All Posts Tagged: ptsd

breast cancer awareness ribbon

PTSD In Breast Cancer Survivors

October is Breast Cancer Awareness month and pink ribbons abound. Everywhere you look, people are wearing pink and various organizations are engaging in fundraising for cancer research. For survivors of the disease, this outpouring of hope is welcome, but at the same time, these visual reminders of their fight can bring up symptoms of post traumatic stress disorder (PTSD).

Even though it is best known for affecting war veterans or people who have been through violent events like mass shootings, PTSD is also found in cancer survivors. “It’s common for cancer patients, even if they don’t have full-blown PTSD, to have some of the symptoms of it,” says Fremonta Meyer, MD, of Dana-Farber’s department of Psychosocial Oncology and Palliative Care.

The color pink isn’t the only thing that can trigger PTSD in breast cancer survivors. Simple actions such as driving past their treatment centers or seeing cancer care commercials on the television can do it, as can hearing about someone else’s diagnosis (or breast cancer scare).

Cancer And PTSD Symptoms

A contract employee of ours went through treatment for stage 1 breast cancer last year. She recently told me how her niece’s routine exam triggered her own PTSD earlier this month.

During an annual exam, the doctor found a lump in her niece’s breast, which led to a mammogram and ultrasound. The results were negative, but our employee found herself crying for no reason, depressed, and sleepless for about two weeks following her niece’s “all clear,” despite the fact that she was obviously very happy that her niece was fine. When she mentioned her symptoms to me, it was clear that she was experiencing some post traumatic stress.

Symptoms of PTSD can include any of the following:

  • Insomnia
  • Startling easily
  • Inability to think clearly or concentrate
  • Re-experiencing the traumatic event – this can happen through nightmares, flashbacks, or memories.
  • Avoidance of situations or places that remind the person of the event
  • Feeling defensive, fearful, or angry
  • Negative self-perceptions

These symptoms could be triggered when the person encounters certain sights, smells, or sounds that remind them of their diagnosis, going through chemotherapy, or other cancer treatments. Additionally, post treatment screening, testing, and waiting for test results can bring the original trauma back to the forefront.

In general, PTSD symptoms begin soon after the initial traumatic event, but sometimes they do not appear for months or even years after the trauma occurred. This happens because, for cancer survivors, the traumatic event continues from the time of diagnosis to the end of treatment, which can take a year or longer. Thereafter, survivors often spend years worrying about recurrence, which may keep their PTSD active.

It also should be noted that the parents of children who go through cancer treatment can also suffer from PTSD, with similar triggers and symptoms.

Factors Contributing To The Development Of PTSD After A Cancer Diagnosis

The National Cancer Institute (NCI) at cancer.gov reports that “certain physical and mental factors that are linked to PTS [post traumatic stress] or PTSD have been reported in some studies:

Physical factors

  • Cancer that recurs (comes back) was shown to increase stress symptoms in patients.
  • Breast cancer survivors who had more advanced cancer or lengthy surgeries, or a history of trauma or anxiety disorders were more likely to be diagnosed with PTSD.
  • In survivors of childhood cancers, symptoms of post-traumatic stress occurred more often when there was a longer treatment time.

Psychological, mental and social factors

  • Previous trauma.
  • High level of general stress.
  • Genetic factors and biological factors (such as a hormone disorder) that affect memory and learning.
  • The amount of social support available.
  • Threat to life and body.
  • Having PTSD or other psychological problems before being diagnosed with cancer.
  • The use of avoidance to cope with stress.

Cancer patients may have a lower risk of post-traumatic stress if they have the following:

  • Good social support.
  • Clear information about the stage of their cancer.
  • An open relationship with their healthcare providers.”

Treatment for Cancer PTSD

Therapy for cancer-related PTSD is similar to treatment for other forms of the disorder and usually involves a combination of therapies:

  • Relaxation techniques, such as deep breathing, mindfulness training, and meditation can help survivors release muscle tension, lower blood pressure, and reduce anger and anxiety levels.
  • Cognitive Behavioral Therapy (CBT) helps survivors challenge and change the negative thoughts and thinking patterns that are causing them stress. CBT helps people cope with their situation in a healthy way.
  • Support groups for survivors in which coping skills and emotional support can come from others who have gone through similar experiences.
  • Sometimes medications are used in the short term to help survivors who have severe trauma symptoms or flashbacks.

