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What we do

Depression

Anorexia Nervosa

Anxiety

Bulimia Nervosa

Bullying

Self-Injury

What is depression?

Depression is more than just a "Bad day" depression a serious mental illness that causes changes in memory, behavior, thinking, and physical being.
What are the different types of depression?
Major depression- Combonation of symptoms that interfere with a person's ability to function. (Work, sleep, study, eat, activities, etc.) It is disabling and some people may only experience a single episode within their lifetime but often a person may have multiple episodes. If left untreated an episode could last from 6-18 months or longer and  a 50% chance of reaccurance.
Dysthymia depression- Long term (2+ years) symtoms but not severe enough to disable a person. May alsom experience episodes of major depression. The risk of major depression increases and if diagnosed said to be "double depression"
Minor depression- Symptoms do not meet criteria for major depression and last no longer than 2 weeks but if left untreated there's a high risk for developing major depression.
Psychotic depression-Occurs when a person has sever depression plus some form of psychosis. (Disturbing false beliefs or delusions or hallucinations)
Postpartum depression- When hormonal changes and physical changes and even the responsibility of caring for a newborn are overwhelming for a new mother. Estimated 10-15% of women experience after giving birth.
Seasonal affective disorder(SAD)-  Onset of depression during the winter months with less natural sunlight but generally lifts during spring and summer. Can be affectively treated with light therapy, antidepressiants, and psychotherapy.
BipolarDisorder(Manic depressive illness)- Not as common as major depression or dysthymia but still just as serious. Characterized by cycling mood changes from extreme highs to extreme lows. Mood stabalizing medications along with antidepressiants are usual treatment options.
What are the signs and symptoms of depression?
Persistant sad, anxious, or empty feelings
Feelings of hopeleness or pessimism, guilt, worthlessness or helplessness
Irritability, restlessness, fatigue and decreased energy
Loss of intreset in activities or hobbie which were plesurable
Diffuculty concentrating, remembering details and making decisinos
Insomnia, early-mornign wakefulness or excessive sleeping
Overeating or appetite loss
Thoughts or attempts of suicide
Aches, pains, headaches, cramps, or digestive problems that don't ease with treatment
What illnesses can co-exist with depression?
Anxiety disorders
Post-tramatic stress disorder (PTSD)
Obsessive-compulsive disorder (OCD)
Panic disorder
Social phobia
Alcohol and substance abuse
What causes depression?
Combination of genetic, biological, environmental, and physical factors
How is depression diagnosed?
Visiting a doctor or mental health specialist because certain medications or medical conditions can cause the same symptoms of depression. Discussion of family history of depression or other mental disorders and complete history of symptoms. Questionnaires and psychological tests can help identify specific symptoms, how long you've been experiencing them, and how much they affect your daily life. A physical examination may be recommended along with blood and other lab tests to check for other medical illnesses that may be contributing to depression.
How is depression treated?
The first episode of depression is usually treated in 2 stages: Treatment begins with medications and psychotherapy for symptoms then maintenance treatment with medication continues for about a year.
Interpersonal therapy(IPT)- Helps recognize and address one or more concerns and intended to help manage interpersonal stressors that involve loss, conflict, ot life changes that have to contributed to depression.
Individual therapy- Working one-on-one with a therapist
Group therapy- Same goals as individual therapy but additional feedback and support from other group members
Couples and family therapy- Focus on relationships and addresses communication difficulties, sexual problems and relationship conflicts.The treatment of depression can be inhanced when family members are aware of the illness also.
Electroconvulsive therapy(ECT)- An effective treatment for severe and prolonged depression which applies electrical stimulation while under anesthesia. Provide fast symptom relief than medications. Treatments are usually 2-3 times a week and 6-12 treatments are needed.
Excercise- Research shows that exercise reduces symptoms of depression along with other health benifits.
How to help a friend or relative whose dealing with depression?
Offer emotional support, understanding, patience, and encouragment
Talk and listen carefully
NEVER dismiss feeling but point out realities and offer hope
NEVER ignore comments about suicide and report them to a trusted adult
Invite them out for walks, outings,and other activies
Provide assistance in getting doctor's appointments
Remind them with time and treatment the depression will lift
How to help yourself if you have depression?
Don't wait too long to get evaluated or treated
Try to be active and exercise
Set realistic goals and priotities
Spend time with other people instead of isolating yourself
Don't expect instant results the treatment will take time
Positive thinking will replace negative thoughts

