7 Things a Child with Depression Should Know

By Deborah Serani, Psy.D. on February 2, 2014 - 8:42am I know depression.

I lived with it as a child, watched it almost destroy me as a teen, and learned to manage it as an adult.

As a clinician who specializes in mood disorders, I like to teach kids and teenagers how to live with their depression. These tips offer children ways to understand their own unique self, become aware of their thoughts and feelings, and build resiliency as they manage the chronic illness of depression. 

1) Understanding the texture of feelings: Many children in this era of super technology aren’t skilled at reading facial cues, understanding eye contact and complex emotions. Studies show that children with depression struggle further, however, having difficulty differentiating the differences between different kinds of emotions. Sad is different than lonely. Lonely is different disappointed. Often, depressed children need help understanding the textures of emotions. When they become confident identifying their feelings, they can set into motion the best plan of action to improve their mood.

2) How to spot negative thinking: I like to teach children about the quality of their thoughts by using a thumbs up and thumbs down technique. Is what you’re thinking a good thought….one that would get a thumbs up from other people? I studied for my test. But if I get a bad grade, it’s okay because I know I tried my best. Or is it a hurtful or negative? One that really is untrue and realistic. It doesn’t matter if I studied. I’m stupid and I’ll fail the test anyway. Teaching children to catch the negative talk helps them approach every issue in life from a place of positivity.

3) How to use positive self-care: Learning to live with depression requires a child to be clever and ever-ready to use soothing ways to address sad moods. Teaching kids and teens to use their 5 senses – sight, touch, hearing, taste and smell – really helps. Things like cozying up to a stuffed animal, hugging loved ones, snacking on healthy, flavorful foods, taking in the fresh air, listening to upbeat music and making time to see colors, nature and sunshine. All of these raise dopamine and serotonin levels improving mood, and teach children how to self-soothe.

4) Why exercise is important: The fatigue that comes with depression leaves kids tired and irritable. Physical complaints like aches and pains also knock them out for the count too. When we take the time to teach children about the importance of physical exercise, it will become part of a lifelong skill-set. Be it playing tag with friends or catch with the dog, swimming or riding a bike, kick-boxing or yoga, or a simple walk, the shift in neurochemistry boosts mood.

5) When too much of something isn’t good: It’s also vital for kids to learn how too much of anything can upset the apple cart. For example, the fatigue of depression can leave children tired, with many prone to sleeping all day. Instead, children should learn that a nap is better than a full-on sleepfest. Some depressed children eat in excess, while others lose their appetite altogether. Both of these extremes are unhealthy. Too much crying, too much avoidance or too much irritability raises the stress hormone cortisol, which heightens anxiety and alertness. When we teach children to monitor their experiences with healthy limits, we give them the ability to balance and self-manage their well-being. Daily stickers for young ones and journaling for the older set can teach children how to better monitor symptoms and moods.

6) Know the difference between a bad day and a sad mood: When depressed kids learn how to measure the moment, they learn that a sad mood doesn’t have to ruin a day. However, if they can’t shake off the sad mood – and the rest of the day feels like an epic fail, it’s great for kids to know that a bad day doesn’t equal a bad life. Tomorrow is a new day. One to be measured for its own value.

7) How to let others know you need help: When children are depressed, they often don’t know how to reach out for support. Their fatigue and irritability dulls problem solving skills. Others might not feel they deserve help or would rather isolate themselves from family or friends. Depressed children need to know that everyone needs help now and then – and that no one can …or should… handle everything alone. I like to teach children to communicate their needs verbally and non-verbally. With words, through crying, by touch – it’s okay to show you others that you’re having a tough time.

