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Archive for the ‘Mental Health’ Category

Brief on Mental Health Matters

Tuesday, October 28th, 2008

What is called ‘The Blasted terror barrier’?

Have you ever seen your beloved stuck in his spot in your head lights? Just frozen they are unable to move? He is struck with terror and can not move from his spot even if it means he gets squished and dies.

This is what sort of happens to us, we get caught in the bright lights of life, which is our past and how we’ve always acted! We can now break through the terror barrier and move from out of those lights and then we won’t get squished by the past and we then move on past the terror barrier, unto a new reality which is free from terror!

You may be asking your self how do I break all these bad habits and be frozen in the past or the way we have been taught to act in certain situations. First we have to find a way that works for us, to get past the terror barrier. It was put to me in these certain terms, now don’t laugh, it sounds so simple that I even said what the hell, this can’t be it! IF YOU DO THE THING, YOU WILL HAVE THE POWER, IF YOU DON’T DO THE THING, YOU WON’T HAVE THE POWER!

Can you it really be that simple? Yes and no is my answer. For thirty six years of my life I fought the terror barrier and have just recently found out how to break this nasty little wall of terror. The good thing for you is, you will now have a blue print to overcome this terror barrier, which I struggled with for my whole life!

What is our first step in overcoming the terror barrier? Self relation that a terror barrier does truly exist and that you are affected by it every day it literally takes control over you. Now what do you think chances of beating are? If you can’t do this step you sure as hell aren’t going to go to the next step, so if you disagree that there is no terror barrier, then please stop reading this book right now, and send it back for a full refund.

Now what is our next step in overcoming the terror barrier? Recognition that you are helpless over the terror barrier right now, but there is hope and recognize that hope is always there and will always be there and you can tap into the universal power that is one with God. Now once you get a handle on this step you will find out that you can use this and apply it to any situation in your life.

Relentlessness’ pursuit of your goal or dreams, if you get knocked down, get back up and try it again the only way you are considered a failure is if you stop trying. If you but will continue to try then each failure or not getting the right results you want, moves you one step closer to your dreams.

Just because you don’t make on your first try don’t sweat it, you can make it on the second or third time and this is a given. Robert Kiosks says you will fail nine times out of ten, but it’s the tenth one that makes you a millionaire. So being rent less in your pursuit of any dream or goal, will get you that much closer, each time you fail or you do not get the desired Results you are that much closer to your desired results. So being a failure is not so bad because the more you fail the closer you are getting to what you want. So be rent less in your pursuit of your dreams and goals and know that next failure gets you one step closer to your desired results.

Now we have covered the three a r’s, Recognition, Realization, Relentlessness. What is next? Well it sort of goes like this. Zig Ziglar says that failure is an event not a person.
So who cares if you fail that is not you, which is just some event that got you one step closer to your desired results. So please know when you are failing that is not who you are, it is just something that happened to you, it is an event. Your time will come and before you know it you will overcome that terror barrier!

Now do you see that with these three action steps you get closer and closer to overcoming your terror barrier? Well you should because every step gets you closer to your goals. Now you will sometimes erect wall that keep you in the place where you are at. I bet you are saying no way why would I do that? Let me explain.

Every time you think you are getting to where it is you want to go. POW everything falls apart and you have to stay where you are at. Why is this so, the brain knows that it is much easier to stay where you are then to do all the work required to get to the next level.

We erect barriers that weren’t normally going to be there. We self sabotage your plans and we don’t even know this. Now once we understand that this is what we are doing, we can find a way to stop it. How? In the above steps we have just given an outlined view and you will be well on your way to beat the thing we call the nasty terror barrier and this will stretch your realism. A vast new world welcomes you to live healthy life!

Are we giving more mental pressure to our kids?

Tuesday, October 28th, 2008

It is a general thing to listen that parents want their kids make what parents couldn’t make. This phrase includes various sorts of situations. Some parents want their kids to be the best at something. For example, they want their kids to become best football player, best musician, the best doctor, the best lawyer, etc, and they simply forgot about their children’s feelings.