Above all, therapy helps the person understand that a disorder like this one develops because of extraordinary stress, not because of weakness.

The key is to get treatment early. Symptoms and mental distress are often long-lasting and can affect your relationships, your job, and your overall health. Please seek help before these symptoms have a chance to further disturb your life.

We Can Help

If you or someone you love have gone through cancer treatment and find that you have some PTSD after your treatment, 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.

Resources

PDQ® Supportive and Palliative Care Editorial Board. PDQ Cancer-Related Post-traumatic Stress. Bethesda, MD: National Cancer Institute. Available at: https://www.cancer.gov/about-cancer/coping/survivorship/new-normal/ptsd-pdq. Accessed 10/12/2019. [PMID: 26389374]

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Is Suicide Contagion Behind The Recent Parkland Deaths?

We are only one month past the first anniversary of the shootings at Marjorie Stoneman Douglas High School and this past week we have all been saddened to learn of the suicides of two students who survived the attack. Additionally, the father of a child who was killed in the 2012 Sandy Hook school shootings also died this week – apparently due to suicide. Is it possible that these deaths are the result of suicide contagion?

What Is Suicide Contagion?

When the media reports that someone notable has died by suicide, it often seems that other suicides quickly follow – as if taking one’s life somehow becomes “contagious.” As an example, we saw this phenomenon last summer when Anthony Bourdain took his own life within days of Kate Spade’s death. Now there are concerns that this most recent suicide cluster involving the Parkland students and the Sandy Hook father may have happened partly because of suicide contagion.

Suicide contagion is also known as the Werther Effect – a phrase coined by suicide researcher, David Phillips, in the 1970s. Werther was a character in a 1774 novel by Johann Wolfgang von Goethe. In the book, Werther kills himself after the woman he loves marries another man.

The book was blamed for numerous copycat suicides across Europe after its release. In this early example of suicide contagion, many of the victims died in a similar manner to the Werther character’s death in the novel. Some were even found with copies of the book on or near their bodies.

There is strong evidence to suggest that suicides can occur in groups. Moreover, Phillips’ research into clusters of suicides led him to conclude that copycat suicides rise when there is excessive media coverage of the suicide of notable figures.

The Media’s Connection To Suicide Clusters

Besides Phillips’ research, several other studies agree that suicide rates go up when there is an increase in media coverage about a suicide. And the rates fall when the media coverage stops. Dr. Madelyn Gould, a suicide researcher from Columbia University has said, “The way suicide is reported is a significant factor in media-related suicide contagion, with more dramatic headlines and more prominently placed (i.e., front page) stories associated with greater increases in subsequent suicide rates.”

And, as with Goethe’s book, suicide clusters also tend to happen when a fictional television or movie character dies by their own hand. Dr. Gould says, “Research into the impact of media stories about suicide has demonstrated an increase in suicide rates after both nonfictional and fictional stories about suicide.”

Experts have long debated why suicide contagion occurs. Does the news coverage of a suicide cause other people to take their own lives or do they do so because they were already in a vulnerable state?

Either way, media guidelines for reporting these deaths have been in place in many parts of the world since the end of the twentieth century. The Centers for Disease Controls and Prevention (CDC) and the World Health Organization (WHO) have both issued policies for how news reports should cover notable and celebrity suicides.

Nowadays, however, we have a new concern. In the twenty-first century, we rely less on standard media reporting (like radio, newspapers, or television reports) and depend more on online sources to find out what is happening around us.

In particular, young people get their news from the internet and social media, which can spread a topic far faster than news broadcasts and – unfortunately – can do so with no filtering.

Suicide Risk Factors

In the case of the Parkland tragedy, we know that the first student to take her life was struggling with post-traumatic stress disorder (PTSD). She also suffered with survivor’s guilt, as do many of the teens who were there that day. It can be devastating to know that you’re still alive, but your friends will not reach the milestones that you will. Instead of being happy occasions, events like graduation or the first day of college are often very distressing for a survivor.

