Presentation on theme: "Depression Education and Health Promotion Project"— Presentation transcript:
1Depression Education and Health Promotion Project Michelle Slivinsky, MAUCONN Health CenterDepartment of Psychiatry
2The Myth of the Bad Kid Handout from SAMHSA (Substance Abuse and Mental Health Services)Caring for Every Child’s Mental Health Campaign
3True or False?? A depressed person can just “snap out of it” If you are depressed it is your faultApproximately 2 of every 20 young adults suffer from symptoms of depression at any given timeDepressed people will always be depressedDepression can put a strain on relationships at home and at schoolThere is no way to tell if someone is depressed
4Depression affects a person’s mood, thoughts, and actions Depression is just a bad mood and goes away in a few daysMany times depression goes unidentified- depressed children, teens, and adults are sometimes inappropriately viewed as “difficult” or “unapproachable”Depression is just in your mind- it can’t affect your bodyPeople often feel “stressed out”- learning to deal with stress can help you to feel better by coping betterDepression is a treatable illness
5Signs of Depression Ages 6-12 Somatic complaints Schoolwork diminished Negative self-statements—highly sensitive to imperfectionsFatigueCrying/whining, irritability/clinging to parentsBoredom/ApathyEating DisturbanceDecreased ConcentrationAnxietyRepeated rejection by other children/refusing to engage with othersProblems learningAges 12-18Frequent absences from schoolSuicidal thoughtsLow self-esteem/hyper-criticalSocial IsolationDrug/Alcohol useSexually acting outOvereatingRage
6More about Depression………. Four types of depression:Major DepressionBipolar DisorderDysthymiaSeasonal Affective Disorder (SAD)
8Contributing Factors Genetic predisposition to depression Effects of an abusive childhood or a poor attachment to the motherHormonal changes that occur in adolescenceLoss of a loved oneEffects of divorceExposed to traumatic events such as 9/11BullyingKids with attentional, learning, conduct or anxiety disorders are at a higher risk for depression (known as co-morbidity)STRESS
9Depression Statistics National Comorbidity Survey- Adolescent Supplement (NCS-A)Lifetime Prevalence:11.2% of 13 to 18 year oldsLifetime Prevalence of “Severe” Disorder:3.3% of 13 to 18 year oldsAn estimated 10% of adults report depressionSubstance Abuse and Mental Health Services Administration (SAMHSA) reports:1.4 million adolescent girls age experienced a major depressive episodeDepression rates triple between the ages of 12 and 15 among adolescent girls (from 5.1% to 15.2% respectively.
10About Co-Occurring Disorders Mental and substance use conditions often co-occur. In other words, individuals with substance use conditions often have a mental health condition at the same time and vice versa.Approximately 8.9 million adults have co-occurring disorders; that is they have both a mental and substance use disorderOnly 7.4 percent of individuals receive treatment for both conditions with 55.8 percent receiving no treatment at all.
11Adults vs. Teens Teens show: Irritable or angry mood – grumpy, hostile, easily frustrated, or prone to angry outbursts.Unexplained aches and pains – headaches or stomachaches.Extreme sensitivity to criticismWithdrawing from some, but not all people --teenagers usually keep up at least some friendships; less than before, pull away from their parents, or start hanging out with a different crowd.
12In the Classroom Loss of interest in activities Lack of energy Problems concentrating, recall, decision-makingLoss of appetite or eating too muchThoughts of suicide, cutting, suicide attemptsAches, pains, headaches, cramps, or digestive problems that do not go away.
13Behavioral SymptomsFrequent, unexplained irrational changes in behaviorDecreased concentration, lack of interestHyperactivity, restlessnessImpulsiveness and recklessnessGiving away of prized possessions (“a living will”)AggressivenessLack of energy, lethargy, fatigueLoss of pleasure in usual activitiesSomatic complaintsSocial withdrawal
14Emotional Symptoms Feelings of loss Feelings of helplessness, hopelessnessCrying spells, tearfulness, sadnessLow self-esteem, unreal expectations of selfFeelings of powerlessness, out-of-control, outside controlFeelings of isolation, lonelinessDepressionSudden happiness following depressionGuilt, remorse, self-reproachmentNervousnessWithdrawl, sulkinessPronounced mood swingsAnxiety
15Warning Signs Talking or joking about committing suicide. Saying things like, “I’d be better off dead,” “I wish I could disappear forever,” or “There’s no way out.”Speaking positively about death or romanticizing dying (“If I died, people might love me more”).Writing stories and poems about death, dying, or suicide.Engaging in reckless behavior or having a lot of accidents resulting in injury.Giving away prized possessions.Saying goodbye to friends and family as if for good.Seeking out weapons, pills, or other ways to kill themselves.
16Anxiety Disorders Anxiety often co-occurs with Depression Anxiety disorders affect about 40 million American adults age 18 years and older (about 18%) in a given year, causing them to be filled with fearfulness and uncertainty.Women are 60% more likely than men to experience an anxiety disorder over their lifetime. Non-Hispanic blacks are 20% less likely, and Hispanics are 30% less likely, than non-Hispanic whites to experience an anxiety disorder during their lifetime.A large, national survey of adolescent mental health reported that about 8 percent of teens ages 13–18 have an anxiety disorder, with symptoms commonly emerging around age 6. However, of these teens, only 18 percent received mental health care.
18EDIT (when you want to make a change to something that already exists) EducateDe-stigmatizeIdentifyTreatment
19EDUCATE Workbooks Informational Brochures for students and parents Handouts (fact sheets, puzzles, awareness sheets)DVDsOpen discussions at school, at home, in your parish and your community!
20DE-STIGMATIZEDepression is an illness, and should be treated like any other illness.Depression can affect anyone at any ageDepression is treatable!Through education, we can help people understand the differences between the facts about depression and the myths surrounding depression
21IDENTIFY Symptoms of Depression Troubled Thoughts and FeelingsSadness or IrritabilityInability to enjoy usual activities like work, hobbies, school, friendsFeelings of hopelessness or guiltAnxiety or restlessnessTrouble concentrating or remembering thingsThoughts of death or suicidePhysical SymptomsTrouble sleeping or sleeping too muchUnexplained headaches, backaches, or stomachachesEating too much or too littleLow energy
22DEPRESSION IS TREATABLE! TREATMENTDEPRESSION IS TREATABLE!TherapyInterpersonalCognitive Behavioral TherapyIndividualGroupSelf HelpMedicationLight TherapyHospitalizationAny of these treatments may be used alone or in combination, and treatment may change over time. It is important to follow through with treatment plans with the doctor.
23Summary EDIT- Educate, De-stigmatize, Identify, Treatment Teach people about depression so they can get the help they need, or help a friend get the help they needUnderstand the differences between facts and myths surrounding depressionIf you or someone you know is depressed, please reach out and talk to someone you trust (parent, teacher, support staff, clergy) so they can get you the help you needGet help! Depression is an illness- people should not feel ashamed of being depressed and deserve to feel better!
24Crisis Intervention for Students Call the National Suicide Prevention Lifeline’s toll-free, 24-hour hotline at TALK ( ) or TTY: TTY ( ) to talk to a trained counselor.Call 211 (Info line)Encourage people to talk to parent(s), clergy, teacher(s)/support staff, or other adult(s) who can get them (or the person they are concerned about) the help they need
25DVD: Not Just a Phase: Understanding Kids and Depression