Following the Netflix release of 13 Reasons Why in 2017, many mental health, suicide prevention, and education experts from around the world expressed a common concern about the series’ graphic content and portrayal of difficult issues facing youth. Resources and tools to address these concerns were quickly and widely disseminated in an effort to help parents, educators, clinical professionals and other adults engage in conversations with youth about the themes found in the show.
In advance of the release of season 2, SAVE (Suicide Awareness Voices of Education) brought together a group of 75 leading experts in mental health, suicide prevention and education as well as healthcare professionals (see full list below) to develop tools to help encourage positive responses to the series. In just a few short months, this group has developed a toolkit providing practical guidance and reliable resources for parents, educators, clinicians, youth and media related to the content of the series (suicide, school violence, sexual assault, bullying, substance abuse, etc.).
Using the toolkit and resources developed will help to encourage conversations, identify those at risk and prevent unexpected tragedies. Hopefully, it will also help those in need get the appropriate level of support and professional care to ensure that youth are protected, nurtured and our communities are stronger.
Executive Director – SAVE
SAVE especially thanks the following sub-group leaders in this effort:
Katherine C. Cowan
The organizations listed below represent thousands of mental health and suicide prevention, education experts and healthcare professionals from around the world with decades of experience working with youth, parents, schools and communities.
When someone goes through dissatisfaction with their job or marriage and they are in their forties or fifties, the first thing everyone says is that they must be having a midlife crisis. We hear about this phase of life as people transition from young adult to middle age so often that it almost feels like a crisis is a “given”. And, on some level, it may be. As people go from being the young, carefree person of their twenties who is just getting established in a career or marriage, to the responsible person who is expected to have gotten their lives together by the time they reach their forties, it is inevitable that people will look back and second guess decisions or wonder “what if.” For many people, this emotional jolt can bring on midlife anxiety.
Unlike a medical condition, midlife anxiety doesn’t have specific symptoms. Instead, it’s a mixture of emotions, feelings, and body changes that lead to the strong sense that something needs to change. Among other things, it can be triggered by factors such as an event that reminds you that you are aging, the death of a parent, children leaving home for college, or a health scare of your own.
Things that might be signs of midlife crisis are:
Additionally, keep in mind that the feelings of helplessness or worry aren’t just confined to midlife anxiety. These emotions can come up anytime during a period in which you are transitioning to a new phase of life. Leaving the teen years and becoming a college student, a parent’s empty-nest syndrome, or an elderly person who moves from a beloved home into a senior-care apartment are all examples of situations that can bring on the same symptoms as those of midlife anxiety. Even being diagnosed with a medical illness or condition can make you feel vulnerable and may bring up these symptoms.
When you’re faced with midlife anxiety, the urge to do something – anything – can be very powerful, so the first thing to do is: nothing. Despite how you feel, this really isn’t the time to make major changes in your life that you may find yourself regretting when your anxiety has diminished.
Remember that midlife anxiety doesn’t have to be something that leads to a crisis! You can channel your concerns into new opportunities and bring greater meaning to your life. This can be a time to:
If you or a loved one is experiencing midlife anxiety, the mental health professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida can help. For more information, contact us or call us today at 561-496-1094.
Our team presented at the 2018 ADAA Conference on Treatment Resistant Panic Disorder: A Multidisciplinary Multimodality Approach. You can access the audio recording of our session here with the below login credentials.
We hope you find the recording of our presentation helpful and informative!
Studies have shown that people who identify as lesbian, gay, bisexual, transgender, or questioning (LGBTQ) suffer from higher levels of anxiety and depression than the general public. In fact, approximately 30 – 60 % of the LGBTQ population have anxiety and depression and, as a whole, the LGBTQ community faces disproportionately high rates of suicide, self-harm, substance abuse and addiction. While there are many things that can influence a person’s mental and emotional wellbeing, prejudice and discrimination add additional trauma to LGBTQ mental health concerns.
In and of itself, simply being LGBTQ does not affect a person’s mental health condition. Identifying against a cultural norm, however, exposes an LGBTQ person to prejudice and discrimination that their heterosexual counterparts don’t generally face. Some factors that affect LGBTQ mental health are:
Despite the fact that society is slowly becoming more accepting of the LGBT community, an uphill battle still remains. LGBTQ people have heard from birth that being something other than heterosexual or identifying with the gender you were born into is wrong. For example, although gay marriage was recently legalized, federal law still allows for legal discrimination in the workplace because it doesn’t protect people based on sexual orientation or gender identity. People can still legally be evicted from housing, fired from their job, or refused public or private services because of their LGBTQ status. Additionally, it is all too common for family members to reject someone who comes out to them.
