Archive for the ‘Mental Health’ Category

Hints for Handling Holiday Stress

November 30th, 2021

The holidays are upon us. But along with the holidays comes a dizzying array of demands on our time and energy. These demands include planning and preparing meals, baking, shopping, cleaning, attending holiday events and entertaining guests.

Family celebrating the holidays

This season is supposed to be a joyous time full of celebrations with family and friends. But often, we set impossibly high expectations for our holiday celebrations that cannot be reached, making this one of the most stressful times of the year for many people.

According to a survey by the American Psychological Association, 38 percent of people reported that their stress level increases during the holidays. In another survey, 53 percent indicated that they feel financially stressed by holiday spending. And more than half of the respondents in that survey noted that they had created budgets for their spending.

Stress can ruin your holiday celebrations and harm your health, so it’s important to recognize its presence in your life. Stress has physical and emotional symptoms. Look out for these physical symptoms of stress, which include:

  • Body aches and pains
  • Headaches, dizziness or shaking
  • Chest pain or a feeling that your heart is racing
  • Fatigue
  • Difficulty sleeping
  • Stomachaches or other digestive problems
  • Sexual dysfunction

Emotional signs of stress include:

  • Depression
  • Anxiety
  • Irritability
  • Memory and concentration difficulties
  • Mood swings

But don’t get discouraged. With a little self-awareness and planning, you can avoid becoming overly stressed this holiday season. Here are just a few hints to help you handle the high expectations of this time of year and stay mentally and physically stress-free:

  • Set realistic expectations. The holidays don’t have to be perfect or repeats of past years’ successes. As families grow, traditions evolve. Choose a few time-honored traditions to carry on and be open to beginning new traditions as your family’s dynamics change.
  • Don’t lose sight of what really counts. When you get frustrated by long lines in the stores or heavy traffic, use the time to reflect on the good things that happened to you that day or the many things in your life that you’re grateful for. Make frustrating moments pleasant by looking at the environment around you with fresh, positive eyes.
  • Plan ahead. Set aside specific days for shopping, baking, visiting with friends and other activities. Plan your holiday menu, make a list and then go shopping to avoid last-minute trips to the store for forgotten ingredients. Consider shopping online to save a trip to an overcrowded mall, which can be stressful.
  • Accept that you can’t do it all. There are a million things to do during the holidays and only so much time. Remember that you are only one person and can only accomplish certain things. Acknowledge that you can’t attend every holiday event. It’s OK to say “No” to your neighbor’s holiday party invitation. They’ll understand. They’re facing holiday stress just as you are.
  • Don’t overspend. Create a budget and stick to it. Decide how much money you can afford to spend on gifts and food before you go shopping. Set aside the amount of money you’ve dedicated to each person’s gift in an envelope with the person’s name on it and stay within that limit. When shopping, consider leaving your credit and debit cards at home and only spending the amount of cash you have on hand.
  • Respond with kindness. You can’t change how others act but you can change how you respond to them. Keep in mind that the holidays are a particularly difficult time for people who are alone. During this holiday season, consider extending a kind act, such as visiting or providing a meal, to someone you know has no family or friends.
  • Take care of yourself. Don’t forget your healthy lifestyle habits. Eat right, exercise regularly and get sufficient sleep. It may be a challenge to maintain these habits during the bustling holiday season but taking care of yourself helps keep your body and mind primed to deal with stress. And don’t overindulge on food or alcohol during the holidays. It only causes guilt and adds to your stress.
  • Take a break. Take a few minutes for yourself to be alone and recharge your batteries. Go for a walk, listen to your favorite music or read a book. You’ll feel refreshed and others will benefit as well when you’re feeling less stressed and more focused. 
  • Seek help. Accepting support from friends and family can help you manage holiday stress. But if you feel persistently sad or anxious, depressed, irritable or hopeless, or if you are unable to sleep or perform everyday tasks due to stress, seek your doctor or a mental health professional’s help.    

Minding Mental Health

May 3rd, 2021

May is a great month! Spring is in full bloom (which isn’t entirely GOOD news for those of us with allergies), and it’s a time to celebrate our very special Moms. There’s another tradition we observe in May. It’s the time we become more aware of mental health and mental illness. Mental illness is a huge issue, and there’s still a lot of misinformation about it in our popular culture.

The American Psychiatric Association defines mental illness as “any health condition involving changes in thinking, emotion or behavior (or a combination of these). Mental illness is associated with distress and/or problems functioning in social, work or family activities.” Still, the majority of people with mental illness continue to function in their daily lives despite their illness.