For young people between the ages of 10 and 24, suicide is already the second leading cause of death and this is without factoring in the trauma of a massacre like the one in Parkland. Clearly, we need to talk more openly about suicide prevention.

Adults and peers can help prevent a death by watching for youth suicide signs and risk factors and asking direct questions.

Although a risk factor can’t predict if someone will take their own life, having one or more of them makes it more likely the person will consider or attempt suicide. These risk factors are:

  • Mood or mental disorders (particularly anxiety disorders, schizophrenia, and some personality disorders)
  • A personal history of trauma or abuse
  • Feeling hopeless
  • A family history of suicide
  • A previous suicide attempt
  • Isolating themselves or having a lack of social support
  • Stigma against asking for or needing help
  • Alcohol abuse or abuse of other substances
  • Absence of mental health and substance abuse treatment
  • Knowledge of recent suicides of peers or learning about others who have taken their lives via news stories, the internet, or social media
  • Suicide ideation

The chances of suicide can also increase in someone who has recently had a financial loss, been diagnosed with a major physical illness, lost their job, or lost a close relationship.

Preventing Suicide

The first step in suicide prevention is awareness that someone is considering suicide. The next step is determining whether intervention is needed immediately.

If you know someone is at risk, you can help them by using the Columbia Protocol suicide risk assessment. The Columbia Protocol was developed jointly by researchers from Columbia University, the University of Pittsburgh, and the University of Pennsylvania, in conjunction with the National Institute of Mental Health (NIMH). In 2011, it was adopted by the CDC and today it is used worldwide to assess at-risk individuals.

The Columbia Protocol is a series of three to six simple, direct questions that you ask the person you are concerned about. The answers they give will provide enough information to know whether they need help and whether urgent action is needed (download the free Columbia Protocol toolkit now).

If your child or someone else you know tells you they are considering suicide, don’t judge them. Instead, show compassion for their feelings. Next, get help from a mental health professional or a suicide crisis hotline. The crisis hotline is especially critical if the person is in immediate danger of attempting suicide.

Never leave someone alone if they are threatening suicide. If you believe they are in immediate danger, call 911 or the National Suicide Prevention Lifeline at 800-273-TALK (800-273-8255) in the United States. The line is open 24/7.

Let Us Help

If you are worried about yourself or a loved one who may be at risk for suicide, 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.

References

Forum on Global Violence Prevention; Board on Global Health; Institute of Medicine; National Research Council. Contagion of Violence: Workshop Summary. Washington (DC): National Academies Press (US); 2013 Feb 6. II.4, THE CONTAGION OF SUICIDAL BEHAVIOR. Available from: https://www.ncbi.nlm.nih.gov/books/NBK207262/

 

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PTSD After The Sudden Death Of A Loved One

PTSD After The Sudden Death Of A Loved One

People form countless relationships throughout their lives – with family members, friends, coworkers, and neighbors. We have the deepest connections with the people we love – these relationships help make us who we are. They contribute to our sense of identity and have the power to transform us, for good or bad. Because of this, the death of a loved one can create numerous psychological issues, including PTSD, particularly if the loss was tragic and unexpected.

Posttraumatic Stress Disorder (PTSD) Symptoms

We know that survivors often experience depression or anxiety after the death of someone close. We don’t usually think about them having posttraumatic stress disorder (PTSD), but it can also happen, especially after a catastrophic death.

By definition, PTSD can occur when someone has “experienced, witnessed, or been confronted with a terrible event.” News of an unexpected death already brings up especially strong emotions because it catches us off guard. A tragic death magnifies those feelings.

In fact, a 2014 study¹ by Keyes, et al, noted that, “unexpected death was associated consistently with elevated odds of new onsets of PTSD, panic disorder, and depressive episodes at all stages of the life course.”