What is Anorexia Nervosa?
A disorder where people intentionally starve themselves to lose extreme amounts of weight. It usually begins in young people around the time of puberty, and involves extreme weight loss -- at least 15 percent below the individual's normal body weight.
What are the signs and symptoms of Anorexia Nervosa?
Severe mood swings; depression, Lack of energy and weakness, Slowed thinking; poor memory, Dry, yellowish skin and brittle nails Constipation and bloating, Tooth decay and gum damage, Dizziness, fainting, and headaches, Growth of fine hair all over the body and face. Many people with the disorder look emaciated but are convinced they are overweight. People with anorexia typically starve themselves, even though they suffer terribly from hunger pains. One of the most frightening aspects of the disorder is that people with anorexia continue to think they are overweight even when they are bone-thin. For reasons not yet understood, they become terrified of gaining any weight. Food and weight become obsessions. For some, the compulsiveness shows up in strange eating rituals or the refusal to eat in front of others. It is not uncommon for people with anorexia to collect recipes and prepare gourmet feasts for family and friends, but not partake in the meals themselves. They may adhere to strict exercise routines to keep off weight. The individual usually experiences an intense and overwhelming fear of gaining weight or becoming fat. This fear is regardless of the person's actual weight, and will often continue even when the person is near death from starvation. It is related to a person's poor self-image, which is also a symptom of this disorder. The individual suffering from this disorder believes that their body weight, shape and size is directly related to how good they feel about themselves and their worth as a human being. Persons with this disorder often deny the seriousness of their condition and can not objectively evaluate their own weight. Significant or extreme weight loss with no other medical illness to account for weight loss. Reduction in food intake, Ritualistic eating habits (e.g., cutting food into extremely small bites or chewing every bite excessively), Denial of hunger, Critical and intolerant of others, Excessive exercising, Choosing low- to no-fat and low calorie foods, Feelings of being too big, especially when this is not true, Highly self-controlled behavior, Hiding emotions, Progressive withdrawal from friends and family.
What can cause Anorexia Nervosa?
There is no blame in anorexia nervosa. Anorexia is not an indication that parents have gone wrong in raising their children. Cultural, genetic and personality factors interact with life events to initiate and maintain eating disorders. People who often participate in sports with weight criteria, Aspire to work in fields with emphasis on thinness, Previously were overweight or teased about weight, Have a family history of eating disorders, weight consciousness, Have low self-esteem, are perfectionists, are socially insecure, Have a history of abuse -- physical, sexual or psychological -- or other trauma, Present a public image different from how they really feel about themselves, Have difficulty identifying and/or verbalizing feelings, especially anger, Engaging in obsessive running or participation in other sports can develop Anorexia Nervosa.
Myths-
