Stress Anxiety Depression Coping Skills November 7 2012

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Stress, Anxiety, Depression & Coping Skills November 7, 2012 S

Stress, Anxiety, Depression & Coping Skills November 7, 2012 S

What is stress? Eustress Distress S Causes anxiety or concern S Can be short-

What is stress? Eustress Distress S Causes anxiety or concern S Can be short- or long- term S Is perceived as outside of our coping abilities S Feels unpleasant S Feels exciting S Decreases performance S Improves performance S Can lead to mental and physical problems S Motivates, focuses energy S Is short-term S Is perceived as within our coping abilities http: //www. mentalhelp. net/poc/view_doc. php? type=doc&id=15644

Physiology & Stress STRESS = CORTISOL = DOPAMINE = ANHEDONIA Anhedonia: pleasure “deafness” No

Physiology & Stress STRESS = CORTISOL = DOPAMINE = ANHEDONIA Anhedonia: pleasure “deafness” No longer able to derive normal pleasure from those things that have been pleasurable in the past.

Your Brain vs. Their Brain S Your teen’s prefrontal cortex is still growing until

Your Brain vs. Their Brain S Your teen’s prefrontal cortex is still growing until it is 25 years old S This part of the brain is responsible for decision making, judgment, impulse control, emotion regulation, frustration tolerance, empathy, and abstract thinking S When you are stressed, you can rely on your prefrontal cortex to help you cope but teens don’t always have this available to them!

Why So Much Stress? S Higher level of importance is given to things you

Why So Much Stress? S Higher level of importance is given to things you might see as “trivial” because of lack of life experience. S Your reaction is important. S What you think is trivial is life shattering to them.

What Kids Do To Self. Medicate S Alcohol S Pornography S Drugs S Excessive

What Kids Do To Self. Medicate S Alcohol S Pornography S Drugs S Excessive sleep S Self-Injury S Eating disorders S Sexual acting out S Criminal activity S Gambling S Other adventurous/risky S Video Games behaviors

What are you doing to manage YOUR stress? S Holmes-Rahe

What are you doing to manage YOUR stress? S Holmes-Rahe

Concrete ways your child can manage stress S Sleep S Prayer/spirituality S Eat right

Concrete ways your child can manage stress S Sleep S Prayer/spirituality S Eat right S Study smarter, not S Avoid caffeine S Exercise S Music S Relaxation techniques (video) harder S Planning/organization S Compartmentalizing S 23 ½ Hours (video)

Planning and Organization

Planning and Organization

Identifying Mental Health Issues: Depression S Feeling sad or empty S Irritable mood S

Identifying Mental Health Issues: Depression S Feeling sad or empty S Irritable mood S Anhedonia: lack of interest in things you used to enjoy S Significant weight loss or gain S Insomnia or hypersomnia S Fatigue or loss of energy S Feelings of worthlessness S Excessive or inappropriate guilt S Indecisiveness S Recurrent thoughts of death

Identifying Mental Health Issues: Mania S Lasts at least 1 week S Grandiosity S

Identifying Mental Health Issues: Mania S Lasts at least 1 week S Grandiosity S Decreased need for sleep S Pressured speech S Racing thoughts or ideas S Distractibility S Goal-directed activity S Excessive involvement in pleasurable activities

Identifying Mental Health Issues: Bipolar S One or more manic episodes or mixed episodes

Identifying Mental Health Issues: Bipolar S One or more manic episodes or mixed episodes S Type II

Identifying Mental Health Issues: Anxiety S Panic attacks S Avoidance of places or situations

Identifying Mental Health Issues: Anxiety S Panic attacks S Avoidance of places or situations S Obsessions or compulsions S Re-experiencing of traumatic events and avoidance of stimuli S Persistent and excessive anxiety and worry

Other Types of Depression S Cyclothymia S Dysthymia S Bipolar II

Other Types of Depression S Cyclothymia S Dysthymia S Bipolar II

Signs and Symptoms S Disinterest in favorite extracurricular activities S Emotional distress brings on

