not a normal part of aging. Depression is an illness that can be effectively treated, thereby decreasing unnecessary suffering, improving the chances for recovery from other illnesses, and prolonging productive life. However, health care professionals may miss depressive symptoms in older patients. Older adults may be reluctant to discuss feelings of sadness or grief, or loss of interest in pleasurable activities.
They may complain primarily of physical symptoms. It may be difficult to discern a co occurring depressive disorder in patients who present with other illnesses, such as heart disease, stroke, or cancer, which may cause depressive symptoms or may be treated with medications that have side effects that cause depression. If a depressive illness is diagnosed, treatment with appropriate medication and/or brief psychotherapy can help older adults manage both diseases, thus enhancing survival and quality of life.
Identifying and treating depression in older adults is critical. There is a common misperception that suicide rates are highest among the young, but it is older white males who suffer the highest rate. Over 70 percent of older suicide victims visit their primary care physician within the month of their death; many have a depressive illness that goes undetected during these visits. This fact has led to research efforts to determine how to best improve physicians’ abilities to detect and treat depression in older adults.
Approximately 80 percent of older adults with depression improve when they receive treatment with antidepressant medication, psychotherapy, or a combination of both. In addition, research has shown that a combination of psychotherapy and antidepressant medication is highly effective for reducing recurrences of depression among older adults. Psychotherapy alone has been shown to prolong periods of good health free from depression, and is particularly useful for older patients who cannot or will not take medication.18 Improved recognition and treatment of depression in later life will make those years more enjoyable and fulfilling for the depressed elderly person, and his family and caregivers.
A depressive disorder is not the same as a passing blue mood.
Depression can strike anyone regardless of age, ethnic background, socioeconomic status, or gender; however, large scale research studies have found that depression is about twice as common in women as in men.In the United States, researchers estimate that in any given one year period, depressive illnesses affect 12 percent of women (more than 12 million women) and nearly 7 percent of men (more than six million men) But important questions remain to be answered about the causes underlying this gender difference. We still do not know if depression is truly less common among men, or if men are just less likely than women to recognize, acknowledge, and seek help for depression.
Symptoms of Depression
Not everyone who is depressed or manic experiences every symptom. Some people experience only a few; some people suffer many. The severity of symptoms varies among individuals and also over time.
Depression
Persistent sad, anxious, or “empty” mood.
Feelings of hopelessness or pessimism.
Feelings of guilt, worthlessness, or helplessness.
Loss of interest or pleasure in hobbies and activities that were once enjoyable, including sex.
Decreased energy, fatigue; feeling “slowed down.”
Difficulty concentrating, remembering, or making decisions.
Trouble sleeping, early morning awakening, or oversleeping.
Changes in appetite and/or weight.
Thoughts of death or suicide, or suicide attempts.
Restlessness or irritability.
Persistent physical symptoms, such as headaches, digestive disorders, and chronic pain that do not respond to routine treatment.
Depression can coexist with other illnesses. In such cases, it is important that the depression and each co occurring illness be appropriately diagnosed and treated.
Research has shown that anxiety disorderswhich include post traumatic stress disorder (PTSD), obsessive compulsive disorder, panic disorder, social phobia, and generalized anxiety disordercommonly accompany depression. Depression is especially prevalent among people with PTSD, a debilitating condition that can develop after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened.
Traumatic events that can trigger PTSD include violent personal assaults such as rape or mugging, natural disasters, accidents, terrorism, and military combat. PTSD symptoms include: re experiencing the traumatic event in the form of flashback episodes, memories, or nightmares; emotional numbness; sleep disturbances; irritability; outbursts of anger; intense guilt; and avoidance of any reminders or thoughts of the ordeal. In one NIMH supported study, more than 40 percent of people with PTSD also had depression when evaluated at one month and four months following the traumatic event.
Substance use disorders (abuse or dependence) also frequently co occur with depressive disorders. Research has revealed that people with alcoholism are almost twice as likely as those without alcoholism to also suffer from major depression. In addition, more than half of people with bipolar disorder type I (with severe mania) have a co occurring substance use disorder.
