This document discusses depression and aging. It provides information on national depression screening day, defines major depressive disorder, and notes that depression is as common among older adults as younger adults. However, depression is not a normal part of aging and is a treatable medical illness. Risk factors for depression are discussed, as well as how depression impacts physical health. Depression is treated with medication, therapy, or a combination approach. Cognitive-behavioral therapy targets inaccurate thoughts and behaviors that can maintain depression.
This document provides information about depression, stress, and anxiety. It discusses the criteria for diagnosing major depression according to the DSM-IV-TR. It notes that depression can be caused by genetic and environmental factors, and describes research showing that early life stress and trauma can influence gene expression and increase the risk of depression through adulthood. The document also discusses the effectiveness of antidepressant medication and the brain mechanisms by which stress gets "under the skin" to impact long-term health.
Suicide is a public health issue. Media and online coverage of suicide should be informed by using best practices. Some suicide deaths may be newsworthy. However, the way media covers suicide can influence behavior negatively by contributing to contagion or positively by encouraging help-seeking.
Suicide Contagion or “Copycat Suicide” occurs when one or more suicides are reported in a way that contributes to another suicide.
This document summarizes a presentation on adolescent self-harm. It discusses how self-harm behaviors and thoughts have been increasing in adolescents. Common self-harm behaviors include suicide attempts, self-harm, and suicidal thoughts. The presentation then covers perspectives on self-harm including sociocultural factors like contagion on the internet, developmental factors like peaks in self-harm corresponding with puberty, and clinical responses like treatment and pharmacological options. The overall message is that self-harm in adolescents is a complex issue influenced by both individual and environmental factors, and requires comprehensive prevention and intervention strategies.
The document discusses depression, including its classification, symptoms, risk factors, assessment methods, and treatment. It classifies depression according to the ICD-10 as mild, moderate, or severe episodes, and as recurrent. Risk factors mentioned include women being twice as likely as men to experience depression. Assessment methods involve history taking, mental status examinations, and psychological tests. Treatment discussed includes lifestyle changes, building emotional skills, medication, and therapies like CBT and art therapy.
This document provides information on self-injury (also called non-suicidal self-injury or NSSI). It defines different types of self-injury and reviews prevalence rates among adolescents. Studies show that 15-30% of adolescents engage in NSSI. There is evidence that rates are rising. The document also discusses biological and neurological factors that may contribute to NSSI, such as low endorphin levels and altered pain sensitivity. Treatment approaches covered include assessment of motivations and functions of self-injury, psychoeducation, and motivational enhancement techniques.
The document discusses the history and development of hospice care. It originated from the work of Cicely Saunders in 1948 who sought to relieve the anxiety of dying patients. Today, hospice organizations provide palliative care to ensure patients can die with dignity. The document also examines the stages of death proposed by Kubler-Ross and how families experience similar stages of grief. It notes sitting with a dying loved one can be agonizing as their ability to communicate is lost. The grieving process has no timeline and is impacted by one's relationship with the deceased and mode of their death.
The document summarizes research on emotional and mental health issues for individuals with autism spectrum disorder (ASD) as they transition into adulthood. It finds that adolescents and adults with ASD often experience anxiety, depression, suicidal thoughts, and difficulty with social functioning. Studies show high rates of bullying, victimization, and social isolation. As adults, many individuals with ASD live at home with parents and have difficulty living independently or maintaining employment due to lack of support. Safe spaces for social interaction are limited, and emotional problems can worsen over time without proper support structures.
This document discusses self-mutilation, including:
- Definitions, categories (major, stereotypic, moderate/superficial), prevalence, and developmental influences
- Theoretical views including biological, psychodynamic, cognitive behavioral, and narrative theories
- Treatment options such as medication, DBT, MACT, CAT, narrative therapy, group therapy, and inpatient treatment
- Considerations for treatment including dos and don'ts according to clients and considerations for diversity
The document provides an overview of self-mutilation by examining its definition, categories, theoretical underpinnings, treatment approaches, and important factors for treatment.
This document provides information about depression, stress, and anxiety. It discusses the criteria for diagnosing major depression according to the DSM-IV-TR. It notes that depression can be caused by genetic and environmental factors, and describes research showing that early life stress and trauma can influence gene expression and increase the risk of depression through adulthood. The document also discusses the effectiveness of antidepressant medication and the brain mechanisms by which stress gets "under the skin" to impact long-term health.
Suicide is a public health issue. Media and online coverage of suicide should be informed by using best practices. Some suicide deaths may be newsworthy. However, the way media covers suicide can influence behavior negatively by contributing to contagion or positively by encouraging help-seeking.
Suicide Contagion or “Copycat Suicide” occurs when one or more suicides are reported in a way that contributes to another suicide.
This document summarizes a presentation on adolescent self-harm. It discusses how self-harm behaviors and thoughts have been increasing in adolescents. Common self-harm behaviors include suicide attempts, self-harm, and suicidal thoughts. The presentation then covers perspectives on self-harm including sociocultural factors like contagion on the internet, developmental factors like peaks in self-harm corresponding with puberty, and clinical responses like treatment and pharmacological options. The overall message is that self-harm in adolescents is a complex issue influenced by both individual and environmental factors, and requires comprehensive prevention and intervention strategies.