Medicare Rule Changes May Restrict Drug Choices for Seniors
http://guardianlv.com/2014/02/medicare-rule-changes-may-restrict-drug-choices-for-seniors/
(from Easy Browser)

The CMS decisions about which drugs to protect were supposed to be based on whether the drugs were needed to prevent increased doctor visits, hospitalizations, persistent disability, incapacitation or death that would otherwise occur within seven days if the drugs were not given. The choices about which drugs to remove from protection fail that test because, with acute mental illness, seven days without medication could easily lead to hospitalization, incapacitation or death. The same constraint exists for some 500,000 transplant patients. Seven days without the right medication could result in transplant rejection.

The quote above is from the article linked.  My jaw dropped when I read it.  CMS is proposing to drop certain drug classes from the status of protected medication.  The idea is to save money.  The article says it may save around 10% I believe.

My jaw dropped when I read the criteria.  It basically says that if doing without a drug for 7 days wont kill you, incapacitate, or put you in the hospital you really didnt need it to the point where your access to the medication is guaranteed to begin with.

WHAT ABOUT THE EIGHTH DAY??

Is it just me or does this not sound simply stupid, simply arbitrary and simply mean?  How in the world do you decide as a matter of cost containment that if someone doesnt die fast enough that dont really need a medication?  Who should have that kind of power??  Should anyone??

I read all the stuff about percents...percents of cost...percents of savings.  There is another "p" word-- PEOPLE.  Somehow it seems like it got lost.

Larry Drain at HOPEWORKSCOMMUNITY

ACA Enrollment Ending Soon -

 

Hi folks, we just want to remind everyone that the enrollment period for Patient Protection and Affordable Care Act is drawing to a close for this season. The last day to enroll will be March 31st. To be covered by April 1st, the last day to enroll is even earlier - March 15. Enrollment will start up again November 15th and go through January 15th.

  

Below are links to Tennessee events and resources you might contact for enrollment assistance. Please forward this email to anyone and everyone you know who needs assistance or needs to hurry up and get covered already! 

 

• Get Covered Tennessee Event Calendar: Click Here
• Find Help on Healthcare.gov: Click Here

 

If you've already enrolled we'd love to hear from you. Click here to share your story and tell us about your enrollment experience.

 

 

Thanks everyone and best of health to you from all of us at THCC

By: Tennessee Health Care Campaign

 

 

Scott Walker Emails: Former Top Aide Wrote

'No One Cares About

Crazy People'

Chris GentilvisoThe Huffington Post02/22/14 11:31 AM ET

Wednesday's release of thousands of pages of emails from Scott Walker's tenure as Milwaukee County Executive show a former top aide wrote that "no one cares about crazy people."

Back in 2006, the Milwaukee Journal Sentinel reported on the death of Cindy Anczak. The 33-year-old woman died of starvation complications while being treated at the Milwaukee County Mental Health Complex for bipolar disorder.

According to the Center for Media and Democracy's PR Watch, Anczak's parents filed a legal complaint in October 2010, which was brought by Walker staffers to the attention of then-Deputy Chief of Staff Kelly Rindfleisch.

"Totally coincidental to the election," replied Walker campaign advisor RJ Johnson, about the timing of the filing.

"Corp council [the County's attorney] wants to offer 50-100k," emailed Rindfleisch.

"Ok - any time after Nov. 2nd would be the time to offer a settlement," replied Keith Gilkes, who headed Walker's campaign.

"Barrett is going to make this the center of his campaign," Rindfleisch wrote in another email.

"yep and he is still going to lose because that is his base," replied Joan Hansen, a County official.

"Yep," Rindfleisch wrote. "No one cares about crazy people."

The AP noted on Wednesday that Rindfleisch was convicted in 2012 of felony misconduct in office for doing campaign work for a GOP lieutenant governor candidate on government time. She was sentenced to six months in jail and three years of probation, and is appealing her conviction on the grounds that Fourth Amendment rights were violated.

"Most of those would be four or more years old and they've gone through a legal process ... a multi-year extensive legal process by which each and every one of those communications was reviewed by authorities," Walker told reporters in Madison on Wednesday. "I'm confident that they reviewed them and they chose to act on the ones they've already made public."

