The nation has been horrified to hear about another mass shooting this week. For many in South Florida, however, the trauma surrounding school violence has hit particularly hard because it happened right in our own backyard. Many people likely know someone or know of a family with a child who attends the Marjory Stoneman Douglas High School in Parkland, FL. Because of this, you might find it challenging to deal with your feelings about the event.
Keep in mind that it is normal to experience strong emotions, such as anger, fear, sadness, grief, and shock – even if you don’t know someone who is personally connected to the shooting. You might also have trouble sleeping or concentrating and you may even feel numb when discussing the incident with others. All of these reactions are typical responses of trauma psychology.
It will take a while to move past this heartbreaking tragedy, but we have some tips for managing your emotions during this horrific time. Following these guidelines can help you build resilience – the inner strength that you can draw on when you’re exposed to trauma or adversity.
If you find you can’t move past this school violence or another traumatic event that has happened in your life, it may be beneficial to seek out a support group or turn to a qualified, licensed mental health professional in order to move forward. It is especially important to do so if you are unable to carry out the daily tasks of living, such as sleeping, eating, and other functions.
The Center for Anxiety and Mood Disorder’s Trauma Center has specially trained clinicians on staff to help those who are grieving or who have gone through traumatic situations. For more information, contact us or call us today at 561-496-1094.
As of this writing, 30 states, Guam, the District of Columbia, and Puerto Rico all have approved the broad use of medical marijuana. Additionally, other states allow limited medical use and 8 states (and the District of Columbia) allow recreational use of the drug. Even though the use of pot and weed is becoming more acceptable, the Drug Enforcement Administration (DEA) still considers marijuana to be a Schedule I substance, meaning it is likely to be abused and it completely lacks medical value. This classification also means there hasn’t been much research into the efficacy of the drug for medical conditions and, in particular, we lack long-term studies that would tell us whether it is safe and/or effective when used over a long period of time.
What we do know is that, in clinical practice – both in our practice and in discussions with colleagues in other practices – mental health professionals are seeing an increase in the number of incidents of anxiety, panic attacks, depression, and even psychotic reactions now that marijuana use has become more mainstream.
Did you know that:
Whether it’s used recreationally or medicinally, both forms of pot are the same product. The medical version contains cannabinoids just like recreational marijuana. Delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD) are the main chemicals found in the medical form.
Although medical marijuana is used for many conditions (among them: multiple sclerosis (MS), cancer, seizure disorders, and glaucoma), its efficacy hasn’t been proven. “The greatest amount of evidence for the therapeutic effects of cannabis relate to its ability to reduce chronic pain, nausea and vomiting due to chemotherapy, and spasticity [tight or stiff muscles] from MS,” says Marcel Bonn-Miller, PhD, a substance abuse specialist at the University of Pennsylvania Perelman School of Medicine.
As noted above, there aren’t many studies on the relationship between marijuana use and mental illnesses, such as anxiety, depression and bipolar disorder yet. However, research done in 2017, examined marijuana use in conjunction with the depression and anxiety symptoms of 307 psychiatry outpatients who had depression (Bahorik et al., 2017). This study found that “marijuana use worsened depression and anxiety symptoms; marijuana use led to poorer mental health functioning.” In addition, the study determined that medical marijuana was associated with reduced physical health functioning.
Part of the problem with using marijuana either recreationally or medically is that there is no way to regulate the amount of THC you’re getting, because the Food and Drug Administration (FDA) doesn’t oversee the product. This means not only the ingredients, but the strength of them can differ quite a lot. “We did a study last year  in which we purchased labeled edible products, like brownies and lollipops, in California and Washington. Then we sent them to the lab,” Bonn-Miller says. “Few of the products contained anywhere near what they said they did. That’s a problem.”
Another area of concern is that, as we know from regulated psychiatric medications, one dose may affect you differently than it affects your sibling or a friend. People are unique – each person’s reaction to a medication will vary, which is why psychiatric medications are monitored by the prescribing doctor so that the dosage can be adjusted for your specific needs.
In summary, if you choose to use marijuana either medically or recreationally, be careful. Talk to the doctor who authorized it, or speak with a mental health professional if you find yourself experiencing the symptoms of depression or anxiety, or if you have panic attacks that begin or worsen while you are using pot. Additionally, be sure your doctor knows your psychiatric history before they authorize medical marijuana for you, especially if you have been diagnosed with anxiety, depression, panic attacks, bipolar disorder, or psychosis.
We can help! The mental health professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida can answer your questions about how medical or recreational marijuana use can affect your anxiety, depression, or other condition. For more information, contact us or call us today at 561-496-1094.
Resource: Bahorik, Amber L.; Leibowitz, Amy; Sterling, Stacy A.; Travis, Adam; Weisner, Constance; Satre, Derek D. (2017). Patterns of marijuana use among psychiatry patients with depression and its impact on recovery. Journal of Affective Disorders, 213, 168-171.