The document discusses depression, including its classification, symptoms, risk factors, assessment methods, and treatment. It classifies depression according to the ICD-10 as mild, moderate, or severe episodes, and as recurrent. Risk factors mentioned include women being twice as likely as men to experience depression. Assessment methods involve history taking, mental status examinations, and psychological tests. Treatment discussed includes lifestyle changes, building emotional skills, medication, and therapies like CBT and art therapy.
This document provides information on self-injury (also called non-suicidal self-injury or NSSI). It defines different types of self-injury and reviews prevalence rates among adolescents. Studies show that 15-30% of adolescents engage in NSSI. There is evidence that rates are rising. The document also discusses biological and neurological factors that may contribute to NSSI, such as low endorphin levels and altered pain sensitivity. Treatment approaches covered include assessment of motivations and functions of self-injury, psychoeducation, and motivational enhancement techniques.
The document discusses the history and development of hospice care. It originated from the work of Cicely Saunders in 1948 who sought to relieve the anxiety of dying patients. Today, hospice organizations provide palliative care to ensure patients can die with dignity. The document also examines the stages of death proposed by Kubler-Ross and how families experience similar stages of grief. It notes sitting with a dying loved one can be agonizing as their ability to communicate is lost. The grieving process has no timeline and is impacted by one's relationship with the deceased and mode of their death.
The document summarizes research on emotional and mental health issues for individuals with autism spectrum disorder (ASD) as they transition into adulthood. It finds that adolescents and adults with ASD often experience anxiety, depression, suicidal thoughts, and difficulty with social functioning. Studies show high rates of bullying, victimization, and social isolation. As adults, many individuals with ASD live at home with parents and have difficulty living independently or maintaining employment due to lack of support. Safe spaces for social interaction are limited, and emotional problems can worsen over time without proper support structures.
This document discusses self-mutilation, including:
- Definitions, categories (major, stereotypic, moderate/superficial), prevalence, and developmental influences
- Theoretical views including biological, psychodynamic, cognitive behavioral, and narrative theories
- Treatment options such as medication, DBT, MACT, CAT, narrative therapy, group therapy, and inpatient treatment
- Considerations for treatment including dos and don'ts according to clients and considerations for diversity
The document provides an overview of self-mutilation by examining its definition, categories, theoretical underpinnings, treatment approaches, and important factors for treatment.
Cleeve Briere, Coordinator, Crisis Management Service, Assistant Director, Saskatoon Crisis Intervention Services in Saskatoon spoke to SIAST Faculty and Staff about dealing with crisis of suicide.
Abraham Lincoln suffered from depression and low self-esteem throughout much of his life, as evidenced by his writings and relationships. He experienced crushing rejections from women he pursued and fell into deep depressions after breaking off his engagement to Mary Todd, requiring close supervision to prevent self-harm. Rational Emotive Behavioral Therapy could have helped Lincoln by addressing his irrational beliefs about failure and personal worth, separating his sense of self from specific actions or outcomes, and teaching him to view himself and the world in a more balanced, relativistic way. While effective for treating many issues, REBT's atheistic views may not have provided Lincoln with a sense of objective meaning or eternity.
The document discusses anxiety, its causes, symptoms, and methods for reducing it. Anxiety is described as distress or uneasiness caused by fear that can result from genetics, trauma, or stressful situations. Common physical symptoms include palpitations, dizziness, sweating, trembling, and difficulty breathing. While a little anxiety can be helpful, excessive anxiety can interfere with daily life. The document provides several strategies for reducing anxiety, including challenging negative thoughts, relaxation exercises, getting proper sleep and nutrition, gradual exposure to anxiety triggers, and seeking medical help if needed.
This document discusses important considerations for working with suicidal clients. It notes that over 33,000 people die by suicide each year in the US, and between 30-50% of suicides occur among those receiving psychiatric treatment. The document outlines trends in suicidal behavior and discusses prevalence, conceptual considerations around suicidality, and Joiner's interpersonal-psychological theory of suicide. It emphasizes the multi-factorial nature of suicide and explores factors like perceived burdensomeness, thwarted belongingness, hopelessness, and developed capability.
This document discusses deliberate self-harm (DSH), including definitions, terminology, prevalence, behaviors, methods, reasons for engaging in DSH, risk factors, and models for understanding DSH such as emotion regulation and experiential avoidance. Key points include that DSH is used to relieve intense emotions, provide a sense of control, and avoid unpleasant internal experiences. Childhood abuse is a major risk factor. DSH behaviors range from cutting and burning to head banging and are more common in adolescents and individuals with certain disorders.
This document provides an overview of deliberate self harm (DSH), also known as non-suicidal self-injury. It defines DSH and discusses its history, epidemiology, methods, warning signs, and theoretical underpinnings. Key points include that DSH is common in adolescents and those with psychiatric disorders like borderline personality disorder. Common methods are cutting, burning, and head banging. DSH provides short-term relief from emotional distress but can also cause feelings of guilt and lead to infection or severe injury if not treated properly. Assessment and treatment of DSH involves understanding the self-harm cycle and identifying underlying causes and risk factors.
My stroke of insight Tedx talk by jill taylorSameer Mathur
Jill Bolte Taylor is a neuroanatomist who experienced a massive stroke at age 37, which damaged the left side of her brain. Over the course of four hours, she watched as her brain deteriorated and lost its ability to process information. It took eight years to fully recover. As a rare case of being able to study her own brain and recovery, she gained valuable insight into the organ. Her experience of losing functions like walking and talking, but gaining an appreciation of life, inspired her work helping others.