Anorexia is not fun. Many people who strive to lose weight state, "I wish I were anorexic." They fail to recognize the wretchedness of the disease. Anorexia is not about feeling thin, proud and beautiful; if you take the time to listen to an anorexic you will hear that they feel fat, unattractive and inadequate. They are scared and trapped. Anorexia is not something sufferers can just "snap out of." Anorexics' minds are not their own; they are possessed by thoughts of weight, body image, food and calories. Many sufferers are not even free of the disease in their sleep, troubled by dreams of food, eating and exercise. Anorexia is an awful, lonely experience that often takes years to conquer.
Who does Anorexia Nervosa affect besides the sufferer?
Anorexia is hard on everyone involved. Living with someone with anorexia nervosa can be exasperating and confusing. To those who do not understand the complexity of the disorder, the sufferer's behavior seems selfish and manipulative. It is often hard to remember that eating disorders are a manifestation of profound unhappiness and distress. Anorexia can be deadly. It has one of the highest fatality rates of any mental illness. If you or someone you know shows the signs or symptoms of an eating disorder, take action, get educated and seek help.
What are the treatment options for Anorexia Nerovsa?
Admit you have a problem. Up until now, you’ve been invested in the idea that life will be better—that you’ll finally feel good—if you lose more weight. The first step in anorexia recovery is admitting that your relentless pursuit of thinness is out of your control and acknowledging the physical and emotional damage that you’ve suffered because of it.
Talk to someone. It can be hard to talk about what you’re going through, especially if you’ve kept your anorexia a secret for a long time. You may be ashamed, ambivalent, or afraid. But it’s important to understand that you’re not alone. Find a good listener—someone who will support you as you try to get better.
Stay away from people, places, and activities that trigger your obsession with being thin. You may need to avoid looking at fashion or fitness magazines, spend less time with friends who constantly diet and talk about losing weight, and stay away from weight loss web sites and “pro-ana” sites that promote anorexia.
Seek professional help. The advice and support of trained eating disorder professionals can help you regain your health, learn to eat normally again, and develop healthier attitudes about food and your body.
The first priority in anorexia treatment is addressing and stabilizing any serious health issues. Hospitalization may be necessary if you are dangerously malnourished or so distressed that you no longer want to live. You may also need to be hospitalized until you reach a less critical weight. Outpatient treatment is an option when you’re not in immediate medical danger.
A second component of anorexia treatment is nutritional counseling. A nutritionist or dietician will teach you about healthy eating and proper nutrition. The nutritionist will also help you develop and follow meal plans that include enough calories to reach or maintain a normal, healthy weight.
Counseling is crucial to anorexia treatment. Its goal is to identify the negative thoughts and feelings that fuel your eating disorder and replace them with healthier, less distorted beliefs. Another important goal of counseling is to teach you how to deal with difficult emotions, relationship problems, and stress in a productive, rather than a self-destructive, way.