Almost everyone is touched in some way by mental illness. It affects one in five adults, nearly 47 million Americans. And of those, 11 million are living with serious mental illness, one that limits major life activities. Serious mental illnesses include disorders such as major depression, bipolar disorder and schizophrenia.

In addition, 14.8 million people in the US have an alcohol use disorder and 8.1 million have an illegal drug disorder. Further, 2 million Americans have an opioid disorder, which includes prescription pain reliever and/or heroin abuse.

Why are so many people affected by mental illness? The exact cause of mental illness is unknown, but researchers have uncovered a few factors that may contribute to its development. One is genetics. Many mental illnesses run in families, suggesting people inherit at least a susceptibility to developing a particular illness.

An imbalance of brain chemicals called neurotransmitters has been linked to some types of mental illness as well. These chemicals help your brain cells communicate with each other. If they can’t communicate properly because the chemicals are out of whack, clear messages can’t get through the brain.

Another contributing factor is psychological trauma such as severe physical, emotional or sexual abuse endured as a child, witnessing a traumatic event or experiencing significant loss. Environmental factors can also contribute. These include the death of someone close to you, a divorce or a big change in your life, such as a new job. These factors often foster substance abuse.

Whatever the cause, mental illness is just that, an ILLNESS, not a weakness in your character.

Mental illness runs the gamut, from mild depression to psychotic schizophrenia. Each illness has its own set of symptoms, but I’m giving you a few general signs and symptoms so you know what to watch out for, in yourself and others. These are some of the common signs and symptoms of mental illness:

• Sleep or appetite changes
• Mood changes
• Withdrawal and loss of interest in activities
• Problems thinking
• Decrease in functioning
• Illogical thinking
• Nervousness
• Unusual behavior

If you notice these symptoms and are willing to get help, consult a qualified mental health professional. These providers understand mental illness and can recommend the best course of treatment for you. If you ever feel like hurting yourself or others, call your local crisis hotline or 911.

There is no medical test for diagnosing mental illness, but your doctor may use tests to rule out a medical reason for your symptoms. To make a diagnosis, your mental health professional will follow the guidelines outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), published by the American Psychiatric Association.

The DSM-5 lists criteria including feelings, symptoms and behaviors over a period of time that you must meet in order to be officially diagnosed with a mental illness. The mental health professional gleans this information through interviews with you about your symptom history.

Many people with mental illness achieve strength and recovery through participating in individual or group treatment. The specific treatment chosen for you is based on the type of mental illness you have and the severity of your symptoms.

The most common methods of treatment are medication and psychotherapy, or a combination of both. Other options that may be considered including hospitalization, day treatment, group therapy and specific therapy such as cognitive behavioral therapy.

Medications don’t cure mental illness but they can control symptoms, and your doctor may use one or more types of medication to treat you. Common psychiatric medications for treating mental illness include antidepressants, anti-anxiety medications, mood-stabilizing medications and anti-psychotic medications.

Psychotherapy, or talk therapy, aims to help you identify and change troubling emotions, thoughts and behaviors. It provides a supportive environment that allows you to talk openly about your feelings, as well as your experiences and relationships, which may be contributing factors to your condition.

In most cases, treatment is effective, but you’ve got to be compliant. If you’re prescribed medication, take it. If it causes intolerable side effects, tell your doctor. Maybe you can try another drug. Psychotherapy helps more than you might think, but you’ve got to participate. Treatment may take time to work, but if you comply, you’ll likely feel better and function fully.

Stressed by the Headlines? There’s Hope

June 4th, 2020

Infections. Deaths. Racism. Brutality. Rioting. Looting. Shooting. Killing. It seems today’s headlines herald terrible news that the world we live in is in utter chaos. If you’re like me, you’re probably feeling somewhat frazzled by it all. And if you’re a news junkie, you may even be feeling downright depressed! There’s actually a name for that feeling.

Psychologist Steven Stosny originally coined the term election stress disorder to describe the feeling of anxiety caused by the onslaught of news surrounding the 2016 presidential election. Stosny later renamed the condition headline stress disorder when the anxiety persisted past the election. The term is pretty fitting for what’s happening today as well, don’t you think?

Headline stress disorder reflects the fact that to grab attention, news headlines often use words that create fear or anger in readers. Stosny recommends reading past the headline. Typically, once you read on and get all the facts, the situation being reported is not as awful as the headline portends.

But today’s news is stressful beyond the headlines. And we must learn to deal with stress in our lives because it can have a profound effect on our physical and mental health.