The symptoms of PTSD include:

  • Being frequently angry, tense, or jumpy.
  • Physical symptoms like heart palpitations, sweating, or hyperventilating.
  • Flashbacks of the trauma or dwelling on what the person might have gone through in their final moments.
  • Persistent avoidance of things or events that remind us of the person or place where the tragedy occurred.
  • Avoiding the emotions surrounding the death or event.
  • Problems sleeping or nightmares.
  • Changing their personal routine to avoid reminders of the event.
  • Distorted feelings of guilt; blaming themselves for the event.
  • Negative thoughts

Most of the time, people will slowly begin to recover from the initial shock and grief of a death. For those with PTSD, though, the symptoms dramatically affect their day-to-day life and they experience them for at least a month.

Treating PTSD After A Sudden Death

There are several effective treatment therapies for PTSD after the sudden or traumatic death of a loved one, including Cognitive Behavior Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR). Sometimes medications are used in conjunction with these modalities.

Cognitive Behavioral Therapy (CBT)

A tragedy and the resulting trauma can alter your thinking as you try to process what happened. For example, you might feel overwhelming guilt as if you were somehow responsible for the event. Or you may feel detached from the world or from those you love.

These negative thoughts can cause you to avoid the things you normally enjoy or make you worry obsessively that you’ll lose someone else in a similar manner.

Cognitive behavioral therapy (CBT) teaches you to become aware of your beliefs and thoughts about the situation. Once you identify them, it gives you the skills to see whether there are facts to support those thoughts and how to let them go if there aren’t. In short, CBT helps you manage your destructive beliefs so you can replace them with accurate views.

Eye Movement Desensitization and Reprocessing (EMDR)

EMDR helps people process trauma on an emotional level. It has been shown to help PTSD sufferers heal faster than through traditional therapy. In fact, a study funded by the Kaiser Permanente HMO found that 100% of single-trauma victims and 77% of multiple trauma victims were no longer diagnosed with PTSD after just six 50-minute sessions.

In PTSD, traumatic thoughts and memories work against the brain’s healing process. Flashbacks, nightmares, and disturbing emotions cycle through the brain, keeping the ordeal in the forefront of the person’s mind. Eye Movement Desensitization and Reprocessing therapy can break that cycle.

EMDR uses bilateral (both sides of the body) stimuli to tap into the biological mechanisms the brain uses during Rapid Eye Movement (REM) sleep. The theory is that using REM while recalling the disturbing thoughts or memories of the trauma helps the brain process it naturally, allowing the mind to heal.

The bilateral stimulation a therapist might use can include:

  • Hand tapping or toe tapping
  • Eye movements (following a pattern of lights)
  • Musical tones

Let Us Help

If you or someone you love has been suffering from PTSD following the traumatic death of someone close to you, talk to the mental health professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida help. To get answers to your questions or for more information, contact us or call us today at 561-496-1094.

References

  1. Keyes, K. M., Pratt, C., Galea, S., McLaughlin, K. A., Koenen, K. C., & Shear, M. K. (2014). The burden of loss: unexpected death of a loved one and psychiatric disorders across the life course in a national study. The American journal of psychiatry171(8), 864-71.
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How Stress Affects Child Development

How Stress Affects Child Development

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.

What are the Effects of Stress on Kids?

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.

Signs of stress

Children who are exposed to toxic stress exhibit:

  • Poorly developed executive functioning skills
  • Lack of self-regulation and self-reflection
  • Reduced impulse control
  • Maladaptive coping skills
  • Poor stress management

Research on children who face continued toxic stress shows they have:

  • More trouble learning in school
  • More difficulty trusting adults and forming healthy relationships and an increased chance of divorce as an adult
  • Higher incidence of unhealthy behaviors such as substance abuse, sexual experimentation and unsafe sexual practices, engaging in high-risk sports, smoking and alcohol abuse
  • Higher incidence of depressive disorder, post-traumatic stress disorders (PTSD), behavioral disorders, and even psychosis
  • Poor health outcomes such as obesity, heart disease, diabetes, cancer, and a higher suicide risk

Help for Toxic Stress

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.

Do you have Questions?

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.

 

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Post-Traumatic Growth

Post-Traumatic Growth

Emotional trauma or psychological trauma is a reaction to an experience or event that is deeply distressing or disturbing to the individual. Trauma can be the result of things such as going through a natural disaster, being involved in a car accident, living through a major event, such as war or abuse, or having been the victim of a crime. A trauma response will be similar no matter what caused it.