What is anxiety?
Anxiety is a normal human emotion that everyone experiences at times. Many people feel anxious, or nervous, when faced with a problem at work, before taking a test, or making an important decision. Anxiety disorders, however, are different. They can cause such distress that it interferes with a person's ability to lead a normal life. An anxiety disorder is a serious mental illness. For people with anxiety disorders, worry and fear are constant and overwhelming, and can be crippling.
What Are the Types of Anxiety Disorders?
Panic disorder: People with this condition have feelings of terror that strike suddenly and repeatedly with no warning. Other symptoms of a panic attack include sweating, chest pain, palpitations (irregular heartbeats), and a feeling of choking, which may make the person feel like he or she is having a heart attack or "going crazy."
Obsessive-compulsive disorder (OCD): People with OCD are plagued by constant thoughts or fears that cause them to perform certain rituals or routines. The disturbing thoughts are called obsessions, and the rituals are called compulsions. An example is a person with an unreasonable fear of germs who constantly washes his or her hands.
Post-traumatic stress disorder (PTSD): PTSD is a condition that can develop following a traumatic and/or terrifying event, such as a sexual or physical assault, the unexpected death of a loved one, or a natural disaster. People with PTSD often have lasting and frightening thoughts and memories of the event and tend to be emotionally numb.
Social anxiety disorder: Also called social phobia, social anxiety disorder involves overwhelming worry and self-consciousness about everyday social situations. The worry often centers on a fear of being judged by others, or behaving in a way that might cause embarrassment or lead to ridicule.
Specific phobia: A specific phobia is an intense fear of a specific object or situation, such as snakes, heights, or flying. The level of fear is usually inappropriate to the situation and may cause the person to avoid common, everyday situations.
Generalized anxiety disorder: This disorder involves excessive, unrealistic worry and tension, even if there is little or nothing to provoke the anxiety.
What Are the Symptoms of an Anxiety Disorder?
Feelings of panic, fear, and uneasiness
Uncontrollable, obsessive thoughts
Repeated thoughts or flashbacks of traumatic experiences
Nightmares
Ritualistic behaviors, such as repeated hand washing
Problems sleeping
Cold or sweaty hands and/or feet
Shortness of breath
Palpitations
An inability to be still and calm
Dry mouth
Numbness or tingling in the hands or feet
Nausea
Muscle tension
Dizziness
What Causes Anxiety Disorders?
The exact cause of anxiety disorders is unknown; but anxiety disorders - like other forms of mental illness - are not the result of personal weakness, a character flaw, or poor upbringing. As scientists continue their research on mental illness, it is becoming clear that many of these disorders are caused by a combination of factors, including changes in the brain and environmental stress. Anxiety disorders may be caused by chemical imbalances in the body. Studies have shown that severe or long-lasting stress can change the balance of chemicals in the brain that control mood. Other studies have shown that people with certain anxiety disorders have changes in certain brain structures that control memory or mood. In addition, studies have shown that anxiety disorders run in families, which means that they can be inherited from one or both parents, like hair or eye color. Moreover, certain environmental factors -- such as a trauma or significant event -- may trigger an anxiety disorder in people who have an inherited susceptibility to developing the disorder.
How Common Are Anxiety Disorders?
Anxiety disorders affect about 19 million adult Americans. Most anxiety disorders begin in childhood, adolescence, and early adulthood. They occur slightly more often in women than in men, and occur with equal frequency in whites, African-Americans, and Hispanics.
How Are Anxiety Disorders Diagnosed?
If symptoms of an anxiety disorder are present, the doctor will begin an evaluation by asking you questions about your medical history and performing a physical exam. Although there are no lab tests to specifically diagnose anxiety disorders, the doctor may use various tests to look for physical illness as the cause of the symptoms.
If no physical illness is found, you may be referred to a psychiatrist or psychologist, mental health professionals who are specially trained to diagnose and treat mental illnesses. Psychiatrists and psychologists use specially designed interview and assessment tools to evaluate a person for an anxiety disorder. The doctor bases his or her diagnosis on the patient's report of the intensity and duration of symptoms - including any problems with daily functioning caused by the symptoms- and the doctor's observation of the patient's attitude and behavior. The doctor then determines if the patient's symptoms and degree of dysfunction indicate a specific anxiety disorder.
How Are Anxiety Disorders Treated?
Although the exact treatment approach depends on the type of disorder, one or a combination of the following therapies may be used for most anxiety disorders:
Medication: Drugs used to reduce the symptoms of anxiety disorders include anti-depressants and anxiety-reducing drugs.
Psychotherapy: Psychotherapy (a type of counseling) addresses the emotional response to mental illness. It is a process in which trained mental health professionals help people by talking through strategies for understanding and dealing with their disorder.
Cognitive-behavioral therapy: People suffering from anxiety disorders often participate in this type of psychotherapy in which the person learns to recognize and change thought patterns and behaviors that lead to troublesome feelings.
Dietary and lifestyle changes
Relaxation therapy