Stress is a natural response to life experiences. In potentially threatening situations, your central nervous system reacts to stress by initiating the “fight or flight” response. Your CNS triggers your adrenal glands to release the stress hormones adrenaline and cortisol, which increase heart and breathing rates and send blood to your organs and muscles to prepare them for action.

Ideally, when the threat is over, your body returns to a normal, relaxed state called homeostasis. But with chronic stress, your body remains hyped up on stress hormones. This can lead to symptoms such as irritability, anxiety, depression, headaches and insomnia. https://www.healthline.com/health/stress/effects-on-body#1

Chronic stress can also elevate blood pressure, cause chest pain and sexual problems and worsen symptoms of existing diseases, including heart disease, cancer and lung disease. It’s also been linked to low back pain, inflammatory bowel disease, changes in women’s menstrual cycles and structural changes in the brain leading to memory, thinking and learning difficulties.

Some people living with chronic stress develop unhealthy behaviors as a way of coping. They may misuse food, alcohol, tobacco or drugs, or gamble compulsively, engage in sex, shop or use the internet excessively. Unfortunately, these behaviors tend to cause more stress rather than relieve it. It becomes a vicious cycle.

Today, we’re bombarded with a nearly constant flow of news about COVID-19 and the riots surrounding the George Floyd protests. And the bad news is keeping some in a state of chronic stress beyond headline stress disorder. The American Psychological Association notes that a few lessons learned from past disasters are applicable to what’s happening now.

We’ve learned that social media may escalate anxiety more than traditional media, but too much media of any kind can undermine mental health. Also, it was found that trustworthy information sinks in. The bottom line: you can stay informed of events, but be sure to find authoritative sources and be mindful of how much time you’re absorbed in the news.

To help you tune out the bad news for a while, set a limit on how much time you spend looking at the news on TV or on your social media on your phone or computer. This can give you a chance to relax from headline stress disorder and allow your body’s stress response to return to homeostasis.

You can also benefit by engaging in stress management. Regular exercise is a good way to manage stress in your life, as is spending time with your friends and family. Practicing relaxation techniques such as meditation, deep breathing and yoga can also help with stress. If you find that you can’t handle stress on your own and it’s affecting your health, seek professional help.

It’s important that you take care of yourself, especially if you feel stressed about the latest headlines. Self-care enhances your nervous system’s response to stress, and that improves your physical health and overall wellbeing. And when you feel good, you can better handle the negative impact of headline stress disorder and whatever crises are in the news.

Anxiety Amid COVID-19

April 3rd, 2020

A national survey conducted March 18 and 19 by the American Psychiatric Association (APA) showed that the COVID-19 pandemic is significantly affecting the nation’s mental health. In the survey, half of US adults reported high levels of anxiety.

Among the survey respondents, 48 percent reported feeling anxious about the possibility of contracting COVID-19 themselves, and 40 percent said they were anxious about becoming seriously ill or dying from the virus. In addition, 62 percent reported being anxious about the possibility of a loved one contracting the illness.

The president of the APA, Bruce J. Schwartz, MD, suggests that this level of anxiety is appropriate given the current circumstances in this country. But he warns that the rate of mental distress in America could surge if the COVID-19 crises continues much longer.

It’s the uncertainty surrounding the COVID-19 pandemic that can cause the physical, emotional and mental reactions in people. If you have a high level of anxiety, you may experience feelings such as anger, rage, confusion, helplessness, sadness, depression and guilt. Other symptoms of anxiety that may occur include:

  • Tenseness or nervousness
  • Constant exhaustion
  • Difficulty sleeping
  • Difficulty concentrating
  • Increased heart rate
  • Stomach upset
  • Constant crying
  • Isolation
  • Heavy use of alcohol and/or drugs

When these feelings don’t go away after a few weeks or get worse, it may be a good idea to seek professional help. Seek help from a trained professional if you or a loved one is unable to return to a normal routine, feel helpless, have thoughts of hurting yourself or others, or begin to use alcohol and drugs to excess.

People with pre-existing mental health conditions are especially vulnerable to stress and anxiety during crisis situations. During this current COVID-19 crisis, these individuals should continue with their treatment and be aware of new or worsening symptoms.

Here’s one example of worsening symptoms. A British charity for people with obsessive-compulsive disorder reports that it has received an increase in calls and emails from people with the disorder who were developing a new fixation on the coronavirus.