Nowadays, thanks to the new technologies, new services are appearing all along the net. Perhaps you never hear about that, but in the last years the online counseling and online therapy has became very popular between therapists and patients. This kind of professional assistance is meant to solve this, and a lot more, kind of problems. It can give you another perspective, another point of view, of this situation. The usual demands that online counselors receive are people who just want to have a professional point of view over an issue that are concerning them

Some people might feel that online therapy is not for them. What I can recommend you is just to try, you have nothing to loose since you will not have to move from your office or home and is much cheaper than the traditional therapy. On top of all these strong points, what I think is essential in the results we get when working online is the strength of the writing process. When one has the time to think about what is going on inside him/her, it gives a different perspective of us.

The most important thing here is to take online counseling as a regular treatment. After certain period of time, people could be able to find an enormous increase in their self-respect. You shouldn’t rush into it without getting good advice in which kind of service is healthier for you. Today you can choose between e-mail, chat, telephone and video conference services.

To Maintain Mental Health

Tuesday, October 28th, 2008

The community mental heath team is available to assist the people who are suffering from mental illness. The first port of call for anyone who thinks that they are suffering from some kind of mental health problem is your doctor who will be able to recommend the right sort of help.

The community mental health team consists of a number of professionals who are trained in their specific areas and can include psychiatrists, psychologists, occupational therapists, social workers, and of course the community psychiatric nurse or CPN. Some specific problems or issues that can arise in addition to existing mental health problems or which can exacerbate or trigger mental health problems and which might need extra consideration include: Financial problems; Physical disabilities; Housing issues; Divorce or relationship problems and Childcare issues.

Certain kinds of mental health problems may result in different needs and may therefore require some specialist help to deal with and these can include: Elderly depression and dementia; Child or Teen depression; Postnatal depression; Bipolar disorder and  Schizophrenia.

Obviously, finding one person fully qualified and skilled in all of these areas just isn’t possible so the community mental health team work together in order to ensure that the best advice and support is available as many of the professionals involved will be trained in specialist areas that allow them to offer a better service to people suffering from specific problems. So who is likely to be involved in the community mental health team?
Psychiatrist

Patients can be referred to a psychiatrist by their doctor. After an initial assessment, the psychiatrist will recommend a suitable course of treatment and medication. If a mental health problem is particularly severe then they are also able to recommend that the individual be detained in hospital for a period of time. However, this is a last resort and also requires the approval of another doctor and a social worker who all agree that this is the best option for an individual concerned either for the individual’s safety or for the safety of others.

Psychologist

Psychologists have an understanding of human behavior, emotions and how the mind works and although they cannot prescribe medication they can offer various types of psychological therapies. Patients can be referred to them by the doctor or other members of the community health team.
The Key Worker

People suffering from mental health problems will usually be assigned a key worker, which can be anyone in the community mental health team. The key worker ensures that the individual gets the right kind of help that they need. They will regularly assess the progress of an individual and report back to the rest of the team.

Community Psychiatric Nurse or CPN

The key worker will often be a CPN who will usually make regular visits to people with mental health problems in their own homes. They offer an important lifeline for people who are feeling isolated and alone with their mental health problems or who are experiencing particular difficulties. They are aware of the many issues surrounding mental health and can listen as well as help people talk through their problems in a setting in which they feel comfortable.

The CPN will liaise with and work closely with other members of the team to make sure that any practical support and assistance is offered when needed. They monitor medication, make sure the individual knows how to take their medication and they also look out for additional symptoms or side effects of that medication. The family and loved ones of a person suffering from mental health problems often need additional support in order to understand mental illness and to be able to cope with it, the CPN can offer practical advice and guidance.

Occupational Therapists

Occupational therapists help individuals to cope with practical issues on a day to day basis in areas such as dressing, toileting and feeding themselves and can help individuals regain some control of their lives.