Irritable bowel syndrome (IBS) is a functional bowel disorder characterized by chronic abdominal pain and altered bowel habits in the absence of any detectable organic cause. IBS affects 10.5% of the population, with higher rates in women. IBS often co-occurs with other functional somatic syndromes and psychiatric disorders like anxiety. Early trauma, especially sexual and physical abuse, is linked to higher rates of IBS and other functional somatic syndromes. Cognitive biases and increased attention to threat and negative emotions are also associated with IBS. Hypnotherapy has been shown to be an effective treatment for IBS and may work by disconnecting affective and cognitive links in the brain.
This document discusses self-harm, including definitions, causes, statistics, treatments, and consequences. Some key points include:
- Self-harm refers to deliberately harming one's own body through behaviors like cutting, burning, head banging, and eating disorders.
- Common causes of self-harm include intense emotions, abuse, low self-esteem, and a desire to feel numb or alive. Nearly 50% of those who engage in self-harm have a history of sexual abuse.
- Statistics show that about 2 million cases of self-harm are reported annually in the US, with females comprising 60% of those who engage and rates highest among teens and young adults.
- Without treatment
Aus 2011 dealing with a loved one with cjdapplebyb
This document discusses dealing with a loved one who has Creutzfeldt-Jakob disease (CJD) and provides resources for support. It notes that CJD may require significant changes to one's assumptions about life, as described in stages of grief models. The document lists several international support organizations that can help those dealing with CJD and notes that perceptions shape experiences with healthcare systems, so support groups exist to assist people impacted by CJD.
The document discusses palliative care for aging sisters near the end of life. It covers common symptoms experienced by those with advanced cancer, including pain, fatigue, weakness and loss of appetite. It also outlines approaches to managing physical comfort, including good skin care, hygiene, pain management and frequent position changes. The stages of accepting death are reviewed, from denial to bargaining to depression and finally acceptance. Signs that death is approaching are described, such as changes in senses, circulation and vital signs. The importance of spiritual and religious support is emphasized.
Jeanne Safer grew up with a difficult brother named Steven who had developmental issues and struggled in school. This led Jeanne to experience premature maturity, survivor's guilt, a compulsion to achieve, and a fear of contagion from her brother's conditions. As an adult, Jeanne became a psychotherapist and wrote books about living with a damaged sibling and the "Caliban syndrome" she experienced as a result of having Steven as her brother.
The narrator in Fight Club experiences symptoms of Dissociative Identity Disorder (DID), including insomnia, amnesia, time lapses, and the emergence of an alternate personality named Tyler Durden. DID is caused by traumatic experiences in childhood and involves dissociating parts of one's identity. The narrator realizes he and Tyler are the same person, and stages a confrontation to erase Tyler's personality from his mind. While the movie depicts DID inaccurately in some ways, it captures key symptoms like fugue states and the narrator's struggle between personalities.
This document discusses various topics related to death and dying, including:
1) The study of death and how perceptions of death differ across cultures and generations.
2) Typical stages of understanding and accepting death from childhood through late adulthood.
3) Views of death in major world religions and how some cultures emphasize respecting ancestors.
4) Components of a "good death" and challenges around end of life decisions around topics like euthanasia, physician-assisted suicide, and defining death.
5) The grief process and complications that can arise from bereavement.
The document summarizes the findings of a computer model study on the impact of the measles immunization program in the United States. The summary is:
The study found that in the prevaccine era, approximately 10.6% of the population was susceptible to measles, most of whom were children under 10 years old. With the introduction of the measles vaccination program in 1978, the proportion of susceptibles fell to 3.1% by 1981. However, the study projected that the proportion would begin rising by 0.1% per year, reaching about 10.9% in 2050 when susceptibles would be evenly distributed across all age groups. While the vaccination program effectively eliminated measles in the short-term
This document discusses physician burnout, including its prevalence, causes, and consequences. Some key points:
- Around half of medical students and 25-75% of residents experience burnout depending on specialty. Around a third of doctors experience burnout at any given time.
- Factors contributing to burnout include excessive workloads, difficulty balancing personal and work life, loss of autonomy, and lack of meaning in work. Personality traits like neuroticism can also influence risk.
- Consequences of burnout include increased medical errors, decreased empathy, plans to retire early, and job dissatisfaction. Physician burnout negatively impacts patient satisfaction and adherence to treatment.
- Ten factors that enhance physician
Physician Burnout Prevention - The Portal to Physician EngagementDike Drummond MD
Physician Burnout Prevention is the Portal to Physician Engagement
Presentation to the ACPE Annual Meeting 2013
The biggest risk in healthcare at the moment is not reform, changing reimbursements, EMR or the tidal wave of newly insured patients. The #1 danger to healthcare is the stress that ALL of this is placing on the front line workers - the physicians, nurses and staff.
In this presentation you will learn
1) The #1 Threat to Healthcare - Physician Burnout
2) Why addressing Physician Burnout Head On will give your group a competitive advantage in the years ahead
3) Physician Burnout New Information with a complete mini-training update
- Physician Burnout Vs. Stress
- Prevalence and Trends
- Symptoms & Gender Differences
- Effects & Complications
- Pathophysiology
- 4 Main Causes of Physician Burnout
- Over 117 Prevention Methods
4) Why it's time to stop the Physician Wellness Crusade
5) A Shortcut to Physician Engagement
6) Why Physician Executives are uniquely positioned to champion these changes for the benefit of
- The Physicians and their families
- The patients and staff
Get your copy of the MATRIX report with 117 ways physicians and organizations can work together to prevent burnout
http://www.tinyurl.com/bpmatrix
Dike
Dike Drummond MD
http://www.thehappymd.com
- The health and bottom line of the Organization
Understanding And Applying The Recovery Model To Older Adults.NorthropLynnNorthrop
This document discusses applying the recovery model with older adults. It provides an overview of the history and key concepts of the recovery model, including defining recovery from both a clinical and client perspective. The document discusses engaging clients in the recovery process by focusing on establishing hope, empowerment, self-responsibility, and achieving a better life. Barriers to clients' recovery are also examined. The goals of the Illness Management and Recovery program are outlined, including instilling hope, developing treatment goals, teaching coping skills, and enhancing social support.