Signs and Symptoms S Disinterest in favorite extracurricular activities S Emotional distress brings on physical complaints (aches, fatigues, migraines) S Problems at school and losing interest in school S Hard time concentrating and paying attention S Substance abuse, including alcohol and drug (illegal and legal drugs) use S Declining grades in school S Loss of interest in schoolwork S Risk taking behaviors S Complains more frequently of boredom S Does not respond as before to praise S Changing friend groups S Isolating from friends and family S S S Behavioral problems Withdrawing from family and friends Sleep changes Changes in eating habits Begins to neglect hygiene and other matters of personal appearance

How to Deal S Validation S I hear you saying you feel really sad.

How to Deal S Validation S I hear you saying you feel really sad. S That sounds very painful. S Ask open-ended questions S Have you ever felt really depressed? S How long have you felt that way? S Has this happened before? How long did it last? S Be in contact with your child’s therapist and psychiatrist S Get therapy for yourself S Sending only the kid gives them the message: “I am broken, and they want this therapist to fix me. ” S It is hard to watch your kids struggle!

The “S” Word S Untreated depression is the number one cause for suicide S

The “S” Word S Untreated depression is the number one cause for suicide S In the U. S. alone, suicide kills more than 32, 000 people a year. That is the equivalent of a death by suicide every 16 minutes. S In 2005 (data released in 2008), suicide was the third-leading cause of death among 15 -24 year olds nationwide. S Every day, 12 youths in America die by suicide – that is one person under age 25 every two hours. S In a typical high school classroom, it is likely that three students (1 boy, 2 girls) have made a suicide attempt within the past year. SAMHSA, Well Aware

How to talk about it ASK THIS S Are you feeling suicidal? S Are

How to talk about it ASK THIS S Are you feeling suicidal? S Are you thinking about suicide? S Do you want to kill yourself? NOT THIS S You aren’t going to kill yourself are you? S Are you thinking about hurting yourself?

Relationship between stress, suicide, and substance abuse Men and women who smoked marijuana before

Relationship between stress, suicide, and substance abuse Men and women who smoked marijuana before age 17 are 3. 5 times as likely to attempt suicide as those who started later. (NIDA) Alcohol and drug abuse are second only to depression and other mood disorders when it comes to risk factors for suicide.

How to Help S Show empathy S Stay cool, calm, and collected S Don’t

How to Help S Show empathy S Stay cool, calm, and collected S Don’t judge S Don’t ignore S LISTEN!

Websites S http: //www. suicidepreventionlifeline. org/ S http: //www. teensuicide. us/articles 2. html S

Websites S http: //www. suicidepreventionlifeline. org/ S http: //www. teensuicide. us/articles 2. html S http: //www. wellawaresp. org/ S http: //www. save. org/ S http: //www. suicidology. org/home S http: //www. afsp. org/ S Maggie’s True Story

Outside Help S Cognitive Behavior Therapy S Dialectical Behavior Therapy S Talk Therapy S

Outside Help S Cognitive Behavior Therapy S Dialectical Behavior Therapy S Talk Therapy S Psychiatrists S Substance Abuse Treatment S Support Groups

To medicate or not to medicate… That is the question! S Selective Serotonin Reuptake

To medicate or not to medicate… That is the question! S Selective Serotonin Reuptake Inhibitors (SSRIs) S May take 4 -6 weeks to become fully effective S There is not a “silver bullet” for everyone S Interaction with alcohol and other substances S Research on long-term outcomes reports the best outcomes for depression and anxiety with the combination of psychiatric medication and therapy

Resources in Houston S NAMI www. namimetropolitanhouston. org/ S Interface- Samaritan Counseling www. interface-

Resources in Houston S NAMI www. namimetropolitanhouston. org/ S Interface- Samaritan Counseling www. interface- samaritan. org/ S Nick Finnegan Counseling Center www. finnegancounseling. org/ S Depression and Bipolar Support Alliance S www. dbsalliance. org S Depression and Bipolar Support Alliance Houston S www. dbsahouston. org S HPD Crisis Intervention Team S http: //www. houstoncit. org/