For help coping during these anxious times, try these tips, courtesy of HelpGuide article Coronavirus Anxiety:

  • Stay informed, but don’t obsess —  It’s important to check the news to stay informed about what’s going on, especially as circumstances change daily. You need to follow the news to know what to do to stay safe and help slow the spread of the virus. But there’s a lot of misinformation circulating and sensational reporting can fuel anxiety and fear, so be discerning about what and how much you read and watch.
  • Focus on things you can control – There are many things out of your control right now such as how long this crisis will last and how others will respond to it. Focusing on questions without clear answers will make you feel drained, anxious and overwhelmed. Try focusing on things you can control, such as following the recommended steps for preventing the spread of the virus.
  • Plan for what you can do – If you’re worried about your workplace closing, your children being home from school, having to self-quarantine or about a loved one getting sick, make note of these worries. Then, make a list of possible solutions and draw up an action plan. Concentrate your efforts on problems you can solve.
  • Stay connected – It’s been shown that social distancing is helping to curb the spread of the coronavirus, but being physically isolated can add to stress and anxiety. Make it a priority to stay in touch with family and friends. Schedule regular phone calls or chat via video or Skype. Connect with family and friends via social media. But don’t let the coronavirus dominate every conversation.
  • Take care of your body and spirit – The rules of staying healthy are especially important during times like these. Be sure to eat healthy, get plenty of sleep and exercise regularly. Practice a stress-relieving technique such as yoga, deep breathing or meditation to help keep stress at a minimum. Be kind to yourself if you’re experiencing more depression and anxiety than usual. Take time out for activities you enjoy, and try to maintain a normal routine while you’re stuck at home.
  • Help others – Focusing on others in need supports your community, and this is especially true in times of crisis. People who focus on others tend to be happier and healthier than those who act selfishly. Focusing on others can also make a positive impact on your mental health. Doing kind and helpful acts for others can help you regain a sense of control over your life and add meaning and purpose.

Remember, we’re all in this together!

Doctors Without Borders

March 8th, 2020

When much of the area in and around Managua, Nicaragua was destroyed by an earthquake in December 1972, humanitarians from all over the world pitched in to help the Central American country recover.

Among them were legendary baseball player Roberto Clemente and a team of volunteers, all of whom perished when the cargo airplane they were flying in crashed on New Year’s Eve 1972.

Also coming to the aid of Nicaraguans in the wake of that disaster was a fledgling organization known as Doctors Without Borders, which faced its first test as a relief agency during the Nicaraguan tragedy.

What, precisely, is Doctors Without Borders? It is an independent humanitarian non-government agency that provides various forms of medical assistance throughout the world.

Internationally, it is known as Medicines Sans Frontiers (MSF), for it was founded in Paris, France in December 1971 by a group of journalists and physicians who were of the belief that much international aid was obstructed by legal barriers and was also medically inadequate.

The simplest definition of the organization comes from a MSF promotional video: “Doctors Without Borders…provides aid to people whose survival is threatened by violence, neglect, or catastrophe, primarily due to armed conflict, epidemics, malnutrition, exclusion from health care, or natural disasters.”

In 2009, MSF was awarded the Nobel Prize for Peace. Accepting the award was MSF’s then President of International Council, Dr. James Orbinski, a Canadian physician and one of the many doctors, surgeons, and nurses who mostly comprise the medical sector of MSF.

MSF receives approximately three million dollars in fiscal assistance each year. More than 80 percent of those funds are used to finance MSF programs. The remainder goes to administrative, management, and fundraising duties and responsibilities.

More than 23,000 people work in all sorts of vocations for MSF, which has approximately 3,000 paid employees and 20,000 volunteers working across the globe.

Five of the 24 MSF offices are referred to by MSF officials as Operational Centers, or OCs, and all five are located on the European continent in Amsterdam, Barcelona, Brussels, Geneva and Paris.

Other MSF bureaus can be found in Toronto, Canada; New Delhi, India;  Rio de Janiero, Brazil; Dubai, United Arab Emirates and Taipei, Taiwan, which is the site of the first office on the Asian continent.

Interestingly, although MSF exists does work in more than 70 countries, the United States is not one of them. The reason for this is, according to the Doctors Without Borders website, is that “there are other organizations with experience serving these populations that are better placed to address these challenges.”

MSF employees and volunteers are independent of any political ideology and only once in the organization’s history – during the 1994 genocide between the Hutus and Tutsis in Rwanda – have its workers asked for military intervention.

Some of the more recent examples of MSF’s work include providing medical care for those affected by the outbreak of Ebola in the Democratic Republic of Congo earlier this year; the admittance of more than 50 people to a hospital in Yemen after they were injured while publicly demonstrating against various governmental policies in that country, and the providing of various psychotherapy services to people living with extreme pressures north of the West Bank.
Much of the world’s populace continues to have problems but MSF’s work to help people cope with their problems continues as the organization seeks to provide independent, neutral and impartial medical aid where it’s needed.