Cleeve Briere, Coordinator, Crisis Management Service, Assistant Director, Saskatoon Crisis Intervention Services in Saskatoon spoke to SIAST Faculty and Staff about dealing with crisis of suicide.
Abraham Lincoln suffered from depression and low self-esteem throughout much of his life, as evidenced by his writings and relationships. He experienced crushing rejections from women he pursued and fell into deep depressions after breaking off his engagement to Mary Todd, requiring close supervision to prevent self-harm. Rational Emotive Behavioral Therapy could have helped Lincoln by addressing his irrational beliefs about failure and personal worth, separating his sense of self from specific actions or outcomes, and teaching him to view himself and the world in a more balanced, relativistic way. While effective for treating many issues, REBT's atheistic views may not have provided Lincoln with a sense of objective meaning or eternity.
The document discusses anxiety, its causes, symptoms, and methods for reducing it. Anxiety is described as distress or uneasiness caused by fear that can result from genetics, trauma, or stressful situations. Common physical symptoms include palpitations, dizziness, sweating, trembling, and difficulty breathing. While a little anxiety can be helpful, excessive anxiety can interfere with daily life. The document provides several strategies for reducing anxiety, including challenging negative thoughts, relaxation exercises, getting proper sleep and nutrition, gradual exposure to anxiety triggers, and seeking medical help if needed.
This document discusses important considerations for working with suicidal clients. It notes that over 33,000 people die by suicide each year in the US, and between 30-50% of suicides occur among those receiving psychiatric treatment. The document outlines trends in suicidal behavior and discusses prevalence, conceptual considerations around suicidality, and Joiner's interpersonal-psychological theory of suicide. It emphasizes the multi-factorial nature of suicide and explores factors like perceived burdensomeness, thwarted belongingness, hopelessness, and developed capability.
This document discusses deliberate self-harm (DSH), including definitions, terminology, prevalence, behaviors, methods, reasons for engaging in DSH, risk factors, and models for understanding DSH such as emotion regulation and experiential avoidance. Key points include that DSH is used to relieve intense emotions, provide a sense of control, and avoid unpleasant internal experiences. Childhood abuse is a major risk factor. DSH behaviors range from cutting and burning to head banging and are more common in adolescents and individuals with certain disorders.
This document provides an overview of deliberate self harm (DSH), also known as non-suicidal self-injury. It defines DSH and discusses its history, epidemiology, methods, warning signs, and theoretical underpinnings. Key points include that DSH is common in adolescents and those with psychiatric disorders like borderline personality disorder. Common methods are cutting, burning, and head banging. DSH provides short-term relief from emotional distress but can also cause feelings of guilt and lead to infection or severe injury if not treated properly. Assessment and treatment of DSH involves understanding the self-harm cycle and identifying underlying causes and risk factors.
My stroke of insight Tedx talk by jill taylorSameer Mathur
Jill Bolte Taylor is a neuroanatomist who experienced a massive stroke at age 37, which damaged the left side of her brain. Over the course of four hours, she watched as her brain deteriorated and lost its ability to process information. It took eight years to fully recover. As a rare case of being able to study her own brain and recovery, she gained valuable insight into the organ. Her experience of losing functions like walking and talking, but gaining an appreciation of life, inspired her work helping others.
Irritable bowel syndrome (IBS) is a functional bowel disorder characterized by chronic abdominal pain and altered bowel habits in the absence of any detectable organic cause. IBS affects 10.5% of the population, with higher rates in women. IBS often co-occurs with other functional somatic syndromes and psychiatric disorders like anxiety. Early trauma, especially sexual and physical abuse, is linked to higher rates of IBS and other functional somatic syndromes. Cognitive biases and increased attention to threat and negative emotions are also associated with IBS. Hypnotherapy has been shown to be an effective treatment for IBS and may work by disconnecting affective and cognitive links in the brain.
This document discusses self-harm, including definitions, causes, statistics, treatments, and consequences. Some key points include:
- Self-harm refers to deliberately harming one's own body through behaviors like cutting, burning, head banging, and eating disorders.
- Common causes of self-harm include intense emotions, abuse, low self-esteem, and a desire to feel numb or alive. Nearly 50% of those who engage in self-harm have a history of sexual abuse.
- Statistics show that about 2 million cases of self-harm are reported annually in the US, with females comprising 60% of those who engage and rates highest among teens and young adults.
- Without treatment
Aus 2011 dealing with a loved one with cjdapplebyb
This document discusses dealing with a loved one who has Creutzfeldt-Jakob disease (CJD) and provides resources for support. It notes that CJD may require significant changes to one's assumptions about life, as described in stages of grief models. The document lists several international support organizations that can help those dealing with CJD and notes that perceptions shape experiences with healthcare systems, so support groups exist to assist people impacted by CJD.
