Mental Health Month 2009_depression

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An educational workshop to facilitate discussion about the challenges of mental illness and health in minority church communities.

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  • Mental Health Month 2009_depression

    1. 1. WHAT THE CHURCH CAN DO ABOUT DEPRESSION: A COMMUNITY IMPERATIVE NATIONAL MENTAL HEALTH MONTH MAY, 2009 CYNTHIA TURNER-GRAHAM, M.D., DFAPA
    2. 2. "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  
    3. 3. “ Our lives begin to end the day we are silent about things that matter." MLK, Jr.
    4. 4. 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
    5. 5. Three-minute writing exercise <ul><li>AS I CHILD GROWING UP, I LEARNED THAT PEOPLE WHO ARE DEPRESSED _________ </li></ul><ul><li>[FILL IN THE BLANK] </li></ul>
    6. 6. WHY IS THIS ISSUE OF CLINICAL DEPRESSION IMPORTANT?
    7. 7. DEPRESSION IN THE U.S. <ul><li>18.8 million (9%) American adults ages 18 and older have depressive disorders </li></ul><ul><li>4.5% of adolescents have a depressive disorder </li></ul><ul><li>2% of in-school-age children have a depressive disorder </li></ul><ul><li>Over one million (4%) pre-schoolers are clinically depressed </li></ul><ul><li>*Statistics provided by the NIMH </li></ul>
    8. 8. COST OF MAJOR DEPRESSION <ul><li>$70 billion is spent annually in health care visits (U.S.) </li></ul><ul><li>$12 billion of this total is a result of lost sick days (U.S.) </li></ul><ul><li>$11 billion in ‘other costs’ (U.S.) </li></ul><ul><li>*Costs provided by the Depression and Bipolar Support Alliance </li></ul>
    9. 9. DSM-IV-R Major Depressive Disorder (MDD) <ul><li>#1 </li></ul><ul><li>Depressed mood </li></ul><ul><li>Or </li></ul><ul><li>Pervasive loss of interest or pleasure </li></ul><ul><li>For at least two weeks </li></ul><ul><li>#2 </li></ul><ul><li>PLUS 5 OF 7 </li></ul><ul><li>Significant weight loss or gain </li></ul><ul><li>Insomnia or hypersomnia </li></ul><ul><li>Psychomotor agitation or retardation </li></ul><ul><li>Fatigue or loss of energy </li></ul><ul><li>Feelings of worthlessness or guilt </li></ul><ul><li>Impaired concentration, indecisiveness </li></ul><ul><li>Recurring thoughts of death or suicide </li></ul>
    10. 10. Differential Diagnosis of Depression <ul><li>Major Depressive Disorder </li></ul><ul><li>Dysthymic Disorder </li></ul><ul><li>Seasonal Affective Disorder </li></ul><ul><li>Premenstrual Dysphoric Disorder </li></ul><ul><li>Post-partum Depression </li></ul><ul><li>Adjustment Disorder with Depressed Mood </li></ul><ul><li>Bipolar Depression </li></ul>
    11. 11. NATURAL COURSE OF MDD <ul><li>Depression is usually self-limiting, lasting 3 - 6 months untreated </li></ul><ul><li>10% chronic and persistent </li></ul><ul><li>50% recovery with recurrence </li></ul><ul><li>40% recovery without recurrence </li></ul>
    12. 12. Key Symptoms of Depression in African-American Males <ul><li>Pain symptoms </li></ul><ul><ul><li>Headaches </li></ul></ul><ul><ul><li>back aches, </li></ul></ul><ul><ul><li>stiff neck </li></ul></ul><ul><ul><li>achy shoulders </li></ul></ul><ul><ul><li>GI disturbances </li></ul></ul><ul><li>Feeling hopeless, helpless </li></ul><ul><li>Anger, irritation </li></ul>
    13. 13. DEPRESSION TRENDS <ul><li>Failure to detect depression is increased in the African American and Hispanic population </li></ul><ul><li>Failure to detect depression is increased in people less than 35 years of age </li></ul><ul><li>50-80% of females develop postpartum depression within the first two weeks of delivery </li></ul><ul><li>*Statistics provided by the World Health Organization (WHO), 2006 </li></ul>
    14. 14. Phyllis Hyman July 6, 1949 - June 30, 1995 (died of suicide by overdose)
    15. 15. FIVE REASONS WE HIDE OUR PAIN <ul><li>It would hurt my family </li></ul><ul><li>It will ruin my career </li></ul><ul><li>Folks will think I'm crazy </li></ul><ul><li>I can't afford to seem weak </li></ul><ul><li>I still have shame about it: I know I shouldn't but I do and can't help it </li></ul>
    16. 16. <ul><li>AS I GREW TO ADULTHOOD AND BECAME MORE AWARE OF EMOTIONAL PROBLEMS AROUND ME, I REALIZED_________ </li></ul><ul><li>[FILL IN THE BLANK] </li></ul>Three-minute writing exercise
    17. 17. Consulting a Mental Health Professional WHAT YOU CAN EXPECT
    18. 18. CLINICAL TREATMENT OF Major Depressive Disorder <ul><li>Counseling & psychotherapy </li></ul><ul><li>Medication </li></ul><ul><li>Maintenance of healthy lifestyle </li></ul>
    19. 19. Anti-depressants
    20. 20. WHAT CAN WE DO?
    21. 21. NOT THIS!!
    22. 22. 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
    23. 23. Create emotionally healthy Communities
    24. 24. Creating healthy communities <ul><li>LISTEN TO YOURSELF TALK </li></ul><ul><li>Distinguish between </li></ul><ul><li>life-affirming </li></ul><ul><li>vs. </li></ul><ul><li>life-strangulating </li></ul><ul><li>modes of communication. </li></ul>
    25. 25. <ul><li>Be intentional about your health - physical, emotional and spiritual </li></ul><ul><li>Give voice to your feelings </li></ul><ul><li>Don't be afraid to ask questions </li></ul><ul><li>Manage your fears aggressively </li></ul>Creating healthy communities
    26. 26. <ul><li>Seek professional help when needed </li></ul><ul><ul><li>For self </li></ul></ul><ul><ul><li>For loved ones </li></ul></ul>Creating healthy communities
    27. 27. Creating healthy communities PRAY WITHOUT CEASING Thessalonians 5:17 Ephesians 6:18
    28. 28. Emotional Health and Fitness = OUR GOAL
    29. 29. Three-minute writing exercise <ul><li>THE MOST TRYING EXPERIENCES HAVE TAUGHT ME LIFE'S MOST VALUABLE LESSONS, INCLUDING ___________ </li></ul><ul><li>[FILL IN THE BLANK] </li></ul>
    30. 30. 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.
    31. 31. Recording what we’ve learned . . .
    32. 32. 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

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