America’s Suicide Crisis

January 20th, 2020

The United States is in a suicide crisis. America’s rate of suicide, now its 10th leading cause of death overall, has increased by more than 33 percent since 1999. That was among the findings of a US Centers for Disease Control and Prevention National Center for Health Statistics research study. The results of the study were released in June.

The worst thing you can do for someone dealing with suicide or expressing suicidal thoughts is remain quiet. Speak up, reach out, learn the best way to offer support.

The Center for Health Statistics’ research discovered that suicide among Americans ages 15 to 64 rose from 10.5 per 100,000 people in 1999 to 14 per 100,000 in 2017, the most recent year with available data. That number represents the highest suicide rate in the US since World War II.

Federal data released in October showed that suicide rates are climbing in nearly every state and across age groups and ethnicities. The suicide rate for young Americans ages 10 to 24 increased 56 percent from 2007 to 2017. It’s at its highest rate this century. Suicides by active-duty military and veterans are also on the rise.

According to one study, 10 million Americans seriously considered suicide in 2018. That certainly sounds like a crisis to me.

All of these studies confirm that suicide is a significant public health problem. The CDC also reports that on average, 129 Americans die by suicide each day. Suicide claims 47,000 lives each year. That number is probably much higher considering not all suicides are reported. Men die by suicide three and a half times more often than women, but women are more likely to attempt suicide.

It’s also been determined that 90 percent of people who died by suicide had a diagnosable mental health condition at the time of their death. And if it’s diagnosable, it’s most likely treatable. Suicide affects us financially as well. It costs this nation at least $69 billion per year in medical costs and lost work productivity.

Suicide is an equal opportunity problem. Anyone can be at risk, and those risk factors are varied. They include depression, substance abuse disorder, mental health disorder or a family history of such disorders. Other risk factors include previous attempted suicide, a family history of suicide, a history of physical or sexual abuse, the presence of guns in the home or an experience with a painful medical illness.

The reasons people die by suicide are complex. In general, they react to, think, and make decisions differently than people who are not suicidal. One researcher suggests there are six main reasons people kill themselves.

In many cases, people who attempt suicide or succeed at it are depressed, which typically comes with a pervasive sense of suffering, as well as a belief that their situation is hopeless. Some people who commit suicide are psychotic, some are impulsive, some are crying out for help, and others have a philosophical desire to die. This desire can develop when people have a painful, terminal illness.

Whatever the cause, it’s imperative to know the warning signs for suicide, especially if you or a loved one has any of the risk factors. Most people who take their lives by suicide show one or more warning signs in the way they talk and behave.

Be alert if someone you know starts talking about killing themselves, or about feeling hopeless or having no reason to live. Other verbal warning signs include talking about being a burden to others, feeling trapped or being in unbearable pain.

Certain behaviors may be warning signs as well, especially if they are linked to a painful event, loss or major change. These behaviors include increased use of drugs or alcohol, looking for methods to end their life, withdrawing from activities and becoming isolated socially, visiting or calling people to say goodbye and giving away prized possessions.

Preventing suicide is the goal, and help is available. If you or a loved one is contemplating suicide, call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) to reach a trained counselor. Use that same number and press “1” to reach the Veterans Crisis Line.  For crisis support in Spanish, call 1-888-628-9454.

In emergencies, call 911 or seek care from a local hospital or mental health provider. Today, many hospitals and mental health providers have redesigned their practices to include research-backed tools for determining a patient’s risk for suicide. These providers then use proven interventions to prevent suicide and initiate the patient’s recovery.

Researchers say psychedelic substance found in mushrooms may prove to be magic for mental health

December 24th, 2019

Critics encourage use of less risky alternatives.

The term “magic mushrooms” typically conjures images of hippies in tie-dyed t-shirts tripping out while listening to psychedelic rock music during the 1960s. However, the reputation of the fungi that is synonymous with the counterculture is changing.

Recent scientific studies at leading academic institutions point to promising results in the use of psilocybin, the hallucinogen in these mushrooms, for treating some of the most challenging mental health issues as well as addiction. This shift in mindset has also resulted in some cities and states moving to decriminalize possession of “shrooms.”