Beyond Antidepressants: Taking Stock of New Treatments

By RICK NAUERT PHD Senior News Editor
Reviewed by John M. Grohol, Psy.D. on February 18, 2014

As science advances, new insights into the physiological causes of depressionare leading to treatments beyond common antidepressants.

A new evidence-based report authored by Murali Rao, M.D., and Julie M. Alderson, D.O., reviews a bevy of emergent treatments including newmedications, electrical and magnetic stimulation of the brain, and long-termcognitive behavioral therapy for stress management.

The study is published in the journal Current Psychiatry.

For more than 50 years, most research has been based on the theory that depression results from a deficiency of chemical messengers, called neurotransmitters, that carry signals between brain cells.

Commonly used antidepressants are designed to either increase the release or block the degradation of three neurotransmitters – dopamine, norepinephrine, and serotonin.

But drugs that target neurotransmitters, such as Prozac, Zoloft, and Paxil, succeed in inducing the remission of depression in fewer than half of patients.

This has prompted researchers “to look beyond neurotransmitters for an understanding of depressive disorders,” Rao and Alderson write.

New theories of depression are focusing on differences in neuron density in various regions of the brain; on the effect of stress on the birth and death of brain cells; on the alteration of feedback pathways in the brain and on the role of inflammation evoked by the stress response.

“Chronic stress is believed to be the leading cause of depression,” the authors write.

Long-term stress harms cells in the brain and body. Stressful experiences are believed to be closely associated with the development of psychological alterations and, thus, neuropsychiatric disorders.

In conditions of chronic stress exposure, nerve cells in the hippocampus begin to atrophy. (The hippocampus is a part of the brain involved with emotions, learning, and memory formation.)

The new depression theories “should not be viewed as separate entities because they are highly interconnected,” researchers write.

“Integrating them provides for a more expansive understanding of the pathophysiology of depression and biomarkers that are involved.”

Such biomarkers are molecules in the body that can be indicators of depression. The authors identify more than a dozen potential biomarkers depression, including monoamine regulators; proinflammatory cytokines and other inflammatory mediators; mediators of glutaminergic activity and GABAergic activity; and regulators of neurogenesis.

A bevy of new depression treatments are currently offered or on the horizon include corticotropin-releasing hormone antagonists; dexamethasone; partial adrenalectomy; long-term cognitive behavioral therapy; ketamine and other NMDA antagonists. Other treatments include benzodiazepines; anesthetics; deep brain stimulation; transcranial magnetic stimulation; exogenous brain-derived neurotrophic factor; selective serotonin reuptake inhibitors; tricyclic antidepressants; atypical antidepressants; reduction in inflammation; and anti-inflammatory drugs.

As it can often take several months to recover from depression, Rao and Alderson believe current depression treatment programs that average six weeks “are not long enough for adequate recovery.”

Source: Newswise – Loyola University Health System

 

A very personal plea for medicaid expansion: a letter to the governor

By Hopeworkscommunity

Dear Governor Haslam:
I want to start by first thanking you for your decision to restore funding to peer support centers in Tennessee.  As a mental health advocate I can tell you it is one of the best decisions you have ever made and I am so thankful you made it.

But my decision to write this letter is about much more than the peer support centers.  In your state of the state message you talked a couple of times about the importance of government giving good customer service.  You seemed to put a lot of stock in that idea.  It was not the first time I have heard you speak about it.  The decision to fund peer centers was a great example of good customer service.

My hope is that you will consider my request in the light of that concept.  I am in a desperate situation and without your help I dont know where to turn.

I want to ask you to reconsider your stance on medicaid expansion.  I know you are in a tough spot.  Anything that makes the Tea Party mad faces great obstacles in Tennessee and few things make them angrier than health care reform.  Perhaps what I am asking you is impossible for you to politically do.  Several people have told me it is.

As I said my situation is desparate.  Let me take a minute to describe it.