Men and Depression
Researchers estimate that at least six million men in the United States suffer from a depressive disorder every year. Research and clinical evidence reveal that while both women and men can develop the standard symptoms of depression, they often experience depression differently and may have different ways of coping with the symptoms. Men may be more willing to acknowledge fatigue, irritability, loss of interest in work or hobbies, and sleep disturbances rather than feelings of sadness, worthlessness, and excessive guilt. Some researchers question whether the standard definition of depression and the diagnostic tests based upon it adequately capture the condition as it occurs in men.
Men are more likely than women to report alcohol and drug abuse or dependence in their lifetime; however, there is debate among researchers as to whether substance use is a “symptom” of underlying depression in men or a co occurring condition that more commonly develops in men. Nevertheless, substance use can mask depression, making it harder to recognize depression as a separate illness that needs treatment.
Instead of acknowledging their feelings, asking for help, or seeking appropriate treatment, men may turn to alcohol or drugs when they are depressed, or become frustrated, discouraged, angry, irritable, and, sometimes, violently abusive. Some men deal with depression by throwing themselves compulsively into their work, attempting to hide their depression from themselves, family, and friends. Other men may respond to depression by engaging in reckless behavior, taking risks, and putting themselves in harm’s way.
More than four times as many men as women die by suicide in the United States, even though women make more suicide attempts during their lives. In addition to the fact that men attempt suicide using methods that are generally more lethal than those used by women, there may be other factors that protect women against suicide death. In light of research indicating that suicide is often associated with depression,17 the alarming suicide rate among men may reflect the fact that men are less likely to seek treatment for depression. Many men with depression do not obtain adequate diagnosis and treatment that may be life saving.
More research is needed to understand all aspects of depression in men, including how men respond to stress and feelings associated with depression, how to make men more comfortable acknowledging these feelings and getting the help they need, and how to train physicians to better recognize and treat depression in men. Family members, friends, and employee assistance professionals in the workplace also can play important roles in recognizing depressive symptoms in men and helping them get treatment.
The first step to getting appropriate treatment for depression is a physical examination by a physician. Certain medications as well as some medical conditions such as a viral infection, thyroid disorder, or low testosterone level can cause the same symptoms as depression, and the physician should rule out these possibilities through examination, interview, and lab tests. If no such cause of the depressive symptoms is found, the physician should do a psychological evaluation or refer the patient to a mental health professional.
A good diagnostic evaluation will include a complete history of symptoms: i.e., when they started, how long they have lasted, their severity, and whether the patient had them before and, if so, if the symptoms were treated and what treatment was given. The doctor should ask about alcohol and drug use, and if the patient has thoughts about death or suicide. Further, a history should include questions about whether other family members have had a depressive illness and, if treated, what treatments they may have received and if they were effective. Last, a diagnostic evaluation should include a mental status examination to determine if speech, thought patterns, or memory has been affected, as sometimes happens with depressive disorders.
Treatment choice will depend on the patient’s diagnosis, severity of symptoms, and preference. There are a variety of treatments, including medications and short term psychotherapies (i.e., “talk” therapies), that have proven effective for depressive disorders. In general, severe depressive illnesses, particularly those that are recurrent, will require a combination of treatments for the best outcome.
Alcohol including wine, beer, and hard liquoror street drugs may reduce the effectiveness of antidepressants and should be avoided. However, doctors may permit people who have not had a problem with alcohol abuse or dependence to use a modest amount of alcohol while taking one of the newer antidepressants.
Questions about any medication prescribed, or problems that may be related to it, should be discussed with your doctor.
How to Help Yourself if You Are Depressed
Depressive disorders can make one feel exhausted, worthless, helpless, and hopeless. It is important to realize that these negative views are part of the depression and do not accurately reflect the actual circumstances. Negative thinking fades as treatment begins to take effect. In the meantime: Engage in mild exercise. Go to a movie, a ballgame, or participate in religious, social, or other activities. Set realistic goals and assume a reasonable amount of responsibility.
Break large tasks into small ones, set some priorities, and do what you can as you can.
Try to be with other people and to confide in someone; it is usually better than being alone and secretive. Participate in activities that may make you feel better. Expect your mood to improve gradually, not immediately. Feeling better takes time. Often during treatment of depression, sleep and appetite will begin to improve before depressed mood lifts.
Postpone important decisions. Before deciding to make a significant transition–change jobs, get married or divorced–discuss it with others who know you well and have a more objective view of your situation.
Do not expect to ‘snap out of’ a depression. But do expect to feel a little better day by day.
