Archives for hidden depression
The Holidays bring with them the joy of giving and the need to shop for the right gift for the right person. For the some 18 million compulsive shoppers, however, the holiday is but one more trigger to an addiction that ultimately brings far more pain than joy.
It is difficult to look too closely at what baffles and terrifies us— teen suicide is one of those realities. Suicide is the third leading cause of death in the U.S. for young people between the ages or 10 and 24 years. The National Institute of Mental Health believes that there may be as many as 25 attempted suicides for every teen who dies by suicide. The frightening part is that attempting suicide is one of the strongest predictors of a completed suicide.
While we often associate depression with the teen years, the recognition and treatment of depression in children is more easily overlooked. She’s a kid—she’ll grow out of it. He’s just moody--don’t make a big thing out of it. It's just a stage. According to Dr. Deborah Serani, author of the new book, Depression and Your Child, it is only recently that we recognize that children, even babies, experience depression.
There is a good chance that you either are a gardener, you live with one or you know one. As such, you know that whether you are tending to potted geraniums on the deck, prizing the tomatoes in your yard or creating a lush horticultural expanse…there is something about gardening.
Disaster and trauma studies often focus on identifying the incidence of PTSD as the sequel to traumatic events. Early interventions with those affected after a disaster or traumatic event increasingly utilize psycho-education to clarify and normalize common post-traumatic stress reactions and coping strategies. While mentioned as a possible response, the high incidence of depression after trauma is less delineated and often goes unrecognized by those suffering. Depression Occurs after Trauma: A Rand corporation study reports that nearly 20 percent of military service members who have returned from Iraq and Afghanistan - 300,000 in all - report symptoms of Post-Traumatic Stress Disorder or major depression. In the first long-term study of the health impacts of the World Trade Center (WTC) collapse on September 11, 2001, findings indicate that seven percent of police officers were diagnosed with depression, nine percent with PTSD and eight percent with panic disorder. Twenty eight percent of other rescue and recovery workers had symptoms of depression. A survey of survivors from the Oklahoma City bombing showed that 23% had depression after the bombing. Depression affects approximately 15 percent to 25 percent of cancer patients. After a myocardial infarction, the incidence of major depression is from 15 percent to 20 percent, and an additional 27 percent of patients develop minor depression. Both major depression and Post-Traumatic Stress Disorder (PTSD) occur frequently following traumatic exposure, both as separate disorders and concurrently. Depression is the most common disorder suffered in conjunction with Post-Traumatic Stress Disorder. Depression is nearly three to five times more likely in those with PTSD than those without PTSD.
Almost everyone has some experience with hope: We hope for the best. We hang on to hope. We despair when we lose hope. It would seem that hope, which is broadly defined as an emotional state that promotes the belief in a positive outcome, is in inherent in human nature. Reflections of the importance of hope are found in early mythology, religion, philosophy and literature. Pandora, although forbidden, opened the box given to her by Zeus, and in a moment, all the curses were released into the world and all the blessing escaped and were lost- except one: hope. “To have faith is to be sure of the things we hope for, to be certain of the things we cannot see.” ― The King James Version of the Bible “Hope is a waking dream.” –Aristotle “Where there is no hope, it is incumbent on us to invent it.” -Albert Camus "Hope is that thing with feathers that perches in the soul and sings the tune without the words and never stops -- at all." -Emily Dickinson Clearly we need hope, but even as we embrace it we often wonder – Does hope really make a difference? Is it myth, fiction, collective denial? There is actually increasing scientific evidence that hope changes us psychologically and physiologically - that it makes a difference.
Recycling is a good idea, except when it comes to relationships. Regardless of what people tell themselves about the time invested, the good times missed, the great sex, or the feeling that things will be different; in most cases the re-connection with an ex rarely brings a better outcome. Research tells us that rekindling a relationship decreases happiness. Studies of college grads as well as larger national studies of older couples reveal that those people who cycle back to relationships, often over and over again, experience less satisfaction, more uncertainty and more disillusionment in their relationships than non-cycling partners. Let’s face it – breaking up is hard to do. When it has happened there is usually a good reason on the part of one or both partners. Why then do people look backwards? Why do they imagine it will be different?
Many people face a traumatic event in adult life. Be it a serious car accident, combat, rape, a natural disaster or the loss of a child, people are often confronted with a horrific event that threatens death or serious injury to themselves or someone else, or involves the traumatic loss of a friend or loved one. While such trauma is in itself physically and emotionally assaultive, trauma theorist Robert Stolorow proposes that beyond the actual event, it is the emotions suffered after the event that become the unbearable emotional pain of trauma. Difficult to articulate and unrecognized by many, the emotional aftermath of adult trauma often goes unvalidated and unhealed. Drawing upon his own traumatic loss of a young wife, Stolorow reports that in the unreal time that stretches slowly after a trauma, there is an “excruciating sense” of being outside normal life, alone with feelings that no one else can understand. Stolorow’s contribution to the field is his articulation of these feelings in a way that becomes an invaluable resource for validation.
In the preceding blog, we considered the importance of recognizing medical illness as psychological trauma. In this blog we report on an interview with Michele Rosenthal, author of the trauma recovery memoir, BEFORE THE WORLD INTRUDED, survivor, and host of ‘Your Life After Trauma'. Diagnosed with a rare disease, Stevens Johnson Syndrome, at age thirteen, Michele journeyed through two decades of undiagnosed PTSD to eventual recognition, recovery and support of many as the founder of www.healmyptsd.com. What she offers in lessons learned is of value for parents of children who have faced illness, as well as adults who wonder how they will ever reclaim their bodies, heal their sense of self and take a new self into the future. Michele, your journey from illness started when you were only thirteen. Parents suffer so much when they see their children suffer. How did your parents respond? My parents were phenomenal! They were there in a very active way. Their presence next to me, their translation of what was happening to me, their role in helping the staff understand me in a certain way were all crucial to my safety and comfort.
Despite the fact that more than 86% of Americans believe exercising for fitness improves a person’s odds of a long and healthy life by “a lot,” only 28% report they actually get as much physical exercise as they should. Some people can’t start; some start and stop; and some can’t stop. Adding to the exercise benefits for improving physical health, the most recent publication of the Monitor of the American Psychological Association underscores the mounting evidence of exercise benefits on mental health. So clear is the impact of exercise on the body-mind connection that it raises the question of how psychologists might use it as part of their treatment arsenal or at the very least motivate their patients to exercise. As closer look at some of the findings may provide the tipping point for starting, stopping and moderating exercise in a way that benefits physical and mental health.