The document discusses palliative care for aging sisters near the end of life. It covers common symptoms experienced by those with advanced cancer, including pain, fatigue, weakness and loss of appetite. It also outlines approaches to managing physical comfort, including good skin care, hygiene, pain management and frequent position changes. The stages of accepting death are reviewed, from denial to bargaining to depression and finally acceptance. Signs that death is approaching are described, such as changes in senses, circulation and vital signs. The importance of spiritual and religious support is emphasized.
Jeanne Safer grew up with a difficult brother named Steven who had developmental issues and struggled in school. This led Jeanne to experience premature maturity, survivor's guilt, a compulsion to achieve, and a fear of contagion from her brother's conditions. As an adult, Jeanne became a psychotherapist and wrote books about living with a damaged sibling and the "Caliban syndrome" she experienced as a result of having Steven as her brother.
The narrator in Fight Club experiences symptoms of Dissociative Identity Disorder (DID), including insomnia, amnesia, time lapses, and the emergence of an alternate personality named Tyler Durden. DID is caused by traumatic experiences in childhood and involves dissociating parts of one's identity. The narrator realizes he and Tyler are the same person, and stages a confrontation to erase Tyler's personality from his mind. While the movie depicts DID inaccurately in some ways, it captures key symptoms like fugue states and the narrator's struggle between personalities.
This document discusses various topics related to death and dying, including:
1) The study of death and how perceptions of death differ across cultures and generations.
2) Typical stages of understanding and accepting death from childhood through late adulthood.
3) Views of death in major world religions and how some cultures emphasize respecting ancestors.
4) Components of a "good death" and challenges around end of life decisions around topics like euthanasia, physician-assisted suicide, and defining death.
5) The grief process and complications that can arise from bereavement.
The document summarizes the findings of a computer model study on the impact of the measles immunization program in the United States. The summary is:
The study found that in the prevaccine era, approximately 10.6% of the population was susceptible to measles, most of whom were children under 10 years old. With the introduction of the measles vaccination program in 1978, the proportion of susceptibles fell to 3.1% by 1981. However, the study projected that the proportion would begin rising by 0.1% per year, reaching about 10.9% in 2050 when susceptibles would be evenly distributed across all age groups. While the vaccination program effectively eliminated measles in the short-term
This document discusses physician burnout, including its prevalence, causes, and consequences. Some key points:
- Around half of medical students and 25-75% of residents experience burnout depending on specialty. Around a third of doctors experience burnout at any given time.
- Factors contributing to burnout include excessive workloads, difficulty balancing personal and work life, loss of autonomy, and lack of meaning in work. Personality traits like neuroticism can also influence risk.
- Consequences of burnout include increased medical errors, decreased empathy, plans to retire early, and job dissatisfaction. Physician burnout negatively impacts patient satisfaction and adherence to treatment.
- Ten factors that enhance physician
Physician Burnout Prevention - The Portal to Physician EngagementDike Drummond MD
Physician Burnout Prevention is the Portal to Physician Engagement
Presentation to the ACPE Annual Meeting 2013
The biggest risk in healthcare at the moment is not reform, changing reimbursements, EMR or the tidal wave of newly insured patients. The #1 danger to healthcare is the stress that ALL of this is placing on the front line workers - the physicians, nurses and staff.
In this presentation you will learn
1) The #1 Threat to Healthcare - Physician Burnout
2) Why addressing Physician Burnout Head On will give your group a competitive advantage in the years ahead
3) Physician Burnout New Information with a complete mini-training update
- Physician Burnout Vs. Stress
- Prevalence and Trends
- Symptoms & Gender Differences
- Effects & Complications
- Pathophysiology
- 4 Main Causes of Physician Burnout
- Over 117 Prevention Methods
4) Why it's time to stop the Physician Wellness Crusade
5) A Shortcut to Physician Engagement
6) Why Physician Executives are uniquely positioned to champion these changes for the benefit of
- The Physicians and their families
- The patients and staff
Get your copy of the MATRIX report with 117 ways physicians and organizations can work together to prevent burnout
http://www.tinyurl.com/bpmatrix
Dike
Dike Drummond MD
http://www.thehappymd.com
- The health and bottom line of the Organization
Understanding And Applying The Recovery Model To Older Adults.NorthropLynnNorthrop
This document discusses applying the recovery model with older adults. It provides an overview of the history and key concepts of the recovery model, including defining recovery from both a clinical and client perspective. The document discusses engaging clients in the recovery process by focusing on establishing hope, empowerment, self-responsibility, and achieving a better life. Barriers to clients' recovery are also examined. The goals of the Illness Management and Recovery program are outlined, including instilling hope, developing treatment goals, teaching coping skills, and enhancing social support.
Här kan du ta del av föreläsningsmanualer för bedömning och behandling av depression för BUP. Undervisningsmaterialet producerades av Region Halland och är finansierat av Sveriges Kommuner och Landsting i linje med överenskommelsen med regeringen.
This document discusses depression in men. It begins by noting stereotypes about masculinity that discourage men from expressing emotions. Men are socialized from a young age to hide feelings, not ask for help, and be tough. This can make depression harder to recognize in men, whose symptoms may include anger, irritability, risk-taking behaviors, and physical complaints rather than sadness. Left untreated, male depression can have serious consequences like suicide, health problems, and effects on children. The document provides information about the brain differences between men and women and gives recommendations for clinicians to address male depression by exploring role models, teaching emotion language, and using practical coping strategies.