When people experience a psychological trauma, it often shakes them to their core, especially if they felt they had little to no control over the event. They are left feeling helpless and they may experience flashbacks or have a persistent fear that something bad will happen to them again.

Even though these emotional responses are part of a normal reaction, trauma changes patterns in your brain, causing you to carry the burden of distress long after the events have passed. However, by working with a mental health professional who specializes in trauma, you can experience trauma recovery and learn to feel safe again.

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What is Trauma?

What is Trauma

In general, trauma can be defined as a psychological, emotional response to an event or an experience that is deeply distressing or disturbing. When loosely applied, this trauma definition can refer to something upsetting, such as being involved in an accident, having an illness or injury, losing a loved one, or going through a divorce. However, it can also encompass the far extreme and include experiences that are severely damaging, such as rape or torture.

Because events are viewed subjectively, this broad trauma definition is more of a guideline. Everyone processes a traumatic event differently because we all face them through the lens of prior experiences in our lives. For example: one person might be upset and fearful after going through a hurricane, but someone else might have lost family and barely escaped from a flooded home during Hurricane Katrina. In this case, a minor Category One hurricane may bring up traumatic flashbacks of their terrifying experience.

Because trauma reactions fall across a wide spectrum, psychologists have developed categories as a way to differentiate between types of trauma. Among them are complex trauma, post-traumatic stress disorder (PTSD), and developmental trauma disorder.

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Complex Trauma Disorder

Trauma can come in many forms. The soldier returning from active duty in a war zone, the child who lives with physical, sexual, or emotional abuse or neglect, the first responder who must deal with human suffering on a daily basis, and the adult who endures domestic abuse all are experiencing trauma. Complex trauma occurs repeatedly and often involves direct harm to the victim. Its effects are cumulative and generally transpire in a specific setting and, frequently, within a particular time frame or within a specific relationship.

Going through trauma can make an individual experience intense feelings of guilt, as if they are somehow responsible for the event(s) that are so terrifying to them. This altered sense of shame and painful self-perception is crippling. It can make the person feel isolated and hopeless, and as if they are no longer in charge of themselves.

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Using Virtual Reality Therapy for Phobias

 

What would you think if you had a phobia about something (example: a fear of flying) and you could overcome your fear just by sitting in your therapist’s office and watching a movie? We think you’d sign up for that! Okay, it’s not entirely that simple (although it almost is), but virtual reality therapy for phobias is now giving patients a high-tech, cutting-edge solution for helping them get past their fears so they can live a better life.

How Does Virtual Reality Exposure Therapy Work?

Many types of phobias can be overcome or greatly reduced when the sufferer goes through cognitive behavioral therapy. In this type of therapy, a patient learns to recognize the thoughts causing the negative feelings surrounding their fears. Once these thoughts are identified, the patient learns how to replace those undesirable beliefs with more positive ones.

In-vivo exposure therapy goes hand in hand with cognitive behavioral therapy. With in-vivo exposure, the patient experiences what they fear in a controlled way and in small doses. By taking small steps, they can confront and gradually conquer their phobia.

Virtual reality exposure therapy combines the best of cognitive behavior therapy and in-vivo exposure. It allows people to work through their fears in a realistic environment without actually leaving the comfort and safety of their therapist’s office.

Virtual Reality Therapy

In the case of the fear of flying phobia mentioned above, a patient comes to our office, sits in a comfortable chair, and puts on a pair of virtual reality therapy goggles. In conjunction with coaching from their therapist, they view a simulation of the inside of an airplane’s passenger compartment and can look around to see all aspects of the interior.

The patient not only sees the plane, they also hear the same sounds they would experience if they were really on a flight, such as the flight attendant’s announcement or the rumble of airplane engines. Additionally, our virtual reality therapy chair vibrates with the motion of the plane “taking off” or “flying” to provide an even more convincing simulation.

Even if a person knows the virtual reality program isn’t completely realistic, there is enough realism in it to trigger their emotional responses to their phobia. And, by working through these reactions, in some types of phobias or traumas, nearly 83 percent of people who have tried virtual reality therapy have managed to put their fears behind them.