Up to 65% of LGBT people suffer from some level of homophobia themselves (the belief that being LGBTQ is wrong). Hearing throughout their lives that they are somehow flawed causes many people to internalize those negative thoughts. Those who don’t have family or peer support have a harder time, as do those individuals who tend toward more negative personalities or have gone through adverse experiences, such as rejection or bullying.
On the other hand, even LGBTQ people who have supportive family and friends can end up feeling that their sexual or gender identity is somehow wrong. Often, people who love them want to help, but have no idea how to do so, and end up suggesting “cures” or a laundry list of worries (“you’re going to get AIDS”). These things contribute to the person’s feeling of being unworthy or hopeless. When the individual internalizes this shame from a young age, it often leads to long-term mental and emotional consequences.
For LGBTQ people, talking about their problems can feel like they are reinforcing the damaging stereotype against the gay and transgender community. Many individuals have been kicked out of their homes or shunned by family members and friends after they’ve come out. As an example, it’s estimated that about 40% of the homeless population in Southern California consists of homeless LGBT youth.
Compassionate care is needed to help the LGBTQ community recover from its serious mental health issues. Obviously, mental health providers should approach and treat their LGBT patients in the same manner as they would any other patient. However, they also need to understand how oppression and other factors contribute to anxiety and depression in these patients.
Our mental health professionals provide caring, compassionate LGBTQ mental health services. For more information, contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida. Call us today at 561-496-1094.
Stress surrounds us on a daily basis. From traffic delays to work projects, worries about finances or health, and news reports of world events, the demands of our everyday lives produce both positive and negative stress. Stressors (which are the things that cause your stress) can be physical, emotional, theoretical, or environmental. Even positive events like weddings and job promotions cause stress.
Whether negative or positive, one thing is certain – stress raises the body’s anxiety levels. When we’re under stress, the “fight or flight” response kicks in, raising blood pressure and heart rate, and sometimes causing you to lose sleep or feel like you can’t breathe. While this response usually subsides after the stressor is removed, a prolonged or permanent stress response can develop in someone who is under constant stress. It’s called toxic stress, and children can be affected by it just the same as adults.
The incidence of obesity, diabetes and heart problems, cancer and other diseases goes up when a child lives with toxic stress. Additionally, their chances of depression, substance abuse and dependence, smoking, teen pregnancy and/or sexually transmitted disease, suicide and domestic violence greatly increase. So does their tendency to be more violent or to become a victim of violence.
Studies done by the Centers for Disease Control and Prevention (CDC) have shown that when a child is subjected to frequent or continual stress from thing like neglect, abuse, dysfunctional families or domestic abuse, and they lack adequate support from adults, their brain architecture is actually altered and their organ systems become weakened. As a result, these kids risk lifelong health and social problems.
Of the 17,000 people who took part in the CDC study, two thirds had an Adverse Childhood Experiences (ACE) score of 1 or higher. 87% of those people had more than one ACE. By measuring and scoring ten types of trauma ranging from childhood sexual abuse to neglect or bullying and even divorce, researchers were able to assess the chronic disease risk for the study’s mostly white, middle class participants. Their results show that the problem of toxic stress isn’t limited to children who face poverty or to those who come from certain ethnic groups – children from all walks of life can have high ACE scores.
If you are interested in finding out your ACE score and what it might mean for you, go here.
Children who are exposed to toxic stress exhibit:
Research on children who face continued toxic stress shows they have:
Awareness is key to preventing and reducing toxic stress in kids. Now that we know about the effects of ACEs, many states have conducted their own research. Some cities have set up task forces and others are working with schools, pediatricians, daycare centers and the justice system to set up screening programs that can turn lives around.
Protecting children from toxic stress involves a multi-faceted approach that targets both the caretaker and the child in order to strengthen family stability. Treatment includes intervention and implementation of methods that decrease stressors and strengthen the individual’s response to stress.
As more programs are enacted, researchers are finding that children benefit even when the solutions are solely focused on their caregiver and not on the child. This is likely because the caregiver’s altered interaction with the child makes the child feel safer. Parenting classes, family-based programs, access to social resources for parents, telephone support and peer support are beneficial, as are cognitive behavioral therapy and relaxation methods like yoga and mindfulness. Additionally, community-based programs like Head Start have been shown to be effective.