After nearly 20 years of research with psychedelics, Johns Hopkins Medicine announced the launch of a $17 million privately funded research center to study the potential for the drugs to treat severe mental health and addiction issues. The announcement follows the work of two professors who gave psilocybin to more than 350 volunteers who suffered from depression, anxiety or addiction. The ultimate goal of the center is to focus on the most challenging problems such as Alzheimer’s disease, opioid addictions and major depression and anxiety.

Some test subjects shared their experiences with psilocybin during a recent segment of CBS’s 60 Minutes newsmagazine. All reported relief from debilitating depression and addictions to smoking and alcohol. One woman who had advanced cancer said she no longer feared death.

“This is extraordinarily interesting” the center’s director and professor of behavioral biology, Roland Griffiths, told reporter Anderson Cooper. “It’s unprecedented and the capacity of the human organism to change. It was just astounding.”

Researchers say the drug quiets two parts of the brain that talk to each other while opening up communication lines among parts of the brain that don’t. This results in a loss of identity and accounts for the subject’s ability to perceive things differently.

Subjects, who are screened for psychotic behavior, are given large doses of the drug and monitored for six hours by a trained guide while in a special study room. They lie on a couch with a blanket, sleep mask and wear headphones that play classical or choral music.

Griffiths and his assistant director, who won FDA approval for the studies in 2000, told CBS that about a third of the subjects reported unpleasant experiences while on the drug. He said they have no way of predicting who will have a pleasant, deeply spiritual experience and who will have a “bad trip.”

However, those who reported nightmarish experiences said those proved to be the key to improving their outcomes.

Stories like these, along with the growing acceptance of medical marijuana, have prompted some cities to relax laws dealing with possession of such mushrooms.

In May, Denver voters passed a ballot measure to decriminalize psilocybin and direct local law enforcement to give psychedelic mushrooms the lowest arrest priority for adults 21 and older. The council in Oakland, California, also voted to loosen its mushroom laws soon after Denver. Advocates in other parts of California and in Oregon now are pushing for the same.

In Florida, the situation is complicated. Possession of psilocybin remains illegal. However, in 1978 the Florida Supreme Court found that mushrooms could not be reasonably found to be “containers” of the drug. The court essentially held that if the Florida Legislature wished to outlaw wild psilocybin mushrooms, it would have to name them in the law. So far, lawmakers have not done so.

This is why when Florida Fish and Wildlife officers catch suspected “Shroom hunters,” they typically charge them with removing plant life from a wildlife management area, as it’s hard to prove they intended to use the mushrooms to get high.

Reformers hope that the research will change the stereotypes related to psychedelics, which were banned from being studied in 1970 after they became equated with the hippies and liberalism. Also, scandal resulted after it became known that the CIA gave LSD to people without their knowledge in an attempt to develop a mind control program during the 1950s and 60s.

Critics say that other treatments are available that work on depression, including ketamine, a common anesthetic that won FDA approval for depression after researchers at Yale University spent two decades studying it. This year, it came out in the form of a nasal spray that patients give themselves while in a physician’s office.

“Depression is a brain disease,” said Robert Pollack, MD, a board-certified psychiatrist from Fort Myers. “It’s not just a moment in time.”

The Yale studies have shown that depression is caused by abnormalities of the neurotransmitters GABA and glutamate, which are responsible for most activities in the brain. Ketamine, which Dr. Pollack offers at his practice, triggers glutamate production.

He also expressed concerns that the recent coverage of psilocybin studies might endanger lives by encouraging people to experiment on their own.

“The media just sensationalizes this because it’s about psychedelic drugs,” he said. “It’s irresponsible journalism.”

If you want to know just how dangerous psychedelics can be, he said, “Ask any emergency room doctors who treated patients who took LSD in the 1960s and 70s. The problems they saw were terrible.”

Superheroes and Supervillains with Mental Disorders

October 30th, 2019

Whether it’s in a comic book or a movie, most everyone has seen a superhero.

Superheroes are different from the rest of us. For example: The Flash is faster than the speed of light, Superman can fly, and Spiderman can shoot webs.

People look at superheroes and see greatness and perfection. In a sense, though, superheroes are just like everyone else. They suffer from some of the same problems many people do.

One such problem is mental illness.

Take Superman, for example. The Man of Steel had to leave his home and family in a different world and learn how to fit into our world. As a result, he suffers from a condition called “Part of Two Worlds Syndrome” and will never feel as if he is truly at home.

Another superhero is Captain America. The poster boy for America could also be a poster boy for depression. He is a soldier who was frozen in the ice after World War II. When he awoke, his life changed dramatically. His family and friends were gone. Dealing with all the death and lost time changes how you see life and makes it hard to move forward.