Social workers

Social workers can ensure that an individual gets access to various social services that will improve their quality of life and that they may be entitled to such as home help, respite care and perhaps admission to day or residential centres. They can also offer assistance in dealing with housing needs, financial difficulties or other social problems.

The best care

Many other people can be involved in the community mental health team including various support workers, therapists, counselors, and of course loved ones. Together they all make sure that the individual suffering from mental illness gets the best care possible. Each team member can make an important contribution to the individual’s excellence of life and can help them not only to cope with their sickness on everyday basis but to recover control over their lives and integrate with the rest of the community in a optimistic and creative way.

Men and Depression - MHM

Tuesday, October 28th, 2008

Depression is a risky thing but it can be easily treatable in medical condition - a brain disease - that can strike anyone, including men. In America alone, over 6 million men have depression each year.

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 in Older Men

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.

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 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 disorder commonly 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.

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 depression help 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.

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 mentally, he is not the only one who suffers; his depression also darkens the lives of his family, his friends, virtually everyone close or love to him. Getting the sufferers into treatment can send ripples of healing and hope into all of those lives. Depression is a real health ill; it is treatable; and men can have it. It takes family encouragement, self-courage to seek medical help, but help can make all the difference and make their life bright..

Mental Health Services in School

Tuesday, October 28th, 2008

Professionals are finding evidence-based practices to improve outcomes related to services, when are resources are scarce and troubles. Evidence is emerging that school-based mental health services are powerful and cost efficient way to improve school performance and mental health and reduce behavioral troubles. To assess the effectiveness of school based mental health (SBMH) services to provide these outcomes in students from Pre-K - 12th grades, Robert Schmidt, M.Ed. and Kathryn Seifert, Ph.D. collaborated on the evaluation of outcomes for a SBMH program for a mid-Atlantic rural school district.

The project began in 1999 after a Federal grant was awarded to the school district. The children’s scores on the Devereaux, BASC, CARE and several school measures such as absenteeism, disciplinary referrals, and suspensions were measured from the beginning of services and at the beginning and end of each school year. Youth were referred to the project from teachers, guidance counselors, parents, student self-referrals and other agencies such as the Departments of Social Services and Juvenile Services of which resulted in 1,247 SBMH referrals during a five-year period.

Mental Health Services for Students

From 1999 to 2004, 36% of these students were referred because of symptoms of depression, 26% because of family problems, and 24% because of behavior problems. There were 84 referrals to the program in 1999, compared to 437 students in 2002 and 239 students in 2003. Peak referral times were consistently observed during the months of October and February. Youth in the transition years of sixth and ninth grades were referred to the program most often. More Caucasian females participated in the project than any other ethnic/gender group. In 2000, 2,132 mental health sessions were provided, in contrast to an amazing 15,763 sessions during the 2003/04 school year.

A group of one hundred thirty-two students who participated in the program showed significantly improved attitudes toward teachers and school, decreased mental health symptoms, and increased self-esteem after one year of services. From the 2001 to the 2002 school year, students participating in SBMH had significantly improved school attendance (from approximately 4600 to 4200 days absent). One hundred seventy-eight students had a significant (49%) decrease in disciplinary referrals and violence related disciplinary referrals from the 2001 to the 2002 school year. One hundred thirty-four participants had a significant decrease (54%) in suspensions from school. Parents of 103 students reported that their children were having significantly fewer problems after receiving services. Ninety-nine youth self-reported significantly improved commitment to school, interpersonal relationships and self-esteem, as well as fewer stress related problems. Two hundred fifty students reported significantly reduced school maladjustment and clinical maladjustment and improved attitudes toward parents and emotional well-being.

This project demonstrated that school based mental health services improved student well-being, behavior and school success, while showing a significant decrease in the initial presenting mental health symptoms, violence and other behavior problems at home and at school. Other school-based mental health services must be provided, expanded, studied, though these services and study enter into its sixth year. This project provides a framework to improve the health of student.