What is bulimia nervosa?

Bulimia is a type of eating disorder. People with bulimia will eat a large amount of food in a short time (binge). Then they will do something to get rid of the food (purge). They may vomit, exercise too much, or use medicines like laxatives. People who have bulimia may binge because food gives them a feeling of comfort. But eating too much makes them feel out of control. After they binge, they feel ashamed, guilty, and afraid of gaining weight. This causes them to purge. Without treatment, this "binge and purge" cycle can lead to serious, long-term health problems. Acid in the mouth from vomiting can cause tooth decay, gum disease, and loss of tooth enamel. Any type of purging can lead to bone thinning (osteoporosis), kidney damage, heart problems, or even death.

What causes bulimia?
All eating disorders are complex problems, and experts do not really know what causes them. But they may be caused by a mix of family history, social factors, and personality traits.
Other people in your family are obese or have an eating disorder.
You have a job or do a sport that stresses body size, such as ballet, modeling, or gymnastics.
You are the type of person who tries to be perfect all the time, never feels good enough, or worries a lot.
You are dealing with stressful life events, such as divorce, moving to a new town or school, or losing a loved one.
Bulimia is most common in:
Teens. Like other eating disorders, bulimia usually starts in the teen years. But it can start even earlier or in adulthood.
Women. But boys and men have it too.
While bulimia often starts in the teen years, it usually lasts into adulthood and is a long-term disorder.

What are the symptoms?
They eat large amounts of food in a short period of time, often over a couple of hours or less. During a binge, they feel out of control and feel unable to stop eating.
Purge to get rid of the food and avoid weight gain. They may make themselves vomit, exercise very hard or for a long time, or misuse laxatives, enemas, water pills (diuretics), or other medicines.
Base how they feel about themselves on how much they weigh and how they look.
How can you know if someone has bulimia?
Bulimia is different from anorexia nervosa, another eating disorder. People who have bulimia may not be thin. They may be a normal size. They may binge in secret and deny that they are purging. This makes it hard for others to know that a person with bulimia has a serious problem.

. A person may have bulimia if she:
Goes to the bathroom right after meals.
Is secretive about eating, hides food, or will not eat around other people.
Exercises a lot, even when she does not feel well.
Often talks about dieting, weight, and body shape.
Uses laxatives or diuretics often.
Has teeth marks or calluses on the back of her hands or swollen cheeks or jaws. These are caused by making herself vomit.
How is it treated?
Bulimia can be treated with psychological counseling and sometimes medicines, such as antidepressants. The sooner treatment is started, the better. Getting treatment early can make recovery easier and prevent serious health problems. By working with a counselor, a person with bulimia can learn to feel better about herself. She can learn to eat normally again and stop purging.
Other mental health problems such as depression often happen with bulimia. If a person has another condition along with bulimia, more treatment may be needed, and it may take longer to get better.
Eating disorders can take a long time to overcome. And it is common to fall back into unhealthy ways of eating. If you are having problems, don't try to handle them on your own. Get help.

What should you do if you think someone has bulimia?
It can be very scary to realize that someone you care about has an eating disorder. If you think a friend or loved one has bulimia, you can help. Talk to her. Tell her why you are worried.
Urge her to talk to someone who can help, like a doctor or counselor. Offer to go with her.
Tell someone who can make a difference, like a parent, teacher, counselor, or doctor. The sooner your friend or loved one gets help, the sooner she will be healthy again.

What is Self injury?
Also called self-harm, self-mutilation, or simply cutting, is defined as any intentional injury to one's own body. Usually, self-injury leaves marks or causes tissue damage.
Self-injury can involve any of the following behaviors:
Cutting
Burning (or "branding" with hot objects)
Excessive body piercing or tattooing
Picking at skin or re-opening wounds
Hair-pulling (trichotillomania)
Head-banging
Hitting (with hammer or other object)
Bone-breaking
Most who engage in self-injury act alone rather than in groups. They also attempt to hide their behavior.

Who Is More Likely to Engage in Self-Injury?
Self-injury occurs across the spectrum; the behavior is not limited by education, age, race, sexual orientation, socioeconomic status, or religion.
self-injury occurs more often among:
Adolescent females
People who have a history of physical, emotional, or sexual abuse
People who have co-existing problems of substance abuse, obsessive-compulsive disorder, or eating disorders
Individuals who were often raised in families that discouraged expression of anger
Individuals who lack skills to express their emotions and lack a good social support network
What Leads to Self-Injury?
Self-injury usually occurs when people face what seem like overwhelming or distressing feelings. It can also be an act of rebellion and/or rejection of parents' values and a way of individualizing oneself. Sufferers may feel that self-injury is a way of:
Temporarily relieving intense feelings, pressure, or anxiety.
Being a means to control and manage pain - unlike the pain experienced through physical or sexual abuse or trauma.
Providing a way to break through emotional numbness (the self-anesthesia that allows someone to cut without feeling pain).
Asking for help in an indirect way or drawing attention to the need for help.
Attempting to affect others by manipulating them, trying to make them care, trying to make them feel guilty, or trying to make them go away.
Self-injury also may be a reflection of a person's self-hatred. Some self-injurers are punishing themselves for having strong feelings that they were usually not allowed to express as children. They also may be punishing themselves for somehow being bad and undeserving. These feelings are an outgrowth of abuse and a belief that the abuse was deserved.