Children are referred for a psychological assessment for many reasons. They may have attention or behavior problems at home or in school, be subjected to bullying, be depressed or anxious, or have a learning disorder. Often when kids are struggling in school or seem to be behind their peers developmentally, a counselor or teacher will suggest the child undergo a psychological assessment.
The findings from this type of evaluation will let us know where the child excels and which areas he or she might need to address (for example: an undiagnosed learning disability). Dr. Ryan Seidman, the Clinical Director at our Children’s Center notes that, “Having your child evaluated can promote improvement in academic and emotional functioning.”
Psychological assessments are done by highly trained child psychologists who are specialists in their fields. These mental health professionals evaluate the child’s strengths and weaknesses, then work with parents and teachers to come up with an approach that will help the child progress.
These assessments aren’t like “actual” tests can be and they aren’t something the child can study for. In fact, it is best if the child is relaxed during the evaluation, so the assessment isn’t a “pass or fail” test.
During a psychological assessment, the psychologist will:
Psychological testing isn’t a quick assessment. The evaluation will likely takes several hours to complete and often involves more than one session to be certain the psychologist has all the details about a child. By putting this information together, the child psychologist comes to an understanding of where a child needs assistance and can develop strategies to help them reach their full potential.
When the testing is complete, the child psychologist will go over the results with the child’s parents. Keep in mind that the outcomes do not reveal everything about a child’s potential, abilities or skills. Rather, the evaluation is used as a way to learn about their “present functioning level” emotionally, in their school and home environments, how they learn, and their strengths and weaknesses.
The child psychologist will discuss areas in which the child does well and offer suggestions to help them improve in areas that need to be addressed. If the child is diagnosed with a learning disability, or a behavioral or emotional issue, recommendations will be made for ways to help the child manage that specific concern or problem.
By evaluating and understanding where the child has issues, child psychologists can provide positive coping strategies, reduce the child’s stress and enrich their competence and well being.
For more information about how our child psychologists can help your child with a psychological assessment, contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida or call us today at 561-496-1094.
October is National Bullying Prevention month. Organizations and schools use this month to raise awareness of school bullying, while working to prevent its impact on children.
School bullying is defined as the use of power to control another person. Bullying always intends to harm the targeted child – usually psychologically, but sometimes physically, as well. Additionally, bullying is carried out by the same person or the same group of people who repeatedly go after the same child. A child who is being bullied might be either unable to fight back against attacks or might have a hard time defending themselves.
The kids most at risk of being bullied are those who:
About 1 in 4 children report having been verbally or socially bullied at school and most bullying happens in middle school, although it can occur at any grade level.
While bullying can be verbal (teasing, name-calling, threatening someone) or physical (for example: hitting, fighting, or forcing a person to do something they don’t want to do), today’s children also face social bullying:
The symptoms of school bullying can be both physical and emotional. Your child may experience:
A child who is bullied may avoid situations and interactions with others that could actually be positive for them. The effects of school bullying can create depression and anxiety disorders in the child who is being attacked. Often this depression and anxiety will stay with the youth and follow them into adulthood. In fact, someone who was bullied in school is more likely to be the target of workplace harassment as an adult.
In all cases of school bullying, it’s important to seek help and report the incident as soon as possible. Ignoring the issue often makes it worse because the bully begins to think it is okay to continue hurting others. Additionally, the targeted child sometimes begins to believe what is being said about them.
StopBullying.gov offers the following suggestions to help stop school bullying. They say:
StopBullying.gov also lists things your child can do to stay safe in the future:
Additionally, child psychologists, such as the professionals here at The Anxiety Center, can work with your child to develop coping techniques that will teach them how to react in particular situations. Child psychologists can also help bullying victims rebuild their self-esteem and confidence so that future harassment can be avoided.
For more information about how we can help your child learn to defend against school bullying, contact the Center for Treatment of Anxiety and Mood Disorders in Delray Beach, or call us today at 561-496-1094.
How much of a part does resilience play when it comes to dealing with emotional or psychological trauma? As it turns out, quite a lot. Resilience is the inner strength that allows you to adapt when you’ve been exposed to trauma or adversity. This characteristic is strengthened by optimism, which is the extent to which people feel positive and encouraged about their future. Studies have shown that those who are resilient and optimistic feel a higher degree of psychological well-being and are able to recover more quickly from disturbing events. These individuals are able to process stressful situations without becoming overwhelmed and can move through them without turning to unhealthy coping mechanisms, such as substance abuse.
Are you in a relationship with a person who thinks they are far superior to you and to everyone around them? Or maybe your parent ran your life, expecting nothing less than excellence from you and being envious of your achievements – so much so that they found a way to make your triumphs all about them. Perhaps you are married to someone who is “difficult” – they demand all your attention, have an inflated ego, and are frequently critical of you because things are always “your fault.” If you have a difficult, selfish, and unemotionally available loved one and feel like you have less self-confidence, have less independence, or have given up your family, friends, hobbies, or a career for this person, you may be dealing with narcissistic abuse.