Captain America probably fears that if he makes new connections and friends, he will lose them too. Everything he faces today is a reminder of what should have been.

Jessica Jones faces many of those same challenges as well. Before she even met The Purple Man, Zebediah Kilgrave, she lost her family in a car crash. That didn’t ruin Jessica completely, but what was left of her life was taken away by the Purple Man.

After coming into contact with experimental chemicals and spending some time in a coma, Jessica emerged with superhuman strength, enough to lift a two-ton police car with little effort, fly and block mind control.

The Purple Man used Jessica’s power to hurt her friends. He would force her to cry and watch disturbing images. The Purple Man nearly killed her friends through her. He gives off pheromones that make people around him bend to his verbal commands.

Jessica, who was known at the time as Jewel to civilians, first meets Kilgrave in a restaurant. Using his own powers, he casually asks her to give up her secret identity, which she does without hesitation and uses her powers for schemes of evil. He induces her to attack the police force outside, which she does – flipping police cruisers with reckless abandon.

Jessica endured Kilgrave’s control for eight months. That’s eight solid months of mental and emotional torture. Afterward, she was little more than a skeleton with skin and hair. A rag doll. She had no control of her own life or mind. And while she eventually escaped from her tormenter, she will never be able to break free from him totally.

The events of what happened to her haunt her in her dreams and in reality. As a result, she suffers from post-traumatic stress disorder (PTSD). Even with her superpowers, she has scars that will never heal.

The same is true of supervillains. They are people too – without a tether to reality. But in all actuality, they are not at fault for their actions, for the most part.

With villains, it is harder to figure out if they are mentally unstable, have a disorder or are just plain out bad. The majority of villains have mental illnesses, which is the main cause of what they do.

Harley Quinn was an innocent victim. She was a therapist of the one and only Joker, which led to her downfall. The Joker abused Harley, putting her through physical, emotional, and psychological pain that caused her to become the villain we all know her to be. As a result, Harley suffers from battered person syndrome and Stockholm syndrome, conditions she cannot escape from.

Two Florida Health Care News employees showing their support for Harley Quinn.

Some supers aren’t villains or heroes but they have mental illnesses as well. Deadpool is one such super. He isn’t classified as a villain or a hero, but Deadpool is the perfect example of a comic book character with psychological disorders.

Deadpool was tortured, physically and emotionally, to the point of death to activate mutant genes. The psychological state of Deadpool reads like a list of psychological disorders.

He mostly suffers from schizophrenia but he also has psychopathic tendencies and has more emotional baggage than any other superhero or villain. With the mental dilemma he faces on a daily basis, he can’t grasp reality.

Thankfully, superheroes and villains are fictional characters who are who they are in part because of these illnesses. We, on the other hand, are real. We live in this world, right now and right here, and just as it is with superheroes and villains, mental illnesses are prevalent.

Approximately one in five adults in the U.S experience mental illness of some kind within a year. But help is available and there are many types of therapies and solutions, including:

  • Psychotherapy – Psychotherapy is the therapeutic treatment of mental illness provided by a trained mental health professional.  Psychotherapy explores thoughts, feelings, and behaviors, and seeks to improve an individual’s well-being.  Psychotherapy paired with medication is the most effective way to promote recovery.  Examples include: Cognitive Behavioral Therapy, Exposure Therapy, Dialectical Behavior Therapy, etc.
  • Medication – Medication does not outright cure mental illness.  However, it may help with the management of symptoms.  Medication paired with psychotherapy is the most effective way to promote recovery.
  • Support Group – A support group is a group meeting where members guide each other towards the shared goal of recovery.  Support groups are often comprised of nonprofessionals, but peers that have suffered from similar experiences.
  • Self Help Plan – A self-help plan is a unique health plan where an individual addresses his or her condition by implementing strategies that promote wellness.  Self-help plans may involve addressing wellness, recovery, triggers or warning signs.
  •  Peer Support – Peer Support refers to receiving help from individuals who have suffered from similar experiences.

Fans of superheroes may not want to know their dark secrets. But superheroes and villains, like many of the people they save, need help. In that way, they are like regular everyday civilians.

 

Concentrating on ADHD in Adults

July 31st, 2018

The national nonprofit organization Children and Adults with Attention Deficit/Hyperactivity Disorder (CHADD) estimates 10 million adults have ADHD. We hear more about ADHD in children, but 30 percent to 70 percent of kids with the disorder continue having symptoms into adulthood. In adults, ADHD affects men and women equally.

