Mental Health Month 2009_depression

WHAT THE CHURCH CAN DO ABOUT DEPRESSION: A COMMUNITY IMPERATIVE NATIONAL MENTAL HEALTH MONTH MAY, 2009 CYNTHIA TURNER-GRAHAM, M.D., DFAPA

"The wonder is not that so many Black folks have succumbed [from our generational wounds]. The wonder is us - that we have survived. We are the offspring of a people who refused to die “ -Susan Taylor

“ Our lives begin to end the day we are silent about things that matter." MLK, Jr.

Effects of psychological distress DEPRESSION & ANXIETY POOR HEALTH HABITS Smoking, physical inactivity, etc. weight gain, obesity, high cholesterol, high blood pressure, elevated C-reactive protein

Three-minute writing exercise
AS I CHILD GROWING UP, I LEARNED THAT PEOPLE WHO ARE DEPRESSED _________
[FILL IN THE BLANK]

WHY IS THIS ISSUE OF CLINICAL DEPRESSION IMPORTANT?

DEPRESSION IN THE U.S.
18.8 million (9%) American adults ages 18 and older have depressive disorders
4.5% of adolescents have a depressive disorder
2% of in-school-age children have a depressive disorder
Over one million (4%) pre-schoolers are clinically depressed
*Statistics provided by the NIMH

COST OF MAJOR DEPRESSION
$70 billion is spent annually in health care visits (U.S.)
$12 billion of this total is a result of lost sick days (U.S.)
$11 billion in ‘other costs’ (U.S.)
*Costs provided by the Depression and Bipolar Support Alliance

DSM-IV-R Major Depressive Disorder (MDD)
#1
Depressed mood
Or
Pervasive loss of interest or pleasure
For at least two weeks
#2
PLUS 5 OF 7
Significant weight loss or gain
Insomnia or hypersomnia
Psychomotor agitation or retardation
Fatigue or loss of energy
Feelings of worthlessness or guilt
Impaired concentration, indecisiveness
Recurring thoughts of death or suicide

Differential Diagnosis of Depression
Major Depressive Disorder
Dysthymic Disorder
Seasonal Affective Disorder
Premenstrual Dysphoric Disorder
Post-partum Depression
Adjustment Disorder with Depressed Mood
Bipolar Depression

NATURAL COURSE OF MDD
Depression is usually self-limiting, lasting 3 - 6 months untreated
10% chronic and persistent
50% recovery with recurrence
40% recovery without recurrence

Key Symptoms of Depression in African-American Males
Pain symptoms
Headaches
back aches,
stiff neck
achy shoulders
GI disturbances
Feeling hopeless, helpless
Anger, irritation

DEPRESSION TRENDS
Failure to detect depression is increased in the African American and Hispanic population
Failure to detect depression is increased in people less than 35 years of age
50-80% of females develop postpartum depression within the first two weeks of delivery
*Statistics provided by the World Health Organization (WHO), 2006

Phyllis Hyman July 6, 1949 - June 30, 1995 (died of suicide by overdose)

FIVE REASONS WE HIDE OUR PAIN
It would hurt my family
It will ruin my career
Folks will think I'm crazy
I can't afford to seem weak
I still have shame about it: I know I shouldn't but I do and can't help it

AS I GREW TO ADULTHOOD AND BECAME MORE AWARE OF EMOTIONAL PROBLEMS AROUND ME, I REALIZED_________
[FILL IN THE BLANK]

Consulting a Mental Health Professional WHAT YOU CAN EXPECT

CLINICAL TREATMENT OF Major Depressive Disorder
Counseling & psychotherapy
Medication
Maintenance of healthy lifestyle

Anti-depressants

WHAT CAN WE DO?

NOT THIS!!

For this is the will of God . . . that each of you should know how to possess his own vessel in sanctification and honor. I Th 4:3-4

Create emotionally healthy Communities

Creating healthy communities
LISTEN TO YOURSELF TALK
Distinguish between
life-affirming
vs.
life-strangulating
modes of communication.

Be intentional about your health - physical, emotional and spiritual
Give voice to your feelings
Don't be afraid to ask questions
Manage your fears aggressively

Seek professional help when needed
For self
For loved ones

Creating healthy communities PRAY WITHOUT CEASING Thessalonians 5:17 Ephesians 6:18

Emotional Health and Fitness = OUR GOAL

THE MOST TRYING EXPERIENCES HAVE TAUGHT ME LIFE'S MOST VALUABLE LESSONS, INCLUDING ___________
[FILL IN THE BLANK]

Collecting our Pearls of Wisdom For 5 minutes, discuss in groups of 2 or 3 life’s most valuable lessons and how they might apply to addressing the issue of clinical depression in our community.

Recording what we’ve learned . . .

I will meditate on your precepts And contemplate your ways I will delight myself in Your statues. . . I will not forget Your word. Psalm 119: 16

Mental Health Month 2009_depression

by CYNTHIA TURNER-GRAHAM on May 02, 2009

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Mental Health Month 2009_depression — Presentation Transcript