I have been “free” of health care insurance for many years.  It is a freedom I would gladly lose.  I have been told that I need surgery.  The surgery is a minor one that thousands of people undergo every year.  No insurance means no surgery.  The doctor tells me the lack of surgery though may not be a minor thing though, that in fact if my condition should become an emergency my life may be in danger.  I pray every day not to die a preventable death.  Many people have far more dangerous situations than me and face far more immediate risk.  Being poor should never, at least not in Tennessee be the cause of anyone’s death.  And without action on your part it will be though.

My desperation though is not based purely on issues of my health.  It goes far deeper than that.

My wife is disabled and has been on TennCare for a while.  She is a TennCare miracle.  Without it she would have died long ago.  Even with all her progress without it she would no live a month.  In order to save her insurance and in a very real sense her life after 32 years of marriage we have had to separate.  I dont know, without TennCare expansion we can ever live together again.

The situation is very complex, but let me share it with you as briefly as I can.  My wife receives SSI for disabilities.  Recently I took retirement from Social Security.  It was the worst decision I have ever made.

We found out that in Social Security’s eyes, even though our combined checks left us below poverty, we made far too much money.  Linda lost over $700 and her check was reduced to $20 a month.  I told Social Security that I would have to get a job in order for us to survive.  We figured without her check we had about $40 to live on for the month of January and we just cant live like that.  Who could??

Social Security told us that since her TennCare was disability based and not income based (like it would be if TennCare was expanded) that if I made over $85 a month her TennCare would be lost.

I love my wife and wont let her die.  The day after Christmas we separated.  The hope is that with a separate address she can regain her SSI check.  My hope is to move as close to her as possible.  Right now I do not see how we can ever live together again.

You do not make the rules for Social Security and none of that is your fault.  The law is what it is and despite its cruelty and hurtfulness we have no choice but to do our best to live with it.  A law that supports the break up of thousands of marriages seems so evil, but I dont right now see how I can affect it.

I am asking for your help though.  Maybe I dont have the right but I have no where else to turn.  I know you deeply love and care for your wife.  What would you say to me if our situations were reversed??

Please act.  Whatever the resolution please act.  My wife will keep her TennCare.  I will never do anything to put that in jeopardy.  Without your help though my marriage will not survive and for Linda and I that is a death of a different sort.

 

 

 

 

 

.

http://www.urban.org/health_policy/health_care_reform/localmedicaidexpansion.cfmS.L. Brannon on DBSA Life Unlimited web site
http://bot.ly/1kEBzlZ

Mental health stigma resides everywhereStigma resides everywhere, especially mental health stigma.  The urge to quiet the voices of those who live with challenges, those who are different or those whose choices don’t mirror the “norm,” seems to be overwhelming as of late. “Don’t air your dirty laundry.”  How many of us heard that admonition as children? When we talk about mental illness, too often there are only two approaches discussed: sick or well, right or wrong. We talk about strong people and the weak people, those who feed their depression and mental illness and those who stoically rise above. When we talk about mental health in such limited parameters, we strip it of the crippling humanity that makes it possible: agony, loneliness, shame, trauma and stigma. We just tell people to think the right way, get the right amount of sleep and exercise, take the right meds, and when they don’t, we tell them to go away. In our current society, the mentally ill are considered the disease as much as the illness itself.

Here’s the rub:  Change and recovery occur when things are faced.  An acquaintance asked me recently why I speak openly about mental health recovery and surviving domestic violence and sexual assault. This well-meaning person felt that by airing my “dirty laundry,” I would cause myself more pain. Actually the opposite is true. When the mentally ill speak openly, others know they are not alone. Others learn what worked and what didn’t. By speaking – at first a whisper, then a roar – we lessen pain’s power. We learn to cope, we change the norm and we affect the changes we want to see.

Be part of the conversationThere is a well-known saying in mental health and social work circles:

“Nothing about us, without us.”

Only by being part of the conversation can we affect legislation, self-advocate for better care and show society that those with mental health conditions can live healthy, productive lives.