Although self-inflicted injury may result in life-threatening damage, it is not considered to be suicidal behavior.

What Are the Symptoms of Self-Injury?
Frequent cuts and burns that cannot be explained
Self-punching or scratching
Needle sticking
Head banging
Eye pressing
Finger or arm biting
Pulling out one's hair
Picking at one's skin
Warning Signs of Self-Injury
Wearing of pants and long sleeves in warm weather.
The appearance of lighters, razors, or sharp objects that one would not expect among a person's belongings.
Low self-esteem.
Difficulty handling feelings.
Relationship problems.
Poor functioning at work, school, or home.

How Is Self-Injury Diagnosed?

If an individual shows signs of self-injury, a mental health professional with self-injury expertise should be consulted. That person will be able to make an evaluation and recommend a course of treatment. Self-injury can be a symptom of psychiatric illness including:

Personality disorders (particularly borderline personality disorder)
Bipolar disorder
Major depression
Anxiety disorders (particularly obsessive-compulsive disorder)
Schizophrenia
How Is Self-Injury Treated?

Treatment for self-injury may include:

Psychotherapy:  Counseling can be used to help a person stop engaging in self-injury.
Dialectical Behavior Therapy (DBT): DBT is a group- and individually-based treatment program that helps people gain greater mastery over self-destructive impulses (such as self-injury), learn ways to better tolerate distress, and acquire new coping skills through techniques such as mindfulness.
Post-traumatic stress therapies: These may be helpful for self-injurers who have a history of abuse or incest.
Group therapy: Talking about your condition in a group setting to people who have similar problems may be helpful in decreasing the shame associated with self-harm, and in supporting healthy expression of emotions.
Family therapy: This type of therapy addresses any history of family stress related to the behavior and can help family members learn to communicate more directly and openly with each other.
Hypnosis and other self-relaxation techniques: These approaches are helpful in reducing the stress and tension that often precede incidents of self-injury.
Medications: Antidepressants or anti-anxiety medication may be used to reduce the initial impulsive response to stress.

Children are often scared and angry when they are bullied. They may not know what to do. Teach them to:

Talk back. Say, "Leave me alone," or "You don't scare me." Have your child practice saying this in a calm, strong voice.
Walk away. Don't run, even if you are afraid.
Tell an adult. A parent or teacher can then take steps to stop the bullying.
What can you do to stop bullying?
Bullying can be stopped if people pay attention and take action.

Bullying most often occurs in school, and it is most common in schools where students are not well supervised. If bullying is happening at your child’s school, talk to the principal or vice principal. Urge the school to adopt a no-bullying policy. All children should know that those who bully will be punished. Children who are bullied should be supported and protected.

As a parent, you can help your child get involved in new hobbies or groups, such as school clubs or church youth groups. Being part of a group can help reduce bullying. Having friends can help a child have a better self-image.

Kids can help keep other kids from being bullied. If you are a kid, don't let yourself be part of the problem.

Speak up when you see someone else being picked on. It can help to say something like, "Cut it out. That’s not funny." If this is too hard or scary to do, walk away and tell an adult.
If someone sends you a mean email about another person, don't forward it to others. Print it out and show it to an adult.

All Information is sited from WebMD and mental illness pamphlets.

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