For more information about toxic stress and its effects on child development, talk to the mental health professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida. Contact us or call us today at 561-496-1094.
We’d all like to be rich. Playing the lottery or making an occasional trip to Las Vegas or some nearby casino allows us to indulge in the dream of being wealthy someday. Bright lights lure us in and sporadic gaming payouts tempt us into believing we might just hit it big. But, while it’s generally fine for most people to wager on games of chance once in a while, for those at risk of a gambling addiction, giving into the temptation may trigger a slide into a gambling problem.
People don’t usually gamble for one single reason, although the underlying motivation for gambling is typically profit based. The thought of seeing coins flowing out of a slot machine like an endless silver waterfall or the Hollywood movie scene of a casino piling stacks of money in front of a winner can move almost anyone to take a chance on gambling.
Aside from profit, however, people often gamble for:
Around 1 to 3 percent of people in the United States are impacted by a gambling problem. As with other addictions, gambling disorders tend to run in families. Those who suffer from this impulse-control disorder also tend to have issues with anxiety and depression and/or problems with substance abuse or alcoholism. The disorder symptoms may come and go, but without treatment, the problem will return.
A gambling addiction usually starts between the ages of 20 and 40 in females and in early adolescence in males, however it can happen at any stage of life. While it can affect anyone, the risk of compulsive gambling increases in those who are highly competitive, are workaholics, have a friend or family member with a gambling compulsion, or in those who have bipolar disorder, obsessive-compulsive disorder (OCD), or attention-deficit/hyperactive disorder (ADHD).
In the same way as alcohol or drugs, gambling stimulates the brain’s reward center. Just like with any addiction, a person with a gambling disorder can’t resist gambling even if they don’t have the money to lose. They hide their need to gamble from family and friends and vehemently deny they have a problem. They feel compelled to keep playing in order to recover their losses. They also become tense and anxious when they can’t satisfy their urge to gamble and will feel relief when they finally get their “fix.”
The American Psychiatric Association (APA) defines a gambling disorder as involving “repeated problematic gambling behavior that causes significant problems or distress. It is also called gambling addiction or compulsive gambling.”
If family, friends, or coworkers have talked to you about your gambling, you may have a gambling problem. To help clarify if you may be a compulsive gambler, this list from the APA can help you decide:
A diagnosis of gambling disorder requires at least four of the following during the past year (Note: this questionnaire is not intended to replace professional diagnosis):
Add up your score:
The biggest step toward recovery is acknowledging that you have a gambling problem. While it is difficult to quit gambling, many people have done so and were able to rebuild their lives. The path is easier when you have support.
Some self-help tips are:
If you or a loved one need help to stop compulsive gambling, the mental health professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida can help. For more information, contact us or call us today at 561-496-1094.
Suicide is devastating to the ones left behind. It brings up a myriad of powerful emotions: among other things, you must deal with feelings of shock, anger, guilt, and overwhelming grief. The survivor is left wondering if they could have done something to prevent the person from taking their life. They are often furious at the deceased person for leaving them or for putting them through this heart-wrenching experience. And, the survivor must learn about the grieving process when it comes to coping with suicide so they can continue on with their own life.
*If you are grieving a loved one, please be gentle with yourself during this devastating time and know that you could not have done anything to prevent this suicide. More than ninety percent of the time, suicide happens because the person was deeply depressed or facing another form of mental illness. Depression and mental illnesses are caused by chemical imbalances in the brain, which keep the person from seeing their situation clearly. In their mind, they believed there was no other way to deal with their pain.
Also, if you are facing the loss of a loved one through suicide, please know that you do not have to go through these intense emotions alone. Talk with your family, join one of the suicide support groups in your area, turn to the clergy or supportive friends, or speak with a therapist who specializes in trauma and grief counseling.
Delray Beach Award Program Honors the Achievement
DELRAY BEACH July 5, 2017 — The Center for Treatment of Anxiety and Mood Disorders has been selected for the 2017 Best of Delray Beach Award in the Mental Health Clinic category by the Delray Beach Award Program.
Each year, the Delray Beach Award Program identifies companies that we believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and our community. These exceptional companies help make the Delray Beach area a great place to live, work and play.
Various sources of information were gathered and analyzed to choose the winners in each category. The 2017 Delray Beach Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the Delray Beach Award Program and data provided by third parties.
Read the full press release here.
To learn more about how the center’s services may help you, please call us at (561) 496-1094 or complete our contact form.