ADHD is a developmental disorder that has emotional, intellectual, behavioral and physical symptoms. These symptoms include distractibility, impulsivity and hyperactivity. They can cause problems in your relationships, as well as your ability to function at work or socially.

Some signs that an adult may have ADHD are commonplace behaviors, so their significance in many cases is not recognized. Aa a result, ADHD in adults often goes undiagnosed.

Common signs of ADHD in adults include chronically running late and driving haphazardly, because they can’t keep their minds on their current task. Problems with self-control, including outbursts of anger or insulting comments, are also signs of possible ADHD.

Some adults with ADHD are easily distracted and have trouble prioritizing and starting and finishing tasks. However, they may become hyper-focused on tasks they enjoy or find fun and interesting.

It’s believed that in people with ADHD, chemicals that transmit messages from brain cell to brain cell, called neurotransmitters, are less active in the parts of the brain that control attention. Thus far, researchers haven’t determined what causes this chemical imbalance in the brain. They believe that genetics may play a role in developing ADHD because the disorder often runs in families.

There are no medical diagnostic tests for ADHD. A diagnosis is generally made by a qualified physician or mental health professional using a thorough history and the guidelines outlined in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).

The DSM-5 lists three presentations of ADHD, predominantly inattentive, hyperactive-impulsive and combined. The inattentive and hyperactive-impulsive presentations have their own sets of symptoms. The combined presentation has a mixture of those symptoms.

The diagnosis of ADHD in an adult is made based on the number and severity of symptoms and the extent the symptoms impact the person’s daily life. The clinician performs a thorough examination to look for other possible causes of the symptoms, as well as any co-existing conditions.

Once a diagnosis of ADHD is made, a treatment plan is created. Treatment generally involves medications, a specific type of psychotherapy or a combination of both. The type of medications most often used for ADHD in adults is a stimulant. Stimulants actually help affected adults stay focused.

The psychotherapy method most often recommended is cognitive behavioral therapy. This type of psychotherapy focuses on the thoughts and behaviors that are occurring in the present. This differs from other types of therapy that involve looking into the past and resolving emotional problems that began in childhood. CBT may help the person get organized, set helpful routines, repair relationships and improve social skills.

Adults with ADHD don’t grow out of the disorder, but with treatment, many learn to manage and cope with it. Studies show that treatment with stimulant medications and CBT often improves the outlook for adults and decreases the risk for developing other mental health disorders. It also helps people perform better in school or work.

Do You Feel How You Eat?

June 27th, 2018

The broiled fish filet with steamed broccoli and rice you had for dinner last night and the salad you opted for over the hamburger at lunch yesterday may be doing more for you than just keeping your waistline in check.Do You Feel How You Eat

It may be giving your mental health a boost as well.

Medical researchers have long known that people who are depressed tend to eat greater quantities of fast food. New research suggests, however, that by simply changing their diet, depressed individuals may be able to improve their mood.

Through a study using 67 participants who had either been prescribed antidepressants or were attending regular psychotherapy sessions, the researchers at Deakin University’s Food and Mood Centre discovered what may be a new link between food and mood.

When the three-month study began, the diet of each of the subjects involved was virtually void of dietary fiber, fresh meats or vegetables and consisted almost exclusively of processed fast foods and sugary or salty snacks.

During the study, half of the subjects were allowed to continue eating as they were before the trial began while the other half were given diets made up exclusively of lean proteins such as grass-fed beef, fish, fresh vegetables, eggs and nuts.

All of the subjects’ depression levels were tested both before and after the trial began, and what the researchers found was that among those who ate healthier during the 12-week study, the scores improved by an average of 11 points.

In addition, nearly a third of the 33 individuals in the intervention group recorded scores so low they were deemed to be in remission. As for those who continued to eat normally, only 8 percent achieved remission while depression scores on average rose just 4 points.

While the study is hardly definitive, it suggests that any individual suffering from major depression could improve his or her mood simply by eating a healthier diet, which will likely result in better overall physical health as well.

All of this does, of course, fall under the category of easier said than done. After all, it is well known that when people are depressed, they often have a tendency to reach for comfort foods that they hope will lighten their moods.

It’s doubtful, though, that a bowl of ice cream or a box of chocolates will actually make anyone feel better. It’s quite possible, though, that by substituting a handful of grapes or some nuts and raisins for the ice cream or candy will make you feel better.

Some other eating tips that might help swing your mood in a more positive direction include eating a health breakfast; eating foods high in Omega-3 fatty acids such as fatty fish and walnuts and consuming at least 600 international units of Vitamin D per day.

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