Remember, positive thinking will replace the negative thinking as your depression responds to treatment. Let your family and friends help you.
How Family and Friends Can Help
The most important thing anyone can do for a man who may have depression is to help him get to a doctor for a diagnostic evaluation and treatment. First, try to talk to him about depressionhelp him understand that depression is a common illness among men and is nothing to be ashamed about. Perhaps share this booklet with him. Then encourage him to see a doctor to determine the cause of his symptoms and obtain appropriate treatment.
Occasionally, you may need to make an appointment for the depressed person and accompany him to the doctor. Once he is in treatment, you may continue to help by encouraging him to stay with treatment until symptoms begin to lift (several weeks) or to seek different treatment if no improvement occurs. This may also mean monitoring whether he is taking prescribed medication and/or attending therapy sessions. Encourage him to be honest with the doctor about his use of alcohol and prescription or recreational drugs, and to follow the doctor’s orders about the use of these substances while on antidepressant medication.
The second most important thing is to offer emotional support to the depressed person. This involves understanding, patience, affection, and encouragement. Engage him in conversation and listen carefully. Do not disparage the feelings he may express, but point out realities and offer hope. Do not ignore remarks about suicide. Report them to the depressed person’s doctor. In an emergency, call 911. Invite him for walks, outings, to the movies, and other activities. Be gently insistent if your invitation is refused. Encourage participation in some activities that once gave pleasure, such as hobbies, sports, religious or cultural activities, but do not push him to undertake too much too soon. The depressed person needs diversion and company, but too many demands can increase feelings of failure.
Listed below are the types of people and places that will make a referral to, or provide, diagnostic and treatment services.
Family doctors
Mental health specialists, such as psychiatrists, psychologists, social workers, or mental health counselors Religious leaders/counselors
Health maintenance organizations
Community mental health centers
Hospital psychiatry departments and outpatient clinics
University or medical school affiliated programs
State hospital outpatient clinics
Social service agencies
Private clinics and facilities
Employee assistance programs
Local medical and/or psychiatric societies
Conclusion
A man can experience depression in many different ways. He may be grumpy or irritable, or have lost his sense of humor. He might drink too much or abuse drugs. It may be that he physically or verbally abuses his wife and his kids. He might work all the time, or compulsively seek thrills in high risk behavior. Or, he may seem isolated, withdrawn, and no longer interested in the people or activities he used to enjoy.
Perhaps this man sounds like you. If so, it is important to understand that there is a brain disorder called depression that may be underlying these feelings and behaviors. It’s real: scientists have developed sensitive imaging devices that enable us to see depression in the brain. And it’s treatable: more than 80 percent of those suffering from depression respond to existing treatments, and new ones are continually becoming available and helping more people. Talk to a healthcare provider about how you are feeling, and ask for help.
Or perhaps this man sound like someone you care about. Try to talk to him, or to someone who has a chance of getting through to him. Help him to understand that depression is a common illness among men and is nothing to be ashamed about. Encourage him to see a doctor and get an evaluation for depression.
For most men with depression, life doesn’t have to be so dark and hopeless. Life is hard enough as it is; and treating depression can free up vital resources to cope with life’s challenges effectively. When a man is depressed, he’s not the only one who suffers. His depression also darkens the lives of his family, his friends, virtually everyone close to him. Getting him into treatment can send ripples of healing and hope into all of those lives.
Depression is a real illness; it is treatable; and men can have it. It takes courage to ask for help, but help can make all the difference.
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Leading Psychiatrists are calling Arthur a 'walking miracle'-After 15 years in mental institutions, absorbing inhumane shock treatments, abusing alcohol, he's now being called worldwide’ The Zig Ziglar of Mental Illness 'Read about his amazing comeback and what #1 best-selling author Mike Litman has called The Most Inspirational Book of 2002' Out of Darkness - One Man's Journey From The Depths Of Mental Illness to Pure Joy
Listen to Arthur Buchanan on the Mike Litman Show!
http://www.freesuccessaudios.com/Artlive.mp3
THIS LINK WORKS, LISTEN TODAY!
With Much Love,
Arthur Buchanan
President/CEO
Out of Darkness & Into the Light
43 Oakwood Ave. Suite 1012
Huron Ohio, 44839
http://www.out-of-darkness.com
567-219-0994 (cell)