Men experience depression differently than women due to societal expectations and biological differences. Some common male symptoms include irritability, anger, risk-taking behaviors, and physical complaints instead of overt displays of sadness. Depression can have serious consequences if left untreated, including increased risk of suicide, heart disease, substance abuse and relationship problems. Effectively treating male depression requires understanding how patriarchal norms socialize boys to hide emotions, assessing for co-occurring conditions, and utilizing practical coping strategies tailored to masculine interests.
The document discusses mental health awareness and mindfulness in the workplace. It defines mental health and mental health conditions according to Philippine law. It notes that confidentiality of patient information is important. It also discusses stress, its types, and common stressors at home and work. Depression and anxiety are explained as common mental disorders. The role of neurotransmitters in these disorders is mentioned. The story of a model who died by suicide is presented, along with harmful and understanding comments about suicide. Resources for emotional crisis are provided.
The document discusses an organization that helps families recognize and cope with depressive disorders by providing education on symptoms of depression, common signs, who is affected, stories of people with depression, tips for helping loved ones, and the organization's mission to educate and provide support through resources like family profiles, podcasts, brochures, and online support groups. The organization is a nonprofit that aims to get people well and prevent suicide by helping families understand and support those struggling with depressive disorders.
This document discusses the work of Thomas Szasz and other critics of modern psychiatry. It argues that the concept of "mental illness" is a myth and that behaviors labeled as mental illnesses are often normal reactions to life experiences or social problems. It raises concerns that psychiatric diagnoses are subjective and that psychotropic drugs can have dangerous side effects like increased suicide risk or contributing to acts of violence. The document questions the close relationship between psychiatry and pharmaceutical companies.
Depression in teenagers can have biological and emotional causes, and symptoms include changes in mood, sleep, appetite, concentration, and thoughts of death or suicide. The document discusses identifying and treating depression using cognitive behavioral therapy techniques like cognitive restructuring to change negative thought patterns and behavioral activation to engage in enjoyable activities. Biblical examples show that depression affected people in the Bible and can be overcome through faith, prayer, praise, and trusting in God's word.
This document discusses mental health issues and aims to reduce stigma by providing facts about various conditions. Some key points:
- 1 in 4 people experience a mental health problem each year, yet many myths and misconceptions exist about conditions being scary, violent, or less real than physical illnesses.
- Many common conditions are more prevalent than assumed, including depression (1 in 10), OCD (1-2% of population), and eating disorders (1.5 million in UK). Famous people from all walks of life have struggled with mental illness.
- Biological factors like chemical imbalances are involved in conditions like depression and schizophrenia. Medications can help transmit brain signals better. Recovery is possible with treatment and support
Dissociative Identity Disorder (DID), previously known as Multiple Personality Disorder, involves two or more distinct personality states that control an individual's behavior. It is caused by severe childhood trauma and results in memory lapses, identity confusion, and switching between alters. Treatment focuses on integrating alters through psychotherapy and sometimes medication, with the goal of achieving normal functioning. People with DID can lead normal lives, though management of alters and their associated emotions can be challenging.
This document provides an overview of the book "Balance Your Brain, Balance Your Life" by Dr. Jay Lombard and Dr. Christian Renna. It discusses how the brain and body are interconnected and how imbalances in neurotransmitters like serotonin and dopamine can lead to both mental and physical health issues. Maintaining balance between these two opposing forces is important for well-being. The document also reviews some of the latest brain research and how technological advances have furthered our understanding of the brain-body connection.
Cognitive Behavior Therapy For Depression In Older Adults.NorthropLynnNorthrop
This document provides an overview of cognitive behavioral therapy (CBT) techniques for treating depression in older adults. It discusses the foundations of CBT including the importance of the therapeutic relationship and collaborative approach. It explains the CBT triangle model relating thoughts, feelings and behaviors. Several common types of inaccurate thinking are outlined. Methods are described for helping clients identify inaccurate thoughts and replace them with more balanced perspectives using tools like thought records. Strategies like behavioral activation are presented for shifting out of downward spirals and maintaining wellness.
This document analyzes the biological, cognitive, and sociocultural etiologies of social anxiety disorder and depression. For social anxiety disorder, biological factors include an oversensitive amygdala and genetic predispositions, while cognitive factors involve negative core beliefs developed from social experiences. Sociocultural influences include parenting styles and societal emphasis on competition. For depression, biological theories point to genetic and neurotransmitter imbalances, while cognitive theories cite irrational thinking patterns. Sociocultural risk factors include life stressors and varying conceptions of depression across cultures. Both disorders vary in prevalence by gender and culture.
Depression comes in several forms including major depression, dysthymic disorder, and bipolar disorder. It is a whole-body illness that affects mood, thoughts, and physical symptoms. Common causes include stressful life events, illness, loss, and substance abuse. Treatment involves medication, counseling, diet, exercise, and avoiding drugs/alcohol. Caregivers should understand the illness, support treatment, listen without judgment, and care for themselves. Depression affects about 1 in 10 Americans.
Change perception change your health thru meditationJohn Bergman
Meditation and positive thinking can impact our health by changing our perceptions and cell function. Negative perceptions from trauma, toxicity, or misinterpreting environmental signals can precipitate disease, while meditation and optimism enhance health by altering gene expression through cell receptors. Exercise and lifestyle factors like nutrition also influence our biology and can treat conditions like depression faster than drugs in some cases.