Virtual Reality Therapy Benefits

Some of the benefits of virtual reality therapy include:

  • Allowing the patient to try the therapy without as much anxiety. For example: in the case of a phobia about flying, it is much easier for someone to agree to try working through their fears in an office than to have to force themselves to physically go to the place they know will bring an emotional reaction.
  • Experiencing the phobia and/or its triggers without taking the time to travel to an actual location. For the fear of flying phobia, you simply sit in a chair, rather than going to the airport numerous times for several small exposures to your triggers.
  • Confidentiality for the patient: you don’t have to face potential embarrassment by running into someone you know or possibly becoming upset in a public area.
  • The therapist can carefully control the situation, meaning if you are afraid of elevators or airplanes, you don’t have to get in one. Virtual reality exposure therapy allows you to feel as if you are in a location, but the therapist can stop the program if you become truly upset.
  • The therapy is more realistic, in that you can go places or experience things you wouldn’t ordinarily be able to (you can’t get on and off an airplane as part of your flying phobia therapy, for instance). That being said, it is much safer than the real-life setting and minimizes any risk involved.
  • Virtual reality exposure therapy sessions are shorter than those that require you to visit an actual site for therapy (so, there is no travel time from the therapist’s office to the airport for our fear of flying scenario.)
  • Sessions can be repeated several times until the patient has conquered that portion of their phobia and is ready to move on to another phase.

Studies show this treatment has a powerful real-life impact and a great track record, over time. Virtual reality therapy has been successful in treating both children and adults for PTSD (post-traumatic stress disorder), social anxiety, panic disorder, anxiety disorder, OCD (obsessive compulsive disorder), and phobias. It is also a very effective tool for treating children who suffer from phobias such as school phobia or sleep fears.

Do You Have Questions About Virtual Reality Therapy?

Virtual Reality Therapy is coming to our practice very soon. For more information or to find out when it becomes available, contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida or call us today at 561-496-1094.

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Children’s Mental Health – Psychiatric Help for Children

While we tend to think of childhood as a carefree time of life, the fact is that many children suffer from mental conditions and disorders, just the same as adults. Among other things, children’s mental health concerns can include emotional, behavioral, and mental disorders such as eating disorders, learning and developmental disabilities, Attention Deficit Hyperactive Disorder (ADHA), and autism. And, similar to adults, children can be impacted by conditions like anxiety, depression, Obsessive Compulsive Disorder (OCD) and Post-traumatic Stress Disorder (PTSD). Additionally, as children grow and mature into young adults, they can develop other problems associated with adolescence, such as underage drinking and substance abuse.

Left untreated, any of these conditions or disorders can result in difficulties with making friends, and behavior issues in school and at home. What is most troubling, however, is that research has shown that a majority of adult mental disorders start early in life. This makes it critical that children’s mental health conditions be caught promptly and treated appropriately.

Symptoms of Child Psychological Disorders

Child psychological disorders and conditions can affect any ethnic group, and income level, and those living in any region of the country. In fact, the Centers for Disease Control (CDC) cites a study from a National Research Council and Institute for Medicine report that estimates about 1 in 5 children across the United States will experience a mental disorder in any given year.

Symptoms often change as a child grows and matures, so the signs of a problem may be difficult to spot in the early stages. Often, parents are the first to recognize that there is an issue with their children’s emotions or behavior, however problems may also be brought to your attention by your child’s educators or another adult who knows your child well. Some general signs to look for include:

  • Marked decline in school performance
  • Strong worries or anxiety that causes problems at home or at school
  • Random, frequent physical aches and pains, such as headaches or an upset stomach
  • Difficulty sleeping, nightmares
  • Marked changes in eating habits
  • Feeling hopeless
  • Having low or no energy
  • Aggressive behavior, disobedience, and/or confrontations with or defiance of authority figures
  • Temper tantrums or outbursts of anger
  • Thoughts of suicide or thoughts of harming themselves or others

Psychiatric Help for Children

  • Please get immediate assistance if you think your child may be in danger of harming themselves or someone else.  Call a crisis line or the National Suicide Prevention Line at 1.800.273.TALK (8255).

