1. Psychological Health & Wellness University Counseling Services Jane Maxwell, M.S. Ed. 785-4014jmaxwell@truman.edu

2. Definitions of Psychological Health A general term for a state of emotional and psychological well-being that allows you to function in society and meet the demands of everyday life. (Mayo Clinic) A general term for a state of emotional and psychological well-being that allows you to function in society and meet the demands of everyday life. (Mayo Clinic) When a person makes good decisions, manages stress effectively, communicates well in relationships, is an effective parent, treats others properly, and takes care of themselves emotionally. (PsychologyInfo.com) When a person makes good decisions, manages stress effectively, communicates well in relationships, is an effective parent, treats others properly, and takes care of themselves emotionally. (PsychologyInfo.com)

3. Emotional Wellness Emotional wellness is demonstrated by the overall comfort with and acceptance of one's full range of feelings. Positive emotions such as happiness, amusement, excitement, contentment and love contribute to our overall sense of well-being. It is striving to meet emotional needs constructively. It is maintaining good mental health, a positive attitude, high self-esteem, and a strong self-image. (globalserve.net)

4. Common Presenting Problems at UCS 2006/07 Difficulty Studying Difficulty Studying Excessive Worrying Excessive Worrying Stress Stress Depression Depression Anxiety/Nervousness Anxiety/Nervousness Fear of Failure or Rejection Fear of Failure or Rejection Eating Disorders/Body Image Concerns Eating Disorders/Body Image Concerns Difficulty Sleeping Difficulty Sleeping

6. Other Attributes to Achieve Psychological Health Maintaining Balance Maintaining Balance Strong Support System Strong Support System Manage Stress Manage Stress Being Resilient / Letting Go Being Resilient / Letting Go Having a Purpose Having a Purpose Optimism Optimism Confidence Confidence

7. Other Attributes to Achieve Psychological Health Continued Genuine Happiness Genuine Happiness Being at Peace with Oneself Being at Peace with Oneself Ability to Relax Ability to Relax Having Healthy Self-Esteem Having Healthy Self-Esteem Problem Solving Skills Problem Solving Skills Good Communication Skills Good Communication Skills

8. Common Psychological Concerns National statistics indicate that up to 32 – 50% of Americans will have a diagnosable mental illness during their lifetime National statistics indicate that up to 32 – 50% of Americans will have a diagnosable mental illness during their lifetime Anxiety Disorders (14.4 – 17.2% a year) Anxiety Disorders (14.4 – 17.2% a year) Substance abuse (8.8 – 11.3% a year) Substance abuse (8.8 – 11.3% a year) Mood Disorders (4.3 – 11.3% a year) Mood Disorders (4.3 – 11.3% a year)

9. Suicide Rates Missouri Missouri 704 completed suicides annually 704 completed suicides annually 6,906 hospitalized attempts per year 6,906 hospitalized attempts per year Average of 19 serious attempts per day Average of 19 serious attempts per day Higher state suicide rate than national average Higher state suicide rate than national average MO 13.4 vs. USA 11.4 MO 13.4 vs. USA 11.4 In 2003, suicide was the second leading cause of death of those age 15-24 & 25-34 In 2003, suicide was the second leading cause of death of those age 15-24 & 25-34 Colleges students Colleges students Suicide rate for college-attending young adults has been approximately 7.5 per 100,000 students per year. Suicide rate for college-attending young adults has been approximately 7.5 per 100,000 students per year. Suicide rate for college students is approximately one half the rate of their non-attending peers. Suicide rate for college students is approximately one half the rate of their non-attending peers.

10. Suicide Rates Truman students Truman students Truman has 6,000 students. Therefore statistically we can expect one suicide every two years. Truman has 6,000 students. Therefore statistically we can expect one suicide every two years. Suicide is a “small number” phenomenon Suicide is a “small number” phenomenon Anytime a phenomenon occurs at the frequency of 1 per 12,500 per year, we can expect that the actual number of suicides might vary between 0 and 3 each year. Anytime a phenomenon occurs at the frequency of 1 per 12,500 per year, we can expect that the actual number of suicides might vary between 0 and 3 each year.