This document summarizes information about mood disorders such as unipolar depression and bipolar disorder. It discusses the symptoms, diagnosis, causes, and treatment of these conditions. For unipolar depression, key points include that it affects about 19% of US adults, is more common in women, and has emotional, motivational, behavioral, cognitive and physical symptoms. Bipolar disorder involves alternating periods of depression and mania, with symptoms of inappropriate mood rises and poor judgment during manic episodes. Biological factors like neurotransmitters, brain structures and genetics may contribute to causing mood disorders.
Sub Abuse Ment Health For Dv Agencies Palm Deser C At 1 8 08 Wernerdebwerner
This document provides an overview of a training on mental health, substance abuse, and domestic violence that took place on January 8, 2008 in Palm Desert, California. The training covered topics such as how women communicate and process information differently than men, common mental health disorders experienced by women such as depression and PTSD, the high rates of co-occurring substance abuse and mental health conditions, and the importance of integrated and comprehensive treatment approaches. The training also addressed myths about mental illness, domestic violence and its relationship to mental health, and characteristics of effective mental health partners for organizations serving domestic violence survivors.
Mental illness has been recognized for over 4,000 years. Early attempts to treat it were often cruel, such as chaining or torturing patients due to beliefs that mental illness was caused by demonic possession. In the late 1800s, some doctors experimented with methods to influence blood flow to the brain like tranquilizer chairs and spinning chairs, but these provided no lasting benefits. Through the 1900s, many mentally ill individuals were institutionalized in asylum conditions that were often deplorable. Lobotomies and electroshock therapy were introduced in the mid-20th century as treatments but often had negative effects and did not cure illness. Understanding and treatment of mental illness has significantly improved since these early attempts.
The document discusses schizophrenia, including its causes, symptoms, treatments and connection to the film The Soloist. Schizophrenia is a disorder that affects thinking, feelings and behavior. Causes are unclear but may include genetics and brain abnormalities. Symptoms vary but can include hallucinations, delusions and withdrawal. Treatment involves lifelong medication and therapy to manage symptoms. The film The Soloist depicts how schizophrenia affected a talented musician and how friendship helped support his recovery.
The document discusses schizophrenia, including its causes, symptoms, treatments and connection to the film The Soloist. Schizophrenia is a disorder that affects thinking, feelings and behavior. Causes are unclear but may involve genetics and brain abnormalities. Symptoms vary but can include hallucinations and delusions. Treatment involves lifelong medication and therapy to manage symptoms. The film The Soloist depicts how schizophrenia affected a talented musician and how friendship helped support his recovery.
The document provides a culturally sensitive depression guideline for use in primary care settings. It discusses how depression commonly presents in primary care with multiple somatic complaints rather than classical symptoms. Cultural background influences the language and metaphors used to describe psychological distress. The guideline recommends a holistic "LOOK, LISTEN, TEST" approach to assessment and emphasizes understanding the patient's cultural context to improve recognition and management of depression across diverse populations.
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Similar to Depression And Aging.National Depression Screening Day.Northrop (20)
2. Welcome and Thank You
Alone we can do so little,
together we can do so
much.
~ Helen Keller
Lynn Northrop, PhD
3. National Depression Screening Day
¨ 1991 – 20 years next year!
¨ Initiated by Douglas Jacobs, MD, a Harvard
psychiatrist
¨ Now run by SMH, Inc., a non-profit based outside of
Boston which Jacobs heads
¨ Raises awareness about depression and depression
treatment
¨ Screenings occur in every state in the US
¨ Screens more than a half million people per year
Lynn Northrop, PhD
4. What is Depression?
Major Depressive Episode* = symptoms for 2 weeks or more
Depressed or irritable mood AND Older adults
at least 4 below: More likely to report
¨ Loss of interest or pleasure physical symptoms
¨ Change in weight or appetite Less likely to report mood
¨ Change in sleep symptoms
¨ Change in psychomotor activity More likely to report
problems with memory
¨ Fatigue or low energy
¨ Worthlessness or guilt
Apathy and withdrawal
more common
¨ Cognitive dysfunction
Diminished self-worth is
¨ Recurrent thoughts of death
more prominent
- self or others (suicidal ideation)
¨ Interferes with functioning Lynn Northrop, PhD
6. How common is major depression?
¨ 21million people in US with Major Depressive
Disorder
¨ Lifetime prevalence: 1 to 2 out of 10 people
¨ Older and younger adults have same risk
¨ More common in medically ill of any age
¨ Very common among caregivers (more than half)
Lynn Northrop, PhD
7. Lynn Northrop, PhD
Estimated number of depressed older adults
Number of 11% clinical
Area
people age 65+ depression
California 3,866,140 42,5275
SD County 325,615 35,818
La Mesa 11,605 1,277
City of San
128,008 14,080
Diego
8. How does depression impact health?
¨ Depression is predictive of hip fracture (Mussolino, 2005), a
second heart attack (Carney and Freedland, 2007), stroke
¨ Treating depression reduces arthritic pain (Lin, 2003)
¨ OA treated for their depression are 45% less likely
to die in next 5 years (Univ. of Penn, 2007)
¨ Correlation with adherence and health behavior
¨ 30,000 deaths by suicide in the US
more than alzheimers, homicide, liver disease, arteriosclerosis, or HTN
Suicide 50% higher in older adults
Lynn Northrop, PhD
9. Additional Impact of depression
¨ Reduced Quality of Life
¨ Lost Productivity - $44 billion cost to employers
Leading cause of disability in US (NIMH)
¨ Lost, damaged relationships
¨ Less likely to take meds as prescribed, follow
medical advice, etc.