Why should we stand up and “air our dirty laundry?”  To help those unaffected by mental illness but whom are the gatekeepers of the systems we need access to, to understand our reality. Because it reflects one-in-four person’s realities. Because stigma born from misconceptions can only be corrected by those who are affected. Because society needs to see us living lives and being productive with the proper treatment. Because we learn the most from those whose voices society tries the most to silence.

Mental Health Stigma: Airing our “Dirty Laundry” Posted on February 8, 2014 by Paulissa Kipp

Ways to Gently Advocate for Mental Health

1. Wear a mental health awareness ribbon. The color for mental health awareness is lime green, representative of bring mental health into the limelight and out of the shadows.
2. Tell your truth. Stand up and share your journey. Yes, people listen when a celebrity talks about it but everyday people are courageous today. Any day that you get up and face the dragon and decide to live joyfully and with the superpower of ANYWAY, is courageous.
3. Be part of the conversation when mental health legislation and approaches are being discussed.
4. Remind people that it isn’t dirty laundry. For many of us, it is our reality.
5. Download some facts from the National Institutes of Mental Health and share those facts when confronted with stigma.

The most important thing that a person with a mental health condition can do to combat stigma is to practice passionate self-care and know that asking for help is not weak.  It is the act of a phoenix rising.Mental Health Stigma: Airing our “Dirty Laundry”
Posted on February 8, 2014 by Paulissa Kipp

Resource Highlight: Core Beliefs of Recovery

By DBSA national web site

Avid peer supporter, blogger and mental health advocate in Tennessee, Larry Drain has composed a wonderful post on the core beliefs of recovery. This worksheet lists the core beliefs of recovery and the internal beliefs we may hold that are the opposite of these recovery beliefs. The idea is to evaluate where you fall between these two beliefs and think of how you may be able to create a better life by working more towards the recovery beliefs.

You may wish to use this tool in support group meetings to help individuals think through changes they want to make.

Core Beliefs of Recovery Tool at www.DBSAlliance.org

(Check out many more chapter resources available on the Chapter Management Section of the DBSA website!)

Greetings, everyone. This April training course in Milwaukee is open to Veterans not currently employed in VA peer support positions who are interested in qualifying for such employment. To access the application, either click on the link below, or see the attached document. Please note the March 25, 2014 application deadline, and thank you in advance for circulating this to interested Veterans as appropriate.

Application link:  http://www.dbsalliance.org/site/Survey?ACTION_REQUIRED=URI_ACTION_USER_REQUESTS&SURVEY_ID=8300

 Best, Lisa Goodale
Lisa C. Goodale, MSW, LSW
Vice President, Peer Support Services
Depression and Bipolar Support Alliance / DBSA

 or 

Fax: 

www.DBSAlliance.org

Veteran peer specialist training:

www.DBSAlliance.org/Veterans

 

The issue of Medicaid expansion is a mental health issue. The fact is, we must prepare for the deaths of thousands of our fellow consumers because mental illness is not an attractive topic of concern, not a winning political issue. Let's face it, mental illness, left untreated, is not a pretty picture. So, mental health care must be made affordable. That's the reason we need mental health care provided for those who are the most vulnerable and the most desperate for proper mental health care.

And, so, here we are . . . are we ready to witness a huge, preventable loss of life? Or, are we ready to call on those we elected to serve us and let them know we expect them to step up and do the right thing?

Click on the link. Watch the video. Then you are welcome to click our Forums tab to create the topic you want to discuss.

http://bit.ly/1c24AkT

Larry Drain, Legislative Liaison for DBSA Tennessee, published the flowing blog on his Hope Works Community blog site this evening. He is responsible for DBSA Tennessee's advocacy effort beginning with his Nov. 25, 2013 blog to bring attention to the crisis. Larry wrote:
 "Now word has come that funding for peer support centers is to be totally stopped. The fate of 45 centers and all the people they serve is uncertain at best. The department has managed to find the smallest possible cut that affects the most possible people."