11. What can I do about Suicide? For Health Issues we do CPR. For Health Issues we do CPR. For Suicide Issues we do QPR For Suicide Issues we do QPR Question the person about suicide Question the person about suicide Do they have thoughts? A plan? Don’t be scared to ask! Do they have thoughts? A plan? Don’t be scared to ask! Persuade the person to get help. Persuade the person to get help. Listen carefully. Then say “Come with me to find help.” Listen carefully. Then say “Come with me to find help.” Refer for Help Refer for Help University Counseling Services 785-4014 University Counseling Services 785-4014 1-800-SUICIDE 1-800-SUICIDE

12. Common Psychological Problems Depression Depression Lost of interest in activities Lost of interest in activities Sad, hopeless, discouraged Sad, hopeless, discouraged Appetite changes; Sleep disturbances Appetite changes; Sleep disturbances Sense of worthlessness or guilt Sense of worthlessness or guilt Decreased energy Decreased energy Thoughts of death, suicide Thoughts of death, suicide Can’t concentrate or make decisions Can’t concentrate or make decisions Inability to function Inability to function

13. Common Psychological Problems Anxiety Disorders Anxiety Disorders Typical symptoms include: Typical symptoms include: Physical symptoms (increased heart rate, sweating, shortness of breath, chest pain, chills or hot flashes, dizziness, trembling, muscle tension, etc.) Physical symptoms (increased heart rate, sweating, shortness of breath, chest pain, chills or hot flashes, dizziness, trembling, muscle tension, etc.) Thoughts/Fears of dying or going crazy Thoughts/Fears of dying or going crazy Difficulty concentrating/Mind going blank Difficulty concentrating/Mind going blank Irritability Irritability Sleep disturbance Sleep disturbance

14. Common Psychological Problems Types of Anxiety Disorders Types of Anxiety Disorders Phobias Phobias Up to 15% of women and 11% of men are diagnosed with Social Phobia during lifetime Up to 15% of women and 11% of men are diagnosed with Social Phobia during lifetime Panic Disorder Panic Disorder Generalize Anxiety Disorder Generalize Anxiety Disorder Obsessive-Compulsive Disorder (OCD) Obsessive-Compulsive Disorder (OCD) Post-Traumatic Stress Disorder (PTSD) Post-Traumatic Stress Disorder (PTSD)

15. Other Psychological Disorders Schizophrenia Schizophrenia Substance Abuse Disorders Substance Abuse Disorders Learning Disorders Learning Disorders Attention Deficit/Hyperactivity Disorder Attention Deficit/Hyperactivity Disorder Eating Disorders (Anorexia and Bulimia) Eating Disorders (Anorexia and Bulimia) Bipolar Disorder Bipolar Disorder Personality Disorders Personality Disorders

16. 2006/07 National College Health Assessment 659 Truman students completed the survey. 659 Truman students completed the survey. Within the last school year, Truman students reported experiencing: Within the last school year, Truman students reported experiencing: Anorexia 3.0% Anorexia 3.0% Anxiety Disorder14.2% Anxiety Disorder14.2% Bulimia2.6% Bulimia2.6% Depression17.7% Depression17.7% Seasonal Affective Disorder14.6% Seasonal Affective Disorder14.6% Substance Abuse Problem 3.3% Substance Abuse Problem 3.3%

17. 2006/07 NCHA Findings Truman students reported that the following affected their academics: Truman students reported that the following affected their academics: Alcohol Use7.5% Alcohol Use7.5% Concern for friend/family21.9% Concern for friend/family21.9% Death of friend/family6.4% Death of friend/family6.4% Depression/Anxiety19.5% Depression/Anxiety19.5% Drug Use1.5% Drug Use1.5%