¨ When all else is equal, depressed elders more
likely to be placed in nursing home.
Lynn Northrop, PhD
10. Who gets depressed?
¨ Anyone
¨ You, me, everyday people and famous people
¨ Rich, poor
¨ Male, female
¨ Young, old
¨ People of all races, religions, ethnicities,
occupations, IQ s
¨ People across history
Lynn Northrop, PhD
11. Edwin "Buzz" Aldrin, astronaut Abraham Lincoln, U.S. President
Alexander the Great, king Greg Louganis, U.S. diver and Olympic gold medallist
Hans Christian Anderson, author Robert McFarlane, former US Nat’l Security Adviser
Drew Barrymore, actress Marilyn Monroe, actor
Ludwig von Beethoven, composer Sir Isaac Newton, physicist
Marlon Brando, actor Florence Nightingale, British nurse
Dick Cavett, broadcaster Richard Nixon, U.S. president
Ray Charles, R&B performer Deborah Norville, television journalist
Winston Churchill, British prime minister Dolly Parton, singer
Dick Clark, entertainer (American Bandstand) Jimmie Piersall, baseball player
Calvin Coolidge, U.S. president William Pitt, Prime Minister
Francis Ford Coppola, director Sylvia Plath, poet
Charles Darwin, explorer and scientist Edgar Allen Poe, writer
Kitty Dukakis, former First Lady, Mass. Jackson Pollock, artist
Thomas Edison, inventor Cole Porter, composer
Ralph Waldo Emerson, writer Yves Saint Laurent, fashion designer
Sigmund Freud, psychiatrist Charles Schulz, cartoonist (Peanuts)
Dwight Gooden, baseball player George Stephanopoulos, political advisor
Tipper Gore, wife of U.S. Vice-President Darryl Strawberry, baseball player
Phil Graham, owner, Washington Post Spencer Tracy, actor
Stephen Hawking, physicist Ted Turner, founder, CNN Network
Andrew Jackson, U.S. President Mark Twain, author
Thomas Jefferson, U.S. President Vincent Van Gogh, artist
Larry King, talkshow host Walt Whitman, poet
Robert E. Lee, U.S. general Jonathan Winters, comedian
John Lennon, musician Natalie Wood, actor
Lynn Northrop, PhD
12. Lots of older people get depressed…
Does that mean it’s
a normal part of aging?
Lynn Northrop, PhD
13. No.
Depression is a treatable medical illness.
No more common in older adults
than younger adults.
It is not any more normal
than diabetes or cancer.
Lynn Northrop, PhD
18. What puts people at risk for depression?
¨ Chronic medical problems
¨ Chronic pain
¨ Poverty
¨ Loss
Are these
¨ Chronic Stressors CAUSES? (like
¨ Isolation
heat causes burns
or viruses cause
¨ Limited social support
flu?)
¨ Family history
¨ Previous episode
¨ Some medications
Lynn Northrop, PhD
19. Lynn Northrop, PhD
Do situations cause depression?
Alice and Georgia lived in the same
senior housing complex.
Both 85 y.o., retired, recently widowed, live alone,
very limited income, diabetes and heart disease,
chronic severe arthritic pain, one daughter -- lives
nearby, family and personal history of depression,
And here s the kicker…
Georgia was depressed. Alice was not.
20. Cognitive-Behavioral Model of Depression
¨ Depressed people are more likely to think
inaccurate thoughts and to believe them.
¨ Depressed people are more likely to behave in
ways that maintain depression.
¨ Treatment targets thoughts and behaviors.
Lynn Northrop, PhD
21. Common Inaccurate Thoughts
¨ All-or-nothing
¨ Negative filter (on self and others)
¨ Catastrophic
¨ Mind-reading
¨ Taking it personal
¨ Should statements
Lynn Northrop, PhD
22. Common changes in behavior
¨ Dropping hobbies
¨ Spending more time alone
¨ Sit more
¨ More time in bed
¨ Complain/criticize more
¨ Dismiss compliments
¨ Procrastinate
¨ Less self-care
Lynn Northrop, PhD
23. Lynn Northrop, PhD
Cognitive Behavioral Model of Depression
Thoughts
Behaviors Feelings
Focused on the here and now more than history
24. Downward Spiral
Feel Bad Feel Even
Better
Do Less Do More
Feel Worse Feel a Little
Better
Do Even Do
Less Something
Lynn Northrop, PhD
25. Staying well…
¨ Stay active At Gary and Mary West Senior
Wellness Center:
¨ Keep connected • Feeling fit
• Yoga
¨ Daily APES • Tai chi
• Travel class
¨ Strive for accurate • Movies
thinking (not always +) • Cooking class
• Book club
¨ Look for the good • Civic engagement/volunteerism
• Games
¨ Live in the moment • Health education
• Sing-along
¨ Complain/criticize less • Bingo
• Stress and happiness
¨ Express gratitude management class
• SCREENINGS
every day • And more! Lynn Northrop, PhD
26. Take Home Messages
¨ Depression is fairly common, but not normal
¨ Depression is a medical illness, not weakness, not
crazy
¨ Depression leads to many adverse consequences
(social, medical, can be fatal)
¨ Depression is very treatable
¨ Help is available
¨ If you or a loved on is depressed, get help
Lynn Northrop, PhD