At Larry's recommendations, DBSA Tennessee became the first statewide consumer organization to take action; first, with a Christmas card to the Governor Campaign and, later, an online petition to urge Governor Haslam to cancel plans to close the centers. Recruiting organizational leadership, Larry was the first to post an "Open Letter to the Governor" from the State Director, DBSA Tennessee. 

Additionally, Larry's strong desire to save the peer support centers led him to write numerous blogs, place numerous phone calls, and speak directly to leaders and advocates representing peer service organizations. He can take pleasure in the fact that his efforts were fruitful. And he can be comforted that thousands of the most vulnerable of our brother and sister consumers can enjoy the safe haven of 45 peer support centers in the days to come. 

We applaud Larry for his work and perseverance. Thanks, Larry.
Steve

Peer Support lives
February 3, 2014 
hopeworkscommunity blog


It was announced tonight in Governor Haslam’s 2014 budget for the state of Tennessee that proposed budget cuts that would have closed all 45 peer support centers in Tennessee has been rescinded and all peer support centers will be fully funded. 

Thanks to a governor who listened and to so many who spoke out.

It has been a good night for all of us. 

Much to be thankful for.  Glad to have some good news to share.

Spirituality And A Wellness Based Lifestyle With Those Who Live With Bipolar Disorder. Wednesday, February 5, 2014 - 09:00 to 10:00

Reverend Cheryl T. Magrini, MS.ED, MTS, Ph.D.

Why should we be talking about spirituality and mental illness? Many individuals understand the essence of what it means to be a human being through their spirituality, and I find that this is even more so for those who struggle, ones living purposeful life, and those who embrace their resiliency, all the while living with bipolar disorder. When living with a mental illness, it can be too easy to think one is weak, unworthy, deserves to be abandoned by “God– or a sacred source” or that the episode could have been controlled, or the individual healed of the behaviors of the mental illness if religious codes, or other sacred norms, were not violated. Is relying on the sacred – whether ultimate truth or transcendence – being strong or not being strong enough? At the center of these questions lies the way that an individual living with bipolar disorder defines their own spirituality, and there are persons who struggle with what this means at all. How then does spirituality inform and influence decisions and specific wellness practices? With spirituality being a central point of living with purpose, meaning, and resiliency, how and when is this integrated into the therapeutic treatment? These questions on spirituality and wellness were asked of twenty-two individuals in a one hour interview. Out of these interviews, through common themes and evaluating the differences as well, five insights have been identified that will be presented in the webinar, including quotes and comments from the individuals in the interviews. This research leads to additional questions to explore.

Reverend Cheryl T. Magrini, MS.Ed, MTS, Ph.D.​ is a United Methodist clergy, serving the Chicago metro area since 1998, currently with the First United Methodist Church in Chicago, an urban and diverse church. Cheryl publishes, researches, and speaks nationally in the religious education and congregational change fields; and since 2011 specializes in consulting with faith communities to develop comprehensive mental health programs in partnership with community resources. Her current research on resiliency is an extension of her spirituality and wellness study. The resiliency research focuses on identifying resilient qualities, how these can be developed, and the ways that individuals living with bipolar disorder draw on and rely upon resiliency to live with purpose, meaning, power, and strength. Individuals share their personal story of resiliency as the basis of the research. Cheryl is chair, Depression and Bipolar Support Alliance, and on the IBPF Consumer Advisory Council, on the IBPF Consumer Advisory Council and President of the DBSA Chicago Loop Chapter.

Space is limited.Reserve your Webinar seat now at:https://www3.gotomeeting.com/register/299258710 

After registering you will receive a confirmation email containing information about joining the Webinar.

- See more at: http://www.ibpf.org/event/spirituality-and-wellness-based-lifestyle-those-who-live-bipolar-disorder#sthash.4fM898CK.dpuf

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