18. 2006/07 NCHA Findings Truman students reported that the following affected their academics: Truman students reported that the following affected their academics: Eating Disorder/Problem1.2% Eating Disorder/Problem1.2% Relationship Difficulty16.6% Relationship Difficulty16.6% Sleep Difficulties31.7% Sleep Difficulties31.7% Stress41.4% Stress41.4% Computer Use19.6% Computer Use19.6% Depression/Anxiety19.5% Depression/Anxiety19.5%

19. 2006/07 NCHA Findings Truman students reported the following during the last school year: Truman students reported the following during the last school year: Feeling Overwhelmed96.2% Feeling Overwhelmed96.2% Exhausted93.9% Exhausted93.9% Very Sad83.6% Very Sad83.6% Hopeless66.7% Hopeless66.7% Difficult to Function44.3% Difficult to Function44.3% Considered Suicide 9.9% Considered Suicide 9.9% Attempted Suicide 1.1% Attempted Suicide 1.1%

20. Facts About UCS 2006/07 433 students were seen for personal counseling 433 students were seen for personal counseling 73% were women, 27% were men 73% were women, 27% were men 66% reported a GPA of 3.0 or better 66% reported a GPA of 3.0 or better 13% identified as minority/international 13% identified as minority/international 18.5% reported they had current thoughts of intentions of suicide during intake 18.5% reported they had current thoughts of intentions of suicide during intake

21. What Causes Psychological Problems? There appears to be many factors. These include: There appears to be many factors. These include: Genetic components Genetic components Environmental components Environmental components Individual characteristics Individual characteristics

22. So what can I do to be psychologically healthy? Incorporate these aspects into your life. Incorporate these aspects into your life. AcceptanceAutonomy Maintaining BalanceStrong Support System Manage StressBeing Resilient / Letting Go Having a PurposeOptimism ConfidenceGenuine Happiness Being at Peace with OneselfAbility to Relax Healthy Self-EsteemProblem Solving Skills Good Communication Skills

23. Some other things to help be Emotionally Healthy Find positives in life instead of focusing on negatives Find positives in life instead of focusing on negatives Let go of the past if possible & think of the future Let go of the past if possible & think of the future Be respectful and responsible Be respectful and responsible Talk positively to yourself Talk positively to yourself Develop good friendships and support system Develop good friendships and support system Remove yourself from people who bring you down Remove yourself from people who bring you down Accept that life is about choices and continual adjustment Accept that life is about choices and continual adjustment Acknowledge your successes & accomplishments Acknowledge your successes & accomplishments

24. Some things to not do.. Consume excessive alcohol/drugs Consume excessive alcohol/drugs Procrastinate Procrastinate Over commit Over commit Too much TV/Internet/Phone Too much TV/Internet/Phone Be around lots of negative people Be around lots of negative people Lie to yourself Lie to yourself Create impossible expectations for yourself Create impossible expectations for yourself

25. Coping With Studying Plan your time to study Plan your time to study Work on one task at a time Work on one task at a time Get assistance Get assistance Break down large projects Break down large projects Reward yourself Reward yourself Balance unpleasant tasks with pleasant ones Balance unpleasant tasks with pleasant ones

26. University Counseling Services Free and confidential counseling to Truman students Free and confidential counseling to Truman students 6 Full-time professional therapists 6 Full-time professional therapists Offer individual, relationship and group counseling Offer individual, relationship and group counseling Open 8-5 M-F Open 8-5 M-F Plus on call 7 days a week, 24 hours a day (during academic year) 665-5621 Plus on call 7 days a week, 24 hours a day (during academic year) 665-5621 Willing to do presentations to any group over a wide variety of topics Willing to do presentations to any group over a wide variety of topics Referral assistance Referral assistance

27. University Counseling Services (660) 785-4014 202 Patterson (located west of Grim Hall) http://ucs.truman.edu ucs@truman.edu/ucs@truman.edu/how was it ucs@truman.edu/ THANK YOU!! ANY QUESTIONS?