Getting psychiatric help for children, in the form of early diagnosis and receiving the correct treatment, is essential for your child’s well being, both now and throughout their life.

If your child’s problems persist across a variety of settings (for example: home, school, and with peers), some of the steps to get help include:

  • Talk to your child about how they are feeling. Find out if they would like to discuss a problem with you or another adult. Actively listen to their responses and concerns.
  • Talk to your child’s pediatrician, school counselor or school nurse, or a mental health professional if you see behaviors or problems in your child or teen that worry you.
  • Seek evaluation from a specialist who deals with children’s mental health concerns.
  • Ask the specialist if they have experience with treating the problem or behavior you see in your child.
  • Don’t delay in seeking help – early treatment generally gives better results.

Children can be treated in a variety of settings that range from one-on-one (or with a parent) sessions with a mental health professional to a group setting with a therapist and the child’s peers. Talk therapy can help change behaviors and may be used in combination with other treatments. Cognitive Behavioral Therapy (CBT) has been shown to be very effective in helping children learn coping strategies so they can change unhealthy behavior patterns and distorted thinking. Additionally, medications may be recommended for disorders such as ADHD or may be given for other types of severe or difficult cases.

Need More Information on Children’s Mental Health?

If you have questions or need more information about psychiatric help for children, we can help. The professionals at our child-focused department, The Children’s Center, specialize in child psychiatry and psychology, and other services related to children’s mental health. For more information, contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida or call us today at 561-496-1094.

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Media-Related Post Traumatic Stress Disorder

Veterans of the Vietnam war have sadly raised our awareness of the existence of Post Traumatic Stress Disorder (PTSD). PTSD is a chronic, sometimes lifelong condition resulting in pathological changes in mood, thinking and behavior. It can be incapacitating and lead to job loss, family turmoil and dissolution, poor quality of life and often suicide.

We now understand that the development of Post Traumatic Stress Disorder has its basis in enduring alterations of brain function, which helps to explain the chronic, persistent nature of this disorder. Treatment can be helpful but frustratingly inadequate. Unfortunately, there is no “magic bullet” medication. Research has supported the use of specific psychotherapeutic protocols but community availability can be a problem.

While PTSD’s origins stemmed from war related trauma, we now understand that a wide spectrum of life stressors can result in this disorder. The twenty-first century has brought terror attacks to the world stage. “Lone wolf” attacks, Islamic terrorism, and most recently, violence against the police have become a national preoccupation. In previous decades, our awareness of Post Traumatic Stress Disorder was based on either our familiarity with individuals suffering from this disorder or the occasional print news article. However, the media technology revolution of our current century has brought us both the blessing and curse of 24/7 connectivity to world and national events.

Post Traumatic Stress Disorder  and Media Coverage of Traumatic Events

For several years, the therapists at the Center for Treatment of Anxiety and Mood Disorders have been very concerned about the repetitive exposure to traumatic life events that people experience via internet and television broadcasts. Recent terror attacks around the world are cases in point, for one cannot avoid the media’s persistent replaying of the visual imagery and dramatic accounts of these human tragedies.

Before the media revolution we learned of traumatic events through the newspaper, the 6:00 pm news, or the news hour on the radio. One only has to recall the steady calm recitation of bad news by the likes of Walter Cronkite and compare it to the present day dramatic and horrifying presentation of similar news stories. Clearly, horror sells and is profitable. We have become captive audiences for this traumatic exposure. To make matters worse, we are transfixed by it and have difficulty “unplugging” ourselves from the TV set or internet.

This brings our therapists to their greatest clinical concern. Repetitive exposure to graphic trauma has an impact on our central nervous systems. Even though we may not be the victim of the terror, we are passively being terrorized. Adults have a greater capacity to process such horror, but imagine the difficulties this creates for our children. Their immature nervous systems and reasoning ability pose significant obstacles for coping with this type of daily non-stop life stress. We fear that we are all becoming victims, in our own way, of the “madness” we are being exposed to.

We have a responsibility to control our children’s exposure to traumatic media and to prevent the damage that can result. As adults, we should heed this advice, as well. Ultimately, we must change the way that public media communicates traumatic events, however, this is easier said than done.

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